1660 Oakbrooke Cir
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Address i6fin naxnunnxF !'TRr7 F Zip 55122
IAt Z5 Blk 5- Sub QAKB300KE 4T
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector: "Z
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Petmanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the buildet the removal of rodt test caps from the plumbing system and the shuhoff of water supply to
the outside lawn faucet before freeze potential exists.
Contac[ engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Convactor Copy
?, ? ?? "d
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
lew Conatruclion Reaulrementa
3 regislered site surveys showing sq. ft. of lot, sq. k. of house; and all roofed areas
(20%mazimum lot coverage allawed)
2 copies of pWn showing heam 8 window sizes; poured found design, etc.)
i set M Eneryy Calculations 3 copies of T2e Preservatian Plan if lot platted aRer 711193
Rim Joist Detail Opfions selection sheet (bldgs with 3 or less unlLS)
)ATE S-IS -?
?????
? 71.o0
RemodellReoair Reouirements
. 2 apies of plan
• 1 set of Energy Calculations for heated add'Aions
• 1 site survey forexlenaredditions & decks
• Indicale'rfhomeservedbysepticsystemforadditions
VALUATION
IOB SITE ADDRESS I(49Ca(c OAKL3Qet?(c? (142C4-r?
F MULTI-FAMILY BUILDING, HOW MANY UNITS?
'ROPERTY OWNERD8C-P_7' ?i?`nE24a?
'YPE OF WO
%PPLICANT
tEPLACE(S) _0 -A l _2 _3
PHONE # 651- 9aS'-/87S
4DDRESS ?l2lPlo B?eSR3eoac?e. Ct Qci-r- ZIPCODE 5-FIZZ.
'AGER# CELLPHONE# CA?Z-?S5 = 5?/0.? FAX#
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbtng Contractor: Phone
Plumbing System Includes: _ Water Soflener _ Iawn Sprinklcr Fee: $90.00
Water Heater No. of R.I. Baths
No. oF Baths
Mechanical Conhactor: Phone #
Mechanical System Includes: _ Air Conditionuig Fec: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
, .
informatio
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hereby acknowledge that I have read this application, state that the information is co ced agree to cdmplv th
iII applicable State of Minnesota Statutes and City of Eagan Or(diaac?s.
``
Signature of Appllcant?
;ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
] 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
] 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
7 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
] 04 02-plex ? 10 08-plex V 18 Deck ? 23 Porch (screened)
] 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
] 32 Addition
] 33 Alteration
7 34 Replacement
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
13 33 ExR. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg only) - Give PCA handout to applicant
laluation oZ04D Occupancy
;ensus Code y,? y Zoning
iAC Units 0? . Stories
Jbr. of Units Sq. Ft.
Jbr. of Bldgs Length
-ype of Const W idth
Footings (new bidg)
Lb Footings(deck)
Footings (addition)
_ Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Tes[ _ Final
_ Insulation
MC/ES System
? City Water
Booster Pump'.
PRV ,
Fire Sprinklered
REQUIRED INSPECTIONS
FinallC.O.
C/l FinaUNo C.O.
7' Plwnbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Fiual
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By tN
3ase Fee
iurcharge
Ilan Review
AC/ES SAC
;iry sAc
Nater Supply & Storage
i&W Permit & Surcharge
-reatment Plant
Ilumbing Permit
Aechanical Permit
.icense Search
;opies
)ther
fotal
. v 0
Building Inspector
401? City of Ea?a?
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------- -----------
i FOf,0ffI68:1.15@
j Permit#:
i PermitFee: ?30-
? Date Received: j
I ?
I Statt: ?
I ? ...
-----------------'
2008 RESIDENTIAL BUILDING PERMIT APPLICATION Cl,-?-1(6;(1. `c?) I
Date:;?' ?g - 0 ? SiteAddress: ???J 6?i??
Tenant:
Suite #:
RESIDENTlOWNER Namei ?.a(-k)fctA'Z. Phone: C55 I '097 '77It,
Address / City / Zip: Ik-O 55-u!,-
Applicant is: X Owner _ Contractor
TYPE OF WORK Description of work: T???"?s? FinCl-.
Construction Cost: Multi-Family Building: (Yes _/ No
CONTRACTOR Name: License#:
Address:
City: State: Zip: '
Phone: ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Resitlential Ventilation Category 1 Worksheel • New Energy Code Worksheet .
CatEgOry Submitted Submitled
(4 SubmissiOn fyp0) • Energy Envelope Calculations Su6mitted .
In the last 12 months, has the City of Eagan issued a permii for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer 8. Water Contractor: Phone:
NOTE: Plans and suppor7ing documents.that you submlt are considered to be pub!)c inlormatlon. Portlons of :
the information. may be classffled ssnon-publlc I/ you provide'specifiareasons.that would permit the City to .
oonclude [hat the are trade secrets.
I hereby acknowledge ihat this intormation is complete and accurate; ihat ihe work will be in conlormance wilh the ordinances and codes of the City ot
Eagan; ihat I understand ihis is not a permit, bui only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the appmved plan in the case of vrork which requires a review and apprqvaYO lans. -
x ' .. .
ApplicanYs Printed Name pplicanYs Signatu
Page 1 of 3
? F r ii 1 s_9 200Fi
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) O Ext. Alt. - Multi '
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? OB-pleX ? Deck ? Porch (screeNgazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level 0 Storm Damage
O 04PIex ? 12-plex O Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building'
? Additfon ? Move Building O Reroof ? Demolish Interior '
X Alteratlon ? Fire Repair O Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuatfon 22R7 ? Occupancy MCES System ?
Plan Review ? Code Edition G>(? SAC Units -
(25% _ 100%? Zoning P City Water
Census Code y3y Stories Booster Pump -
# of Units Square Feet PRV -'
# of Buildings ? Length - Fire Sprinklers -?
Type of Const. ? Width -?
Footings (new kldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: Ice 8 Water Final
? Framing
Fireplace:_4R.l. 2&irTest VFinal
? Insulation
Reviewed By: _
Sheetrock
Final/C.O.
Final/No C.O.
HVAC
Other:
Pool: _Footings Air/Gas Tests Final
_ Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retafning Wall
Building Inspector
Base Fee J -40 ??-
Surcharge T
Plan Review
MGES SAC
City SAC
Util(ry Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
Clty of Eap
I For Office-Use ,
I ?•
? Permd#. SZ"023
z
I Permi[ Fee: K
?
I ?
? Date Received: I
I ?
I +
? Staff: ?
L -----------------
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 7-2-2' ,ol Site Address: 1Z6c? 004.4([)o !?R C11r'
Tenant:
Suite #:
RESIDENT I OWNER Name:21'&,,oA -I-)7dZ_ Phone: ?oSl-bS$-$716
Address / City / Zip: 1660 00.S-7f ov 4.+P C i('
CONTRACTOR Name: GQl? _ License#:
Address: JLba C ir
City: ? ? ?+ ? State: PA %rJ_ Zip: 12Z -
Phone: 65t• 4V4",&7lb, ContactPerson:
TYPE OF WORK /!CL_ New ._ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RES/DENTIAL
Water Heater _ Water SoRener
Lawn Irrigation ?Add Plumbing Fixtures
RPZ 1_ PVB) ? Main X_ Lower Level)
Septic System _ Water Turnaround
New
Abandonment
RESlDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (inciudes $.50 State Surcharge)
$30:50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
"Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
. ....
I hereby acKnowletlge tnat mis intormanon is compie[e ana acwrace, maL me wuln wu? ?c M 1..1-??????a???? ..?.?? .? ..,..?,,,,.... ..••.. .......... -. -..- -.., -.
Eagannderstand this is not a permit, but only an application for a permit, and work is not to slart without a permit; that the work will be in
a rdance Rh the approved plan in the case of work which requires a review and approv f plans.
X ? x iC"(&
plicanYs rinte Napr ApplicanYs Signature
FOR OFFICE ?USE -? ° Reviewed By ° Date: ?
Required Inspections: '_Under Ground ._Rough In =Air Test Gas Test _Final
'S1 ? 7 S' RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Conshuttlon ReauiremaMs
• 3 registered sile surveys showing sq. ft. of l04 sq. B. of house; and all rooled areas
(20% mazimum iM coverage allowed)
. 2 copies of plan showing beam & window s¢es; poured found design, elt.)
. t se[ of Energy CalculaNOns
. 3 copies o( Tree Preservation Plan A lot plafled after 711193
• Rim Joist Detail Options selecdon shflet (bldgs with 3 or less units)
DATE (PA Z I."
_ Water Softener
_ Water Hea[er
_ No. of Baths
SITE ADDRESS 1(0(00 "r?4P_ Circ?2- ? MULTI-FAMILY BLDG _Y _N
TYPE Of WORK _C?.re.2 'S ?a.san FIREPLACE(3) _ 0_ 1 _ 2
APPL1CANi l e,r G,v,? C-dvt5l1-L", -ay,
STREET ADDRESS 346o C.-eIF Uie-.S C?x-, CITY ???.?.. STATE MA } ZIP SS1 Z3
TELEPHONE # QSZ Z(o l-7oSCELL PHONE # cl C2. 71 tS 1?S FAX #(n SI 44)S' 'D°fll
PROPERTYOWNER TELEPHONE# 69I' 6,68' 5-71,6
---------------------------------------------- '---------- --°-........ --...°-------°---------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATE:GORY 1 MINNESOTA RULES
(J submissivn type) • Residential Ventilation Category 1 Worksheet Submitted • F• Energy Envelope Calculations Submitted JUN 13 Z
Plumbing Contractor: _
Plumbing system includes:
Mechanical Contractor:
Ylcchanical system includes:
Sewer/Water Conhactor:
Air Conditioning
_ Heat Recovery Systein
Phone #
Pce: $70•00
Phone #
------------°------------°--°------------°--------------------------------------------------------°-----------°--°-
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply
with all appiicable State of Minnesota Statutes and City of Eaga7m*.-
OFFICE Signature of Applicant usi: oNi.Y
CC) ? Ds
RamodellReoair Reauiremenh
. 2 copies of plan
• 1 set of Energy Calculations for heated additions
. 7 sBe survey for exteriaradditions & decks
. Indiwte if home served by septic system for addiGons
VALUATION ? T325
_ Phone #
Lawn Sprinkler
No. oF R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
O 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garege
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
k 21 Porch (3-sea.)
? 22 PorchlAddn. (4sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
Q 30 Accessory Bldg
p 31 EM. Alt - Multi
? 33 Ext. Alt - SF
Q 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
X 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroot ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
?
Valuation ?,
Occupancy
/" 3 MC/ES System
Census Code 1-13? Zoning Pl) Ciry Water
SAC Units " Stories - Booster Pump
Nbr. of Units ` Sq. Ft. 5c, PRV ?-
T-
Nbr. of Bidgs " Length Fire Sprinklered
Type of Const Width ?
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.Q
? Footings (deck) ? FinalMo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Eraming _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply 8, Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
. ?io
Building Inspector
?LI,S` or's Cert2.fic ate
e y
urv
SURVEY FOR :PU?TE oako?a
DESCRIBED AS : OU??Y M?Inne olo a?dR00eEV?9Hea?emTe? s oftiecordagon.
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6 9A
-??`694 -
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446.9 9s?
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44zs ?
997,9 <\
G0`04° o ?? \ \ ro8 953A ?
447.0 J( ?° ??? • .,,%,
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9 7. g po 9.,e
9914 42.7
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se.s????\ \?\
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LOT SQ. FOOTAGE = 17,740 HSE. SQ. FOOTAGE = 1,819 °V,. ?`?d; ?&`\
sfOQ ??? ??
LOT COVERAGE 10%
,,• rlw?_ 9Lo.?, ? \)
9 • ' ? ??
ti, , Y ? 6? 52
920
?
?
?
Plon a 162
PROPOSED ELEVA710NS BENC? K' TNN? ys
Ele.?= 939.3`1
Top oi foundotion = 95i,0
Goroge Floor =950AV
Bosement Floor =c442o MIN. SETBACK REOUIREMEN
Aprox. Sewer Service =a3
Proposed Elev. = Front - 25 House Side _
Existing Elev. = Reor -t5 Goroge Side -
Orainoge Directions = scALE: I incn ? 30 leel
Denotes Offset Stake = • ,ioe r+o:
OOR - 228
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATI N
ND OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED 9^r?
HE??? °Y UE CR UNDER UY D?RSCT SUOrRylypN ANO OCES ?IOT PL`RPORT TO P?GE
??7e?yf}?4C.`I7S. cycrJPT AS SY?'M{
rp V?,
PUXNJFG ENGIFE£P.ING SUP.vEYlNG YI.f ., :r '
/J' 4 ;' ?L : ..' ?fq- ? nJl%?•?, tl .?J: l? P u
y .
?rgs a ? r,5?5500 MIN?N?ES?OTA LICENSE NUMB£R 14376
t r ;?
:? ??
?t. 1.
r_ _ .. . .
CITY USE ONLY
PERMIT #: y `{ RECEIPT DATE:
ftF.SIDEN'1'IAcL MECHANICAL PEf{14II'A' APPLICATION
C1TY OP EAfiAP
3$80 PILOT KNO$ RD
EA6,4N MN 5572E
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when pertnits are required for each unit
Date:
SITE ADDRESS: tbL O rlLL-lW1zbAC<- CA-rLL -
OWNER NAME: ?? `? ?OVVLSL-S _ TELEPHONE #: Cn cJ I LI '?J.?' So?D?
(AREA CODE)
INSTALLER NAME: ?E l? ( Y1S\i'kU ?ASl nl'6YIU J±lC TELEPHONE
? (AREA CODE)
STREETADDRESS:
CITY: SQ"3 CiCy„ STATE: I-?,uJ ZIP: S`S 3?l b'
,
New residential dwelling unit under constructionand not ownerloccupied $ 70.00
Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surcharge $ 50
TOt81
Reminder: Call for inspections.
Upda[ed 1/Ol
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMMERCIRL MECFIANICAL PERMIT Ai'PI.iCAT10N
CITY OF E4fiAN
S$SO PILOT KNd$ ftD
EAeAH, Mv 551 22
651-6$1-4675
Please complete for: all commercial/industrial buildings i
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #: - ?
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE#: - ?
(AREA CODE)
CITY: STATE: ZIP:
WORK TYPE: New construction Install U.G. Tank '
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
Specify Nature of Work
When insta![ing/removing underground tank, ca![ 651-681-4675 for inspection by Fire MarshaL and
Plumbing Iinspectar.
?
Fees: 1% oF contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Conhactprice: $ x1%=$ (BaseFee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
,
.
Updated I/O1
Siteaddress: `L 60 0AK9P-CDKf- 6 VU(- Lot'-L Block ? suba. yt?
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation pcotection; air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Gertificate of Occupancy.
This structure: is constructed to meet minimum requirements of the Mn Energy Code, Ehapter 7670
` / OR
V This sVucture: will be consWcted to meet more resficGve requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL 8TU'S VENTING TYPE
Water Heater ? ) i)Sa yr6
Fumace (/ ? q n 3S fl 3b 66 0 S?,,7D6 otr24t
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES r+o
Kitchen kitchen
Bathrooml 46W ? SdY1 c
Bathroom 2 'OSY
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
1 ' l rICG? A' FT?JYJ C??6 _{? .?? ooa v
I hereby acknowledge that the above information is correct and agree to compry with the Minnesota Energy Code-and City of Eagan
requirements.
Company Name
3Z3 I?Z
Date
' This form is the responsibility of the General Contractor.
CITY USE ONLY
L BL RECEIPT #:
SUBD. f/ b? KoYn o keH +-n RECEIPT DATE:
PERMIT# 7I Cl
2000 PLiJMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, tM7 55122
651-681-4675
Piease complete for: D single family dwellings
?? ?
0 D townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTlIRES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $ -
Floor drain 3.00 x
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x $ ?
Laund tra 3.00 x $,.»
Lavatory 3.00 x = $/Z -
SBptic System . new/refurbished " requires MPC Ifc. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new instailationlrepaidrsbuild 30.00 x = $
Rough opening 1.50 x = $`
Shower 3.00 x = $ ?
Underground sprinkler rf dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
water closet 3.00 x ,3 = $
Water heater 3.00 x = $,3 1
Water softener If dwelling under construttion 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Waterturnaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
Total -> -? ---> --> $.
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------------------------•--------------------- -----------------•-•---------------------------------------
Ihereby acknowledge that I have read this epplication, state that the informaGan is cortect, and agree to comply with all applice6le Ciry of Eagan ardinanms.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any demages caused by fhe City during its
normal operetional and maintenance adivRies to the facilitles wnstruc[ed under this permit within City property/right-of-wayl `??T N
? D ??
SITE ADDRESS:
1 fIEC 0 r ?OOD
OWNER NAME: TELEPHONE -
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #:
2
CITY: STATE: Ilnll??:
?-. ? ?
SIGNATURE OF
, . 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
lo I ? ? 651-6?1-4675 `= l
rJ1 ?
New Conslruclion Reaulremenfs _`°(I U RemodeVReoair ReaWremenh
D 3 reglsteretl site surveys ahowing sq. (t. of lof, aq. R. o} haise 2 copies of plan
antl QII roofed areas <20% maximum lot eovemae allowedf 7 se1 of energy wlculatlons for fieated adtllfions
D 2 Copies of plans (slww beam 8 winciow sizes; poured fnd. deslgn; eic.) 1 sife wrvey for exfeAOr addiMOns 6 decks
? 1 set of energy calculaNOna
? S copies of tree preservation plan It lot platled affer 7/1/93
DAiE: CONSTRUCTION COST: 0
DESCRIPTION OF WORK: +` ? S l U Gr +I U ? If mul8-famfly bldg., how many unifs?
STREETADDRESS: I tto bAkgr<?j')1w Cl,(oc-
LOT: U BLOCK: ? SUBD./P.I.D.M: 6e`?-jxy /t?
Name: Phone #:
PROPERTY last rirat
OWNER
Sheet
Cty
Siafe:
Zip:
lliille #uOTIs oow P,ona#: 6s-i S-.2,0 Ti
Company:
(area code)
COMRACTOR
Sheet Addreu: ti Iy y?5 Llcense t J? 71 Exp?
Clty l/f 'Q ?I/jojL N5i1 -5 StCfe: )j ? Zlp: z->
I
ARCHITECT/
ENGINEER Company: _(?lfvr? f'15 /IrDA Name:
Telephone #: ( )
Sheet Address: Regishation
Ciiy Sfate: Zip:
J I{2, ,2 112J
Sewedwater licensed plumber (if installina sewerlwater): PL.11?.11 ?] >fAl (I Phone #: (?lSfJa )
I hereby acknowledge that I have read this applicatfon, state thotthe Infortnatan is cortect, and agree fo comply with all applicable State
of Minnesota Statutea and CNy of Eagan Ordinances.
J
Signalure of Applicanh P?4M^ ^ ?
Certificates of Survey Received
Tree Preservation Plan Received
OFFICE USE ONLY
- -- j
_ Yes _ No I
; -?,? ? 2GC0
_ Yes _ No _ Not Required c? -?
OFFICE USE ONLY
,
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex
12 02 SF Dwelling O 08 06-plex
O 03 01 of _ plex ? 09 07-plex
0 04 02-plex ? 10 08-plex
? OS 03-plex O 11 10-plex
? 06 04-plex 0 12 12-plex
WORK TYPE
W 31 New
32 Addition
33 Alteration
? 34 Repair
? 13 16-plex ? 21 Poroh (3-sea.) O 31 Fxt. Alt - Muw
0 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
O 18 Deck O 23 Porch (screened) ? 36 Mutti
? 19 Lower Level O 24 Storm Damage
Plbg _Yor_N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bidg. ? 43 Reroof
O 37 Demolish (Bldg)' ? 44 Siding
13 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable) ?
UBC Occupancy IR??
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
2_?LL?,elsq. ft.
Clelj-, sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS ??/?
Planning Building l?lJ
-2 sq.ft.
c?.T sq. ft.
Footprint sq. ft.
/ i `T Census Code
i i 4F MC/ES System
7212 y CityWater
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
1 R.?.
PermitFee Valuation: $ 152
Surcharge '
Plan Review F5-,42 Z-
License MC/ES SAC ? ! 7 70
-
ci? sAC
Water Conn.
Water Meter ?,??lJ L?r/? L
Acct. Deposit
S/W Permit m v
S/W Surcharge '
Treatment PL
Park Ded.
Trails Ded.
? ?'
Other
Copies
Total: s U ? o e
SAC Units
% sAC ?= l s6, J d ?? ?a
U
h
H
?
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tx
C
0
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL =Or ? ?X? S' l`?TyxQDx
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• BuildingPermRApplicant
• Legal description
• Address
• NoRh arrow and scale
• House type (rambler, walkout, split w/o, spfrt enVy, lookout, etc.)
• Directional dreinage arrows with slopelgradient %
• Proposedlebsting sewer and water services 8 invert elevation
• Street name
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
J/ Ewsbna
e??o o : Sewer service (or Proposed)
a Property corners
d? ? • Top of curb at the driveway
? 6X0 - Elevations of any ebsting adjaceM homes
? m/ ? Adequate footing depth of shuctures due to adjacent utilily trenches
? Prooosed
? ? • Garage floor
a'' ? ? • First floor
r9? ? ? • Lowest exposed elevation (walkouVwindow)
?A c • Property corners
?e o • Front and rear of home at the foundation
PONDWG AREA (if aodicaWe)
? 7 / ? • Easement line
? p? ? • NWL
? ? ? • HWL
? cv ? • Pond # designa6an
? W ? • Emergency Overflow Elevation
DIMENSIONS
1 ? • Lot lines/8earings & dimensions
p ? • Right-of-way and sheet width (ta back of curb)
'
?? ? , porches, etc.
• Propased home dimensions including any proposed decks, overhangs greater than 2
/ (i.e. all structures requiring permanentfootings)
? O ? . Show all easemenis af record and any Ciry utilitles within those easements
m?'o ? • Setbacks of proposed structure and sideyard setback of adjacent epsting strudures
? ca-" ? ? Retaining wall requiremenls, if any?
Reviewed:
.
March 1989
CRAqy6lDGPRM(.FM
Surveyor's Certificate
992.0
SURVEY FOR :PULTE
DESCRIBED AS• Lot e, Block 5, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota
' County, Minnesota and reserving easements of record. 3s
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? - - _= - -_ - - - - _ ------- qb32
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9521
0 31"W 220.15
S84'10'
Q 95= 9527 LOT SQ. FOOTAGE = 45,167
HSE. SQ. FOOTAGE = 1,816
LOT COVERAGE = 4%
,..
? V. ?a?
Plan # 18261
PROPOSED ELEVATIONS
BENCHMARK, rNH@ %,
Top of Foundation =9s5.o e1e?=939.?9
Garage Floor =959.(r
Basement Floor =94b.o
Aprox. Sewer Service =990,?5? MIN. SETBACK REQUIREMENTS
Proposed Elev. _ ?
Existing Elev. = Front-25 House Side -
Drainage Directions =
Denotes Offset Stake = . SCALE: 1 inch - 30 feat Rear - 15 Garo9e Side -
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION JOB N0: OOR-218
HEDL(!ND OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEP7 AS SHONM.
PL,INNINC BNGINJ46R1N0 SURV6YINC /? .
2005 Pin Oak Drive 3 0 0 1? CAD FILE:
Eogan, MN 55122 DATE _/ I_/___
Phone: (651) 405-6600 FF D. LINDGREN, 42AND SURVEYOR OAKBROOKE
Fax :(651) 405-6606 MINNESOTA LICENSE NUMBER 14376
RFCEIVED NON i :; ZUil±:
?
Surve y o r's
+ t '
Certzficate
.
D
URVEY FOR : PULTE
ESCRIBED AS ' Lot 11, Block 5, OAKBROOKE 4TH ADDITION, City ot Eagan. Dakota
' County, Minnasoto -and reserving eosements of record.
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991.9 <\ `oqe $ ? ? ?` ro6=953.1
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LO7 SQ. FDOTAGE = 17,740 o ?
?
. SQ. FOOTAGE = 1,819
HSE
LOT COVERAGE = 107o f°\f
' ?WL= 9L0.2?> \ ?> 929.7
.'
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6j y2
• ?A gs $ 2p
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rinovs
17
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Plon // 162
PROPOSED ELEVATIONS
= 951.0
= 950.(0
= 942.0
= a3c?z!
Droinage ?rec = -
Denotes Offset Stake = •
Top of Foundotion
Gorage Fioor
Bosement Floor
Aprox. 5ewer Service
Proposed Elev.
Existing Elev.
D' tions
HEDLUND
pLtXNINC £NGIJrE£P.JNC SURVEYINC
Ltff 7? (i7' I•R
t09ra^. " 55122
' pftcwtc 4,05-6600
I
Ay
nW
SCALE: 1 inch - 30 feet -
BENC RK, THHe %5
Eleo = 939.39
MIN. SETBACK REQUIREME
Front-z5 House Side
Reor -15 Goroge Side
J08 N0:
I HEREBY CERTIFY iHAT iH15 IS A TRUE AND CORRECT REPRESENTATION
OF 7HE BOUNDARIES OF THE ABOVE DESCRIBEO PROPERiY AS SURVE`fED
$Y 1AE OR UNOER uY DIR£CS SUPERV190tv AND OOES NOT PURPORT T6
yr,H `1T5 CP E•i?30aCr!urr?t5. ExG'_P?S 5}+r0'+??.
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U. _02l'llaF!'p
]TA LICENSE NUMBER 14376_
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b `t "1 J RESIDENTIAL BUILDING
Permit Application
City Ot Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
1?-1p.ZS
G4,1" 7(ysk?
New Conslrucfion Reauirements RemodeUReoair Reauirements Offce Use OnN
3 registered site surveys showing sq. N. of lot, sq. N. of house; and all roofed areas 2 copies of plan Ceh of Survey Recd
(20% maximum bt coverage allowed) 1 set of Eneryy CalculaGans krheated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey for additlons & decks Tree Pres Not Reqd
lserofEnergyCakailations Addition-indicatei/on-sdesep6'csystem _Oo-sileSeplicSystem
3 mpies of Tree Preservalion Plan if bt plalled aRer 7/7/93
Rim Joist Dehail Opfions selection sheet (bldgs with 3 or less units
Date ??'_ /?- t_ / CJ?>
SiteAddress I(a? Ua?_6? ?
Construction Cost pf ? o a o
G4'rC%1Y° UniUSte#
Description of Work J? C" A 4\VP p--?'rrsr f?u'f c?
Multi-Family Bidg _
Y_ N
Fireplace(s) _ 0 ?
_ 1 _ 2
Property Owner u' ? V, 10, ,
i Dt ?{-z Telephone #((cS I)??`? •?? ??'i
Contractor 1?it, "ru« InC. •
Address 3e4(co
State A" H CVkLiJ at,
Q iZ-&-A
Zip j-S IZ3 City Es.-!{a r-\
Telephone#(9jZ) Zju• t-70,?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Mimmesota Rules 7670 Cate¢orv 1
• Residential VenUlation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MIv
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.
??-e_ X BrS?!? V e
Applicant's Printed N'Ylne
Ya[S??.Ti'
I katL 0
Applicant's Signatur
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-piex 0 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02•plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-pleX Plbg_Y or _ N ? 25 MisCeilane0u5
Work Types ?
.1,
? 30 Accessory Bldg
? 31 E#. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Btdg) - Give PCA handout to applicant
Valuation ? Occupancy ? "3 MC/ES System ?
Census Code 4/ 3?1 Zoning City Water
SAC Units - Stories -- Booster Pump -
Nbr. of Units - Sq. Ft. - PRV '-
Nbr. of Bldgs ` Length -"" Fire Sprinklered ?
Type of Const ? Width -
REQUIREDINSPECTIONS
Footings (new bldg) FinaUC.O.
? Foorings (deck) FinaUNo C.O.
_ Footings (addition) Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final .
ZZY Framing _ Siding Stucco Stone
_ F'ueplace _ R.I. _ Afr Test _ Finai _ Windows (new/replacement)
_ Insulation _ Retaining Wall ! r
Approved By
8ase Fee ??o e-
Surcharge
Plan Review '
MClES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search -?7?-
Copies
Other
Total
Building Inspector
Surveyor's
Certzf2cate
?
D
AVEY FOR :PULTE
ESCRIBED AS ? C unty, M?nnesolo p?dR00eEV?9Hea9emTe?ls of?ieco/d?9??? DOkoto
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FOOTAGE
LOT SQ
= 17,740 ?` afpDe `f'?\?
\\
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.
SQ. FOOTAGE
HSE = 1,819
.
LOT COVERAGE = 1070
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9 • \ i'
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$ 20
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920
' ??RX, ?'???UY C1,Ww?
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62
Plan 111 1
PROPOSED ELEVATIONS BENC?K,
rNNe %5
Ele?: 939.39
7op of Foundotion = 95i.0
Gorage Floor =95ot0
Bosement Floor = q42-0
SETBACK REQUIREMEN
MIN
Aprox. Sewer Service =93?-2' .
Proposed Elev. =
Front - ZS House Side _
Existing Elev. = Rear -t5 Goroge Side -
Oroinage Directions = scALE: iI„cn -30 reec
Denotes Offset Stoke = • ,pe No:
I HEREBY CER7IFY THAT SHIS IS A TRUE AND CORRECT REPRESENTATION OOR-228
OF THE 90UNOARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYEO
[l1VD 9Y UE CR UNOER Uy O I?cCT SUPERVISION AND OC[g H07 PURPORi TO vAGE:
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PUNNING ENG7FEEP.T,YC SURVEYING
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u-4 55122 { ??. nJ'./i?•?, _I , 7: F."Y
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?
MINNESOTA UCENSE NUIdBER 14376
\,Z.Y ro8. q53,1
`? ?'
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1660 Oakbrooke Cir
Lot: 8 Block: 5 Addition: Oakbrooke 4th
PID:10- 53763- 080 -05
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Line
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Glowing Hearth and Home
100 Eldorado Dr.
Jordan MN 55352
(952) 492 -9276
PERMIT
City of Eaan
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Tim Shimek
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Owner:
Richard A Dratz
1660 Oakbrooke Cir
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA083147
05/21/2008
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111263
Date Issued:06/17/2013
Permit Category:ePermit
Site Address: 1660 Oakbrooke Cir
Lot:8 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Richard A Dratz
1660 Oakbrooke Cir
Eagan MN 55122
(651) 688-8716
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
D
0
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136900
Date Issued:06/06/2016
Permit Category:ePermit
Site Address: 1660 Oakbrooke Cir
Lot:8 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Richard A Dratz
1660 Oakbrooke Cir
Eagan MN 55122
(651) 688-8716
Home Depot At Home Services
6224 Lakeland Avenue N, #102
Booklyn Park MN 55428
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167328
Date Issued:03/09/2021
Permit Category:ePermit
Site Address: 1660 Oakbrooke Cir
Lot:8 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Richard A & Karla M Dratz
1660 Oakbrooke Cir
Eagan MN 55122--421
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176153
Date Issued:05/03/2022
Permit Category:ePermit
Site Address: 1660 Oakbrooke Cir
Lot:8 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Richard A & Karla M Dratz
1660 Oakbrooke Cir
Eagan MN 55122--421
(651) 688-8716
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178839
Date Issued:09/06/2022
Permit Category:ePermit
Site Address: 1660 Oakbrooke Cir
Lot:8 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Richard A & Karla M Dratz
1660 Oakbrooke Cir
Eagan MN 55122--421
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature