1520 Oakbrooke LaneG Cc ?1 7Ce
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for, single family dweliings & townhomes/condos whcn permits are required for each unit
Date 0 7 / 1 a / o ,S
Site Address ??,?0 C4JG j'1?C, (L.i LN Unit #
4 ?K 55lz2
Property Owner Telephone #(?S-( ) Y O 7-
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner _ Contractor _ Other
Add-on or alteration ta existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
airconditioner _New _ Replacement
? other ata•^2R A
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical 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 Mechanical Codes; that 1 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. !, ,1-?7
ApplicanYs Printed Name Applicaff-s Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commerciaUindustrial6uildings
multi-family buildings when sepazate permits are not required for each dwelling uni[
Date
Site Street Address Unit #
Tenant IVame (ifapplicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Eapires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _ Remove *"see below
_ Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
`*When installing/removing underground tank, call for inspecfion by Fire Marshal and Plum67ng Inspector
Permit Fees: $70.50 Undcrground tank installation/removal
SSOSO Minlmum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 ? $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 ep rmit fee $ Total Fee
i nereby appiy Yor a Commerclal Mechanical 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 Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name
Applicant's Signature
Approved By: ,Inspectar
. - Q5U3
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mu 55122
Telephone # 651-675-5675 FAX # 651-675-5694
eae?./rZ/o.?
New Construcfion Reauiremenis RemodeUReoair Reouirements Office Use OnN
3 registe2d site surveys shovring sq, ft of io4 sq. ft of house; and all rooled areas - 2 copies of plan=? - Cert of Survey Recd
(20 % mazimum lot coverage allowed) 1 setof Energy CalculaGons tor heated addNons Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured fouM design, etc. ?.1 site survey for additbns 6 decks Tree Pres Not Reqd
1 set of Eneyy Cakulations Addition - indicate 6on-site septic system _ On-site Septic System
3 copies o(Tree Preservatlon Plan il lot pWtted after7/1193
Rim Joist Detail Op6ons selection sheet (bldgs wRh 3 or less units
Date ly l a'3 l0-? Construction Cost
SiteAddress 1520 Uak1b/ock L.t-, UniUSte #
Ea a? mN sf a2-
Description of Work O-LLK,
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner Gt P. f dchi7t `4 r? d kl Telephone #(1a5f )V07 LP '?l& O
Contractor ?
?d LCityi?
Address
State Zip IJ ) IIIN eleponel#?(i? )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category
(J submissian type)
Licensed Plumber
- Minnesota Rules 7670 Categorv 1
• ResidenSal Ven6lation Category 1 Waksheet
Submitted .
• Energy Envelope Calcuiatlons Submitted -
c ??
Mechanical Contractor
Sewer/Water Contractor
Minnesota Rules 7672
. New Energy Code Warksheet
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 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.
Jc hvl[Kr C?tG'A!
Applicant's Printed Na licant Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 5F Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 72-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46
? 34 ReplaCement •Demolitian (Entire Bldg) -Give PCA handout to applicant
Valuation Occupancy 2" MC/ES System _
Census Code Zoning City Water _
SAC Units Stories Booster Pump _
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const V? Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition) ,
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insularion
. `.
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Eut. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Nall
Approved By 777v,\ , Building inspector
Base Fee
Surcharge
Plan Review MC/ES SAC
City SAC -
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
r
. .y Surveyor's Certificate
.
SURVEY FOR :PULTE?HOMES . LOT SQ. FOOTAGE
DESCRIBED AS :Lac s, Block• 3, OAKBROOkE 6TH ADDITION, City of 23,555
?eagan, Minnesota and, reserving eosements of record. = HSE SQ. FOO TA GE
1,789
?
q52 A ?q ?L O T CO l/ERA GE = 7. 5 0
'g3°09
o.2o.oos° ? SEP 10 REC'D
??? 3
3:1 M97d11m $k0M
? , ?, ? •s , a ?,? o sRetelning WaN VVNI
o ge?gequired
\ / g ?• _ 31.00 949•l \?\ 3SS2 ??? ? C '-
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to.po ?
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? ?7.By...? 78.00 g 10.31 ? 1?N ?
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# 18232 ;?;
PROPOSED,EtEVATION3'?' o
443.v BENCHMARK,
Top of Foundation =asa.5 `?35•,?p??S v ? O ?Pt9ss
Garage Floor =a5v.i Elto=qss.
Basement Floor =9as.5
Aprox. Sewer Service = a42.5
Proposed Elev. ?? MIN. SETBACK REQUIREMENTS
Existing Elev. = Front - House Side -
Drainage Directions =
Denotes Offset Stoke = • SCALE: 1 Inon ? ao rootReor - Goroge Side-
??.r : ..........:::?;p'?H? aoe Na.
????"?? {+?
HEDLUND I HEREBY CERTIFY THAT 7HI5 IS uFu(? ???O)) R?Fr?cSENTATON 02R-571
OF 7HE BOUNDARIES OF 7HE A Vft?bESCRI OPERTi( A?SURVEYEO
BY ME OR UNDER MY DIRECT S SIQN N0t 16 PORT TO BOOK: PAGE:
PLWN/NG dNGJNSBRlNC SURYBYING SHOW IMPROVEMENIS OR ENCR?CH?ENl3, R EPT
2005 Pin Oak Drlve
EOgan, MN 55722 DATE CAD FiLE:
SURVEYOR
NbI
Phone: (651) 405-6600 - ,
Fax: (651) 405-6606 ..3?Z I NUM R 14376 Oakbrooke 6
PLiJ.MBING (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 pemuts are required for each unit
Date U / 11?- / 0 3
Site Address /5 aD 0??hrwke Li-,, Unit #
PropertyOwner ((C( ¢ ?J dJr,t ? Eddtf Telephone#(IyS/) rK07
Contractor
Address City
State Zip Telephone # ( )
The Applicant is ? Owner _ Contractor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes Counry fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water Wrnaround (+ 5/8" meter if needed -$121.00)
Other:
RPZ new installation _ repair rebuild
C'?
i
i
? L
i
? ?? ?? D
$
30.00
awn
rr
gat
on system
_ Water softener _ Water 6eater $ 15.00
_ replacement _ additional
/
gy'
$
.50
State Surcharge
$ 3 D - S-0
Totel
I hereby apply for a Residential Plumbing Permit and aclrnowledge 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 I understand this is not a
permit, but only an application for a pemvt, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
,Jhri. i K.t? ?? 1A?
ApplicanYs Printed Nam licanY ignature '
'5nsJ RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
,3 ?7b.bo
C"c?cL 2111103
New ConsWchon Reauiremenis RemodeLFieoair Reouirements Office Use Onlv
3 regatered sile surveys showirg sq. ft of bt, sq. ft of house, and all roofed areas 2 mpies of plan CeR of Survey Recd
(20% mazimum bt coverage allowed) 1 set of Energy Calwlations (ar heated additions _ Tree Pres Plan Recd
2 mpies of plan showing beam 6 windaw sizes; poured found design, etc. 1 site survey tor additions & decks _ Tree Pres Not Reqd
1 set of Energy Cakugtlons qddifion - indicate 8nn-sile septic sysfem _ On-site Septlc System
3 copies of Tree Preservatlon Plan if lot plalled aNer 7N/93
Rim Jaist Detail Options selection sheet (bldgs wBh 3 or less units
Date a oZ // y / 03 ConstrucNon Cost ac+nro xi m+E? "` 51M m- lo'
SiteAddress 1 5a0 bc-Kd,rnoX e LAn e. UniUSte #
nAu M.V 55lzz
DescriptionoFWork ?-D !cli'e+" Ievt? 0-C IIPn?,£ ?
Multi-FamilyBldg
Y?
Fireplace(s)
? 0 2 ?/? •L QL<-?1.t Intt? ao(
_ t h &45t
Property Owner R ,64^ 4- LCAAq Telephone #( 6-3 1 a
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residenfial Ventiiation Category 1 Workshee[
(J submission type) Submitted
• Energy Envelope Calculatlons Submitted
Licensed Plumber ?p \
Mechanical Coniractor
sewer/water Contractor n F E?
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
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.
P?! A.U C
Applicant's Printed Name
/ C,
ApplicanYs 3ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - MuIG
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc.
? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex PI6q?Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundafion) ? 45 Fire Repair
? 33 AlteraGon ? 37 Oemolish (Bldg)' 0 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire 81dg) - Give PCA handout to appliwnt
Valuation 19-?o Occupancy 1Z'3 MGES System -
CensusCode h`3y Zoning CityWater -
SAC Units Stories Booster Pump -
Nbr. of Units ? Sq. Ft ? PRV '
Nbr. of Bldgs -` Length Fire Sprinklered ?
Type of Const ? Width ?-
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation ? HVAC
_ Drain Tile Other
Roof _ Ice & Water Fi nal Pool Ftgs Air/Gas Tests Final
? Fnming Siding Smcco Stone
Fireplace ?t R.I. -*Air Test je Final _ Windows (new/replacement)
?E Insularion _ Retaining Wall ?
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
license Search
Capies
Other
Total
v
Building Inspector
S86?1 ?-f ?Gso.so
PLi7MBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pernuts aze required for each unit
Date (7 ? / _16 / fl '3
Site Address IS a-o C>e-ItCrzv"-P- Unit #
siaa,
PropertyOwner ]?IrNla-. C • £dh,4 4 --64,rW Telephone#(65f ? L{D7- !o`j(ov
Contractor N o N E
Address City
State Zip Telephone # ( )
The Applicant is T Owner _ Coniractor _ Other
Septic Sys[em New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
AI[erations To Existing Dwelling Unit, Including $ 50.00
X_ Adding fixtures 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 sottener _ Water hea[er $ 15.00
_ replacement _ additional
$ .50
State Surcharge
g 52?
Total
I hereby apply for a Residential Plumbing Pemut and acknowledge that the information is complete and accurate; that the worx wiu
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an applicauon 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 requues a review and approval oFplans.
h/?/QN ?'. ? %? ` c,
ApplicanYs Printed Name Applicant's Signature
? SSZo $?-- 6 f?- 5S 39 4 S i°i 3. I 1
R?IDENTIAL
? BUILDING PERMIT APPLICATION
CITY OF EAGAN lNl
3830 PILOT KNOB RD, EAGAN MN 55122n
Lgf q I ? 131 nLk 3 ? p CLkb rao' C_ (0th651-681-4675 0.5Z~
New Construetlon Reauiremenls RemodellRewir Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. fi. of house; and all mofed areas • 2 coPies of plan
(20% maeunum lot coverage allowed) • 1 set of Energy Celculations kr heated additbre
2 copies of plan shmving 6eam & windax sizes; poured found design, etc.) • 1 site survey for exAenor addNons 6 decks
• 1 set of Eneigy Calculations ? • IMicate i( home served by seplic syslem for additions
3 wpies oi Tree Preservation Plan H lot platted ailer 711193 C Fx?? ??-?Q J
• Rim Joist Detail Options selection shcet (bldgs wilh 3 or less untts) K3`1iY2- Y'
t
2 VALUATION \ S? 1 00 ?
DATE
SITE ADDR
TYPE OF N
APPLICAN
STREETADDRESS
TELEPHONE #??-CY;y ?CRAELL PHONE #,v?Z-?o?l FAX #
PROPERTY OWNER
<
TELEPHONE #\S` ?CSL?V
---------------------".Z
COMPLETE
SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNPSO'l'A RUI1;S 7670 CA o it fI ? NNESO'PA RUL1:5 7672
(J submission type) • Residential Ventilation Category 1 r?K h et Sub?iRbd " ?New Energy Code Worksheet Submitted
. Energy Envelope Calculations SubrrR S E P 1 0?
PlumbingContractor: PhQn?#- ???
PlumUing system inchides: Water?tcncr Iawn Spnnkler ree: .`?i 90.00
Watcr Hcatcr No. of R.I. Baths
No. of Batlis
Mechanical Contractor.?f N CJ •??¢., ??V`(a._
Mechanical systcm includcs: Air Conditioning
Heat Recovery Syslem
Sewer/WaterContractor: ??(b
Phone #
Fcc: $70.00
Phone # VM-4Z8- Z`t36
-------°---------°-------------------------------------------------------------------------------------- --
I hereby acknowledge that I have read this application, state th t the informatio 's corre and agree to comPIY
with all applicable State of Minnesota Statutes and City of Eaga rdinances.
Signature of Applicanit
------- - ------
OPrICE USE ONLY
Certificates of Survey Received ? Tree Preservation Plan Received Not Rq wred 4? Updated 4/02
OFFICE USE ONLY
r
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
ox 02 SF Dwelling ? 08 OGplex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 70 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
)K 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement •Demolition (Endre Bldg only) - Give PCA handout to applicant
Valuation C7 0 Occupancy MC/ES System
Census Code C2 Zoning Ciry Water
SAC Units I? Stories Booster Pump
Nbr. of Units Sq. Ft. ?2, 3srr? PRV ?
Nbr. of Bldgs Length Fire Sprinklered
Type of Const J[? Width ?
REQUIRED INSPECTIONS
_y Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinaVNo C.O.
Footings (addition) _ Plumbing
? Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pooi _ Ftgs _ Au/Gas Tests _ Final
1( Framing _ Siding Stucco 5tone
Fireplace V R.I. 4Air Test yFinal Windows (new/replacement)
?
Insulation Retaining Wall
Approved By ! Z , Building Inspector
Base Fee
Surcharge
Plan RevieW
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
A rrFr-,-, / ( 7 o u s-y .
Y4 .._
?
1 0912,
MNchPr.k COMPLIANCE RFPORT ? pPrm i it #
Minnesnta EnPmv CorlP ?
MNr.heck Softwara VPrsion 3.0
I
I ChPr.kpi hv/D»tp I" I
?
COUNTY- Dakota
STATE: Minnesota
ZONF• 9
CONSTRUCTION TYPE: Single Family
DATF? 1-11-2002
DATE OF PLANS: 7125/00
TITLE: Oakbrooke Sterling with Lookout
COMPLIANCE: PASSES
RPnuirecl UA = 532
Your Hnme = 403
2420/. RPtter Than (:nriP
ArPa nr Cavitv Cnnt. Gla7inn/Dnnr
PPrimatPr R-Vahie R-ValuP U-Value UA
CEILINGS -------------------121 ti --39.0 0_0 37
WALI S. Wnnt1 Frama 1B" n.C- 2673 190 2-0 6150
FiSMT- Cnnr.- 9.0' ht/8.3' ha19 (1' insul 1047 11.0 ?-O
GLA7ING: Windnws nr poors. ?Rnve GradP 402 0.350 141
DnORS ?.350 13 1
FLnORS- OvPr Outside Air 49 39.0 0-0
HVAC FoUIPMFNT Fumace. 92-0 AFUF
COMPI IANCF STATFMFNT- The mmnrised huildina desian descrihad here is
r.nnsistent with thP huildina nlans. sner.?r.atinns. and nther r.alr.ulatinns
suhmitted with the nermit annlication. The nrnnnsed hiiildina has heen
designed to meet the e ire ntsof the eso Energy Code.
-??Date
Builder/Designer
.
?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL:
DATE OF SURVEY:
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LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split wlo, split entry, lookout, etc.)
• Directional drainage arrows with slopelgradient %
• Proposedlexisting sewer and water services & invert elevation
• Street name
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existina
• Sewer service (or Proposed)
• Property camers
• Top of curb at the driveway and properly line extensions
. Elevations of any existing adjacent homes
• Adequate footing depth of structures due to adjacent utility trenches
• Waterways (pond, stream, etc.)
? Prooosed
?L ? • Garage floor
G??jCI ? • Basementfloor
? • Lowest exposed elevation (walkouUwindow)
GY/ ? ? • Property comers
CtY ?? • Front and rear of home at the foundation
/ PONDING AREA ('rf aoolicable)
? 0 G • Easement line
? V/ ? • NWL
? PS/ ? • HWL
? t]! ? • Pond # designadon
? ? G • Emergency Overflow Elevation
L9?0 ?
? ?
? ?
d? ?
DIMENSIONS
• Lot Iines/Bearings 8 dimensions
. Rightof-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 permanent footings)
• Show all easements of record and any City utilities within those easements
• Setbacks of proposed sWcture and sideyard setback of adjacent existing structures
• Retaining wall requirements, '"
Reviewed:
?
I Sur?>eyor's Certificate
SURVEY FOR :PULTCHOMES LOT SQ. FOOTAGE
DESCRIBED AS :Lot 9, Block 3, OAKBROOKE 6TH AODITION, City of
i
i
/eagan, Minnesota and' reserving easements of record. = 2"?, 555
?°?? ? HSE SQ. F00 TA GE
1,789
L 0 T CO VERA GE = 7.5
? i DO
? . ???a?
0?'ii?
?
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PROPOSED EL-EVATIONS '
Top of Foundation = asa 5 `?3'S,.,•???p?µ?
Garage Floor =qsq.t
Basement Floor =9ass
Aprox. Sewer Service = aaz.s
Proposed Elev. _ (:=D
Existing Elev. _
Drainage Directions =
Denotes Offset Stoke = • SCALE: 7 incn = ao
HEDL UND 1 HEREBY CERTIFY THAT i}iIS
OF THE BOUNDARIES OF THE
8Y ME OR UNDER MY DIRECT
PLANNINC 15'NGlNh'BR/NG SURVBYING SHOW IMPROVEMENTS OR ENC
2005 Pin Ook Orive ?
Eagan, MN 55122 DA7E 9 13 /O7`
Phone: (651) 405-6600
Fax: (ssi) aas-ssos -?Z v
No:
02R-571
TO
14376 1 Oakbrooke 6
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MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
r v(r
Siteaddress: 452O ffAn2& GAJ Lot_? Block -3 Subd. (/<.?tko c
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 following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This shucture: is consWcted to meet minimum requirements of the Mn Energy Code, Chapter 7670
/ OR
? This sVucture: will be consWcted to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater ? IQSZ ¢Se
Fumace
? ?Z? ?d OOd ?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
ves NO
Kitchen kitchen At
Bathroom 1 xy"AA? rso,J /t- ? ?.s" Q aO
Bathroom 2
G'cnK..$p,J 1 L rj/- QS ?LI) S-O
Bathroom 3 ?<? SC? SC? 1/
Bathroom4 /2? g?? . ?.rv_SU $`O
Ofher
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECi ATMOS
d, CGO ?pO00 ?P/{ `IC ?xd
I hereby acknowledge that the above information is cortect and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
, /-29-03
Date
re p
{z om??
CompanyName
` This form is the responsibility of the General Contractor.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107597
Date Issued:10/18/2012
Permit Category:ePermit
Site Address: 1520 Oakbrooke Lane
Lot:9 Block: 3 Addition: Oakbrooke 6th
PID:10-53765-03-090
Use:
Description:
Sub Type:e-Reroof
Work Type:Reroof
Description:House
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 .
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 -
Daniel W Shaffer Tste
1520 Oakbrooke Lane
Eagan MN 55122
Legacy Restoration LLC
10650 Cty Rd 81, Unit 101
Maple Grove MN 55369
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109924
Date Issued:04/15/2013
Permit Category:ePermit
Site Address: 1520 Oakbrooke Lane
Lot:9 Block: 3 Addition: Oakbrooke 6th
PID:10-53765-03-090
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 .
Jeff Pelant
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 -
Daniel W Shaffer Tste
1520 Oakbrooke Lane
Eagan MN 55122
Legacy Restoration Llc
10650 Cty Rd 81, Unit 101
Maple Grove MN 55369
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116649
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 1520 Oakbrooke Lane
Lot:9 Block: 3 Addition: Oakbrooke 6th
PID:10-53765-03-090
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 .
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 -
Daniel W Shaffer Tste
1520 Oakbrooke Lane
Eagan MN 55122
(612) 812-3564
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature