Loading...
1663 Oakbrooke Cir r Use BLUE or BLACK Ink For Office Use j Permit City of Ea Permit Fee: r I 3830 Pilot Knob Road I I Date Received: Eagan MN 55122 ` i 2011 I I Phone: (651) 675-5675 Staff: I I Fax: (651) 675-5694 I I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION / - Date: Site Address: /[o t4_,'-ele Q a Unit M Name: 457QC eU Sinl i y] PPfofie_ tX _ 7 RESIDENT / OWNER Address/ City / Zip: / & I, ✓ D bred e ~iYG~~~ Acaah, 177AI a Applicant is: Owner Contractor gleeK TYPE OF WORK Description of work: -3 St.S©h°pprCh of) P~Cis~l' G C-IC `I' P~K t?~l'b» Construction Cost: 41OtWo Multi-Family Building: (Yes / No ) Company: &reownex Contact: CONTRACTOR Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www..gopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. V_Z X_ 5T W Y 6M17_)4 x f _Jt_.64~ Applicant's Printed Name Applicant's Sign e Page 1 of 3 p~~~ C DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level Pool _ Miscellaneous Accessory Building C. WORK TYPES 1,,I~ P 01tf New _ Interior Improvement _ Siding _ Demolish Building* v~ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy , MCES System Plan Review Code Edition SAC Units (25%_ 100%1) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock oo~~ Erosion Control Reviewed By: t..► , Building Inspector RESIDENTIAL FEES Base Fee Surcharge n~ (V LeM Plan Review / i MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant 0 Copies 0 2-17( TOTAL i ' " - 61 Page 2 of 3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ? O ? ? ? Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements 3 registered site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas RemodeUFiepair Reauiremenis 2 copies of plan t7ffice kke On Cert qt$urvey Recd lv (20% mmimum lot coverage allaxed) 2 cvpies of plan showing beam & window sizes? poured found design, etc. isetofEnergyCalculations 1 set of Energy Calculalions for heated additions 7 slte survey for additions 8 decks Addition - indicatei(onsitesapticsystem TieePres Pllin ReCtl TreePreS ReqUirgd DresiteSepticSys?em Y,,,,,N T?Y_N 3 capies of Tree Preservation Plan if lot piatted after 711/93 Rim Joist Detail Options seleclion sheet (buildings with 3 or less units) Datc a 1 ! PC Construction Cost Sitc Address 1662 ak?r L UnitlStc # Description oF Work /- 11fi i SA du sern en fi Multi-Family Bldg _ Y_V, N 2_? Fireplace(s) _ 0)1 1 _ '?^-9-'?'? Property Owner sfC 6P,4 Telephone #(!os/ ) C f 6-')J ? , ContraMOr ?f Gc?? mn GS Address 77.SS ?rn n i-a rfc? City _VALler ?rravc A/a;Ilktr V? State M A/ Zip S.S D') 7 Telephone #((? Sl ) 9 ff3 -?'? l7oN 6?? rso/ ?3tN COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING -.Minnesota Rules 7670 Calegorv 1 Minnesota Rules 7672 Energy Code Category _ . Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review fee applies. _ Licensed Plumber \".1 \?.11\11 Telephone #( Mechanical Contractor 1, ?? f15 `V Telephone #? Sewer/WaterContractor Telephone#( I hereby apply for a Residential Building Pe mit 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. ? l vn / L! ecS koV fG? ?? ? ? / / ll Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 05 03-plex O 11 10-plex 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Add'Rion j!L 33 Alteration ? 34 Replacement ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/DOOrs 'Demolition (Entire Bltlg) - Give PCA handout to applicant Valuation = I??? ? Census Code y SAC UnRs # of Units # of Bldgs Type of Const ? Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Footings(new bldg) _ Footings (deck) _ Footings (addition) _ Foundauon Drain Tile Roof Icc & Water Final Framing ? Fireplace _X R.I. % _,/ Air Test U Final ? Insulation REQUIRED INSPECTIONS FinallC.O. A FinaUNo C.O. Plumbing ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W PeRnit & Surcharge Treatment Plant License Search Copies Other Total a, 2 rJ 00 f 20`. 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. a;' 57?:' Date / ,3,o / o6- Site Street Address /6 Q k/ k ? Ouea?) Unit # Property Owner Telephone #(/A5/ ) 686- 7S-3°_S Contractor 'iY?rLT1 4 iLj AVri Li ? 4X -o Telephone # (66-7) 4ai3 - 31X3A Address 5dt3 k City S20A nr &Q=Aj"` State? Zip 5 ? The Applicant is: _ Owner _ Contractor _Other Alterations to existing dwelling ? Add plumbing fixtures (excludes water softener andlor water heater--complete next section if installing these appliances). _Septic System Abandonment Water Turnaround (add $125.00 if a 5/8" meter is required) Other: $ 50.00 Water Softener Water Heater _ new _ replacement $ 15.00 Lewn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total $ ?Z- LCL 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 the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. • _ Elcivn e_ 14• h.urcou.JiC7.J I ? L Applic nYs Printed Name Applica Ys Sign r Ik) R3 0 2005 ? RESIDENTIAL BUILDING PERMIT APPLICATION CiTY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 ? C? 641-681-4675 New Constmction Reauiremants • 3 regislered site surveys shaxing sq. ft of lot sq. R. of house; and ?II roofed areas (20% maximum lot coverage albwed) . 2 copies of plan showing beam & window s¢es; paured found desgn, etc.) • 1 set of Energy Calculalians • 3 copies of Tree Preservation Ran if lol platted aker 111193 • Rim Joisl Delail Options selection sheet (bldgs wAh 3 or less unifs) DATE ??l Z Z 11? RemodellReoairReaulremeMS • 2 copies ol plan I^ . 1 sel of Eneyy CalcWations for heated atldiGans (,:.-p . 7 sile suney far exterior additions & decks • Indicate'rfhomeservedbysepticsyslemforadditions VALUATION 1,000 51TEADDRESS O"YooL'e- C,MULTI-FAMILYBLDG _Y _N TYPE OF WORK I7e-G'L FIREPLACE(S) _ 0_ 1_ 2 APPUCANT AIcxA`'Jrr CO? SfYwL?°n STREET ADDRESS 341?0 651f Y?W ?Y. -H 23o4 CITY STATE "?N ZIP S l23 TELEPHONE # RSZ 7I0 I70S CELL PHONE # asZ FAX # GSI •`I'o5' 149I PROPERTYOWNER fJa,tr? $ Sie;CiYore-k- TELEPHONE# (¢S1• G86 • 7533 -------------------°---°--------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MI.NNESO"1'A RULFS 7670 CATEGORY I MINNLSOTA RLII.I:S 7672 ( J su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations SubmiKed Piumbing Contractor: Plumbing system includes: Mechanical Conhactor: Mcchaniril system includcs: Sewer/Water Contractor: _ Water Softcncr _ _ Water Hcatcr _ No. of Baths Air Conditioning Heat Recovery System _ Phone # Larvn Sprinkler No. of R.I. Baths ----°-----------°---°---------------------°------------------------------- I hereby acknowledge that I have read this application, state that the in with all applicable State of Minnesota Statutes and City of Eagan (Drd/h Signature of Appflcant is orrici, usE oNi.Y "--? U . c) 0 Fee: $90.00 Phone # Pnone # JUN 1 3 2002 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 ? 05 03-plex ? 06 04plex ? 07 OSplex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex X 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Eut. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi )c 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 Bldg only) - Give PCA handout to applicant V l i a uat on Occupancy 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 ? Width REQUIRED INSPECTIONS Footings (new bidg) Final/C.O. X Footings(deck) ? FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ F[gs _ AidGas Tests _ Final _ Framing _ 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 & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ?? Or4?0v ?7o ? .,Surzeyor's Certificate SURVEY FOR DESCRIBED AS :PULrE Lot 4, Block 5, OAKBROOKE 4TH ADDITION, City of Eogan, Dakota County, Minnsota and reserving easements of record. ? /_ ?_ ... .._. 935. ? .. . : . ......... . . ..,?. - . . _ ._ , ,i . Cb ? ? \ • • Exist. Home TOB = 952.9 ?S.eS <l? 6 i 934-- ? 7?? ? . i SzL r ? ? \ ?.\ ?=F SLO PE.S E.X'GEEA b A 'RSrr?xNxNG cOaLIL_ 90 oa o?? \\? 8s948.b MAy Bf Rk(ilta.xR?'D o o . 997.0 o, l i\ oo ?.?\ \ ti•Qos vJ 9 93? o 944. 44. ? 0 1 ExIsL Home TOB = 945.5 LOT SQ. FODTAGE = 9,232 HSE. SQ. FOOTAGE = 1,801 ? LOT COVERAGE = 20% Ic Plan # 18232 PROPOSED ELEVATIONS Top of Foundation = qqg,e Garage Floor = 998.4 Basement Floor =939.8 Aprox. Sewer Service =9333'- Proposed Elev. Existing Elev. Drainoge Directions = - Denotes Offset Stake = • HEaLunra PL,INNINC SNG/NSBRINC SURV6YlNG 2005 Pin Oak Orive Eagan, MN 55122 Phone: (657) 405-6600 Fox: (651) 405-6606 JOB N0: I HEREBY CERTIFY THAi THIS IS A TRUE AND CORRECT REPRESENTATION OOR-584 OF THE-BOUNDARIES OF THE ABDVE OESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERV1510N AND DOES NOT PURPORT TO BOOK: PAGE: SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHONN. DA7E LZ/L+/0P ?• CAD FIIE: W D. LINOCREN, I.AND RVEYOR IN tkS bTA LICENSE NUMBER 14376 OAKBROOKE 'g BENCHMARK, 7NHLO 7,8I5 Eko = R59.52 it t1 •l.. ? MIN. SETBACK REQUIREMENTS Front -25 House Side - Rear -15 Garage Side- 0% ? ?'1 ? ? SCAIE: 1 Inch = 30 faet LOT: ` BLOCK: ?+A?D.lP.I D#: 2000, B.UILDING PERMIT APPLICATION (RESIDENTIAL) • CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 651-681-4675 ? New Consfruction Reauirements (_.,p-t- RemodeURenoir Reauirements ? 3 regisfered site surveys showing sq. ff. of lot, sq. R. of houze 2 coptes of plan and all roofed areas (20% maximum lot coveraae allowedl 1 set of energy calculaflons for heated additlons ? 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 sNe survey for exterlor addRions 8 decks ? 1 set of energy calculaNons ? 3 copies of free preservatlon plan M lot plaMed after 7/1 /93 D Rlm Jotst Detail O tions selectlon sheet (buildinas wHh 3 or less unifsl DATE: I?7Y - b CONSTRUCTION COST: I! ) 2.30 DESCRIPTION Of WORK: If muRi•family bldg., how many units? STREET ADDRE55: PROPERTY OWNER CONTRACTOR ARCHIiECi/ ENGINEER Name: Phone #: last Firat Street City State: Zip: Company:Yl/&/7c1?hCS V7-WV (?? Phone #: G Sl (area code) Sheet Address/J ?TA.xnd/O1h ?T'p? ?S?!/ e ?0 0 city /!,t tnb0?; Aks state: W Company: Name: Telephone #: ( Sheet License # 11321 Exp.c' II& Registratlon #: Zip: SVz a Ciy Stafe: ? Lp: n??/ ?j ? 2n) Sewerlwaterlicensedplumber(ifinstallinasewedwater):Y?J'II?-/ PLt/ll /V(i Phone#:? ? 1 hereby acknowledge fhat I have read this application, state that the information is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Certificates of Survey Received ? Yes Tree Preservation Plan Received _ Yes SlgnaTUre of Applicant: Zl-t? OFFICE USE ONLY No _ No ? Not Required 'D Df ? ? r ?DOO?ID OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool • O 30 Accessory-'6iM? 10 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 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 (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex p 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ?931 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair ? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors ? 33 Alteration ? 37 Demolish (Bldg)• ? 44 Siding ? 34 Replacement ? 38 Demolish (Interior) * Demolition (Entire Bldg only) permit - Give PCA han dout to applicant VALUATION mm Occupancy MC/ES System Census Code ? Zoning City Water SAC Units Q l Stories ?i Booster Pump Nbr. of Units Sq. Ft. /! PRV Nbr. of Bldgs Length ?rZ Fire Sprinklered Type of Const Width SJ/ INSPECTIONS REQUIRED ?Footings: New Bldg ? Insulation _ Windows - new/replacement _ Footings: Deck FinaUC.O. Siding Footings: Addition _ FinaUNo C.O. _ Stucco/Stone ? Foundation Fireplace: _ r.i. _ air test _ fmal Roof: _ ice & water _ final 1., Framing Pool: _ frgs _ air/gas tesu _ fmal l° APPROVALS Planning Building Y,4d- Engineering Variance Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Park Dedication Trails Dedication License Search Copies Other Total: 17s,N r Lo ?'ff!-.Y,ii' G? ?L l?7a ksy ? ?`?????= S 77? ?o `,Oz Q SUL-27-2000 14:42 FUL?E HCMES NNOheck COMALIANCE REPORT Minneeota Energy Code MNcheck 9oftware Varsion 3 CpA:7'CY s Dakota STATE: Minnesota ZOA'E : 2 40DI9TRVCTION TYFE: Single Fsm±ly DpTE: 7-27-2000 bATE OF PLANS: 1125/40 TITLS: oakbrooke 8tarlir_g with Lookouc COMPLIANCE: PAS6ES P. ?/02 _ Pe---rt # --- Chec ed byJAate Required UA = 532 Your liome - 403 24,2$ gBtter Th23? Code area ar Cavizy Cont. (3lazing;'DOOr Ferimeter R-Va'-,ue a-value U-Value -^------ ^ ---------^------ rw'BILTNGB-------°---- ----- - ------ 1218 38.0 0.0 V1A:aL9: Wood P:ame, 15° C.C. 2673 i9.D i.0 '- ggATP: Conq. 9.0' ht/9.3' bg,•`9.Q' inaul 1447 11.0 0.0 u.35D ? GLAZING: Window9 or poore, Above Grade 438 0.350 DOORB ^LUORS: Over Outside Air 48 38.0 0.0 HVAC EQL1?HP'LFNP: Fuz'riSCe. 92.0 A.rTJE ------------'- COM2LIANCS BTAT&MENT .'Phe proFoeed building design describNd here is consistent with the building p7.ans, sPecificatians, and other calculations aubmitted with the permit ap liCar.ian. The propaeea building has 'aeen deeigned to me?e P?n * inneso:a sxiergy Ccde. ?TOTRL F.p2 JOB INITIATION ORDER ? Pulte Homes of Minnesota Corporation 1355 Mendota Heights Road, Suite 300 Mendola Heights, MN 55120•7172 Phone: (651) 452-5200 Fax: (651) 452•5727 JOS NO.`-'"O LEGALDESCRIPTION: LOT ? BLOCK ? U _ NR COMNUNffY: ADDITION: ? . BmLun L il Nwco) Cr„y: MODEI W1ME: MODEI NUABER• 9ek ELEVATION: 6ARA6E: LEFT IipNT euveas CURRENfADDRE55: HOMEPHONE: (a7 SALES REPflESENTA7IVE APPROVED BY BUYER APPROVED BY SALES: RELEASED TO START 1 MT'D SEP on'M oFOROert: BUSINE33 PHONE: ?Q EOUAL HOUSING OPPOH7UNITY Builder's Ltcense 40001371 This constitules a contract belween the Seller and lhe Purchaser(s) for the above items. JOB INITIATION ORDER J'P ' Pulte Homes o' Minnesota Corporation 1355 Mendota Heights Road, Suite 300 Mendota Heights, MN 55120-7 7 12 Phone: (651) 452-5200 Fax: (651) 452-5727 [C0:1TRACT0FVSUIPPUER: JCB NO. 0 3 Z CONMUNITY: O/? LEGAL DESCRIPTION: lOT 4 ?,?`J BLOCK DDITION: c-C.??? A ? UNR . BUILDINGPDDRE55: j 'fC cr7y. ? V STATE 7Jp:_ --)7) ?Z-)- .n ^K? NpDEL W4ME:? e / /r MODEL NUMBER: /&23a2 ELEVATION: T OARAGE: LEFT IG T CURREN7 HOMEPH[ BUSME3S PHONE: SALES REPRESENTATIVF?? 5 WITEOFOftDER; ? ( STATE:?27-j ZIP•?S a-- BUSME55 PHONE: kJ ? 17)..,L 6 ?j:.6tTY F' .. ir e a:.F? 0000 BASE PRICE ---- LOTPREMIUM ELEVATION # 00V 0 i o43 ? I 0= oPL 320k.q 32? c 5 ? ?C c. - S a CtC ?-? S TOTAL ao Bvilder's License q0007371 APPAOVED BY BUYER (S : ? ? - J, APPROVED BY SALE • ?? /? RELEASED TO START CONST., eauni uousirac oPVOarurnrt This constitutes a contract helween the Seller and the Purchaser(s) for the a6ove items. JOB INITIATION ORDER Pulte Homes bf Minnesota Corporation 1355 Mendota Heights Road, Suite 300 Mendota Heights, MN 55120-1112 Phone: (651) 452-5200 Faz: (651) 452-5727 CONMUNfiY: cJ&P CONTRACTOFZ(SUPPIJER: D?,OS n _ CA' BUILOiNG ADDRE/SS: ??C??7(O? (/t'1 4C,Q%,Q /C70f?? , (? N10DEL NAME: -? f/J ?U? MODEL NUMBER: BUYER'S NAME: Cl1RRENT l10ME PHONE: LEGALDESCRIPTION: LOT?., BLOCK 15- UNR ADDITION: ti?C?nn- ,, / - CI7Y: STATE: LP: ?/ ? ELEVATION: ,( T?? OARA6E: LEFT kt*W BUSINESS PMONE: SALES REPRESENTA7IVE `?? is DATE OF ORDER: ?2. '(J(J STATE:A21L) ZIP: 9USINESS PHONE: I-?- ?Qn.? 0000 ??? t BASE PRICE ---- LOTPREMIUM ELEVA710N # ( ? G(, 0`2 ? -2 o aaC?' ti- ^`- 4?20 ? ! ^ r? Ce ? °°", TOTAL / PULTE Master Bztilder APPROVED BV BUYER ( APPROVED BY SALES: RELEASED TO START C 12t UAt HOU5117G DDf1RTtItIITY 8uilder's License 90001371 This constitutes a contract between the Seiler and the Purchaser(s) for the above items. r r LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ? PROPERTY LEGAL: 2?Za0AC '5 n OATE OF SURVEY: u LATEST REVISION: ? ? 0 DOCUMENT STANDARDS 4 4 0 y ?a/? ? • Registered Land Surveyor signature and company ¢?a a • BuildingPermRApplicant ??a ? ? • Legal description ? ? • Address ;/o ? • North arrow and scale (A/ ? ? • House type (rambler, walkout, splitw/o, spli[ entry, lookout, etc.) g/ ? v ? • Directional dreinage arrows with slopelgredient % ? ? • ProposedJexdsting sewer and water senrices 8 invert elevation q/ ? ? • SVeet name o?? ? • Driveway V ? ? • Lot Square Footage rra-'o ? • Lot Coverage ELEVATIONS istin ?o a • Sewer service (or Proposed) ?o ? • Property comers ? • Top of curb at the driveway nQ • Elevatlons of any exnsting adjacent homes ? ca--?o Adequate footing depth of structures due to adjacent uWiiy Venches Prooosed ir/ ? ? • Garegefioor 131 ? ? • Firstfloor ay o o • Lowest exposed elevation (walkouUwindaw) q, 0 ? • Property corners G? ? o • Front and rear of home at the faundation PONDING AREA ('R apolicaWel ? ? ? • Easement line ? ? ? • NWL ? W' o • Hwl. ? ? ? • Pond # designation ? M/ ? • Emergency Overflow Elevation / DIMENSIONS r?? ? ? • Lot Iines/Bearings & dimensions ?? ? ? Right-of-way and street width (ta 6ack of curb) e? Proposed home dimensions induding arry prapased decks, overhangs greater than 2', porches, etc. (i.e. all sVuctures requiring permanent footings) 01/? ? • Show all easements of record and any Gily uGlifiea wi[hin thase easements rv o? • Setbacks of proposed sUucture and sideyard setback of adjacent ebsting strucWres ? V0 ? • Retaining wall requiremenls, i` Reviewed: 7 ???il?? O? ama / D2Ie March 1988 CRM¢reLOOVaMr.FM Surveyor's Certificate SURVEY FOR :PULTE DESCRIBED AS : Lot 4, Block 5, OAKBROOKE 4TH reserving easements of record. ? RE ?f . p§t- ? - 4sa ?.vd ?gl f ON, City of Eagan, Dakota County, Minnsota and Ci Lor sQ. HSE. SQ FOOTAGE FOOTAGE = 1,801 LOT COVERAGE = 20% c Plan # 18232 PROPOSED ELEVATIONS Top of Foundation = yag.a Garage Fioor = qqg.4 Basement Floor =939•a Aprox. Sewer Service =933.3! Proposed Elev. = 0 Existing Elev. Drainage Directions =- Denotes Offset Stake = . HEVLvNAD PLANNlNG 8N01N66R1NG SURV6YlNC 2005 Pin Oak Orlve Eagan, MN 55122 Phone: (651) 405-6600 Fax: (651) 405-6606 o SID ? SCALE: 1 inch = 30 faet 2F SwPrS ExceMp 3:l 4 RETaiN;N6 WALL. MAr 8e 'kecAt&xR ED BENCHMARK, TNNe 7. EI/s Ele.o = 9501. -'`2 .b MIN. SETBACK REQUIREMENTS Front -25 House Side - Rear -15 Garage Side- I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BDUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED 8Y ME OR UNDER MY OIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMEN7S, E%CEPT AS SNOVM. onTE IZ/-L+iOD ?• D. IINDGREN, IAND tfiRVE6 iTA UCENSE NUMBER 74376 JOB N0: OOR-584 BOOK: PACE: CAD FiLE: OAKBROOKE CITY USE ONLY PERiM[T #: RECEIPT DATE: ? 2 O O RESIDENTIAL MECHANICAL PERMMTT APPL[CATION crrYof ewsM 3830 Paor icxos Rn $,e?s?v auv ssr Ea a51-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: ? "0110'-? ( SITE ADDRESS: f L6 gRI eCk_.LCb'(I)Cl v Q__ C.I.C( J` Q- OWNER NAME: S TELEPHONE #: o CS I 1Ir'v2:-6dOCl (AREA CODE) INSTALLER NAME: Jl)YYVi?MI,(9 TELEPHONE #: 95d gqLI{QOY (AREA CODE) STREETADDRESS: `aLm CITY: STATE: ZIP: 5531?1 Dlara a rhar4 mar4 nori }n #tic narmiT wnr4 Tvna K New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existinq dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surchar e $ 50 L Total 70.57) `?' Reniinder: Cal[ for inspections. wAai?A=2 SIGNATtJ? OF PERMITTEE Upd¢tcJ Ii01 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMM ERCLAI. MECHANICAI. PERMMIT APPLICATION CITY OF EA6m 3$30 PILOT KNOB iZD E,akfiRN,1NN 55122 651-6$1-4675 Please complete for: all commercial/industrial buildings 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: 1 WORK TYPE: _ New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank J) _ Processed Piping Specify Nature of Work When insta![ing/removing underground tank, calf 65I-681-4675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at 5.50 for each S 1,000 Base Fee TOTAL $ S[GNATURE OF PERMITTEE Updated 1/O1 PERMIT# ? RECEIPT DATE: ? W ILL M1DENTLAL PLUM$INfi PF"1T APPIICATION crrY oF E,aeArr 3830 PaoT xrroa gn SAfiAP, MA 551 EE 651-6$1-9675 Please compiete for: ? single family dwellings 9 townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : TELEPHONE #: ?-S I1217 ZC?27 (AREA CODE) INSTALLERNAME &J_4? 14V_r? TELEPHONE#: 4 I_)-- ?GS?6 STREET ADDRESS: /k J'y (AREA CODE) CITY: A?/ STATE: Place a check mark next to the permit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 _ Add-on, modification or alteration to existin dwelling unit, including: $ 50.00? • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: CA? Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees . requires MPC license State Surcharge $ 50 o `S^J Total $ _ Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge lhat I have read this application, slate thaf the informalion is correct, and agree to comply with all applicable Cityof Ea9an ordinances. It is the applirant's responsibility to notify lhe property owner that the City of Eagan assumes no liability for any dama9es caused by Ihe City during its normal operational and maintenance activities to the facilities constructed under this permit withi y propertylrigh/?pF-w?? ent. ? ' SIGNATURE OF PERMITTEE Updated 1101 Address: 1663 Oakbrooke Circle Zip: 55123 Lot: 4 Block: 5 Subdivision: Oakbrooke 4th Date: Inspector: THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION Yes No Yes No Final grade- 6" from siding) Porch ? Permanent ste s( ara e) k Lower level e? Permanent steps (main entry Deck Permanent driveway ? Fire lace Permanent gas j- Sod/seeded ard Trail/curb damage _ . Ask your builder: l. if roof test caps from the plum6ing system have bccn removed- 2. to verify the location of water supply shut-off to ouCSide faucets. Outside water needs to be shut ofPprior to freezing temperatures. • Prior to installing underground sprinkler system or working in City righhof way, please call 651-681-4645 for information. Occupancy check off list L BL SUBO. CITY USE ONLY RECEIPT #: RECEIPT DATE: PERMIT # 8000 PLUMSINfi PEaMTP (uSIDF1VTlAI.) crrY oF Etsnx 3830 Paar tcxos Rn G C, E!?sAx. 3fN 55122 851-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condas when permits are required for each unit ? backflow preventer for underground sprinkler system L?VT? ?GLI'? oeru la--fS-O0 Y4pU % s TOTAL Alteretions to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ ? Floor drain 3.00 x S ? Gas i in outlet ' minimum - t 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x Laund tra 3.00 x Lavato 3.00 x = $ Se tic 5 stem newrrefureisned • raquires MPC Ilc. 75.00 x = $ Se tic S tem abandonment 30.00 x = $ Rp2 new insWllatioNrepair/rebuild 30.00 X . _ $ Rou h o enin 1.50 x = $ . Shawer 3.00 x = $ Under round s rinkler if dwellin is under conswcrion 3.00 x = $ Under round s rinkler itexisun dwellin 30.00 x = $ Watercloset 3.00 x Water heater 3,pp x W ater softener if dweuin unaer conavuaion 5.00 x W ater softener if existing dwelling 30.00 x A m Waterturnaround 30.00 x State Surchar e .50 Total Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -------------------------------------------------------------•- w--•----••------,--••-------•-;-------------------------•------- - - is-rrect, and agree to comply wilh all.applicabie City of Eagan ordinances. -thal the-infortnatlon- - , state- I here6y acknowledge that I hava-r-ead-}his applicatlon Il is the applicant's responsibility to naGfy Me property owner that the Ciry of Eagan assumes no liability for any damages mused by the Ciry during it5 nortnal operational and maintenance actlvitles lo the facilitles wnsWCted under this permit within City property/righ4oFwayleasement. SI7E ADDRESS: OWNER NAME: : INSTALLER NAME: TELEPHONE #: ?aREP, coDei TELEPHONE #: - ZIZl S7REET ADDRESS: 6,/2(/ [, f/ ? CITY: -?O} Q! YI i STATE: Siteaddress: ?vt?3Or1KR?OU L /Lk Lot! Block? Subd.DAK>pcpI(?F 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 structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR ? This structure: will be constructed to meet more resVictive requirements of Chapters 7672 or 7674 APPLL4NCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE Water Heater ? ? r?Lo},) j O ?)' 3..'e Fumace (? T??' 3,S'?ivtf}!1{?.??60 5f 006 ?`?'I.dJI? Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES No Kitchen kitchen Bathroom 1 /PoU8j ?? T`/- pz-411? 90 Y Bathroom 2 A? ) J F1/_? ??/ Q 3? Y Bathroom 3 Bathroom 4 Other FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIREC7 a7MOS 6cj ?6100 obo - ? 2? ?ae ? , I hereby acknowledge that the above informa6on is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. . ig ? r?tue S 1 {'ji ?/?,v1es CompanyName U Date / * This form is the responsibility of the General ConVactor. q0 . ✓ Use BLUE or BLACK Ink For Office Use I ' j Permit ~ f j C4111~1 ity of Eaja~ Permit Fee: cC I 3830 Pilot Knob Road Eagan MN 55122 j Date Received:` j Phone: (651) 675-5675 Fax: (651) 675-5694 - - k/ tl staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: I ~I I Site Address: 1 &,& 3 QCLK~9~ V_ Grc l,0, Unit Name: 5ftUAA Cam ir Y l Phone: (0,5t RESIDENT / C S~i 3-2) OWNER Address / City / Zip: [ CeC3 DaLbyb z Cir i G C(Aan Applicant is: Owner Contractor TYPE OF WORK Description of work: o cS~Ua Construction Cost: ~~00 Multi-Family Building: (Yes / No ) Company: Ronre_SWP_ , . nc Contact: 1 I Ly-6-eA k-r-ol L CONTRACTOR Address: 0941 1,n- *IlS- City: `lf 1 State: _Mtu Zip: S5 Phone: Ga (d -35 3-57VV W_ I _J License ~ J M 90 Lead Certificate 1 P1 - S`~ o _ I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are Trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goi)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x( duff, I K&o x /Kx Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA115848 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 1663 Oakbrooke Cir Lot:4 Block: 5 Addition: Oakbrooke 4th PID:10-53763-05-040 Use: Description: Sub Type:Reroof & Siding 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. 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. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Stacey L Smith 1663 Oakbrooke Cir Eagan MN 55122 Homebase Builders Inc 15235 Danbury Avenue West Rosemount MN 55068 (612) 414-0864 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143247 Date Issued:06/08/2017 Permit Category:ePermit Site Address: 1663 Oakbrooke Cir Lot:4 Block: 5 Addition: Oakbrooke 4th PID:10-53763-05-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Stacey L Smith 1663 Oakbrooke Cir Eagan MN 55122 (952) 894-0005 X5151 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA172169 Date Issued:09/17/2021 Permit Category:ePermit Site Address: 1663 Oakbrooke Cir Lot:4 Block: 5 Addition: Oakbrooke 4th PID:10-53763-05-040 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Du Van Bui 1663 Oakbrooke Cir Eagan MN 55122 (612) 616-5760 Miller Roofs Llc 4090 Hunters Ln Webster MN 55088 (612) 616-5760 Applicant/Permitee: Signature Issued By: Signature