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1664 Oakbrooke CirPERMIT City of Eagan Permit Type:Building Permit Number:EA128797 Date Issued:12/05/2014 Permit Category:ePermit Site Address: 1664 Oakbrooke Ct Lot:1 Block: 1 Addition: Oakbrooke 5th PID:10-53764-01-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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. 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 - Leo A Storbakken Tste 1664 Oakbrooke Ct Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature RESIDENTIAL BUILDING PERMIT APPLICATION 3830 PILOT KNOB RD - 55122 0?o 651-681-4675 New ConstrucNon Reauiremenb • 3 registe2d site surveys showing sq. fl. of IoL sq. fi. of house: arM all roofed areas (20°k mazimum lat coverage allowed) • 2 copies of plan show6g heam & wiMow slzes; poured fouM design, etc.) . 1 set of Energy Calculations . 3 copies o( T2e Presenation Plan M lot platted after 711193 • Rim Joist Detail OpUons seledion sheel (bldgs wilh 3 or less unifs) DATE (D?Z S?//O r VALUATION JOB SITE ADDRESS /? L/ DG G 2ti IF MULTI-FAMILY BUILDIKIr-' HOW MANY UNITS? PROPERTY OWNER 1 u" ?q" t,< (' S In S?? TYPE OF WORK FIREPLACE(S) ?0 _ 1_ 2 APPLICANT PHONE# /OS rlD2G, ADDRESS ZIPCODE ?3/22 PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNF.SOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Sut - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Su6mitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Conhactor. _ Mechanical System Includes: Sewer/Water Conhactor: _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordina9,c ????1'? Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 _ Water Softener _ _ Water Heater _ ? No. of Baths RemodellReoairReauiremeMS . 2 copies of plan . 7 sel of Energy Calculations for healed additions . 1 sile suney Por exterior additions 8 decks • Indicate'rf home served 6y septic system for additions Phone #: Lawn Sprinkler No. of R.I. Baths N'ee: $yU.uU OFFICE USE ONLY ? 01 Foundation 0 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 OS-plex ? 13 16-plex ? 08 06-plex 0 16 Fireplace ? 09 07-plex 0 17 Garage ? 10 08-plex 018 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Ait - Multi ? 33 Ext. Alt - SF ? 36 Multi iyr 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof 0 46 Windows/Doors ? 34 Replacement •Demolitlon (Entlre Bldg only) - Give PCA handout to applicant Valuation ay'voo Occupancy J?-3 MC/ES System Census Code ? Zoning le-M City Water SAC Units ? Stories Booster Pump Nbr. of Units ? Sq. Ft. PRV N6r. of Bldgs Length Fire Sprinklered Type of Const T W idth REQUIRED INSPECTIONS Footings (new bidg) I Footings(deck) FiaaUNo C.O. _ Footings (addirion) Plmnbing Foundation Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fueplace _ R.I. _ Au Test _ Final _ Siding SNCCO Stone _ Insularion _ Windovrs (new/replacement) Approved By L?U , 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 Finavc.o. ? HVAC ., Addiess 1664 Oakbrooke Cir Zip 5512_2 IAt 10 Blk 5 SubOakbrooke 4th Addition THESE TIBMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 10 -:L6 - pC) Yes No Inspector: Final grade (6" from siding) Pertnanent steps (garage) )( Permanent steps (main entry) X Permanent driveway Petmanent gas X Sod/Seeded grass x Trai]/curb damage x Porch x Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply W the oufside lawn faucet before freeze potential exists. Contact engineering division at 681-0645 before working in rightof-way or installing underground sprinkler system. ? White - Ciry Copy Yellow - Resident Copy Pink - Convactor Copy 4E?4i- W --`4-'-4 ?? I S? 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) • crrr or eacrtn ? 3830 PILOT KNOB RD - 53122 ?1 t I ???? 3 S- 851-881-4875 ? .w ?,?o,R??. ??13;jgoj Remodel/Regair 2 ?t -i4=vcJ r, 1offienk a a reOneroa ae anven mownno fa. R a wf, a. K a nouw -7 d I- o o 2 ?vie+ a Wan and g?? rooted areat (2096 maximum lot ?overaoe allowedl 1 fef d enerOY edcWaMant for hoaled atldiMau D Z ooplas d Wans (Www beam d wintlow Hzes: Doured hid tledgrx efC.) i tlEe xmreY Ibr axdeAa atltOMau & tleCb D 1 wt Of onerpy cdadaflom . D 3 caPlet ot hae DmWivaMon Pkin q lof PkM*d dlar 7/1/93 DATE: ?II 1-IOTj CON5IRUCTION COST: DESCRIPTION OF WORK: SiREETADDRESS: 16E'`I- DAKg,POJIa? ClICJL-- Lor: 10 sLxIC S suso./P.i.D. #: 041(?LIE ??r Name: Phone 11: PROPERTY lasf RFd OWNER Sheet CHy Stafe: ZIP: CpmppnyfibI (t PhOne #: 0/ ?-52-37J (area code) corirwecroR StreetAddreas.l3s3-11tJ44 l??l s,i,?? 30o ucensee ?• 3??????? cnr Ae?ndbk srate: AA Xl np: ENGNEER / ?,??:s?MVAs 4r247-f Ncffne: T~one #: ( Sheet Addreaa: Regishafbn C citY State: Sewer/water licenaed plumber (N IrmbIlina sewedwater): 141) n PLIjjuC ,21 4, Phone #: ZIp: `? An-?- a??l u I nereby aekmowledpe n,at I nwe reaa tnis appnoation, alare n,art fte trdomwian b carect and apree b eompy wnn ce app6cable state of Minneaota StaMea and CHy of Eapan Orclinance& Slynaftre of Applkant OFFICE USE ONLY , CertifiCates of Survey Received _ Yes _ No I J? ? 2 Tree PreservaUon Plan Received - Yes , No _" Not Required OFFtCE USE ONLY BUILDING PERMIT SUBTYPES O 01 FoundaUon p 07 Osplex ?( 02 SF Dwelling O 08 Og.plgx O 03 01 of _, plex O 09 07-plex O 04 02-alex O 10 08-plex 0 OS 03-plex O .11 10-plex O 08 04-Plex p 72 12-plex ORK TYPE ? 31 New O 32 Addition 0 33 Alteration O 34 Repair O 73 16-plex O 0 17 Garage 0 O 18 Deck p O 19 Lower Levei O Plbp Yw_N O o zo aooi o 21 Porch (3-sea.) 22 Pom.h/Addn. (4sea.) 23 Porch (screened) 24 Stortn Damage 25 Miscellaneous 30 Accessory Bldg. O 36 Move Bldg. O 43 Reroof O 37 Demolish (Bldg)• p 44 Siding O 38 Demolish (Interior) O 45 Fire Repair O 42 Demolish (Foundation) O 46 WindowslDoors • Give PCA handout to applicant for demolition pertnit GENERAL INFORMATION SAC Code No. of Units No. of Buildings Const. (Actual) (Allowable) h/ UBC Occupancy 2oning ? # of Stories Length Width Basement sq. ft. Main Ievei sq. ft. 2 .fA, sq. ft. ?-?, sq. ft. MISCELLANEOUS INSPECTIONS 0 Stucco/Stone f? F .?. ? --LrIq 0- I c', 1 ??- e-;:'? ? APPROVALS Planning Building Engineering , O 31 Ext Ait - Multl O 33 Fxt. Alt - SF 0 36 Muid ani V/vi ? Permit Fee Suroharge Plan Review License MClES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units °% SAC Valuation: 6v)'2 . ? Variance •?+- r. , . , L. .- ? r j J - .. sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered LOT SURVEY CHECKLIST FOR RESIOENTIAL BUILDING PERMIT APPLICATION ? PROPERTY LEGAL Lnr IC-) ?S?LOC/C S O,?V(BR6oKE` 4rN ADL1zTT?N n DATE OF SURVEY: w LATESTREVISION: -7-6-00 ? LV 0 DOCUMENTSTANDARDS a? ° ? ? • Registered Land Surveyor signature and company g ? • Building PermRApplicant g ? Legal description a : Address ? . NoRh arrow and scale ? • House type (rambler, walkout, spiR w/a, split enVy, Iookout, etc.) e ? Directional drainage arrows with slope/gradient °h p?,?' ? Proposedlexisting sewer and water services & invert elevaUOn e'?Y a • Street name d? ? • Dmreway ra? ? ? • Lot Square Footage vo ? • Lot Coverage ELEVATIONS Exisqnq 0 ? Sewer service (or Proposed) o ? Property corners d' ? p • Top of curb at the driveway ? m? ? • Elevations of any exdsting adjacent homes ?U3, ? Adequate foating depth of structures due to adjacent utiliry trenches Prooosed o! ? ? • Garagefloor 6r/ ? ? • First floor Vo ? • Lowest exposed elevation (walkouVwindow) m/ ? ? • Property comers q/a ? • Front and rear of hame at the foundation PONDING AREA ('rf aoolicable) ? a/ ? • Easement fine ? G? ? • NWL ? V ? • HWL ? d ? - Pond # designation ? c? ? • Emergency Ovefiow ElevaUon ef o ? m'o 0 m?o ? cb?c I ? o 2-? ? ca/yo OIMENSIONS • Lot Iinesl8earings & dimensions • Right-0f-way and sVeet width (to back of curb) • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent fooUngs) • Show all easements of record and any City utilNes within those easements • Setbacks of proposed sVucture and sideyard setback of adjacent existing strudures • Retaining wall reReviewed: . Maroh 19BB CRAI(iIBLDCPRlRf.FM hIAH-28-e0r70 69?03 MNchack COMPLIAt3CE REPORT Minneeota Energy Code MNChock Software Verpion 3,0 CGUNTY: Dakota STATE: Minneeota ZO[IE : 2 CON9Ti.UCTIDN TYPB: S'lrigle P8lttllY DATE: 3-28-2006 DATE OF FLANS: 3/28/00 TITLE: 9HEPFTRLD 4BR W/O EL. 42 COMPLIe'1NC$; pASSES Required UA - 569 Your Homa a 429 24.64 Better Than Code P. D2. ?=i3 Permit. # Checka3 by/Pate Area or Cavity Cont. dlazing%Door FerimeCer - - -- R-Value R-Value -- - J-Value - --------------------------------------- CEZLINGS 1176 - ^--- 44.0 ---------- 0.0 ------ .___ - -- wALLS: Waod Frame, 16" D.C. 2772 19.0 2.0 1 WAI,LB: Wood Frame, 16" O.C. 290 10,0 2.0 B3MT: Conc. 9.0' ht/8.3' b9/9.0' insul 736 11.0 0.0 GLAZINa: wlndaws or noors, Above Grade 460 0.35c 1 tx'?ORS 38 0.35,0 FLOOAS: Over Qut9lde Air 84 38.0 2.0 HVAC EQUIPAUNT: F1]rnace, 92.0 AFU& ...__---- - - --------- ----'------------ - _-_ CGMPLIANCE 9TAT&FtENT: The prop.:;snd building _'------ design ----- ---- described --- -- hzre ib oonsistenC with the building pla.:.s, epecific atiotls, and othar calculetiuns submitted +nith the permit applieation. The prOpOS9d building has beer, deaiyned to meet the requirements of the Min nesota Eneryy Cade . ild i D t Eu er/DCS grieY a e t7 ? JOB INITIATION ORDER ? Pulte Homes of Minnesota Corporation 1355 Mendota Heights Road, Suite 300 Mendota Heighls, MN 55120-1112 Phone: (651) 452-5200 Fax: (651) 452-5727 CONTRACTOR/SUPPIIER: JOB NO. 0320 ? 10 ? 05 LEGAL DESCRIPTION: LOT 10 BLOCK 05 UNIT COMMUNITY: O8kbr00kC SF ADDITION: Pnff-aA-- Z BUILDING ADDRESS: XXK ?'y?? (? {?Q0KQ ,? N...,. ?..- . T _ jRCkci7v: Eagan STATE: ' I M?J Z1P: 55104 MODEL NAME:?, MODEL NUMBER: 8231 ELEVATION: ?L GARAGE: LEF)7 RIGHT ? F BUYER'S NAME: DATE OF ORDER: 3• CURRENTADDRESS 3 CITY: (cc - STATE: ? ZIP: HOME PHONE: 4YZ, ?f3?? BUSINESS PHON &tZ &7-7. Z1(,S BUSINESS PHONE: SALES REPRESENTATIVE 9M f 3 BASE PRICE ---- LOT PREMIUM 7 :36150 s2 TOTAL ? n A 1 Iffiffidd f3uilder's License #0001371 APPROVED BY , APPROVED BY SALES: ' RELEASED TO START CONST.: This constitutes a contract between the Seller 121111 x EQUAL HOUSING OPPORTUNITY ;) for the above items " Pulte Homes of Minnesota Corporation 1355 MENDOTA HEIGHTS ROAO, SUITE 300 MENDOTA HEIGHTS, MN 55120.1112 PHONE: (651) 452-5200 FAX (657) 452-5727 corirancrowsuvP.iea: ' I JOBNO. 0 0 / 2--( v ! O? cohanan+rcv: BUILDINCa AODRESS: n Y. ,t` MOD0. NJ1ME: {?y( pAODEL NUMBEIi• eurwswAMe(s): Va" f 1nS'?ln I LEGAL DESCRIP710N: LOT V BLOCK UMT noomoNG:? hGC Z-- ?? ? (J CRY: G STATE. "`?" ZJP; ? EIEVATION: I GARAGE: LEFT RIGHT 1 D ky-7 I57 OATE OF ORDER , rif ?cc ?7-7CURRENTADDRE53: PC p 1J-? (?, .7 CIiY: STA/T?E:?I? Z(IP: l1/ V?v1r., FiOME PHOI?: ???J-?O?J ? I3p?. BUSINESS PHONE: ll 'L-- Z?I rZI Ip 5 BUSINESS PHONE: lU9 -{.0'-t'Z---I 1 D`?J SN.ES REPRESENTATIVE: -%ro Ct1ANCaE ORDER FEE: YES OR 0 # 2 1 412,4- nct W V-f (.Yl F6- 177A I 2 052 4Z'' 300 1 31011 . UMArn.'G'uh ('v?,,,yr 2-7S' I MasterBur7der 8uilders License 110001371 CHANGE ORDER CONTRACT ?/ x ?APPROVED BY BUYERK % ? APPROVED BY SUPEftINTENDENT: APPROVED BY SALES: This cortstitutes a contract hetween !he Sei(er and the -M,00 ? o.. .,.. for the above items. . Surv e y o r's Certificate SURVEY FOR :PULTE DESCRIBED AS ' Lot 10, Block 5, OAKBROOKE 4TH ADDITION, City of Eoqan, Dakoto " County, Minnesota and reserving easements of record, ei K RE' D .? $ ? r1 si.9 y ° -?' A , .cO/ l? ?,?y0?,5? 1 i•? 952,2 2? ! IDate EAGANENGIIVEE?? ? ss? RIIVG DEPT. ? . ? 4525 q?? 9 • ? ? ,?? A° ?; . s aso.i <\ 9s?9 Go?oa° ? o00 ?9 r 97r y? 952, $ i 993, \?? ?SA? >S ?? o o i ?o ti? ??\ S? ? rycj G?? 9q39 ? ? ? \ p . 9C? ? \ \ \ `,?os9\} ti ?xc.r Fa cvc.? ?, , I- ?? ?. . ? ? 0? ? I ?' ? r 3 ?`\ r ^ LOT SQ. FOOTAGE = 29,488 HSE. SQ. F00TAGE = 1,801 LOT COVERAGE = 67o `? . \ ' ' ?2o W ?? 65 ??? . sJ?` 56?•20 ? . ° G?P_nUaw. ?J ? L?1 ?' 29 •? ? Plon q 18231 PROPOSED ELEVATIONS BENCHMARK, Top of Foundation = 953.0 Garoge Flaor =452,(0 Basement Floor =4aq,o Aprox. Sewer Service = 939•1 ' Proposed Elev. _? MIN. SETBACK REQUIREMENTS Existing Elev. _ Droinoge Directions = Front - z5 House Side - Denotes Offset Stoke = . SCALE: 1inCn s so f«< Reor -1S Garage Side - JOB N0: I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-224 HEADLUND OF THE BOUNOARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE: SNOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. PLANN/NC 6NCIN6BR/NC SURVBYlNC , 2005 Pin Oak Orive /_/Q? 0 Eaqon, MN 55122 DATE _(GL/Z-/¢ cno aiLe: Phone: (651) 405-6600 Y D. LINDGREN, L D SURVEYOR OAKBROOKE Foz :(657) 405-6606 MINN OTA LICENSE NUMBER 14376 Site address: Lot lp Block _ Subd. 01 ? 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 foliowing 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 --k-/ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE WaterHeater ? ? 5?,?? -9 Fumace 35-2 tAAV 631<OLa0 SY Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES No Kitchen kitchen Bathroom 1 S? - eo D ? Bathroom 2 ? 5 ? ? ?p S?l ? Bathroom 3 8athroom 4 Other DIRECT I hereby acknowledge that the above information requirements. _ Signature / CompanyName is correct and agree to comply with the Minnesota Energy Code and City of Eagan (o Z L, Date " This form is the responsibility of the General Contractor. BL ? CITY USE ONLY L suBO. C)raX ? Y oo REceiwr#: ! -0q-?`,,q RECEIPT DATE: 7-M' DO PERMIT# /// / __:? Q 2000 PLTJMBING PERMIT (RESIDENTIAL) r ? cxxY oF racax ' 3830 PI Ju IAT KNOS RD EAGAN, rII?I 55122 Please wmplete for: ? single family dwellings 651-681-4675 ? townhomes and condos when permits are required for each unii D backflow preventer for underground sprinkler system FIXTURES EACH # TOTAI / Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ - Floordrain 3.00 x = $ ? Gas piping outlet ` minimum - t 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ - Laundry tray 3.00 x = $ - Lavatory 3.00 x = g Septic S stem newrreturbished • requires mPC iic. 75.00 x = $ Septic Sy3tem abandonment 30.00 x = $ RPZ new installationlrepaidrebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ ? - Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler ifexisting dwelling 30.00 x = $ Water claset 3.00 x = $ Water heater 3.00 x = g Water softener If dweiling under construeGon 5.00 x = $ Water softener ir exiseing dv,remne 30.00 x = $ Waterturnaround 30.00 x $ State Surcharge 50 -> -> -> $ .50 Total -> -> -? -> $ o . o 0 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. •--•----------------------------------------------------...-•-----------------------•-••-• •--•---------------------------------•--...... I hereby acknowledge that I hare read this spplicetion, state that the information is corted, and agree to compty with all applicable City of Eagan ordinances. It is the applicant's responsi6iliry to notiy the properry owner that the City of Eagan essumes no liabiliry for any damages caused 6y the City durfng its normal operational and malntenance adivfties to the facilities constructed under this pertnit wifhin City propertylrighFOf-wayleasement. SlTE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: TELEPHONE #: (AREA CODE) SIGNATURE OF PERMITTEE *************************************** CITY OF EAGAN CASHIER: JS TERMINAL N0: 691 DATE: 08/28/00 TIME: 07:31:18 ID: NAME: BURNSVILLE HEATING & AIR 3213 9001 1664 OKBRKE CIR 39.00 2155 9001 1664 OKBRKE CIR 0.50 Total Receipt Amount: 39.50 CR136529 USER ID: JAN CI'I'Y USE ONLY LOT /0 BL PERMIT #: SUBD. 0?{'/YOO& RECEIPT #: " ya.s3.s RECEIPT DATE: 2000 M£GH"ICAL PEfiM1T (it£SID£NTIAL) CITY OF $AfiAN 3$30 P1LOT KNOB iiD i:R6RN MN 55122 Q ?-y? 651-6$1-4675 Date: ll rJ` ? ?? Complete this section on if you are installing HVAC in a single-family dwelling, townhome or condo under construction and not ownerloccupied. • AVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimutn of one required @$3.00 ea.) _ Replacement _ Other 30.00 6.00 ? oa .50 $ 39.5'0 Complete this section o?e1y if you are remodelinP, adding to, or replacinP an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. _ New Fumace Air exchanger State Surcharge Total _ Air conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder.• Eall jor final inspection. srrE nDDREss: I( n( a U 9A1C.I0Y00& C,?_ , OWNERNAME:?_ ,?l??Alo_ ???(l"LES PHONE#:cc - (ARCA CODE) INSTALLERNAME: 6UC(\Su1UP PHONE#:9 L-?. ?;L - c????'?CY3S (AREA CODE) STREET ADDRESS: \aub CITY: riL:??> c :.• iir Ll _ STATE: Lk 0_ ZIP: SJ'r ,579 SIG$?ATURE OF PERN TTEE L BL SUBD. APPROVED BY: CITY USE ONLY INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 8000 MECHAN1CihL P£RMIT (COMh1ERC1AL) CITY 0F EAfiAN 3$30 PILOT KNOB RD EA6AN, biN 55] 82 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE WORK TYPE: _ New conswction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping When instal[iiig/removing underground tank, call 651-681-4675 far inspectiai by fire marshal nud plumbi»g inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removallinstallation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLY): (AREA CODE) WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE ?r ? 16 Block 5, OAKBROOKE 4TH AODITION, City ot Eagan, Dakota Minnesota ond reserving easements of record. • ?/ f? 5 ? ? \\\ ? LOT HSE. LOT SQ. F00TAGE SQ. F00 TAGE COVERAGE _ ? ? . ,,. ? ? E i $YR ? Date_ % /'5 EAGAN EIVGINEERING D-UFT. ? i ? Y `c ? ? ^4q3. ? vA0 ee ? \?? ?• ti?p?` 43y ??? 2 0?` ?`. 99` 1 TLT ??? F ' ? . • \ ? - ? . ? . a? `?\ ? \ \y ? "?6,• `\ / JS _ '?f? \ ?\ - --' --- - - ---- - - -"---- - --- - --. _ . . W ?? I M \ I ? \? ! `?\ r ^ \\ it ? i I p ? r r = 29,488 ' = 1, 801 ? 6% \\ ?? 947,i ? • ? ?' 6 . ? ?\ ?? ??+• 5 . r sv-, 56?.2a2p Y?O?p REQU???? ? , • ?. ? ? Plon /j 18231 PROPOSED ELEVATIONS BENCHMARK, Top of Foundotion = 953.0 Goroge Floor =452,m BaSemEnt FIOOr =944,0 Aprox: 5ewer Service =aa9.i = Proposed Elev. MIN. SETBACK REQUIREMENTS Existinq Elev. _ Drainoge Directions = Front - 25 House Side - Denotes Offset Stoke = . sce.Le; iincn ? 30 feet Reor -15 Goroqe Side - I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION FFILE! HE?LUN? OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYEO BY ME OR UNDER MY DIRECT SUPERVISION AND DDES N0T PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT AS SHOWN. PLANN/NC SNGIN66R/NC SURV6Y/NC 2005 Pin Oak Drive Eoqon, MN 55122 OATE Phone: (651) 405-6600 D. LINDCREN, L D SURVEYOR OAKBROOKE Fox :(651) 405-6606 MINN OTA LICENSE NUMBER 14376 i A ' Surveyor's Certificate SURVEY FOR :PULTE DESCRIBED AS : Lo? ,c PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit ??? - S-0 Date Site Address Property Owner pQu, °? ('IS 1kn IYIIA??__ Telephone #(? () 71 ? 70210 Contractor OU-Ak-- Address City S[ate Zip Telephone # ( ) The Applicant is Ownez _ Contractox _ Other Septic System NeW _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Attera 'ons To ExisHng Dwelling Unit, Including $ 50.00 Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter'rf needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ additional State Surcharge $ '50 Total $ Q • 0) I hereby apply for a Residenrial Plumbing Permit and aclmowledge 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 tlus is not a pemvt, but only an applicauon for a pernut, and work is not to start without a perxnit; that the work will be in accordance with the approved plan in the case of work wlilch requires a review and approval of plans. 1'aw( N,4,6e1) vzej Applicant's Printed ame Applicant's Signature C? O Q j S RESIDENTIAL BI7ILDING Permit Application City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstruAbn Reauiremenls RemaleVReoair Reauiremenfs Office Use OnN 3 registered site surveys showing sq. R. of bl, sq. ft. of house; and all mofed areas 2 wpies of plan CeR of Survey Recd (20%mazimum lot coverege allowed) 1 setof Energy Calculations for heated adtlNOns Tree Pres Plan Recd 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for additions & tlecks Tree Pres Not Reqd 7 set of Energy Calculations Addfion - indicate ff ort-sde sepfk system _ On-s'rte Septic System 3 copies of Tree P2servation Plan if loi plafled atter 711193 Rim Joist Detail Options selecfion shcet (bldgs with 3 or less unils _ Date t4b / -.2L4 / 03 Construction Cost Site Address ?h ,lz?/e- I ?j UniUSte # ?A 11471V Description of Work -{-I /I LSAI /I ?n Multi-Family Bldg _ Y yN Fireplace(s) _ 0 2 Proper[y Owner PGLixl MuyS t<PJ1 S Telephone # al) Contractor F>wu-r Address City State Zip Telephone # ( ) 4 -RD. li? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Caiculatlons Submitted Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone #( ------'?j ` ? lephone # ( ?s , ? ? 11;? i U!L 7 j I Aereby apply for a Residential Building Permit and ac owledge that e info ation is complete and accurate; that the work will be in conformance with the ordinancYarid-codes-o f't?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. t.c MU /SL&11 pz-/ ApplicanYs Printed N e Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition -? 33 Alteration ? 34 Replacement ? 07 05-plex ? OS 06-plex ? 09 07-plex ? 10 OS-plex ? 11 10-plex ? 12 12-plex Valuation aUo 0 Census Code 43 ? SAC Units - Nbr. of Units O Nbr. of Bldgs _L Type of Const _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain Tile Roof _ Ice & Water Final ?r Framing ? Fireplace _ R.I. _ Air Test Final d/ Insulation Occupancy MC/ES System Zoning R• ? city Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS FinaUC.O. ? FinaUNo C.O. ? Plumbing HVAC Other _ Pool Ftgs Air/Gas Tests _ _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall -o Approved By 4 f 4 ?3 c , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck iir 19 Lower Level PI6g?Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors 'DemolfUOn (Entire Bldg) - Give PCA handout to appliwnt - a-S Use BLUE or BLACK Ink r-----------------� I For Office Use � � � Permit#: l � u ✓`�� I Clty of �� ;�� Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � � Fax: (651) 675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �/ � Site Address: �P �� y�''�G�`Q �0�""� Unit#: Name: �c� V� ''�,(�-��K-`e��I- � Phone: Resident/ ,� � , � �wner - address i c�ty i z�p: � � �L( C�-lC �� %�'il�-�. '' Applicant is: � Owner Contractor ` Description of work: �'1�'�'��- � �'�� i��,VL �� `�-��''�'� Type of Work : °`; Construction Cost�� Multi-Family Building: (Yes /No� � } �� . , �.��, Company: l�"`�v� ��vL�t/1 �/�5� ��Contact: �� `o�� —�ti� °` ��5�3� ContraCtor '��' Address: � �'t''` �`�� '"` City: �� ''� State: �y Zip: ?� �`�Phone: �v`:� � ��` Em�:7� Gq s �3. C�vL�� tv�Yl� , —� �,�� ':'� License#:_�� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �ti-� ��- °� �� 2 �1 Z � 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 documertts'that you sutimit are:con'sideretl to be public information. Portions of ' �' the�nformation may be class�fied as non putilic�f,you provide spec�fic reasons:thaf would permit the"City to � ,,.. , �,,. , � conclude:that the are`tratle 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.aoqherstateonecall.orq 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 Cod must be completed within 180 days of p�mit issuance. � , X G�.;�� ,��,� X ApplicanYs Printed Name ApplicanYs gnature Page 1 of 3