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1564 Oakbrooke TerS'-+- W ? 4--1 -1`? RESIDENTIAL BUILDING PERMIT APPLICATION r?r 3830 PROT KN 6 RDN 55122 "AP- 49N- 70 SO ?7 nI? 651•681-4675 fr q NewConstl oonea Irem?nts ?UV ?? RemodeUReoairReauiremeMS??- (Y/ ?? • 3 registered site surveys shawirg sq. fl of bt sq. R W house; and aII roofed areas • 2 wpies of plan (2Q% mazimum bt coverage albwed) . 1 set ot Emfgy CalaWtions for heated additbns dr • 2 copies af plan stawing beam & window sizes; poured fand tlesign, etc.) . 1 sile survey fa exterior addNOns 8 decks • 1 set of Energy CalcLiabons 5 y/3 / 2 • 3 copies of Tree Preservation PWn H lot platted aher 111193 7 ^ . Rim Jdst Oetail Optbns selection sheet (bld9s wAh 3 a less uni5) ? v DATE ? !lO 1 VALUATIOnN (EXCLUDING LAND) 330 ? .iJB SITE ADDRESS J/ jD? OAI(????? lr1C7CJTCE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER u o L- TYPE OF WORK ??-,S?(.IGn ?lnI APPLICANT , p S??VI? ?JS ?/JaIIF_? ADDRESS &?lC PAGER # CELL PHONE # FIREPLACE(S)/ _0 ?1 _2 _3 PHONE # 6?/'yLQ'S2 Da ZIP CODE SSl21 ,??a-3bti-???I FAX# NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 (check one) • Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculaiions Submitted ? MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted PlumbingContractor. (?A PEY/"L 0.6ZW Phone#: Plumbing System Includes: _ Water Softener L,acvn Spnnkler Fee: $90.00 Water Hea[er L I'o. of R.I. Ba[hs ? No. of Baths ?sv?l?? l?f,n4?'?I"?/l Mechanical Controctor. BVr, Phone # NIechanical System Iticludes: Air Condi oning Fee: $70.00 Heat Recoverq Sys[em Sewer/Water Conhactor: AJ(0 Goqw ?Cr111C.? Phone # All above information must be submitted prior to processing of application. i? d ? I hereby acknowledge that I have read ihis application, state that ihe information is co ect, and agree ly with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certifcates of Survey Received Tree Preservation Plan Received _ Not Required c? Updated 1l01 P OFFICE USE ONLY 4 ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool P702 SF Dwelling O OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? DS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 30 Accessory Bldg ? 37 Ext. Alt - MuIG ? 33 Ext. Alt • SF O 36 Multi V 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) O 44 Siding Q 32 Addition O 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 Valuation / / !?' Occupancy R'3 MC/ES System Census Code C` 7 Zoning /0- City Watei SAC Units L) Stories 02 Booster Pump Nbr. of Units J T Sq. Ft. 4 PRV Nbr. of Bidgs ? Length ? Fire Sprinklered Type of Const Width 6f ?/ Footings (new bldg) ? Footings(deck) Footings (addition) ? Foundation Dnin Tile T Roof Ice & Water Final ? Fraaung ? Fireplace _ R.I. _ Air Test _ Final Insulation _ Other _ Pool Ftgs Air/Gas Tesu _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved Byb4d , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC ciry sa,c Water Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total REQUIRED INSPECTIONS ? FinaUC.O. _ FinallNo C.O. _ Plumbing _ HVAC f3 Svk i Ll?ff ? ?S ? 1°7 05',?D- ?. itRae s?? 3G? xs? = 804-, - G? ?1-G E ? 7YV?a o-Ff e/6 ` _.,,? 1564 Oakbrooke Terrace Zip 55122 _ Lot 10 Blk 4 SUb Cakbrooke Sth THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: . Yes No Inspector: - ; Final grade (6" from siding) S(J ? " /y f'? qW Permanent steps (garage) Permanent steps (main entry) Pemianent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch ' Basement 6nish Deck Please vei with [he builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside awn faucet before Geeze potential exists. Contact engineering division a[ 6814645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy PULTE HOMES OF MINNESOTA ? JOB INITIATION ORDER DATE: 5173101 JOB NO: COMMUNITY: ADDRESS: MODEL NAME: BUYER: ADDRESS: HOME PHONE: SALES REP: 0320-310-04 Oakbrooke Single Family TBD DARTMOUTH MODEL#: 18261 MARWAN HAMATY 3710 W.ST. GERMAIN APT #322 P" f 4- LOT: 10 LOCK: 4 UNIT: ADDITION: PHASE 3 CITY: Eagan STATE: MN ZIP: #### ELEVATION: 4 GARAGE: LEFT CITY: ST CLOUD STATE: MN ZIP: #### 320-652-6860 BUSINESS PHONE: BUSINESS PHONE: Jolayne Moberg HONE: 651-686-2862 1 18261 DARTMOUTH 5262,990 1 00000 Lot Premium $17,000 1 11012 FULL BASEMENT - WALK OUT $4,550 1 18039 ELEVATION #4 $9,400 1 22031 4' ADDITION TO GARAGE WITH BRICK $2.975 1 16031 DECK - WALKOUT 16'X 12' $6,675 1 19000 UPGRADE EXTERIOR DOOR $1.200 1 19021 FULL VIEW ALUM COMB DOOR $150 1 21021 GAS FIREPLACE - CERAMIC WlWOOD $4,250 1 25016 HMLK DRS W/P.F.BIRCH/MAPLE $3,875 1 26011 VAULT CEILING- MASTER B.R. $1,775 1 26043 WOOD RAILING - 2ND FLOOR $1,225 1 26047 P.F. RAIL vs. HALF WALL REAR STAIRS $1,450 1 14000 BASE CARPET ADJUSTMENT $0 1 14004 1ST CARPET PAD UPGRADE $375 1 14003 3RD CARPET UPGRADE $3,650 1 40009 LAMINATE FOYER AREA $575 1 40020 LAMINATE KITCHEN/DINETTE $7,500 1 40028 LAMINATE BATH #3 $200 1 15081 CERAMIC TILE BATH 1 $450 1 15082 CERAMIC TILE BATH 2 $1,000 1 17006 OMIT RANGElKEEP 220V OUTLET ($250) TOTAL $325,015 THIS CONSTITU ES A CONTRACT BETWEEN TNE SELLER AND THE PUCHASER (S) FOR THE ABOVE ITEMS. APPROVED BY BUYER (S): APPROVED BY BUYER (S)• APPROVED BY SUPERIN- APPROVED BY SALES: Builders License # 0001371 PULTE HOMES OF MINNESOTA JOB INITIATION ORDER DATE: ti_q page 2 JOB NO: 0320-310-04 LOT: 10 LOCK: 4 UNIT: 0 COMMUNITY: Oakbrooke Single Family ADDITION: PHASE 3 ADDRESS: TBD CITY: Eagan STATE: MN ZIP:55122 MODEL NAME: DARTMOUTH MODEL#: 18261 ELEVATION 4 GARAGE: 0 LEFT BUYER: MARWAN HAMATY ADDRESS: 3710 W.ST. GERMAIN APT #322 CITY: ST CLOUD STATE: MN ZIP: 56301 HOME PHONE: 320-652-6860 BUSINESS PHONE: 0 BUSINESS PHONE: 0 SALES REP: Jolayne Moberg HONE: 651-686-2862 un im TOTAL FROM PREVIOUS JIO $325,015 1 17083 R.I. ELECTRIC - MICROWAVE $100 1 10096 VENTED KITCHEN APPLIANCES $150 1 28044 CABINETS - MAPLE $1,600 1 28056 42 UPPERS - MAPLE $450 1 29006 CAST IRON KITCHEN SINK $425 1 13077 WHIRLPOOLTUB $1,175 1 31004 LAUNDRY CABINETS - MAPLE $475 5 17024 CEILING ELECTRIC OPENING ALL BEDS, FR $500 1 23008 3 1/2 TON AIR CONDITIONER $2,925 1 32002 CAT 5 PHONE/CABLE/MEDIA OUTLET BASEMENT $165 1 23012 HUMIDIFIER $625 1 23019 HONEYWELLT8600 SETBACKSTAT $225 1 32004 SATELLITE R.I. $150 1 32028 ROUGH-IN SPEAKERS-1ST PAIR FAMILY ROOM $500 1 32023 SECURITY SYSTEM - BASMT $850 1 36025 CENTRAL VACUUM $1,300 7 39010 SOLO TUBES MSTBATH $525 $0 $0 $0 $0 TOTAL $337,155 THIS CONSTITU ES A CONTRACT BETWEEN THE SELLER AND THE PUCHASER (S) FOR THE ABOVE ITEMS APPROVED BY BUYER (S): ? APPROVED BY BUYER (S): APPROVED BY APPROVED BY Builders License # 0001371 IYV.L?-? ' •? NOV. 2.2060 10:31PM 95289845431 ? r9acheck CoMPLTANCE REpORT Perm t Minnesota EnergY Code MUcheck Software Version 3.0 C ecked by Date CO'pNTY: D$kota STATE: Mizu?eaota ?ONE° Z le Family CONSTRUC'SION TYPE_ Sing DATE: 10-23-2000 DATE OF PLANB: 8/10/00 TxTLE: nARTMOt}*rg qTAI,gOtTT ELEVAT20N #3 PROJECT INFORP?MT=ON: EARLEY I,AKE COMPLIANCM: PASSES , Required UA = 547 Your Home = 486 Better Thaa Code ?ea or Cavity ont. C Glazing/Door U-Value Perimeter R-Va7.ue - --'- it-Value ---" -------------°---------- --"---"" --- 1540 '- 44.0 0.0 1 CETLINGS C. 16" O 2674 19 • 0 22-0 ? . wALLS: wood Frame. 236 10 • 0 • "3O.C. wood WALLS: 0Fxame,t16?g , h ' b9/9.0' insul'-e?7l -3 ,p 0.0 0.350 1 • 9• Coric. 9SMT: GLAZII3G: kTiadows or poors, Above drade 520 8 3 0,350 DOOR$ IInconditioned Space 336 38•Q 2'0 FLOORS: Over ?3VAC E4tlIPMENT: Fuznace, 92.0 AEUE +_r----- -------- -------- --------____ ---------- ------------ " " "-""' ?---- •lding design d escribed here ze s COMPLIANCE STATIIM.IIQT: The propOSed bueei£icatioas, and other calculation consistent with the buildi.ng p1ans, ep submitted with the permit application. The proposed bui Codeldiag has ?en irements of the Mi.naesota Rsiergy . ? , design?d to meet th? re Date Z? `J Builder/Desigaer V VII . LOT SURVEY CHECKLIST FOR RESIDENTIAL ` BUILDING PERMR APPLICATION PROPERTYLEGAL: Lc`( /D ?4 m DATE OF SURVEY: ? ? LATEST REVISION: c U Y a o z ° a DOCUMENTSTANDARDS d? ? • Registered Land Surveyor signature and company ? ? ? • Build'mgPermRApplicant L l d i i ? ? • ega escr pt on ? ? • Address W/? Cy/ ? 0 ? • • North arrow and scale House type (ramhkr, waAcout, splft w/o, splR enby, lookout, etc.) GY ? ? • Directional drainage artows with sbpe/gradient % G)/ ? ? • Proposedfepsting sewer and water services 8(nvert elevatlon ra/ ? ? • SUeet name ? ? • Driveway d? 0 • Lot Square Footage ? ? ? • Lot Coverage ELEVATIONS Ebstina ? ? ? • Sewer service (or Proposed) ? ? ? • Property comers ?? ? • Top of curb at the driveway and property Me extensions o d1? • Elevations of any exissdng adjacent homes ? f? ? • Adequate footing depth of structures due to adjacent utdity trenches ? ? 0 • Waterways (pond, stream, etc.) / Prooosed ? ? • Garage floor d/ o o . Firs, ftoor tN/ ? ? • Lowest exposed elevetion (waBcout/window) ? ? • Property comers [4' o? • Front and rear ai home at the toundatlon PONDING AREA (iFaooAcable) ? @ ? • Easement Une ? ? • NWL ? L9" ? • HWL ? [? ? • Pond # designation ? [? ? • Emergency Overibw Elevation l DIMENSIONS [o' ? ? • Lot IlnesBearings & d'cnensions ? ?• Rightof-way and street width (to back of curb) l4 ?? • Proposed home dinensions induding any proposed decks, overhangs greater than 2', porches, etc. / (i.e. all struclures requiring pertnanent fooWgs) l5/ ?? • Show all easemenffi of record and any Cfly ut?ides within thoae easements [?'/ ?? • Setbacks of proposed sWcture and aideyard setback oi edjacent exdsting strudures H?? • Reta(ning wa0 requirements, if any Reviewed: Surveyor's Certificate SURVEY FOR :PULTE HOMES AUG 3I REC'D DESCRIBED AS :Loc ,o, Block 4, OAKBROOKE 5Tri ADDIION, City of Eogan, Minnesota and reserving easements of record. p? ??Iv.? MP?C:ATiTIZE.T.'I'. w S I LI ?tti cc / / ? 93 JP - ? ? b'11 / i i o /yo ? r 940.? i3t?3 'a 9 \ sy ^ ? . \ \ ? ?J \?, ? • 93j ? ?y 93g5 ,? 00 `? \ ?ti' , 41. s ?o 0° '\ o?o G ?O / / 941.G /. oa 0 j ry9Q?? `r? 9325 a ? 939.2 \ \ / \ R?0?`S57a \ \ S / ? / ?1 C? \ C? s r • 9s ? ?? - 930.9 L 0 T SQ. F00 TA GE HSE SQ. FOO TA GE LOT C01/ERAGE _ # 18261 PROPOSED ELEVATIONS Top of Foundation = 942,0 Garage Floor =9q1,(p Basement Floor =q33o Aprox. Sewer Service = 9ao.o Proposed Elev. Existing Elev. Drainage Directions = - Denotes Offset Stake = . HEDLUND PLANNlNG 6NG/NE6RING SURV6YING 2005 Pin Oak Drive Eogan, MN 55122 Phone: (651) 405-6600 fax: (651) 405-6606 Lmo nv V o PREQWJIlF! u --13 = 8,866 = 1,817 20% SCALE: 1 inch - 30 feet BENCHMARK, MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garoge Side- I HEREBY CERTiFV THAT THIS IS A TIiUE AND CORRECT REPRESENTATION OF THE BOUNDARIES Of TME ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY OIREC7 SUPERVISION AND DOES NOT PURPORT TO SMOW IMPROVEMENTS OR ENCR ACHMENTS, E%CEPT AS 5 WN. DAIE 11_/LR/_?? kAw? O, J Y. LINOCREN, LAND SV YOF NES A LICENSE NUMBER 14376 N0: 01 R-384 Oakbrooke 5 Site address: Lot I a Block T Subd0' r"rff?? 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 conshucted to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR v This structure: wili be constructed to meet more reshictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater a f 1D K--? 7 Furnace ? ? n 9 C- Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES No Kitchen kitchen Bathroom 1 N v- ?)_ v 1j Bathroom 2 -? A: Sav? ) C /-V- D Bathroom 3 Bathroom 4 Other 7'0???? ?0?? SO FIREPLACE 5 LOCATION GAS WOOD MANUFACTURER MODEL 8TU'S VENTING DiRECi nirnos MAKE•UP AIR MODEL TYPE CFM's 1_1_ i I L I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. OJ-1402 SjioU at r r[ Company Name Date ` This form is the responsibility of the General Contractor. c_ 4 _ Use BLUE or BLACK Ink For Office Usfe~ I U I Permit / 7/~ o I City 3830 Pit Knob Road Permit Fee: j Eagan MN 55122 I Phone: (651) 675-5675 I Date Received: Fax: (651) 675-5694 I I Staff: 2012 MECHANICAL PERMIT APPLICATION ❑ Please su mit two (2) sets of plans with all commercial applications. Date: Site Address: C"' C) CL 1 ~e'r r C~_ L Tenant: Suite RESIDENT / OWNER Name: Phone: Address / City / Zip: Name: ~4rr ✓t~e P~a Cu. ti 1~ - License J _J C~ ~iL{ ( t' e ity: &rVV1 . V1A V_, CONTRACTOR Address: at fZ State.' V' vim Zip: 5!~O -k Phone: 65 LS S (s~ 7 9 cal Contact: i Email: New Replacement _ Additional Alteration Demolition TYPE OF WORK Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement PERMIT TYPE - Air Conditioner _ Install Piping _ Processed - Air Exchanger Gas Exterior HVAC Unit Heat Pump - Under / Above ground Tank Install Remove) _ Other RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) `0 TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee "If the project valuation is over $1 million, please call for Surcharge 5.00 Surcharge" TOTAL FEE 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.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. ~j ~ w t X~ 1l t✓ ` ~[J i~yN x L l1 . Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Building Permit Number:EA112077 Date Issued:07/26/2013 Permit Category:ePermit Site Address: 1564 Oakbrooke Ter Lot:10 Block: 4 Addition: Oakbrooke 5th PID:10-53764-04-100 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Matt Kral 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 - Marwan Hamaty 1427 Fitzroy Westlake OH 44145 (763) 502-2489 Midwest Exteriors Plus Inc 6451 Sycamore Ct N Maple Grove MN 55369 (763) 427-9696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA113372 Date Issued:09/03/2013 Permit Category:ePermit Site Address: 1564 Oakbrooke Ter Lot:10 Block: 4 Addition: Oakbrooke 5th PID:10-53764-04-100 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 - Marwan Hamaty 1427 Fitzroy Westlake OH 44145 (612) 212-2200 Midwest Exteriors Plus Inc 6451 Sycamore Ct N Maple Grove MN 55369 (763) 427-9696 Applicant/Permitee: Signature Issued By: Signature