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
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_.,,? 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
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--- 1540 '-
44.0 0.0 1
CETLINGS
C.
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2674
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wALLS: wood Frame. 236 10
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wood
WALLS:
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GLAZII3G: kTiadows or poors, Above drade 520
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IInconditioned Space 336 38•Q 2'0
FLOORS: Over
?3VAC E4tlIPMENT: Fuznace, 92.0 AEUE +_r----- -------- -------- --------____
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•lding
design d
escribed
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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?
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Builder/Desigaer V VII
. LOT SURVEY CHECKLIST FOR RESIDENTIAL
` BUILDING PERMR APPLICATION
PROPERTYLEGAL: Lc`( /D ?4
m DATE OF SURVEY:
?
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LATEST REVISION:
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DOCUMENTSTANDARDS
d? ? • Registered Land Surveyor signature and company
? ? ? • Build'mgPermRApplicant
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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.
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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