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1666 Oakbrooke CirAddress 1666 Oakbrooke Cir Z1[7 $5122 Lot ll Blk s Sub gakbreeke Tth THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: i ?_ ? D- Dc) Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) X Permanent steps (main entry) Perrnanent dmeway xl? Permanent gas x Sod/Seeded grass ? Trail/curb damage Porch Basement finish ' Deck x- Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply [o the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in righ[of-way or installing underground sprinkler system. ? White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy !_// p, e'2.??'? Site address: 04jq?j??Lz Lot t BlockS Subd. 7/g ? lu. A On Apnl 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 sWcture: is consVucted to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR ? This sWcture: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater MPL 2`/S Fumace ,ar? S-o yNA?o31Ab?b S Dryer EXHAUST SYSTEM LOGATION TYPE MODEI CFM's VENTED YES No Kitchen kitchen Bathroom 1 a u U ? . Bathroom 2 s S v sv ? 8athroom 3 Bathroom 4 Other PIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL 8TU'S VENTING ,;o1RECT ATMOS &t-ozi &O"UD 0" . -? I hereby acknowledge that the above information is correct and agree to wmply wilh the Minnesota Energy Gode antl Ciry of Eagan requirements. A /r go ? Date CompanyName This form is the responsibility of the General Contractor. _ L ` '1 1 I eL 5 CITY USE ONLY SUBD. o YOOf k RECEIPT#: C-r RECEIPT DATE: "t PERMIT# LI JUJ? 2000 PLUNIDING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT EINOB RD EAGP,N, A47 55122 651-691-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? 6ackflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ - Floor drain 3.00 x = $ ? Gas piping outlet * minimum - 1 3.00 x = $ 3? Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ ? Laundry tray 3.00 x = $ - Lavatory 100 x = $ ? - Septic System nawlrefurbished 'requires MPC ilc. 75.00 x = $ 5eptic System ahandonmant 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ iK5 Shower 3.00 x = $ j ? UndefgroUnd Sprinklef if dwelling is under construction 3.00 X = $ Undergroundsprinkler rfexistingdwelling 30.00 X = $ Water cioset 3.00 x = $ Water heater 3.00 x = $ ,3 - Water softener If dwelling under consWction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water tumaround 30.00 x $ State Surcharge 50 Tatae -> Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------------• -------------- ------ ---------- - •------------ I -------- -- -- -- ---------- -acknowl- -- --- ? ---------------------- ------------------ - I herebyedge that I have read this application, sfate that the infortnaGan is corcec[, and agree to comply with all applicable Ciry of Eagan ordinances. It is the applicanPS responsibility to notify the property owner that the City of Eagan assumes no lia6ility for any damages caused by the City during its normal operetional and maintenance adivities to the facilities conatructed und/e?r this permit within City propertylright-oRwayfeasement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: TELEPHONE #: , (AREA CODE) TELEPHONE#: `>?2' yyZ'21a/ (AREA CODE) STATE: ZIP: C[TY USE ONLY ' LOT I L BL ? PERMIT SUBD. _0Ab"ODYIL `l ` RECEIPT #: C? I?JFS U3 CJ RECEIPT DATE: 2000 MECRAkNICAL PEfiMIT (RE,SIDENTIAL) crrY oF Eask?v 3930 PILOT KNOB fiD r.kCu" rax 55142 651-681-4675 Date: Complete this section only if you are installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 --?Xpn State Surchazge .50 Total $ 39• s ? Complete this section onlv if you are remadelinp. adding to, or replacinp an eacisting single-family dwelling, townhome, or condo. Please indicate if it is a new item, alterarion, or replacement. : _ New _ Fumace _ Air exchanger _ Replacement Other _ Air conditioning Other Fee State Surchazge Total Reminder: Callforfinalinspection. $ 30.00 .50 $ 30.50 SITE ADDRESS: l LpCS1CP QQ,Y,b(C?k2_ OWNERNAME: Jr6 V?- 4?"S PHONE#: (A A CODE) INSTALLER NAM??! TlS1J1?L9--?\ -Yk- 4"PA C-- PHONE -?4`t?6?3- STREET ADDRESS: (aaEACODE) . CITY: STATE: ZIP: 3S? - ? F PERM EE CITY USE ONLY L _ BL SUBD. APPROVED BY: , INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 8000 MECHi4NICAL PEiM1T (COMI4IERCIAL) C[TY OF E4fii4N 3$30 PILOT KNOB RD EA8AN,MN 5518E 651-6$1-4675 Please complete for: all commerciaVindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE WORK TYPE: New consffuction _ Iastall U.G. Tank _ InteriorImprovement _ Remove U.G.Tank _ Processed Piping When installing/removing underground tank, culf 651-681-4675 for inspection by fire marshal and plu»ibing inspectar. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaUinstalladon ° minimum fee Contractprice: $ xt%=$ (BaseFee) Srate surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SITE .ADDRESS: O WNER NAME: PHONE #; - (AREA CODEj TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: Z8: ? : SIGNATURE OF PERMITTEE ****?****?********??******************: CITY OF EAGAN CASHIER: JS TERMINAL N0: 769 DATE: 08/24/00 TIME: 07:03:09 ID: • NAME: PULTE MASTER BUILDER 2252 9220 1666 OKBRKE CIR 30.0( 3210 9001 1666 OKBRKE CIR 1,144.9? 3866 9379 1666 OKBRKE CIR 100.0( 3422 9001 1666 OKBRKE CIR 744.2: 2275 9220 1666 OKBRKE CIR 1,089.0( 3446 9001 1666 OKBRKE CIR 11.0( 2155 9001 1666 OKBRKE CIR 0.5( 3743 9220 1666 OKBRKE CIR 50.0( 2155 9001 1666 OKBRKE CIR 63.5( 3868 9220 1666 OKBRKE CIR 492.0( CR136328 ** CONTINL USER ID: JAN ** CONTINL CITY OF EAGAN V CASHIER: JS TERMINAL NO: 769 DATE: 08/24/00 TIME: 07: 03:11 ID: • NAME: PULTE MASTER BUILDER 3716 9220 1666 OKBRKE CIR 114 00 3713 9220 1666 OKBRKE CIR . 50 00 3866 9379 1666 OKBRKE CIR . 840.00 Total Receipt Amount: 4,729.17 CR136328 USER ID: JAN -? 2000 BUILDING-PERMIT APPLICATION (REStDENTIAL) 1 , cirr oF E?caN • 3830 PILOT KNOB RD • 85122 851-881-4675 GQfte d a/m/ab > swegisterea sre suroevs a,orm,a 2% e. a wt, w. e. or na,» antl gH roOfed Or604 QQX rtwXlMUrtI bf coveraae nllowedl > 2 coples d Wans (ahow becun d window siaea; Poured hW. desiyn: etc.) D 1 sat of 6nsryy culcultftns D 3 coplea a hee prefervaHm plan H bf plaltad tftr 7/1/93 DATE: % 11// 7 DESCRIPTION OF WORK: STREET ADDRESS LOT: 1 + Retriotlel/ReoairReaulremanh s cople: w aan 1saf W energy cdadaHOnt lor healed add11ons 1 afte wrvey for.eztedor addlHau # decks cosr: / Lftl Jaci A BLOCK: c-5? SUBD./P.I.D. C: Oh Kg??07JCT? g-th PROPERTY OWNER last FUaf Phone M: Sfreef Addresa: citY Sfate: Zip: Company:.UQ, ttAc6 (1000 Phone lf: ,?'l (area code) CONTRACTOR meetAdaress:/3,?sA)5lUWl/es ucense r 13 ?l . ?''l ob1 cnr /A WOVAts s+ara: Ai/ ziP: ?W2 o 4RCHITECT/ .5???I??,s ?-y'6JV? eNGMEER Company: Name: Telephone C ( ) Street Addreas: Regisfratlon f: CNy Sfate: Lp: ewerlwater licensed plumber (iI installina sawerMrater):aIr-I /'" LVAu0U Phone #: t?( ,?Z 1 7?7 2? Z? L? ?e?ebY acknowledpe ihaf I have recd Ihis applicaNon, atate Hwl fhe infornwtion ic cortect, and apree b canply wflh aA appficable State ? Minneaota Stalufes and City of Eagan Ordinances. Sipnalure of ApplicanY. OFFICE USE ONLY ? artiflcates of Survey Received ? Yes _ No RFCEIVED AUG 1 4 2000 ee Preservation Plan Received _ Yes _ No ?lot Required ! • BY: ?.J r OFFICE USE ONLY BUILDING PERMIT SUBTYPES O 01 Foundation ? 07 05-plex ? 02 SF Dwelfing ? OS 08-plex ? 03 01 of _ plex O 09 07-plex O 04 02-plex ? 10 OS-plex ? OS 03-plex p 11 10-plex ? OB 04-Plex ? 12 12-plex WORK TYPE (F 31 New ? 32 Addition O 33 Alteration ? 34 Repair ? 13 16-plex O 21 Porch (3-sea.) O O 17 Garage O 22 Porch/Addn. (4-sea.) O O 18 Deck O 23 Porch (screened) Q O 19 Lower Level O 24 Stortn Damage Plbg _Y or_ N O 25 Miscellaneous O 20 Pool ? 30 Accessory Bidg. O 36 Move Bldg. ? 43 Reroof E3 37 Demolish (Bldg)" ? 44 Siding ? 38 Demolish (Interior) p 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to appticant for demolition permit GENERAL INFORMATION SAC Code ?L No. of Units ? No. of Buildings Const. (Actual) ? (Allowable) UBC Occupancy R- 3 Zoning R-/? # of 5tories Length W idth Basement sq. ft. Mai level sq. ft. 2--J-,/sq. ft. Gao-aG? sq. ft. MISCELLANEQUS INSPECTIONS 0 Stucco/Stone 2 va ta sq. ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered APPROVALS Planning Building GG Engineering Variance Permit Fee Valuation: $ /„2 4_ Dpe-) V-' Surcherge Plan Revfew ? s J' 690 6, License Go4a.? l5'? /gi3?d MC/ES SAC CitySAC Lede-I Water Conn. W ater Meter el 4.z x-f q= Y6 F V Acct. Deposit 5/W Permit 11 2 &-, e- ee I S/W Surcharge S6? F?b Treatment PI. Park Ded. Ga ha6 ? Trails Ded. Other S?t klL : 5'•z4'? - Copies rotal: 31 Ext. Alt - Multi 33 Ext. Aft - SF 36 Multi GDJ SAC Units % SAC ? n H ? W ? N 0 0 ? a ?y ? ? ? ? ? ? ? ? ?n n ? ? r't' ? ? ? ? ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION TH PROPERTYLEGAL (jAKRQGYv E 4' / DATE OF SURVEY: LATEST REVISION: DOCUMENTSTANDARDS • Registered Land Surveyar signature and company • Building Permit Appiicant • LegaV description • Address • North arrow and scale • House rype (rambler, walko4 split w/o, spld enUy, lookout, etc.) • Directional drainage artows with slopeigradlent °k • Praposed/exassting sewer and water services & invert elevation • Sheetname . Driveway • Lot Square Footage • Lot Coverage EIEVATIONS / istin m?? ? • Sewer service (or Proposed) e? o o • Properly comers ?p ? • Top of curb at the dmreway ?? y • Elevations of any exdsting adjacent homes ??? Adequate footing depth af shuctures due to adjacent utility Venches Praoased to ? • Garage floor o?? ? ' ? ? • Firstfloor • Lowest exposed elevation (walkouUwindow) ? ? ? • Properly comers ?? ? • Frant and rear of home at the foundation / ? PONDING AREA ('d aoolicaWe) E t fl ? ? ne • asemen ee? ? ? • P1WL Ea' o ? . HVYL a ? • Pond # designacon ? q/ ? • Emergency Ovefiow Elevation Y? o m/ ? ? p/ a a ? O? ? ? ? DIMENSIONS lot IineslBearings 8 dimensiona Right-af-way and strcet width (to back of curb) Proposed home dimensions including arry proposed decks, overhangs greater than 2', porches, etc. (i.e. all sVuctures requinng permanentfootlngs) Show all eaaements of record and any Cily utiGtles within those easemen4s Setbacks of proposed structure and sideyard setback of adjacent ebating structures Retaining wall req Reviewed: . Match 19BB CRAKVBIWPRMf,FM MRR-16-2020 10:28 P . ei2 'i;? 1+QTaheck COM82,IANCg gEBOAT Minnsaota Bnergy Cpds Perm t# t+aTcheck 3oftware Vereion 3.0 " C ecke by/DaCe COIINTY: Dakata -- BTATg; Mislsieapta 20NE; Z CONBTRUCTION TYpE: S171g1q Family DATE: 3-16-2000 DA'P9 0F 1'I.ANB: 3/16/00 TITLE: FALKIFtR W/0 SL. #2 COMPLIAATCE: pA9SES Aequired UA a S09 . Your HomY = 407. 19.94 Hettsr Thpn Rodq ' 0; .p . W? ? . CAV?1tY Cqat. . Glzzfng/D09r Pe7C1mWt9x it-vaI.ue R Va1.ue U-Value ------r-e-a-----:-.--w--w--------..w--- -- - ..--r..--- CBILINCfB __-_'_'_--__'- WALLSi Wood Frame, 16° O.C. 1444 2327 44,0 0.0 19.0 2.0 wALL9: wavd Fratne, 161, O.C. 283 10,0 2.0 BSMT: Conc. 9.0' ht/8.91 bg/9.0f ineul 402 11.0 0.0 GLA.ZING: Windowd or poore, Above Orade 495 0.350 1 ?ORS FLOORS; Ovar Uncoaditioned space 38 352 38.0 0.0 0.350 HVAC EQUIpMENT: Furnsce, 92.0 Ae vE COMPLIANCE gTATEMSNT, The propoe - edbuilding deaignTdeecribed here is - r coneistent wiCh the building p1au?s, epeCiPicationa, and othex submlttad wiCh calculatione bhe pexmit apylics dsaigned to m? tion. Tha propoqe$ building has bean e Mi ota Etiexgy Codc. Buildar/De9lgner ' ' ' Da te i'/ ...,. .??t,..y,. roTFL. P.az : JOB INITIATION ORDER Pulte Homes of Minnesota Corporation 1355 Mendota Heights Road, Suite 300 Mendota Heights, MN 55120.1112 Phone: (651) 452-5200 Fax: (651)452-5727 CONTRACTORlSU PPLIE R: ai JOB NO. 0320 ?' 11 1 05 LEGAL DESCRIPTION: LOT 11 BLOCK 05 UNIT coMMUNirv: pakbrooke SF ADDITION: #xQ? 2, BUILDING ADDRESS: -%,o Cin': Eagan STATE: MN ZIP: 55104 MODEL NAME: FeQ,ktrk..MODEI NUMBER: ? g65 )?- ELEVATION: 2 GARAGE: LEFT RIGHT ? BUYER'S NAME: 6(y}" ? G- SW P"a4e*-.6-n DATE OF ORDER: . t? ? CURRENT ADDRESS: CITY: ZIP: 55l yL HOME PHONE:?51-G'QGj_)g'7?)BUSINESS PHONE: BUSINESS PHONE: (qGJ( -q pj -ZI I-7 SALES REPRESENTATIVE ? ' .: , ;. .. ? (3W0 1605 . . - BASE PRICE . a2? 9R0 ---- LOT PREMIUM Dp0 1 I D23 ELEVATION # 2 i S 00 1 aao3?i ' fe ? 1? ??75 v' • 0 3SaS i'¢?:?'l REM (Y} ,P >>V ' ?+ =j : u:??1. TOTAL APPROVED BY BUYER(S): ? APPROVED BY SALES: ? RELEASED TO START CONST.: This constitutes a contract between the Seller and the Builder's License #0001371 ? ?"y EQUAL HOUSING oPPORruNiTv rchaser(s) for the above items CHANGE ORDER CONTRACT Pulte Homes of Minnesota Corporation 7355 MENDOTA HEIGHTS ROAD, SUITE 300 MENDOTA HEIGHTS, MN 55120-1112 PHONE: (651) 452-5200 FAX (657) 452-5727 -7?f- / CONTRACTOR/SUPPLIER: 411 ?"VoW S ";?- / JOB NO. 0 3 Z- V / O S / I LEGPL DESCRIPTION: LOT Z/ BLOCK ? UNI7 ?? [ ? COM.4UNIN: ?F-CY7? C o! ADDI7lON: -7 G- BUII.pINGADORE55: CRY: STATE: In d ZIP:S5122 MOpEL NAME: ?? L KI ??-C MGDEL NUMEER: ? O U5? ELEVATION: ? GAFtAGE: lEFT RIGHT BUVER'S NAME(S)• DATE OF OROER: I C CURRENTADDRE55: ! V ? I/V-r7 l? CRY: HCME PHONE: ('e2f' ???'/ ?C0 ?? BUSINESS PHONE: SCIW - J" ' I / LD? SAl£5 REPRESENTATNE: ? 1 Y?* CHANGE ORDER FEE: YES OR NO eUS;NESSPHCNE: k)1-`305•z-Ia PREVIOUS J.I.O. OR CHANGE ORDER: ._._; RRICE ;` # 12 U TOTAL: D/' -A0 < QTY. OPTION ? '-DESCRIPilO1V QF CHYANGE ( ? I0 0 C?5 Gc_ C=2 ? C. ZSC? ? .? cu C< ^' da?°? -773 ? OU S? Cc c Z?d 11-7 i 32oz0 c& ?50 7000 l o0 S 350 ?, . .:-.. ? _ :=,..... 1--)17 A.. TOTA/? 8ui;ders Licer.se #0001371 APPROVED BY BUYE APPROVED BY SUPERINTENDENT: RPPROVED BY SALES: This constitutes a coniract between the Sziler and the 3 ?? ? ? ? ? Y o..s.,.. aser(s) for the above items. Surveyor's Certificate SURVEY FOR : PuLrE DESCRIBED AS ' Lot 11, Block 5, OAKBROOKE 4TH ADOITION, City of Eogon, Oakoto . ' County, Minnesoto Ond reserving easements of record. ,1gC?9?19-q ? ?. ?;.. f LOT SQ. FDOTAGE = 17,740 HSE. SQ. FOO TAGE = 1,879 LOT COVERAGE = 10/'o r PoRoVo Plon (J 18652 PROPOSED ELEVATIONS Top of Foundotion = q51,o Garage Floor = qgo.(, Basement Floor =qa2.o Aprox. Sewer Service =43c..2' Proposed Elev. Existing Elev. Drainage Directions = - Denotes Offset Stake = . HEDL(JND PLANN/NC BNCIN66RlNC SURV6Y/NC 2005 Pin Ook Drive Eagon, MN 55122 Phone: (657) 405-6600 Fox ; (651) 405-6606 a .$ SCALE: 1 inch . JO leel I HEREBY CERiIFY THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OF THE BOUNDARIES OF THE ABOVE DESCRIBEO PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORi TO SHOW IMPROVEMENT$ OR ENCROACHMENTS, EXCEPT AS SHOWN. OATE ? i BENCHMARK, rNHG) %5 Eleo = q3q.39 MIN. SETBACK REQUIREMENTS Front-25 House Side - Rear -15 Garage Side - JOB N0: D. IINDCREN, LAkD SURVEYOR iTA LICENSE NUMBER 14376 OOR-228 OAKBRDOKE '??XZL-• ? Fk-Neir-- ?- - 6? 5 N61•282? ? Use BLUE or BLACK Ink For Office Use j Permit City of EaEd~ Permit Fee. . 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: an; ~ Site Address: t 66 6v 4!F►~ ~ L 4l,< J 4 y,4~l Unit Name: K Ee~1 S- w PUT-, Phone: G Id -3,?6 --/J y f Resident/ Owner Address/ City /Zip: 1&6(o ~ ~ cat<E G)~ € N s Applicant is: Owner Contractor 9 Type of work Description of work: R6_A0Vrf' ' i Construction Cost: %dy Multi-Family Building: (Yes / No . m..w__ _ i Company: 1//i///r/ r~.+ r i/ 7 t Contact: /iVa> m IJJ Contractor Address: Via/ 6c2~cy✓ City: IX, ifsy r rva~ State: 19W. Zip: Phone: e' , 7o5_ License cy0&3S-&_2_3 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 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.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. 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 Azee5w 19Q~I-ecW0 x Applicant's Printed Name Applic is Signature Page 1 of 3 City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: (/i f .Zr? a v Permit Fee: �/" D Date Received: Staff: 1 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: : 2.4// / Site Address: < �` t 6 ✓Qy-p E- (CJ E Tenant: Suite #: Name: Phone: Address / City / Zip: Name: ill ` A S !!VYvI�� +�J �L� License #: 0606 6 " A41 a-5 0 5 Z2 3 rd Address: State: /t41U Zip: S 5o 1 ( Phone: '26 3- 07---S 8- 74. Tar Contact: /14; t—f---- 1601' Email: /"L' -16-d•^/1 e_,1,0+Mae t , C-0 New Replacement _ Repair_ Rebuild _ Modify Space _ Work in R.O.W. Description of work: ��`'J LkJ* e— p d 7 Tay(c_7-- c( st,c-ie - RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Abandonment / Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. CaII Gopher State One CaII 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.orq 1 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. Applicant's Printed Name x Applicant's Signature FOR OFFICE USE Required Inspe Meter Related Items: Use BLUE or BLACK Ink � r————————————————� I For Office Use � • � /.�/���- �'� C�}� O� n���� � Permit#: 4 � � Permit Fee: ��--� `��� � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (657)675-5675 I I Fax: (651)675-5694 i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ��'Z'L�/S� Site Address: / � �'� V Cl�Ja run�C ��I r . Unit#: g �� , P �� ,� � ,�` �� ��� Name: �t�Kz7� �� Phone: ��2 ' 3 �� ^ �2 `� r � ��� 2 ������� / � ������ Address/City/Zip: /l� ��o Q C{k�roC1�C� C%�- • � ,. �� , f` � , , Applicant is: ✓ Owner Contractor . �� , �:: ;�, s . � /�J V l"s Z3`@���,� � � � , � •. � � ' �►^ � � �� Description of work: � ���? C� !�i � � �� �T � Q'��t�� .: !�e �,„ ,� � �, � '4 Construction Cost: 3� Multi-Family Building: (Yes /No� � � ���_£R ��� Company: Contact: ��� ��t ���\ � Address: City: ; Q�' ���� � State: Zip: Phone: Email: �m �� ��� r�� ;.. ������ ���"� License#: Lead Certificate#: If the project is exempt from lead certification; please explain why: 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: Fire Suppression Contractor: Phone: \ ��>�� ��� � ��.,�4'������� �Y���.� ���.�w�y'1���� �Q �+�t���r���Q��.���:T�� ���#ti7�w�'F��y . th��ir�'� � ��,�b+��I t ���r�c�� trblrc��'�c���ra����s����� +�� ` ��w���� . `r����i ,fa� Z� ��,Ov e,�\\��• �;c;: . ..�;D� ��i.... \��i��'��.�i.,L�i����� ':1�'?F����[����'r��i.,t�.:� `�,.,�..::.� � :1?�'".¢'•. ��;.:, f,i,..,k : a�,.._.. .'' ... .% ...... :,... ...�. 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.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 Code must be co pleted within 180 days of permit issuance. X �����1� uti' X App icanYs Printed Name Applica 's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161919 Date Issued:06/18/2020 Permit Category:ePermit Site Address: 1666 Oakbrooke Cir Lot:11 Block: 5 Addition: Oakbrooke 4th PID:10-53763-05-110 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Kenneth Putt 10700 Sheridan Ave S Bloomington MN 55431 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161919 Date Issued:06/18/2020 Permit Category:ePermit Site Address: 1666 Oakbrooke Cir Lot:11 Block: 5 Addition: Oakbrooke 4th PID:10-53763-05-110 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Kenneth Putt 10700 Sheridan Ave S Bloomington MN 55431 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature