1570 Oakbrooke Terfl 1 ESfDENTI
? ?b vC?BUILDlNC PERMIT APPLICATION
a • CITY OP EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 9 b ?
NewConsWCfionReauiremems RemodeVReoairReouiremeMS ^-?
. 3 regislered site surveys showug sq. ft of Id, sq. R of house; and £II roofed areas • 2 copies of plan
(20% rtaximum bt cwe'age allowed) • 1 sel of Energy Calculadons for heated additions
• 2 tOpies of plsn Showng beam & window 5'vxs; poured (Wnd desgn, etC.) ?# ? O ) r f5 . 7 site smvey for exteria addrtions & decks ? n ? _/\
• 1 set ol Ewgy Calc?laooas n P???X?pJ
t l-?? • Q 1
• 3 copies of Tree Preservatlon Plan if bt platled a8er 777193 Q? 1797
• Rim Joist Oetail Opdans selection sheet (bldgs wilh 3 ar less uni?) ?J ?
DATE ?// rf v VALUATION (EXCIUDING LAND)
.iJB SITE ADDRESS 1S70 po. k.e oo 1e e`T??rr, c.a_
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER P Jlt /,Io.+v d?Pv .LJ Co r P
TYPE OF WORK Vc,,-? CoK x- -trw <$,b n FIREPIACE(S) _0 11 _3
APPLICANT 2, /A? 4~. o 4 /n/1/ Lo r p PHONE # !oS l Alsa ?Sao?
ADDRESS gIS it/or-6l. [sst P ,!c q S`be- /Yo ZIPCODE S.i l,2 I
PAGER # CELL PHONE # fAX #
NEW RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY
Energy Code Category MINNESOTA RULFS 7670 CATEGORY 1
(check one) - ResidenGal Ventilation Category 1 Worksheet Suhmitted II
- E n e r g y E n v e l o p e C a l c u l a t i o n s S u bmitted a?' U
? MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted ?"• _- ----?
?._
Plumbing CoMractor. V, it c F/ti.wr Phone #: ??1 / y9a 'at ? I loe Plumbing System Includes: Water 5 tener _ Lawn Sprinkler Fee: $90.00
X Water Heater f No. of R.I. Baths
? No. of Baths
MechanicalContractor. p«<.rrv? AL rS-L..L Phone# 9.S21 g'41' 00-0Z
blechanica] S}•stem Includes: x Air Conditioning ee: $70.00
Heat Recovey System
Sewer/Water Contractor: /7k?? y 6*~J Phone # 7?3?112B-a793?
All above information must be submitted prior to processing of application.
I hereby acknowledge ihat I have read ihis application, state that the information is correcT, and agree to comply with
all applicable Stote of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf ? ?-
Certificates of Survey Received w Tree Preservation Plan Received _ Not Required ?/
tT
Updaled 1101
OFFICE USE ONLY
? Dt Foundation ? 07 05•plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
*02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck p 23 Porch (screened) O 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 t 2-plex Plbg_Y or _ N ? 25 Miscellaneous
)? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (FoundaGon) O 45 Fire Repair
? 33 Alteration ? 37 Demolish (81dg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitlon (Entire Bldg only) - Give PCA handout to appiicant
Valuation l1Ud Occupancy MC/ESSystem
Census Code Zoning City Watei %Z
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
? Footings(new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
Footings (addition) _ Plumbing
? Foundation _ HVAC
? Drain Tile
Roof _ Ice & Water _ Final _ OtLer
? Franung
Fireplace ? R.I. ?Air Test ?.L Final
r = Pool
Siding _ Ftgs =AirlGas Tesu
Stucco Stone _ Final
Insula[ion Windows (new/replacement)
------------------------------------------------------- --------
-- ----- ------------------- Approved By-T?, Building Inspector
--- ----------------------------------------------------------
Base Fee
Surcharge
? IT-,? ('L
Plan Review
MClES SAC
?fL-ns r v
/tJ ??
CitY SAC
Water Supply & Storage S 0
S8W Permit & Surcharge
Treatment Plant
Pl
bi
P L/q-? /l1/
? < <P
`7
um
ng
ermit
Mechanical Permit
License Search
!
Copies
Other
Total
Address 15iO Oakbrooke Ierrace
I.ot 13 Blk
Sub Oakbrooke Sth Addition
Zip 5512 ?
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 22 0'L Yes No Inspector: Mkp
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) f
Permanent driveway
Petmanent gas f
Sod/Seeded grass vl?
TraiVcutb damage -- Co-u U Ko+ S2e 500W f 1 te
Porch V-11
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and [he shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6514645 before working in righ[of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Bt1 RNSvI LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378 • 952-894-OOOS
s
Orslat Test Report for Jobt
Address i r t. ;. . 'r. `• - . , - City _
Occupant :t
Datie of Insrali
Type of HT. Hq HW Space HT Unit HT
Make
Modet
Serial
Input
Pilot Type HOT SURFACE /GNlTOR
Pressure C02 ;
Input CFH ? 02 ??-
Stack Temp CO
Date Tested ? z ? - C!, 3
Company BURNSVILLE HEATlNG & A1R CONDITION/NG
Technician r-
Y 63
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?-7 a ?
6
cQlW le-H k?u"
New Construction Reauirements RemodeVfteoair ReauiremenGS Office Use Onlv
3 registered site surveys showing sq. k. o( lot, sq. fl. of house; and all roofad areas 2 copies oi plan CeR of Survey Recd Y N
(20% maximum lot coverage allowed) 1 sel of Energy Calculalions for heated add'Aions Tree Pres Plan Recd _Y _ N,
2 copres of plan showing 6eam & window s¢es; poured found design, elc. 1 sile survey for additions & decks Tree Pres Required _ Y_ N
lsetofEnergyCalculations Adddion-indicafei(on-sitesepNcsystem On-siteSepticSystem _Y _N
3 copies oiTree Preservation Plan iilot platted after 7l1/93
Rim Joist Detail Opfions seleclion sheet (buildirgs wiN 3 or less unils)
Date .2r / al? Construction Cost
Site Address /Jr7(?j aabg& C KKaCQ Unit/Ste #
f
N/V 3
Description of Work &j(ma/
Multi-Family Bldg _ Y x N Fireplace(s) ? 0 _ 1 _ 2
Property Owner Telephone #(&S1
4vvv-
Contractor -
Address V)tv City
State Zip ,?3 71 TelePnane a? Qsd> ?9S ?d/,5
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(J su6mission type) Submitted Submitted
. Energy Envelope Calculations Submitled
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # ( )
Telephone # (
Telephone #(
I hereby apply for a Residential Building 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 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 whicM-rre?guir ew d
approval of plans. p LS ??L? U?
? d? ? JAN ? ? 2005 JC
A pli nt's Printed Name Applicant's Signature " zi ?_
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
?k 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation ? ?-ID Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const C2_ Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUIRED INSPECTIONS
Final/C.O.
?C FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ AidGas Tesu Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
172P
`
PERMIT # -s I --?:) a ? RECEIPT DATE:
2002 RESIDENTIAL PLUM$ING PEfZMIT ?PPLICATION
crrY oF EAeArr
3830 Paor xivos RD
PAHAN, hIN 5518E
651-681-4675
Please complele for:
single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
7"errQc&
SITEADDRESS: ID lO DCLkigrvoke
OWNER NAME: : V V I (I iamSi 1/ Ian v/ /VU, V6TELEPHONE #: ? ' qQ"( - 9l cU L
(AREA CO E)
INSTALLER NAME: t?O rlo I d YVl FIIA.WtW
STREETADDRESS: z°M$ C?f??'Fi?-?d /
?6_ TELEPHONE#: 4fd33
ve,hue. So wµ1 (AREACODE)
CITY: IVl'A IS. STATE:
Mrli ZlP; 55L40$
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING!
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ A6andonment ot septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
RPZ: new installation/repair/rebwld $ 30.00
7lawn irrigation system ?
? - -- - LnSta,L(Pd backf-Iwv [z5'aM-16,r
ReplacemenUadditional: water softener water heater $ 15.00
State Surcharge $ 50
Total $
I hereby acknowledge that I have read this application, state that lhe information is correct, and agree to complywith all applicable City of Eagan ordinances. It
is the applicanYS responsi6ility to noGtythe property owner that the City of Eagan assumes no liabilily for any damages caused bythe City during its normal
operahonal and malntenance activities to the facilities conslructed under this permit within 't ylri f-wayleasement
' SIGN E )F PERMITTEE 02
PERMIT# If Y r C9 RECEIPTDATE:
8008 MIDENT!!FL PLUM$]ftfi PEiiM1T APPLICATIOR
crrYoF EAsM
8$80 PILOT KROB iiD
EAHAft, Auv 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventerforirrigation system
SITE ADDRESS: I.)_) O
OWNER NAME: : sU Lo , lk'k cm j TELEPHONE #: -
(AREA C DE)
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #: 9,D-ai
(AREA CODE)
J(? 9 L y? '
CITY: LQ,DI ?.Y i I/l?'. STATE: m ? V ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) ' 0
includes $40.00 County fee
FAPR
16 2002
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: By
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5I8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: -kwater softener _ water heater $ 15.00
State Surcharge $ 50
$
Total
I herehyacknowledge that I have read this application, state that lhe information Is correcl, and agree to complywith all applirable Ciryof Eagan ordinances. It
is the applicanPs responsibility to notify the property owner that the Cily of Eagan assumes no IiabiJt? for any damages cau d by the City during its normal
operatlonal and maintenance activities to ihe fadlities constructed under this permit within City Fop rty/right-of-wa /eas ?. ?
c(i
SIGNATUR F PERMI E 1/02
MAR-16-2Qa0 10:2E
l+IlBCheck COMPLZANCE REHORT
Minnnaota Snergy Code
I+Rdcheck 3oftware vergion 3.0
COBNTY: Dakota
BTA.TB: !`fianesptn
ZONE: 2
CONBTRVCTION TYBE: Siagle Family
AA'PE: 3-16-2000
DATE OF PL3N3: 3/16/00
TI'PL?: FALAIRK W/0 EL. #2
corsrLZnNCE: aAssEs
Requlrad UA s 508
Your Flome = 407
19.9* Better Than Code
P.02i92
Ferm t
'hecke by naGe
Axoa or Cavity Cont. Glstzing/DOOr
Perimeter R-Value R-Va.'.,ue U-Value
---------------------------- - --------
--------------------------------
CEILIN05 1444 44.0 0.0
WAY,;,S: TROOd Frame, 161, O.C. 2327 19.0 2.0 ?
A1ALI+S: wood Frame, 161, O.C. 283 10.0 2.0
BsMT; Cone. 9.0' ht/8.31 bg/9.o, ineul 402 11.0 0.0
Gi.AZING: Windowe or poors, Above drade 485 0.350
1
m0RS 38 0.350
FLOOi2S; Over Unconditioned space 352 38.0 010
HVAC EQVIpMENT: Furaace, 92.0 AFUE
--------------------°------------------------------------------------------
COMPLrANCE STATEMENT: xhe propoeed building design desaribed here is
coneisteat with the building ].ana, epecificatione, and other calculations
aubmitteci with the permit app-ication. The praposed building haa bee?
designed to me , e Mi:?sota Energy Code.
SuildeY/Dea
Date 3???'
TOTfiL P.fl2
!`; n.?,lf.??Z°I
DAT? I ? 5/3/01
JOB NO:
COMMUNITY:
ADDRESS:
MODEL NAME:
BUYER:
ADDRESS:
HOME PHONE:
SALES REP:
PULTE HOMES OF MINNESOTA
JOB INITIATION ORDER
0320313-04
Oakbrooke Single Family
TBD
TYLER MODEL#: 18281
VENKATA & NEELIMA KOTHUR
LOT: 13 eLOCK: 4 UNIT:
ADDITION: PHASE 3
CITY: Eagan STATE: MN --4112: ####
ELEVATION: 1 GARAGE: RIG LEFT
4597 SLATER RD #208 CITY: EAGAN STATE: MN
651-2614317 BUSINESS PHONE: BUSINESS PHONE:
Jolayne Moberg HONE: 651-686-2862
ZIP: ####
1 18281 TYLER $226.990
1 00000 Lot Premium $3,000
1 18015 ELEVATION #1 $0
1 25015 CLNST.DRS W/PF OAK $420
1 28046 CABINETS - RAISED PANEL $690
1 28057 42 UPPERS - SQ RAISED PANEL $530
1 31011 LAUNDRY TUB SNGL COMPRTMNT $275
1 14000 BASE CARPET ADJUSTMENT $0
1 14001 1ST CARPET UPGRADE $1,500
1 14007 1ST CARPET PAD UPGRADE $220
7 17024 CEILING ELECTRIC OPENING ALL BEDS, LOFT, FR, DEN, DIN $700
1 23007 3 TON AIR CONDITIONER $2,350
1 32002 CAT 5 PHONE/CABLE/MEDIA OUTLET $165
1 32004 SATELLITE R.I. $750
1 10091 GAS RANGE/OMIT 220V $450
1 21021 GAS FIREPLACE - CERAMIC WIWOOD $4,250
1 15000 BASE VINYL ADJUSTMENT $0
1 31001 LAUNDRY CABINETS - BASE $250
$0
$0
$0
$0
TOTAL $241,940
THIS CONSTITUTES A C NTRA BE EE - LLER AND THE PUCHASER (S) FOR THE ABOVE ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S): pCwy-,?
APPROVED BY SUPERINTENDENT:0' v
APPROVED BY SALES: A?.liu5f?°?
Builders License # 0001371
OAKBROOKE
IN EAGAN
TWO-STORY SINGLE-FAMILY HOMES
2274 sq. ft.
3-S bdxms.
2% or 2'/. baths
The Tyler is a modified two-story
home. The (oyer and adjoining living
and dining rooms share 11-foot ceilings
and offer an open vista from the formal
enttance of this home.
At the rear of the main level is
the kicchen with center island, pantry
and dining nook. A few steps down
are family room, den, powder room
and laundry acca. An optional fifth
hedroom can replace che den, then
the powder room also becomes a
three-quarter bath.
The upper level includes an open
lofc, chree bedrooms and two full
baths. The loft can become an ophonal
fourth bedroom. AC the top of the
stairs are the hall bath and a linen
closet. Two secondary bedrooms are at
the front of the home. The luxurious
owner's suite includes an expansive
walk-in closet and spectacular bath
with corner garden soaking bathtub
cmwned with [ransom windows,
separate shower, private toilet and
two separate vanities.
I ?
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---------------
om
oeciurAra
?wnm
K?1N
MN?Y
FOYEP II 11VP10MOY
Waiu
Ca-op bmkers welcome in I I
all Pulre communities
Pnlte Homu o( Minnwota reserves t6e
nght ro make spccification, plan andfor pricmg
e;hanges without prior norice or obligation.
2/01 Builder LicenseN0001371
PULTE HOMES OF MINNESOTA
CHANGE ORDER # 1
DATE: 6/30l01
JOB NO:
COMMUNITY:
ADDRESS:
MODEL:
BUYER:
ADDRESS:
HOME PHONE:
SALES REP:
0320313-04 LOT: 13 BLOCK: 4
Oakbrooke Single Family AUDITION: PHASE 3
1570 OAKBROOKE TERRACE CITY: Eagan STATE:
TYLER MODEL#: 18281 ELEVATION: 1 GARAGE:
VENKATA & NEELIMA KOTHUR
eJul
UNIT: 0
MN ZIP:55122
0 LEFT
4597 SLATER RD #208 CITY: EAGAN STATE: MN
651-261-4317 BUSINESS PHONE: 0 BUSINESS PHONE: 0
Jolayne Moberg PHONE: 651-686-2862
TOTAL FROM PREVIOUS JIO OR CHANGE ORDER $241,940
1 39010 SOLO TUBES Bath #1 $575
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
TOTAL $242,515
THIS CONSTITUTES A CONTR,4CT BETWEEN THE SELLER AND THE PUCHASER (S) FOR THE ABOVE ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED SUPERINTENDENT:
APPROVED BY SALES:
Builders License # 0001371
ZIP: 55122
PULTE HOMES OF MINNESOTA
CHANGE ORDER # 2
DATE: 8/31101 7sav
JOB NO: 0320-313-04 LOT: 13 BLOCK: 4 UNIT: 0
COMMUNITY: Oakbrooke Single Family ADDITION: PHASE 3
ADDRESS: 1570 Oakbrooke Terzace CITY: Eagan STATE: MN ZIP: 55122
MODEL: TYLER MODEL#: 18281 ELEVATION: 1 GARAGE: 0 LEFT
BUYER: REVERT TO DIRT
ADDRESS: CITY: STATE: ZIP:
HOME PHONE: BUSINESS PHONE: 0 BUSINESS PHONE: 0
SALES REP: Jolayne Moberg PHONE: 651-686-2862
TOTAL FROM PREVIOUS JIO OR CHANGE ORDER $261,340
-1 18281 TYLER (S226.990)
-1 00000 Lot Premium ($3,000
-1 18015 ELEVATION #1 $0
-1 25015 CLNST.DRS W/PF OAK ($420)
-1 28046 CABINETS - RAISED PANEL ($690)
-1 28057 42 UPPERS - SQ RAISED PANEL ($530)
-1 31011 LAUNDRY TUB SNGL COMPRTMNT ($275)
-1 14000 BASE CARPET ADJUSTMENT $0
-1 14001 1ST CARPET UPGRADE ($1,500)
-1 14007 1ST CARPET PAD UPGRADE ($220
-7 17024 CEILING ELECTRIC OPENING ($700)
-1 23007 3 TON AIR CONDITIONER ($2,350)
-7 32002 CAT 5 PHONE/CABLEfMEDIA OUTLET ($165)
-1 32004 SATELLITE R.I. ($150
-1 10091 GAS RANGElOMIT 220V ($450)
-1 21021 GAS FIREPLACE - CERAMIC W/WOOD $4,250)
-1 15000 BASE VINYL ADJUSTMENT $0
-1 31001 LAUNDRY CABINETS - BASE ($250)
-1 39010 SOLO TUBES ($525
$0
$0
TOTAL $18,875
THIS GONSTITUTES A CONTRACT BETWEEN THE SELLER AND THE PU(;HASER (S) hUlt I Ht AnUvt i i trnn?.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERINTENDENT:
APPROVED BY SALES:
Builders License # 0001371
PULTE HOMES OF MINNESOTA
CHANGE ORDER # 3
DATE: 9/13101
JOB NO: 0320-313-04
COMMUNITY: Oakbrooke Single Family ADDITION: PHASE 3
ADDRESS: 1570 Oakbrooke Terrace CITY: Eagan STATE: MN
MODEL: FALKIRK MODEL#: 18052 ELEVATION: 2 GARAGE:
19Sep
LOT: 13 BLOCK: 4 UNIT:O
BUYER: DAVE & MARY WILLIAMS
ZIP: 55122
0 LEFT
ADDRESS: 3798 VERMILLION CT S CITY: EAGAN STATE: MN ZIP: 55122
HOME PHONE: 651-994-8161 BUSINESS PHONE: 0 BUSINESS PHONE: 0
SALES REP: Jolayne Moberg PHONE: 651-686-2862
?,??? TOTAL FROM PREVIOUS JIO OR CHANGE ORDER $18,875
7 18052 FALKIRK pliw $237,990
00000 LOT PREMIUM $3,000
18023 ELEVATION #2 $1,795
1 22019
THREE CAR GARAGE W/ BRICK
$7,595
1 21021 GAS FIREPLACE - CERAMIC WNVOOD / $4,650
1 25017 CLNST.DRS W/PF MAPLE $895
1 14007 1ST CARPET PAD UPGRADE $370
1 14002 2ND CARPET UPGRADE $1,985
1 40038 WOOD FLOOR FOYER $1,350
1 40049 WOOD FLOOR KITCHEN/DINETTE $2,465
1 10000 PROFILE PKG. - ELEC. RANGE, DW & MW $1,350
1 28044 CABINETS - MAPLE $1,560
1 13077 WHIRLPOOL TUB $1,175
6 17024 CEILING ELECTRIC OPENING ALL BEDS, FR, DEN $600
1 23007 3 TON AIR CONDITIONER $2,800
2 32002 CAT 5 PHONEICABLE/MEDIA OUTLET DEN, LOFT $330
1 32004 SATELLITE R.I. $165
1 26043 WOOD RAILING 2ND FLOOR $775
1 32023 SECURITY SYSTEM - BASMT $925
1 15082 CERAMIC TILE BATH #2 $595
1 40040 WOOD FLOOR BATH #3 $330
TOTAL $291,575
THIS CONSTITUTES A CONTRACT BE7WEEN THE SELLER AND THE PUCHASER (S) FOR THE ABOVE ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERINTENDENT:
APPROVED BY SALES:
Builders License # 0001371
, . PULTE HOMES OF MINNESOTA
CHANGE ORDER # 4
DATE: 9/26/01
JOB NO:
COMMUNITY:
ADDRESS:
MODEL:
27Sep
0320-313-04 LOT: 13 BLOCK: 4 UNIT:O
Oakbrooke Single Family ADDITION: PHASE 3
1570 Oakbrooke Terrace CITY: Eagan STATE: MN
TYLER MODEL#: 18281 ELEVATION: 1 GARAGE: Q
ZIP: 55122
LEFT
BUYER: DAVE & MARY WILLIAMS
ADDRESS: 4597 SLATER RD #208 CITY: EAGAN STATE: MN ZIP: 55122
HOME PHONE: 651-994-8161 BUSINESS PHONE: 0 BUSINESS PHONE: 0
SALES REP: Jolayne Moberg PHONE: 651-686-2862
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TOTAL FROM PREVIOUS JIO OR CHANGE ORDER . _ _ ? : ,
i??
$291,575
-1 14007 1ST CARPET PAD UPGRADE ($370)
1 14004 1ST CARPET PAD UPGRADE $370
$0
$0
**In house option number change. Price is not affected. $0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
TOTAL $291,575
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APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERINTENDENT:
APPROVED BY SALES:
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Builders License # 0001371
LOT SURVEY CHECKLIST FOR RESIDENTIAL
- BUILDING PERMIT APPLICATION
' PROPERTY LEGAL: L ?? I 3 BI z Ck If ?'?p KGrn n KP -???
DATE OF SURVEY: o - Z) I
LATESTREVISION:
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DOCUMENTSTANDARDS
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v? ? • Registered Land Surveyorsignature and company
M/ ? ? • Building PertnitApplicant
? ? ? • Legaldescription
? ? ? • Address
Cd( ? ? • North arrow and scale
M' ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
f? ?
f
? ? • Directional drainage arrows with slope/gradient %
P
b
i
d
a
? ? • roposed/e
st
ng sewer an
water services & invQR elevation
g ? ? • Street name
??
? ? • Driveway
? ? • Lot Square Footage
fa/0
/ ? • LotCoverage
[?
? ? • Benchmark
ELEVATIONS
Existina
?f" ? ? • Sewer service (or Proposed)
? ? ? • Property corners
6d?/ ?? • 7op of curb at the driveway and property line eMensions
?? • Elevations of any existing adjacent homes
?? ? • Adequate footing depth of structures due to adjacent utility trenches
? q/ ? • Waterways (pond, stream, etc.)
Prooosed
o ? • Garage Floor
/CI
v ? • First flaor
E7 ? ? • Lowest exposed elevation (walkout/window)
v/? ? • Propertycomers
fll' ? ? • Frant and rear of home at the foundation
PONDING AREA (if aqolicable)
? R/ o • Easement line
? 0// ? • NWL
? C3' ? • HWL
? Lfi ?/ . Pond # designation
? [? ? • Emergency Overtlaw Elevation
/ DIMENSIONS
? • Lot Iines/Bearings & dimensions
? • RigAtof-way and sVeet width (to back of curb)
?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring pertnanent footings)
A? • Show all easements of record and any City utilHies within those easements
? • Setbacks of propased structure and sideyard setback of adjacent ewsting sWctures
d? ? • Retaining wall requirements, if any
Reviewed:
?2 9-
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Surveyor's Certificate
.
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Loc 13, slack a, OAKBROOKE 57H ADDIION, City of Eagan, Minnesota and reserving
easements of record.
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# 18052
PROR„pSED ELEVATIONS
Top of Foundation = a37.0
Garage Floor =q3?,.?,
8asement Floor =q29.p
Aprox. Sewer Service =9zs.o?
Proposed Elev.
Existing Elev.
Drainage Directions = -
Denotes Offset Stake = .
NOV 2 9 REC'D
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TOB =937.7
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?V L 0 T SQ. FO0 TA GE = 10,972
HSE SQ. F00 TA GE _ 1, 79 7
L 0 T C 0 l/ERA GE = 16%
BENCHMARK,
MIN. SETBACK REQUIREMENTS
Front - as House Side - x5
SCALE: 5 incn m 30 feet Reor -aD Garage Side- -1-g"
JOB N0:
HEDLUND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 01R-563
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERNSION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNlNC dNGINEBRING SURVBYlNG SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
2005 Eagan,i MNa551?228 OATE 1UZAi9 L CAD FILE:
Phone: (651) 405-6600 Y D. LIND EN, LAN SURVEVOR
Fox: (651) 405-6608 It+N TA UCENSE NUMB 1437e Oakbrooke 5
11(16
Site address: /?lv %?- Lot J3 Block '!t Subd.
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 stmcture: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
?This structure: will be constructed to meet more restricfive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUF TURER MODEL BTU'S VENTINGTYPE
Water Heater o? ??jZ9s
Fumace v
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
vES No
Kitchen kitchen
Bathroom 1 P ! Fv' dS- 1/Q
Bathroom 2
- (9S- Q ?- ?
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIREC7 nTM05
/ ? l????/o,? 60? - - ? ?aov
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
igaa wL? /, p Date
laa-z??s
CompanyName
' This form is the responsibility of the General Conhactor.
CERTIFICATE OF OCCUPANCY EA048278
City of Eagan
Department of Building Inspection
This certificate issued pursuant to the requirements of Minnesota Rules Chapter 1300.0220 of the International Building
Code certifying that at the time of issuance this structure appears to be in compliance with the various ordinances of the
City regulated building construction or use. For the following:
.Business Name Permit Number _ EA048278
Construction Types V N Zoning PD -
Code Edition.
Occupancy Groups: R-3 U-1 .Building Address 1570 Oakbrooke Ter
Building Owner Pulte Homes
Owner Address 1355 Mendota Heights Road #300
.'.Sprinkler System No
3/22/2002
Building Official Issued Date