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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 ? X N"Oe 4 w%-a r....Md ? ma noo. TYk? tn fiaa O TM? o OWNEFB t? >u ? wi.c. RV a?TMi ? 9EQI?UM,3 +?++`s 8???? •r??,d ? ,itg- 11 4GP1f.E T1O?]N Ca? ? m?-?- C?? ? L21? el?- --------------- 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 .;? 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 irnaUvrvainVitS.vI;VNIKAI;I tltlWttlV IFitStLLtKAfVU IFitYUGHA5tK(S)hUK IFitAtlWtIfEMS. APPROVED BY BUYER (S): APPROVED BY BUYER (S): APPROVED BY SUPERINTENDENT: APPROVED BY SALES: ? 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: ? ? c m U DOCUMENTSTANDARDS Y < o z v a 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- ! 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. F, 3 t' y ir '. .. _???.Ln:?c. 9. D l+?^`:;} 3^r3: T=, ?-- ,_ ._..-?,i. .. ..._. ...__. __.... , E. , / 93j? 1] ?.? ? ?...-? I ? 0 ?rp 0 '((LP\L r R?.?? 4.2 / i Y ?o \ s?. \ \ o0 \ LO \ \ ? \ o # 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 0 / 3??i'LV,p?? s.?s ?\?oo / ? ? ?/\ 93?.3 ? ? \ ? ??? co^o o /! 433.7 ya ? ??o oQ '4Q ? / 436,0 LT ? ? y¦? C . . 0?? Exist. Hame ? TOB =937.7 / r?'\• . ?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