1667 Oakbrooke CirAddtCSS 1667 OAKBRGGKE CIBCLE Z1p $$12?
IAt 2 Blk 5 Sub OAKBROOKE 4TH
TI-IESE iTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspedor: -2
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roo test caps from the plumbing system and the shutroff of water supply to
ihe outside lawn faucet before fteeze potential exists.
Contad engineering division at 681-0645 before wotking in righ[of-way oc installing underground sprinklet system. ?
While - City Copy Yellow - Resident Copy Pink - Contractor Copy
y 3 ?f O
40 2000 BUILDING PERMII' APPLICATION (RESIDENTIAL)
3 v v? 3830 PILOT K?NO?B RD - 55122
651-175
New Conatniction Reauiremants Remotlel/Reoalr Reauirements 06
? 9 registered site wrveys showinp sq. fl. 01 lot, aq. R. Of hOUSe 2 coplea Of plan
and p,l rooletl areas (20% max(mum lot coveraae allowetl) 1 set of energy calculaMOns tor healed addiflona
D 2 copies of plans (show beam & window stxes; poured Ind. design; etc.) ' 1 afte wrvey for extedor adtlitioru & decks
D 1 aet of energy calculatforu
D S coples of tree preservalion plan if lot plalted afler 7/7/93
DAiE: ?/a ? CONSTRUCTION COST:
DESCRIPTION OF WORK: ?\ ?Jf?dnTlr? ) If multi-famiry bldg., how many units?
SiREET ADDRESS: 40 67 0q1W00Kr-= l ?i`'I L
LOT: ? BLOCK: J SUBD./P.I.D. #: oAIOow(r
PROPERfY
owNEe
Last
Frst
Phone #:
SheeT Address:
City
State:
Zip:
Company: AA- Phone #: ?`i
CONTRACTOR / (area code) ?
SheetAddress: )3`???C??lb7"?.g'}7 xw License# /2? Exp!?'
Clty lvCJIjb)? ?S State: 21p: V
ARCHITECT/ ?`L/1
ENGINEER Company: s?rlr4S Aa/(- Name:
Telephone #: (
Sheet Address: RegishaHon #:
City
Stafe:
Zip:
P C,2S1 Lty?
SewerAvater licensed plumber (if installina sewerlwater):&rk Phone #: (AD 1
I hereby ocknowledge lhat 1 have read this application, sfate lhat Me informaNon is cortect, and agree fo comply wilh all applicable State
of Minnesota Sfatutes and Cffy of Eagan Ordinances. „
Signafure of Applicant:
OFPICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex
(W 02 SF Dwelling ? 08 06-piex
p 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex O 11 10-plex
? 06 04-Plex O 12 12-plex
WORK TYPE
Qf 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
4L 1
? 13 16-plex O 21 Porch(&sea.) O 31 ExtAit-Muld
p 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Aft - SF
O 18 Deck ? 23 Porch (screened) 0 36 Mutti
O 19 Lower Level O 24 Storm Damage
Plbg _Y or _ N 0 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
O 36 Move Bldg. ? 43 Reroof
13 37 Demolish (Bldg)' ? 44 Siding
O 38 Demotish (Interior) ? 45 Fire Repair
O 42 Demolish (Foundation) 0 46 WindowslDoors
• Give PCA handout to applicant for demolition permlt
GENERAL INFORMATION
SAC Code !Jl
No. of Units _L
No. of Buildings
Const. (Actual)
(Allowable) s--,t/
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
ulgA Ce S-Lsq. ft.
ra sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% sac
_s?G x. i
?
y2
Cfl?ektcvai4. ft. 616
sq.ft.
Footprint sq. ft. -7?
Census Code la
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building ? Engineering Variance
Valuation: $
6??k15 ? ?to3ab ??
L??ue-r?ev?l
N12rt,rt*? L
3 J/,F(To`? =
U?,Pjo e t- y P-??!
?F ? ?Sa,a7 2 6"a
z z
?`??e
a z x
JCV-LI- CUUU J?JJrIYI -fILULUIMU CPUIIICC11111V IYV-GIVI?f•
Surzeyor's' Certificate
SURVEY FOR :PULTE
DESCRIBED AS : ?e°seingleos mentsBOfOecord.m AODITION, City of Eogan, Dokoto County, Minneota ond
? ???V 6'^ x-•?? +
E
?..,?
? ?v ? r
EAGAT.+7 1':NixTi 7EEFtING DD, FT.
?\? 'I•
Fe?
42. cOo4 'I
u? \\
'o
L0T SQ. F00TAGE
HSE. SQ. F00 TA GE
LOT COVERAGE _
Plan # 18281
PROPOSED ELEVATIONS
Top of Foundotion = 943,1
Garoge Floor =qq1,g
Basemert Ploor =qm1
Aprox. Sewer Service =9283s
Proposed Elev. _ (=Z:>
Existing Elev. -
Drainage Directions =
Denotes Offset Stake = .
HEADLuND
PLANXlNG SNGlNddRlHC SURV6YINC
2005 Pin Oak Orive
Eagon. MN 55722
Phone: (651) 405-8800
Fax: (651) 405-8808
= 7,490
= 9, 680
22?
um /
z
i
SCALE: 1 Ineh = 30 feet
BENCHMARK, .,,wKo %S
[leu_ R34.39
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Reor -75 Garoge Side-
JOB NQ
I NEREBY CERTIFY TNqT THIS IS A TRUE AND CORRECT REPRESENTATION aaR-188
OF TME BOUNDARIES OF 1HE ABOVE OESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPFJtVI510N AND OOES NOT PURPORT TO BOOK: PACF
SHOW IMPROVEMENTS OR ENCROAChIMENTS, E)(CEPT AS SN4WN.
ontE
UCENSE NUMBER 10370 ? OAKBROOKE
RECE?VED qcp 2 ? ir?.n,r
?.<<
lU
n
H
?
w
?
?
0
x0
?
?
?
?
? 11
?r a
ya' ?
? c
?c ?
? a
d.o ?
cr/a ?
g' ? ?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
Tf/
PROPERTY IEGAL: !l 07' OlJ?.'R20Dk& 4 Q/)?Z?TSON
DATE OF SURVEY: ?w v I- 00
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• BuildingPermitApplicant
• Legal descriplion
- Address
• North artow and scale
• House type (rem6ler, walkout, split w7o, split entry, laokout, etc.)
• Oirectional dreinage anows with slopeJgredent %
• Propasedlexassting sewer and water services & invert elevation
• Streetname
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
d ? ?
?o a
??
? vo
Existina
• Sewer service (or Proposed)
• Property comers
• Top of curb at the driveway
• Elevations of any ensting adjacent homes
Adequate footing depth of struclures due to adjacent uGliry ffenches
/ Praoosed
d/0 o • Garage floor
d/ a a • Firstfloor
' ? • Lowest exposed elevation (walkouNMndow)
V? • Properly corners
q/ o ? • Front and rear of home atthe foundation
/ PONDING AREA fit aodicaWe
? ? d? ? • Easement line
? ? d'/ . NWL
o ? ff • HWL
? o / • Pond # designation
? ? • Emergency Overflow Elevatfon
7 ? 0
?? ?
c?o ?
?
?? ?
0
? ?
DIMENSIONS
• Lot Iines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensians induding arry proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sVUCtures requiring permanent footings)
• Show all easemenis of record and any Ciry utilitles within those easements
• Setbacks of proposed structure and sideyard setback of adjacent exisUng structures
• Retaining wall requirements, 'rf any
Reviewed:
d
March 1989
CqpKMXpC,PRMT.FM
law f i
r; lnL_
CHANGE ORDER CONTRACT
Pulfe Homes of
Minnesota Corporation
1355 MENDOTA HEfGHTS ROAD. SUITE 300
MENDOTA HEIGHTS, MN 55120-1 Y 12
PNONE: (651) 452-5200 FAX (651) 452-5727
?0
Y`xL? 1°g Z
CONTRAGTOR/SUPPUER1 1/ CApY)lTS GJ V? -
?
,08 NO.o3z(D ,2oZ,o s
COh7Y1UMiY• On-/?../y)Q?( - ?f
BUIIDING AODRESS: 4l(i?J ? ( rL?, ?OO - (1,4
MODELNAM?c?LY1Pl?2. 70 / (.IMODEINUMBER:
BUyERS NAME(5);
CURftENT
LEGALDESCRIPTON: LOT -0- BLOCK S UNiT
ADORION' C1TY: ?CC-C?/'? 5TATE
?-
?SzB/ ELtVATION: c?- GARAGE: IEPT yo-0
DATE OF OROER; I J? CfTY:?[,? I STATE' ZIP: I•p
HCME PHONE 4 -?/• (?`'( J'(.,`% /`f BUSINESS PHONE= BUSINESS PHONE:
!
SAI.ES REPRESENTATNE ?2ma - CWWGE ORDER FEE; YES O2p?
/NO J LJ
PREVIOUS JJ.O. OR CHANGE ORDEiZc
70TAL:
>.QTY , 0 PTlQM1T#':: _ ?: : ' .v,?, . >:?ESGRIR,.TIOC?f:QF'CHANGE< ?` k ;<; _? Y zM ':P,RIGE?:
t 0
a 8023 Le. oc-hax , ? 2 3 1DO
I D L/ Cc?'5 LctG2 't- et C? i,i)
2-00
( 1700? m ? ?/ f (.e ?50
? /7D`? P?.? ? 1i i"Y?IC ?cc)C?cJ? 00
J DO CGuS?- / U ?
( " (1-0 1
7444
1 n-k
oZ1 ?Zs
? ,30
177
h? o .b
Z s
3100 a?l ti s
( t? ?3 C?n c? l Cca a 3so
i"OTAL CO/?I-
?? ?
APPROVED BY BUYER:
APPROVED BY SUPERINTENDENT:
APPROVED BY SALES:
2uiiders license #0001371 This eonstiiutes a cantract between ihe Selier and the Purchaser(s) for the above items.
Pulte Homes of
Minnesota Corporation
1355 MENDp7A HEIGHTS ROAD, SUITE 300
MENDOTA HEIGHTS, MN 55120-1112
PHONE: (651) 452-5200 FAX (651) 452-5727
CONTRACTOWSUPPLIER:
i1
JOB NO. 0 (5? LEC,pl DESCRIPTION_
canwwrnrr: ?ct?9911
BUILDINGADDRESS:??7 / /(? ?(f f]???Q a?
N10DEL NNUIE; MOOEL NUMBER:
BUVER5 NM1E(S):
CURREN7ADDRESS/:?
HChE PHONE: (?
BUSWESS PHONE:
SALES REPRESENTA7NE - 3h-q- .
LDT BLOCK ? UtOT
aoomort
S7ATE:__ Z1p;
ELEVATION: _ pZ GMAGE . tEF'( RIGM
LU I
SL DATE OF ORp
Cf7'f•c? STAIE: Qt: S I
CI'IM7CE ORDER FEE: YES OWR
BVSWESS PHONE:
PREVIOUS J1.0. OR CNANGE aRpER: E?fZ1CE,4?t-;
T0T4L:
Nf-OEi:EH!\NCz?,??s?z
N Co IJ-?-•
? /
cc G'/
l 000 ?50 ti
i h cc?e?-S/? c? v? li?hc?'i's
hoo ? - c- ccA-d
(0*-
Builders iicense i10007371
f ,
!;U:?-14-20'J0 10:12 PUt_TE HQ4ES
F. J•. 02
ivMcheck CoMpLiANCE R&nORT
Minnesota Energy Code `eerc:i.t a ?
[+udchec3: Software Version 3.0
COiINTY: Dakota
STA'PE: Mir,neeota
ZQNE: 7
CJN3TRUCTION T'YPE; 6lrigie Pamily
DATE: 8-14-2000
UATE OF PIAN8: 8/14/00
TI2LE: BRRYMORE ELEVATION #4
FROJECx INFOruanTloN:
OAKBRppgB BINGL& rAMILY
COMPLIANCE: PASSBS
kequired vA + 477
Ycur Home = 383
19.7k Bette+r Than Coda
Checketl Tv?,? Dac e
Area or Cavity Cont. GlazingiDoor
Perimeter
----------- P.-Value R-VZlue U-Valu=
-`-------------------------------
CSII,INGS 1502 --------
44.0 ----------
0.0 ---- -..- --
WAL.LS: Wood Frame, 16" q.C. 2257 7.9.0 2.0
?
WALL3: Wood Framc, 16" O.C. 227 9.0 2.0
BSti1T: Conc. 8.0' ht!7.3' bg/7.3' inaul 72 11.0 0.0
BS?tZ': CoAC. 7.04 ht/7.0' bg/7,0' ineul 40 11.0 0.0
GLAZINQ: Windows oY Doore, Abova Grade 317 0.350 1
GL,i1ZIN(3: Windowe, Pound.rtion, <= 5.6 PC2 d 0.35f1
DOOFtS 38 0. 3 5 0
FLOUR4: Cnvgp Unconditionad 8pace 368 38.0 0.0
SLP.B FLDORB: UnheEited, 42.09 inaul. 71 5.0
HVAC EQUIPMENT: FurnaCa, 92.0 AFUE
------
--------------------------------------
COMPLIAYCB 9TATSMENP: The proppsed building ---------'--------
de9igii deecribee ----- - ---- -
here ia
consistznt with the building plans, epec.iPicationp, and qther cal.culacicr.s
submitted with tha permit apnlicetion. T7e propased building haa beei,
desi3ned to maet the requiramentp of the Miruzaeota @nerav Code .
Builder/Dea
,
Date /4
TO7R._ F.0_
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
JOB NO. 0320 / / 05
coMMUNirv: Oakbrooke SF
BUILDINGADDRESS: TW
MODELNAME:
BUYER'S NAME: ?? Y k
CURRENT ADDRESS: Q V?z
HOME PHONE: Wf 455-.. Miq B
SALES REPRESENTATIVE IFYt 1
Q. STATE: &W ZIP: SSI ??o
BUSINESS PHONE: (qCjJ-?U- 95Qq
APPROVED BY BUYER(S): 12t
1
APPROVED BY SALES: Z?? EQUAL HOUSING
RELEASED TO START CONST.: oPPORTUNiTv
This constitutes a contract between the Seller and the Purchaser(s) for the above items
Builder's License #0001371
CONTRACTORISUPPLIER:
LEGAL DESGRIPTION: LOT 02 BIOCK 0rj UNIT
ADDITION: "-,&-C? ?
Crn' Eagan sTArE: MN ZIP- 55104
MODEINUMBER: 192-01 ELEVATION: ZGARAGE: LEFT RIGHT
f1'YIYNN li 1 dl( P St?Mm rtMVl DATE OF ORDER: ?11$)QQ ?
Ads
CHANGE ORDER CONTRACT
Pulte Homes of
Minnesota Corporation
1355 MENDOTA HEIGHTS ROAO. SUITE 300
MENDOTA HEIGHTS, MN 55120.1172 .
? PHONE: (651) 432-5200 FAX (651) 452-5727
CONTRACTOWSUPPLIER: AUL,iDY\1f G=lCW5_
JOB NO. .0 ?? 2 v/-?? Q 2 / Q % LEGAL DESCRIPTION: LOT ?BlLOCK ? UMT
C?N?. ??(??(/?? lx- Llp ADORION: / Qd?+ ?
-
BULLOR7CaADDR 53: _ IY'11? Q CITY: STATE: ZIP: V ? .
?D??: _ MODELNUMBER: I DZ01 ELEVATION: GARAGE: LEF7 RIGH;
BUYFRS NAME(S): _
CURf3ENT RDORE33:
HOME PHONE: 1!?L
SALESREPRESENTATNE:
9T
eustr+ess vltone:
_ CHNJGE ORDER FEE: YES ORNo
?
OATE OF OROE?R?y: ?? I?
? STATE; ???N/ LP: I
BUSMESSPHONE: -Ip -
PREVIOUS J.I.O. OR CHANGE ORDER: r.-PRICE .
9 TOTAL:
?QTY:# RCiPTlOM1kik: k*;??r?:?,n"???::$:'±Jw ??.3.;;DESCRIP..I'ION:OF:GHANGE.^
1-7000
oa ? a ?
! 70 3 q&avM&,& w,,.cL -
?2 300 ?'/,z To^? ? .2000
1 3 03 l,U
3 Wo sm MAL'Ilk- becfi--, Sa s
a. faa
3 2 ? ?x;,?=?? ? K v?D
10-
?
cc, D
Mas?rBuilda?
Ouiiders lkeitse p0001371
APPROVED BY BUYER: ???---
APPROVED BY SUPERINTENDENT: ?U,m•?l APPROVED BY SALES: ?
This constitutes a contract between ihe Seller and the
OTAL
?
For the above items.
- : :L
CHANGE ORDER CONTRA,CT
Pulte Homes of
Minnesota Corporation
1355 MENDOTA HEIGHTS ROAD, SUITE 300
MENDOTA HEIGFfTS, MN 557241112
PHONE: (851) 452-5200 FAX (857) 452-5727
;8 NO. O J 2 Q ? ?- O?.
cahv"trv: _L--,
BUILDM6 AODRESS:
A70DEI.NhAAE Ph
BUYEfiS NAME(S): ?
CURREHTADORE53:?
F{OME PFfOtiE: S?
SAIESREPRESENTATNE:
?
(7
CONTRACTOWSUPPLIER: ftiLN,?,
LEG/LLOESCRIPTION: l0T 2 BLOCK ? UNIT
nDOmoN: PhCLR Z
cm: ?1 STATE: ?W va: ?q
MODEL NUMBER: EL
l? EVATiON: ? GARAGE: LEFT RIGMT
F,
tA OATE OF ORDER: /? CIN: 57A?TEj: t LP/:
BUSINESS PHONE: lf??_ ??"?'LY/ ? IL7 Z/ BUSINESS PHONE: 'w"?-V'?I - Yq?p-561
_ CMM76E OROER PEE: YES Oft O
PREVIOUS J.I.O. OR CHANGE ORDER: `• i PRICE '
# TOTAL:
;%7?;,'?="us?!??DESCRIP.TIONtOFGHANGE...,,; -?0?1 F05
Imr /So
1 a f o?l Olt s TW-aee c&Wzti,64.-a-,, ???d 'OkX44k ?5?00
I OOD i ?oDY b,?
2 0 a' - ba 5e° 3 zS
I CD? 1 av ?aL 200
J Iz2 2nQ
? nD ck.zle- I77
3 7S
I-700? Omj ru?n z2v V
1 I o fii 2??rw-m g-?-- lo-o
1 3?01q l.cA-Q,- z5
2- 61 av(c c&SI ?ron st*,? 9-zG
I 13D?-1 gyxSS ?Y aAh 3 25
I 130"17 lti h; ?YI " ( Tv,fp (1 7cj
TAL l:bA . 0 -
McLSterBuilder
8uiiders Llcense M0007377
APPROVED BY BUYER: 1 V?
APPROVED BY SUPERINTENDENT:
APPROVED BY SALES:.
This constitutes a contract between the Seller and the Purchaser(s)
?
above items.
.
? S ")_ BL t- '5
SUBO. .na br0e
CITY USE ONLY
RECEIPT #:
RECEIPT DATE: 11-am?
PERMIT# 436611
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, DIId 55122
651-681-4675
Please complete for:
Lwdv/, o u
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTl1RES
EAf_N !!
TATAI
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floordrain 3.00 x = $ ?
Gas pi ing outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x $ ?
Laundry tray 3.00 x = $
Lavatory 3.00 x = $ ?
Septic System newlrefurmsned • reqwres MPC iic. 75.00 x = $
Septic System abandonment 30.00 x - $
RPZ new installation/repaidrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x =
Underground sprinkler Hdwelling is underconstruction 3.00 x = $
Undergroundsprinkler ifexistingdwalling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x =
Water spftener If dwelling under construcGOn 5.00 x = $
Water softener if existing dwelling 30.00 X = $
Waterturnaround 30.00 x $
State Suroharge .50 -> -> -> $ .50
TOtal $ .
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
OWNER NAME: : GL /?`L TELEPHONE #:
(AREA CODE)
INSTALLER NAME: TELEPHONE #: "iII9a - °2
(1 (AREA CODE)
I - hereby adcnowledge that I have -------•------------------- •-------------------state -----th--at -•--------------• is•-•-------------------------------------•----------------i--nan--ce-- s-.-
read this application, the infortnation comect, end agree to compty with all applicable City of Eagan ord
tt is the applipnYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages eaused by the City during its
nortnal aparetional and maintanance activities to the tacilities wnstruded under thi,5 permR within City property7right-of-way/easement.
SITEADDRESS: zw/ ,/d°eh/
STREET ADDRESS: 6L . !f
CITY: STATE:
i /
Z-
SIGNATURE OF PERMITTEE
.. ' ?I LOT ? BL J
CITY USE ONLY
PERMIT#: 7;3 g. i'L
SUBO. Dakbraok? H+k RECEIPT #:
RECEIPT DATE: _0 ^ / j' 0 0
?
?
2000 MECEANICAL P£RMTf (fi£SIDENTtAL)
CI'['Y OE E4fiAN
5830 PILOT KNOB itD
. £k&AkN MN 551 EE
Date: 1a,- ? -? 651-681-4675
Complete this section onlv if you are installing HVAC in a single-family dwelling, townhome or condo uader
construction and not owner/occu?ied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BN
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
; VO
State Surchazge .50
Total $ 39• 60
Complete this section atlv if you are remndelinp, addin ta, or replacing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or replacement.
New
Fumace
Air exchanger
Reminder: Call for f:nal inspectian.
_ Air conditioning
_ Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
sizE .aDnxESS: ?1e(e`I ??z,fCb?Dnlc?_ ('?.('c??
owrrER rrnME: rxorrE #: co s1 - y5 a- saoc;
' (AREA CODE)
INSTALLER NAME: PHONE #: 1? 5o'' - Fr? ??-OavS
(AREA CODE)
STREETADDRESS: fh_'?.5?
CITY: S C?J.3 CLGI Q_ STATE: ZIP: 5 537 ?
SIGN TURE OF PERMITTEE
Replacement _ Other
L BL
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 M£CHANICAL PERMTf (COMMEftCiAL)
C1TY OF £tk6AN
3$30 PILOT KNO$ i2D
F-Afii4N, MN 55122
651-6$1-4675
Please complete for: all commercial/industrial buiidings
multi-family buildings when separate permits are not required for each dwelling unit
DATE
WORK TYPE: _ New construction iustall U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
When insta!ling/removing underground tank, ca[1 651-681-4675 for enspection by fire marshal and
plumbing inspeclor.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever.is greater.
Underground tank removaUinstallation = minimum fee
Conhact price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONL1):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CIry:
PHONE #: -
(AREA CODE)
STATE:
ZIP:
,
r
SIGNATURE OF PERMITTEE
Siteaddress: 1667 Lot °t 81ock ? Subd vN(x /??
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation: p7otection, air
tightness, and ventilation, was adoptetl. As a result, the City of Eagan is requiring that the following infbrmation be
submitted pnor to issuance of a Gertificate of Occupancy.
_ This structure: is constructed to meet minimum requirements:of the Mn Energy Code, Chapter 7670
OR
V Ttiis slructure: will 6e constructed ta meet more restrictive requirements of Chapters 7672 or 7674
APPLL4NCE GAS ELEC: MANUFACTURER MODEL $TU'S -VENTING TYPE.
WaterHeater
n
Furnace ?/ ?? 7' v??? ' ? 0 aJob
pryef
EXHAUST SYSTEM
LOCATION
TYPE
MODE4
CFM's _ ` VENTED
YES No.
Kitchen kitchen
Bathroom 1 F)/-U? /? - rD Y
Bathroom2 , SVa h 614-n So v`a S- y0
Bathroom 3
Baihroom 4
afher
FIREPLACE 5
LOCATION
GAS
WODD
MANUFACTURER
MODEL
BTU'S VENitNG
DIREC7 ATMOS
000
???'?
a7v?a
y
MAKE•UP AIR MOUEL TYPE CFM's
I here6y acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
648
SNre
P/ I tt- A1^Ifi
Company Name
Date
This form is the responsibility of the General Contractor.
Use BLUE or BLACK Ink
r
For Office Use
I G~
Permit#: < Iv
City of EaRd P rmit Fee: '
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
I ! I
Phone: (651) 675-5675 RECEIVED l
Fax: (651) 675-5694 APR 2 3 2012 staff----_--~~
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: q /a Site Address: l0~(! t(OOf~`e Unit
Name: Kim Tt ~ Phone:
RESIDENT /
OWNER Address / City / Zip: 0a_K\rrc-zKr, L n 1 x'y~VL mom J ~1 a ~
Applicant is: Owner __V,_ Contractor
TYPE OF WORK Description of work: Yt1o~ I K ~G'l ~GLtnN1C11M' S
Construction Cost: 0 0,CQ Multi-Family Building: (Yes / No JV-)
Company: Contact: rC.ucu yl
CONTRACTOR Address: jg53a W11d5 ~ 1~Lt city: pir"iDr
State: Zip: Phone: o;~ L4 7
License I ` Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
?K l ~ A~-f- Mi
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 the 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.clopherstateonecall.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 D e, x
Applicant's Pr nted Name Applicant' ig ure
Page 1 of 3
--7 ~
/ CA Kh&t4 r (,'DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage Porch (4-Season) - Exterior Alteration (Single Family)
Multi Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex Lower Level Pool _ Miscellaneous
Accessory Building
WORK TYPES ' 465'A C r API tom' Cef
_ New Interior Improvement _ Siding _ Demolish Building*1 f~Pe C.
_ Addition _ Move Building Reroof - Demolish Interior
X Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window - Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition ~t~,►4 7 SAC Units
(25% 100%) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation 1~1 HVAC - Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings - Backfill Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge qoy~.O- 54oo
Plan Review
MCES SAC
City SAC
Utility Connection Charge
t„
S&W Permit & Surcharge
Treatment Plant
Copies 71
TOTAL
/ ~t
Pag`e2of3
Use BLUE or BLACK Ink
-
C"'~4 rD ~ For Office Use
I
My ~ ~ Permit
oIl jflJ_Utan MAY 1 ~ 2012 ,
Permit Fee: I
3830 Pilot Knob Road i
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 !
2L/'ON 012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: l _/V
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
Name~U ~t-1 G Cis ~c3cense Y~~vn
-Ij
d
Address: ~ r1 Cl l7 f~'Z t~- { ` r V A-rV \ City: L UL.
CONTRACTOR
State: r'ylto Phone:
Contact: r Email:
TYPE OF WORK t New -Replacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work:k ~ c h-24---, ,re r'n 0 dge k - V aqe
RESIDENTIAL
Water Heater
'
Lawn Irrigation RPZ PVB) Water Softener
PERMIT TYPE Septic System Add Plumbing Fixtures Main Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ (:jj
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
11 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.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 pi s.
x x CL ✓J _ bc'--~eo_
Applicant's Printed Name pp . ant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
_ Use BLUE or BLACK Ink
For Office Use I
I
• j Pemit
City of Eagan I 0- 00 1
3830 Pilot Knob Road I Permit Fee:
Eagan MN 55122
Phone: (651) 675-5675 RECEIVED I Date Received: ~
Fax: (651) 675-5694 MAY 18 2012 1 I
1 Staff:
2012 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 5 7 1d, Site Address: '(~Y Li-'-
Tenant: Suite
RESIDENT 1 OWNER Name: T o f~3 Phone:
Address/ City/ ,Zip: Name: f I/C~--~-~ +-At-q .4 La , CLi~cense
CONTRACTOR Address: 16) ZLP y ~t h OL aj- City: La 2-f_
State: fV7/A Zip: `953°1-)Phone: 04 0- '24LIO- 3-7-?17
Contact: _SU `~5P,'3 Email:
New Replacement Additioi Alteration Demolition
TYPE OF WORK Description of work: t t a
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) 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 Permit Fie is less than $10,010, surcharge is $ 5.00 Surcharge
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 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.gopherstatoonecall.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.
X J (.,.c a:~A' '::5 C-C-L x 'J
Applicant's Printed Name Appl cant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
Use BLUE or BLACK Ink
r
For Office Use GG(j-1
Permit I l l j
City of Ea Edd I a5
I Permit Fee: .
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: G ~3
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: L Unit
Name: 4J I/ I Phone:
! Resident/ (Ij~ Clfn
Owner Address/ City/Zip: d ~J l~ +F-
Applicant is: Owner Contractor
Type of Work Description of work: k'~5~
Construction Cost: ~.~2/ Multi-Family Building: (Yes / No )
Company: _ G15-~ TOContact: C~/1~
I W- Cit o
Contractor Address: / y:
State: Zip:3 one: `ESC ` L
Gi3 ca~~
~ License Lead Certificate
If the project is exempt from lead certification, please plain why: (see Page 3 for additional information)
l~ ++,f -V- k Ir
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 per it issuance.p
X c &'I f x
Applica Prin d Name Appli is nature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153795
Date Issued:01/23/2019
Permit Category:ePermit
Site Address: 1667 Oakbrooke Cir
Lot:2 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Robert D Heckmann
1667 Oakbrooke Cir
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166144
Date Issued:12/16/2020
Permit Category:ePermit
Site Address: 1667 Oakbrooke Cir
Lot:2 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Robert D & Kimberly Heckmann
1667 Oakbrooke Cir
Eagan MN 55122--421
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171270
Date Issued:08/09/2021
Permit Category:ePermit
Site Address: 1667 Oakbrooke Cir
Lot:2 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Robert D & Kimberly Heckmann
1667 Oakbrooke Cir
Eagan MN 55122--421
(651) 398-3102
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature