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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