1668 Oakbrooke CirRESIDENTIAL
BUILDING PERMIT APPLICATION
cirv oF eaGaN
3830 PILOT KNOB RD - 55122 /
651-687-4675 /
NewConatructfonReaufremenU RemodeUReoairReaulremenb SInIo
• 3 registered site surveys showing sq. R of bL sq. R. of Muse; and ?II roo(ed areas • 2 wpies M plan
(20% marzimum lat coverage allowed) • 1 set of Energy Calculations br heated additions
• 2 copies of plan slwwing beam & wiridow saes; poured found design, etc.) • 1 site survey for exteror addifions & decks ?
• 1 set of Energy CelculaUans • Indipte H homa served by sapUc system for adddlons
• 3 apies of Tree Preservation Plan tl lot platled a4er 711193
• Rim Jo'st Detall Options selectlon shcet (Ndgs with 3 w less units)
DATE / 0I VALUATION
JOB SITE ADDRESS I6 6eq OCcK brOe-?GP? Ci / ?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE OF WORK OCGk FIREPLACE(S) _ 0_ 1_ 2
APPLICANT .Cia.C' 11--? PHONE# GS/' L%OS'3839
ADDRESS 16t;53 0,;LAG?roOLte ZIPCODE .-SS/3aZ
PAGER #d2a 'f39?O CELL PHONE #G 70- -?'/o' L/3 FAX #5f?l 905-/S7S
NEW RESIDENTIAL BUILDING ONLY - PILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet SuC
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing Systcm Includes:
Mechanical Conhactor: _
Mechanical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
_ I-Ieat Recovery System
Fce: $90.00
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with ali applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1f01
_ Water SoFtencr _
_ Waler Heater _
_ No. of Baths
Phone #:
Iawn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
O 06 04-plex
? 31 New
'1?, 32 Addition
0 33 Alteration
? 34 Replacement
O 20 Pool
O 27 Parch (3-sea.)
? 22 PorchlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Mutti
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)• O 43 Reroof ? 46 Windows/Doors
"Demolftion (Entire Bldg only) - Give PCA handout to applicant
Valuation '1401) Occupancy MC/ES System
Census Code ? Zoning City Water
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)
Footings (deck)
Footings(addirion)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fueplace _ R.I. _ Air Test _ Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
ciry s,ac
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Totai
? 07 OSplex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
O 10 0&plex 18
? Deck
? 11 10-plex 6
19 Lower Level
? 12 12-plex Plbg_Y or_ N
Fina
UC.O.
?( FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By fz , Building Inspector 11-
70 ?
7?
Address 1F,6R nakhrnnka rir
IAt 12 Blk - 5 Sllb Oakbrooke 4th Addition
ZIP $512_2
THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 11 ..12.GV Yes No Inspectot: ?
Final grade (6" from siding) ,
Permanent steps (garage)
Petmanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded gtass
TtaiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply W
the outside Iawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow • Resident Copy Pink - Contractor Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
f ? 3830 PILOT KNOB RD - 55122
651-681-4675
NewConstruction Reauiremenb
• 3 registe2d site surveys showing sq, ft. of lot, sq. ft of house; and all raafed areas
(20% mazimum lot coverage allovred) '
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
• 1 set of Energy Calculatlom
• 3 copies of Tree Preservation Plan if lot platted after 717/93
• Rim Joist DetaB Options selection sheet (Gdgs wifh 3 or less units)
DATE
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? r
PROPERTY OWNER r-I-Ifi
TYPE OF WORK P„,,1-1- r.2is FIREPLACE(S) _ 0>C 1_ 2
APPLICANT PHONE# ?f S/-?/C?S- 38 3?(
ADDRESS 146P ZIPCODE SS(3-o1
PAGER #
CELLPHONE# 61d -670'9?X`/3 FAX# 6S/-9US-13'2?
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COA
Energy Code Category _ MINNESOTA RULES 7670 CATEGOR
(check one) - Residential Ventilation Category 1 Worksheet
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Conhactor: _
Plumbing Systcm Includes:
Mechanical Contractor:
Mechanical Systcm Includes:
Sewer/Water Contractor.
Phone #
Phone #
? l'J m
APR 1 6 2002
ted ?
?
Fee: $90.00
Fee: $70.00
All above information must be su6mitted prior to processing of application.
I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant 'j?
Certificates of Survey Received _ Trae Preservation Plan Received _ Not Required _
Updated 2002
Water Softener
Water Heater
No. of Baths
% ?) o.0?)
?
RemodellReoalr ReouiremeMs 11
. 2 copies of plan
1 set of Energy Calculatiore for healed additions ?
• lsilesurveyforextenoradditions&tlecks
• Indicate if home served by septic syslem foradditions
VALUATION
Phone #:
Lawn Spiinkler
No. of R.I. Baths
Air Condiuoning
_ Heat Recovery System
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 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 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex )( 19 LowerLevel 0 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg,XY or _ N ? 25 Miscellaneous
? 31 New X 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolitian (Entlre Bldg only) - Give PCA handout to applicant
Valuation Occupancy /2 -3 MC/ES System
Census Code 1?34 Zoning ?19 City Water
SAC Units B( Stories Booster Pump
Nbr. of Units Sq. Ft. /t 311 PRV
Nbr. of Bldgs G'! Length ? Fire Sprinklered
Type of Const ? W idth q;_
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
_
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation j HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
? Framing Siding Stucco Stone
Fueplace -k R.I. A Air Test 9 _
Final Windows (new/replacement)
?
InsulaNon = Retaining Wall
Approved
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
-2D ?
Building Inspector
PERMIT # ^i' - l (o
RECEIPT DATE: / le D 2
SOOE RUIDEPTIAL PLUM$INfi PERl4I1T APPLICATION
crrYoF KAsm
3830 Pu.arr xlv?oa Rn
KAsnx, auv 55122
651-691-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: I,66R Cr'
OWNER NAME: : Cl- / G C' O&P? TELEPHONE #: 6S LIpS? 33 32
, (AREA CODE)
INSTALLERNAME: L?"G TELEPHONE#:
(AREA
STREET ADDRESS: %h F £3 ? Cf`l cooE?
CITY: ?" c?) STATE: ZIP: SSI ??
_ 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:
t
h
t
? Addi
f
M
t
l
l
i
l
ft
d
I $ 50
00
er
ea
ers.
ng
i
er so
eners an
wa
ures to
ower
ey. "
or room addit
ons, exc
uding wa .
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other.
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacementladditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
$ sO 5 0
Total
I hereby acknowledge that I have read this application, sfate thatthe informa6on is correct, and agree to complywith all applicable Cityof Fagan ordinances. It
is the applicanYs responsiblliry W notify the property owner that Me City of Eagan assumes no liability for any damages caused 6y the City during its normal
operational and maintenance activities to the facilities constructed under this permit withiq.6ily prop h y/easement.
_i '??
SIGNATURE OF PE?,KAITTEE 1l02
Siteaddress: jLPA QRrL-kra?+1Cs U+e- Lot-LZ- Block-?' Subtl. 0fA,c14, 7
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 fhe following informafion be
suhmitted prior to issuance of a Certificate of Occupancy.
_ This struclure: is consWcted to meet minimum requirements of the Mn Energy Code, Chapter 7670
? OR
This structure: will be constructed to meet more resVic6ve requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE
Water Heater ?21 pSa y? ?
Furnace
f
S? MtY?O 3G0(,r0
?I 6?'?
TJtr???'?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen ITWYL? (JLTwa- j; LIL-,-
Bathroom 1
?,N ?m•
r3,?-N
5 ?? ?
?
,.
Bathroom 2 b, , rv v ?7/ ?
Bathroom 3
Bathroom 4
Olher
VENTING
FIREPLACE S LOCATION GAS WOOU MANUFACTURER MODEL BiU'S DIRECT nimOS
I hereby acknowledge that the above informa6on is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
!I av,fn
ign e 1 Date
CompanyName
* This form is the responsibility of the General Contractor.
***t***********************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 763
DATE: 09111100 TIME: 09:23:26
ID:
NAME: VALLEY PLUMBING COMPANY INC
3212 9001 1668 OAKBRK CIR 49.50
2155 9001 1668 OAKBRK CIR 0.50
Total Receipt Amount: 50.00
CR137198
USER ID: JAN
CITY
? USE ONLY
?
=sUeo." OaKbroeke Nih
RECEIPT #:
RECEIPT DATE:
PERMIT # ? 2fo
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 P22AT KNOS RD
EAGAN, P4Q 55122
651-681-6675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit 2 ?
? backflow preventer for underground sprinkler system ? UO?
PIXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Fioor drain 3.00 x = $
Gas pipin outlet " minimum - t 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 new/refurbishetl ' requires MPC Iic. 75.00 X = $
Septic S stem abandonment 30.00 X = $
RPZ new instaliation/repaidrebuild 30.00 X = $
Rough openin 7.50 x = $
Shower 3.00 x = $ -
Undefgfound Spritikler itdwelling is underconstruction 3.00 X = $
Underground sprinkter if existing dwelling 30.00 x = $
Water closet 3.00 x 3 = $ -
Water heater 3.00 x = $ -
Water softener if dwelling undar consvuction 5.00 x = $
Water softener if existing dwelling 30.00 X = $
Water turnaround 30.00 x $
State Surcharge .50 -> ---> --> $ 50
Totai --> -- ---? ----> 9 c?-
Reminder. Call far inspections of alterations, i.e. water heaters, water softeners, etc.
----------- -------------- ------------- ------------ --------------- ------- ------- -•-•----•-
I hereby acknowledge fizt I have read this appliwtion, state thzt the infortnation is corred, and agree to compy with all applicable City ot Eagan ordinanoes.
It is the applicant's responsiEiliry to notify the property owner that the Ciry of Eagan assumes no liabiliry for any damages caused by the City during its
normal operational and maintanance activities to lhe facilities construded under this pertnit within Ciry property/right-of-way/easament.
SITE ADDRESS
OWNERNAME:: (1X;14yA.iZ TELEPHONE#:
(AREA CODE)
INSTALLER NAME: LU• TELEPHONE #: !a?- -- 4'7,U
n. (AREA CODE)
STREET ADDRESS: CY?1?I
CITY: C/dZ--?STATE: ZIP:I??_ 2 `
SIGNATURE OF PERMITTEE
****************?************?*********
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 665
DATE: 09/06/00 TIME: 14:50:14
ID:
NAME: BURNSVILLE HEATING & AIR
3213 9001 1668 OKBRKE CIR 39.00
2155 9001 1668 OKBRKE CIR 0.50
Total Receipt Amount: 39.50 I
CR137115
USER ID: JAN
k -?' ? CITY USE ONLY
3LOT -4 BL ? PERMIT #:
SUBD. Oakk00 kei 47b RECEIPT #:
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN AIIi 55122
? _?? 651-681-4675
Date: O
Complete this section anlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not ownedoccupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BN
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ 30.00
6.00
3-a0
.50
Complete this section onlv if you are remodeline, addin¢ to, or renairin? an existing single-family dwelling,'
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration
_ Furnace
_ Air exchanger
Fee
State Surchazge
Total
Reminder: Call for inspeclions
_ Repair _ Other
Air conditioning
Other
SITE ADDRE55:
$ 30.00
.50
$ ?0.50
OWNER NAME: ??? `EV(J?l/LQ?` PHONE #: 66-1 - ?So?' Sa-00
(AREA CODE)
INSTALLER NAME: R()(Y1Oii l I 0 A/ I C PHONE f!:
(AREA CODE)
STREET ADDRESS: IQULI12,'10d-0 I6I0.fd- A/ S,
Gi1'Y:
L Bl
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMRCIAL)
CITY OF EAGAN
3830 PII.OT FQd08 RD
EAGAN, MIIi 55122
651-681-4675
Please complete for: all commerciaUndustrial 6uildings
mulG-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ [nterior Improvement _ Remove U.G. Tank
_ Froceased Piping
When Installing/removing underground tank, ca!! 651-681-4675 for inspection by ftre marshal and
plumbing inspectar.
Description of work:
Fees: 1% of conkact price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contract price: $ x 1%= S (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL S
SITE ADDRESS:
nWNgF, NP_ME: rHCirIE r1:
(AREA CADE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN TH1S SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
0
PHONE #: -
(AREA CODE)
STATE:
ZIP:
.. ,
SIGNATURE OF PERMITTEE
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
• cirr oF encnN
3830 PILOT KNOB RD - 55122 ? `? ? U ?j ` • ? (
657-681-4675 .\
New Constructlon Reaulremen r "
h Remotlel/Reoalr Reaufremenh
> 3 registeretl site surveys ahowing sq. ft. of lot, sq. B. of hauae 2 copies of plan
and gll roofetl areas (20% maxlmum lot coveraae allowedl 0 1 set ot energy calculallons for heated addltions
? 2 coples of plans (show beam & window dzes; poured fnd. dealgn; etc.) 1 sfte wney fa extedor otltliMore & decks
? 1 sef of energy calcWaHons
? J coples ot tree preservalion plan II I W plalfed a11er 7/1 /93
DATE: VJ/ 00 CONSTRUCTION COST:
DESCRIPTION OF WORK: /` eS)dewhaj I( mulH-famlly bldg., how many units?
SiREET ADDRESS: Ib be O R8R'0D1CF CiJe-V
LOT: I a BLOCK: S SUBD./P.I.D. #:
oA-1(9)200xF- I`
PROPERTY
owNEe
Sheet
City
last
Fiat
State:
Company: PA,- I4,,rhes UopJ(xAW
Phone #:
Phone #: 10, 1
(area code)
CONTRACTOR
StreetAddress: 132,?S 1%4 nda)Z, Ay'?'s f-d Sv1ft 20b License q i3 Exp3)A00)
city Pa n& ?} e, t},-?'s stare: 2(A;9 zip:
ARCHITECT/
ENGINEER Company: SAlA r A 5 Q joGyi(L- Name:
Telephone N: ( )
Sheet
Ciiy
State:
Zip:
Sewedwater licensed plumber (N installinn sewedwater):Yrl Il 0 P0uI Xh)G Phone #: ( 02 )? h Z?? 1" 7
I hereby acknowledge that I have read this applicatbn, state that the informafion is cortect, and agree to compy wllh all applicable Stafe
of Minnesota Sfafufes and City of Eagan Ordinancea
Certificates of Survey Received
Tree Preservation Plan Received
? Yes
Yes
2 36 1' 17? 1
Signature of ApPlicant: i.1.{Ah Ot?+O ?? &
t
`l-
OFFICE USE ONLY
? l, , ' • •\ !
_ No
No
*! Not Required
Registraflon #:
•"?_ -- /G-.?_
Zip:
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
X 02 SF Dwelling ? OB 06-plex
0 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 70-plex
? 06 04-Plex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex 0 21 Poroh (3-sea.) O 31 Ext Alt - Mulb
? 17 Garage ? 22 Porch/Addn. (4sea.) 0 33 Ext. Alt - SF
? 18 Deck ? 23 Poroh (screened) ? 36 Muki
? 19 Lower Level ? 24 Storm Damage
Plbg _Yor_N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bidg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
` Give PCA handout to applicant for demotition permit
GENERAL INFORMAT?N
SAC Code
No. of Units
No. of Buildings 7-
Const. (Actual) -V?T
(Allowable) Y
UBC Occupency
Zoning ?
# of Stories sq. ft.
Length ? sq. ft.
Width Footprint sq. ft.
Basement sq. ft. 1)]D_ Census Code 11)4
Main levet sq. ft. 20 MC/ES System
1
1
p ?JQ sq. ft. .
City Water ?
?
( .A4, sq. ft. Booster Pump
?
PRV ?
Fire Sprinkiered
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Planning Building Engineering
Variance
Permit Fee
Surcharge
Pian Review
License
MC/ES SAC
ccy s,ac
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Js-o -?) I?''
a?p
lrVI ?
Valuation: $C70 o
43 ? 5? l l 7 O,r l 5? =/ 7, S S"D
rr, r3-?) „ ? r 7 vV'
4.r7 7 )t
10912-
l 5 7?y?y
SAC Units
% SAC
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUtLDING PERMIT APPIICATION
? PROPERTY LEGAL /_ or 13L1ze S 4-7yfK/427Z!'Jnl
n DATE OF SURVEY: 00
H
LATEST REVISION:
?
LV
0
DOCUMENTSTANDARDS
Q
O
? • Registered Land Surveyor signature and company
? ? • BuildingPermitAppticant
? ? ? Legal description
? ? Address
? • North arcow and scale
? .? ? House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? ? Directional drainage anows wvth slope+gradient %
?/ ? o • Proposed/existing sewer and water services 8 invert elevation
? ? • Street name
o
v ? • Drfveway
q//? ? • Lot Square Footage
d ? ? • Lot Coverage
ELEVATIONS
? . Existin
?o ? . Sewer service (or Proposed)
d.?'? ? Praperty corners
o/ ? • Top of curb at the driveway
??a • ElevaSons of any ebsting adjacent homes
? q/? Adequate footing depth of structures due to adjacent u61ity Venches
Proposed .
` o ? • Garage floor
d ? ? ? • Firstfloor
q? ? ? • Lowest exposed elevation (walkouUwindow)
? • Property comers
d? ? • Front and rear of home at the foundation
PONDMG AREA fif apolicadel
/
`
o ?
m • EasementGne
q? ? ? • NWL
q? o ? • HWL
? d ?
? • Pond # designation
? c
? • Emergency Ovefiow Elevation
?
? ?
? ?
m? o ?
m/ ? ?
? v?
DIMENSIONS
• Lot IinesJBearings & dimensions
- Rightof-way and sUeet width (to hack of curb)
• Proposed home dimensions induding arry proposed decks, overhangs greater than 2', porches, etc.
(i.e. all atructures requiring permanentfootings)
• Show all easements of recard and any Ciry uCtitles within those easements
• Setbacks of proposed structure and sideyard setback of adjacerrt e»assting structures
• Retaining wall requ
Reviewed:
Mareh 19BB
CRAIGIgLOGPRMf.FM
_ ,'; ?.,. .
?fh'G" ? ?. -... _ < < [?:`._ t' i'.?..'Q :?' , ?. , .. . ? .
. . ' . . . . . i
I •..
r^?-•7'G-?T.I,OL.P .? .. . . . ' . ' 3)Ei,iTl7.t
:
,
. f e.. i,? ?,.
`? --: ,rDG?P
1
:.G=1 : D:fcn4a
aTAT'::
C4?S???L.. . :J1T TY.PL:
TL%""Y.1
LA.TSP (1F
..:.AJG: l7G{-nr.C?.--.\e hr;?.:... -_ .:.41_ JQQ.4`.C.?'r.'. •
CC r,?L S.?l C? : ?.?? :.- =:;:•
40j . .
itt.%i '3'a}2:^ f'n._;..,
?: :•`!' v ..^.,'' t' ?'r, r'RC?;`DOQT
.._-_'_.._" _""_'_"""'.._'_9 v? . ? ..'_'. .,..
rJ.t?•"_____'___'_'
.?A?:,.?.: r;ocd ?????: •,, ?,._ 1.<',., 3-9.0 ,_.C _
03 7.2:E'.'.71 yf... 317 ?1.7 D.? Gi.u'1L..,•,:: c? ??;,n .? n. ?.=.?..-.. ?. <id.??r C 2 0.350 _
F ?.•:Y`.?u: . V..-.., Vc! t'#:.._ =P 3$.v^ Q.0
:'L'AC 10
' '_ . ' __ " "'_ __" _ _" '..'_
r?.'.,.?. ?r , : ?•,??:.. ? .: ..?:"' `11,. . '' ..: . ,:0:.. J,.,21 ?G ...._'JC dES1,C,'; Ao??+r• -^._.Q 'iF„? ' ^
C?.. L......a;. WL..i tl_P. ? r3t.?;LC" C.C.?--i_lc`._tCII'15
_ ' ._ 1.> > . .... ^YOi..OGQCT ?7':-l'?ir?. +IIE,c pr.n.-.
' _
AiSJ-C..:'C.E.
B'J. _rC._., r`JE? _q L 7? . _.--- -? ?/??„?i ? ?F,.L.w_%,?i J?..?
_ ; _ _?,?,.??:..„.?_.. f ? -__..__.?--?....?_- •---,??
'pTfa?_ P.?2
U,. sre?-<<? ,P?
E OR CONTRACT# Nart 1
Pulte Homes of
Minnesota Corporation
1355 Mendota Heighfs Road, Suite 300
Mendota Heights, MN 55120-1112
Phone: (651) 452-5200 Fax: (651) 452-5727
CONTRACTORlSUPPLIER: t
? ? .
u
JOB NO. 0320 / 212 / OS LEGAL DESCRIPTION: LOT 12 BLOCK 5 UNIT
coMrnuNirv: Oakbrooke SF ADDITION: 2ntl phaSC
BUILDING ADDRESS: LOt 12 BIOCk 5 cirv: Eaaan STATE: MN ZIP: 55122 .
MODEL NAME: StBrllll(1
BUYER'S NAME: SCheffBr
CURRENTADDRESS: 1589 CI@I
HOME PHONE: 651-40$3839
SALES REPRESENTATIVE JVB
_ MODEL NUMBER: 18232 ELEVATION: A GARAGE: L RIG?HT
DATE OF ORDER: 7-13-00
nson Drive cirr: Eagan STATE: MN zip: 55722
BUSINESS PHONE: 1-800-282-8920 BUSINESS PHONE: 651-683-6820
CHANGE ORDER FEE: NO
PREVIOUS CHANGE ORDER:
, # 02 TOTAL: ],OOO
1 18232 Sterling base house 229,990
1 11012 Full Basement Walkout 3,250
1 18039 Elevation #4 10000
1 22004 3rd car garage Elevation #4 7215
1 25000 Double Door 260
1 25017 Clnst. DRS w! PF Mapie 500
1 26011 Vault ceiling - Master Bedroom 1230
1 26043 Wood railing to second floor 620
1 14007 1' carpet pad upgrade 190
1 15082 ceramic tile bath #2 930
1 28044 Maple Cabinets 1980
1 36019 waterline for future icemaker 125
1 13077 Whirlpool tub 1175
1 17000 add'I electric outlet 50
1 23007 3 ton AC 2350
1 32012 TV Jack Cable Ready 50
1 32020 add'I phone Jack 50
5 17024 Ceiling electric opening (mbr, 2n° br, 3rd br, fr, loft 500
1 35071 4"' bedroom - WHT DRS with maple trim 1250
TOTAL Cont.
Aitilda'slicase#"1371
APPROVED BY BUYER(S): 121111
EQUAL HOUSING
OPPORTVNITY
APPROVED BY SALES: °'
APPROVED BY SUPERINTENDENT.: rcp Uil 4M'
This constitutes a contract between the Seller-a6d the Purchaser(s) f r the above items
?
5urv e y o r's
Certificate
SURVEY FOR :PULre
DESCRIBED AS • Lot 12, Block 5, OAKBROOKE 4TH AODITION, City of Eogon, Dokota
' County, Minnesota and reservinq eosements of record.
L ?j+
?? ???S,•t'?Gj?'? 94?.9 ?-
?
OP??
13.S
\\r ? 44b \ \
999. o i'S ? 0 ?
44,
e
G°`c4 p(
9` 9 r
3
? q47
?``?5,' ? oo p96a .c
a
\\\\ 00 18?o O
fZ. \
Y=
\
?
1
?EM? ' .4
By
EAGAN EAIGINEERING AEFT. ;
k'
?,
"ZaC C_1.' FL?"N C E
?
96'.
? \1
?
.
.?ob
? 50'l a9
WETLAND
NWE=q20.v ,
µWE=921,3
Ww
` \L
Oraina9e & UlililY Eosement
L 0 T SQ. F00 TA GE = 17,182
HSE. SQ. F00 TAGE = 1,801
?s -
LOT COVERAGE = 11 %
.'
\7"?n
4R ??,,? 9yT , Zo ?, 6? y2
?????ti ?•2e
56
,, 4zoo
?
Plan N 18232
PROPOSED ELEVATIONS
Top of Foundation = 948,0
Garoge Floor = 947,(p
Basement Floor = R39.o
Aprox. Sewer Service = 933.2i
Proposed Elev. - ?
Existing Elev. -
Drainoge Directions =
Denotes OffseE Stake = .
HEVLvnrD
PLANN/NC 6NG/NB6R/NC SURV6Y/NC
2005 Pin Oak Orive
Eagon. MN 55122
Phone: (651) 405-6600
Foz ; (651) 405-6606 ?
MIN. SETBACK REQUIREMENTS
Front-z5 House Side -
Rear -15 Garage Side -
I HEREBY CERTIFY THAT THIS IS A TRl1E AND CORRECT REPRESENTATiON JOB ND:
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED OOR-229
BY ME OR UNDER MY DIRECT SUPERVISION ANO DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, BOOK: anGE:
AU?., O a ? F E D. 1 Z?pp MINNESOTA LICENSE NUAABER 14376 BENCHMARK, j4/'5
DATE 7 /1a/Q0 L -
VED ry cAO FiLEi
C LINDGREN; AND SURVEYOR
OAKBR00KE
E7eo =934• 34
SCAIE: 1 inch - 30 feet
Surv e y o r's
Certificate
SURVEY FOR : PuLre
DESCRIBED AS • Lat 12, Block 5, OAKBROOKE 4TH AOOITION, Cily of Eogan, Oakota
' County, Minnesota ond reserving eosements ot record.
r"
99fo.q ,
n0E
? ?
OA ?
\\ /
?
. ?
?S \
i ?
?\\
G°loQe
9-
REV i E
Iiy
Date -Z
EAGAN JENGNF,ERING ArPT.
s? ??- F?-NeE
I'f3 ?
?ry?po p5ea ?o
.? Q`s ,O` i 10 ???
. ??
9
` 3
\9
`'? 9Q`? ?o \?6 Y.3
`\
6
\\$ 5 $,epO 6
8• \?
?S \\ 93 ti'0
•
\ \? p
\\\ \
y \\? ,l
?Q.
p6
6
?
F \ i.95?
.
WETLAND
NWE+920.U
NWE=q21,3
L 0 T SQ. F00 TA GE = 17,182
HSE. SQ. FOOTAGE = 1,801
LOT COVERAGE = 11%
BENCHMARK, TMH @ 1416
E1eo -934..'.4
r
??N% . p . ,•f
?19fy {3
POna V 0 R E `@'s'
Plan // 16232
PROPOSED ELEVATIONS
Top of Foundation = qqg,o
Goroge Floor - 997(0
Bosement Floor =q39,o
Aprox. Sewer Service = 933.2!
Proposed Elev.
Existing Elev, -
Droinoge Directions = -?
Denotes Offset Stoke = .
HEDLIlND
PLANNlNC BNC/N66R/NC SURVIi'YlNC
2005 Pin Ook Drive
Eogon, MN 55122
Phane: (651) 405-6600 ;
Fox : (651) 405-6606
MIN. SETBACK REQUIREMENTS
SCALE: 1 inch - 30 feet
pruinaga k Utility Easemanl
Front-25 House Side -
Rear -15 Garage Side -
I HEREBY CERTIFY THAT THIS IS A TRUE ANO CORREC7 REPRESENTATION JOB N0:
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYEO
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. BDOK:
DATE CAD FILE
?F? ? ,A,? F E D. IINOCREN, AND SURVEYOR
???Er ?i J Ce:0,q MINNESOTA UCENSE NUMBER 14376
OOR-229
( I.
OAKBROOKE
6 ?D, oU
41? P of Eale
3830 Pilot Knob Roed
Eagan AAN 55142
Phone: (651) 675-5675
Fac: (651) 675M"
a5455
^-----------------
? ?
,
s aw,ra Sm _ 0b
t ?
I ?
?-^--------------?
2oos RESiDENTIA! BUILDING pERMIT APPUCAnON
Dau: I' D9_._snet?drass:..?r r q Q?kL3?coK Grcl? -
renant:
REsicW ,owrER Nam-0 e0kcE K???L F- v (cN
???/ Zip:
qpp?t u: _ owner _)L cano-a=
TYPE OF WORK oescripoon of rwck: l2-7? I- Ou= F ? R'F R?F
coistuclioncoscM,rooFaIlly &Am: tYes-INO-?U
coNraacroe nam: ucem
?
Address: '
Gly: ???C?'YYi{"? .-Sfate:. f?.Sll._Zip:
Phone: G'C'JL(I2922V Contact Person: kCX?
COMPLETE TkI1S AREA ONlY IF CONSTRUCTiNG A NEW BUILDING
Min?so? Ftules 7670 Cateaorv 1 _(dinnesM Ru(es 7872
"Y Code . pWderftVn"on.cWorr t Wa1mhW • New 6mW code waw++ed &bnftd
ory type) ' Em9Y E'"°I°pa CddAamm Su&nmad •
(J suissron
in Nw lest ta monUs. has tha Ci?Y of Eagan issued a Pgmgt iw a sfmibr pian bmod on a msater pmn?
_Yes _No If yes, dste ard address af masterpian:
Licensad Piumber: ph"'
[:=77T ?M7U_k
Seira 8 watn
t hgebY a*ONWP Mat tldc U*mmgon ic mnplMaM aoa+raC llaQ the xak wN Oo in owAamenoe wEh tho manow so mtles ot ae qry a
Eaw: n,et "masmM ms s noc e pmtnIL aa ony an epp5Wan mr a penna, ana woAc ts noc m4tert wftLa a pwrr4t mes u+e .wak w0 ee m
aurordeM se7h 11m Wpavad plen in tlie c8se ot xaKwitidf reodres a ieview end approvel of Wens. .
x_ M- CAr1ML4_ ,a x Ijy1_
aaWtcanrs Protea KWm aavueam's 99nan+re
PegB t oE 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1668 Oakbrooke Cir
Lot: 12 Block: 5 Addition: Oakbrooke 4th
PID:10- 53763- 120 -05
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Exchanger
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Air Mechanical
16411 Aberdeen St
Ham Lake MN 55304
(763) 434 -7747
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
George A Kapelevich
1668 Oakbrooke Cir
Eagan MN 55122 -4212
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA083023
05/13/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117328
Date Issued:10/17/2013
Permit Category:ePermit
Site Address: 1668 Oakbrooke Cir
Lot:12 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jeff Moore
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
George A Kapelevich
1668 Oakbrooke Cir
Eagan MN 55122--421
(651) 233-4380
Capital Siding & Windows
9673 Wynstone Dr
Woodbury MN 55125
(651) 578-9205
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119131
Date Issued:11/15/2013
Permit Category:ePermit
Site Address: 1668 Oakbrooke Cir
Lot:12 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-120
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
George A Kapelevich
1668 Oakbrooke Cir
Eagan MN 55122--421
(651) 233-4380
Capital Siding & Windows
9673 Wynstone Dr
Woodbury MN 55125
(651) 578-9205
Applicant/Permitee: Signature Issued By: Signature