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1669 Oakbrooke CirAddress: 1669 Oakbrooke Circle Zip: 55123 Lot: 1 Block: 5 Subdivision: Oakbrooke 4th Date: Inspector: THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION Yes No Yes No Final grade- (6" from sidin ) Porch Permanent steps (garage) k Lower level Permanent steps (main entry) ? Deck ? Permanent drivewa ? Fire lace ? Pernianent gas Sod/seeded yard TraiUcurb damage • Ask your builder. 1. if roof test caps from the plumbing system havc been removed. 2. to verify the location of water supply shut-off to outside faucets. Outside water needs to be shut off prior to freezing tempcratures. • Prior to installing underground sprinkler system or working in City right-of way, please call 651-681-4645 for informatioo. Occupancy check off lis[ Site address: C1 rLl e. Lot ? 81ockJ Subd. On April 15, 2000 the Minnesota Energy Code, Category I Builtling Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy: _ This structure: is constPucted to meet minimum requirements of the Mn Energy Code, ChapteF7670 OR ? This structure: will be constructed to meet more restrictive requirements of Cliapters 7673 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S GENTING TYPE Water Heater ?j xe ?? -) ' sa ?3 Fumace /i 6 '3s-C)/Y'f'46'036060 00o A Y'Ct7-- Dryer EXHAUST SYSTEM LOCATION TYPE MpDEL CEM'§ VENTED YES xo Kitchen kitchen `/Z?y 5 A wl? eathroom t S S?l? Sd . BaYhroom2 /y,rAS7 x Bathroom 3 Bathroom 4 Other FIREPLACE S LOCATION GAS W000 MANUFACTURER MODEL BTU'S YENTING oIRECr aiMOs I hereby acknowledge that the a6ove informatlon is correct and agree to comply with the Minnesota Energy Code antl'City of EBgan requirements. ? Sig tur Date ?, Company Name ' This form is the responsibility of the General Contractor T CITY USE ONLY L I BL RECEIPT#: SUBD. RECEIPTDATE: PERMIT# 2000 PLUMING PERMIT (RESIDENTIAL) CITY OF EAGAN / 3830 PILOT KNOB RD 7 V ? EAGAN, MN 55122 C/ 651-681-4675 Please complete for. D single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem FIXTIIRES EACH 1{ TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 I! Bath tub $ 3.00 x $ Floor drain 3.00 x $ J Gas piping 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 = $ Z '- Septic System newlrefurbished ' requires MPC lit. 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 $ 3 J UndergroundSpl'Inklef if dwelling is under construction 3.00 X = $ Underground sprinkler rf existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water SOftener if dwelling under construction 5.00 X = $ Water softener if existing dwelling 30.00 x = $ Waterturnaround 30.00 x $ State Surcharge 50 -> --> --> $ .50 rotal -> $ - Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. -------------------------------------------------------------------------•-------------------------------------• •--------°--------------- I hereby acknowledge that I heve read this application, state that the infortnation is cortect, and agree to compiy wBh all applicable Ciry of Eagan oMinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages pused by the City during its normal operational and maintenance activities to the facilities canstnicted under this permd within City property/right-ot-wayleasemen[. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: TELEPHONE #: (AREA CODE) TELEPHONE #: CODE) QF PERMITTEE ,A / STAT ' J/ ZIP: S?c3?C? L I L ? CITY USE ONLY , RECEIPT #: ' SUBD. ? RECEIPTDATE: PERMIT# 2000 PLUNIBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IINOH RD EAGAN, fIl4 55122 651-681-4675 Please complete for: D single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkier system FIXTURES EACH # TOTAI Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet • minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavato 3.00 x = $ Septic System newlrefurbished • requires MPC Iic. 75.00 x = $ Se tic System abandonment 30.00 x = $ RPZ new installation/repaidrebuild 30.00 X = $ Rough openin 1.50 x = $ Shower 3.00 x = $ Underground sprinkler rf dwelling is under wnstruction 3.00 x = $ Under round sprinkler rfexisting dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under oonsVUCUon 5.00 x = $ Water softener itexistin9 dweuing 30.00 x = $ Watertumaround 30.00 x $ State Surcharge .50 -> -> -> $ 50 Total --> -> ---> --a Reminder. Call for inspections of alterations, i.e. water beaters, water softeners, etc. ---------------------------------•-•---• •---------------------------•---------------------- ------- --------------------- ------- ------------- I hareby acknowledge that I have 2ad this applicafion, sGte qiat the infortnatlon is corted, and agree to comply with all applicable Ciry of Eagan orclinances. It is the applicanCs responsibiliry to notify the proparty owner that the City of Eagan assumes no liability for any damages pused by the City during its nortnal operational and maintenanca activkies to the fa ilitie constructed under this pertnit within City property/rightof-way/easement. SITE ADDRESS: (J' OWNER NAME: : TELEPHONE #: ? (A EA CODE) INSTALLER NAME: TELEPHONE #: 41-2- (AREA STREET ADDRESS: CODE) CITY: YUX.w STATE: 92/1I_ ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY [.C)T j SL ? PERMIT #: SUBD. OQ 1`7 ?Yh iD ? RECEiPT #: q3z 77 RECEIPT DATE: Date: 2000 MECHMIGFiL PERMIT (RESIDENTIRL) crrYoFEasRx 3830Puor KNoa Rn E?ffM 3l17 55122 651-6$14675 Complete this section onlv if you aze installing HVAC in a single-family dwelling, townhome or condo under construction and not owuer/occupied. • HVAC: 0-100 M B T U $ 30•00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required (a3 $3.00 ea.) State Surcharge .50 Total $ ?• ? Complete this section onlv if you are remodeling, addingto: I or reolacinp an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alterarion, or replacement. _ New _ Replacement _ Other , _ Fumace _ Air exchanger Air conditioning Other Fee $ . 30.00 State Surcharge .50 Total , $ 30.50 Reminder: Ca!lforfnal inspection. SITE ADDRESS: OWNER NAME:` INSTALGER NAME STREET ADDRESS: CIT'Y: A S PHONE #: S7 / f -(AREA CODE) ? PHONE #: ?- STA'fE: Jk? ZIP: 5 ? _ _.. _. . ? ? ? ?C; '?,I? SIG TURE OF P TTEE BY: CITY USE ONLY L _ 8L SUBD. APPROVED BY: INSPECTOR PERMIT #: _ RECEIPT#: _ RECEIPT DATE: ' E000 Mf.CHANICikL PERbi1T (COMMMCIAL) ClTY OF EAFu4N S$SO PILdT KftOB ftD EE6i4N, MN 5518E 651-6$1-4675 Please complete for: all commercialCndustrial buildings multi-family buildings when separate permits are iot required for each dwelling unit DATE: rdORK TYPE: New construction • Y Install U.G. Tauk _ Interior Improvement _ Remove U.G. Tank _ Processed Piping YVhen instulling/removing undergraund tank, call 651-681-4675 for inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removallinstallarion = minunum fee.. , Contract price: $ x 1"/0 = $ (Base Fee) State surcharge calcvlate at $.50 for each $1,000 Base ee TOTAL $ SITE ADDRESS: OWNER NAME: FiiOIdE #: - (pREA CODE) TENANT NAME (IMPROVEMENTS ONLS): WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: INSTALLER: ADDRESS: PHONE (AREA CODE)' - CITY: STATE: ZIP: SIGNATURE OF PERMITTEE ?**************?********************?** CITY OF EAGAN CASHIER: JS TERMINAL NO: 667 DATE: 09/18/00 TIME: 13:33:02 ID: NAME: PULTE MASTER BUILDER 2252 9220 1669 OKBRKE CR 30.00 3210 9001 1669 OKBRKE CR 1,212.15 3866 9379 1669 OKBRKE CR 100.00 3422 9001 1669 OKBRKE CR 787.90 2275 9220 1669 OKBRKE CR 1,089.00 3446 9001 1669 OKBRKE CR 11.00 2155 9001 1669 OKBRKE CR 0.50 3743 9220 1669 OKBRKE CR 50.00 2155 9001 1669 OKBRFCE CR 69.50 3868 9220 1669 OKBRKE CR 492.00 CR137360 ** CONTINUED USER ID: JAN ** CONTINUED ?????**?***?* CITY OF EAGAN CASHIER: JS TERMINAL NO: 667 DATE: 09/18/00 TIME: 13: 33:05 ID: NAME: PULTE MASTER BUILDER 3716 9220 1669 OKBRKE CR 114.00 3713 9220 1669 OKBRKE CR 50.00 3865 9220 1669 OKBRKE CR 840.00 Total Receipt Amount: 4,846.05 CR137360 USER ID: JAN • 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) crnr or eAcAr 3830 PILOT 1a1106 RD - 55122 851-881-4875 D-? J Naw conahuenon Reawre rtfema D 3 regitlere0 tlle wrveYS "win0 84 IL W W. M ll d ha»a 4 copla+ d PIan and gg rooled areos GIA% maxlmum l01 coveraae albwedf 1 aef of enerpy cdcadotlau fa tWaletl aCdMan D 2 copies ot Wcm phow b6arn A wlntlow Yzes: Pourod 1nd deslyn: etcJ 1 pSa wrveY !Or exdaAa addiMOro & tl6Cb D i!6f Ot Gnafpy CdCWOtlOlq . D S cOpfet d haa prowrvallon plaf M Io1 pWMYd dpr 7/1/93 t-? DAiE: CONSiRUCT10N COST: DESCRIPTION OF WORK: /llEc.J l.rsxs sT , STREET ADDRESS: ? LOT: BLOCK: ? SUBD./P.I.D. It: ? PROPERIY OWNER CONR2ACTOR ARCHRECT/ ENGINEER Cly N?.? A.4t+, l? . State: Nnra yp; 5"" 2a ?3 Company: Phone c (areo code) Street Addreaa: Llcense 0 Exp. CRY State: Compc6Y. --` 4? -? Name: Telephone Jf: ( ) Sheet Addresa: Regbfratbn M: CHy F3i? Sewerlwater licensed plumber (H Installina sewer/water): Phone #: I hereby xknowledpe Mat I have read ihk appifoalion, atate Mwt the 6dortnatbn k oortect, of MinnesoM 5latutes and CMy of Eayan Ordinancea Sipnalure of • OFFICE USE ONLY Certificates of Survey Received r Yes _ No Tree Preservation Plan Received Yes _ No Not Required to comply wiih at appicable StaEe SEP g - 2000 BY: aP: ZiP= Sheet Address: I 35 S PL,,,_ 1&4-r. Os .94-1 -A 3'a o ,? OFFICE USE ONLY BUILDING PERMIT SUBTYPE3 0 01 Foundation O 07 05-plex P 02 SF DwelQng O OB 06-plex O 03 01 of _ piex ? 09 07-plex O 04 02-plex O 10 OS-plex O OS 03-piex 0 .11 10-plex O OB 04-plex O 12 12-plex WORK TYPE ? 31 New 32 Addition O 33 Alteration O 34 Repair 0 13 16-plax O 21 Poreh (3sea.) O 31 Ext. Alt - MuMi ? 17 Garage O 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF O 18 Deck 0 23 Porch (screened) O 38 Muitl O 19 Lower Level O 24 Storm Damage Pibp Yw_N O 25 Miscellaneous O 20 Pool O 30 Accessory BWg. „ D 38 Move Bldg. p 43 Reroof O 37 Demolish (Bidg)' p 44 Siding O 38 Demolish (Interior) O 45 Fire Repair 0 42 Demolish (Foundation) O 46 Windows/Doors • Ghre PCA handout to applicant for demoliUon permit GENERAL INFORMATION SAC Code _QL No. of Units No. of Buildings ? Const. (Actual) S- (Allowable) - UBC Occupancy Zoning - # of Stories Length W idth Basement sq. ft. Main level sq. ft. 1? ede/ sq. ft. o---=2ggBr-- s4. ft. MISCELLANEOUS INSPECTIONS E3 StuccolStone APPROVALS Planning Building aa- ? esy. e. ?so sq.ft. _E Footprint sq. R ? O.2 Census Code i PJ l /o9z MC/ESSystem ?oioz City Water ? ? Booster Pump PRV Fire Sprinklered U'le Engineering Variance Permit Fee Valuation: $ Surcharge ? Plan Review License MC/ES AC !O y.2 x CtySAC WaterConn. LzeU 1- WaterMeter , $ a $P? Acct. Deposic Q ,( k S/W Permit S/W Surcharge Treatment PI °? L?v?L m v vov, - . Park Ded. Trails Ded. Other Copies Total: ? x l?O = k-} L( ?.C) S B??OtJ mG? 6 d ? SAC Units 96 SAC SE?-07-2000 23:36 PULTE HpME5 MNchec;c COMP:,ZANC' 1tEPORT Minnesota Energy Code !9Ncheck Softwara Vezsion 3.0 651 452 5727 P.02i22 Permit # ` Checked by DAte COUNTY: DakCta STATE: Minnesota - • - ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 3-28-2000 DATE QP PLAN$: 3/29/00 TITLE: 9HEFFIELD 48R, W/0 EL. #2 COMPLIANCE: AA53ES Required UA = 569 Your Home = 429 24.6& 9etter Than Code Area or Csvity Cont. Glazing/Boor Perimeter R-Value R-Value U-Value -----------------------------------_"- -------___------------------------ CEILiNGS 1176 44.0 0.0 WALLS: WOOd Frame, I6" O.C. 2772 19.0 2.0 1 WALT.,s: Waod Prame, 16" O.C. 290 10.0 2,0 BSMT: Conc. 9.01 ht/8.3' bg/9.0' in9u1 736 11.0 0.0 GLA2IN6: Nindows ar poors, Above Grade 450 0.350 1 DOORS 38 0.350 FLOOR9_ Over outaide Air 84_ 38.0 2.0 HVAC EQUIFMENT: Furnace, 92.0 A,F'QE -----'-----------------------°----____---------------- -------------------- COMPLIANCS STAT&MF.NT: The proposed buildirg design described hera is consistenzi with the building plans, apecifications, and other C81cujaCl0ne eubmieted with the permit applicstion. The praposed building hae been designed to meet the requirements of the Minnesota Energy Code. Huilder/Deaigner TLZ-r-c-y • ? -0-0 nate TOTRL P.02 ' JOB INITIATION ORDER Pulte Homes of Minnesota Corporation 1355 Mendota Heigh4s Road, Suite 300 Mendota Heights, MN 55120-1112 Phone: (651) 452-5200 Fax: (651) 452-5727 STATE: ?-? ZIP: r? 42, JOB N0. 0320 / *t- / OS LEGAL DESCRIPTION: LOT pl BLOCK 05 UNIT COMMUNITY: OBkbfOOkB SF ADDITION: 4v-q- - --z- BUILDWGADDRESS: '"Tv q. pzyj('q C,a.cITY: Eagan STATE: MN ZW: 55104 MODEL NAME: 4 022 I.+ MODEL NUMBER: g23 ELEVATION: GARAGE: LEFT RIGHT ? ? BUYER'SNAME: S ?6b kP,{) R? DATEOFORDER: ?-?'f i71Q CURRENT ADDRESS: HOMEPHONE: SALES REPRESENTATIVE BUSINESS PHONE: 00 BUSINESS PHONE: 0000 BASE PRICE ?2(- I ---- LOT PREMIUM zOpp I 8 015 ELEVATION # `2z0? 0 91 o 1 qf S12 pDccg prua ' ? p;,? ?z0o a 7 TOTAL 1 rn Builder's License Sf0001371 APPROVED BY BUYER(S): APPROVED BY SALES: I RELEASED TO START CONST.: This constitutes a contract between the CONTRACTOR/SUPPLIER: ? = ? EQUAL HOUSING OPPORTUNITY for the above items 9 ? L n H D W ? N 0 og° ? ? ? ? ? ? ? o ? 0 ? ? ? ?o ? 0 ? ? l0T SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL: DATE OF SURVEY: LATEST REVISION: DOCUMENTSTANDARDS r/1 • Registered Land Surveyor signature and company • BuildingPermitApplicant • Legal description • Address • North artow and scale • House type (rambler, walkout, split w/o, split entry, loakout, etc.) • Directional drainage arrows with slope/graQent % • Proposed/exdsting sewer and water services & invert elevation • Street name • Driveway • Lot Square Footage • Lot Coverage ELEVATIONS / Exdstina m' ? • Sewer service (or Proposed) ? 0 ? • Property corners 01111 y+ - Top of curb at ihe driveway Y? Elevations of any ebstng adjacent homes ? tr' ? Adequate footing depth of shuctures due to adjacent utilAy Venches Prooosed rp o • Garagefioor o? o ? • First floor c/ ? ? • Lowest wcposed elevation (walkouUwindow) pK ? ? • Properl corners ra?o ? • Front and rear of home at the foundaGon / PONDING AREA (R aoo5cade) ? a o?/ • Easement line ? ? d . NWL o ? a? . HWL ? ? G?/ • Pond # designation ? ? 4? • Emergency Overflow Elevation ZC3 ? o?y ? m/o ? b?a ? o d ? DIMENSIONS Lot IinesBearings 8 dimensions Right-of-way and street width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanentfootings) Show all easemenis of record and any City utilNes within those easements Setbacks of proposed strudure and sideyard setback of adjacent ebsling structures Retaining wall reqi Reviewed: Mareh 1998 cruKVeLocannrt.cen Surveyor's Certificate SURVEY FOR :PULTE DESCRIBED AS : Lot 1, Block 6, OAKBRQOKE 4TH ADDITION, City of Eaqan, Dokota County, Minnsoto and reserving easements of record. V U r4 ? ? ??.•\' .,?.,..-^?'"'^ c, ?'rl?• ? ?v?S'xATd ?'?Cz 4 I . ? i i i 1? a,. 939.3 ??? '•;? . ? . 5xcr Fuee \ ?(] Y? ? ?0•'?938 \ ?\ S a' o 9 rtao ? K Qry?? \ ry?° yo° 38. ry c? ? \ 40.0 38s ` f ;o• ? ? ? •9 rc1,? 514 a?ar. o? g a_ ? . o,. ? ? 434 \ LOT SQ. FOOTAGE = 9,438 NSE. SQ. F00i"AGE = 1,669 LOT COVERA?CE = 187o ? Plan # 18231 PROPOSED ELEVATIONS Top of Foundation = 940,7 Gorage Floor =qqo.3 Bosement Floor =q32,1 Aprox. Sewer Service =q2v.o3= Proposed Elev. _ <zz:) Existing Elav, _ Droinoge Directions = Denotes Offset Stoke = . HEDLIl/VD PGlNNlNC 6NC4NPBRlN0 SURVBY/HG 2005 Pln Oak Drlve Eaqon, MN 55122 Phone: (851) 405-6800 Fax: (651) 405-8808 poRoV0 R` E???I R Ir SCALE; t Inch . 30 feet OX' / ? ? ? BENCHMARK, rAIk@ 1/5 £itu = 931.39 MIN. SETBACK REQUIREMENTS Front -25 House Side - Reor -15 Garoge Side- JOB N0: I HEREBY CERTfY TNAT THIS IS A TRUE AND CORREC7 REPRESENTA710N OOR-2 OF 7HE BOUNDARIES OF 711E ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT AJPER4ISION AND DOES N0T PURPORT TO BOOK: Pi SMOW IMPROVEAIENTS OR ENCq0A0MMENTS, EXCEPT AS S OWN. DAIE ?? -" '0' rae cn c• r/- 7 GO f"-?rl/ UNOOREN. LqND tfRVEYOq LICEraSE NUMBER 74378 OAKBROOKE Use BLUE or BLACK Ink r For Office Use o n Permit City of EaEd I Permit Fee: U 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date• 4 ~ Site Address: (v Unit g 'Name: :5ft Phone: ' RESIDENT / OWNER s Address / City / Zip: I (P 1p~ -f~ (~C9Cti 1P L-I d' ' ~1J M / 1 Applicant is: Owner Contractor +tCAJf p iTVZG Y'Oo TYPE OF WORK ;Description of work: Construction Cost:' Multi-Family Building: (Yes / No Company:jE.Y?i~j-t~i~tiG► Contact: CONTRACTOR Address: 1q573.- Us 2X%Wy City: ~ 10r State: 1 r t Zip: 45~774?-- Phone: L < mod' 3l ~ ~ - C 'License Lead Certificate C/ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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.goaherstateonecall.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 C':3in W 'en-b` x Applicant's Tinted Name Appl n 's natur Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA109577 Date Issued:03/19/2013 Permit Category:ePermit Site Address: 1669 Oakbrooke Cir Lot:1 Block: 5 Addition: Oakbrooke 4th PID:10-53763-05-010 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. Stephanie Vought 3451 W Burnsville Parkway Suite 120 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Stephen M Lund 1669 Oakbrooke Cir Eagan MN 55122 (651) 341-8938 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 1 19 6g7 Permit Fee: (05 S Date Received: 10/0-43 Staff: 2013 RESIDENTIAL/BUILDING PERMIT APPLICATION Date: / 07— ��/ Site Address: G 6 (cr k--0/60/<1.6 n, Unit #: Name: ,`&'J — LW" Phone: Work Contractor Address / City / Zip: ) (o ( ( C K bArzxOJe.., C r b.ri Applicant is: Owner Contractor Description of work: Re U'tel U"e- 4 F 2P(,ac-e $t da`4 Construction Cost:/5—"‘i Multi -Family Building: (Yes / No ) Company: Ccv('l, £ f5 G,` CContact: vJ Address: 1-153- k. Lcl, KiM 7 City: Frkic T � State: /la Zip: 55.3 ??--" Phone: ( /; "c`T ^ 647 / License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) lit- a 1 7` 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE:;Plans and documents tha the information may be classified as non pu conclude re tonal ere be public informatron.'Portions of ravide'spec►ft'c reasons that wouldpermitthe City.t� are tr, e secre CALL BEFORE YOU DIG. Call Gopher State One Cali 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.orq 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 Applicant's Printed Name x Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA132241 Date Issued:07/31/2015 Permit Category:ePermit Site Address: 1669 Oakbrooke Cir Lot:1 Block: 5 Addition: Oakbrooke 4th PID:10-53763-05-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Stephen M Lund 1669 Oakbrooke Cir Eagan MN 55122 (651) 686-8246 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155290 Date Issued:05/08/2019 Permit Category:ePermit Site Address: 1669 Oakbrooke Cir Lot:1 Block: 5 Addition: Oakbrooke 4th PID:10-53763-05-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Stephen M Lund 1669 Oakbrooke Cir Eagan MN 55122 (651) 341-8938 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165348 Date Issued:10/28/2020 Permit Category:ePermit Site Address: 1669 Oakbrooke Cir Lot:1 Block: 5 Addition: Oakbrooke 4th PID:10-53763-05-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Stephen M & Sandra J Lund 1669 Oakbrook Cir Eagan MN 55122--421 (651) 341-8938 Lindus Construction 879 Hwy 63 Baldwin WI 54002 (715) 684-4647 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA169523 Date Issued:05/28/2021 Permit Category:ePermit Site Address: 1669 Oakbrooke Cir Lot:1 Block: 5 Addition: Oakbrooke 4th PID:10-53763-05-010 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 - Stephen M & Sandra J Lund 1669 Oakbrook Cir Eagan MN 55122--421 (651) 686-8246 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature