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)
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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
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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