1670 Oakbrooke CirAddress _IF70 nartaaoottr r.iRcLe Zip25512 2
I.otR B? Blk s Sub OARSROOKE 4t
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 4?-,;ZS_01 Yes No Inspector: Ge,,..n '&??
Final grade (6" from siding) 61
Permanent steps (garage) ?- y
Permanent steps (main entry) x
Permanent driveway h-
Petmanent gas ,k-
Sod/Seeded grass k"
TraiUcurb damage ?
Porc6 ,X
Basement finish h?
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the ouLside lawn faucet before freeze potential exists.
Contact engineering divisiou at 6814645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
" - RESIDENTIAL
BUILDING PERMIT APPLICATION
r CITY OF EAGAN
?? f 1 Z; O 3830 PILOT KNOB RD - 55122 ?7 DD
651-681-4675
New Canstruction Reauiraments
. 3 registeretl site surveys showing sq. ft. ot lot, sq. ft. of Fwuse; and all roofed areas
(20°h maximum bt coverage ailowed)
2 copies of plan shawing beam & window sizes; poured found design, etc.)
. 7 set ot Enerqy Calculations
• 3 copies of T2e Pteservation Plan if lot plaHed afier 711193
. Rim Joist Detail Opfions selection sheet (bldgs with 3 or less urrits)
DATE ? `
JOB SITE ADDRES:
RemodellReoair Reauirements
• 2 copies of plan V?
. 1 set of Eneryy Calculatbns for heated additions
t site survay Por exlenor addiCwns & decks
. Indicale it home served 6y septlc syslem for add'Aions
VALUATION
2u,ele-cr- G'l2
IF MULTI•FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE OF WORK
APPLICANT S?C`?
FAX #
ADDRESS
44
,MG,
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY r`-"-?
ir?r ?r f? p
(check one) - Residentlal Ventilation Category 1 Worksheet Submittfed
- Energy Envelope Calculations Submitted ZLV! ?I
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor: _
vlechanical System Includes:
Sewer/Water Contractor.
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Sfgnature of Applicont
7c C ?'
FIREPLACE(S) _ 0 -L;"l _ 2
C7- Ct E
PHONE# "r- Yv 6- Y?5?'Y
ZIPCODE
PHONE #
_ Water Softener
_ Watec Heater
_ No. of Baths
Phone #:
Iawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
. UOdated 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-piex ? 10 OS-plex PS Deck ? 23 Porch(screened)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 NeW ? 35
? 32 Addition ? 38
? 33 Alteration ? 37
? 34 Replacement
?
Valuation ?
?
Census Code -!E?
SAC Units (9[
Nbr. of Units
Nbr. of Bldgs T
Type of Const ?
Foorings (new bldg)
? Footings (deck)
_ Footings(addidon)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fueplace _ R.I. _ Air Test _ Final
Insulation
Other
^ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco _ Stone
Windows (new/replacement)
Approved By t?"7 , Building Inspector
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
? 30 Accessory Bldg
? 31 Ext. AIt - Multi
? 33 Eut. Alt - SF
? 36 Multi
Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
Move Bldg. D 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (Bldg)' ? 43 Reraof ? 46 Windows/Doors
'Demolitlon (EnHre Bldg only) • Give PCA handout to applicant
Occupancy /C,`.J MC/ES System
Zoning d`4Q CityWater
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
FinaUC.O.
? FinallNo C.O.
, Plumbing
HVAC
Address 16970 OAkkYnOke G'?
I.ot I,/
Zip 5512 c?_
Blk ? Sub OakbvcLie 51%
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: - 3v Yes No Inspector:
Final gxade (6" from siding) X
Permanent steps (gazage) x
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded gtass X
TraiUcurb damage x
Porch
Basement finish x
Deck
Please verify with the builder the removal of roof test caps from the plurobing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exisis.
Conqct engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contrador Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION v 0
CITY Of EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 C__cj?
NewConatruclbnNeaulrementa pemodaVHeoehReauhemeMS o - 0a-
• 3 regWered s8e suneys showhg sq. tt. of bt, sq. ft ol housa; and Ag mofad areas • 2 coples ot plan
(20°/ meximum Iot coverage albwe0) • 1 set of Energy Calculations for heated adOttions
• 2 capies of plan showing Deam 8 window sizes; poured found tlesign, etc.) • 1ste survey Mr extedor aAdttions & decks
• 1 set of Energy Calculations • Indicete tl home served Dy septic syslem tor additions
• 3 copies of Tree Preservatbn Plan R bt pletled atter 711/93
• Rim ,bist Det2il Options selectbn sheet (bldgs wXh 3 or less unfts)
DATE _ 1? ^ / G .2-
VALUATION ?o7S? OQ 0
SITE ADDRESS MULTI-FAMILY BLDG _Y XN
NPE OP WORK FIREPLACE(S) ? 0_ 1_ 2
APPLJCANT S«77-STREETADDRESS l6"';F° CRY ??? STATE/WZIP SS/Ot?
TELEPHONE CELL PHONE # FAX #
PROPERTY OWNER J'cc rT TELEPHONE #
,?s/-?61??lfy
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR %NEW,• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 M
(J submission type) • Residenfial Ventilation Category t Worksheet Submitted • 9'WMks ee ?
• Energy Envelope Calculations Submitted iUN 0 4 2002
Piumbing Conhactor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler ee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor. _
Mechanical system includes:
Sewer/Wafer Conhactor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone ri
Fee: $70.00
I hereby acknowledge that I have read thls applicatlon, state that The informafion is correct and agree to compiy
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. _
Signature of Applicanf T
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 OCYplex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Aft - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Poroh (screened) O 36 Multi
? 05 03-plex ? 11 10-plex q'i 9 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex PIbg.ZYor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundatbn) ? 45 Fire Repair
1 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement •Demolkion (EMlre B ldg only) - Give PCA handout to applicant
Valuation Occupancy 2-3 MCIES System
Census Code t-f *3 4 Zoning City Water
SAC Units ? Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const ? W idth
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
_
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition)
? Plumbing
_ Foundation HVAC
Draitt Tile Other
Roof _ Ice & Water Final Ftgs _ Air/Gas Tests
Pool _ Final
? Framing _ _
_ _
Siding Stucco Stone
Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement)
? Insulation _ Reteining Wall
Approved By Building Inspector
Base Fee
Suroharge
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
PERMIT#
RECEIPT DATE:
2002 itiESIDEN71AI. PLUMBINfi PEitMIT t?PP11CA'fION
CI'fYOf E4fiAN
3$30 PILOT KNOB RD
snsAN, UN 55122
651-6$1-4675
Please complete for:
SITE ADDRESS:
single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
/41,? /-7O
OWNER NAME: : .5?cc7 7 TELEPHONE #: d?Sl ya 0?
(AREA CODE)
INSTALLERNAME: Scoi T TELEPHONE#: 0'-r/
STREET ADDRESS: 16"T Q C,4E S'?cC'Ee- (AREA CODE)
CITY: Z?61:?? STATE: ?N ZIP: ?S /02A
SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
x Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repairlrebuild $ 30.00
_ lawn irrigation system
Replacementladditional: _ water softener _ water heater $ 15.00
State Surcharge $ 50
Total
I here6y acknowletlge that I have read this appllcation, statethatthe information is wrrect, and agree to complywith all applip6le Cityof Eagan ordinances. It
is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages wused by the City during its normal
operational and maintenance activities lo the §cilities constructed under this permit wthin C?i? a{operty! ? t-o - ent.
1"?"""--
SIGN URE OF PERMITTEE 1102
D
Surveyor's Cert2f2cate
SURVEY FOR : PuLrE
DESCRIBED AS : Lot 13, Block 5, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota County, Minnesota
ond raserving easements of rewrd.
?
LOT
H SE.
LOT
SQ. FOOTAGE
SQ. FOOTAGE
COVERAGE _
Plan # 18251
PROPOSED ELEVATIONS
Top of Foundation = q45.0
Garage Floor =qaq.e
Basement Floor =93(0.0
Aprox. Sewer Service =93o.2c
Proposed Elev. _ C:=>
Existing Elev. _
Drainage Directions = -
Denotes Offset Stake = .
AMEAULvNAD
PLANNJNC BNGIN6ERfNC SURVEYINC
2005 Pin Oak Drive
Eagan, MN 55122
Phone: (651) 405-6600
Fax : (651) 405-6806
SCALE: 1 inch - 30 feet
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF THE BOUNOARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. ,
DATE JI/2?/O0 la'a 41-•
R Y D. LINDGREN, LAN SUR4EYOR
MINN OTA LICENSE NUMBER 14376
BENCHMARK,
MIN. SETBACK REQUIREMENTS
Front-25 House Side -
Rear -15 Garage Side -
N0:
ODR-569
OAKBROOKE ;
.
LOT: ? BLOCK: SUBD. P.I?.D4-- ?(`?JC Y1J\ci-Cy-Pcx ?`?-?1
.
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN l I
?l 3830 PILOT KNOB RD - 55122 ?l ? .
l ? 9 651-681-46751
o D
(?? c?4- ?-(
New Conshuetion Reauirements f-x-c-'(1? ? Remodel/Renair Reauirements
? 3 registered site surveys showing sq. ff. of lot, sq. ft. of house
and all roofed areas (20% maximum lot coveroae allowed)
? 2 coptes of plans (show beam 8 window sizes; poured fnd. design; etc.)
? 1 set of energy calculaMons
? 3 coples of hee preservation plan M lot plaHed atter 7/1/93
D Rim Jotst Detaii Optlons selectfon sheet (bulldinas with 3 or less unNs)
10 l-,
2 copies of plan
1 set ol energy calculations for heated addHions
1 sfle survey for exterior additions 8 decks
DATE: " CONSTRUCTION COST:
DESCRIPTION OF WORK: lG( U- lA I If multi-family bidg., how many units?
STREETADDRE55: 100 06K0,I)IT Gj y'cJP,
PROPERTY
OWNER
Lasi
Street
City
First
Phone #:
State:
Zip:
Company: /'Vdfc 114r+e-S Phone#:
(
CONTRACTOR area code) ?
StreetAddresr. MP,l1??C ???1? fr'?Svire License#??71 Exp. 3I UI
City I+n??D(11H 64-?' State: 1vl.u Zip:
ENGNIEER Company. ???t lT-S ?Tbbl?{
/
Name:
Telephone M: ( )
Sfreef Address: Regislration #:
Clly STate: Zip:
Sewedwaterlicensedplumber(ifinstallinaseweAwater):V}})Iry jPLU?AfG Phone#: 612- ?4 1-a12)
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of AppiIcanf:
OFFICE USE ONLY
DEC 0 1 2000
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No Not Required By
OFFICE USE ONLY
?
? Ot Foundation ? 07 OS-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
'416? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Att- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
?31 New ? 35 int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors
? 33 Alteration ? 37 Demolish (Bldg)' ? 44 Siding
? 34 Replacement ? 38 Demolish (interior)
" Demol ition (Entire Bldg only) permit - Give PCA handout to applicant
VALUATION Occupancy K' .J MC/ES System
Census Code ? Zoning p - /0 City Water
SAC Units Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bidgs l Length Fire Sprinklered
Type of Const ? Width ?
INSPECTIONS REQUIRED
?j Footings: New Bldg -,Y Insularion _ Windows - new/replacement
_ Footings: Deck l FinaUC.O. _ Siding
Footings: Addition ! FinaUNo C.O. _ Stucco/Stone
Foundation Fireplace: _ t.i. _ air test _ final Roof: _ ice & water _ final
? Framing Pool: _ frgs _ air/gas tests _£mal
APPROVALS
Planning
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
Building id Engineering
Variance
?'8Y x ?,? ? i 3?aG v, ab
??c? XS? 3 loD? Z.SO ?U
1;;1a ?o A0,
d
/d.8"? 68
NOU-30-2000 02:12 PULTE HOMES
651 45e! n'rtr Y.tlL/GG
MIJcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
Permit
Chec e by/Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Eamily
DATE: 11-30-2000
DATE OF PLANS: 11/30/00
TI'TLE : HERRINGTON #2, WALKOUT
PROJECT INFORMATION:
OAKBROOKE
COMPLIANCE: PASSES
Required UA = 523
Your Home = 395
24.5k Better Than Code
Area or Cavity Cont. GlaZing/Door
Perimeter R-Value R-Value U-Value
----------------------------------------------- ---------------------------
CEZLINGS 1162 44.0 0.0
WALL9: Wood Frame, 16" O.C. 2474 19,0 2.0 1
WALLS: Wood Frame, 1611 O.C. 266 8.0 2.0
BSMT: Conc. 9.0' ht/6.31 bg/9.0' insul 746 11.0 0.0
GLAZING: Windows or poors, Above Grade 380 0.350 1
DOOR5 56 0.350
FLOORS: Over Unconditioned Space 200 38.0 0.0
HVAC E4UIPMENT: Furnace, 92.0 AFUE
------------------------ ------------------ -------------------------------
COMPLIANCE STATEMENT: The proposed building design described hez'e is
consistent with the building plans, specificatione, and other calculations
submitted with the permit application ' roposed building has been
designed to mee e re nta the,.5$i?ane EJralrgy Code.
Builder/Designer
Date lf ' G2v
TOTAL P.02
JO
&JINITIATION ORDER
Pulte Homes of- y-
Minnesota Corporation ,c CONTRACTOR/SUPPLIER:
1355 Mendota Heights Road, Suite 300 Mendota Heights, MN 55120-1112
Phone: (651) 452-5200 Fax: (651) 452-5727
Joa rvo. 0320 / .213 ? 05
COMMUNITY: Odkbr00ke SF
BUILDING ADDRESS: rOD ciTr: Eagan STATE: MN ZIP: 55104
MODEL NAME: MODEL NUMBER: IogCjl ELEVATION: *2 GARAGE: LEFT RIGHT
LEGAL DESCRIPTION: LOT 73 BLOCK 05 UNIT
ADDITION: O-)? Z 00
TOTAL
1
Builder's License #0001371
APPROVED BY BUYER(S):
APPROVED BY SALES ?J ?
RELEASED TO START CONST.:
This constitutes a contract between the Seller and the
=
EQUAL HOUSING
OPPORTUNITY
items
w4 k'o/ c o be.fare 5'?
CHANGE ORDER CONTRACT
,*-1
Pulte Homes of
Minnesota Corporation
1355 MENDOTA HEIGHTS ROAD, SUITE 300
MENDOTA HEIGHTS. MN 55720-1112
PHONE: (651) 452-5200 FAX (651) 452-5727
JOB NO. 6 4? C) / 'p- I ?
cona+uNm:
CONTRACTOR/SUPPLIER:
S
Q
LEGAL DESCFiIP710N:
LOT / 3 BLOCK ? UNIT
noomoN: Pha SG 2
BUILOING ADDRESS: '
CRY: du 'I 1?kx _ STATE: M^/ZIP; 6S/2Z
MODELNAME:? ? N( MODELNUMBER: 41RSJ n
ELEVA710N: L GARAGE: LEFT RIGHT
'
BUYER'S NAME(S): v??? d?L{ G ?a '?• ??? ??
??
' l
DA7E OF ORDER
:
? IO OZJ
?
CURRENTADDRESS: ??.SO O. P?G?? ?
,{.?
,
W wN ? ? CRY: ?l.y. '
,,/
{?C? S7ATE: A "'?• LP: 5-sl oS
Ip?y
HOMEPHONE: Wz'??3" BUSINESSPHONE: GIL- 35??-5707 BUSINE55PHONE:
T
SALES REPRESENTATNE: CHANGE ORDER FEE: YES OR 6
PREVIOUS J.LO. OR CHANGE ORDER: ':" -. PRlCE:
# TOTAL: 2240j !77/
QTY.. : `OPTIOPI;# . = DESCRIPTION'OF CHANGE.,':
? Z? 2 CCa? ao
? v2oyy _ 2 ? od '
l 2?0o p ir wOVd vKav?.fi(a" ?{2Sa
l 2.900? f rnn ILc?? ' ? ?f?5
izoaq r,u. ? ? lcctn?A ao
? 2 0 3 r N7_1, z 3,S'v
Z 3012 Zv O.tip5 Goo
2 3zo7W ?? aZX5 100
1 1 0 67 xA,
? ??08! bxfk 41 ?sv I
Cef-? CLW 60_v ip 2- ' q7S
1 1S?49o ? ? r2zS'" I
plwv 2o7S I
r woo c4q te pa'u 411.,6 1 700 I
PULT?E
X WA?1,M0kftWLroTaL ?
APPROVED BY BUYERX
APPROVED BY SUPEftINTENDENT: ye^w'°°' % J u? °Y
APPROVED BY SALES:
,? .
? :- 7T
,. .. .
?o
m
2uilders license #0001371 This constitutes a contract beiween the Seller and the Purchaser(s) for the above items.
Pulte Homes of
Minnesota Corporation
1355 MENOOTA HEIGHTS ROAD, SUITE 300
MENDOTA HEIGHTS, MN 55120.1112
PHONE: (651) 452-5200 FAX (651) 452-5727
JOB NO. 0 3 Z. U. ai t 3
COMMUNITY: ?
BUILDIN6 ADDRE'S`SO:
MODEL NPME: i'Ce
CHANGE ORDER CQNTRACT
6?j.
CONTRACTOFUSUPPUER: (}11 C? (V?? $
1O? LEGAL OESCRIPTION: LOT y4 yJ?,,?(1? BLOCK I UNIT
1t ADDITION:
5. ?
Crry: STA7E:aW ZIP: _5
, MODELNUMOER: lp??I ELEVATON: L? GARAGE: LEFT RIGHT
<? E1
BUYEH'S NAME(S): '?D f-0 Td Y Y'TLALJV(J cxiQ.Gh TY?,n DATE OF ORDER: 6 O
CURRENTADDRESS: Z??L(-5O , Y??I??NK:1? 1 rSfh CRY: Nu?Y1X.?lU1R F7
-\ STA1E: NW ZIP:?
HOMEPHONE: W? 'S`l3-lOI(' SUSINESSPHONE??2'3'-(L"r'J LO-] BUSINESSPHONE:
SALES REPRESENTATNE: Tft CH(WGE ORDER FEE: YES OR(51,
OR
#
?76?
I I I 3+?0( ?' I Wa.tv+ _k?ru, 4" (?Q?c.?.$,?.?.re? l??e.? - l ? u 1
? I
Y_ n???/u V9?" v TOTAL o???,??OCI
201ders License #0001371
APPROVED BY BUYER:? - _-? ?
APPROVED BY SUPERINTENDENT: d,?}Wi ? Ofi .¦
APPROVED BY SALES: .,o.,,.,,.
This constitutes a contract between the Seller and the Purchaser(s) for the above items.
IN,?? V CHANGE QRDER CONTRACT ?`?
\ Pulte Homes of -- - ?.
-- -----
MinnesotaCorporation coNTancrowsuPauea Gut15
1355 MENOOTA HEIGHTS ROAD, SUITE 300
MENDOTA NEIGHTS, MN 55120-7112
PHONE: (651) 452-5200 FAX (651) 452-5727
J08NO.f C::-) LEGALOESCRIP110N: LOT ...? BIOCK UNIT
COMJUNf1Y: lL=_Q`--x+' iOd ADOITION: p< ?U
BUIIDING ADORESS: ? CT': 57q7E_ ZIP: ? _?-G_.
MODELNMME: p? ?/ ? MODELNUMBER: ? ELEyq7lON: GARAGE: LEFf RIGHT
Bl1YER5 NAME(S): . 2 r ?ATE OF OROER: ?, D1/
CURFENTADDRES mU?>'l '/-? CfTY:?-7//7/ZQ,7'(Ji'jK?STATEI? ZIP? 5/q?2
MOMEPHONF?IL' BUSINESSPHONE:?P?1'?c?6?• S?U/ BUSINESSPHONE:1eZZ•[[! //.
SAIES REPRESENTATIVE: f?CHANGE ORDER FEE: YES OR/ryp/
L/
PREVIOUS J.I.O. OR CHANGE ORDER: : PRICE <
# ? TOTAL:
°::pESCRIPTlON OF CN NGE
?
;; ti .. ..
PULTE
MasterBuilder•
8uilders License t70001377
TOTAL
APPROVED BY BUYER:
APPROVED BY SUPERINTENOENT:
APPROVED BY SALES:
This constitutes a contract between the Seller and the Purchaser(s) for the above items.
CHANGE ORDER CONTRACT
Pulte Iiomes of
Minnesoti Corporation
1355 MENdbTA HEI6FiTS ROAO, SUITE 300
MENDOYA HEIGHtS, MN 55120.1712
PHONE: (657) 452-5200 F/1X (851) 452-5727
JOB NO. _(LJ
coMxaiwtr. _
BULLDINC3 ADDRE^a'
MODEL MAh1E: -4
BUYER'S NAME(S):
CURRENTADpRES
FIOhff PF10NE:&
SALESREPRESEN7
COIYTRACTOWSUPPLJER:
!D! LECiALDESCPoPTON: l0T ? gLOCX UNIT
noomoN. - a C(Gf
CRY: ? STATEyYNv ZIP: ?J??
MOOEL NUMBER: EIEyA7ION: ?vZ CipR.qGE= FT RIGMT
BUSINE53 PHOPlE ?(?1•."SSE? Q /U /
_ CMNJGE ORDER FEE: YES OR (NO )
LJ
FJ
,? DATE OF OR?ER: ?'
i[Y./V K?C STA7E? LP:2 S
BUSINE55 PHONE:?E ?C, ? 7/'?(cU?
PREVIOUS J I.O. OR CHANGE ORDER ;r PRICE
TOTAL
QP.TI?3M1L?'»! x???€????s??R4. ^'°?'?`s???t??OESCRiPTt?hf'OFCHIWGE,•??E"?z,. , -, :, z?, u:..,,, `'J3 ?-S
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APPROVED 8Y BUYER: ?
APPROVED BYSUPERINi'ENDENT: lJ't/Yh /) vDt?' `
_ APPROVED BY SALES: ,..,,.,,...
8uilders License q0001371 This constitutes a contract between the Seller and the eU@rjb0at2y;v4items.
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
L PROPERN LEGAI: lor 15 AZauY S 42-7" 116/)l7rO.?
h^ DATE OF SURVEY: 11-2
? LATEST REVISION:
?
0 DOCUMENTSTANDARDS
1?E ¢
O
? • Registered Land Surveyor signature and company
? • Building PermitApplicant
e? } ? Legal descnptian
?/p ? : Address
r,? g ? . North arrow and scale
q?y ? . House type (rambler, walkout, split wlo, split enVy, lookout, etc.)
r,?? e • Directional dreinage arrows with slope/gradient °k
c?
? ? . Praposedlexassting sewer and water services 8 invert elevation
? • Street name
m?p ? . Driveway
p? ? • Lot Square Footage
o ? • Lot Coverage
ELEVATIONS
Existin
ul/?3 o • Sewer service (or Proposed)
/ ? ? • Property corners
d? ? • Top of curb at the driveway
e/ ? ? • Elevatlons of any exassting adjacent hames
? c? ? Adequate foating depth of shuctures due to adjacent utiliry trenches
Prooosed
/
p? o ? • Garagefloor
m? ? ? • First floor
p' o
? o • Lowest eacposed elevation (walkouVwindow)
c
? ? • Property comers
to/ ? ? • Front and rear of home at the foundation
/ PONDING AREA (if aodicable)
m' ? • Easement hne
? ? • NWL
ra? ?/ ? • HWL
? e(/ ? • Pond # designafion
o p' ? • Emergency Ovefiow Elevation
?/ DIMENSIONS
i'/ o o • Lot lineslBearings & dimensions
m' ?? • Rightof-way and street width (to back of curb)
?? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all strudures requiring permanentfootings)
3/a ? • Show all easements of record and any City uUlitles within those easements
r,?/ ?? • Setbacks of proposed structure and sideyard setback of adjacent epsting structures
ra' o o • Retainingwall requirements, if any,/ ?4 Z
Reviewed:
March 1988
canw/8mrrmrt.cre
Surv e y o r's
Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 13, elock s, OAKBROOKE 4TH ADDITION, City of Eagon, Dakota County, Minnesota
and reserving easements of record.
%cv
a o 10 oA?
y4-19
41.7
e
5?' yqj
tog
\ Y ?
? ?9q9 °o
yG
Qt? `a?.
0 9Q
\`.n?? \\ .?OC
1:w Sc.oPEglro rHE:SE AllkeAs EXCEED 3:
1kTAY4I.Imr.W4Llg IhAY p
,E ReCj?uI1R£?
i6A °44
?
2?
.?...-` y . ? - .,
-
/
? / ? : , //•
.?
Droinage dc Utility Easement
'?, ?yyE = 9zo.o
0 wE = 4z1`3
?
LOT SQ. FOOTAGE = 16,624
HSE. SQ. FOOTAGE = 1,561
LOT COVERAGE = 9%
r N
Pm Ro?a RL7q%Uj
L v RED
Plan /{ 18251
PROPOSED ELEVATIONS
Top of Foundation = q45.5
Garage Floor =945.i
Basement Floor =93(..5
Aprox. Sewer Service =4so.zc
Proposed Elev. - (Z--::>
Existing Elev. _
Drainage Directions = --?
Denotes Offset Stake = .
BENCHMARK,
SCAIE: 1 inch - 30 feet
1?
j
MIN. SETBACK REQUIREMENTS
Front-25 House Side -
Rear -15 Garage Side -
. I HEREBY CERTIFY THAT iHIS IS A TRUE AND CORRECT REPRESENTATION doe N0: HEDLVND OF THE 80UNDARIES OF TriE ABOVE DESCRIBED PROPERTY AS SURVEYED OOR-569
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPOR7 TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT S SHONIV. ? BOOK: - PAGE:
PLANNING BNGI)V6BRINC SURV6'YING
2005 Pin Oak Orive
Eagan, MN 55122 DATE ?' /27/?0 • CA6 FILE:Y ?
Phone: (651) 405-6600 p R Y D. LINOGREN, LAN SURVEYOR ' Fax :(657) 405-6606 rjOff, IZ,(p?DO MINN OTA LICENSE NUMBER 14376 ' OAKBROOKE
3ECEIVED
2000
S= LT FeNL' k
? R??
? -?
? pp ? `\ ?y p?1k'1ti FLiGAlY 6alV Gs+V 6rnRmQFf d,'lfas 8.
G ? ??\ 99l,?) ?p0
CITY USE ONLY
PERMIT #: _ 7'7 0 7 RECEIPT DATE: ?'/? 3 I O I
RESIDENTIi4L MEQIANlCAI. PERM1T APPLICATION
crrY oF $nsm
3830 Paor Kxos Rn
r.atsM aM 551s2
651-681-4675
Please complete for: > single family dwellings
townhomes and condos when permits are required for each unit
Date: 0?-?,23-0 (
SITEADDRESS: ---- _(Q_-70 0aAC{0(n'')Y4 . ( .(_.(YJ
OWNER NAME: ?o TELEPHONE 6,S71 q Sa-SaO(D
(AREA CODE)
INSTALLERNAME: YNSUIINC.TELEPHONE#: 9 5;?,_ 29Y-0?
(AREA CODE)
STREETADDRESS: kaW?l `Z..YjpC(s)_
_?S?Q- ?)_S •
CITY: 25a'o CIG fL_ STATE: ?_A M ZIP
Place a check mark next to the ermit work t e
X New residential dwelling unit under constructionand not owner/occupied $ 70.00
_ Add-on, modification or alteration to existinq dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner ?
• other
Nature of work:
?
state Surchar e F 9 $ .50
u
Total $ 7?•5?L
8
?
Remiirder: Call for inspectians.
--=J
/
?1s ,P/ p 5+4
SIGNA OF PERMITTEE
Updated U01
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMM£$CUL MECHAN1Ci41. PEiiMIT APPLICATION
CcrY oF EAsm
3$30 PILOT KflOB }tD
EAHAN, MN 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #: -
(ARE.4 CODE)
TENANT NAME (IN(PROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT N THIS SPACE? Y N. NANfE:
INSTALLER:
ADDRESS:
CITY:
WORK TYPE: New construction
_ Interior Improvement
_ Processed Piping
Specify Nahue of Work
PHONE#:
(AREA CODE)
STATE: ZIP:
Install U.G. Tank
Remove U.G. Tank
When instal[ing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal anrl
Plumbing Iinspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
S[ate surcharge calculare at 5.50 for each 51,000 Base Fee
TOTAL $
!
?
StGNATURE OF PERbI[T'tEE
Updated 1/01
L CITY USE ONLY
L BL I' RECEIPT#:
SUBO. Ua Kb roo k? ?7 k RECEIPT DATE: -ALALGO
PERMIT#
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN .
3830 PILOT KNOS RD
EP,GAN, hff7 55122
651-681-4675
Please complete for: D single family dwellings
? townhomes and condos when pertnits are required far each unit
? backtlow preventer for underground sprinkier system
L-?L(
FlXTURES
EACH /f
TOTAL
Aiterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floordrain 3.00 x
GaS pipin outlet ' minimum -1 3.00 x = $ ?-
Hot tub/spa 3.00 x = $
Kitchensink 3.00 x = $j,
Laundry tray 3.00 x $3.,-
Lavatory 3.00 x = $ -?
Septic S stem rrew/refurbished 'requires MPC lic. 75.00 x - $
Septic SyStem abandonment 30.00 x = $
RPZ new installationlrepaidrebuild 30.00 x = $
Rough apening 1.50 x = $
Shower 3.00 x = $ ?-
Under round sprinkler if dwelling is untler construction 3.00 x = $
Underground sprinkler ifexisting dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under construcNOn 5.00 x = $
Water softener If existing dwelling 30.00 X = $
Waterturnaround 30.00 x $
State Surcharge 50 --> --> --> $ .50
TOtel a
Reminder: Call for inspectlons of alterations, i.e. water heaters, water softeners, etc.
--------------------------------- read t------ ---- -------------- •------------------------------• ----- ---------------------------------- -------
I hereby acknowledge that 1 have his appl-ication, state that the iMOrtnatian is correct, and agree to compty wdh all applicable City of Eagan ardinances.
It is the applicanPs responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
nortnal oparational and maintenance activities to the facilities wnstructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS: ///,P 7O
OWNER NAME: : pa- ! -Ale TELEPHONE #:
INSTALLER NAME:
STREET ADDRESS:
(AREA CODE)
TELEPHONE #:
(AREA CODE)
CITY: STAT : /9(k, IP:
SIGNATURE OF P? RMITTEE
Siteaddress: f(O7fl (t) af??COO, Kc CJf-cleLot 13 Block S 5'ubtl. ?q?-br°0 k-C-
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 requinng ?that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: is consVucted to meet minimum requirements of'the Mn Energy Code, Chapter.7670
OR
_ This sUucture: will be constructed to meet more restrictive requirements of Chapters 7672 qr 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
WaterHeater /? /A7i1o/1 /0
Fumace ? / 35-OWI &?O ?AloO ?
D%re?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathroom1 rq ni?- ??-05 ?Q a0 ?
Bathroom 2 l F-V - O `,v
Bathroom3 Sv - OO
Bathroom 4 ? L
5?-
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MOUEL
BTU'S VENTING
DIRECT AiMOS
1 Hta?N o laFk`A Ti2`:U , 37 000 ,/
1 hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
SignatyZef G
M
CompanyName
?/,(Jas
Date
" Thisform is the responsibility of the General Contractor.
R- 90.00
41? City of Ealan
3830 Pilot Knob Road
EaganllN 55142
Phone: (651) 6755675
Fax: (651) 6755M
as??s
; --------------
3-- ;
?
?
; , ?'/
? ?
i ?
? -..-------------..?
2008 RESIDENTIA! BUILDING PERMIT APPUCATION
Date: ?'r I3'U SiteAddress:1 LA '1-13lZc,C?4C
TeneM: quftr
RESIDeNr/OwNER Nme: S? O-1i s Iae,i dA_ sc?lccch?mn ahoro:
Addrmi cky/Zlp:
qppfrcaM is: _ Oxmer _4Contractor
TYPE'OFWORK o?ofwo& TFA?'? nFF } 1?? 1-00? '(c.(el..54
Construcxioncost: ,`? ??5,`? tdultFFamdYeMB: (Yes-/WoZL.)
CONTRAGTOR Neme:
?
Address:
czay: ?I1«'vtfe' _scw:_mlY 7ip:?
Phone: c051 • y*A9-uD0 Conmot Person: KCX?? -- -
COMPLETE THIS AREA ONlY IF CONSTRUCTiNQ A SIEW BUILDING
Me?nesoffi Rules 7670 Catecorv 1 _ Mmncma Rufes 7672
Ener9Y CodE . RoOdw" Verdilatlm.Cazagory 7 Wkt" • New 6OWl:ode WoMeheet
uwgory SLbifted : 8L&WW
(J aubrnismim type) • EmW Bnelepe Ogdaft0^s &bvftd .
u, Me mst 12 monnw, has me Ciey ot EaOan iMued a pumit ter a ahNmr Phn eeeed on a masEa ptan?
_Y85 _NO If y88, ddt2 811d BddfESS of tp86Wp12f1:
LIcwww PItY11bBl: WIOlIB:
Madranieai CoM?eCtOr. PhOnB: Sewer & Water
? webY aomowwp dw tltts Mrmatlon's cmoo atd i
Enan; tlei i tuqwwaeW tlut a not a pannR, 6i8 aNy an a
atcadenos witlb tlia eppro.ed qan on Ns eae d woAEridr]1
x 1?1- l?l?h?v?uc?
apptieaM's P?aiteci Name
pertnit eld wotk 8etert wf?wut a Dermfi tlmt the.wak wM 0 ? 6 in
ieN elp q*MVal at PIeM .
xyl? -
Appgwnft SWOre Pap t of 3
'n- r& an
i ~«ma gee: 90 t
3830 Pilot Knob Road Date Received:
Eagan MN 55122
Phone: (651) 675.5675 1 Staff !
Fax: (651) 675.5694
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 13/t;` Site Address: I12t] ( a Q
Tenant' Suite
RESIDENT / OWNER Name:. SL f ~t c t Jcc'1e 1~~"NY~C u 1 Phone: t`,! -L
Address / City ! Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi Family Bw'iding: (Yes 1 No
t ucense : ) (J9
CONTRACTOR Name:
Address: ,
Cry: H\ker state: _(Y1l~Y Zip: 550
Phone: Contact Person: , (n
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Ruffs 7670 t;ateoorv 1 N11hrmota Ru7872
Energy Code . Res *x" Ventilation Calegory 1 Worksheet . New Energy Code Wodisheet
S
Category Sulzfted
(J submission type) C
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: Ph":
Mechanical Contractor: Phone:
Sewer & Water Contractor. Phone:
I hereby =Iwwtedge that this information is complete and murals; ttist the work will be in aoftmw4e with the adnancee and codes of the Cay ct
aagam that t urrdeortand this is not a permit, but only an pion for a permit, and work is not to -start without a permit: that ft work we be in
a=rdam w th Me approved plan in the Me of worth, which mgtares a review and approvau of plans.
Appr,cant's Printed Name ApW 's Signature Pap t of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115847
Date Issued:10/01/2013
Permit Category:ePermit
Site Address: 1670 Oakbrooke Cir
Lot:13 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-130
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Scott C Schachtman
1670 Oakbrooke Cir
Eagan MN 55122
Homebase Builders Inc
15235 Danbury Avenue West
Rosemount MN 55068
(612) 414-0864
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140963
Date Issued:02/03/2017
Permit Category:ePermit
Site Address: 1670 Oakbrooke Cir
Lot:13 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-130
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.
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 -
Scott C Schachtman
1670 Oakbrooke Cir
Eagan MN 55122
(952) 894-0005
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:EA145302
Date Issued:09/05/2017
Permit Category:ePermit
Site Address: 1670 Oakbrooke Cir
Lot:13 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Scott C Schachtman
1670 Oakbrooke Cir
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature