1692 Oakbrooke WayAddTOSS 1642 OAR3ROOKE WAY Z1p 55122
IAt 18 Blk I Sub OAKSk00KE 41H
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 'J Yes No Inspector: Z
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roo{test caps from the plum6ing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ?
White - Cily Copy Yellow - Resident Copy Pink - Contracror Copy
.. .. .. _. .?'t:'
. . . . . ?:. ..
Site address: 16qrL- ??levr? ?c- Lot? Block 6 1 Subd: OS,Vb
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 requiqng that the following information be
submitted pnor to issuartce of a Certificate of Occupancy.
This structure: is constructed to meet minimum requirements of the Mn Energy Code„ ChapteN670
/ OR
% This sWcture: will be consVucted to meet more resVictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MDDEL BTU'S' VENTINGFYPE
Waler Heater
Fumace
?u,. r e 3 ??. ? ?
? ??;¢
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM'S . VENTED
vES No
Kitchen kitcfien
Bathrooml ?U ?uS ? ki3 f
Bathroom2 ?,??05-,U? ?
Batnroom 3 "
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S 4ENTING
DIRECT ATMOS
1 ,{WUG-Ic .7 oao
MAKE•UP AIR MOOEL TYPE CFM's
d3 -RZAur.---
I hereby acknowledge that the a6ove informaGon is cortect and agree to comply with the Minnesota Energg Code and City af Eagan
requirements.
Si ture ,
?L 4•l,? ?
CompanyName
' This form is tlhe responsibility of the General Contractor.
?::.?
CITY USE ONLY
PERiYfIT % J%;w RECEIPT DATE: ?-1I1210
I
RESIDENTIAL M£CHA1VICAcL PMiT APPLICATiON
crrYoF ewsatx
3$80 PILOT KNOB RD
EAfltkA MIY 5518E
851-691-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 0 4
SITE ADDRESS:
?? ac?„ ov ac¢- u
v
OWNER NAME: TELEPHONE #: (QS 1 ??Je`Z S?CC?
(AREA CODE)
INSTALLER NAME: 4-'L'TELEPH0NE #: °/'';),
(AREA CODE)
STREETADDRESS: ?12 L( Izf'1dC.LZ_ ?cSCG(?7G12_ 4V_ S .
CITY: ???C(q yZ._- STATE:
Place a cheek mark next to the oermit work tvoe
It-C,J zip:
5537<?
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 $ 50
Total $
Reminder: Call for inspeetions.
r
SIGNA .U OF PERbIITTEE
Updated l/01
C1TY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE'
COMMEtCLAL MECHANICAL PERMIT APPLICATION
CiTY dF EAfiAN
3$30 PILOT KNOB itD
£A6AN, biN 55188
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
OWNERNAME: PHONE#: -
(9REA CODE)
TENANT NAME (I'VIPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SFACE? Y N. NAiVfE:
INSTALLER:
ADDRESS: PHONE #: .
. . (AREA CODE) . . ?
CITY: STATE: ZIP: ?
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify Nature of Work:
Wken insta!ling/rernoving underground tank, cal[ 651-681-4675 for iirspection by Fire Marshal and
Plumbing Iit:spector.
Fees: 1% of conaact price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1% _$ (Base Fee)
State surcharge calculare at $.50 for each S 1,000 Base Fee
TOTAL $
SIGNATURE OF PERNIITTEE
Updated 1/O1
, L BL CITY USE ONLY
?
SUeo. oakornn f& ??
RECElPT #
RECEIPT DATE: fl-;I -U 0
PERMIT# '??'h
2000 PLUNBING PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
? / 0 i? EAGAN, MN 55122
?j v 651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
A backflow preventer for underground sprinkler system
FfXTl1RES
EACH J1
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $ .?
Floor drain 3.00 x = $? /
Gaspipingoutlet 'mirtimum-i 3.00 x = $J'
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x -?
Laund tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurbished ' requiras MPC Ilc. 75.00 X = $
SEptIC SyStBRI abandonment 30.00 x = $
RPZ new installatioNrepaidrebuiltl 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x =
Underground sprinkler ifdwelling is underconstruction 3.00 x = $
Undergroundsprinkler ifexistingdwelling 30.00 x = $
Water cioset 3.00 x =
Water heater 3.00 x = $3
Water softener If dwelling under constructlon 5.00 x = $
Water softener if existing dwelling 30.00 x $
Water turnaround 30.00 x ---- _ $
State Surcharge 50 -? --> --> $ .50
rotal _, __> _W> ?_> S
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------------ ----- -••-•-------- -•------- ------------ ------- -•--•-----------------------------•-----
I hereby acknowledge that I have read this applicatlon, state that the infortnation is cortect, and agree to comply wdh all applicable City of Eagan ordinances.
It is the applicant's responsibility to notity the property owner that the Ci[y of Eagan assumes no liability for any damages caused by the City during its
normal operationai and maintenance adiviGel to the facildies wnstructed under this permit within City propertylrighFOf-way/easement.
SITE ADDRESS:
? l v
OWNER NAME: TELEPHONE #:
(AREA CODE)
INSTALLERNAME: TELEPHONE#: `9cJ?"?7C/????ZI
(AREA CODE)
STREET ADDRESS:
ciTV:
ZIP: ?
SIGNATURE OF PERMITTEE
?-
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
.
.
anr or enenir
3830 PILOT KNOB RD • 55121 S y`'j (o ?
? 851-881-4875
t-44 coi-L'o r I - g. o C)
l ? L _?' 1
D 3 reylsfxatl tlte wneYs WxYAV s4 R d b1. 94 R o(haw 2 copks ol Plan
and 91l roded aroai /10X rtwximum bf oovemae albwedl 1 fet of eneipy cadadoflans for haaf9d addllaro
D 2 COpl9f Of WCns (ftWw baOm 3 wlndow YzB0. PWred fiW. tl9llyM 61CJ 1 tlh AW9Y f W axtaAOr GdclMd1E R tlBCb
D 1 tet of 6nerpy CaleWatlqu
D 3 coplet W hee prewrvaMon plan H bl DloMad aRw 7/1/93
DATE: J/f 3 CONSTRUGTION COST: Z/4 Ff?P
DESCRIPfIONOFWORK: f:?eqIc ,RnA,F)y
SiREET ADDRESS:
LOT: ) 9 BLOCK: /_ SUBD./P.I.D.1:
Name: Phone t:
PROPERTY tast Fle!
OWNER
Sheef Addreas:
CHy
State:
Lp:
Company: 7 v/k- AM6 5 01" 101/iU Phone lf: bl'? 3(crS" d-(007
CONiRACTOR (crea code)
street nddreax / 3,55 hl???y ??ucense r/? Exp.
cnr o/60rPr de
16,,7g, sw?e: zu,: 551 a-o
ARCHfiECT/
ENGINEER Comparry: Name:
Telephone t: ( )
Sheet Addreas: ReglshaHon li:
city
Sfate:
ZIP:
Sewer/water licensed plumber (H trstailtna sawarlwatar): ?d?I (IYk ?l, Pfqnelk So? $9W v2I ;>4
I hereby ocknowledpe Ihat I have read ihle appBcalbn. siate Nwf 1he iNO?m Ibn le carecland apree b comply wilh a1 app6cabte 31aFe
of Minneaota Stalutea and City of Eapan Ordinancea.
Slprwhire of AppBcant
OFFICE USE ONLY
CeRificates of Survey Received ? Yes No
- - ? " ,--
' NOlr F1,01
Tree Preservatlon Plan Received Yes _ No ? Not Required ;
?. ..,..
OFFICE USE ONLY t
BUILDING PERMIT SUBTYPES
0 01 Foundation p 07 05-plex
lp 02 SF Dwelling O 08 06-plex
0 03 01 of _ piex O 09 07-plex
O 04 02-plex O 70 OB-plex
O 05 03plex O .11 10-plex
O OB 04-plex p 12 12-plex
WORK TYPE
[Y 31 New
13 32 Addition
0 33 Alteration
O 34 Repair
O 13 16plex O 21 Porch (3sea.) O 31 Ext Alt • Multl
? 77 Garage O 22 Porc.h/Addn. (4sea.) ? 33 Exc Alt - SF
0 18 Deck O 23 Porch (screened) p 36 Multl
O 19 Lower Level O 24 Stortn Damage
Pibg Y a_ N 0 25 Miscellaneous
0 20 Pool O 30 Accessory Bidg. O 36 Move Bldg. O 43 Reroof
O 37 Demolish (Bldg)• p 44 Siding
0 38 Demolish (Interior) O 45 Fire Repair
O 42 Demolish (Foundation) O 46 Windows/Doors
' Give PCA handout to applicant for demolltion permit
GENERAL INFORMATION
SAC Code
No. of Units _L
No. of Buildings
Const. (Actual) -
(Allowable) -
UBC Occupancy -
Zoning
# of Stories 506 sq. ft.
Length 7,o sq.ft.
Width 5' Footprint sq. ft.
Basement sq. ft. -+-IF409*7 Census Code
Main level sq. ft. trrL 7 MC/ES System
ja-k sq. ft. q4l 7 City Water
sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
0 Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
ciri sa,c
Water Conn.
Water Meter ••-
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Building WY Engineering Variance
Valuation: $ 1 f??
Ld/Po
1 6 (,-7 ks? --:7
yY7 ?
z O b1 ez CP ?--
rs-G
71 ! 5'd-'
??
/ D 7j 2 7U
"SAC Units
°15 SAC
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f }? 7.,- .:. ,.....-..
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---------
P9innae6ta4?'-
r
jCTION TXPE;?
I ? I 2"2000
,:.F PLarrs /;?.a1oo
DIAMONp
WPOftCFt EL 2
F ,
INFD:tMAT2QD7
n71 r=r
.,
F
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, . . ."'?iTr._^.,• PASSgS roF
J
,
,,
„i un -`
, .
26
? ;
, ,.
r .
, , .. ?, ao9
?
--- ? •`ter Than Coda
,.s
Area o.r. Cavity Cant. olazin_qjDors
i2-Value R-Value U-Vrl.tia
-'------- --___ _
---
r 1887 64 0_-0.0 -'---- •----...--
? T!, ` 7ood Frame,*' Y6" O.C. 1675 19.0 « 2.0 ]
"T `
: Windowe'or noors, Abova GrA9s 279 0.35d
38 0.350
I?pORS: LTT1h9gt9d, 42.0^ ine?.l, 206 ? ip.p
s:r1UIPMENTi ,P`urnace, 92.0 AFUE ?
-----------------
----------------------------------
?^"rr.''?.NCE 8'?'ATBMEi?Tr: R T;he ro• oeed ;buildinc desi9n 3?tlescribed here is
?•??i?it?nt with t'He;'bu`ll`ri.{ng: pYana, " 8pecificatzone, and otheY calculaticn=
a??r.r+itted with t2i??"r,pe'rtiit; "applicatioh :. The ro
de=iqrad tb meat bf rtH P Posed? buildittg has becn
.y ? qit?l men e Minneaata E4iergy Code:
F;. iid?z yu '
: /De?i?t? ;.'' '?'?;eg : r§ ++?;? `' ? r ? P
?z"ii rv a+ _..
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ad:?i+iPT??:?.?.
DATE: 10/8/00
JOB NO:
COMMUNITY:
ADDRESS:
MODELNAME
BUYERS NAME:
ADORESS:
HOME PHONE:
SALES REP.:
PULTE HOMES OF MINNESOTA
howlvl
JOB INITIATION ORDER
0550-218-01 LOT: 18 BLOCK: 1 UNIT:21801
OAKBROOKE INFINITY HOMES ADDITION: 4th
1692 Oakbrooke Way CITY: EAGAN STATE: MN
Diamond MODEL#: 17951 ELEVATION: 1 GARAGE:
qTY:
651-452-5200 eUSINESS PHONE: 651-452-5200
KATHEE SHELDON
STATE:
BUSINESS PHONE:
PHONE: 651-686-4643
ZIP: 55122
LEFT
ZIP:
7 17951 DIAMOND-SLAB $ 197,990
1 18015 ELEVATION #1 $ -
1 35039 4 SEASON POR'Ffi?-- $ 6,125
1 23005 2 TON AIR COND1T10NERf $ 1,650
1 36019 WATER LINEFI44I-IRE_ICEMAKER $ 125
F $
I
L $ ?
W
?
W
?
w
?
?
W
W -
$ -
$ '
S
THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER AND THE PUCHASER (S) FOR THE ABOVE ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERENTIDENT:
APPROVED BY SALES:
.?
?
Builders License # 0001371 E'Y 1 UOCT 1;2
i _
• 4
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
I
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PROPERTYLEGAL:
DATE OF SURVEY:
LATEST REVISION:
OOCUMENT STANDARDS
?
• Registered Land Surveyor signature and company
• BuildingPermftApplicant
• Legal description
• AddreSs
• North arrow and scale
• House type (rambler, walkout, split w/o, spfrt entry, lookout, etc.)
• Directional drainage arrows with slope/gradient °k
• Proposedlebsting sewer and water services 8 invert elevation
• SReetname
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existina
9/ ? o •
v Sewer service (or Proposed)
P
? ? • roperry comers
2/0 ? •
? Top of curb at the driveway
h
?
? •
? ElevaUons of any existing adjacent
omes
tilil
h
d
?
a y trenc
es
jacent u
Adequate footing depth of strucWres due to a
Prooosed
/
tr' o c • Garage floor
c,? ? ? •
v First floor
k
i
d
? ? • ow)
Lowest exposed elevation (wal
ouUw
n
a B/ ? • Properry corners
ra/?? • Front and rear of home at the foundation
PONDING AREA (d applicable)
? / ? • Easement fine
? rl ? • N4VL
? e • HWL
? ra?/ ?
d • Pond # designation
fl
i
?
? • Emergency Over
ow Elevat
on
DIMENSIONS
2-?? ? • Lot Iinesl8earings & dimensians
e' ??
? • Right-of-way and sVeet width (to back of curb)
'
a ? , porches, etc.
• Proposed home dimensions including any proposed decks, overhangs greater than 2
(i.e. all sVuctures requiring permanentfootings)
? c? ? • Show aU easements of record and any Ciry utilities wdhin thase easements
a- ??
v • Setbacks of proposed structure and sideyard setback of adjacent eps6ng sVUCtures
i
i
if
l
?
? remen
s,
a?n/y
• Retaining wal
requ
/7,d0
Reviewed:
March 1968
CRAIGIBLDOPRMT.FM
? i ? Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS ; Lot 18, Block t, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota County, Minnsota and
reserving easements of record.
s
x
942 0
?
poG°?o?o ?dE -a i
???l;
v/ 4529 E 82.
LOT
HSE.
LOT
SQ. F00TAGE
SQ. F00 TA GE
COVERAGE _
= 3,608
= 2,367
667o
,
?.
10
f 39?
RECEIVED NOV 4." 3 2000 '
,,. e-n
Plan # 17951 ? _,? . _ u . . . . . ..
PROPOSED ELEVATIONS
BENCHMARK, TNH@ 23,2,4/1
Top of Foundation = qq2,0 9910.'3
Garage Floor = 910,6
Basement Floor = Nia
Aprox. Sewer Service =92?.4*
Proposed Elev. _ ? MIN. SETBACK REQUIREMENTS
Existing Elev. _
Drainage Directions = Front -25 House Side -
Denotes Offset Stake =• scnLe: i incn - 30deet Rear - Garage Side-
JOB N0:
HEDL?/ND ' HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-534
Of THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERN AS SURVEVEP
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNlNG ENClN86RlNG SURV6YINC SHOW IMPROVEMENTS'OR ENCROACHMENTS, EXCEPT AS SHOWN.
2005 Pin Dak Drive
Eagan, MN 55122 DATE _1-21-a1/ -C-0 CAD FILE:
Phone: (651) 405-6600 JEF EY D. LINOGREN, LANO RVEYOR -
Fax: (651) 405-6606 MINNESOTA LICENSE NUMBER 14376 OAKBROOKE
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126407
Date Issued:08/25/2014
Permit Category:ePermit
Site Address: 1692 Oakbrooke Way
Lot:18 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-180
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 -
Penny Henderson
1692 Oakbrooke Way
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127803
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1692 Oakbrooke Way
Lot:18 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-180
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 .
Lisa Nyberg
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 -
Penny Henderson
1692 Oakbrooke Way
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature