1694 Oakbrooke Way. `:
BUILDING PERMIT APPLICATION
3830 PILOT KNOB RD - 55122 Da
y?y?3
I
651-681-4675
NewConetruetlonReaulremenM RemodeUReoairReaulrements C&llQd
• 3 registered site surveys showing sq. i4 ot lot, sq. R. of house; end all roofed areas -• 2 copies of plan
(20%maximum lat coverage allowed) . 1 set of Energy Calculatiore for healed addipans jlyl1
• 2 capies of plan showing beam & window skes; poured (ound design, etc.) • t stte survey for erteriar additions& decks
• 1 set of Energy Calculatlons • Indicete K home served by septic system (or additbns
• 3 copies of Tree Preservatian Flan if lot platted after 717193
• Rim Joist Delail Options selecGon sheel (6klgs xab 3 or less units)
DATE `-O)
JOB SITE
RESIDENTIAL
IF MULTI-fAMiLY BUILDING, HOW MANY UNITS?
PROPERTY OWNER?w?-
TYPE OF WORK FIREPLACE(S) _ 0-1 -2
APPLICANT ?`e_ PHONE#
ADDRESSV??S 1?kCv?AO-\A ?V\3&5, R?? -2,00 ZIPCODE YG122
PAGER # CELL PHONE # ?e)V., FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGOR
(check one) - Residential Ventilation Category 7 Worksheet ?Itt"' ?
- Energy Envelope CalculaUons Submitted `? , jJ?RY Z Z Z80 f I?
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor.
Plumbing System Includes:
Mechanical Contractor.
Mechanical System Includes:
Sewer/WaFer Contractor:
Phone #
Phone #
ree: $90.00
Fee: $70.00
All above information must be submitted prior to processing of applica6on.
I hereby acknowledge that I have read this application, state that the inform i n is conect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eag rdinances.
L
Slgnature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
Water Softener
_ Water Healer
? No. of Baths
VALUATION
Phone #:
Iawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
OFFICE USE ONLY '? • •
? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF
? 04 02-plex O 10 08-plex 'K18 Deck ? 23 Porch (screened) O 36 Multi
0 05 03-plex ? 11 70-plex ? 79 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 72-plex Plbg_Y or _ N 0 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Door3
O 34 Replacement 'Demolitlon (Entire Bldg oniy) - Give PCA handout to applicant
Valuation Occupancy MCIES System
Census Code M _3A Zoning City Water
SAC Units Stories Booster Pump
Nbr, of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
?
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By Building Inspector
REQUIRED INSPECTIONS
Footings (new bldg)
Footings(deck) FinallNo C.O.
Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
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
FinallC.O.
?
HVAC
?
4
?Addless 1694 OAKS300KE WAY Zip 5512 2
LAt I q Blk I Sub OAKBROOKE 4T@
THESE ITEMS WERE / WERE NOT COMPLEl'E AT THE TIME OF THE FINAL INSPECITON.
Date: S- I-G I Yes No Inspedor: ?
Final grade (6" from siding) xl?
Permanent steps (garage) ?
Permanent steps (main entry) ?
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcutb damage X
Porch
Basement 5nish X
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply W
the outside lawn faucet before freeze potential exisu.
Contact engineering division at 681-4645 beforo working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pinlc - Contractor Copy
j
Siteaddress: ?P.T Lot?j Blodc \ Subd. fcx1\16f_
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
This sWCture: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
r/ OR
= This structure: will be constructed to meet more restrictlve requirements of Chapters 7672 or 7674
APPLIANCE GAS EIEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater
?J
Fumace
Dryer
FJ(HAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathroom 1
o.nq ??
?
Bathroom 2
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATIdOS
000 -% OJ? ?
MAKE-UP AIR MODEL TYPE CFM's
u u? n?
I hereby acknowledge tlhat the ahove information is cortect and agree to comply with Ihe Minnesota Energy Code and City of Eagan
Date
CompanyName
This form is the responsibflity of the General Contractor.
I p I CITY USE ONLY
L BL RECEIPT #:
SUBD. OGU Y/Y06KU G'W1 RECEIPTDATE: ?I-?1 -vU
PERMIT# U•,/1,'r)?
2000 PLUNIDIN6 PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, hIN 55122
651-681-4675
Please complete for: ? singie family dwellings
? Townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x $
Floordrain 3.00 x $3?
Gas piping outlet * minimum - 1 3.00 x $,3
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x
Laundry tray 3.00 x = $
Lavatory 3.00 x = $ ?
SeptlC System newlrefurbished ' requires MPC lic. 75.00 X = $
Septic SysteYll abandonment 30.00 x = $
RPZ new installation/repair/rebuild 30.00 x = $
Rough apening 1.50 x = $
Shower 3.00 x ly-
Undergroundsprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler ifexisting dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 100 x I =
Watef Softellef if dweliing under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Waterturnaround 30.00 x --- _ $
State Surcharge 50 --> ----> --> $ 50
Total --n --> ---> ._._>
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------- ------ -------- -- --------------------------- --- ----------- • ----------------------- ------------------------- •-------------------
I here6y acknowledge that I have read this application, state that the infortnation is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during @s
normal operational and maintenance activities to the facilities constructed undar this permit within City property/right-of-wayleasement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY:
TELEPHONE #:
(AREA COOE)
TELEPHONE #:
(AREA CODE)
SIGNATURE OF PERMITTEE
P.
_ - ?z -'-?-- . ,
i--_-----_ -- -
?--
? ?-' 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
crrr or eacA+r
3830 PILOT KNOB RD - 55122 ?
851-881-4675
D J reytaterod Me wrva" 7howiny sq. M1 d W. w. n. a naaa
aftl go roofed areat (2096 maximum bt coveroae Wlowadf
D 4 COpipo d WOma (show beam d wlMbw aizer, Poured hd deaigm atc.)
D 1 teT of eneryy cdcWOllaru
D S caplas of lrae Prosarvcllon plm M bf plaMad edpr 7/1/93
DAiE: Xoa
'1'1 6, bj
Called 1I'I4-00
2 coplet d plan
, ss? a eneffly cca«aan«u ra neorea aaanom ?rn
tsile swrer ror a?dana atlmxorn a decw
CONSTRUCTION C05F. Il io o oe?o
DESCRIP'nON OF WORK: NP1.U ?.r?k'nLff
sMEr aouRfss: & 9 /cE
tor: -I -? sLocK I_ sueD./r.I.o.#: a-1n
Name• Phone t:
PROPERTY Iast Flral
OWNER
Street Addreas:
CNy
State:
Lp:
ComPanY ` r,I'4f ?fess Phone #: CA2-
(area code)
CONiRACTOR
Shaet Adcfreac 13?ff?? ft?'Gh'-7? LJcense i l37/ Exp. 3?00
Cny /Amzz,;,.,4m state• /y1W zip• 5S/a-o
ARCHITECT/
EN6INEER Compnny: Name:
Telephone #: ( )
Sheet Addresa: Regisfratlon S:
citY
Sewer/weter Ilcenaed
Zip:
5?9a a/?1
Pna,e rr r'950-1
I harebY acknowledpe that I have read this appBcalion, atafe ihaf the kOoffna"b cortecf, cmd agnee b comply wHh W opp8cable 9tale
W Mlnneaola Slahitea and Cify o( Eapan Ordinanees.
Sipnalure of Applicant ????z
Certificates of Survey Received
?
_ Yes
OFFICE USE ONLY
_ No
Tree Preservatlon Plan Received _ Yes _ No
Sfate:
Uj'L-36°I-2(o(q
-)L Not Required
i??00.?
NOu, ?0
BUILDING PERMIT SUBTYPES
O Ot Foundation p 07 OS-plex
W 02 SF Dweliing p OS 08-plex
Q 03 01 of _ plax ? 09 07-plex
O 04 02-plett ? 10 08-plex
O 05 03-plax ? .11 10-plex
0 os oa-Plax o 12 12-plex
WORK TYPE
? 31 New
32 Addition
O 33 Alteration
O 34 Repair
OFFICE USE ONLY
O 13 16-plex O 21 Porch (3-sea.) O
O 17 Caarage O 22 Porch/Addn. (4-sea.) O
0 18 Deck ? 23 Porch (screened) O
0 19 Lower Level ? 24 Stortn Damage
Fltp Yor_N O 25 Miscellaneous
0 20 Pool ?' 30 Accessory Bldg. '
O 36 Move Bldg. O 43 Reroof
0 37 Demolish (Bldg)• p 44 Siding
0 38 Demolish (Interior) p 45 Fire Repair
0 42 Demolish (Foundation) O 46 Windows/Doors
" Give PCA handout W applicant for demolition permit
GENERAL INFORMATION
SAC Code UL
No. of Units
No. of Buildings
Const. (Adual)
(Allowable)
UBC Occupancy
2oning P-
# of Stories , sq. ft.
Length --1--1/-J/- sq.ft.
Width .38" Footprint sq. ft.
Basement sq. ft. >aS Census Code
Main levei sq. ft. /. MC/ES System
d" sq. ft. Y? Ciiy Water
sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
0 Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposft
S/W Permit
S!W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total:
Building
? Engineering Variance
?-
Valuation: $
dA?? z'
!?'l/?,?A?? EUE C
krs= 19S'?smc
t"33Cz1x-W =
°7d ?7.-?4 ? a6
?
XLIa
/
r
ti
31 Ext Alt - Multl
33 Ect. Alt • SF
38 MuIU
SAC Units
% SAC
of
,
'L
n
N
1
?L
?
C
0
Q47? 2
Ja? o? ?
:?';d 11
?
/? ?
?l o ?
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z ?
?
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
? legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split wlo, split enVy, lookout, etc.)
• Directional drainage arraws with slope/gradient %
• Proposedlewsting sewer and water services & invert elevation
• Sheetname
• Drrveway
• Lot Square Footage
• Lot Caverege
ELEVATIONS
? ?
7 FY ?
a ??
Y '? o
?? ?
?o ?
?
?o ?
o ?
Exis4na
• Sewer service (or Praposed)
• Property corners
• Top of curb at the driveway
• Elevations of any existing adjacent homes
Adequate footing depth of structures due to adjacent u6liiy trenches
Prooosed
• Garagefloor
• First floor
• Lowest exposed elevatlon (walkouf/,vindow)
• Property corners
• Front and rear of home at the foundation
PONDING AREA (if applicable)
o ff /? • Easement line
? cY o • NWL
o ? ? • HWL
? ? • Pond # designation
? G+' ? • Emergency Overflow Elevation
DIMENSIONS
o ? • Lot tines/Hearings & dimensians
?f ?? • Right-of-way and street width (to back of curb)
? c o • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
a? • Show all easements af record and any Ciry utilibes within tbose easements
?r o o • Setbacks of proposed sVucture and sideyard setback of adjacent ebsting strudures
? o • Retainingwall requiremenis, Aany _ Z?'
Reviewed:
March 7998
GRAICaBLO(+PRMT.iM
/
f? .
MPi, *}1 1- "')P4PLIANCF REPORT
Miiiii ,?i -i F;nv,.r:gy Code
MCIr'I?' , 1 r?nftware Versi_on 3.0
COnni.. i??Y,nY_a
,S1'P'I'i I+I??nssoY_a
70I11
C0?'T "I i"r"I'IOT7 'I'VPP: Sinyle Farnily
D11'ti: s ' 2000
nn'ir'. ?I'l,nN,s: 813100
TT7''-? ? I'r'I.47'AL WALKOUT ELEVA'I'IQAS ff2
(,'OP9i I . , .-?.n, ?t?, : PA?4?q PS
Fermit
Checked by/Date
Rn,;n I i7\ - 'P r
yr)n, , ..m„ 2f35
26 . ? "f t ^r 'I'}ian Code
Area or Cavity Cont. Glazing/Doo1-
per_i_meter R-Value R-Value U-Value
CF7! 1 " " 1.342 44.0 0.0
YIAiJPr_ame, 1.6" O.C. 1986 19.0 2.0 1
WAT! '!,",-3 Fr_-ame, 16" O_C. 169 10.0 2.0
B??711 ,,,, 9.ht/f3.3' bg/9.0' iiist.i.L 172 11.0 0.0
gct1i ..... . 3.5 ht/3.1' bg/3. ;' insu]. 20 1.0.0 0.0
GLT_;v7indows or poors, Above Grade 294 0.350 1
DOO ?" ' 38 0.350
HVTV' "i1PMENT: Furna(--,e, 92.0 AFUE
-- -------- - ---- - -- - ------------- - - ------------ - ---------------
CoMri i.+rJI_T STA't'EMENT: The proposed building design described here is
conl-i,t^nt with the building plans, specifications, and other calculations
submii:t:ed with the permit application. The proposed building has been
des:i<,vied to meet the requirements of the Minnesota Energy Code.
E3ui 1-1-1 !L)-aigner._????? ??' Date-?1"??
DATE:
JOB NO:
COMMUNITY:
ADDRESS:
MODEL NAME:
? PULTE HOMES OF MINNESOTA
JOB INITIATION ORDER
10/8/00
0550-219-01 LOT: 19 BLOCK: 1
Oakbrooke Infinity Homes ADDITION: 4th
1694 Oakbrooke Way CITY: Eagan STATE:
Bristol L.O. MODEL#: 17933 ELEVATION: 2 GARAGE:
BUYERS NAME: Spec
UNIT: 21901
MN ZIP:55122
LEFT
ADDRESS: CITY: STATE: ZIP:
HOME PHONE: 651-452-5200 BUS. PHONE: 651-452-5200 BUS. PHONE:
SAIES REP.: Kathee Sheldon PHONE: 651-686-4643
?G 3
1 17933 BRISTOL-L.O. $193,990
1 00000 Lot Premium gp
1 18023 ELEVATION #2 $1,575
1 23006 2 112 TON AIR CONDITIONER $1,850
1 36019 WATER LINE FUTURE ICEMAKER $125
1 31011 LAUNDRY TUB SNGL COMPRTMNT $275
I $0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$D
$0
$0
$0
$0
TOTAL $197, 815
THIS CONSTITUTES A CONTR4CT BETWEEN THE SELLER AND THE PUCHASER (5) FOR THE ABOVE ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERENTIDENT:
APPROVED BY SALES:
BITD CS r;
Builders License # 0001371
CITY USE ONLY
PERMIT #: ?/ ?? 7 RECEIPT DATE: /"' ? I UI
RUII}ENTIAL 1KECHALNICAI. PERMIT APPLICATtON
crrYaF Eaetkx
ssso Pu.or xxos ttn
SA6AAi MR 55122
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: F"aq-M
SITE ADDRESS: `1M CJ"W'\ YO Uk
OWNERNAME: Pl?\YE' _ ktf)YY\Q` TELEPHONE#: LQ51 1-I52-?-rj'aOQ
(AREA CODE)
INSTALLER NAME:( L?A1 ?A\? Ql? YZG
°S'? TELEPHONE #: 5oZ
?
0 (AREA CODE)
STREETADDRESS: )00 - S
CITY: S STATE: t41J 21P: FJ5 ?`j
Plar.e a cMeck mark neYt to the oermit work tvoe - - '
f
New residential dwelling unit under constructionand not owner/occupied
$ 70.00
Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work:
State Surchar e $ .50
Total $ 76)' 6-D
Reminder: Ca[l far inspections.
>Z1 "??
SIGN T RE OF PERMITTEE
llpdated 1/Ol
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
CObIMERCIAI.14iECH4NICAI. PEiMIT APPLICATION
CITY OF EA6AN
3$90 PILOT KNOB itD
£AfuRN, MN 5518E
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 r1DURESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT PV THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
SpeciFy Nature of Work
When installing/removing underground tank, ca11 651-681-4675 for inspection by Fire Marshal and
Plumbing linspector.
Fees: 1% of contrac[ price OR $50.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contractprice: $ xl%=$ (BaseFee)
State surcharge calculate at $.50 for each S 1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
.`
Updated U01
PERMIT # RECEIPT DATE:
ftESIDENTIAL PLU14I$IN6 PUM1T APPLICATION
crrYoF F.Ae"
SSSO PILOT KNOB RD
SAc&AN, h1N 5518E
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
r
OWNER NAME: : TELEPHONE #: ( c?I=454 - gSSZ
(AREA CODE)
INSTALLER NAME: JA16--kU TP_GZ?M?I TELEPHONE #: 95Z -?(J?'J- y??!3
"? ?1
STREETADDRESS: I1?-tS`t (?,oojI and ?(ti? (AREA CODE)
crrv: Lwke
Place a check mark next to the permit work type
STATE: MNI ZIP: 55U44
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature ofwork: ._L1^fSl&? ? yVCI&y S>r?('fYTP?_
Septic System, new/refurbished - $ 225.00
? • includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total
' ? ?? ??
Il ?r II
?
I
Reminder. Be sure to schedule inspections of alterations, i.e.
I here6y acknowledge that I have read this applicatlon, state that the information is
It is the applicanYS responsibility to notify the property owner that the City of E
normal operational and maintenance activities W the facilities wnstructed und
water heaters, w', fl ier?fte?n?r?,?t ? .
agree to comply with all Lpplicable City of Eagan ordin
o lia6ility for any dary"ages caused 6y the City dw
ith n CiTy property/right-V? Vay/easement.
OF
Updated 1/01
ag' 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4.9010-
&g.t.et illP jO N
New Consirucbon Reauirements RemodaVReoairReauirements
3 registered site surveys showing sq. R of lot, sq. R W house; and all roofad areas 2 copies of plan (20% maximum lot coverage allowed) 7 set of Energy Calculetlans for heated add'Nons
2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey for additions 8 decks
isetofEnergyCalculations Addition-Mdlcatelfortsltesepticsystem _ .._ ,
3 copies af Trce Preservation Plan if lot platted aiter 711193
Rim Joist Detail Options selection shcet (6k1gs wAh 3 or less units
Date 0 1 / _ o ?- / 0L
Site Address ? ?p%? 016\ K3I'L0(J ?-16 k N Construckon Cost 2-0 ??
g'"'f Unit/Ste #
Description of Work ? M:F kri ?j lej C?
Multi-Family Bldg _ Y ? N Fireplace(s) /0 _ 1 _ 2
Property Owner K? m Telephone # ( V5t ) ?S4' L65-1.-
Contractor QN T VC'n NJ
Address 1/JA'1' l-rt C
state M I r'1 IJ - lV?L' lI?-
zip SSl ZPI City C7 i-''
Telephone #(!pS I) ZS 3- 5 31?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mim?esota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanicai Contractor
Sewer/Water Contractor
Telephone#( ) - --I?
Telephone #( ) , I ? I
JAU u 5 2004 Telephone#(
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 wark which requires a review and
approval ofplans. h
\-?f ? R. ?A' ol??.T
ApplicanYs Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidc
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) [3 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior, ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
)< 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolitlon (Entire BIdg) - Give PCA handout to applicant
Valuation ?P Occupancy MCES System
Census Code ? g City Water
SAC Units s Booster Pump
# of Units Sq
. PRV
# of Bldgs h Fire Sprinkiered
Type of Const 7
EQUI D INSPEC NS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addifion) Plumbing
_ Foundation Y HVAC
Drain Tile 1 ? Other
Roof
Ice & Water Final Au/Gas T
Ftgs
Pool ests Final
?
_
Framing _
= =
=
Siding Stucco Stone Brick
Fireplace _ R.I. _ AuTest
Final Windows
? Insulation _
_
_ Refaining Wall
Approved By: ? Li , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Tota l
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,?'j 4 ?G7
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Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 19, Block 1, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota County, Minnsota and
reserving easements of record.
iy
. ' ._:i3Ti?T // /? ? ? ( { .
. .n.?.. . .:.". l . .
x 9'•
qLo-.o_
LOl SQ, rvviHGc = 3,080
HSE. SQ. FOOTAGE = 1,806
?
LOT COVERAGE = 58%
` {^?/,/ yS) i?? / }
p ?O?O,., p? ? ??J1?? ?
v i
61
Plon # 17933
PROPOSED ELEVATIONS
Top of Foundation = 4qi.0
Garage Floor =939.8
Basement Floor =q32•o
Aprox. Sewer Service = q2?,6±
Proposed Elev.
Existing Elev.
Drainage Directions =-
Denotes Offset Stake = .
SCALE: 1 Inch - 30 feat
BENCHMARKTNHLD 22.23/1
Eleu =43(0,13
MIN. SETBACK REQUIREMENTS ,
Front -25 House Side -
Rear - Garage Side- i
JOB N0:
H?????? I HEREBY CERIIFY THAT THIS IS A TRUE ANO CORRECT REPRESENTA710N OOR-535
OF THE BOUNDARIES OF THE ABOVE OESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND OOES NOT PURPORT TO 800K: PAGE:
PLANNlNG 6NCINh'6RIN0 SURV6YlNC SHOW IMPROVEMENTS OR ENCROACHMENTS, ExCEPT AS MOYM.
2005 Pin Oak Drive
Eogan, MN 55122 OATE 11/?_/SL ?• ?? CAO FILE:
Phona: (651) 405-6600 R . LINOGR N, I.AND 44VEYOR
Fax: (651) 405-6606 N TA UCENSE NUMBEft 14378 OAKBROOKE
. lr
,?..-, FdFCP711/FR fipw?
Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lat is, Block 1, OAKBROOKE 4TH ADDITION, CiFy of Eagan, Dakota County, Minnsota and
reserving easements of record.
m x mp ae&
x9:
9,?.•O_
Lvr ?;O. rvuIAUt = J,vL5v
HSE. SQ. FOOTAGE = 1,806
LOT COVERAGE" = 58%
Plan # 17933
PROPOSED ELEVATIONS
Top of Foundation = qqi.o
Garage Floor =939,8
8asement Floor =932.0
Aprox. Sewer Service = 92e..6t
Proposed Elev. = 0
Existing Elev. _
Drainage Directions =
Denotes Offset 5take =. SCALE: 1 Inoh - ao reec
BENCHMARK, rNH6) 2223/1
'r1eu+43(o,I3
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Rear - Garage Side-
JOB N0:
H??L??? I HEREBY CERTIFY THAT TNIS IS A TRUE AND CORRECT REPRESENTATION OOR-535
OF THE BOUNOARIES OF 7HE ABOVE DESCRIBED PROPERTY AS SURVEYEO
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORI TO BOOK: PAGE:
PLANNINC 6NCINdERING SURV6YINC SMOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS HOWN.
2045 Pin Oak Driva ?)/?_/M
Eagan, MN 55122 DA7E 11 Sl2 ?• ? CAD FILE:
Phona: (651) 405-6600 R . LINDCR.N, LAND ?EYOR
Faz: (851) 405-6608 N TA UCENSE NUMBEft 14378 OAKBROOKE
Jr?
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105492
Date Issued: 07/17/2012
Permit Category: ePermit
Site Address: 1694 Oakbrooke Way
Lot: 19 Block: 1 Addition: Oakbrooke 4th
PID: 10-53763-01-190
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 7,700.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Krech Exteriors Inc Kimberly A Price
5866 Blackshire Path 1694 Oakbrooke Way
Inver Grove Heights MN 55076 Eagan MN 55122
(651) 688-6368
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126406
Date Issued:08/25/2014
Permit Category:ePermit
Site Address: 1694 Oakbrooke Way
Lot:19 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-190
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 -
Kimberly A Price
1694 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:EA127804
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1694 Oakbrooke Way
Lot:19 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-190
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 -
Kimberly A Price
1694 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:Mechanical
Permit Number:EA173386
Date Issued:11/09/2021
Permit Category:ePermit
Site Address: 1694 Oakbrooke Way
Lot:19 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Kimberly Asher Price
1694 Oakbrooke Way
Eagan MN 55122
(651) 230-9888
Total Home Solutions Llc
1008 Prospect Pt Rd
Jordan MN 55352
(952) 207-6995
Applicant/Permitee: Signature Issued By: Signature