1696 Oakbrooke WayAddress 1596 OAY.SBOOKE WAY ZIp 5512 2
Lot 20 Blk !
Sub OAKSROOY.c 4TH
THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspector. 'Z
Final grade (6" from siding)
Peimanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish P &&jT? a-Ln
Deck
Please verify with the builder the removal of rodi test caps from the plumbing system and the shutroff of watet supply to
the outside Iawn faucet before freeze potentlal exists.
Contact engineering division at 681-4645 before working in rightof-way or installing undetground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - ConUactor Copy
? ? ?%'5?
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILDT KNOB RD, EAGAN MN 55122
651-681-4675
New Canstructlon ReauiremeMs
• 3 registered site surveys showir?g sq. R of lol, Sq. ft. of house; and all roofed areas
(20% marimum lot coverage aNowed)
. 2 copies of plan showing beam 8 window saes; poured found design, etc.)
• 1 sef ot Energy Calculalians
. 3 copies of Tree Preservalian Plan if bl platted after 711193
. Rim Joist Datail Options selection sheet (bldgs with 3 or less unAS)
DATE
r ?
?
1v
RemodellRenair ReaWrements
• 2 copies of plan
• 1 sel of Energy CalcWatlons for heated addNons
• 1 site survey farexteaior additions & decks
• Indicate it home served 6y septic system for additionS
VALUATION
1a??
cR
vr
Wo
SITE ADDRESS I696 C/ak'hI?7d)z2? L,k4q MULTI-FAMILY BLDG Y kN
TYPE OF WORK ?q ±SJ7??? ?tSEMGR? FIREPLACE(S) _ 0 x 1_ 2
APPLICANT rurt Er,GkSon
STREET ADDRESS
Fcvke
TELEPHONE #(Gq) 1-N5k'X,75 CELL PHONE #
FAX #
PROPERTYOWNER 6 f't E T'G?76d/? TELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONIY
Energy Code Category _ MINNESOTA RliLES 7670 CATEGORY 1 MINAir9r?s 741
(J submission type) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalculaUons Su6mitted L
L I1 In1 I^C, 9 Zn?? .
Piumbing Contractor: __
Plumbing system includcs:
Mechanicai Conhactor:
Mechanical system includes:
Sewer/Water Contractor:
Air Condiuoning
Hcat Recovery System
Phone #
Phone #
Pee: $70.00
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. I
Signafure of ApplicanT %Lj&
.... _........... -----_.__.._........... ----_--................... _.____----....... -'.... ...._?....__.___.........._....
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4102
_ Water Softener
_ Water Heater
No. of Baths
_ Phone #
Lawn Spnnkler
No. of R.I. Baths
C a.9,-Q_9.u' J ci __'Sck_i ? 13;?P
Ea, a?_srare MA) zIP sS-t aa
OFFICE USE ONLY
? Ot Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 18-plex
? OS 06-plex ? 16 Fireplace
0 09 07-plex ? 77 Garage
? 10 OS-plex ?
? 11 10-p1 ? 19 Lower L ve
? 12 12-plex bg_Y or_ N
q 20 Pool
q 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Att - SF
O 36 Multi
? 31 New
? 32 AddiUon
33 Alterati
? 34 Replacement
,W 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy 2- ? MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ?V? W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? Final/No C.O.
_ Footings (addirion) _ plumbing
_ Foundation ? HVAC
_ Drain Tite Other
Roof 1ce & Water _ Final Pool Ftgs Au/Gas Tests Final
? Framing _ Siding Stucco Stone ?
_ Fireplace ? R.I. _ Air Test _ Final _ Windows (new/replacement)
? Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
license Search
Copies
Other
Total
Building Inspector
L?l.uf'4 ),edC/ 7c>.0 0
CITY USE ONLY
PERMIT #: RECEIPT DATE: Z'?IYI PJ I _
T
KSIDEN'I7AL M£CHMICAI. P"MIT APPLICATION
CTfY OF BAfiAR
ssso PaoT icxos sn
F-a?sM auv 551 aE
65I-6$1-4695
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: C% - or), - b ?
SITE ADDRESS:
U
OWNERNAME: ?UI Yl-u_S TELEPHONE#: Fo51 ?/?a-5 _),ob
(AREA CODE)
INSTALLER NAME: S?I ICQ. I-I12-Gk-bYtG TELEPHONE #: 95oZ ?'!cY U?OS
(AREA CODE)
STREETADDRESS: 014g I Y--Ftt)d.Q ISiG2-(!& Pfu- S•
CITY: QCa 0... STATE tL'?IJ ZIP: 5-5 3'7
Olo .-6o.-L m rL n vi 4n ikn nnrmi} wneL fann
-? New residentiai 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 $ 705Z7 ''
Reminder: Call fbr inspections: ?
_ _. .. .? _
, ,. _ -. . .. . . ??
SIG A RE OF PEILYIITTEE .
A?Z
'' Updared 1101
CITY USE ONLY
PERMIT #:
APPROVED BY:
RECEIPT DATE:
INSPECTOR
COMMEitCLAL M£CH"CAI. PEftM1T APP11CATION
CTfYOF Frk&ikN
S$SO PILOT 1CNOB RD
EA6AN, bIN 551 EE
651-681-4675
Piease complete for: all commerciallindustrial buildings
multi-family buildings when separate permits are not required foreach dweiling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE) TENANT NAME (IMPROVEMENTS ONLl):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
STATE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
Specify Nawre of Work
When dnstalling/remaving underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing lixspectnr.
Fees: l% oF con[ract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = mininxum fee
Contract price: $ x 1%_$ (Base Fee)
State surcharge calculate at 5.50 for each $1,000 Base Fee
TOTAL s
PHONE #: -
T- . . (AREA CODE) ' . .
SIGNATURE OF PERMITTEE
Updated UO!
L 1? D gL I CITY USE ONLY
SUBO. () a k?ir a o ke, U i-tq
RECEIPT ii:
RECEIPT DATE: I I-h Ill/ l1
PERMIT# -lk YM b f /
8U00 PL(JM$INfi PEfiMTl' (RESIDEN11l1L)
crrY oF sa?sm
t ? 3930 raoT Kxoe sn
l:AHRft.1HA 55122
651-6$1-4675
Piease complete for: ? single family dwellings
9 townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
rIYri iocc E4CH
TOTAL
Alterations to existing dwelling - minimum fee
Describe: S 30.00
Bath tub $ 3.00 x = $ -?
Floor drain 3.00 x = $ ?
Gas i in outlet ' minimum -1 3.00
Hot tub/s a 3.00
Kitchen sink 3.00
Laund tra 3.00
Lavato 3.00
$6 tiC S stem new/refurdished requires MPC Ilc. 75.00
Se tic S stem abandonment
30.00 t v
RpZ new installation/repaidrebuild 30.00
Rou h o enin 1.50
Shower 3.00
Under round s rinkler if dwel 3.00
Uf?der rOUnd s fitlkl6f if existi
'n 30.00
30.00
Watercioset 3.00 x = $
Waterheater 3.00 x
=
W ater softener I/ dw 5.00 x $
Water softener if exi 30.00 x = $
Waterturnaround 30.00 x $
State Surchar e 50 --> ----> ----> $ .50
Total -' --' ---? ----> $ 3?-
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------------------------------------------------------- •-----------------------------------------------------------------'
I hereby acknowledge that I have read this applicaGon, stale Nat fhe information is correc[, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the applicanfs responsibiliTy to notify the property owner Ihat the City of Eagan assumes no liability for any damages Caused by ihe City during its nortnal
opera[ional and maintenance activities to the facilities consVUCted under this permit within City property/right-of-wayleasement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #:
(AREA CODE)
TELEPHONE #: 4??2' `f 2 - /
(AREA CODE)
CITY:
ATE:
zip: 3 ?-
SIGNATURE OF PERMITTEE
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
crTr or eacar
3830 PILOT KNOB Rp • 35122 4
851-881-4875
I'loMLConttn,eeon ReaWre mema ? 44
" (? u_`
> a reoftrea,ne wnen MvMny sy. n. a wr, w. n. naua
ond gD rootetl arern (20% mmdmum lot coveraaa albwedf
D 2 coDles of Waro (rtww beam d wintlow tlzea; Pauretl fia tleaign: Wc.)
? 1 fet of eneryy cdcWaXOra
> 3 coPlee of hae PreYervatbn pim M bf WaMad aftar 7/1N3
DATE: II??3/do C
-UCD
2 oople: a phn
1 seT of eneryy cadaAaliaru tor healed addNOrq
I rro wner ror exten« adcl9oru s aecw
COST: IIO.OE)d
DESCRIPTIONOFWORK: NEAA CQnJs?R.,J t_ F5;?`Z'
SiREET ADDRESS:
LOT: a 0 BLOCK: S18D./P.I.D. i:
Name• Phone S•
PROPERiY taat flrd
OWNER
Sheet Address:
CHy State: Zip:
Company: u/k ANra-, Phone?t: (c?{a- ?ib9-a-fo0'?
(area code)
CONTRACTOR
Sheet AddreaxJ-25`3' N?sF Llcense ? r37l
CRY State: /f/l 23p; e5?73?-0
ARCHITECT/
EN6INEER Company: Name:
Telephone #: ( )
Shee1 Addreaa; Registroflon #:
City Sfate: Lp:
Sewerlwater licensed
1 herebY xknowledpe Mat 1 have read thh applicalbn, alate ihat ihe
of Minneaota Stafufea and Ciiy ot Eagan Ordinonees.
CBrtifiCates of Survey Received Yes
Tree Preservation Plan Received -- Yes
Phona #: I,??'??' ?
4 cortect, mid apree b eompty wiM al appBcdbie State
Siyiwhire of ApplicanF.
OFFICE USE ONLY I ' ''- .;
? Air;? 2000
No
a No ? Not Required
??
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundatlon p 07 05-plex
¢D 02 SF DweNing ? 08 Og.plex
0 03 01 of _ piex p 09 07-plex
O 04 02-plex p 10 08-plex
O 05 03-plex ? .17 10plex
0 os oa-alex o 12 12.plax
WORK TYPE
? 31 New
32 Addition
C3 33 Alteration
O 34 Repair
0 13 16-plex O 21 Porch (3-sea.) p
0 17 Garage O 22 PorchlAddn. (4-sea.) O
O 18 Deck O 23 Porch (screened) O
0 19 lower Lavel p 24 Stortn Damage
Plbp _Va_N 0 25 Miscellaneous
O 20 Pool ?' 30 Accessory Bldg. . '
O 36 Move Bidg. O 43 Reroof
0 37 Demolish (Bldg)' p 44 Siding
O 38 Demolish (Interior) 0 45 Fire Repair
O 42 Demolish (Foundation) O 46 WindowslDoors
' Csive PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code QL
No. of Units
Na. of Buildings -??
Const. (Actual)
(Allowable)
UBC Occupancy 1p--3
Zoning -4--112
# of Stories
Length
Width
6asement sq. ft.
Main level sq. ft.
G'a s? v sq. ft.
sq.ft.
MISCELLANEOUS INSPECT?ONS
13 Stucco/Stone
APPROVALS
Planning Building &x_
/ sq.ft.
sq.ft.
?
a" Footprint sq. ft.
1.3a Census Code
MC/ESSystem
VSo City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
a
31 Ext Alt - Multl
33 Ext. Alt - SF
36 Muki '
?
?
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Treils Ded.
Other
Copies
Total:
`SAC Units
% SAC
Valuation: $ D?
?sKt G l?tYr.C?ow?'
i.?aS??` k t ? u 7S ?o
A) -4£- dg-L--
133?f-? ?? ,rS?= ??? 0 3 G, ? v
C? ara e n?
?
?Sr??j j?'( ?C(? z ?1/ °2610
??l??
e=
i
MN,":)P7PLI71NCF REPORT
Mi.n>>? I Pnergy Code
MN('11' ,fCwar" Versi.on 3.0
COIn!i . _ u,,)cnr_a
ST7'1 1 , r? i r) nesota
ZOtU,? ,
COti` I' I 0i?J 'PYPE: 9ing7_e FatniJ_Y
DA71' I 7.000
nnrI . , ,,,,nNS: 9/3/00
TT'ii I- rp rcTnL WALKOU'P ELPVn`PInN H?(,r,p,n i .;.ip1.,: F'71?;?:I?,S
p??1,1 1? ?i iiT - :;P6
Yni I - 285
26. I' I t ^r Th, it Code
Permit #
Checked by/Date
Area or Cavi_ty Cont. Glazing/Door
Pe.r;imeY.er R-Value R-Value U-Value
CPl 11342 44.0 0.0
WAiJ" ?I•%?i Fr.ainA, 16" O.C. 7.986 7.9.0 2.0 1
Ulni ; r,, ,,,3 Fram-, 16" O.( .'. 169 10.0 2.0
BSh1?, """. 9.0' ht/8.3' bg/9.0' :Lilsu1 112 11.0 0.0
Be41; -i,^. 3.5' ht/3.1' bq/3.5' insuJ. 20 10.0 0.0
GLT.i? wi.ndow? or poorP,, Above r;rade 294 0.350 1
DOr,r ' 38 0.350
H'JT.- '' ,MT.'MH'N'1' : Furnace, 92. 0 AFOPl
--- ---------------.----------------------------------------- - ----
COrI''' S'PA'I'EMENT: The proposed building design described here is
con??i?r.?nr with the building plans, specifications, and other calculations
submirt-d with the permit application. The propoaed building has been
desinu^_d to meet the requirements of the Minnesota Energy Code.
Buil ,??>>/llesigner
Date / o
? PULTE HOMES OF MINNESOTA
JOB INITIATION ORDER
DATE: 8/8/00
JOB NO:
COMMUNITY:
ADDRESS:
MODEL NAME:
BUYERS NAME:
ADDRESS:
HOME PHONE:
SALES REP.:
UNIT: 22001
MN ZIP:55122
LEFT
STATE:
BUSINESS PHONE:
PHON E: 651-686-4643
1 17934 BRISTOL-W.O. $197,990
1 00000 Lot Premium $0
1 18031 ELEVATION #3 $3,850
1 23006 2 112 TON AIR CONDITIONER $1,850
1 36019 WATER LINE FUTURE ICEMAKER $125
1 31011 LAUNDRY TUB SNGL COMPRTMNT $275
?
rwe «
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
TOTAL $204,490
THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER AND T HE PUCHASER (S) FOR THE ABOVE ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERENTIDENT:
APPROVED BY SALES:
s?? •,5? -.
Builders License # 0001371
ENn ?? ?,
?. . ? ? ? .. ..
0550-220-01
Oakbrooke Infinity Homes
1696 Oakbrooke Way
Britstol W.O. MODEL#: 17934
651-452-5200 BUSINESS PHONE:
Kathee Sheldon
LOT: 20 BLOCK: 1
ADDITION: 4th
CITY: Eagan STATE:
ELEVATION: 3 GARAGE:
CITY;
ZIP:
,•
? PROPERTYLEGAL
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
Lr 2-0 Bwcx I QaxB,,?,crc 4T`' Aoon
h OATE OF SURVEY: /l'
H
LATEST REVISION: _
?
p DOCUMENT STANDARDS
? ? ? Registered Land Surveyor signature and company
? BuildingPermitApplicant
0 ? • Legal descriptian
?o ? • Address
q/o ? • North arrow and scale
r?? ? • House lype (rambler, walkout, splR wlo, split enVy, lookout, etc.)
?? ? • Directional dreinage artows with slope/gradient %
e'o ? • Proposedlexasting sewer and water sennces & invert eleva6on
rd-'o ? • Street name
0/0 ? • Driveway
G? ? ? • Lot Square Footage
? ? o • Lot Coverage
ELEVATIONS
/ Existina
ra'? ? • Sewer service (or Proposed)
d/ ? ? - Property corners
ra' o/? • Top of curb at the driveway
? q?/ ? • Elevations of any e?dsting adjacent hames
? ?a' ? Adequate foating depth of shuctures due to adjacent ublity Venches
Praoosed
¢/ ? o • Garage floor
? ? ?
? • Firstfloor
Nwindow)
l
ti
lk
d
L
? ? eva
an (wa
ou
owest expose
e
•
cd// ? ? • Property carners
d?? • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
? v? • Easement line
? Fd ? • NWL
? IV ? • HWL
? 031 ? • Pond # designation
a T/ ? • Emergency Overflow Elevadon
DIMENSIONS
M/ ? ? • Lot lineslBearings & dimensions
?( o o • Right-of-way and street width (to back of curb)
ra/?? • Praposed nome dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sVudures requiring permanentfootings)
?? o • Show all easemeMS of record and any City utilNes within those easements
r/ o? • Setbacks of proposed structure and sideyard set6ack of adjacent existing shudures
a c3/ ? • Retaining wall requirements, iF any /
Reviewed:
- /q -
March 1999
GRAIGiHIDGPRMf.FM
,
` Surveyor's Certificate
SURVEY FOR :PULTe
D ESCRIB ED AS ; Lot 20, Block 1, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota County, Minnsoto and
reserving easements of record.
t?
't.
E`?? ??E
RR?.?
? ??
.?LF
.ic-l 1137'?'(l py[?
ay/tTI 3..?, ?i4'?y G 'Zy.i?.l.r '.
x
430,0
Lor
H SE.
LOT
r.
S,YLT FENCE
SQ. FOOTAGE
SQ. FOOTAGE
COVERAGE _
= 3,080
= 1,806
58%
'kl-.t
RRoVo ??OURED
Plan # 17934
PROPOSED ELEVATIONS
Top of Foundation = q3q.o
Garage Floor =q3,7,g
Basement Floor =q3o.o
Aprox. Sewer Service =929.9±
Proposed Elev. _ (Z--::)
Existing Elev.
Drainage Directions =-
Denotes Offset Stake = •
SCALE: 1 Inch - 30 feet
BENCHMARK, TNH@22,2-1/1
Elm = 98b. l3
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Rear - Garage Side-
J08 N0:
HEDLUND ' HEREBY CERTIFY THAT TFiIS IS A TRVE AND CORRECT REPRESENTATION OOR-536
Of THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERV1510N ANO DOES NOT PURPORT TO BOOK: PAGE:
PLANNINC 6NGINd6R7NG SURV6'YIN0 SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS 5 ONN.
2005 Pln Oak Drive
Eagan, MN 55122 DATE j1/ -L_/QO CAD FIIE:
Phone: (651) 405-6600 Y. INOCREN, LAND VEYOR
Faz: (651) 405-6606 /? IE50 LICENSE NUMBE 4376 OAKBROOKE
G'6-e
Surveyor's Certificate
SURVEY FOR :PULrE
DESCRIBED AS ; Lot 20, Block 1, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota County, Minnsota and
reserving easements of record.
x
430.D
LOT
HSE.
LOT
SQ. FOOTAGE
SQ. FOOTAGE
COVERAGE _
Plan # 17934
PROPOSEO ELEVATIONS
Top of Foundation = 939 0
Garage F!oer =q3-i,g
Bosement Floor =930.0
Aprox. Sewer Service =9299t
Proposed Elev. _ <=>
Existing Elev. _
Orainage Directions =
Denotes Offset Stake = .
= 3,080
= 1, 806
587o
SCALE: 1 inch - 30 feet
10' 5 °;1, e5 0&k?
BENCHMARK, 7NH e Zz,23/
Eltu = 98b,13
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Rear - Garoge Side-
JOB NO:
??????? I HEREBY CERTIFV THAi THIS IS A TRUE AND CORRECT REPRESENTATION 00R-536
OF THE BWNOARIES OF THE ABOVE DESCRIBED PROPERTY AS SURDEYED
BY ME OR UNDER MY DIRECT SUPERYISION AND DOES NOT PURPORT TO 800K: PAGE:
PLANNlNG SNCJNEd'RlNG S(IRVSYINC SMOW IMPROVEMENTS OR ENCROACMMENTS, E%CEPT AS S OYM.
2005 Pln Oak Orlve
Eogon, MN 55122 DATE Il/-LIQ0 ' CAD FlLE:
Phone: (851) 405-6600 Y. NDOREN, LAN? S6AVEYOR
OAKBROOKE
Fax: (851) 405-6608 _ ..-? I ES LICENSE NUMBE 4576
?
Siteaddress: `??P C)G?USco?VJrai LotZ? Block ` sUba.
On April 15, 2000 the Minnesota Energy Code, Category I Buiitling 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 constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
/
?
?/ This structure: will be constructed to meet more restric6ve requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater 1-`? \ 0 .L A Q
Fumace t/ t?j ti„J? t-A N V L6 b?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathroom 1
w".vJ -'?
uno.SOrJ'c?
R\j
?
L",
Bathroom 2 ? • ?? ot- ?
8afhroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
? ??? +N G lv O T - Z.l1
MAKE-UP AIR MODEL TYPE CFM's
Q.S ??? -,,,o i?iny
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
? \r-\k O \
Signa ???? J Date
Company Name
' This form is the responsibilily of the General Contractor.
RESI6ENTIAL
BUILDING PERMIT APPLICATION
3830 PILOT KNOB RD - 55122 ??O 00
p ? 651-681-4675
NewConaWCtionRauufremanh RamodellReoairReaulrementa Cal??d
• 3 registered sile surveys showirg sq. ft. of lot, sq. IL of house; and all mafed areas • 2 copies of Dlan •
(20% mazMum bt coverage allowed) • 1 set of Energy Cakulalions for heated additions
. 2 copies of plan showirg 6eam 8 window s¢es; poured found design, etc.) • 1 site survey lor exlerior addiGww& decks
. 1 set of Eneyy CalcuWtions • Indicate N home served 6y septic system for addNOns
• 3 copies of Tree Preservation Plan i( IW platted after 717193
. Rim Joist DeWll Optlons salecfbn sheet (hldgs wilh 3 or less unils)
DATE s '\?(_
JOB SITE
VALUATION
\ Cxo
J 1;40i
"' m
IF MULTI-FAMILY B ING, HOW MANY UNITS?
PROPERTY OWNER?N\ >"A-e-
TYPE OF WORK 6?f-C_?
APPLICANTQ.??-),? ?-Nz>?
ADDRESS
PAGER #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1
(check one) - Resfdential Ventilation Category 1 Worksheet Subm
- Energy Envelope Calculations Submitted
M4r 2? Zoo, J
_ MINNESOTA RULES 7672 i x
- New Energy Code Worksheet Submitted I
Plumbing Conhactor: _
Plumbing System Includes:
Mechanicai Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Tee: $90.00
Tee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the infon ation i \orrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Ea OrdinancE
?
Sfgnature oF Applicant
Certificates of Survey Received _ Tree Preservation Plan Receive _ Not Required _
Updatad 7101
CELL PHONE #
_ Water Softener _
_ Water Heater
_ No. of Baths
Phone #:
I.awn Sprinkler
No. of R.I. Baths
Air Conditioning
_ Heat Recovery System
FIREPLACE(S) _ 0 _ 1 _ 2
_ PHONE#t?\-0(94-
ZIPCODE 55?Z2
OFFICEI USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
13 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4sea.)
? 04 02-plex. ? 10 08-plex 'K 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex O 19 LowerLevei ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New
* 32 Addition
O 33 Alteration
0 34 Replacement
Valuation Ot7o
Census Code
SAC Units
Nbr. of Units,
Nbr. of Bldgs
Type of Const
W idth
REQUIRED INSPECTIONS
Footings (new bldg)
? Fina
Footings(deck) FinaUNo C.O.
_ Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By ? Z-' , 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. Alt - Multi
? 33 Ext. Alt - SF
? 38 Multi
? 35 Int Improvement ? 38 Demolish (Interior) O 44 Slding
? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof 0 46 WlndowslDoors
"Demolitlon (Entlre Bldg only) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinkiered
_ UC.O.
?
HVAC
?0? ?????
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105472
Date Issued: 07/17/2012
Permit Category: ePermit
Site Address: 1696 Oakbrooke Way
Lot: 20 Block: 1 Addition: Oakbrooke 4th
PID: 10-53763-01-200
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 Kurt P Erickson
5866 Blackshire Path 1696 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:EA126410
Date Issued:08/25/2014
Permit Category:ePermit
Site Address: 1696 Oakbrooke Way
Lot:20 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-200
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 -
Kurt P Erickson
1696 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:EA127805
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1696 Oakbrooke Way
Lot:20 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-200
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 -
Kurt P Erickson
1696 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:EA179263
Date Issued:09/26/2022
Permit Category:ePermit
Site Address: 1696 Oakbrooke Way
Lot:20 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-200
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Kurt P Erickson
1696 Oakbrooke Way
Eagan MN 55122--420
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature