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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