1704 Oakbrooke Way?? `?S D N I ? "t ? 11150- 60- 41 y609 $q
BUILDING PERMIT APPLICATI?OrN
CITY OF EAGAN 44151_ mp ^ -/Q . 50
3830 PILOT KNOB RD - 55122
651-681-4675
NewConstructionReauirements 3?? 1? '1..,?C,C11 ?
• 3 registered site surveys showing sq. ft. of lot sq. ft of house; and all roofed areas ?
(20°/a macimum lot coverage allowed)
. 2 copies of plan showing beam 8 window sizes; poured found design, etc.)
• 1 set of Energy Calculalions
. 3 wpies of Tree Preservation Plan if lot platled after 711193
. Rim Jast Detail Opfions selecfion sheet (bldgs with 3 or less unifs) ?'
?/? q
DATE QA
JOB SITE ADDRESS \Ndy OU.?
IF MULTI-FAMILY
PROPERTY OWNI
TYPE OF WORK
APPUCANT ?
PAGER #
HOW MANY UNITS?
;
?I1 # ?f`f15? ? PP - 90. 5n
?O (ORembtlellReoair Reauirements
• 2 copies of plan
• 7 set of Energy Calculations for heated additiore A
• i site survey for extenor additio? 8 deck 4??7
s O. y?1
V
?1 ?akbrooke ??,
Cau'ed 3-Z"1
VALUATION (EXCLUDING LAND) W?) , VW *_4
Nu„ ' ,\ FIREPLACE(S) YES _ NO 11 ? PHONE # - Clq4- GOL aR
CELL PHONE # FAX # ckci A - (082j
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #:
1'lumbinh System Includes: Water Sottener Lawn Sprinkler
? Water Heatcr No. of R.I. Baths
-L, Z No. oF Badis
MechanicalContractor-.\1?/NSV??? `c'eec&?^Cn
Mechanic:il System Iucludes: .;l Air Conditioning
Heat Recovcry System
Sewer/Water Contractor. G'eA il \-
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state ihat the
ail appiicable State of Minnesota Statutes and City of EagaN?&dinai
Signature of Applicanf
Certificates of Survey Received Tree Preservation Plan
Phone #
as? Acxz-Z\Z,
Pee: $90.00
ctSZ- g54- caos)
Fee: $70.00
Phone # `??
? t?j,
i
and agree to comply
?-?? 321v" l -7 1 1
_ Not Required -r)
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16•piex ? 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 ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous
31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitfon (Entire Bldg only) - Give PCA handout to applicant
Valuation a-1-01 2) Occupancy 12 3-4u MC/ES System
Census Code I W Zoning #00 City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ? Length ? Fire Sprinklered
Type of Const ? ? Width ?
? Footings (new bldg)
_ Footings(deck)
Footings (addition)
lr Foundation
Drain Tile
Roof Ice & Water Final
Framing
? Fueplace ly R.I. Y- Air Test _X Final
Insulation
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacemen[)
Approved By:F 7,_, Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanicai Permit
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinallC.O.
FinaUNo C.O.
_ Plumbing
_ HVAC
13? ?. l Z, 3o k ,fiz = 3D? Z5?
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Address 1704 oakbrooke Wav Zip 5512 2
Lot 24 Blk I Sub Oakbrooke 4th Ariri;r;o.,
THFSE 1'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 7• 2 , Q Yes No Inspector: n
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) 7 1
Permanentdriveway ?zj
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply [o
the outside lawn faucet before freeze potential ezists.
Contact engineering division at 6814645 before working in right-0f-way or installing underground spri¢kler syscem. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
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THIS DRAMIItG iS FOR REPdtH 1NfORHA716rt ONLY OF A PREYIOUSLY
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USE 15(32. 32/16, APA RATEO SHEATHIN6 ( PLYNOOD OR 6S8 } SliEO
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MNc4:eck CQMPLSAAICE REP012T
Min:aesota Energy Code
MNchec.k software Verp3an 3.0
CoUta'd'i': Dakota
STATE: hIinx.esata
ZONE: 2
CON9TFtUCTION TYFE: 9ingle Family
DATE: 6-7-2000
1]ATE CF PLRNB: 3{28/00
`'ITL$= AMB8R WALKOUT ELEVATIpN 01
COMPL2AN(E: PP,85ES
P. 02i03
Perneit`?-
Ghecke y Date
RBquired UA m 393
Xoux.• HOma = 294
25•1% Better Than Code
Area or Cavity Cont. GlazS.ng/Dopr
Perimeter R-Value R-value u-tralue
-------------------------------------------------- -- - ------------
CEILZNCfS 1228 44.0 0.0 `------°
WALLS: Wood Frame, 16" O.C. 2039 19.0 2.0
PtAJ,LS: Wood rrame, 16" O.C. igg 10 C 1
BSN:T: canc. 9.01 ht 8.3' ?/q'00 irisul 2.0
HBMT: CpriC, 3.5f ht/3.11 1 47 S?.q p.6
?'a'? O.o
GLAZINGr Wir.dowa or poars?Above Grade 324
Dt7pRS 0.356 y
H1r'AC Ei?CTI1xaE1?7T: Furnace, 92.0 AFbE 3g D.350
--------------------------------------------------------------- --------
Ct7MP7,IANCE-CTATEMENm + The propaaed b+iilding deaign deecribed kiere1is --Y
con;-,ietent with the building plans, specfficaCions, and otizer calculaCiona
submitted with the jermit licatiorl. TY1e proposed building has been
designed to meet th6,,,requixe ts f the Minnesata Erargy Code,
\
T3u?lderJnesigner? Date a, b\
PULTE HOMES OF MINNESOTA
JOB INITIATION ORDER
DATE: 3/6/Ot
JOB NO: 0550-224-01
COMMUNITY: Oak6rooke Infinity Homes
ADDHESS: 1704 Oakbrooke Way
MOOEL NAME: Amber Walk-0ut MODEL#: 17921
BUYERS NAME: Spec
ADDRESS:
HOME PHONE: BUSINESS PHONE:
SAIES REP.:
KaThes Sheldon PHONE:
1 17921 AMBER WAIK-OUT $201,990
1 00000 Lot Premium $0
1 11072 FULL BASEMENT - WALK OUT $3,000
1 18015 ELEVATION #1 $0
1 23005 2 TON AIR CONDITIONER $1,650
1 31011 LAUNDRY TUB SNGL COMPRTMNT en7.
THIS CONSTIMES 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:
BuildePS License # 0001377
LOT: 24 BLOCK:
ADDITION: 4M
STATE:
GTY: Eagan STATE: MN i1P: 55122
ELEVATION: 1 GARAGE: RIGHT LEFT
CI7'Y:
P"4
]-Mar
UNR: 22401
ZIP:
BUSINESS PHONE:
?
y' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL L 6'? -2?/ ??aG? I Ua /????R,??
?
J DATE OF SURVEY: 3-??"
? LATEST REVISION:
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DOCUMENT STANDARDS
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? • Registered Land Surveyor signature and company
d ? ? • Building Permit Applicant
o
7 ? . Legaldescription
Add
?
t? ? ?
? •
• ress
North arrow and scale
C? ? ? • House type (rambler, walkout, split wlo, split entry, lookout, etcJ
L9/ ? ? • Directional drainage arrows with slope/gradient %
V ? ? . Proposed/existing sewer and water services & inveR elevation
[a/ ? ? • Street name
?Y? ? • Driveway
? • Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
/ Existin
F? n? . Sewer service (or Proposed)
f3/ ? ? • Property comers
P, ? C • Top of curb at the driveway and properLy line extensions
C9' ?? • Elevations of any existing adjacent homes
? L41 ? • Adequate footing depth of structures due to adjacent utility trenches
Prooosed
;?' ? ? • Garagefloor
V ? ? • Firstfloor
D/ ? ? . Lowest exposed elevation (walkouUwindow)
[9? ? ? • Property corners
Pd/11 ? • Front and rear of home at the foundation ,
PONDING AREA (if apolicable)
? V ? • Easement line
? 2/? • NWL
? [Y ? • HWL
? ?1 • Pond # designation
? a? C • Emergency Ovefiow Elevation
DIMENSIONS
&/ ? ?
Lz?/ 0 ?
9'/ C n
??LJ ?
?n /?
? ?Y ?
• Lot lines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
. Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
• Show all easements of record and any CiTy utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
• Retaining wall requirements, if any
Reviewed:
Name
/ Date
1?1
Site address 170V 006.-vu iC ?)GLV LotZf Block LL Subd. 6 4??. ?aa L{
On April 15, 2000 the Minnesota Energy Code, Category I Building Requireroents for insulation protecfion; air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring:#hat the following information be
submitted prior to issuance of a Certificate of Occupancy.
This structure: is consVucted to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: will be constructed to meet more restricbve requirements of Chapters 7672 or 7674
APPLIANCE GAS ELE MANUFAGTURER MODEL BTU'S VENTING TYRE
WaterHeater 1ps-7
, S-
.
Furnace
4
MAV 0 3 D(aD
au
T>
Dryer
EXHAUST SY5TEM
LOCATION
TYPE
MODEL
CFM's - VENTED'
res No
Kitchen kitchen
Bathroom 1
e
Bathroom 2 - d :50 ?
Bathroom 3
Bathroom 4
Ofher
FIREPLACE S
LOCATION
GAS
WOOD
U ACTURER
MOOEL
8TU'S VENTING
. DIRECi ATMOS
I D '" 8 7mD v
MAKE-UP AIR MODEL TYPE CFM"s
e ir ?
Te7
I hereby acknowl dge that the above infotma6on is wrrect and agree to comply with the Minnesota Energy Code and City of Eagan
requiprfghts. 7 (17
j7Z ?I?Z
D e
' This form is the respansibility of#he General Contractor.
?
Surveyor's Certificate
SURVEY FOR :PULre
DESCRIBED AS ; Lot 24, Block i, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota County, Minnsota and
reserving easements of record,
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ExisL Home
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Plan # 17921
PROP05ED ELEVATIONS
Top of Foundation = q35.5
Garoge Floor - 934,2
Basement Floor = 92(.,5
Aprox. Sewer Service = qiq,qi
Proposed Elev. - ?
Existing Elev. -
Drainage Directions =-?
Denotes Offset Stake = .
SCALE: 1 Inch m 30 feet
= 3, 608
= 1,727
4810o7
BENCHMARK, -rNH P za.zv,
Eleu- 43(0,13
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Rear - Gorage Side-
JOB N0:
HEDL[/ND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 01R- 120
OF iHE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
. BY ME OR UNDER MY DIREC7 SUPERVISION AND DOES NOT Pl1RPORT TO BODK: PAGE:
PLANNlNC 6NClN6BRINC SURV6YIN6? SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT
2005 Pin Oak Drive
Eagan, MN 55122 DA7E D. AS5OVM. CAD FILE:
Phone: (651) 405-6600 R D. LINDGR N, LANO 2ONVEYOR
Fax: (651) 405-6606 MIN OTA LICENSE NUMBER 14376 OAKBROOKE
L0T SQ. F00TAGE
HSE. SQ. FOOTAGE
LOT COVERAGE _
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105957
Date Issued: 08/06/2012
Permit Category: ePermit
Site Address: 1704 Oakbrooke Way
Lot: 24 Block: 1 Addition: Oakbrooke 4th
PID: 10-53763-01-240
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: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Krech Exteriors Inc Thomas M Mootz
5866 Blackshire Path 1704 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:EA126676
Date Issued:09/05/2014
Permit Category:ePermit
Site Address: 1704 Oakbrooke Way
Lot:24 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-240
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 -
Thomas M Mootz
1704 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:EA127809
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1704 Oakbrooke Way
Lot:24 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-240
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 -
Thomas M Mootz
1704 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