1654 Oakbrooke WayAddiCSS _1654 Oakbrooke Way Zip 5512 2
IAi 2 Blk I SUb Oakbrooke 3rd
TTC!1l? IiTTT. / IiT.AT f1l11 ?l ITr T TT /1T TfTT 1111 A T
11a1:..?u111:1Y1J ?1L'1V:/ RL'1V:1`1Vl l.V1V1CLG1?K1 1Rt, 111V1C.V lil lY 1 Ll:?.llv!\.
Date: / ?p ?9 Yes No Inspector:
Final grade (6" from siding)
Penaanent steps (garage)
Permanent steps (main entry)
Petmanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch ?
Basement Snish
Deck
Please vei11 with the buIlder the removal of roof test caps ftom the plumbing system and the shuPOff of water supply to
the dwn faucet before freeze potential exisfs.
Contad engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
Whire - Ciry Copy Yellow - Resident Copy Pink - Contraaor Copy
,?7RY(i ;%?7?(#?'>i; ?M?kk:7R7?'iC'MXC'M?XM4tri?M7k:?i$?k%kk?RC? w>'F:?-N:?'kt::;%#
C.T.TY OF FAGF1Pd
CAciHIF;Ii: 'S 1l:RM:fNAL. '40. 758
LA'iEa r 0911:3/99 13M& 14e203i
*L.
NCdME., ° FIJI._7C MASTr R P.U CI_DE.R
21552 9220 :I.i.Y54 O1iI':BRL'lOt: W '[J.t)D
321.0 9001 1654 l'IFlI;:CiI;00ht ?1I 053 .75
3E366 .`.-'3?`-) 054 OAi(Bh'(JU!i I^I iCQ.00
:ha2 9001 054 oc,i:BROaK 0 554.94
2i'7.S 9220 054 CJfl!!RftC1tJF:. W 1y039.10
3146 307 a. 9 654 0A!:B(ta0i•: N 10.50
:_>t:,s 2001 1654 nAKBRccrt: w 0.50
3743 9"cs?_Q 054 t7Al.t'>?OOY W 50.00
205 900i 1?i•;54 C;A.ICBRnGtr. W 40.00
3169 9220 W54 C'A1:7iPtOC)K <<I 46E3,00
CPJ.469 13 $1 qt7P1'T'JNt.)f.-:
USE;i' ID: 3At4 WC(JNT'iMUE:
Y?(X?Y;?'n'F%K?kS;YF?'k?K'k, >KY,(%'t %h?r(.'kMX'.Yri Yl,;%:y:m7F? ' W 7kX'?'(i M' ri(h.WW.
7?A'C%R**7k?7,C?f?%??C?C?(M*??k*??C7}+M?'A:?NC??7::1n I:.OPTfNi.)r:.
CT7Y OF Efl.AN
(':ASF{:t:F.:fi:, .7S iFRM'!'NFSL. NQ: 758
DATF_4 0903f99 TTi91-a 1.4ac"'0:32
:L"a
JANEr. 1-'l1L.TP_ MAS'T'E:F BI;ItDER
3716 9c'4'.CI 1E54 OAi:BfipQl: W :1.:4.00
370 3220 ir.•,54 ftAKL+fiOO{: N 50.00
;??65 9220 if,54 f)AF'NF't001: kl Eii:':`;.UO
a
Tata1 tiec_Erip+, Amounl;p 47:L3b,i9
Ck:ti.63i <i
115FR ID; JArI
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN 16VC S 1(J I
3830 PILOT 55122
i2 ?'
New Cons}ruction Reauiremenfs Remodeir Reauiremenis ?..? i
? 3 registered sNe surveys showing sq, tt. ot lot, sq. ft. of Aouse 2 copfes of plan c-?x-n--? ct "9 -ci
and ali roofetl areas 20 o maximum loi coveraae allowed) 1 set of energy calculations tor heated additions ?
> 2 coples ot plans (show heam 8 windcw sizes; pourad Fnd. design; etc.) 1 sHe aurvey tor exteyfor addBfons 8, decks
1 set of energy calcula}Ions
> 3 copies of hee preservafion plan B lot platted aker 7/1/93
DATE: 8-?- QiiG CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
S`-? CJd?c
LOT: ?_ BLOCK: ? SUBD./P.I.D. #: O0."4.bf'oOk? ?
Name: Phone #:
PROPERTY lcsl First
OWNER
Street
City
State:
Iip:
Company: Phone#: ?ALA ' U`2> 1
(area code)
CONTRACTOR p? ` ` \\ y.
Sheet Address: \IsS 1Y\E?Q tft'? -Q,\ A,n.C 30r? License #Vn ? Exp?;3\- Zap
City \4R-AytXO \\2'.? State: \V\ V\ Zip: S 3??
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Street Address: Registration #:
City
Sewer 8 water Ilcensed plumher (reauised for new conshuctton onlv):
State:
Zip:
Penalty applles when address change and loi change Is requested once permN is Issued. c, 1-.4, 'q ct a.? I'c)-
I"
I hereby acknowledge that I have read this application, state that the informationl correct and agree to comply with all applicabie
Stote af M(nnesota Statutes and City of Eagan Ordinances.
S(gnature of AppllcaM:
I
OFFICE USE ONLY
? '.
Certificates of Survey Received Yes _ No aUG
Tree Preservation Plan Received _ Yes _ No ? Not Required .'
OFFICE USE ONLY
. 1
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
DO 02 SF Dweliing ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of_plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments Q 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
A 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas InseR ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
3 sq. ft.
sq. ft.
?
sq. ft.
sq. ft.
21? Footprint sq. ft.
Building
Census Code
SAC Code
No, of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
/01
/
-L
:.
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
Clty SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
Valuation:
Ra6ri. /- e-v? t
YS12
/ 25Y V.
Engineering
$ 8?, U4/?
7-
/a 6 Y Ks-y
a74) X s5'
?r a. tr a• °L
Jb? L6- 702 C'c--)
1-}i3(.17
.GLiG?e 7,;P `2 lo?
r
% SAC
?
Oakbrooke In£mity
Eagan
Address:' 1654 Oakbrooke Way
Date: 7/16/99
Plan: Bristol
OQtions: Description:
18023 Elevation #2
25014 5ix Panel Colonist Doors / Paint Trim
28047 Upgrade Cabinets White
28055 42" Uppers White
31003 Lanndry Cabinets White
14007 Carpet Pad Upgrade
14160 3rd Carpet Upgrade
15032 Vinyl Floor Upgrade / Laundry Room
15081 Ceramic Tile Bath #1
15082 Ceraznic Tile Bath #2
17005 Electric Dryer Outlet
23005 2 Ton A/C
10055 Spacemaker Microwave White on White
21021 Gas Fireplace / Ceramic / Wood Mantel
10091 Upgrade Range Gas White on White
36038 Water Softener
29006 Cast Iron Kitchen Sink / White
31011 Laundry Tub Single Compartment
10118 W asher ! Electric Dryer
10105 Refrigerator / Icemaker/ Waterline
22025 Garage Door Opener / 2 Controls
Stain: Painted Trim
: , . 2-12 Y.s77-i?_-
. E%TEA[OR ENVELOPE AYEitAGE "U';° COHPUTATION .
' /Y1??
ptJtICR: ?,?r?-• o-+R? . or
SITE AOORE55r ?
° -?'? PNONE: -/S2
' -SZoo
J?
C6NTRACTOR: tlA7E
i
pETEAMIME NORKfNG SO.UARE FOdTAGE OF
EACHt
f ?
"U"
?
). T07AL EXPSSED WAIL AREA,,,,,,,, t x
sq
° ?
Uc??o
"
"
°F 3T]
2. TOTAL ROOF/CE1L11lG ASIEA,,,,..,. I Sq ft x
13 3 L
U
3. TOTAL EXPOSED NALL AREA CALCULATiON5:
•- Total exposed wall
/4 -
ft
area ahove ftoor,,,,,,,. 7 $4
t
a} Total wall window area:
DOC;?FLE qiazed...... i?{g sq ft x "l1"
,,,,
F giazed . • s4
_- ??- ft x
FfUlr
.
SQ ft X
?rUii.
6) 'Total door 0rea ,,,.,,... _
- _ „
c) Total siidtng giass daor area: ' " ' • '
ta^U .L 9lazed...... -sq ft x "U"
giazed...... ^ - -'? sg ft x 'lUll
d) Total flreplace wall area
e) Total wall framinq area
(Averaqe 1Q4)..... :.....
sq ft x 11U"
5a - - I ?
n
? ---^
o -
ft X"U„ .oqz a--?-
f) Total net wall area above
floor (insulated)...... sq fL x."U" _ •?? ? ?
g) Total rim Jolst area...... _'--- sq ft x"U" • p41 ° Total foundatfan ?.,
are3 (Exposed) ......... /D ' -- sq ft
h) Total foundation • -
44 fL X "U" • ?J"? ..
wlndow area............. ij Total net foanda[ian ?
area above grade........ eQ ft x"U" •?_ '
Z TQTAL a} Chru t) a ?-?
If ftem ,?3 fs the same as, Qr 1e95 ChaZ ftem +'1, Yau have met Ghe intent oF
2 t4C.1R 1.16608 A and 0. Page 1
1 1+.' TOTAl. EXPnSED ROOF/CE1L11IG CALCULATiOf85.
Tota2 exposed I2
roaf/ceiling area.>a..... / aq ft
?
J) 7atai skyliah[ area....... --~ sq f't x 1/01l
k) Ta[ai roof>a811tna framie4 3
area (Averace dh?')...... ,l 3 sq ft x"U" ? ?
;} 7atat net irsulated
roaf/ce11 tnq area....... 17- ? S 5q ft x 10U" • QZ7
4 T07AL J) Lhru Z)
if total af ek (s tha same as, or less than.R2, yau haye met the Irttent nf
2 h4Cle.Ii 1.16048 A aad d.
. {
? ; ...
AL'fFRNATE BU J LD 1 NG "cNVEl.OPE DE51 GN
To utElize the total envalope system methcd, th$ va3uss esta6lished by the sum
of items 63 and Xk shail,nac oe greater chan the sum of icems 91 and 12.
+ z. ?y a 2r?'i
r 3. ?6R + a. 30 s l9 9
C E_ T 1 F I L A T I 0 R
I herehy cartity that ! have ealcuiated the "U" factors and "R"
vaiues hereEn and that the hulldinq here deserihed me-ts or excaeds the Seate
of Minnesaca Snerey Conservat(on Act.
;71?.:+/?
$ I qRBtCife
rn / : AG "7
(Da:e) r?hr? 2
! /1. t v L J I ? - _ _ CONSTRUCTfON R VALl7E ?
WALL FAAHiNG SECTlON:
1 Inrerior a(r film'• Q.6R
2 ?02.°„?LlE='f2t?c' ds
iS'I? (neffee sa? waod /,r }ar7
A
rv+aL rc
U0 i/a
?
+aLs. sFCTtoN (eNsuLarEn)
-----(! (nteriar air fi
--{z -T u C-rr
-----(3 - ? ? y
-?4 -/^nZ` C3LJIL?2
U- T/Ra ,,_,
R!M JOI.Si SECTIR!!:
:1 (ntertor air, fi
I?
FOUNOATION INSULAT;OFS REqUI3iED: '
Min. R-5 an entire wall OR U° 1fR
Min. R-10 dawn tn frast.depth -
FOUNDATSON S'cLTION:
? ! tnterior air tT1m _ .n.68
{6
TOTAL R = i "
U - 1/A a
SiAH ON GRAOE
`'t' '4'4
)4 Ia'?•-,?°
t • ..a ,.
? d ? ?? .? .. . .' _ •? , ,. ..'.
FO
Uhheated Slabs:
Hinimun R = 6.2
CONSTAUGTiON
R VALllC•
CE1LINr, SFC71oN (fNSULATEDI:
1 Inter'tor air fT-fm ' tt,(,1
z !?°
3 ^11: i -•r i Qy pp, .
Exterior atr fllm sri11) n,F1
. TD7AL R = , 7R
u-'t/e•?Z,
?
G
CEILIHG FAMING SECTiGN:
2
3
4
5
cEIUNG SEf.TiON (?tisuuArEa):
1' Interlor air fiTm
2
3
4 Exxerear air film still ?. I
TflTAL R
u d t/R =
VENTED
CE!LlNf, FRAMIMf: SEt7i0N:
1• lntericr air fitm
z
3
4 Exterlor air i}m still n. F
5 inches soFC wood
TOTAI R ?
Om 1/R=
?
Inside a!r fi)m n_Al
z -
3 •
4
5 Outside air film M•17
TOTAI R =
U - 1 / R ° ..----
Paqe 4
• V a 1/4 ° 427
?
{
LOT SURVEY CHECKLIST FOR RESIDENTIAL
• ' BUILDING PERMIT APPLICATION
PROPERTYLEGAL. !^T L BL061C I r?RKLiRooKc
DATE OF SURVEY: /;? - qg -
LATEST REVISION:
OOCUMENT STANDARDS
and com
an
i
t
R
d L
d S
?? ? p
y
gna
ure
an
urveyor s
•
egistere
v-'cl ? • BwldingPermdApplicant
M"'c ? • Legal descnption
V-"o ? • Address
vi? ? • North arrow and scale
a? ? ? • House type (rembler, walkout, aplit w/o, split entry, lookout, etc.)
v/o ? • Directional drainage arrows with slopelgradient %
-2-1? ? • Proposedlexissting sewer and water sernces 8 inveR elevaUOn
? ? ? • Street name
m-?'a ? • Driveway
t?g o • Lot Square Footage
o ? • Lot Coverage
ELEVATIONS
Ew'stina
/o ? • Sewer service (or Propoaed)
? ? • Propertycorners
S?? • Top of curb at the driveway
?o ? • Elevations of any ebsting adjaceM homes
??f ? Adequate footing depth of struc[ures due to adjacent uGlity Venches
? • Pro s
?a o • Garagefloor
dy c First floor
?p ? : Lowest exposed elevaUOn (walkouVwindow)
?/ e Property corners
? • Front and rear af home at the foundaUon
/ PONDING AREA (if aodipWe)
? a// o • Easement line
? e( ? • NWL
? V? • FIWL
? ??/? • Pond # designaUOn
? ?' ? • Emergency Ovefiow ElevaGon
/ DIMENSIONS
d/ o ? • Lot IinesBearings & dimensions
r3' o? • Right-of-way and street width (to back of curb)
?? ? • Propased home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all strudures requinng permanentfootings)
?/? ? • Show all easements of record and any Ciry utlNdes within those easements
m? ?? • Setbacks of proposed structure and sideyard setback of adjacent e»assCng structures
??/ o • Retaining wall requirements, if any
Reviewed: " ?
Maroh 19BB
cwuareiooani.rt FM
. , Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS ; Lot 2, Block 1, OAKOKE, City of E.?gon, Dokota County, Minnsota and
reserving easements o record. /
?? L T SQ. F00 TA GE = 3,080
?? SE. SQ. F00 TA GE = 1,811
$0 LOT COVERAGE = 597
%% o
Qo ° /
?
I ,. ? ?X ` JOn
?0
Plon # 17931
5PN / ?Q <'.
?
.? r
O! ? ? *J 1- .^. ; .
O•
? A
3j q
Nu??e
?
?
q,'GO???'? pso y?
0 L
CR
QP°FO °p
???? ?1v1?? \ \O 6 /
?!'' `? J''' \?? V?CJ\i ? ??oa O? q?• ?ri ?{Iv
9 ?
P?oPn?ea
? Ro0,q3% Qd•,o,
?
?
.?cR
PROPOSED EIEVATIONS
Top of Foundotion = 937.0
Gorage Floor =935.e
Bosement Floor = "/A
Aprox. Sewer Service = 924•4*-
Proposed Elev. = 0
Existing Elev. _
Droinoge Directions =
Denotes Offset Stoke = •
M
? 4 U E
j...a- ?
:; z'R?C'xIIVEERYNG DEPT.
?
a
BENCHMARK, rNN@ o4kbooke?
$ oakb,ooke 'rr+t I
Elev= q3$.SI
SCAIE: 1 inch - 30 feet
MIN. SETBACK REQUIREMENTS
Front - House Side -
Reor - Garage Side-
JOB N0:
HEDLUND I MEREBY CERTIfY THAT THI$ IS A TRUE AND CORRECT REPRESENTAiION 99R-283
OF THE BOUNOARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NDT PURPORT TO BOOK: PACE:
PLANN/NC BNG/NB6R/NC SURY6YlNC SHOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT AS OVrt+.
2005 Pin Oak Drive I pp ? ,
Eagon. MN 55122 DATE CAO fILE:
Phone: (651) 405-6600 ' j Y D. LINDGREN, LAND S EYOR
Fox: (651) 405-6606 ES LICENSE NUMBER 14376 OAKBROOKE
RPCFIVED SEP 0 2 1999
CITY USE OAZY
LOT p- BL ( R.ECEIPT #: i, I 1?h!?
1'f ?d
SUBD. RECEIPT DATE: I V'" 1 -91
MECHAIVICAL PERMIT #
1999 MEcHANIcAL PERMrr (REsiDErrrIAL)
cm' oF EAsm
3830 Paor xxos gn
E!?fiAN MA 5512Y
Date• (651)6$1-4675
?-
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occuoied.
r
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas oatleu (minimum of one required @$3.00 ea.)
$ 30.00
6.00
:3 ct--)
State Surcharge .50
Total $ ??&
Complete this section onlv if you are remodeling, adding to, or repairing an existing singie family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
? New _ Alteration Repair _ Other
Reminder: Ca11681-4675 for inspections.
Fumace _ Air conditioning
_ Air exchanger _ Other
$ 30.00
State Surchazge .50
Minimutn Total Due $ 30.50
SITE ADDRESS:
??
? 4?'C'c Z?
OWNER NAME:
INSTALLER NA
STREET ?
CITl':
PHONE #: A?7p-
PHONE # A??` 0. - ?Ydd?S
? p (AREP. CODE)
_ STATE: 4 /-i ZIP: 67S^c3 7W
SIGNATURE OF PERMITTE
31 ?.?'
L BL
SUBD.
APPROVED BY:
INSPECTOR
RECEIPT #:
RECE!oT pp?c:
MECHANICAL PERMIT #:
0
1999 MECHANICAL P£RMIT (COhIbiF-RCIAL)
CI'i'YOF Ek&i4N
S$SO PILOT KNOB ftD
Ek&tkN, MN 55122
(651)6$1-4675
Please complete for: all commercial/industrial buildings
multi-famiiy buildings when separate permits are not required for each dwelling unit
DATE: CUNT2ACCP:ZICE:
WORK TYPE: _ New coasfiuction Insiaii U.G. Tanic
_ Interior Improvement Remove U.G. Tank (Minimum Fee)
Processed Piping (Minimum Fee)
*'NOTE: When installing/removing underground tank, ca11 65 1-68 1-4675 for inspecrion by fire marshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of con2act price OR $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x 1%
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IlvIPROVEMENTS ONLl):
INSTALLER:
CITY: CITY USE ONLY
ADDRESS:
($.50 per $1,000 af nermit fee due ou all pecmiu.)
PHONE #:
(AREA CODE)
PHONE #: -
(AREA CODE)
STATE:
Z1P:
I
SIGNAT[JRE OF PERMIITEE
L BL CITY USE ONLY ? RECEIPT#: FIXl/
T O
SUBD. RECEIPTDATE: r?V- ?
PERMIT# 51 O I ?
1999 PLUM$INfl PEfiMTi' (f{ESIDENTtAL)
CI1'Y OF f.tkfiE4N
S$SO PILOT KNOB f{U
f RfiAN, MN 55122
(651) 6$7-4675
Please complete for: ? single family dwellings
9 townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tutr $ 3.00 r T7 - _ 's
Floor drain 3.00 x
G05 i in Outlet ` minimum - t 3.00 x
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $ '
Minimum fee alterations to existin dwellin 30.00 x
Private Dis osal S stem newlrefurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rau h o enin 1.50 x = $
Shower 3.00 x = $ "-
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x Z = $
Water heater 3.00 x = $
Watef Softenef If dwellin untler construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ 50
Total --> --? ----> ---->
Rem.inderr Call #nr inspertiees caf alterations, i.e. wa±er heaters, u!a!er sof!eners, e!c.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - • - - -,state that the - - - - - - - - - - - - - - inform - - - - -ation- - - - - is- -correc - - - - - -t,- - - - and- - -agree- - - - -to- - - - - - -comply- •wit - - -h -all - - - - - - - - -applicableCi - - - - - -ry-of - - - -Eagan - - - - - - - -ordinan- - - -ce- -s-
I hereby acknowledge that I have read this applicalion.
It is the applicant's responsibility to nolify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the Ciry during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/righ4of-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
TELEPHONE #:
(AREA CODE)
TELEPHONE ??zgf?K'/
(AREA CODE)
STREET ADDRESS: ?///e,
?J -?c
CITY: STATE: / I ZIP: ?
?-
,?//??1?
SIGNATURE OF PERMITTEE
1 L BL CITY USE ONLY
? \_ p
SUBD. ? CLC.V? V li-lNC? ?ti(
RECEIPT#: 1?-OO? b
RECEIPT DATE: ` ?
PERMIT # ? O 9 o y
I
1999 PLUM$iNH PERMIT (iiuIDENTIAL)
crrY oF Ews,ax
S$SO PILOT KNOB RD
£AHAN, MN 55122
(651) 681,4695
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTl1RE5
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
GaS i in outlet ' minimum -1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water cioset 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 X = $
Water softener if existin dwellin 30.00 x - $
Waterturnaround 30.00 x $
State Surchar e .50 -> ----> ----> $ .50
TOtal -> --> __-> ""> $ o?0 -
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
-
---------------------------------------------------------------------------------------------------------------- --• --•------ --•
- s-.
- City•of Eagan-ordinance---
I hereby adcnowledge that I have read this application, state that the infortnatlon is correct, and agree to comply with all applicable-
It is the appliranYs responsibility to notiTy the property owner that the City of Eagan assumes no Iiability for any damages caused by lhe City during its
normal operational and maintenance activities to the facilities consfrucled under this pertnit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
cirv:
TELEPHONE #:
TELEPHONE #:
STATE: ,Z?4G'/_ ZIP: ?
SIGNATURE OF PERMITTEE
í
ÿ
ýýü
þ
ý
ÿ þþü
ûÿÿ úõýóççù
í
ü÷ ì÷
ì
ÿ
ø
ï÷ ñá ÿ ÷
ûúù
ø ÷ûúù ïù
ÿ÷ù ö
ÿéÜ
÷
áÿ
ìí
ù
ú
Û
Ý
ñ ÷ÿ ù÷ ÿù ù÷ ÷ ñ
ý ÷
÷ð
ÿ ð ÿù ÷ôè
÷
ñ
ü
֌
÷ÿ
÷
ù
ü
ñÿù ÿå
á
÷ü ð ÷ÿ
÷÷Ý
÷üú
ô ÿñ
ðú ðÿå
ÿëæìîæääåäåä
÷û
÷
÷
ÿ Ú
æåãåã
Ú
ìýå
öñô
ø óò
ùù
î÷ þ ÷ ÷ÿõ
úþÜ÷
â
ä
ÿ ÷
í
ü÷ ø
ú
â÷Ü÷ âö ÿóõþ
óõ
êçääìä
÷üú
ô
â÷
ÿ
ùù
ÿ
ñ ÷ð
ÿ ÷÷
÷ ðùúô
ùù
ü
ñóÿ
ÿ
á ú ñþ
í÷
ÿå
ùù
è
÷ð
ÿÿ
ú
÷
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124884
Date Issued:07/14/2014
Permit Category:ePermit
Site Address: 1654 Oakbrooke Way
Lot:2 Block: 1 Addition: Oakbrooke 3rd
PID:10-53762-01-020
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 -
Nancy E Gravalin
1654 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:EA128005
Date Issued:10/22/2014
Permit Category:ePermit
Site Address: 1654 Oakbrooke Way
Lot:2 Block: 1 Addition: Oakbrooke 3rd
PID:10-53762-01-020
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 -
Nancy E Gravalin
1654 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:Plumbing
Permit Number:EA145586
Date Issued:09/15/2017
Permit Category:ePermit
Site Address: 1654 Oakbrooke Way
Lot:2 Block: 1 Addition: Oakbrooke 3rd
PID:10-53762-01-020
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Nancy E Gravalin
1654 Oakbrooke Way
Eagan MN 55122
(612) 309-2633
Den Mark Plumbing
8445 Quail Hill Rd
Maple Grove MN 55311-1533
(763) 416-9924
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147927
Date Issued:02/20/2018
Permit Category:ePermit
Site Address: 1654 Oakbrooke Way
Lot:2 Block: 1 Addition: Oakbrooke 3rd
PID:10-53762-01-020
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: 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 -
Nancy E Gravalin
1654 Oakbrooke Way
Eagan MN 55122
(612) 309-2633
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature