1663 Oakbrooke WayAddress 1663 Oakbrooke Wav Zip 5512 2
LAt I Blk 2 Sub Oakbrooke 4th
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: Yes , Na Inspector:
Final grade (6" from siding)
Permanent steps (gazage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finis6
Deck •
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential esists.
Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contraclor Copy
LOT I BL I
CITY USE ONLY
suan._ Oakbrobke ?{b
PERMIT IF: q I t{ "I
RECEIPT k: 15
RECEIPTDATE: -7-a5'G0?
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date: ?-00 'OC)
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
conswction and not owner/occunied.
• HVAC: 0.100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surcharge
Total
,300
.50
$ 3q 5Z?
Complete this section onlv if you are remodeline, addine to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration
.
Furnace
_ Air exchanger
Reminder: Call for inspections
SITE ADDRESS: r (.0 G, 3 C,,
Repair _ Other
_ Air conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
OWNERNAME: ? 7 UlY?_ `ETCJYyj?!S PHONE#: (OS( -ySa-Sa'2C?O
/// (AREA CODE)
INSTALLER NAME: ? X?? I? XtTGi 4L-14l C PHONE #: 6"a ZI W(?'?S^
STREET ADDRESS: f a L?O ?'k'hO?.&- I 0?(J- ?. S. (AMA CODE)
CITY: STATE: ZIP: SS3?0
, .
SIG ATURE OF PERMITTEE
cixr os Eacx+x
3630 PILOT IQdOH RD
EAGAN 2Mi 55122
651-681-4675
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #. _
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COAMRCIAI,)
CITY OE EAGAN
3630 PILOT 1QIOB RD
EAGP,N, MN 55122
651-681-4675
Please complete for: all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dweliing unit
DATE:
WORK TYPE: New coasWction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 651-681-4675 jor lnspection by ftre marshal and
plumbing inspector.
Description of work:
Fees: 1% of conhact price OR $30.00 miuimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Conhact price: $ x 1%= S (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONL1):
WAS THERE A PREV [OUS TENANT IN TH1S SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CIT'Y:
STATE: ZIP:
CITY USE ONLY
PHONE #: -
(AREA CODE)
I
SIGNATURE OF PERMITTEE
Site address: Lot k Block?- Subd. 0'-,,?L.?j
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 sUuclure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
/ OR
!? This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MOUEL BTU'S VENTINGTYPE
Water Heater ? hu+v Z-.'4 d
Furnace
?
M v
?J tk?
t
Dryer
EXHAU5T SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathroom 1
9.N
S oca
Bathroom 2 ? • . R-SO ?v ?
Bathroom 3
Bafhroom 4
Other
VENTING
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTl1'S DIRECT ATMOs
I hereby adcnowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
Date
* This form is ihe responsibility of the General Contractor.
2000 BUILDING P RMIT APPLICA ION (RESIDENTIALI
CITY OF EAGAN
4I 3830 PILOT KNOB RD - 55122
851-881-4675
GO
> 3 roputeretl fife wweys ihowtrW s4 K oi lot. sQ. N. of house 2 copies af plan
and yff roof6d areas (10% mmtlrmim lo} coverooe dlowaEf 1 set of eneryy cdadaHOna ia heated addlHau
D 2 coples of Plans (tlww bean R wintlow tizes: Poured Axf. desiyn; efe.) 1 dte wrveY fa exleAa addlHaru d tlecka
D 1 wt of enerpy ccdcudoMOrn
> 3 Coples d tree PretervaMon plm H bt pleMed cIF9r 7/1/93
DATE: 61Z /a CONSTRUCTION COST:
DESCRIPTION OF I
SiREET ADDRESS:
LOT:
Name: Phone #:
PROPERTY twt flnt
OWNER
Street
SMte:
Zip:
???e? ? r a-- ? ? R -ac?o7
Company: /7biyi Phone M: lvS1 /7v,5-- DS??S
(area code)
conirnncroR ixe?a: 37 ?,.
Sheet Adckess:
Clfy State: Zip: 5m
4RCHITECT/
ENGINEER Company:,
Tslephone 9: (
Name:
Slreet Addresa: Regishation #:
aN
Sfafe:
ZiP:
1-21
GiLz'!, Phone #.
ewer/water licensed plumber (H insWllina sewer/waterl: Vu?(f!
6ereby acknowledge Miaf I have read this applkaNon, ?e IIw11he infcmwlbn is carect, and agree b comply wMh an appqcable Sfafe
? Minnesota Sfalutea and CMy of Eagan Ordinancea
Siprwlure of Applkant ? y .
OFFICE USE ONLY
artiflcates of Survey Received _ Yes _ No
ee Preservation Plan Received _ Yes _ No iNot Required ?
BLOCK: ?- SUBD./P.I.D. i: L9GLkd 12>a 4-Ae- 'f
?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation O 07 05-plex
X 02 SF Dwelling p 08 p6-plex
O 03 01 of _ piex O 09 07-plex
O 04 02-plex O 70 08-plex
O OS 03-plex E3 11 10-plex
O 08 04-plex ? 12 12-plex
WORK TYPE
;q 31 New
O 32 Addition
0 33 Alteration
? 34 Repair
O 13 16-plex O 21 Poroh (3-sea.) ?
? 17 Garage O 22 Porch/Addn.(4-sea.) ?
? 18 Deck O 23 Porch(screened) p
O 19 Lower Level O 24 Storm Damage
Plbg _V ot_ N O 25 Miscellaneous
0 20 Pool O 30 Acxessory Bldg.
? 36 Move Bldg. O 43 Reroof
? 37 Demolish (Bldg)• O 44 Siding
0 38 Demolish (Interior) p 45 Fire Repair
? 42 Demoiish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code D /
No. of Units
No. of Buildings
Const. (Actuai)
(Allowable)
UBC Occupancy ?
Zoning • ?Jn
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVAtS
Planning _
Permit Fee
Surcharge
Pian Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
/ ? 3 0
/23n
L/C C'
sq. ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building Engineering Variance
valuation: $ D UCS,
X?-
y,? ?? 1 y 3 ? 1' S `f ? ? :: ,. ` -- ?
?Ij
31 Ect. Alt - Multi
33 Ext. Alt - SF
36 Muw
)w
?
/ nV / G.J-O
q 5 1
?I -g" ?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
iW PROPERTY LEGAL: GoT /:?LOCA"' G
h DATE OF SURVEY;
H
?
W
LATEST REVISION:
?
cz
DOCUMENT STANDARDS
Q
n
?
? Registered Land Surveyor signature and company
?
? ? :
BuiidingPermitApplicant
? .
Legal description
? ? : Address
? ? North arrow and scale
? ? •
House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? ? • Directonal dreinage arrows with slopelgradient °k
e? a ? • Proposedlexisting sewer and water services 8 invert elevafion
ca-'o ? • Sheet name
c-' ? ? • Dmeway
d ? ? • Lot Square Footage
p"'? ? • LotCoverege
ELEVATIONS
/ Existina
B' o ? • Sewer service (or Proposed)
?? ? . Propertycorners
e- ? ? • Top o/ curb at the driveway
&'? ? • Elevations of any ebsting adjacent homes
?2-'?o Adequate footing depth of sVuctures due to adjacent utlldy Venches
Prooosed
?p o • Garage floor
?? ? • Firstfloor
ql ? ? • Lowest eacposed elevation (walkouUwindow)
V ?
;/ ? • Property carnere
? ? • Front and rear of home at the foundation
PONDING AREA (if aoolicaWe)
? [R/ o • Easement line
? ? ? • NWL
? P? a • FIUVL
? ? • Pond # designaUon
? V C2 • Emergency Overflow Elevation
Z? a
o ?
m? a ?
? ?
?
m/' ?/ ?
? Af o
DIMENSIONS
• Lot GnesBearings & dimensions
• Right-of-way and sVeet width (to back of curb)
• Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e, all sVudures requiring permanent footings)
• Shaw all easements of record and any Ciry utiliGes within those easements
• Setbacks of praposed structure and sideyard setback of adjacent axistlng structures
• Retaining wall requirements, if any
Reviewed:
WUroh 19BB
caAnSLocanMrcM
Name
I
JOB INITIATION ORDER
4'n •
Pulte Homes of
Minnesota Corporation CONTRACTOR/SUPPLIER:
1355 Mendota Heights Road, Suite 300
Mendota Heights, MN 55120-1112
Phone: (651) 452-5200 Fax: (651) 452-5727
LAT I BLOCK OC7 UNR
JOBNO
C??
(Q /? LEGALDESCRIPTION
. _
y
CONMIJNfTY?? ADOITION: :
Y11_'
BUILDtNG ADDRE : 1;6D A,, C :3 CI?A 41 ,1,r-C c1-?
- ?,:5-?4b+?tJ ?A? ?a-
MODEL NAME: ? L O MpDEL NUN?ER: ?
? EIEVATION: ? 6ARAGE LEFT RIGM
W
BUYER'S WTE OF ORDER:
CURRENTADDRESS:I CfiY: STATE: ZI .
?'y 2 /?
NOW PHINi ? V J? ol BUSWESS PHONE: BUSINESS PHONE:
?
SALES REPRESENTATIVE
'ty,??sv wjt i1
0000 rpn 4tf,' s,
'e?k.2,?``,"*' a2,rti7a"„";°-;?i?iQ?t? ..1 :
BASE PRICE
I q?q ?
---- LOTPREMIUM O
1 01 % ELEVATION # I
b - E, C)ML ht, ?Sm
I
11007
a- +
? f . st)
1
1 Di it-)- ALta 1 QL-, - ? ?
I 15031 UI C?D• r C?
1 4 T - S
i c
I 7 , IE?L
1 3Ro5 ?
-3?pl 2, , kg,
1?k
TOTAL
[jdI U k.es?u
?
/
Xx APPRO ED BY BUYER (S): 5 ?? ?? AcA
M?fff,?te, A
PPROVED BY SAL- 112
001. RELEASED TO START CONST.: EounL t+ousixc
OPPORTUNITY
Builder's License M0001371 This constitutes a contract between the Seller and the Purchaser(s) for the above items.
?. (
JOB INITIATION ORDER
Pulte FIomes of
Minnesota Corporation CONTRACTOWSUPPLIER:
1355 Mendota Heights Road, Suite 300
Mendota Heights, MN 55120.1112
Phone: (651) 452-5200 Fax: (651) 452•5727
00
CDCi?our-?
JOBNO.??? !?? ? / l.(QD LEGALDESCPoGTWN: LOT ?B-OCK I UMT ? ??
CONMUNflY
BUILDWQ ADORESS:
MODEL NAME:
euvErrs wvIE: _
CURRENTADDRE55
ClTY: STATE_ ZIF.
FI FVATION:
MiOMEPMIXJE: BUSWESS E:
SALES REPRESENTATIVE L_??-?"
CITY:
GARACiE: LEFT RIGFIf
- o
oATE oF oROM: ?
STATE: all
BUSIflESS PF10NE:
=..:V(i;(i?" ?rV >
0000 ak ?SF,:?M ?.?'???, •r?? Ln3 ?'4''??S3F.Y?, ?i&f ..? < ?
BASE PRIC
---- LOTPR
a?
ELEVATION #
?I
1 5 , , ?o
>
> >-,,-s
TOTAL
Bur.l?er
a-ter E
ADORION:
x APPROV D BY BUY- R?(S
APPROVED BY SALES: _
RELEASED TO START CONST.:
??
Q
EOUAL HOUSING
OPPORTUNITY
Builder's License #0001371 This consiitutes a contract between the Seller and the Purchaser(s) for the above items.
?I ON
? .. . ,'
' ?? • ,
Ot1tIER: ' -"'R?
ESS
I ??' •?? ??Y??e'O ? ? ?j? -
:
S ITE AOOR
• .OA-?; ?
?
''
'Y
- PHONE: 1?-/tL -s Loo
r,? ±r ? Q
••?-.
17TAACTOR-
Ca :
pETgpM1NE NORKING SO.UAiIE FOOTAGE OF EACH: ,
TOTAL EXPaSED NALL AREA........ g4 ft x"U"
] ?
. U
)
2. TO"fAL ROOF/CEILING AREA,.,,.... ( s9 ft x ifull e
---?.
j. TOTAL EXPOSEU uALL AREA CAICULAT10N5:
Tatal exposed Wall
area a6ove floor,,,,..,, ? sq ft
t
' a) Total Hall Kindrn+ area: • .
?? ??
2"ITj sq ft x U
lazed
DOUSLE ?j0 _
. • 13??5
,,,,,,
g
"U"
?t x
sq
lazed
m ?
......
g
ft x I IUn.
s4
h) •Total door Area
c) Total slld(tig glass doar area: ' " ' • '
? $b Ft ?'llult._. ? J? . ° ?
?OUFiL? 9lazed..:... ,
???i?
sq fi x s ?--?
glazed......
? ^?- - sq f i x "U"
' ` ---
dS?iTotil,fireplaee wall area . ?;
°,e),rynTota?l Wal1 framing area
ft XI1U11
i':.'.... .. r,b . SQ R
?I?
s?
t f) Total net xall area abave •
I
?
?
O? •'s?
,.
? 5$
u
1310 sq ft x.
d
: •
).......
F1aar (Insotacf
?• ZDD sq ft x"U" •O?? _' ...?=
? g) Total tla )olst area...... - -?
. ,•a
Tota) faundatlon
ft
sq
area (Exposed)..........
h) Total foundatlon -" '
ft x"U'? 5?
' ° =
Sy
wtndo?+ area......... ..
1) Total net faundation I( I
Ft x"U" •?/?? ' ?
Sq
area abave grade....... •
ToTA L a) thru 1) ' ? `y?
3•
P
If Item,4 Is the same as, ar less than Item ,+1, you have met,the Intent oF
2 tlC.1R 1.16008 a and 0. • . ?••r• .,trr> .1??;. ?`?.?'
?
Page 1
?i ••L?Y:_, 5'?1?Y.?n1. ?'.1> .Ai. d???' ?. .:?.' .. . • •
-'? ,-, r f.r.t'. `Mi' -0F?.e.ri',: '';:,: • .. , !
:<<;.'!;??.}?' ?. .(.•;X?.T ?^?? ? t • _ .- ?1? ^:?' ?'- - ' ' ' ' ?. ?
•'4.`"'?T01'.... XPOSEb?R00F/CEIUNR'?CALCULI1TI(ItlSt . , .
? Total exposed ?--I? - sq f t
rooF/eeiling area..... ,..
. _' . 'Jrv•'?`i..
.• - .T
J) Tatal skylTaBt area....... ?-_ sq f't x"U" '
k) 7ota1 rooF/callinq framing
area (Averaae ln3)...... sq ft x"U" . QZ.? °
1) 'Total aet insulated ly zq ft x"U" O7Z ° ?IT r75
roof/eeilinq area.......
t?. _ . . TOTAI J) thru .1) --
If total of iG (s thc same as, or less than.A2. Yau have met the intent oF
2 PtG1A 1.16008 A and 0.
.. .. t
? ? .:.•.
.. AITERt1ATE BU I LD I IIG ENVELOPE DE51 GN
of itemsZF3 t and t A? ashailenat system cthan the sum uoP icems'RlhandbB2the sum
, ?. + 2. ? _.._
3. + 4. °
r •-..?--....., ., ,
CE_T I F 1 CATI ON
?.?.
I hereby certify that l have ealculated the "U" faciors and "A"
vaiues here(n and that [he hufld(na here deserfbed meets ar excaeds Lhe State
of Hlnnesata Eneray Canservatlon Ac:.
/ •- - --
Slqnaturel
..± //
(Date) ?i?,r 2
A
.vi`
S'fBUCTiOfI
:?: RVA
? .?
y?, l.y,.. .
. ? •:x,
41NC
ION?
- ?h?'?4;;°.
M
_
'Iatector aIt' fllm'?
• ? .. .. ?
?
_
. u -„R
' V .
? D
?
? y
?
i
?
t+ALL sECT10N (iN5UL/1TED)
-?1
RIH JOI.ST SECT1017: •
-- -til Intertar afr film f1.6R
2 Fi-1R iu?J LA-nn Q ?g GQ ;
3 I'!7_-4 -'0FT %xl/1e )t7 I AS :.•-
-
a/'S7'
4 B)1 7
u -51D
5 l?,
i hl ?
6 Exterior atr fllm • -n:17-°?._ ,
• . TOTAL R=
FOUNOATION INSllLATI0t1 REqUTRED: ' - ?
Min. tt-5 on entire xall OR u? 1IR
Min. H-10 dawn to frast-depth • ' , ' •
-
? FOUNDATION SECTION: • _-
.
s: "'•
'. 1 Interier afr film •e,68
TL-I 1 Fi.CT'r f
;•: s..::•
••,-•_•A 3 ?.2• rn?ie
4 Exierlor air ??o
film ct{ -- r.zs
n.17 ?-'
d _
.
a ' y TOTAL R ?
U 1/R
StA9 ON flRADE
? = _ ?• J
1 ? Q. A
'4 • • '3 a •o ??' ???
• '• Neated Slabs:
.a •'',: Q, Minimum R - 8:5
F?4.Uhheated Slabs:
-v Minimum R = 6.2
^ .?
4L ••',,.k,•.c
4 . ; : ? . j4
'a
;. Q ?y ?.' ? - q..
• '.•' '•, , .- ,
? ? ? , ; , ..
..
.
.
_ ? ,4-
.
??i .: Q;
. ?'
. ?i ,
.
. '
Q. . , ? ' .Q ••
'
' • •
'
p, • .
.
. ? .
Page
U=1/Ra41f-
- . _ --:.?;.,T • :,.? , x?:., ...
i:a?x:`'?,`, -
:ti
„. - . :,._•-
? . . . . . :.1 q;Y ? .
?
0
?
?
VENTED
_54;.?;;:wM:=: ?
:_'. ' _
.,:;=??u
?:? ?<?,•:.'?:
•
_ .i _?
-
.
.
CONSTRUCTION
"
? ?
AL G
; Vyx?.•?x?,:..,..> ?
=
cstLInr sFCrtaN (tNsuLnM):
1 leterfor air-film • ?;?t°:??
' 2 5/R'
3 ;tJ?% I ;! I .¢6 +(A ,-
? 4 Exrerior aIr Film sfi111 n-
' • , TOTAI R
. -U_ 1/R•J?7Z -
CEICING FdAF11NG ScCTION:
1
2
3
a
5
?
CEILIIfG SECTfON (IFlSULATED):
1' -Interfor air film 2
3 . - :
4 Exterior air Eilm- scfiE 0. I
TOTAI A =
U? 1JRs e
CElUNr, FRAMINr. 5'cCTlatt:
1• Interior air film ' 0.61
2 _-
3
4 Exierior atr iIm st 1 0• 1
5 Inelies so t woad TOTAL R = . :.=; ?Kas_`2
U = 1/it
1 Insfde air film n•Ft
2
3 ••
4
5 Outside air film.,'. ^•17
,,R:TOTAL, R
U - 1/R-,
Page 4
- U • T/R ? .?}
r
Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot ,, Block z, OAKBROOKE 4TH ADDITION, City of Eagon, Dokolo County, Minnsoia ond
reserving easements of record.
?
o;
?; .
Cb
9325
x 30
'l f
I 1
I
I n
?---, g33? ?
I---z3.i5
i
Proposed Home i
flvp7oe=943o ?
i
i
i
?
i
?J
Ram 16a
9'Vc`" d/?
Goro9°
93f1
r
?
LOT SQ. FDOTAGE
HSE. SQ. FOOTAGE
LOT COVERAGE _
Plon # 17921
PROPOSED ELEVATIONS
Top of Foundation =946,0
Goroge Floor =q38,$
Bosement Floor =q6t,p
Aprox. 5ewer Service =12?.0*_
Proposed Elev. _ (:-:?D
Existinq Elev. _
Orainage Directions =
Denotes Offset Stake = .
63
= 3,552
= 1, 72 7
481% f
BENCHMARK,
7N4@ i/Z oulI.bru?e 4"=?Add9
?(u= 93-14
MIN. SETBACK REQUIREMENTS
q
Proposed Home
Fc??f
;'.70j, ?
SCALE: 1 inth - 30 /eet
Front -25 House Side -
Reor - Garoqe 5ide-
JOB N0:
HEDL(/JI /D I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-262
OF THE BOUNOARIES OF THE ABOVE DESCRIBEO PROPERTY AS SURVEYED
8Y ME OR UNDER AIY DIRECT SUPERVISION AND DOES N0T PURPORT TO BOOK: PAGE:
PLANNINC 6NC/NB6R/NC SURV6Y/NC SMOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT SHOWN.
2005 Pin Ook Drive
Eogon, MN 55122 OnTE j cAo flLE:
Phone: (651) 405-6600 NE 0 A LCENSE NUMBER 14376 R
Fox: (651) 405-6606 OAKBROOKE
'
RECEiVED dllM 13 2NO
CITY USE ONLY
L ? BL L'
sUao.
ReceiPra: 13 aO L _
RECEIPTDATE: 6-16' UO
PERMIT # 411,306
8000 PLUM$INfi PEiMTI' (MIDENI7AL)
crrYoF rasnx
3930 Pu.oT xxoa Ro
f.A6Aft, b1N 5518E
651-881-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
CIYTI IDCC EACH
#
TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00 I
Bath tub $ 3.00 x a _ $
Floor drain 3.00 x = $ -
GeS i in OUtl9t ' 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 = $ -
Se tic S stem newirafurhisned • re uires MPC Iic. 75.00 x = $
Se tiC S Stem abandonment 34.00 X = $
RpZ new installationlrepair/rebuild 30.00 X = $
Rou h o enin 1.50 x = $
$
Shower 3.00 x
Und@f fOUf1dS flnkl8f ifdwellin isunderconsWCtion 3.00 X = $
Under rounds rinkler ifexistin dwemn 30.00 x = $
Watercloset 3.00 x ?- _ $
Water heater 3.00 x = $ ?
?
Water softener if dwelUn underconstructlon 5.00 x = $
Water soRener if exisnna dweuin 30.00 x = $
Waterturnaround 30.00 x
>
> $
50
$
State Surchar e .50 -> - --- .
i Taiai 5 50
Reminder: Call for Inspections of aiterations, i.e. water heaters, water softeners, etc.
.
.
-
-
- or • di
nances.
I hereby -------------
- Ciry of Eagan-
---------------------••--•------•-------------------------•-•--•-•••------.--•--•------ --•--•--•°----- -•
- wifh -all- app-licable-
- compiy -
ge that I have read this appliwtlon, state [hal the informatlon is correct. an d -- --
acknowied a9reeW
It is the applicant's responsibiliry to notity the properry owner that the Cily of Eagan assumes no liability (or any damages nusad by tha Ciry dunng ita rrormal
operatlonal an0 maintenance activities to the taciliUes consWCted under [his permil within City property/rightof-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
TELEPHONE #:
(AREA COOE)
TELEPHONE #: ?6c-k _
(AREA CODE).
STREET ADDRESS:
CITY: STATE P: S?1V1?X?-
?
SIGNATURE OF PERMITTEE
?D ZQ? RESIDENTIAL BUILD[NG
.. Permit Application
City OfEagan
3830 Pilot I{nob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
? o as.
New Constructlon Reowrements RemodeVReoair Reauirements Office Use Onlv
3 registered site surveys shaxing sq. ft of lot sq. R. of house; and all roofed areas 2 copies of plan CeA of Survey Recd
(20%maximum lot coveroge allowed) 1 set of Eneqy Calculations Wr heatetl additions Tree Pres PWn Reod
2 wpies of plan showing beam & window sizes; poured found design, etc. 1 sRe survey for additians 8 decks Tree Pres Not Reqd
7 ut ol Energy Calcula6ons Addition - iiMiwfe ilars8e sepfic sysfem _ On-stte Septic System
3 copies of Tree PreservaGOn Plan if lot pWtted after 711193
Rim Jaist Defail Options selecGon sheet (hldgs wilh 3 ar less uniq
/ ?
Date 7 / c j Construction Cost
_
Site Address Z4 ,j? 3 hAtb I2 B DkC UniUSte #
Description of Work nCtPiv N,?a,S S4g7G/C.
?k ,V
Multi-FamilyBldg _ Y -'N ?
Fireplace(s) ?0 2
I
4
e 7 4s a-99D
')/9
Property Owner O
? y
?
/? l3? Telephone #( )
Contractor
Address Cjt3'
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Tel_ephone #(' J_
, ;,I „
I hereby apply for a Residential Building Permit and aclmowledge t? al the intormataon=iimplete 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 work which requires a review and
approval of plans.
167G1Auet,7 /t/, ,/???9? '1ey ?.
Applicant's Pri ed Name A plicant Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
0 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex )( 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous
Work Types
? 31 New
? 32 Additian
? 33 Alteration
? 34 Replacement
Valuation 2,049v
Census Code ?
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
Footings (new bldg)
?L Footings (deck)
_ Footings (addition)
Foundadon
Drain Tile
Roof Ice & Water Finai
_ Framing
_ Fueplace _ R.I. _ Air Test _ Final
Insulation
Width
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tes[s _ Final
_ Siding Stucco S[one
_ Windows (new/replacement)
_ Retaining Wall
Approved ByTZ_ , Building Inspector
Base Fee
Surcharge
Plan Review MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bldg
? 31 Ext. Alt - MuIG
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bidg)` ? 43 Reroof ? 46 Windows/Doars
'Demolition (Entire Bldg) - Glve PCA handout to appiicant
Occupancy MC/ES System
Zoning City W ater
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
pra Llc.
_aIG
?.?vvv
e'Surveyor's Certificate
( FOR :PULTE
BED AS :Lot 1, Block 2, OAKBROOKE 4TH ADDITION, City of Eagan, Dakoto County, Minnsoto ond
reserving eosements oT record.
ca
93?5
X g,o
? ?? ? ?
By
Taatie - ?
EAG/1rT ENGINEERING AEPT'. J
"ST
?
5 G?i
--, ?
I ?
1
I r
i
Proposed Home i
Fvp YoB"94d o ?
,-;
?
?
?
?
i
_J
LOT SQ. FOOTAGE
HSE. SQ. FOOTAGE
LOT COVERAGE _
Plan // 17921
PROPOSED ELEVATIONS
Top of Foundation =.146.0
Goroge Floor =q38.8
Bosement Floor =q-b?,p
Aprox. Sewer Service =°I21.ot
Proposed Eiev. _ (Z::D
Existing Elev.
Droinage Directions = -
Denotes Offset Stake = .
q
voln "B? Propased Ham! R I o , mb1 e/ P \?? V''w °9 .
Goroqa
a 33' 10 ?,?
9341
??. r fCNC?r
?
EST
^
OOK' WA.y"._,.---------
JOT COSTRIICT 0) -__._- ------ _..._.T___ .`
?V 63
= 3,552
= 1, 727?r
487 ?
..-MOS
V.f?? ?
SCALE: 1 inch . 30 feat
BENCHMARK,
-1NNCa ,!Z oali.brooke. 4"!'s1ddI
G(0u- 9374
MIN. SETBACK REQUIREMENTS
Front -25 House 5ide -
Rear - Gorage Side-
HEDLIlND I HEREBY CERTIFY THAT 7H15 IS A TFUE AND CORRECT REPRESENTATION
OF THE BOUNDARIES Or THE ABOVE DESCRiBEO PROPERTY A$ SURVEYEO
BY ME OR UNDER MY DIRECT SUPERVISION AND OOES NOT PURPORT TO
PL.INN/NC 6NClN66R/NC SURY6Y1NC SHOW IMPROVEMENTS OR ENCROACHMENiS, EXCEPT SHOWN.
2005 Pin Ook Drive /
Eogan, MN 55122 DATE
PhOne: (651) 40$-6600 RE . LINDG EN, LAND JR?
Fox: (651) 405-6606 NE 0 A LICENSE NUMBER 14376
NO:
OOR-262
OAKBROOKE
r?'7rS-!1/G-n fI i Pl t^ "?116}(t
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125040
Date Issued:07/16/2014
Permit Category:ePermit
Site Address: 1663 Oakbrooke Way
Lot:1 Block: 2 Addition: Oakbrooke 4th
PID:10-53763-02-010
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 -
Donna J Schave
1663 Oakbrooke Way
Eagan MN 55122--420
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:EA128013
Date Issued:10/22/2014
Permit Category:ePermit
Site Address: 1663 Oakbrooke Way
Lot:1 Block: 2 Addition: Oakbrooke 4th
PID:10-53763-02-010
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 -
Donna J Schave
1663 Oakbrooke Way
Eagan MN 55122--420
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature