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1665 Oakbrooke WayAddIess 1665 Oakbrooke Wav Zip 55122_ I.ot Blk 2 Sub Oakbrook THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Pemtanent steps (garage) Permanent steps (main entry) Permanentdriveway 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 shutoff of water supply to t6e outside lawn faucet before freeze potential exisLS. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy s ?4- U-) --H ?---I 13 `-f ?S , 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? CfTY OF EACRN 3830 PIlOT KNOB RD - 55122 851-681-4875 Rocadrenmft * I -50 I a a reoaterad dfe wnveys dnowmp w. rt. a ia, •a. n. a " 16, ov anE M roofetl arem (Z076 mmdmum lot covemae allowedf > s oopws a owns (Wnow bea„ a winaoW aM aourea md dergN etc.) D 1 tat Of enerpy cdCWOgoru D S copiet af hea pretervallan Pim M btplalptl altw 7/1/93 DATE: DESCRIPTION OF WORK ,n STREETADDRESS: \lst?-J Vc?.?C hto? tOT: C?', BLOCK: .?_ SUBD./P.I.D. ?1 L-(?{ -C)C) s copia. a pian t sor a w,argy caaawftu r(r nearoa addinom 1siEe 7uneY lor 6MeAOr 4ddiMotx 6 decks COST: Name: Phone i: PROPERIY Lasf Flrst OWNER Shaef Addreaa: ? Sfate: Zip: 11041? Compan•n.?e Phona t: rh?q (area code) CONTRACTOR ?c1 - S.?., ?-?o? Sheet Adcbreax\ llcenae t ? cny srore• kx +\ zip: ARCHITECT/ ENGINEER Compuny: Name: Telephone #: ( ) Sfreet Addreas: Regishailon i: Cily sewer/wacar Iicansea 7iP: Pho,aP. R Aqt-Z\7-\ I hereby ackrwwfedpa Mwt 1 hpve reod Mis applicalfon. atafe ihal ihe albn b ct, un?l pree to eompy wHh a1 app6cdNe Sfote of Minneaota Statutes and CNy of Eapan Ord6wncea. Certificates of Survey Received v Yes Sipnalureof AppRCOnt Tree Preservatlon Plan Received Yes. OFFICE USE ONLY v 7 _ No ? No ? Not Required ? State: ? l7o'C?c?C? OFFlCE USE ONLY ' BUILDING PERMIT SUBTYPES a 01 *- Foundatian O 07 05-plex 02 , SF Dwelling O 08 OB-plex O 03 01 of _ plex ? 09 07-plex 13 04 02-plex 0 10 08-plex ? OS 0-plex O .11 10-plex O OB 04-plac p 12 12-plex WORK TYPE ?-'31 New 0 32 Addition O 33 AlteraUon O 34 Repair Q 13 96-plex O 21 Porch (3-sea.) ? 31 Ext Ak - Multi 0 17 Garage 0 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF 13 18 Deck 0 23 Poroh (screened) O 36 MulU 0 19 Lower Level 0 24 Storm Damage Prop Yor_N 0 25 Misceilaneous O 20 Pool O 30 , Accessory Bidg. 0 36 Move Bldg. O 43 Reroof E3 37 Demolish (Bldg)' O 44 Siding O 38 Demolish (Interior) E3 45 Fire Repair O 42 Demofish (Foundation) O 46 Windows/Doors • G(ve PCA handout to applicant for demotition permit GENERAL INFORMATION SAC Code 0_ No. of Units I No. of Buildings _I Const. (Actual) -U-A) (Allowable) ? UBC Occupancy ? Zoning ? # of Stories tength W idth Basement sq. ft. Main level sq. ft. G? sq. ft. sq.ft. MISCELLANEOUS INSPECTIONS 0 Stucco/Stone APPROVALS ? Planning Buifding I sq.ft. G C sq. ft. 35 Footprint sq. ft. 2170 t3 Census Code I o t I 1713 MC/ES System tiyI City Water ? Booster Pump PRV ? Fire 5prinklered Engineering Variance Permit Fee Valuation: $?0o U Surcharge Plan Review ts =A2y ias X License MC/ES SAC ? s,v4l WaerConn. C?t,,.3? `?u?y?16 !?tsz Water Meter Acct. Deposit S/1N Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ?--4 --109?o ? SAC Lfiits °k SAC Cities Digi Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. 0 ? 1 ' W_ 7 _ _f r I a z A ?J ". . . . r • 9 ( I L x IU11 f C .e (11111 -^---- - . , •. ..._-- d) rw3 .TOtal ffrAplace wall :l 5?7 . f. , K ul ?? ? ..... P) Total watl framfng area „ (Averava 101).... f) Total net watl area nbavr ftnor (lrrtuliteJ) ...... ... . t???.• f• '..- 7at.71 rtm jhlSt :IYP?... . . . _'• . ... _ 5•1 .. fr x "U- i` .. . . . .?'; 1' ? - - - . . • ' ' ??, ltlti?nr !: n• i:.,..-<...:.>?,..?!_: ? ? . ._ ..., -.. _ . . . r.On ne?Ertrt ?r .r?rcr, ; i-?1. irlf• ,li ... . . ? 1. 101r:l_ F:i'7ScD UAL1 AR@.A...,.... ' ' „ Ft x _._. . ...._. ,.. Torat. ,oUI'; C= IUf7G P.iYf.A, . .. .. , , : : rr K "ti _; ..., ,.. .. ._ .?... . ....__. 3. !Oinl_ EXP95c`J 11A1L A!1EA. C;.t.S'JI nr;nll;: 7n/3l r.`I?r7Sn? Y19ll aroa abovc f{oor........ ! r•?•-??? a? 1r ...__.._- p} '?^Y0? WA'? W<<lG?tll? •lf^:1' --)?=- 4lazed.,.,.. -- h) lnt?l d00f dfna 1.? . . . . . . . ? . , . . G..._ . . .. . . (? 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N Yi 1? { i't " 9 1 N.nn te .. r?,"%_A F.i..?," ? /t i'" ` 'S?i ' N; ? ,? 'l? ??...: l A. ! i 41 E:cter .or ai°r f i.Irh,? sti 11 A waad TOt,7AL R i M1 $ 1 { IQ ? ; ?, ,LY 1}t j< p?3 ?' ? ? , " R• ? 1 ? ? i ? I , t I a ? #'? r' ''<. , ?.?v ?v ? Go-? r, ?.t .? .l ? ? ?? ?e9T'.????4? 4.} ? 1 ?;?t • ;i,?•1:?;; • . ? ? ?n '':j?,??:, ;io-...., ?S f i??? '-t ??:?, ,.i,,:,, : , p?.,. . >I ',' ? ? • ? ? G 'f .u;'? ? ?? ? ? ?: ?:.?? :?• ' ? , i ? L ?1 ? e? ? , ? ? Y, ?t a,r?R I r? .1 ' •1, {? ^.,. 1'it I . ?'• •'' ??t ti:?? .a, ?y???f?ip Fk ?1[? ?? it ,,? ^il .!? ?'? • ??( 'S t?y • ? ? . R ?fi ? ? , ? E? _? . 7 j . , b '+e?.w?s? TA . R z ? Y??Y N4'?'i'? J?` 4 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 06 4-plex 0 11 10-piex ? 16 Fireplace ? 21 Porch (3-sea.) X 02 SF Dweiling 0 07 5-plex ? 12 12-piex ? 17 Garage O 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex O 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level O 24 Storm Damage 0 OS 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia a 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair O 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permft GENERAL INFORMATION Const. (Actual) S• Basement sq. ft. «M3 Census Code jdl (Allowable) • Main level sq. ft. 1'I 23 SAC Code UBC Occupancy a. 3 ?sq. ft. 44-1 No. of Units i Zoning P• D sq. ft. No. of Bldgs # of Stories t sq. ft. MC/ES System Length ?Cfo sq. ft. City Water Width 5 5- Foatprint sq. ft. 2I -7 O Booster Pump PRV Fire Sprinklered APPROVALS Planning Building ? Engineering Variance 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. Traiis Ded. Other Copies ?Vna,lu,at'ion: $ ?2 $) °co 2A ? 1-R2314 1, 5 = 25,?5 O6 IyN4Ini W . I 723x 54 c ?['3,oA2 ?- DEG?CPt?toiukc._.? : Ilx?o = llo?t=1?Jb` 44Z k l fe = 7 f 5 2=` w mE+ ovr Po2c.tF ESmT . lfot3 X l5 = ?14?1?15°= ?DEGIG ?OP?"iowlq??'. MktkI W. Total: Ibt3 K 54 = B P 7, 10 'L SAC Units Gia*eol4F?- 2°= -? °h 5AC 441 k Lb = 7 1.5 T-arm_ t l q, lox Ii=11O 41 = Izoo `°` \ JOB INITIATI4N ORDER Pulte Homes of Minnesota Corporation 1355 Mendota Heights Road, Suite 300 Mendota Heights, MN 55120.1172 Phone: (651) 452-5200 Fax: (657) 452-5727 Joera. k--? conmwNrrr4 BULDING ADD MODaNAME: # TOTAL ? , I CONTf7ACTO WSUPPLI ER: 6 ? LEca. oESCRIP'TIoN: Lor C2> eLOCc uNTT&aO ? ?TC noorr,or,_ 1_L ? CRY: STATE: ZIP ? a : ? A70DELNUMBER: ELE1lATION: OARACiE: LEFf RIGHT PUTE L Mastei- Bt?ilder ?/-?- APPROVED BY BUYER (S): APPROVED 8Y SALES: RELEASED TO STAfiT CONST.: 112t eauaL nausiwc OPPOflTUNITY Builders License #0001377 This constitutes a conVact beiween the Selier and the Purchaser(s) for the above iiems. . L07 SURVEY CHECKLIST FOR RESIDENTIAI BUILDING PERMIT APPLICATION ? n N ? w ? ? 0 , a ? a cy/o ? Qa? ? 231 ? ?? ? ?/? ? ?a' ? ? v? ? PROPERTYLEGAL: DATE OF SURVEY: LATEST REVISION: DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legaldescription • Address • NoRh arrow and scale • House type (rambler, walkout, split w/o, splft entry, lookout, etc.) • DirecSonal drainage arrows with slope/gradient °/a • Proposed/epsUng sewer and water services 8 invert elevation • SVeetname • Driveway • Lat Square Footage • Lot Coverege ELEVATIONS Existina V/ ? a • Sewer service (or Proposed) ar' ? ? • PropeRy corners V • Top of curb at the driveway v y • Elevations of any ebsting adjacent homes ??/o Adequate footing depth of structures due to adjacent utiliry trenches ? Prooosed ¢'i? ? • Garagefloor a' ? • Firstfloor ? - Lowest exposed elevation (walkouUwindow) e? o a • Property comers ¢? ?? • Front and rear of home at the foundation / PONDING AREA (if aoolicable) ? d • Easement line ? 0 • NWL ? rt/ ? - HWL ? ?p • Pond # designa5on ? ? ? • Emergency Overflow ElevaCOn DIMENSIONS /? ? • Lot IineslBearings & dimensions ?f o? • Rightof-way and street width (to back o( curb) r? o? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. ./ (i.e. all strudures requiring permanentfootings) p? P - 5how ail easements of record and any City uClities within those eaaements ??/ ? • Setbacks oi proposed structure and sid rd setback of adJacent existing strudures 0 'Y5 O • Retaining wall requirements, 'rf any?? _ / Reviewed: Marth 1988 cruwieLooannrt.FM ' . Surveyor's Certificate SURVEY FOR :PULTE DESCRIBED AS : Lot z, BlOCk 2, OAKBROOKE 4TH ADOITION, City of Eogon, Dakoto County, Minnsota and reserving easements of record. ? j ? ;Y {i?F ? Cg: 932 S ..?F_.?..- ?---- < . Sf ? 01 pa 6*1 m ? L-? ? ? UCD ? .21 ?? 35.0 ?CI EAST 44.00 a 93? 33.5 q333i. o 24,00 o Porch 0 1.00 ? Propoee0 m ° Rombler ? ? 9?ptw w/o ? 4.50 m O N 1 2.5 N N COlO9Q m N O ? 12.87 2 2033 '7 24.6 1665 Plan # 17944 PROPOSED ELEVATIONS LOT H SE. LOT SQ. F00 TA GE SQ. F00TAGE COVERAGE _ '-5 Zt-T FENC 45 = 3,608 = 2,196 61% BENCHMARK, -IN}{ ? Cm Oukbrccip waci E?0v = 94.rb Top of Foundation =q¢3z,' Goroge Floor =qq(,Q, Bosement Fioor = q3Q,0 Aprox. Sewer 5ervice = q2,8 °I Proposed Elev. = 0 Existing Elev. _ Drainage Directions = Denotes Offset Stake = . SCAIE: 1 inch - 30 leet MIN. SETBACK REOUIREMENTS Front -25 House Side - Reor - Garage Side- I MEREBY CERTIFY THAT THIS I$ A TFtUE AND CORRECT REPRESENTATION HEDL?JND OF THE BOUNOARIES OF THE ABOVE DESCRIBED PROPER7Y AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISiON AND DOES NOT PURPORT 70 PLANN/NC 6NC/N66R/NC SURY6Y1NC SMOW UAPROVEMENTS OR ENCROACMMENTS, E7(CEPT AS SHOWN. 2005 Pin Oak Drive r r? ?? A- Eogon. MN 55122 DA7E r7 / ?/Shc tj Pnone: (651) 405-6600 E 0. IINDCREN, LAN URVEVOF Fox: (651) 405-6606 INNE TA LICENSE NUMeER 14576 ?`. ND: OOR-243 OAKBROOKE JU N 1 3 20M cirr use oNLr L eL ? sUBO. Odkbrook?, ? ? RECEIPT #: ? ? ?? 09,) RECEIPTDATE: PERMIT# 2000 PLUMBING PERMIT (RESIDENTIALuuu C_? oF ? 20, l? 3630 PIIAT IQtOB RD EAGAN, 21AT 55122 651-682-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES ' EACH N TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x $ -- Floor drain 3.00 x = $ -- Gas piping outlet ' minimum - i 3.00 x = $ - Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry Vay 3.00 x = $ Lavatory 3.00 x 23, = $ " Septic S stem new/refurbished • requlres Mac nc. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repaidrebuiid 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ - Underground s rinkler ifdwelling is underconstruction 3.00 x = $ Underground sprinkler if exisunp dwening 30.00 x = $ Water closet 3.00 x $ - Water heater 3.00 x = $ Water softener ff dweuing under construction 5.00 x = $ Water softener If existing dwelling 30.00 x = $ Waterturnaround 30.00 x - _ $ State Surcharge 50 -> -> -> $ •50 Total -> -> -> --> $ ZD Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. -----------------------------------------°•--•------••------------• •---------- ---------- •-• •-----------------••-----------------------•-- I he?eby acknowledge that I have read this application, state that the iMormation is cortect, and agrea lo wmply witli all applicable Ciry of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City oi Eegan assumes no liabilily tor any damages caused by the Ciry during its nortnal oparetional and maintenance adivRies to the fecilities wnsWCted under this pemiR wkhin City propertylright-of-way/easement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: TELEPHONE #: (AREA CODE) STREETADDRESS: ?S(Q( P ( 1J,C.,f0.l f/A f-a/Y' ? CITY: P&U'1[ao STAT : ZIP: ?/71? 22?Lfz f-;3) SIGNATURE OF PERMITTEE **********************************??*** CITY OF EAGAN CASHIER: JS TERMINAL NO: 776 DATE: 09/13/00 TIME: 11:52:50 ID: NAME: BOS SABLE SERVICES 3212 9001 1665 OKBRKE WY 30.00 2155 9001 1665 OKBRKE WY 0.50 Total Receipt Amount: 30.50 CR137266 USER ID: JAN CITY USE ONLY L BL ? RECEIPT#: SUBD. 1 Y? RECEIPT DATE: PERMIT# y-LIA 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, tM1 55122 651-681-4675 Please complete for: 9 single family dwellings D townhomes and condos when permits are required for each unit ? backFlow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = 8 Gas piping outlet ' minimum - t 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tra 3.00 x = $ Lavatory 3.00 x = $ SOptiC SySt2(Il naw/refurbished • requires MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ naw installation/repaiNrebuild 30.00 X = $ Rough opening 1.50 x = $ Shawer 3.00 x = $ Underground sprinkler if dwelling is under construcdon 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Waterturnaround 30.00 x $ State Surcharge .50 --> -> -> $ .50 TOt81 -? --' ---' ----? $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. .........................................•--•--......................_..---orrect, and -ty- w--it-h--all--... applicable-------City ----of--Eagan- ---- ord-----•----. inances- I hereby adcnowledgsa that I have read this application, state that the iMortnatlon Is c agr ee to comp It is the applicant's responsibility ta notify the property owner that the City of Eagan assumes no liability for any damages caused by tha City during Rs normal operetional and ? aintenanea { pctiviti to th facili 'es constructed under this permit within Ciry property/right-of-way/easement. SITE ADDRESS- ? OWNER NAME: : INSTALLER NAME: TELEPHONE #: ? ' I (4?F? (AREP. CODE) TELEPHONE#: ?/ -I S `?Y (AREA CODE) STREET ADDRESS: CITY: ?,?JW 17`''(1-?? STAT : ZIP: "j ''?U ??'?.t?? Q SIGNATURE OF PERMITTEE CITY USE ONLY LOT d BL sUBD. ?C krr;o PERMIT ti: "/r -/ RECEIPT #: 7 ?g `U C) RECEIPT DATE: I,3153O 2000 MECHANICAL PERMIT (RESIDENTIAI,) CITY OF EAGAN 3830 PILOT IINOS RD EAGAN bAI 55122 651-681-4675 Date: ?? 3/ov ? ?-- Complete this section onlv if you aze installing HVAC in a single family dwelling;,townhome or condo under construction and not ownedoccuoied. • 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 .50 Total $ 35 ? ' Comptete this section onlv if you are remodeline, addin?to, or repairin? an existing single-family dwelling, ? townhome, or condo. Please indicate if it is a new item, alteration, or repair. . _ New _ Alteration _ Furnace _ Air exchanger _ Repair _ Other _ Air conditioning Other Fee State Surcharge Total Reminder: Call for inspeclions ? SITE ADDRESS: / 6 (O 'r C OWNER NAME: 6C_e? INSTALLER NA(vIE: ?? U STREET ADDRESS: CI1'Y: $ 30.00 .50 $ 30.50 (AREA CODE) OcGUS? (AREA CODE) _ ? ?e.?? • STATE: SIGN OF PERMITI"EE CITY USE ONLY „ L _ BL _ PERMIT#' SUBD. RECEIPT#: APPROVED BY: , INSPECTOR RECEIPT DATE: 2000 MECHANIC.AL PERbIIT (CflMIlERCIAL) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, MIIQ 55122 651-681-4675 Please complete for: all commercial/industrial 6uildings mulG-family buildings when separate permits are not required for each dwelling unit DATE: WORK TYPE: New construction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping When insralling/removing underground iank, ca!! 651-681-4675 jor inspection by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater Underground tank removaUinstallation = minimum fee Contract price: $ x 1%_$ (Basa Fee) r' State surcharge calculate at $.50 for each $1,000 Base Fee , TOTAL S SITE ADDRESS: OWNER NAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONL`n: WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMIITEE Siteaddress: \U0:N QX? IW?w1?44 LotQ, Blockq, Subd. ???f 00?2. On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the foliowing information be submitted prior to issuance of a Certificate of Occupancy. _ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 / OR This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater Furnace r N'? ISz, MNY 01«c0 Atz? R)m Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED res r+o Kitchen kitchen Bathroom 1 ftxi%ay vi G? ?$p 8D Bathroom 2 S\j 'Sc> > eathroom 3 Bathroom 4 aner FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL 8TU'S VENTING DIREC7 aimOS ? ? \o ?af?ou"C?- I1Wo I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. \C?? Sig Date Company Name ' This form is the responsibility of the General Contractor. Use BLUE or BLACK Ink r For Office Use Permit D9, 3 ec City aa~ -41 of APR 8 9 2010 I PermitF e:~ 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Received' Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION cr/1r. L4vzf lL~ K K s2xb Date: - Site Address: 04~ Tenant: Suite RESIDENT/ OWNER Name: Phone: ~,5 t- !!td(o ^ 9 ?02 C Address / City / Zip: &6-5- 0A I C BR O C KE L) .4 1 Applicant is: _X Owner Contractor TYPE OF WORK L' 1C e )q P,,a5 ko 1A OS IT,` Description of work~i~ M 0 y CC-#- g c- 'PL wC c- E ~ Construction Costf( 00, 0 © Multi-Family Building: (Yes / No r CONTRAC R Name: ~ Nk License ~ Address: City: -0 lJ~ 0 P "s State. 9 Phone. 6.3 "z s LgAr 4 Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 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. x,K~ Aso x Applicant's Printed Name Applic nt's Signat e Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage - Single Family ~,arage Porch (4-Season) Exterior Alteration (Single Family) Multi Y/Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building ` WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* 1 /"Alteration _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows - Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy ac MCES System Plan Review Code Edition SAC Units (25%100% - Zoning - D City Water Census Code y-3 Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction K- Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEW V Base Fee 73 Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 PERMIT City of Eagan Permit Type: Building Eaaan. Permit Number: EA100057 Date Issued: 07/12/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1665 Oakbrooke Way Lot: 2 Block: 2 Addition: Oakbrooke 4th PID: 10-53763-02-020 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector Nva ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: hrech Exteriors Inc Harold K Larson 5866 Blackshire Path 166 Oakbrooke Wad Inver Grove Heights NIN 55076 Eagan NIN 55122 (61)688-6368 I hereby aeknowledae 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA126153 Date Issued:08/15/2014 Permit Category:ePermit Site Address: 1665 Oakbrooke Way Lot:2 Block: 2 Addition: Oakbrooke 4th PID:10-53763-02-020 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 - Harold K Larson 1665 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:EA128014 Date Issued:10/22/2014 Permit Category:ePermit Site Address: 1665 Oakbrooke Way Lot:2 Block: 2 Addition: Oakbrooke 4th PID:10-53763-02-020 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 - Harold K Larson 1665 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:Mechanical Permit Number:EA137679 Date Issued:07/15/2016 Permit Category:ePermit Site Address: 1665 Oakbrooke Way Lot:2 Block: 2 Addition: Oakbrooke 4th PID:10-53763-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Harold K Larson 1665 Oakbrooke Way Eagan MN 55122 (651) 529-3590 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA174870 Date Issued:02/24/2022 Permit Category:ePermit Site Address: 1665 Oakbrooke Way Lot:2 Block: 2 Addition: Oakbrooke 4th PID:10-53763-02-020 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: 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: 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 - Mary L Harris 1665 Oakbrooke Way Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature