1667 Oakbrooke WayRESIDENTIAL
BUILDINC PERMIT APPLICATION EAGA L_. . ? 3830 PILIOT KNOB RDN 55122 ? ` U 'o ?
651-681-4675
New Constmction Renuirements
• 3 registered site surveys showing sq. fl. of lot, sq R. of house, an?ll roofed areas
(20 % maximum iot coverage al6wed)
• 2 copies of plan sfiowing heam 8 window srzes; poured fowd design, etc )
• 1 set of Energy Calculations ?
• 3 cropies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Ophans selectlon sheet (bldgs with 3 or less units)
DATE ? z-Z"'`Zae/ VALUCfION 4f/Z1 ood
JOB SITE ADDRESS l'P? ! OAK 8ZwKt?- 10A-, i
IF MULTI-FAMILY BUILDING, HOW` ?MANY UNITS? N1,4 ?
PROPERTY OWNER
TYPE OF WORK ?f?SEW1?lIT-f'!Ai`CSfI- QCLT FIREPLACE(S) ,)(0 _ 1_ 2
APPLICANT ?BGE[2?i A-Nf.?Gr PHONE# ?OSI 6`l.S-?I(o(
ADDRESS I60 ?4?$Z>QXeaL&?. io?r464V 4I/Y ZIPCODES?2Z
PAGER # /0 `A CELL PHONE # R42- ZID 3?T ? FAX # 44LV1 LIZ?O
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ VIINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNF,SOTA RULI:S 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Vlec}ianic.d System Includes:
Sewer/Water Contractor:
_ Air Condi[ionina
_ HC1C RCCOVCIy SyS[CITI
Phone #
Fee: $90.00
ree: $70.00
" __ ?„_'..-,?? l:? • ? p11.
Phone #
?
r.u auwe miviiiiauun inusi ue suu1111ueu pnui iu pIucesniny ui apynceuun.
I hereby acknowledge that I have read this application, state th e in ation is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan rdin e.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Receiv _ Not Required _
Updated 'I /Ot
?VaLec Softener
\Vater Heater
No. of Baths
`--U? yy\_1Q_"-Q`V
RemodellReoair Reou i rements
. 2wpiesofplan
• 1 set of Energy Calcula4ons Por heated addiGons ?
• 1 site survey for extenor addiGons & decks
. Indirate rf home served by septic system for additions
Phone #:
I.awn Sprinkler
No. of R.I. Baths
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 af _ plex
? 04 02•plex
? OS 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
x 35
? 36
? 37
-2-QU D a?
y?
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bidg only) - Give PCA handout to applicant
Occupancy -? 3- Ue MC/ES System
Zoning L? 10 City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinkiered
W idth
REQUIRED INSPECTIONS
_ Footings (new bldg)
_ Footings (deck) FinaUNo C O.
_ Footings (addition) Plumbing
Foundation HVAC
Ihain Tile
Roof Ice & Water Final Other
Framing
Fireplace _ R.I. _ Au Test _ Final
?( Insulation
Approved 8y
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex X19 Lower Level
? 12 12-plex PIb?Y or _ N
Fina
UC.O.
x
?
Building Inspector
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Wmdows (new/replacement)
Lowvz- [,z uF (- r-r?,sia
Zouu °a iJ?a-L c./4-r'IoN
Address 1667 Oakbrooke WAv Zlp 55122_
IAt 3 Blk Z Sub Oakbrooke 4th Addition
THESE TI'EMS WERE / WERE NOT COMPLEfE AT THE TIME OF THE FINAL INSPECI'fON.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Peimanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the buildet the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential enists.
Contact engineering division at 681-4645 beforo working in right-of-way ar installing underground sprinkler system. ?
Wltite - City Copy Yellow - Resident Copy Pink - Convactor CoPY
PERMIT# Iq I 5L
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
cin:
0 2 ? 0 T
APR 2 5 zooZ
?. NJ
TELEPHONE #: Ld?; 1_ (07S' O IoI
(AREA CODE)
TELEPHONE #:
STATE: 1 illi ZIP: zis-12 7
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
? Adding fxtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unft (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repaidrebuild $ 30.00
_ latrn irrigation syst2m
ReplaCemenUadditional: _ watersoftener _ waterheaier $ 15.00
State Suroharge $ .50
l
T -C)
$ ? •?!
ota .
I herebyacknowledge ttiat I have read this application, siate that the intortnation is correct, and agree to comply wdh all applicable Ciryof Eagan adinances. It
is the applicanYs responsibiliry to notiTy the property owner that the City of Eagan assumes no liabiliry for any damages caused bythe City during ds nortnal
operational and maintenance ectivities to the facilities wnstructed under this permit with' Cily property, t-of-way/?asem'n;
--
SIGNATURE OF PERMITTEE 1102
RECEIPT DATE:
2002 RES1DENTiAL PLUM$INfi PERMIT Ai'PLICATION
crrY oF EAsM
3930 Pnor xxos ttn
sAG?x. ME ssiss I
851-681-4875
single family dwellings, townhomes and condos when permits are required for each
backflow preventer for irrigation system
L _? BL r? CITY USE ONLY
SUao N,;,Xh,-oowo 1A
RECEIPT #: Y 3`7 3I3
RECEIPT DATE: 7- Q- 00i
PERMIT #
2000 PLUMING PERMIT (RESIDENTIAL)
CITY OF EAC.AN
3830 PILOT KNOB RD
EAGAN, AII7 55122 v(?'? ? CQj I I? ?" ? 7-bC7+*
651-681-4675 .
Please complete fo . ? single family dwellings l: ? I/w p' ry ?
? townhomes and condos when pertnits are required for each unit ?J ? ??' IJIJ
? backflow preventer for underground sprinkler system
Gl r?1vFC Eecw # TOTAL
Alterations to existing dwelli - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3. x = $ -
Gas piping outlet ' minimum - i .00 x = $ -
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurbished ' req 'res MPC lic. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepaidrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 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 eo [ruction 5.00 x = $
Water softener if existing dwelUng 30.00 x = $
Waterturnaround .00 x $
State Surcharge 0 --> -> -> $ .50
Total $ ?
Reminder: Call for inspectiono(of alterations, i.e. water heaters, w4ker softeners, etc.
I hereby adcnrnwledge that I heve resd this plication, state that the informetion is correct, and ag2e to com wdh all?epplicsble City of Eagan ordineriees.
It is the applicanFs responsi6ility to nof the property owner that the Ciry of Eagan assumes no liabibty to ny damages caused by the City during its
nortnai operationai and maintenance a ities to the facifities constructed under this pertnit within City prope right-of-wayleasement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS
TELEPHONE #:
CITY: STAT : ZIP:
a
SIGNATURE OF PERMITTEE
**********************************?****
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 669
DATE: 07/31/00 TIME: 14:30:48
ID:
NAME: BURNSYILLE HEATING & AIR COND
3213 9001 1667 OAKBROOKE 39.00
2155 9001 1667 OAKBROOKE 0.50
Total Receipt Amount: 39.50
CR135072
USER ID: JAN
************??***?***?*******?***?*?*?*
C:1TY USE UIVLY
LOT t3 BL
SUBO. Oqkb•co?eo ?}??
PERMTf #:
qq-0g
RECEIPT #:
RECEIPT DATE: ' / 1? I I v?/
2000 rEcxAxxcAL PERMIT (xEsxa$rrrIAz)
Date: ?Z-oZ(.e "'C9o
Complete this section onl if you are installing HVAC in a single famIly dwelling, townhome or condo under
construction and not ownedoccupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BN
• Gas outlets (minimum of one required @ $3.00 ea.)
... . . .?:,
$ 30.00
- 6.00
State Surchazge : 1.
Total
3 oC)
.50
Complete this section onlv if you are remodelins, addin¢ to. or reairin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, orrepair.
----- ' ---.. .---
_ New _ Alteration _ Repair _ Other ?
_ Furnace
_ Air exchanger
Reminder: Call for inspectrons
SITE ADDRESS:
rDOKe-
Air conditioning
Other
Fce $ 30.00
State Surcharge - .50
Total $ 30.50
OWNER NAME: PHONE #: (D J l - ?I S°?-?a?
(AREA CODE)
INSTALLER NAME: AiJ?/I,Sv I 1 LQ- PHONE #: CItS? - Sq
(AREA CODE)
STREETADDRESS:I??(?(I hv.- S' -
CITY: STATE: .??Iff ZIP:S 7C?
? S a ^ '
Y
SIGN T[JRE OF P ITTEE
J1 31 WP
cixY os Ea?cnrr
3830 PIIAT PINOB RD
EAGAN !IIi 55122
651-681-4675
' CiTY USE ONLY
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #: _
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMIl[RCIAL)
CITY OF EAGAN
3830 PILOT 1QTOB RD
EAGAN, lyN 55122
651-681-4675
Please complete for all commerciaVndustrial buildings multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK Tl'PE: New conshuction • Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
. - . .. . ?.. ;r
When installing/removing underground tank, call 65I-681-4675 for Inspection by J7re marshnl and
p[umbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Y
Underground tank removaVinstallation = minnnum fee y ,.,,;
.._ . ? ..?,? f•:-. .,.....
Contract price: $ x 1%= S (Base Fee)
State surchazge calculate at $.50 for eac6 $1,000 Base Fee
1! TOTAL
a
SI1'E ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONL1):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER:
ADDRESS:
CITY:
PHONE #: -
- - (AREA COOE)
STATE: - ZIP:
,
SIGNATURE OF PERMITTEE
' 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
crn or cncuir ?y
L i I S l? 3830 P1851-881-48 5. 55122 . O 3
13?°I 11 -1- S-? U
> a wo.rerea stre wrv.rs W,ownnp.y. n. a at w. n. a nw,w 7, ?- 06 s oaples d vw+
antl ? rooletl areat (40!L mmdmum bt eoveraae ailowedf 1 tet of eneryy cadadaXOru la hoatetl ad?tlpq
D 4 copfat d Wana (show bean A wirxbw aitas; Dourad trW. tleYpn; etc.) 1 flfa wneY for axdaAa aWtlons & dacb
D / fat Of 6n9tpy CdCWpMqq D J copies d haa pieanaMon plan B bt plaMgtl cdFw 7/1/93
c?o
DaTE: corisrRucnoN cosr: \o?4
OESCRIPTION OF 1
SiREET ADDRESS:
LOT: BLOCK: ? SUBD./P.I.D.#:
Norrw. P,on..:
PROPERTY tad flra
OWNER
Sfreet Addresa:_ -
citY
Sfate:
Zip:
Companv?o+?ta? Phone G1?4 - (a?.gl
(area code)
CONiRACTOR Sheet Adctreaa??SS License 1? yz:?ha\ Exp. 3 3l o\
CHy W4zA6SN-N -Stafe: Ma\ Lp: 'rJS ?2U
ARCHIiECT/
ENGINEER
Telephone #: (
Name:
Sheet Addresa: Regishallon i:
CitY
Stafe:
LP:
Sewedwater licensed plumberlH tretallina sewarhraterl\\?Phone #: 6? 6 Z, 4? z- z. ? z I
1 hereby acknowledpe ihat I have read Ihts applkafbn. dafe Mwl ihe Yftmalbn b co q, and apree b comply wiM aA app8cable Slate
W Minneaola Stalutes ond Cily of Eapan Ordinancea.
Sfpnature of AppIIcarM:
OFFICE USE ONLY
Certificates of Survey Received _
Tree PreservaUon Plan Received
Yes _ No
Yes No
_ Not Required
.tWl 2 7
Y+'r `
OFFlCE USE ONLY
BUILDING PERMIT 3UBTYPES
0 01 Foundation O 07 OSplex
02 SF Dwelling p OB 06-plex
03 01 of _ ptex O 09 07-plex
? 04 02-plex p 10 08-plex
O 05 b3-plex O 11 10-plex
0 OB 04-plex 0 12 12-plex
ORK TYPE
?
31 New
O 32 Addition
O 33 AlteraUon
0 34 Repair
O 13 16plex O 21 Poreh (3sea.) O 31 6ct. Ait - Multl
0 17 Garage O 22 Poreh/Addn. (4-sea.) O 33 Ext. Alt - SF
O 18 Dack p 23 Porch(screened) p 36 Muld
O 19 Lower Level O 24 Stortn Damage
PI6p Ya_N 0 25 Miscelianeous
O 20 Pool O ' 30 Accessory Bldg. O 36 Move Bldg. O 43 Reroof
0 37 Demolish (Bldg)' p 44 Siding
O 38 Demolish (Interior) O 45 Fire Repair
O 42 Demolish (Foundation) O 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATiON
SAC Code r7 )
No. of Units
No. of Buildings
Const. (Actual) id
(Allowable)
UBC Occupancy /
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
MISCELLANEOU3INSPECTIONS
0 Stucco/Stone
3S'
P?
? [. a.
APPROVALS
Planning Building L rt ?/ Engineering
/
Variance
?
Pertnit Fee Valuation:
Surcharge
Plan Review
License
MC/ES SAC
cicy sa,c
Water Conn.
Water Meter
Acct. Deposlt
S/W Permit ?Q
SNV Surcharge ?
Treatment Pi.
Park Ded.
Traiis Ded.
Other
Copies
Totai: '-' S I L R 3
17
g ?'&"
/ 'Y
'y
? . J
'-(1/ )' y / 4
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
2?, W'
/00 yS/
r o 'o,?
SAC Units
% SAC
Cities Di?
? Control
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. ? JOB INITIATION ORDER
Pulte Homes of
Minnesota Corporation
1355 Mendota Heights Road, Suite 300
Mendota Heights, MN 55120-1112
Phone: (651) 452-5200 Fax (651) 452-5727
JOB NO. 0550 1 203 1 02 LEGAL DESCRIPTION: LOT 3 BLOCK Z UNIT 20302
cOMMUNiTY. Oakbrooke Infinity ADDITION: 4th A(IdltlOfl
BUILDINGADDRESS: 1667 OakbfOOkB Wdy CIn': Eagan STATE, MN ZIP:
MODEL NAME: DIBIIIOIId W81kOUt MODEL NUMBER: 17954 ELEVATION: 2 GARAGE: LEFT
BUYER'S NAME:
CURRENTADDRESS:
HOME PHONE:
SALES REPRESENTATNE
Sheldon
?;r. , .. a. , . :
0000 BASE PRICE 222,990
---- LOT PREMIUM 3000
1 18023 ELEVATION # 2 2300
1 35039 FourSeason Porch 6125
1 23006 2'/: Ton AIC 1800
1 36019 Waterline Future Icemaker 125
1 31011 Laund Tub Sin le Com artment 275
\
., „ .f
TOTAL 236,615
1
.
Builder's License k0001371
APPROVED BY BUYER(S):
CITY
Fxl
DATE OF ORDER: 5/28l00
5131
55122
RIGHT
a
ZIP:
BUSINESS PHONE:
=
APPROVED BY SALES:
RELEASED TO START CONST.: E4UAL NousiNG
OPPORTUNITY
This constitutes a contract between the Seller and the Purchaser(s) for the above items
CONTRACTOWSUPPLIER:
BUSINESS PHONE:
1
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
L PROPERTYLEGAL. Lc
n OATE OF SURVEY:
N
?
w
LATEST REVISION:
?
o DOCUMENTSTANDARDS
O
O
-Z a Registered Land Surveyor signature and company
:
? Building Permit Applicant
? ? • Legal descriptlon
?
? ? ?
? Address
North arrow and scale
lx
p??f ? ?j •
c,?yt7 House type (rambler, walkout, splftw/o, split enUy, lookout, etc.)
Directional dreinage arrows with slope/gredient %
? Proposedlebsting sewer and water services & invert elevation
07 p ? : Street name
r/p ? Driveway
?p .
? Lot Square Fooqge
? ? ? • Lot Coverage
ELEVATIONS
/ ExisOna
ml? ? • Sewer service (or Proposed)
m?? ? • Properry comers
m? ? p • Top of cur6 at the driveway
?? ? • Eleva6ons of any exdsting adjacent homes
c g/o Adequate footing depth of struclures due to adjacent ubfiry trenches
Prooosed
? ? ? Garagefloor
? ? First floor
p / ? o • Lowest exposed elevation (walkouWvindow)
?/? ? • Propertycorners
qY o? • Front and rear of home at the foundation
PONDING AREA (if aodicaWe)
? /o • Easement line
? ?A" ? • NWl
? 9/ ? • HWL
? ?/ ? • Pond # designation
? ef ? • Emergency Overflow Elevatian
?p ?
m/ ? ?
m-'o ?
m-'o ?
qi a ?
a rr?a
DIMENSIONS
• Lot lineslBearings & dimensions
• Right-of-way and sVeet width (to back of curb)
• Proposed home dimensions inGuding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanentfoatings)
• Show aU easements of record and any City utilNes within those easements
• Setbacks of proposed sVUCture and sideyard setback oi adjacent ebsting structures
• Retaining wall reqv:.^m°^'° f °^••
Reviewed:
March 19BB
ct+AiQe1-ocanWr F*+
.
Surzeyar's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 3, Block 2, OAKBROOKE 4TH ADDITION, City of Eagan, Dokota County, Minnsota ond
reserving easements of record.
?
3
., ?
,
r RE E D
'a BY
.? Date '
i- EAC.*AN EIVGINEERIIVG DEPT, 'i
?
?
yP I
pp o ProposeC
06 Rombler n =
? ° 9'Pcw w/o co
4 62
O ?
Z O
l
? A3?3
o o o " Coroqe 1... 90
Y 4? 4
;__.....,, ._._ ._..„.,.? (ROAQ. NO.T_G.OSiR C.TEO)._..--- - _....,,,,___...__--
OAKBROOK' WAY
1.667.._------.
LO7 SQ. FOOTAGE = 3,608
HSE. SQ. F00TAGE = 2,367
LOT COVERAGE = 66%
-Z?>Z LT
FENCt
Plon # 77954
PROPOSED ELEVATIONS
Top of Foundotion = 941.5
Gorage Floor = 443.3
Bosement Floor = 935.5
Aprox. Sewer Service = 930.i!
Proposed Elev, _ C?
Existing Elev.
Drainoge Directions = -
Denotes Offset Stoke = •
SCALE: 1 inch - 30 leet
BENCHMARK, TNH@ 5a6/.Z
Eieu z 99/a.13
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Reor - Goroge Side-
HEDL(!ND
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF TME BOUNDARIES OF THE ABOVE DESCR18ED PROPERTY AS SURVEYEO JOB N0:
OOR-309
BY ME OR UNDER MY DIRECT SUPERVISION AND QOE$ NOi PURPORT TO BOOK: PAGE:
PLANN/NC 6NG/NB6R/NC SURY6YlNC SHOW IAIPROVEMEN75 OR ENCROACHMENTS. EXCEPT AS MOWN.
2005 Pin Ook Drive
MN 55722
E OATE 12
/
2
0/P?
CAO fILE:
agon, _
-
-
Phone: (651) 405-6600 E LINOGR N. IAND RV£YOR
OAKBROOKE
FOx: (651) 405-6606 1AINNE A LICENSE NUMBER 14376
3 2 cirr use oNLr ?
L BL ! RECEIPT #: I ? 3 ? ? ?
SUBD. OQ^VrODkFi "I"t1n RECEIPTDATE: 4''?6"oo
PERMIT# qjg7g- `'`l7?
2000 PLUMSING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, !A7 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
cii?veee
Fecw ft
TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x
Floor drain 3.00 x $
Gas piping outlet ' minimum - t 3.00 x = $ ?
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
l.aundry tray 3.00 x = $
Lavato 3.00 x = $ -
SBptIC S stem new/refurbished • requires MPC lie. 75.00 X = $
Septic System abandonment 30.00 x = $
RpZ new installationlrepaiurehuild 30.00 X = $
Rough opening 1.50 x = S 5D
Shower 3.00 x = $ ?
Underground sprinkler if dwelling is underconstruction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x =
-
$
Water softener tf dwelling under eonstrucGon 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water tumaround 30.00 x $
State Surcharge .50 --> ---> ---> $ .50
Total >
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------- - ------------------------------------------------------------
I hereby acknawledge that I have read this application, stete thet the infortnation is - wrteG, - and - agree - to - comply with all applicable City of - Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activdies lo the facilities construc[ed under this permit within City propertylright-of-wayleasement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
TELEPHONE #:
, (AREA CODE)
TELEPHONE #: ?? ?
(AREA CODE)
STREET ADDRESS:
CITY: ?/2n STATE: ZIP:
SIGNATURE OF PERMITTEE
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þ
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125554
Date Issued:07/28/2014
Permit Category:ePermit
Site Address: 1667 Oakbrooke Way
Lot:3 Block: 2 Addition: Oakbrooke 4th
PID:10-53763-02-030
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 -
Mark W Innerbichler
1667 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:EA128015
Date Issued:10/22/2014
Permit Category:ePermit
Site Address: 1667 Oakbrooke Way
Lot:3 Block: 2 Addition: Oakbrooke 4th
PID:10-53763-02-030
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 -
Mark W Innerbichler
1667 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:EA153133
Date Issued:11/26/2018
Permit Category:ePermit
Site Address: 1667 Oakbrooke Way
Lot:3 Block: 2 Addition: Oakbrooke 4th
PID:10-53763-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Leann K Lundberg
1667 Oakbrooke Way
Eagan MN 55122
(612) 751-6247
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171681
Date Issued:08/26/2021
Permit Category:ePermit
Site Address: 1667 Oakbrooke Way
Lot:3 Block: 2 Addition: Oakbrooke 4th
PID:10-53763-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Leann K Tste Lundberg
1667 Oakbrooke Way
Eagan MN 55122
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178625
Date Issued:08/26/2022
Permit Category:ePermit
Site Address: 1667 Oakbrooke Way
Lot:3 Block: 2 Addition: Oakbrooke 4th
PID:10-53763-02-030
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Leann K Tste Lundberg
1667 Oakbrooke Way
Eagan MN 55122
(952) 835-4210
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature