1668 Oakbrooke Way
Use BLUE or BLACK Ink
- - - - - - - - - - - - - - -
W
~7 City of Eajan I Permit
Permit Fee: V
I C)
3830 Pilot Knob Road
Eagan MN 55122 I I
Phone: (651) 675.5675 I Date Received:
Fax: (651) 675-5694 DEC 17 2010 Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: l C' Site Address: Cr i }MI6 Lo U~~u_jc_
Tenant: Suite M
RESIDENT/ OWNER Name: ot 6 ~~N/ Phone
1-
Address I City /Zip: r rcL~' fa r, C111
Name: -3URNSVILLE HEATING & A/C, INC.
CONTRACTOR License Cll / )1 ~xk~1.. ~
3451 W. Bumsv a way
Address: S 120 City:
State: j lmsviile., W 55337 phone: cl(Z,, SCG1 ( ()C
Contact: Email
TYPE OF WORK New X Replacement Additional Alteration Demolition
Description of work: U l
NOTE: tiWmaufTted and grave d miap ; ° ba ic"t pm0r4 ts: egtidr~t t~s b+ sore if'by City.
Code.:._PI*Be'lanritW the AAe6har9cal'ina-eCtor for ltslb►trt>atialrt a i i~mltt t G a1 1i~ it f#~bx :
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace _ New Construction , Interior Improvement
- Air Conditioner _ Install Piping _ Processed
Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank Install / _ Remove)
Other When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Ins ctor
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) ss~ ff ~
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ J a L~V TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
- if Permit Fee is less than $1,000, surcharge is $.50. Permit Fee
- If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.s~ooherstateonecall.ora
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 ~~,(Y-N ~ hC~1
c X 1 A'
Applicant's Printed lba me i
Applicant's Signature
FOIF OFFICE USE Rg~riawed Bir' 00W
Required Inspections: Under Ground Rough in Air Test as 8etvlce Test Irt-lister Meat'' F#i ai `
Fatterior MVAC Scrftrl inspeation
Addiess 1668 Oakbrooke Wav Zip 55122_
Lot 6 Blk I Sub
Oakbrooke 4th Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: 1- Yes No Inspector:
Final gade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Petmanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the 6uilder the remo I of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contac[ engineering division at 6814645 before working in rightof-way or instelling underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Convaclor Copy
Siteaddress: LI?I? `g NA"kt WG.v L0Q3 sioc&Z- Subd. l'QAA/cok
-f 6 7 S--o
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 structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
/ OR
J This structure: will be constructed to meet more resVic6ve requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater r
rca /0r zq 5- L?
Furnace ? ,? ?j 3? ? p , yo K
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
ves No
Kitchen kitchen
Bathroom 1 ?$?,
a a.?l L ?-V-v ` U ?o ?
Bathroom2
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT AiMOS
< L ?!_ v - -? ?u ?
MAKE•UP AIR MODEL TYPE CFM's
ya,
I hereby acknowledge that the above informa6on is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
zll-
/ r..,e-
ompanyName
?f??(J J
Dae
* This form is fhe responsibility of ihe General ConUactor.
PERMIT #
RECEIPT DATE:
it£SIDENT1A1. PLiJM$INfi PEiMIT APPLICATIOR
crrYoF F-a?sAx
3830 PaoT Kuos ftn
SA6RN, MP 551EE
651-681-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
? single family dwellings
> townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
w
TELEPHONE #: -?Cf' ? ^ 1?11,
AREA CODE)
S3 ?(pS???e
INSTALLER NAME: TELEPHONE #: ? (AREA -CODE)
?
STREET ADDRESS: f'rl/-P I?II - _
CITY OC01 l?i?Y STATE: /?lC ZIP:
V
Place a check mark next to the aermit work tvae
New residential dwell(ng unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new instaliation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaroun
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
"'
Total $
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read lhis applicalion, stale lhal the information is correct, and agree to comply with all applicable City of Eagan ordmances. It
is the applicanPS responsibihty [o notify the property owner that [he City of Eagan assumes no liability for any damages caused by the City during its normal
operalional and mamtenance acfiwties to the facilities construc[ed under Nis permil within City perty/nght-of-way/easemenl.
--
SIGNATURE OF PERMITTEE
Updated 1101
? BL CITY USE ONLY
RECEIPT #:
SUBD. RECEIPT DATE: 7' I a' O C?
\ PERMIT # 7- ?
\ 2000 PLUMBING PERMIT (RESIDENTIAL) %
CITY OF EAGAN ,
3830 PILOT KNOB RD ?
EAGAN, hIN 55122 ?
651-681-4675
Please comp\for! ? single family dwellings
? townhomes and condos when permits are required for each unit
backflow preventer for underground sprinklersystem /
cly.n IoFc FeCw / # TOTAL
Aiterations to existing dwelling minimum fee
Describe: / $ 30.00
Bath tub $ 3. x = $ ?
Floor drain . 0 x = $
Gas piping ouUet * minimum - t 00 x = $ -
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
25-
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic S stem newrrefur6ishea * requi s MPC lic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/repairlrebuild 30.00 x = $
Rough opening 1.50 x 3 = $ ?
Shower 3.00 x = $
Underground sprinkler if dwelling is under constructioll' 3.00 x = $
Underground sprinkler , if exiscing dweuiny 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x $
Water softener if dwemng under nseruotion 5.00 x = $
Water softener if existing dwell g 30.00 x = $
Waterturnaround 30.00 x $
State Surcharge .50 -> -> -> $ 50
7otal _, _> ,-
Reminder: Call for inspecti,6ns of alterations, i.e. water heateks, water softeners, etc.
I hereby acknowledge that 1 hsve read is application, stste thet the ifiormation is corted, and ag ta comply with all applicable City of Eagsn oMinances.
It is the applicant's respansibility to ohFy the property owner that the Ciry of Eagan assumes no bility for any damages caused by the Ciry during its
normal operetional and maintenan activities to the facilities constructed under this permit within C property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: : /-?i .t 1,0 , C'N!a(T \QA,, TELEPHONE #:
INSTALLER NAMrL(: _\,I -P?( 1- 'I-'IA 1()G' ?.n.TELEPHONE#:
STREET
CITY: ? / )n Acw I - STA
J' J,--
ZIP: _61-?DS5-Q-
SIGNATURE OF PERMITTEE
******************************?*?*****,
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 767
DATE: 08/18/00 TIME: 07:11:22
ID:
NAME: BtJRNSVILLE HEATING & AIR
3213 9001 1668 OAKBROOKE 39.0(
2155 9001.1668 OAKBROOKE ? 0.5(
Total Receipt Amount: 39.5(
CR136049
USER ID: JAN
LOT ? BL ?
??-?-, SS
PERMIT #:
RECEIPT #:
RECEIPT DATE:
2000 MEcxM=cAx, PERMIT (xEsIzaErrriAL)
CITY OF EAGAN
3830 PIIAT Kt?'0H RD
sacarr raa 55122
Date: ?-H'GV 651-681-4675
Complete this section -n if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not ownerloccuvied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
300
.50
$3q.5Z?
Complete this section on[v if you are remodelin¢, adding to' or reoairine an existing singie-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
e
?
New Alteration
_ Fumace
_ Air exchanger
_ Air conditioning
Other
Fee
State Sutcharge
Total
Reminder: Call for inspections
S1TE ADDRESS: j 60
$ 30.00
.50
$ 30.50
OWNERI3AME: F'Vl7-C_ ¢?(?YYI?S r PHONE#:
(AREA CODE) r
INSTALLER NAME: ??( r15,'Vl ? I o ?P'd?Yl 'yi PHONE #: (E LI- ??b S
sTREET APDREss: ?gho& 1 s aryl 'Pro. s. (AREA CADE)
CI1'Y:
STATE: "A,) ZIP: ,5-53-7&
c
R+' E IVEU D
SIG ANRE OF PERMITTEE
300
CITY USE ONLY
_ Repau _ Other
L _ BL
SUBD.
APPROVED BY:
INSPECTOR
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL pERMIT (COMMRCIAL)
CITY OF EAGAN
3830 PILOT pQTO$ RD
EAGAN, MN 55122
651-681-4675 - ---- -
Please complete for: all commerciaVindustrial buildings ?
multi-family buiidings when separete permits are nst required for each dweliing unit
DATE: - -
WORK T'YPE: _ New construction Install U.G. Tank
? Inter,'ar ;mpm•vemezt Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, coll 651-68I-4675 jor irrspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimam fee, wluchever is grea[er.
? Undergroundtankremovallinstal]ation=minimirmfee ----- -- --' -- --- --- - -- -- - -
Conhact price: $ x 1%= S (Base Fee)
State surcharge calculate az$.50 for each $1,000 Base Fee
TOTAL
$
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IIVBROVEMENTS ONLI):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
STATE:
CITY USE ONLY .
- PERMIT
PHONE#: -
(AREA CODE)
i
i
SIGNANRE OF PERMITTEE
??. _. W -zt-+ ti 1 1? 1 (,
2000 BIIILDINC PERMIT APPLICATION (RESIDENTIAL)
cIn or eacair
3830 PI 35122
51-881-4875
U-* 13 1,60
> s regisrerea ona wNare "Ynha sa n. a ia. a. e. a nouw s c?ea a a?
anC p?( raoled arem (4016 moximian lot coveraae albwedf ?G d 1 s01 d anerpy cdadaMau for IwaPed aAdMOro
D $ WpIGS d WCV1s (shOw b60m A wltWOw lIz6K Pourod hIQ dBSIgn; 6fC.) 1 fH9 fun9Y 10f 6#9AOt OCCIMOns d deCb
D i sat d enerpy edaAollom D ] coplet of hae prefenalbn plan H bt plalpa alAw 7/1/93
DA1E: CONSIRUCTION COST: \\O .??1? O
DESCRIPTION OF WORK:
STREETADDRESS: \\" L\
LOT: ?_ BLOCK: ? SUBD./P.I.D. #:
Name: Phone 9:
PROPERTY lau flnt
OWNER
Sheef Addresa:
Cily State:
-1't-11
Lp:
Companv. , - k o,h . Phone Alk
(area code)
CONiRACTOR Sheef Addreaa? \?1bJ?? O? C?P?w? ?3U0 liceroe 0 `_Exp. 3\
piy\??nc?, o?A?- ?:cSnA-cT_ Stnfe:?.+?- Ztp: ? \Zc)
ARCHIiECT/
ENGINEER Company: Name:
Telephone #: ( )
Street Address: Regishatlon I1:
CRY
Sewer/water licensed plumber
1 hereby ackrawledye Ihat I have read ihk applicalton. alafa
W MlnnesoM Statufea and CMy of Eapen Ordinancea.
Certificates of Survey Received ?yss
Tree PreservaUon Plan Received - Yes
Slpnalure of App6cant
OFFICE USE ONLY
_ No
_ No __.L,/NOt Required
Stute:
ZiP:
Phona#: ZK?s
ro comply wnn ae appBcdble srore
j& -6
1 ? l
OFFtCE USE ONLY
BUILDING PERMIT SUBTYPES
0 01 Foundation O 07 OSplex
V?-02 SF Dwelling p OS Og-plex
0 03 01 of _ ptex O 09 07-plex
O 04 02-Plax O 10 08-plen
0 05 03-plex ? 17 10-piex
O 06 04plex O 12 12-plex
wgRK nrPe
X 31 New
13 32 Addition
0 33 AlteraUon
O 34 Repair
O 13 16-plex O 21 Porch (3-sea.) O 31 Ext Alt - Muiti
O 17 Garage O 71 Porch/Addn. (4-sea.) p 33 Ext. Alt - SF
? 18 Deck p 23 Porch (screened) p 36 MuIU
O 19 Lower Level O 24 Storm Damage
flbp _Ya_N ? 25 Miscellaneous
O 20 Pool O' 30 Accessory BWg. O 38 Move Bldg. O 43 Reroof
O 37 Demolish (Bldg)• p 44 Siding
0 38 Demolish (Interior) O 45 Fire Repair
O 42 Demolish (Foundation) O 46 Windows/Doors
` Give PCA handout to applicant for demolltion permit
GENERAL INFORMATION
SAC Code o j_
No. of Units i
No. of Buildings
Const. (Actual) ?
(Allowable)
UBC Occupancy ?
Zoning f'()
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS ?
Planning Building
I sq.ft.
56 sq.ft.
3s Footprint sq. ft. 16tis
i2 3 G Census Code )01
i z30 MC/ES System
yss City Water
Booster Pump
PRV ves
Engineering
Fire Sprinklered
Variance
Permit Fee Valuation: $ 10S
00(
Surcherge 4
??
PlanReview ?Z?o x 2s 3u, 750
License I z30 k SH =?.L 6,H zU
MC/ES SAC Ll 6 S ?- I 6 = 7NN 0
Cl?/ "JP1?i
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. .
Park Ded.
Trails Ded.
Other
Copies _
Total: Iq
SAC Units
°Yo SAC
JUN-0?-2096 13:53
MNci:eck COMPLIANCE REPORT
Min:.esota Enezqy Code
P+IDTcheck Software Version 3.0
COr1N'I^I; Dakota
STATE: Minr,esbta
ZoNE: 2
CONSTI2UCTIqN TYPE: Single Family
DATE: 6-7-2000
DA°lE CF PLAI7S: 3/28/00
TITLB: AMBSR WALKOiTi ELEVATIDN #1
COMPLIANCE: PAS6E8
Required UA = 393
Y'our, Hame = 294
25.1% Batter Than Code
P , 02i@.',
' Permxt
C:- .ecfed y Date
Area or Cavity Cont. Glazing/Doox
Perimater R-Value R-Valua U-Value
--°-------------------------------------- '----------------------- -------...
CETLINCr5 1228 46,0 Q,G
Ti7ALLS: Wvod Frame, 16" G.C. 2039 19.0 2.0 1
4FAI,LS: wrpd rTame, 16" t7.C, is^9 :10.C 2.0
BSN:T: Conc. 9.0' ht/8.3' bg/9.01 insul 47 11.0 0.0
B9MT: Conc. 3.5? ht/3.11 bg/3.51 isisul 20 10.0 0.0
GLAZINGc Wir.dows or poors, Above Grade 334 0.350 1
DObFeS 38 0.350
H1}'AC EQGIPMENT; Furnace, 92.0 AFIIE
_'------ -------^'°-------------'-------__-_____------`-----"..._-^-_--^ --
CoMPI,SANCE STATEMENT: 'Z'he propoeed building d82ic°n deacriBed here is
cnn^,ietent with the building plans, sprcifications, and atner calculaLgona
eubmitted with the permit applicati.on. The procased building has been
designed to meet tha requirements of the Minne$oLS Er_eYgy Code.
Bu3lder/Designer Date
l
JOB INITIATION ORDER
Pulte Homes of
MinnesotaCorporation ry cONTRACTOR/SUPPLIER: 1 1VYIg.1 ?
?-
1355 Mendota Heights Road, Suite 300
Mendota Heights, MN 55720-1112
Phone: (651) 452-5200 Faz: (651) 452-5727
JOBNO. D??i.?/_SLLYL/ C) I LEGAl0E5CRIPTION_?OT lL BLOCK ? UNRvI
- [?l4-
CONMUNITY: ) ? ADDI`TIO'N: e ?L-
BUILDWOAODRE 1(??Q r ?I CRY• STATE: ZIP.?(
MODEL WIME: ?? P MDDEL NUMBER: (/j? 1'"1/]0 ELEVATION: I OARAGE: IEFT Po6
BUYER'S NAME:
WPRENT
HOAAE PFIONE: BUSMlE5`5 PFIONE:
SALES REPRESEN7ATIU? _ .?C?-+
OATE OF OROER:
STATE: P:
BUSWESS PHONE:
s.3 a£-s£, ?.Vf'??'IV?NI'kE;
0000 ::}?cn7ii?R'??T"u:.3:4.?:>?,42v. '?d+'.F•,?"?°?;?'"S? ?iN.lN?' ,;,?xfu i? ? ? ?
BASE PRICE
r J
---- LOTPREMIUM
I ? d t ELEVATION # CD
?
?
d_IV ? g S 7
?! .:?..
TOTAL
E APPROVED BY BUYER (S): VA-!?til?der
Easter q
APPROVED BY SALES:
RELEASED TO START CONST.:
CfTY:
0
EOUAL HOIISING
OPPORTUNITY
Builders License q0007371 This constitutes a contract between the Seller and the Purchaser(s) for the above items.
' LOT SURVEY CHECKLIST FOR RESIDENTIAI
BUILOING PERMIT APPLICATION
? PROPERTY LEGAL: Lar & fS1,1,1?!(1 /?!!.t't4/loaKE 'I" ' f+V
h DATE OF SURVEY:
u
? -,
LATEST REVISION. T_
cx
N
0 DOCUMENTSTANDARDS
,
og O
4
?
I an
i
t
d
d S
a
? ? comp
y
urveyor s
gna
ure an
• Registered Lan
,a/D ? • BuildingPermitAppiicant
ip/ ? ? • Legal descriplion
ra?0 o • Address
m? ? a • North arrow and scale
p-10 ? • House rype (rembler, walkout, splitwlo, split entry, lookout, etc.)
rz/ ? ? • Directional drainage arrows with slape/gredient %
(la/ ? ? • Proposed/exdsting sewer and water services & invert elevation
0"a ? • SVeet name
? ? ? • Driveway
? ? • Lot Square Footage
V ? • Lot Coverage
ELEVATIONS
/
' Existina
i
P
d
?5
a ? )
• Sewer serv
ce (or
ropose
¢i,/? o • Property corners
?K ? ? • Top of curb atthe driveway
* m?p • Elevadons of any ebsting adjacent homes
??,? ? Adequate footing depth of structures due to adjacent uElity trenches
Prooosed
P-11c) ? • Garage floor
?? ? • Firstfloor
da/ ? ? • Lowest exposed elevation (walkoutfwindow)
a' ? a • Properry corners
021/ ? ? • Front and rear of home at the founda0on
/ PONDING AREA ('d aoolicaWe)
a?¢' o • Easement line
? R/ ? • NWL
? vo . HVYL
? m? • Pond # designation
? g?o • Emergency OverAow Elevaton
DIMENSIONS
[+?? ? • Lot IinesBearings & dimensions
d? ? • Right-of-way and street width (to back of curb)
m/ ?? • Proposed home dimensions induding arry proposed decks, overhangs greater than 2', porches, etc.
(i.e. alt structures requiring permanent footings)
m/ o a • Show all easements of record and any City utilitec wdhin tAose easements
ra/ ? p • Setbacks of proposed structure and sideyard setback of adjacent exissling structures
? ? ? • Retaining wall requirements, 'rf any ,, Z'
Reviewed:
_ /_-r -
Mareh 1999
caAicffltoGanMi.Frn
i
Surveyor's Certificate
SURVEY FOR :PULre
DESCRIBED AS : Lot s, Block 1, OAKBROOKE 4TH ADDITION, City of Eagon, Dokoto County, Minnsota and
reserving eosements of record.
.? R LEE??? ti
E
? By 6=r?rr?
? ??Lte
F.-IGAN ErrGL-NTERrnrCTDEPr.
.?
1668
(ROAD NOT
OAKBRO
xq3=
?Stur
FENCtz-
N
^' Garo9e
V
n 0
995.0 0 N ProDosed
N? Rombler
. „ 9'PCw d/i
WA Y
94 .1
).00
Z 995.?
O
A
--I ?
_
W
N
_ yrtc.NT-
A
?
L 0 T SQ. F00 7A GE
HSE. SQ. FOOTAGE
LOT COVERAGE _
Plon # 77921
PROPOSED ELEVATIONS
Top of Foundotion = 946.0
Goroge Floor =qqq.8
Bosement Floor =q37.o
Aprox. Sewer Service =a3i.9'
Proposed Elev. _ ?
Existing Elev, -
Orainage Oirections =
Denotes Offset Stoke = •
= 3,608
_ ?, 727
4 7%
%0
BENCHMARK, rNH6) 5$?2
E(ev = 94(o.l 3
MIN. SETBACK REQUIREMENTS
SCALE: 1 inch . 30 leet
Front -25 House Side -
Rear - Garoge Side-
JOB N0:
H?????? I HEREBY CERTIGY THAT THIS i5 A TRUE AND COFiRECT REPRESENTATION OOR-326
OF THE BOUNDARIES OF 7HE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY OIRECT SUPERVISION AND OOES NOT Pl1RPORT i0 BOOK: PACE:
PLANN/NC 6NC/N6BR/NC SURY6Y/NC SNOW IMPROVEMENTS OR ENCROACHMENTS. EXCEPT A SHONN.
2005 Pin Oak Drive / '^
Eogan, MN 55122 DATE A/Se5!/ C0 CAD FILE:
Phone: (651) 405-6600 J R , LINDCREN, LAN URVEYOR
Fox: (651) 405-6606 NN OTA LICENSE NUMB R 14376 OAKBROOKE
REGEIVED ,I U l 1 2 2000
? ?o
CITY USE ONLY >
L BL ? RECEIPT#: / ,.2? 0"/?i
SUBO. n.a k In roo ?e, 4- RECEIPT DATE: ?? (?' 'CG?
PERMIT# 41410
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OE EAG11N
3830 PSLOT KNOB RD
EAGAN, MN 55122
651-661-4675
Please complete for: D single family dwellings ?i , n? j7 2/ yy1
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
Facw #
TOTAL
?............ -
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Baih tub $ 3.00 x = $ ?
Floor drain 3.00 x = $ ?
Gas piping outlet " minimum - t 3.00 x $ ?
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x
Laundry tray 3.00 x = $
Lavatory 3.00 x = $ ?
Septic System new/refurbished ' requires MPC lic. 75.00 X = $
Septic System abandonment 30.00 x = $
RpZ new installatioNrepaidrebuild 30.00 X = $
Rough opening 1.50 x ,3 = $ ,
Shower 3.00 x = $ l
Underground sprinkler if dwelling is underconstruction 3.00 x = $
Underground sprinkler rf existing dwelling 30.00 x = $
Water closet 3.00 x = $ ?
Water heater 3.00 x = $
Water softener if dwelling under consvucuon 5.00 x = $
Water softener if existing dwelling 30.00 X = $
Water turnaround 30.00 x $
State Surcharge .50 -> ---? -> $ .50
rotal _> _> _-> _a g
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---••-----°-----------•-----•-----------------------•--------------------•-
.I hereby acknowledge that I heve read Uiis applicztion, state that the informatlon is correG, and agree to comply with all appliwble Ciry of Eagan ordinances.
It is the applicanPS responsibility to notify the property owner that the City of Eagan assumes no Ilability for any damages wused by the City during ds
normal operetional and maintenance aUivities to the facilities constructed under this pertnit within City propertylrightof-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
TELEPHONE
(AREA CODEj
TELEPHONE #:
(AREA CODE)
STREET ADDR SS:
ST TE' ZIP: S?
CITY: SIGNATURE OF PERMITTEE
Date:
Tenant:
? _ _ _ _ _ ' ' _ _ - _ _ _ _ _ _
, . 'gyq -7
? Permit #:
Permit Fee: Z)
I
? Date Received:
I
I Staff:
L ----------------
207nls RESIDENTIAL PLUMBING PERMIT APPLICATION
S(te Address:
Suite #:
RESIDENT! OWNER Name: 7- Phone:(??? l,??rf
Address I City / Zip: - Q
CONTRACTOR Name: Y12 G?-i? ?? LiS ? 0 C¢ c?A 1,C) e'
Address: 7t_ ,,Sj S.e?
State?? Zip: ? ? 77
Phoneb Contact Person: Rl?j M,1,b°i-P ?
TYPE OF WORK _ New _XReplacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
_ Water Heater ? Water Softener
Lawn Irrigation Add Plumbing Fixtures
? RPZ /_ PVB) L Main _ Lower Level)
Septic System _ Water Tumaround
New
Abandonment
RESlDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this infortnation is complete and acwrate; that the work will be in confortnance with the ordinances antl cotles of the Giry ot
Eagan; that I understand this is not a permit, but only an applicatlon for a permit, and work is not to start wiihout a permit; that fhe work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
L
x x
ApplicanYs Printed Name ApplicanYs Signature
Clty af EaVaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651) 675-5675
Fax: (651) 6755694
------------------
? Fo-1Q(fice`_=11se ?
j Permit #: LJ ! ? ? ? j
? PertnitFee:
? Date Received: j
i i
I Staff. I
?-------- - -J
2009 RESIDENTIAL BUILDING PERMIT APPLICATION Ciq 1I6d,
Date:
Tenant:
Site Address:
Suite #:
RESIDENT/OWNER Name: kobCr-? Phone:94/`/D
Address / City / Zip: Qc-kbcbo Kc:- We ?r Ea?Dca.m N
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work: /-UNa; u!5 4 it-epS A- jCGV?
Construction Cost: 15-60 O'V Multi-Family 8uilding. (Yes No
CONTRACTOR Name: :Yrn C-On51,cucl;04 -TwL License#: 1030(o
AddressW0!% Fw:A-w7( Ck,
CiTy f7AC: K)a? 14 , State: 111 A) ZiP: rsa a?
507--333-Yy01 Phone: (Dia'61h-86`7'? ContactPerson 70-i ktrt'iL'`a.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Resitlential Venlilalion Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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 8 Water Contractor: Phone:
NOTE: Plans and supporting documents that you submif are considered to be public informatioh Portions of;:
the information may be classified as non public ff you provide specific reasons that wouid permit the City to -.,;;,
aoncludefhattheare•trade'secreCs.
I hereby acknowledge Ihat Ihis information is complete antl aaurate; that the work will be in conformance with the ordinances and cotles of the Cily of
Eagan; that I understand [his is not a permit, but only an application for a pertnit, and work is not to start wilhoul a permft; that the work will be in
accordance with Me approved plan in the case of work which requires a review and approval of plans.
x ?0 N Ko.? 0.1
ApplicanYs Printed ame N ? G ? ? ? n ? ?
?/
MAY 2 5 2009
s-0 -'/ -OGI
X •;,7 y cG
Appli nYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
_ Single Family
_ Multi
_ 01 of _ Plex
_ Accessory Building
WORK TYPES
? New
_ Addition
Alteration
Replace
Retaining Wall
Valuation
Plan Review
(25%_ 100%_)
Census Code
# af Units
# of Buildings
Type of Construction
_ Fireplace _ Porch (3Season) _ Storm Damage
Garage _ Porch (4Season) _ Exterior Alteretion (Single Family)
? Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ Lower Level Pool Miscellaneous
_ Interior Improvement Siding Demolish Building•
_ Move Building _ Reroof _ Demolish Interior
_ Fire Repair Windows Demolish Foundation
_ Repair _ Egress Window _ Water Damage
'Demolition of entire building -give PCA handout to applicant
.-.-
,
Occupancy
Xp-c- I
MCES System
Code Edition n?1 SAC Units
Zoning City Water
? Stories Booster Pump
Square Feet PRV
Length Fire Sprinklers
Width
REQUIRED INSPECTIONS
Footings (New Building)
O Footings (Deck)
_ Footings (Addition)
_ Foundation
Drain Tile
Roof: Ice R Water Final
Framing
_ Fireplace: _Rough In _Air Test _Final
_ Insulation
Meter Size:
Reviewed
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
Copies
TOTAL
_ Sheetrock
Final 1 C.O. Required
}o Final I No C.O. Required
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Final
_ Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Erosion Control
Building Inspector
L4417W /) 5 d-5-744, . AZ wA y
Page 2 of 3
S'urveyor's Certificate 4 -
:PuLw -
; lot S. Uodc t. pAKMtppKE 47H ADD1710N, C'itr of Eagati Eacoto CamtA YimsoW ond
reserveng emonants of record
rn..., .. . ?
REv?? ;E : . RE%f
?Y: ? j 2 ! ( ? ?1 = 7Ak_& ? gE 3
DA'YE: ??GA_'?TE?TG?ITG? ?
BUILDiNG INSPEC7101?S D1V1S1I_ ?
.
A
?
LOT
HSE.
LOT
SQ. FOOTAGE
SQ. FOOTAGE
COVERAGE _
PW, # ,M,
pRpPOSEU EEEVA710NS
Top of Foundation = 946o
Garoge Floor =q446
Bosement Roor = qS7-o
Aprox Smrqr 5ervice = q31.9 i
Proposea ae,?.
Existmg Elev. i =
Drainage O'irecfia0s =
Denotes OFfset Stake = •
HEDE.UNiO
pzAa..w .wromm..m svpnrrjwc
mos wn ook orn.e
eaqw4 rn s6iz2
enen« (r,W) +os-esao
Far (sM) +os-Ma
= 3,sos -
1, 727
47%
v
scwE: I rch - M t«a
BENCNMARK. rwHe s8hi2
filra.=4aW3
IdiN. 5E7BACK
Frant -ZS House Sidls -
Rew - Gaarage S'i'de-
iNFAEH4 IOnFY Mii117 L6 6 A BIIIE AID NENCT IAFSOUffAMM
OF VW 600006KS OF IM AWK OESCMM PROPEM AS SURVETO
91 HE OR UMM MY ORM SVO"SM AND DOES UM PUMOSIT m
ae..MAOMMEWIS.? ?M OU" ,VPIDW
oainE 2./WLW
Nik '
Oqt-326
FIM
oNCeROace
fili 17
1141?
.
0
? ?.
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA105953
Date Issued: 0810612012
itj of 0n Permit Category: ePermit
R
Site Address: 1668 Oakbrooke Way
Lot: 6 Block: I Addition: Oakbrooke 4th
PID: 10-53763-01-060
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a 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 $4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Krech Exteriors Inc Robert G Victor
5866 Blackshire Path 1668 Oakbrooke Way
Inver Grove Heights NIN 55076 Eagan NIN 55122
(651) 688-6368
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126583
Date Issued:09/02/2014
Permit Category:ePermit
Site Address: 1668 Oakbrooke Way
Lot:6 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-060
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.
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 -
Robert G Victor
1668 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:EA127792
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1668 Oakbrooke Way
Lot:6 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-060
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 -
Robert G Victor
1668 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