1671 Oakbrooke WayAdd[ess 1671 Oakbrooke WAv Zip 55121_
IAt 5 Blk z Sub Oakbrooke 4th Addition
TEIESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: l-?-00 Yes No Inspector:
Final grade (6" &om siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway x
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish x
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 tawn faucet before frceze potential exists.
Contact enBneering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
't, fso ISO
Date ,16 / I ? 105 Site Street Address r ' W ?l ss aa Unit#
Property Owner Lt?h a?C ?M C4j ?(r Telephone #?, ) b?6 617-7
Contractor Telephone # ( )
Address City State Zip
The Applicant is: ? Owner _ Contractor _Other
Alterations to existing dwelling
? Add plumbing fixtures. This fee includes putting in a water softener and/or water $ 50.00
heater at the same time. If iLou are installinp onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $1500. s0
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
ApplicanYs Printed Na ApplicanYs Signature T-
?(ag? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Nevr Construction Reauirements
3 registered site surveys showing sq. fl. W lot, sq. ft of house; and all roofed a2as
(20%maximum lot coverage allowed)
2 copies of plan showing baam & window sizes; poured found design, etc.
1 sel of Energy Calculations
3 copies M Tree Preservation Plan'rf lot platted afler 7/1193
Rim Joist DetaA Optinns ulec5on sheet (buAdiTvgs with 3 or less unfls)
RemodeUReoair ReauiremenLs
2 copies of plan
i set of Energy Cakulations for healed addNOns
1 site survey for addBions 8 decks
Addifion - iMicate 3on-site sepflc sysfem
eO-L-ka '01 a5, (41,\?
Offce Use Onlr
CeRafSurveyRecd. _Y _N
Tree Pres Plan Recd _ Y_ N,
TreePresRequired _Y _N
On-sile Septic System _ Y_ N
Date / C) /-L7_ /os
Site Address 16 7' ??
ld4W M + Construction Cost
br"odkg (?? 0s y Unit/Ste #
?JS
Description of Work
Multi-Family Bldg _ YX N Fireplace(s) _ 0x 1 _ 2
Property Owoer 16,V1,x (, L ? Telephone 9 (?jS? )(n ?? O I:1:7
Contractor
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate orv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitled
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # {
Telephone #(
ielephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete 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 withont a
permit; that the work will be in accordance with the approved plan in the case of work which requires a,re 'view,and
approval of plans. .? '> \?\ ? \
?°s,?,edZ vLt 51- P.,¢
ApplicanYs Printed Nam
Applicant's Signature '
C`i? , :
OFFICE USE ONLY
Sub Types
? 07 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35
? 32 Addition ? 36
,_/K 33 Alteration ? 37
? 34 Replacement
Valuation
?
1(91
Plan Review 100% or 25%
Census Code ! ?w
SAC Units
# of Units
# of Bldgs
Type of Const
Int Improvement ? 38 Demolish Interior ? 44 Siding
Move Building 0 42 Demolish Foundation ? 45 Fire Repair
Demolish Building" ? 43 Reroof ? 46 Windows/Doors
"Demolition (Entire Bldg) - Give PCA handout W applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ FooCings (new bldg)
_ Footings (deck)
? Footings (addition)
Foundation
Drain Tile
? RooF Ice & Water Final
Y Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaVC.O.
? Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ AidGas Tests Final
_ Siding _ Stucco _ Stone `Brick
_ Windows
_ Retaining Wall
Building inspector
/L, ? tp-o
r/, ?9-_._.
??aC!
:?
?L,1 RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
U3
New ConsWCtion Reauiremerits RemodebReoair Reauirements Office Use OnN
3 registered stte surveys showing sq tt of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% maximum lot coveraqe allowed) 1 set of Energy Calculations for heated addihons Tree Pres Plan Recd
2 copies of plan showing 6eam & wimiow sizes; poured found design, etc. 1 site survey for additions & decks Trce Pres Not Reqd
1 set of Energy Calculations Addifiar - indicate iton-site septx system _ On-site 5eplic System
3 copies of Tree Preservatlon Plan If lol pWtted afler 7l1193
Rim Joist Detail Options selection sheet;(bldgs wtlh 3 or less units
Date 5 /
SiteAddress % 1 / 63
uij`? i aadiii-pot Construction Cost
c- Unit/Ste k
Description af Work LOi.I)er ,6l){S -Pl ti l S /'(cul./ 6-yk a d` r$(?
Multi-Family Bld g _ YY N Fireplace(s) X 0 _ 1 _ 2
Property Owner Lcma rd &Cv46E d?yG , Telephone #(65I )???-o y? I
Contractor
Address
State
Zip City
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
(V submission type) Submitted Submitted
. Energy Envelope Calculations Submitted - - '
Licensed Plumber Telephone #( J
Mechanical Contractor Telephone #( J
Sewer/Water Contractor Telephone # ( n ? a n .-
',1 ? L IU)
V n) mi 'T. z 1:,4_"r.; i ?i Il
I hereby apply for a Residential Building Permit and acknowledge that the information is com"-pT?'Snd acc rate;
that the work will be in conformance with the ordinances and codes of the City ofjEagattancl=Eke=SfR 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 ofplans.
?tw?6r11qtN?l LOvol ?? me-l
Applicant's Printed Name Applicant's Si ture
OFFICE USE ONLY
Sub Types
;
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg?Y or _ N X 25 Miscellaneous
Work Types
? 31 New x 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement *Uemolition (Entlre Bidg) • Give PCA handout to applicant
Valuation pl Occupancy MC/ES System '-
Census Code ?f3?( Zoning ?-n City Water -
SAC Units ^ Stories - Booster Pump ?
Nbr, of Units ? Sq. Ft. - PRV ?
Nbr. of Bldgs ? Length ? Fire Sprinklered v
Type of Const ? Width
REQUIREI? INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) Plutnbing
_ Foundation 1 HVAC
Drain Tile Other
Roof Ice & Water Fina1 Pool Ftgs Air/Gas Tests Final
?. Framing _ Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
? Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
?? q -79
PLUMBING (RESIDENTIAL)
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
Please complete for. Single Family Dwellings
Townhomes and Condos when permits are required for each unit
4 S-0.Sa
Date ?' ) / c9I /63-
SiteAddress 16-tj Oe, hbraAE a(AV U nit#
hone #(65'
L60YlGld"jMb6r Jv WlC Ld yd Tele
O
P
t ) 696' 0(-17
p
raper
wner
y
Contractor
Address City
State Zip Telephone k ( )
The Applicant is ? Owner _ Contractor _ Other
Septic System New _ Refurbished Submd 2 sets of plans and MPC license $ 10000
Includes County fee Additional consultant fees may apply.
A{ter$tions To Existing Dwelfing Unit, Including $ 50.00
p_ Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other: YVIQ,ly? b6-6-
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water Neater $ 15.00
_ replacement _ additional ',?
$ 50
State Surcharge
?y J'rO,J(J
-
Total g
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is comple[e and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; 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 wiih thc
approved plan in the case of work which requires a review and approval of I ns.
Applicant's P'nted Name Applicant's 5 gnature
Site address k // (0rC 1C?1Q-- 4"1 Lot s Block ? Subd. ?t6-"4'4`
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 conslructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
Vl*'This sVucture: will be constructed to meet more restrictive reqwrements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater
Furnace.
Y.. ?p {yt?.0 031r0(o0
DW
Dryec
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's" VEN7ED
YE5 No
Kitchen kitchen
Bathroom 1 .n 5anr <- F - S VQ
Bathroom 2 t4 F-v -ps A6 ?'p v
Bathroom 3 5u -g w
Bathroom 4 ?l 5 V-SZ$ ?
Other
FIREPLACE S
LDCA710N
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
oiaecr nrMOS,
?
I hereby acknowledge that the above information is correcl and agree to cromply with the Minnesota Energy Code and City of Eagan',
requirements.
Signatur
CompanyName
Dale
This form is the responsibility oF the General Contractor.
L '" BL I CITY USE ONLY
sUBO. OAk broo V4?, Qp_
RECEIPT #
RECEIPT DATE:
PERMIT# 02g7Y
2000 PLUMBING PERMIT (RESIDENTIAL) R/0?
cxxx os Eacnx
3830 PILOT FINOB RD
EAGAN, MN 55122
651-681-6675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
D backflow preventer for underground sprinkler system
FIXTIIRES
FAl H !!
T[1TA I
Alterations to existing dwelling - minimum fee
flgeCriF+c: ., $ 30.00
Bath tub $ 3.00 x a. _ $ -
Floor drain 3.00 x = $
Gas ipin outlet ' minimum-1 3.00 x = $ ?
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $ ?
Laund tra 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurbished • requlres MPC lit. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new insWllatioNrepaidrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $ -
Under roundsprinkler rfdwellingisunderconstruction 3.00 x = $
Underground sprinkler fiexisting dwelling 30.00 x = $ •
Water closet 3.00 x = $ -
Water heater 3.00 x = $
Water softener If dwellfng untler construction 5.00 x = $
Water saftener if existing dwelltng 30.00 X = $
Water turnaround 30.00 x $
State Suroharge .50 -> -> -> $ .5
Total _> -?> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------------------------------------------------tst-e thst the inf ovnstion 0 ----------------------------- -ily o----f -...---------nan-ce---.
I hereby adcnowledge that I have read this application, s correct, and agree to compy wilh al l appliceble C Eagan ordi
s-
tt is ihe applicaoPs responaibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operational and maintenance activ@ies to the fecilities consVUCted under this pertnft wRhin Cky property/right-of-wayleasement.
SITI? ADDRESS
OWNER NAME: :
p
INSTALLER NAME:
STREET ADDRESS
ciTV: C- /?'X/.
TEIEPHONE #:
(AREA CODE)
TELEPHONE #:
OF PERNIITTEE
zIP:
CI'PY USE ONLY
LOT BL ? PERMIT #:
sUBD. (?akbrao ? RECEIPT #:
RECEIPT DATE:
2000 MECHANICAL PERM1T (RESIDEIVTIAL)
crrY oF EAsArr
3$30 PILOT KNOB !iD
Ekfij4N MN 55122
p 651-6$1-4675
Date: 0 ?a a `?
Complete this section onlv if you are installing HVAC in a single-family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0400 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
???2-
&DO
State Surcharge .50
Total $'3q.SD
Complete this section onlv if you are remode[itaQ, adding to, or replacing an existing single-family dweiling,
towrihome, or condo. Please indicate if it is a new item, alteration, or replacement.
?
_ New _ Replacement _ Other
Furnace
_ Air exchanger
_ Air conditioning
Other
$ 30.00
6.00
Fee
State Surchazge
Total
Remincler: Call for final inspection.
SITE ADDRESS: \ 61 ? /e
OWNER 1VAME'_?
INST?,LLER NAME:
STREET ADDRESS:
CITY:
ffi'L
$ 3Q.00
.50
$ 30.50
PHONE #: (0,5--/ - &&2-6al
(AREA CODE) , I M?
PHONE #: (qj= - ???-! "LAJI.
STATE: UQ Z[P: S<37J
1
uuG 2
?Ar. 4IGATURE OF PE ITTEE
CITY USE ONLY
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
EOOO 1NECHANICAL f'EiD3IT (CObIhIEiiCIAL)
CITY OF EAfiAN
3$30 PILOT KNOB ftD
F-k6AN, bllV 5512E
651-681-4675
Please complete for: all commercial/industrial buildings
multi-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 installiiig/removing underground tank, cal! 651-681-4675 for inspection by fire »:nrshal asd
pluinbieg iiaspector.
Description of work:
? Fees: 1% of contract ptice OR $30.00 miuimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
? Contract price: $ x 1°/a =$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS
O"ER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: ?
INSTALLER: ;
ADDRESS: PHONE #: -
(AREA CODE)
CITY: STATE: ZIP
?.
SIGNA'PURE OF PERMITTEE
. .
?
2000 BUILDIN ERMIT
L, ??I Fs-?
\\O, OO6 % > s re4derea me wNOyn showinp a% rt a M. w. n. a naua 7, d 5(3a
and pq rooled areas (2096 mmclmian lot coveroae newaen
D 2 copias of Wans (show beam d wlndow sizes: Poured Ind dea17; efC.)
D 1 wf d enerpy Cc9eWOryons
D J copies ?f trea prewrvatlwi Plan M bl Plalptl alFw 7/1/93
!
Sfreet Addresa:
DATE: . CONSTRUCTION COS7:
DESCRIPTION OF WORK:
STREET ADDRESS: \l.(; \\ Y?
LOT. NC\ BLOCK; _CS?- SUBD./p.I.D.O:
Name: Phone 1i:
PROPERTY Lad flrsr
OWNER
Clty
7 _ --,) d U c)
s copla. d ala+
1 sAt of aneryy CdCWollOrlt fu heateA cddlMOns
I me wney ror e,den« aaanon. a dacw
State:
Lp:
Companr .,.,??o t Phone
(area code)
---A= ?+1q -?, !
APPLICATION (RESIDENTIAL)
crrv oF Eacan
3830 PILOT KNOB RD - 55122 --1 U q (o o,
B57-BS1-4B74 ,. ?
cQ? A5''1?°I°1
CONTRACTOR Sheef Addreaa\?? ?Qi Ilcense 9?Exp. 3` C?\
CNy??dc? State: ? Lp: 5 ?\Z}l.
ARCHITECT/
EN6INEER Company: Name:
Telephone t: (
Slreef Addreaa: Registrallon t:
CNy
State:
Lp:
Sewer/water licensed plumber (H Installirw sewar/waterl: Phone #:
1 hereby acknowledpe 1ha1 I have read ihb applk:alion, date Ma1R6 hffortnolb carecF, mnd aqree b compy with aB appicable Saft
of Minneaota Stafutes and CHy of Eapan Ordinancea.
e
Siprwlure ot Appfleant
OFFICE USE ONLY
Certificates of Survey Recelved ? Yes _ No JUL I$
Tree Preservation Plan Recefved _, Yes _? No -? Not Required C:7?
OFFtCE USE ONLY
- :
BUILDING PERMIT SUBTYPES
0 01 Foundatlon 0 07 OSplex p 13 16-plex p 21 Porch (3-sea.) O 31 Ext. Alt - MuMi
? 02 SF Dwelling O 06 OB-plex 0 17 Garege a 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
03 01 of _ piex ? 09 07-plac p 18 Deck p 23 Porch (screened) 0 36 Muld
O 04 02-plex O 10 OB-plex O 18 Lower Level p 24 Storm Damage
O 05 03-piex O 11 10-piex Plbp Yor_N O 25 Misceilaneous
O 06 04-plex O 12 12-plex O 20 Pool O' 30 Accessory Bldg. WORK TYPE
? 31 New 13 38 Move Bldg. O 43 Reroof
0 32 Addition 0 37 Demolish (Bidg)• Cl 44 Siding
O 33 Alteration p 38 Demolish (Interior) O 45 Fire Repair
O 34 Repair 0 42 Demolish (Foundation) 0 46 Wlndows/Doors
• Give PCA handout to applicant for demolition pertn(t
GENERAL INFORMATION
SAC Code fe? l # of Stories ? sq. ft.
No, of Units Length sq. ft.
No. of Buiidings Width ? e Footprint sq. ft.
Const. (Actual) tl Basement sq. ft. Census Code 1t) 0
(Aflowable) Main level sq. ft. ?1 MC/ES System
UBC Occupancy 2 1.4 t9vi. sq, ft, p AC7 Ciry Water ?
2oning ? sq, ft. ,1-4!:?=„ Booster Pump
PRV ?
Fire Sprinklered
MI3CELLANEOUS INSPEC710N3
0 Stucco/Stone
APPROVALS
Planning Building T-IFA4? Engineering Variance
Permit Fee ValuaUon: $ 69t-ap
Surcharge !Plan Review 330
License e d=- 05
MC/ES SAC
City SAC ?71 S??
Water Conn.
Water Meter q
AcCt. Deposit q 5 0 x
S/W Permit
SIW Suroharge
Treatment PL / ir
Park Ded.
Treils Ded.
Other
Copies
Total: L`E -7 U ? . L /
8AC Units
'Yo SAC
J
^'` 2 .
?-?' ??? y?? a { ;V,u ?,?
?Xf. C'°+c L ,31} 'P ft[y? .
??'} ?`•`Y ,?? ?t?q??? ? ??Fj 1 3 s
. d' ..?2. •?»'G, ? ? '-?:,T - `
.s7a,
;;??bIIO?the3k C&P1&AtdC? REPdRT
°??Mi?ier?bta`kffind?Ygy`?L.bdes - S 7: Pezmit
` NrtdGhetk 3nftwere'„version 3.0
Checked by DBtE
COLTNTY: Dakota
$TATE; AlifiPileOt9
ZONE : 2
CON9TRUCTItlt7 TYPB: 9ingle Fam:ly
DA2'&: 6-7-2000
?'srDAT$ OF PLANB: 3/28/00
3'1"{ cxxs2aL wALIPU'r si,svaTrorr #1
? §??'"COMPLIANC$
, '
, r Required u7? +>aa r:
i 3-
? Your
` gpme"=a 351
A.
21= 5#=:Setterr';,Than` Code
• ?'° - ? ?',-x. ?'?? Area or Cev?O&iG'C}1azi32g/rioor
` Perimeter R-VA'ueE` ? -4,??2 =vajue
' :-: • _ ' t'`2:?.Ffr1,..?=,a???_?ru_?t,??
'??-?... "- " ' _ - - " " " " " .. .. _ " -
., y.._
? :; C?ILTNt?5 : 1705. ?44 ..,?Q?,U
F1ALL8 : ' Waotl 3prame', 16 " O . C . ? 2206 ' 19 _ r;? 3 t tl
`=.'WALLBi. 4iocSd Fra?qe, 1B" O.C. 196 10:;0 '12i0'
88MT:'CoaC. 9.01 ht/8.9' b919.0' iaaul 141 ll.p 0.4
'Coac. 3.51{ht/3.1' k>g/3.51 ineul 20 10.0 , 0.0
G7,AZING: WindoWS" or popze, Above C}YSde 405 0.350 1
? ;e D0(SRS " 38 0.350
`;?HVAC E4UIPMENT: Yharnace, 92.0 AP'UE
?'`f'---^^-----------° , - d . - ------
-P
"? _'- '? COMIPL?T'ANCB, rSTAT?;NTo The propaBed buildtng degignae].esaiibedhere ie?
?cpnsi??eatr?ai?h?;he?.,bnildiag plann, epaCificatiane; 'x4dr4thet calculations
te t3ermi applicatioa The proposbd i?13#xi h?¢ en
requ' s' nt of ""'`the rainne?,ot??
r„
rj+y'
?
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Pulte Homes of
Minnesota Corporation
1355 MendoW Heights Road, Suite 300
Mendota Heights, MN 55120-7112
Phone (651) 452-5200 Fax: (651) 452-5727
T10N ORDER
CONTFACTORlSUPPLIER:
Co
? BLOCK ?J UNR IV vJ/TJ (
?-
BUILOING
a+ooEL w
MODELNUMBER:
BUYER'S NAME:
CURRENTAOORESS:
HOME PHONE: BUSINESS PHONE:
SAlES REPRESEN7ATIVE??r `r-?-s?+
1 ?
11 U C
RIGHT
111 NOPM0.4#a`
0000 4sil?.:i?n'9?:?'??agN?i??w
BASE PRICE
- - - LOT PREMIUM
ELEVATION # I ?
6 ?
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? 3 -
I
TOTAL p ?
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Builder's License #0001371
APPROVED BY BUYER (S): tA-
w
APPROVED BY SALES: V
FELEASED TO START CONST.: EouaL nousiNc
OPPORTIINITY
This constitutes a contract between the Seiier and the Purchaser(s) for the above items.
GN:
DATE OF ORDER: l
STATE:
BUSINESS PHONE:
?? .
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPUCATION
? PROPERTY LEGAL /-UT ?' 15/-4/'e S 6;;3rB,P,WL
h DATE OF SURVEY:
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LATEST REVISION:
?
? DOCUMENTSTANDARDS
O
O? Q
/?
? •
Registered Land Surveyor signature and company
;'/c ? : Building Permit Applicant
? Legal description
? ? .
Address
p o .
North arrow and scale
? e • House type (rembler, walkout, split wlo, splR entry, lookout etc.)
o o Directional drainage artows vrith slope/gredient %
e'p ? :
Praposed/existing sewer and water services 8 invert elevaUOn
? ?
/ q • Street name
ce
o ? • Dmeway
4i ? ? • Lot Square Footage
ca?o ? • Lot Coverage
ELEVATIONS
Existna
?/ ? o • Sewer service (or Proposed)
?a ? Property comers
?? :
Top of curb at the driveway
?? ? • Elevations of any e?dsting adjacent homes
? d? o Adequate footing depth of shuctures due to adjacent utiliry Venches
Proposed
/
ra' ? ? • Garage floor
?? c • Firstfloor
m' a ? • Lowest exposed elevation (walkouUwindow)
M/'?
/ ? • Property comers
s
? 0 ? • Front and rear of hame at the foundation
PONDING AREA (if acDliqble)
? e/ ? • Easement line
? da( ? • NWL
a T/ ? • HWL
a m'/ ? • Pand # designation
? d' ? • Emergency OveAlow Elevation
DIMENSIONS
r? ? ? • Lot IineslBearings & dimensions
? ? • Right-of-way and street width (to back of cutb)
q? ? ? • Proposed home dimensions including any proposed decks, averhangs greater than 2', porches, etc.
(i.e. all structures reqwring permanentfoo6ngs)
? o
? o • Shaw ail easements oi record and any City utilides within those easements
o ? • Setbacks of praposed saucture and sideyard setback of adjacent ebsting structures
? a-'o • Retaining wall requirements, if any
Reviewed:
Mareh 19W
CfiAIGIBIOGPRMf.FM
` ?Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Loc s, Block 2, OAKBROOKE 4TH ADDITION, City oF Eogon, Dokoto County, Mlnnsotn and
reserving eosements of reeord.
t?
a R-D EV?
? 71?9 ? 4
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EAGAPdENGIlVF;EILINGDEP'.' x9ya?o
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8
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q44. 949.2 ?
? III F? eV
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Plon # 17944
PROP05ED ELEVATIONS
Top of foundotion = 945S
Gorage Floor = 449 5
Basement floor =q3l,,5
Aprox. Sewer ServiC@ = q32.9
Proposed Elev,
Existing Elev. _
Droinoge Directions =
Oenotes Offset Stake = .
IIECEPYEp J U L f 8 2000
NEVL uNA 0
P44NN1NG SN01N6d'RlNC SURV6Y/NC
2005 Pin Ook prive
£cgen, MN 55122
Phona: (651) 405-6600
Fox: (651) 405-8606
LOT
HSE.
LOT
SQ. FOOTAGE
sQ. FooracE
COVERAGE _
y?
SCaLE: 1 inen . 30 feet
= 3,608
= 2,19
6?7
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0
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BENCHMARK, rNHe pokbraa{uWw%
6t6A. Eieu- 944.,13
MIN. SETBACK REQUIREMENTS
Pront -25 House Side -
Rear - Garaqe Side-
JOB N0:
I HEREBY CERTIFY THAT THI$ IS A iRUf ANO CORRECT REPRESENIATIDN OOR-336
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPfRTY AS SuRVEYEO
BY ME OR UNOER MY OIRECT SUPERVlS10N ANO DOES NOT PURPOPT TO BOOK; PACf:
$HOW IMPROVEMENTS OR ENCROACNMENiS, E%CEPT S$Mpqqd
DATE 7/s CAD FILE:
F ! 0, IMOCREN, lA! SURVEYOR
M SOA UCENSE NuMBER 14J7B OAKBROOKE
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125547
Date Issued:07/28/2014
Permit Category:ePermit
Site Address: 1671 Oakbrooke Way
Lot:5 Block: 2 Addition: Oakbrooke 4th
PID:10-53763-02-050
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 -
Julian Larrea
1671 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
�
Use BLUE or BLACK Ink
�-----------------
� For Office Use �
' j Permit#: I ��-/�> �
�l�y of �a�a� � Permit Fee: � �� � / �
� .
3830 Pilot Knob Road ����-°`�`��'". q /
Eagan MN 55122 j Date Received: 6 /�� � j
Phone:(651)675-5675 ��� � i� '`.'���� I I
Fax:(651)675-5694 I Staff: I
I I
�.________ _______J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION � ` �
Date: ` � � ` Site Address: ���� � ���` `�`-'`''���k'— ����\ Unit#: �
Name: ���..1 at�.r.J l�-C-'a(�--(,^'��� Phone�� 1 ��� `�j�3�
Resident/ ' t��� ,
Owner. Address/City/Zip: ���'��"��?�'�� ��
Applicant is: �Owner Contractor
� f-, .G i �Gn!{iC.Y�...,f.'� �,r-'�
� ' , Description of work:�.-�i�5.�„� �C�'.�� :`,��``f L,.�°��v�.. ��'����;!�^'1 Q�,� � t,, ���,�`�.N
Type of Work
Construction Cost: ��a�� Multi-Family Building:(Yes /No )
+ Company: Contact:
Contractor ; Address: City:
State: Zip: Phone: Email:
> License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for dditional information)
���0 �1
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 alocuments that you submit are considered to_be public rnformation. Portions of}.
the informarion may be classified as non-public if you prov�tle specific reasons that wou/tl permi#the City to `:.
� .
, _ �r: ,�
: conc/cis�e#hat'the ��e frade,secrets. .
CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against underground utility damage. Call 48 hours �
before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.or4
I hereby acknowledge that this information is complete and accurate;that the work wil I 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 worlc will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code ust be completed within 180
days of permit issuance.
X"y"tl:..L F�t�� t...�t�--�-�;,c�, ,�
x "
Applicant's Printed Name "plic t's Signature
� Page 1 of 3
�
l ll��1 (�;k�YJ i�vQ� �JUi ° �
y /�G���
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
� Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex � Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition Move Building Reroof Demolish Interior
�(' Alteration _ Fire Repair _ Windows _ Demolish Foundation
�•-
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wali *Demolition of entire building—give PCA handout to applicant
DESCRIPTION ,�
Valuation .�r Ld� - /' Occupancy �'��--� MCES System
Plan Review Code Edition 2,��"1 MSDL SAC Units
(25%_100%�) Zoning � City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction Q,�` Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: � r�1 , Building Inspector
RESIDENTIAL FEES
Base Fee �
Surcharge I � � Z� ��- ��� � ��
Plan Review �-
�
MCES SAC �r �`��
City SAC
Utility Connection Charge
S&W Permit&Surcharge � -F���ht� ��� ��� �.��� C�v5�e�� `�
Treatment Plant � t
Copies +�, �cn,� �� \3�.5-�u.z�.� � � ���e,r W��\
TOTAL '�i ln iS lr1 ��v►1t� �-t7J i,�h � �C�,�c 1��'.'i-� .�
Page 2 of 3
�,� �- .�:p , ���� c�t�
�(��(� � ��
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127791
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1671 Oakbrooke Way
Lot:5 Block: 2 Addition: Oakbrooke 4th
PID:10-53763-02-050
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 -
Julian Larrea
1671 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
March 13, 2019
AFFIDAVIT:
1.- I bought this property (1671 Oakbrooke Way, Eagan MN 55122) in January of 2010.
?V?e'i/r rie /IC 9aLl
2.-When I bought the house, the shower in basement was already roughed in as seen in the
pictures (from 2014) until it was finished in 2019.
3.-No electrical work has been done or modified since I bought it.
4.-The lower level family room was covered (drywall) without a previous inspection from the
city of Eagan.
5.- I will disclose all this information in any real estate transaction in the future.
JULI N LARREA
(651) 238-3036
£t
Vis «
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156278
Date Issued:06/24/2019
Permit Category:ePermit
Site Address: 1671 Oakbrooke Way
Lot:5 Block: 2 Addition: Oakbrooke 4th
PID:10-53763-02-050
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.
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 -
Lowell S Carpenter
1042 Verlin Ln
Fergus Falls MN 56537
(218) 280-5283
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157768
Date Issued:09/06/2019
Permit Category:ePermit
Site Address: 1671 Oakbrooke Way
Lot:5 Block: 2 Addition: Oakbrooke 4th
PID:10-53763-02-050
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 -
Lowell S Carpenter
1042 Verlin Ln
Fergus Falls MN 56537
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177524
Date Issued:07/07/2022
Permit Category:ePermit
Site Address: 1671 Oakbrooke Way
Lot:5 Block: 2 Addition: Oakbrooke 4th
PID:10-53763-02-050
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Kitchen
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:
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 -
Lowell Scott Carpenter
1671 Oakbrooke Way
Eagan MN 55122
(952) 239-0961
Weld & Sons Plumbing Company
3410 Kilmer Lane North
Plymouth MN 55441
(763) 475-0296
Applicant/Permitee: Signature Issued By: Signature