1676 Oakbrooke WayAddress _ 1676 ()akbrnoka way Zip 55122
IAt 10 Blk 1 Sub Oakbrooke 4th Additioa
THESE ITEMS WERE / WERE NOT COMPLETE AT TfE TIME OF THE FINAL INSPECTION.
Date: 11- 11-00 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry) x
Permanent driveway ?
Permanent gas
Sod/Seeded grass ?(
TraiUcuib 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 w
the ouuide lawn faucet before freeze potential exists.
Confact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yetlow - Resident Copy Pink - Contrector Copy
PLUMBING (RESIDENTIAL) ap ?•-?v
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date
SiteAddress 1676 044oh??KQ
1
? 121/V Ti5-/:2 Z Unit# 1676
? ?
?!
fiqU 1?? 0 WQ
P
t
O
eG
) 36
Telephone #(!n S)
S-
?b?`?
i
-
roper
y
wner
(
lX v
Contractor
L?IL
Address ?-] 6 wG City Er4k n
State 575 t/ Z Z Telephone# (bs1) 36 S` g6D 97
The Applicaot is (l Owner _ Contractor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dw Iliog U' Including $ 50.00
Adding fiMures t lower or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new inslallation _ repair _ rebuild $ 30.00
_ Lawn irrigation system _- - - , `
?
_ Watersoftener _ Waterheater ^rY
$
15.00
_ replacement _ additional
_-1
L-:_-- - -
$ 50
State Surcharge
sv `?
Totel $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete ana accuratc; max me worK ww
be in conformance with the ordinances and codes of the City of Eagan and with the Plambing Codes, that I undcrstand this is nut a
permit, but only an application for a permit, and work is no[ to start without a permit; that the work w'll be in accordancc with lhc
approved plan in the case of work which requires a review and approval of plans. A
12 a hjy S. 444?li -I ?l l
ApplicanPs Printed Name Applicai Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-881-4675
New ConsWCtion ReauhemeMa
• 3 registered site surveys showng sq. tt. of bt, sq. iL of house; antl all roofed areas
(200/6 meAmum lat coverage allowe0)
• 2 coples ol plan showing beam & window sizas; poured lound dasign, etc.)
• 1 set o1 Energy Cakulatbns
• 3 copies of Tree Preservetion Plan M bt pletted after 1/7/93
• R'on Jolst Defail Optbns selection sheet (bNgs with 3 or less units)
DATE u J 3o r ? 0 Z-
?
v '
pemaleVHeoair HeauiremeMs
• 2 wpies of plan
• isetofEnergyCakulatbnsforheffiedaddttlons
• 1 slle sunrey lorexterioraddttmns & tlecks
• Indk;ate N home served by septic system br addHbns
VALUATION Z 00, 0190
S/0 l,/
?
SITE ADDRESS 16 76 0A b?'a n6 Wu4f MULTI-FAMILY BLDG _ Y '?LN
NPE OF WORK F-, i s(i $li y P? ei-? FIREPLACE(S) _ 0_ 1_ 2
/
APPLICANT Cuht t? J. ?x?k
STREETADDRESS bruoke WU? CIN Eikav, STATEZMZIP SSjZZ
TELEPHONE # 6 SI -36 S-`a60%ELL PHONE # FAX #
TELEPHONE# 651-36s-gdog
PROPERTYOWNER G`!i )- 4144 ?7 %Ok/1??1 -2-
-------------------------------------------------------- --------------------------- ---------- --
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIA?NFSOTA RUI.ES 7670 CATF.GORY 1 MIKNESOTA RLJIFS 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Subm'rtled
Plumbing Conhactor: Phone #
Plumbing system includes: _ Water 5oftener ? Lawn Spruikler Fee. $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhacfor. Phone #
Mechanical system includes: Air Condiaoning 70.00
Heat Recovery System D?2 ? OT I
Sewer/Water Contractor. Phone # APR 02 I hereby acknowledge that I have read this applicaTion, state that the information is corre
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signalure of Applicant
........ _._...... °.... _............ _._.._..... ----..... --------------------.r_?..._..___
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation
x 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
13 OS 03-plex
O 08 04-plex
? 07 05-plex 13 13 16rplex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex X19 Lower Level ,
? 12 12-plex Plbg ?? or _ N
? 31 New
O 32 Addflion
X, 33 Alteration
? 34 Repiacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bidgs
Type of Const
ZO6U
434
bl
U
I
?- ?
O 20 Pool
? 21 Poroh (&sea.)
? 22 PorchlAddn. (4sea.)
? 23 Porch (screened)
? 24 Storrn Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Muiti
? 33 Ext. Alt - SF
? 36 Mutti
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 37 Demolish (Bldg)• 0 43 Reroof ? 46 Windows/Doors
*Demolitfon (Entire Bldg only) - Give PCA handout to applicaM
Occupancy [Z• 3 MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) ? Final/Na C.O.
_ Footings (addition) Plumbing
Foundation ? HVAC
_ Drain Tile Othcr
Roof Ice & Water Final Pool Ftgs AidGas Tests _ Final
? Framing _ Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
? Insulation _ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Suppy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Siteaddress: I(v7CP c?k.br?ic.cWErl L0t1'° eioac -L Subd. 001C6znke- ?
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 foitowing information be
submitted prior to issuance of a Certificate of Occupancy.
_ This struc(ure: is consWcted to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This sWcture: will be consVucted to meet more resVic6ve requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater i/ 44 0. Z (Q $d
Fumace YI JF/a h 3W0 7LO `o o0o D"-e
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YE5 No
Kitchen kitchen
Bathroom 1 6d n; L FVl V61
8O
?
Bzfhrcom 2 ? ( Fv _ 5? ?
Bathroom 3 Xjdu n S?? oo D
6athroom4 r? v?-5o Sa
Other
F{REPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT AiMOS
f? H&vx (o?Od 1 -? a7ooo ?
I hereby acknowledge ihat the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
Signature Date
?d?"1E ?vh?S
CompanyName
• This form is the responsibility of the General Contractor.
cirr use oNLv
susOva YC20 Vto. I '
RECEIPT#: C11?11
RECEIPT DATE: C) C) 0
PERMIT# q J 0 I U
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: D single family dwellings
? 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 $ ?
Gas piping outlet ' minimum -1 3.00 x = $ ?
Hottub/spa 3.00 x = $
Kitchen sink 3.00 x = $ -?
Laundry tra 3.00 x = $
Lavatory - 3.00 x ,3 = $ ?
Septic System new/refurbished ' requires MPC lic. 75.00 x = $
Septic S Stem abandonment 30.00 x = $
RPZ new instailation/repair/rebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $ ?
Underground sprinkler if dwelling is under construchon 3.00 x = $
Underground sprinkler ifexisting dwelling 30.00 x = $
Water closet 3.00 x = $ -
Water heater 3.00 x = $ '?
Water softener If dwelling undar construction 5.00 x = $
Water softener if exisHng 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.
---- --------------------------- • ------------------------------------------------------- --------------- - ------ --------------------------
- appl - icable City of Eagan orUinances.
I hereby acknowledge that I have read this appliwtion, state that the infortnation is corred, and agree to comply with all -
It is the applicanYs responsibilily to notity the property owner that the City of Eagan assumes no liabilily for any damages causad by the Ctty during ils
normal operational and maintenance activities to the facilities construcfed under this permd within City property/right•of-way/easement.
SITE ADDRESS: /LO /(?
OWNERNAME:: T/'1G%te?
INSTALLER NAME:
STREET ADDRESS:
CITY:
TELEPNONE #:
(AREA CODE)
TELEPHONE #: ?t2l' .;' ,21l,2-
(AREA CODE)
STATE: l•C./ Z?P:
?? Q?--
Lity o# cagar,
Ca=.h Receip:
Receipt Gat? M%3%0Fi
Tioe Frinted :5:15:57
Receipt Nuaber M9
B116'NSVILLE HERiIk6 a xIF'
1676 t7RK6k+]uKE FtHY
9061.2195 ' S)
iiP 43109
9861.408E 34.00
MP 43109
t
Total Recaipt Awount 34.59
tl_«r HiiGG6:Hii
CITY USE ONLY
, LOT 10 BL PERMIT #:
SUBD. OqAr00KFI ??k RECEIPT #:
State Surcharge
2000 MECHANICAL PERMTf (RESII3ENTIAL)
crrYoF Erts,atN
3830 Pu.oT tcNOa gn FZE?
gnsnxauvssiz$ , o ZCOG
ssi-s8r4s7s UC ?. ?• ?
Da[e: °c2?'UO
.-.? r.
Complete this section onlv if you are installing HVAC in a single-family dwelling, townhome or condo under
construction and not owner/occugied.
• HVAC: 0-100 M B T U
ADDITIONAL SD M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
Total
$ 30.00
6.00
.50
$ SIF 6z
Complete this section only if you are remodelinp, adding to, or renlacinp an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or replacement.
_ New
_ Furnace
_ Air exchanger
Other
Air conditioning
Other
Fee $ 30.00
3tate Surcharge .50
Total $ 30.50 `
_ Replacement
RECEIPT DATE:
Reminder: Call for finaI inspection.
SITE ADDRESS:
f
OWNERNAME: ?l? T1Cl'Y?lL9.S PHONE#: O?JI - C-?G aD
(nxE? r?opg)
S?[ L('UCXS ?
INSTALLER NAME: PHONE#:
1+ZL--
1- ,,1 (AREA CODE)
STREET ADDRESS: ?,oq? [ ?-?Y1O(S? 1c5? -
CITY:
?3 I 0 °I
_ STATE: VI.I ZIP:?i 3-v
?
SI N OF TI'EE
CITY USE ONLY
L Bl
SUBD.
APPROVED BY: , INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 ,13ECfiMIC1kL PEfi1H1T (COINMERCL4L)
CITY OF E46AN
3$30 PILOT KN08 gD
fA&i4N,14IN 551 EE
651-6$1-4675
Please complete for: all commerciallindusVial buildings
multi-family buildings when separate permits are not required for each dweiling unit
DATE
WORK T'YPE: New constucrion Install U.G. Tank
_ Inrerior Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing undergraund tank, ca11 651-68I-4675 for inspection by ftre marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Undergrouad tanlc removaUinstaIlation = minimum fee
Contract pnce: $ x 1%= $ (Base Fee)
State surchazge calculace at $50 for each $1,000 Base Fee
TOTAL $
SITE ADBP.ESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (Il1PROVEMENTS ONLS):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CIT'Y:
PHONE #: -
(AREA CODE)
sTaTE:
SIGNATURE OF PERMITTEE
2000 BuaoiNc
1_I ? ? ??
:S?* w -*? ,-4 a I `-I L
PERMIT APPLICATION (RESIDENTIAL)
CITY OF 6ACAN q
3830 PILOT KNOB RD - 55122 Tb?`?
831•681-4875
GK?135sa? C.? ?S-`?-UC>
> aragWerea we s"revs dwwng sq n. a br, w. n. a nouse g', 7 0Q s eoaies a par,
and 91 rooled aroas (2076 mmdmum bf ooveraae anowem 1ser ot energy cdcWaHOru tor healed add[Iloru
D 2 COples W plans (stqw bban e wintbw slzes; poured fitl. tl9dgn: ate.) 1 We wrv6Y for exteAW addBbnt & deckt
D 1 sa1 O} enatpy CdqdaEpna
? 3 coples d hee pretenaMon plm M bf ploHetl oRer 711/99
DATE: 8I3100 CONSTRUCTIONCOST:
DESCRIPTIONOFWORK: tJEv1 6Otls7?vcTiDN 5'tG.ls Ciazh?
STREEf ADDRESS:
a
LOT: IC) BLOCK: ? SUBD./P.I.D. i: Oak..bfM i?- 41
Name: Phone g:
PROPERTY Lwt Flrst
OWNER
Sheet Address:
citY
Stute:
Zip:
Company: Fa?iE.' AW9?s; 6r Phone #: GS/ -os7
(area code)
COMRACTOR
street Aadress: /35S' 4au /Jio" ucense u HZ!? Exp. ov
cny ?e?r??/i ??dfs srare: ?.rJ vp: ss?ao
?
4RCHRECT/
eNGINEER Comparry: Name:
Telephone #: (
Sheet
citY
Sfafe:
LP:
ewer/water licensed plumber (H insfallina sewerMratar): Phone (Ua 177.? - °?la2l
!iereby xknowledpe lhat I hove read Mds applfcation. afate fhal ihe Infamalion is carect, and agree b comply wNh aY oppBoabie StaFe
Minnesola Siahites and City of Eagan Ordinancea
? Slynalure W ApplicaM: ZFZIL
OFFICE USE ONLY
3rdflcates of Survey Received ?J Yes _ No
ee Preservation Plan Received - Yes _ No
;;uG 9
j Not Required
RegishaHon It:
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) O
W 02 SF Dwelling ? 08 08.plex p 17 Garage p 22 PorchlAddn. (4-sea.) O
0 03 01 of _ plex p Og 07-plex O 18 Deck ? 23 Porch (screened) O
O 04 02-plex O 10 08-plex O 19 Lower Level ? 24 Storm Damage
O 05 03-plex O 11 10-piex PIDg _YOr_N O 25 Miscellaneous
0 06 04-plex O 12 12-plax p 20 Pool p 30 ' Accessory BkJg.
WORK TYPE
0 31 New O 36 Move Bidg. O 43- Reroof '
0 32 Addition ? 37 Demolish (Bldg)' O 44 Siding
? 33 Alteration 0 38 Demolish (Interior) O 45 Fire Repair .
? 34 Repair O 42 Demolish (Foundation) 0 46 Windows/Doors
" Give PCA handout to applicant for demolitlon permit
GENERAL INFORMATION
31 Ext Alt - Multi
33 Ext. Ait - SF
36 MuRi
5AC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buiidings Width Footprint sq. ft. /7f
Const. (Actual) s-,!l Basement sq. ft.
- Census Code JD/
(Allowable) S=,?'/ Main level sq. ft. 12
:YV MC/ES System
UBC Oxupancy ? sq. ft. City Water 7
Zoning p-L1 ? Sq, ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS . . .
? Stucco/Stone
APPROVALS
Planning Building ? Engineering Variance
Permit Fee
Valuation: $ a?
Surcharge
Ptan Review
/?a? ?-Le?? ?
L(cense
MC/ES SAC ? 70 KSy?
City SAC
Water Conn.
t
W
M
t
a
er
e
er
Acct. Deposit
SNV Permit
S/W Surcharge ?
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
7otal: '`I 3a S. I 9
SAC Units
4/o SAC
Cities Diai
itv Control
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JOB INITIATION ORDER
Pulte Homes of 0
Minnesota Corporation
7355 Mandota Heights Road, Suite 300
Mendota Heights, MN 55720-1772
Phone: (651) 452-5200 Faz: (651) 452-5727
JOBNO.??? l?-A c
COMMUMTY:
BUILDING ADDRESS:
?EL NAME: S ?---
BUYER'S NMAE:
CVRRENTADDRESS;
CfTY:
H«M PHONE: BUSINE55 HONE:
SALES REPRESENTATIVE
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DATE OF ORDER: ?C?
_ STATE: _ ZIP.
BUSMESS PF10NE:
?QMXI. ?%OPTIO _ #i;
0000 777.'
BASE PRICE ,Ip ?
R?j D
- - - - LOT PREMIUM
I ? ELEVATION # g f
W ?
Q' crr
TOTAL MD. C)
EE
Builders License N0001371
CONTRACTOR/SUPPUER:
(nf!)
/O! L LEGAL DESCRIPTION: LOT BLOCK Ue? I() r) I
ADDITION: ?
1 cin: sraTE. zwina
MODEL NUMBER: ELEVATION: OqRqCE: LEFT RIGF{I
APPROVED BY BUYER (S):
APPROVED BY SALES: ?
RELEASED TO STAFT CONST.: eaunL HousiNc
OPPORTUM!TY
This constitutes a contract between the Seller and the Purchaser(s) for the above items.
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPIICATION
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PROPERTYLEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
rs/
• Registered Land Surveyor signature and company
• Building PermR Applicant
• LegaldescripUOn
• Address
• North artow and scale
• House type (rambler, walkaut, spflt w/o, split enUy, lookout, etc.)
• DirecSonal drainage atrows with slope/gredient %
• Proposed/exisCng sewer and water services 8 invert eleva?tion
• Sueetname
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
?
e • ??
Sewer service (or Proposed)
lcol? • PropeAy comers
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13 • Top of curb at the driveway
ao • Elevations of any existing adjacent homes
? a Adequate foo6ng depth of structures due to adjacent utility Venches
Prooosed
/
p' ? ? • Garage 8oor
? ? ?
? - First floar
? o • Lowest exposed elevation (walkouWaindow)
J ? o • Property comers
? ?
V • Front and rear of home at the foundaUon
PONDING AREA (if apdicable)
? r+Y ? • Easement line
? P( / a • NWL
? p' a • FIWL
? ?,? • Pond # designation
a m? ? • Emergenq Overflow ElevaUOn
DIMENSIONS
? ? ? • Lot lineslBearings & dimensions
? ? • Right-ot-way and street width (to back of curb)
?? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all struc[ures requiring permanent footinga)
6' ?? • Show all easements of record and any Ciry uElides wfthin those easements
m/ ??a - Setbacks of proposed sVUCture and aideyard setback of adjacent epsting sVuctures
? ra' ? • Retaining wall requirements, if any
Reviewed:
March 1998
cnuK31s-DanMi.Frn
-
Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS ; Lot 10, Block 1, OAKBROOKE 4TH ADDITION, City of Eogon, Dokoto County, Minnsoto ond
reeervinq easements of recore.
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REL?
Date ,.
. .
? aEAGAN EP1GIIdEER.IrTG AEPT. ?'..
--..,....._ .....-.----- ---._.._....-- ----
---,?? --°---- ?
1s s
_...--?------... __-------
OAKBRO E WAY?
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994?0
444.?3 ?i
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b ?
? E 7? T 4 0 997 04b.-0
Garope
- ;p u ProDO9etl w C ?
? Rompler ^
2 9'Pa. d/i N
.00 ? I
992A
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1?
Lo r sQ. Fo o ra cE
HSE. SQ. F00TAGE
L 0 7 CO VERA GE _
Plan # 17933
PROPOSED ELEVATIONS
Top of Foundation = qqe$
Goroge Floor = 447.3
Basement Floor = q39,5
Aprox. Sewer Service = 434.2L
Proposed Elev.
Existing Elev. _
Drainoge Directions =
Denotes Offset Stoke = .
SCAIE: 1 inah . JO feH
NO
= 3,608
= 1, 806
507
BENCHMARK,
rwH? s?
Eleu? 44(0.13
A
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Reor - Goroge Side-
?? ? -24! oo JOB NO:
?
yE,?L ?? i HEREBY CERTiFY THAT tHiS i5 A TRUE AND CORf7ECT REPRESENTn1lON OOR-350
OF iHE BOUNOARiES OF THE ABOVE DESCRiBED PROPERTr n5 SuRVEYED
BY uE OR UNDER MY DIRECT SUPERNSION AND DOES N01 VURPONT TO BOOK: vACE:
pLANN/NC SNC1N6d'R1NC SURV6Y/NC SMOW IMPROVEMENTS OR ENCROACMA/EN75, E%CEPT A SHOWN.
2005 Pln Ock Orive ^7
Eogan. MN 55122 DnTE ? CAD FIIE:
PhOne: (651) 406-6600 R , LINDG EN, LAN URVEYOR
Fox: (651) 408-8606 MINN Tn LiCENSE NUMBER 14376 OAKBROOKE
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RECEIVED AUG 0 3 2009
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105470
Date Issued: 07/17/2012
Permit Category: ePermit
Site Address: 1676 Oakbrooke Way
Lot: 10 Block: 1 Addition: Oakbrooke 4th
PID: 10-53763-01-100
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Krech Exteriors Inc Randy J Mathiowetz
5866 Blackshire Path 1676 Oakbrooke Way
Inver Grove Heights MN 55076 Eagan MN 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
From:Genz-Ryan
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
952 767 1900 11/29/2012 11:39 #813 P.002/002
Use BLUE or BLACK Ink
For Office Use �
(p0
Permit #: 1' n I /V"
Permit Fee: 0°
Date Received: )I / 21 /i g
Staff:
2012 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with/all commercial/applications. ` r\
Date: 11 /2-9/ t1 Site Address:,�t�J-7(l) l Jca i�.�(? 1� V Vr�'QTenant: N4 O _ V \ \ U t/\l f__ 7.- d-ei' 1.0 Suite #:
Name: MCD -50'‘:k 0 viezL Phone:
Address / City / Zip: (0-7 CO Cca-V-,v-r C \/ Ec` 0 -'n
Name: 7�ii/� L- ��1cocA License#: (-)g ?)(2
� ^r-�•
1 �� c 1 1
Address:s-2-00 Cl�CY�I w City: t `� V 1 \ \
State: 1. v ` N�,Zip: _J J �J 7 Phone: (G ' 2) 7 it 7 - `g)Jc
contact: C T (t LOSore_ Email: C. t ✓� t 0\ -e -471Z \fGr-+'t (-(3/
New X. Replacement /Additional [itkIteration
Description of work G[.� `� \00,--4` w+/vs
•
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
Heat Pump 1 , (�
Other bc�41.4
Demolition
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under / Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ CO - 0 TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge)
$60.00 Minimum (includes State Surcharge)
if the project valuation is over $1 million, please call for Surcharge
OR Contract Value $ x 1%
= $ Permit Fee
_ $ 5.00 Surcharge*
$ TOTAL FEE
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.orq
1 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 1 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
Applicant's Printed Name
x
Applicant's Signat e
Date:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or
For Office Use
Permit#: `D
1z6 .IL—f
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
(Y Site Address: 1(0 7(0 (v AIS'6.dC20 1 t (/
Unit #:
DAN
Name: Q � Phone:("fi " � s'e,
-1893
7
Address / City / Zip: CO O 4 b z ICA C
V
Applicant is: Owner Contractor
^-��-��
Description of work: rt �; t $ Li. 144 vec L�. Z ' k,A` l�ct✓v t f-/ °� K �%� ( , '
Construction Cost: ( 0, 00,0 Multi -Family Building: (Yes / No X )
Company: Weuf tee A(.G �►r� e G"r eC n act:re/6"Z1' / ' Siofe ts+
4
Address: �� 7 S SY / V ' SA 464 447,14;(4/
City:
State: 171f,41 Zip: ST -7d C/ Phone: (G I)$ S {� ' '703
License #: 3 Y cfYV
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
/97r D
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: St //i7r2 4"2-e'—e.„Phone: 6S 7 7 75 1.
Mechanical Contractor: 61°V-/ Z. 1:74 Pi Phone: yf 7 ?G 7-700 c
Sewer & Water Contractor: � i Phone:
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.ciopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State B 'Iding Code must be completed within 180
days of permit issuance.
x —Pew 4,>6. s y "v."...
Applicant's Printed Name
ignature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
XSingle Family Garage
Multi Deck
01 of _ Plex Lower Level
Accessory Building
—1(1) Oct k-2rokk We
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
WORK TYPES
New Interior Improvement
Addition Move Building
Alteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% )
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Y, Ice & Water X Final
Framing
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding
Reroof
Windows
Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
Storm Damage
7
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
)( Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests Final
X Siding: Stucco Lath _Stone Lath Brick
Final x Windows Cipprortyg.,
Retaining Wall: Footings _ Backfill Final
Radon Control
Erosion Control
1 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
C0/16
pbf
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108206
Date Issued:11/26/2012
Permit Category:ePermit
Site Address: 1676 Oakbrooke Way
Lot:10 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-100
Use:
Description:
Sub Type:e - Fixtures
Work Type:Replace
Description:Main Floor
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Jenny Hanson
3185 Terminal Drive
Suite #200
Eagan, MN 55121
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Randy J Mathiowetz
1676 Oakbrooke Way
Eagan MN 55122
Silver Tree Plumbing & Heating LLC
1947 Shawnee Road
Eagan MN 55122
(651) 319-4200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120248
Date Issued:01/28/2014
Permit Category:ePermit
Site Address: 1676 Oakbrooke Way
Lot:10 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-100
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.
Renae Frienwald
2200 Hwy 13 W
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Randy J Mathiowetz
1676 Oakbrooke Way
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125895
Date Issued:08/06/2014
Permit Category:ePermit
Site Address: 1676 Oakbrooke Way
Lot:10 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-100
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 -
Randy J Mathiowetz
1676 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:EA127795
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1676 Oakbrooke Way
Lot:10 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-100
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 -
Randy J Mathiowetz
1676 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