1672 Skywood LanePERMIT
City of Eagan Permit Type:Building
Permit Number:EA128089
Date Issued:10/27/2014
Permit Category:ePermit
Site Address: 1672 Skywood Lane
Lot:16 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-160
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 -
Patricia A Heald
1672 Skywood Lane
Eagan MN 55122
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
b / PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date C e / 0Z0 / 0-3
O
C Unit #
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Site Address Z4 703 Si?'?li/D
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Property Owner Telephone # (? ?Jr7c/ ` a 3.?
Contractor
Address City
( )
State Zip Telephone #
The Applicant is 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 Dwelling Unit, Including $ 50.00
_ Adding fixtures 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: / C_ f?! ?L/ T?
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener - Water heater $ 15.00
replacement _ additional
$ .50
State Surcharge
? S?D
Total $
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 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 with the
approved plan in the case of work which requires a review and approval of plans. // / it
Applicant's Printed Name Applicant's Signature
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Construction Requirements Remodel Repair Requirements
3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan
(200% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
l set of Energy Calculations Addition - indicate don-site septic system
3 copies of Tree Preservation Plan if lot platted after 7103
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Date ? / ? / U Construction Cost 224 Q?.
Site Address ?r!p???((y (??? ?(!?? Unit/Ste #
Description of Work /()vt t7 U-? ? L.v?
Multi-Family Bldg _ Y A N Fireplace(s) - 0 x 1 - 2
Property Owner ?7 a
Telephone #95-q) -S
aY a S -ZSS=`7 S
Contractor
Address City
State Zip Telephone # ( )
Der
??
Office Use Onlv
_ Cart of Survey Recd
_ Tree Pres Plan Recd
_ Tree Pres Not Reqd
_ On-site Septic System
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
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 without a
permit; that the work will be in accordance with the approved in the case of work which requires a review and
approval of plans.
F01,+ finald
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of - plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
Work Types
?" 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
?-r1Cl?ntr5 F?'x?' flY4c? )n3it5evingva?'
X 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation
Census Code 3/
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const V to
? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
19 Lower Level ? 24 Storm Damage
Plbg_Y or _ N ? 25 Miscellaneous
Occupancy. 2 -3 MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof Ice & Water Final
Framing
ik Fireplace 4 R.I. Z Air Test )L Final
X Insulation
REQUIRED INSPECTIONS
_ Final/C.O.
Final/No C.O.
Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco _ Stone
Windows (new/replacement)
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
&awCla )Love )
Building Inspector
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
5
/5-
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Date
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/
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Add
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ress /
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• Unit #
Property Owner 4,4ct Telephone #
Contractor
Address City
State Zip Telephone #
(
)
The Applicant is X 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 Dwel ' t including $ 50
00
Adding fxtur t ower levels room additions, excluding water softener and water heater .
- Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed - $121.00)
Other:
- RPZ _ new installation _ repair _ rebuild $ 30.00
- Lawn irrigation system
-
0
- V
.,
'
Water softener Water heater
r
- - ?
$
15.00
?
_ replacement _ additional'
Ly 50
State Surcharge
.
50-,5-6)
Total $ -
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 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 emus; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plan `, 1 t n
Applicant's Printed Name Applicant's Signature
Site address: ?? Z V L ? Lot r p Block -?i Subd.
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
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater Q fN e 5
Furnace FC - 5? fecf
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES NO
Kitchen kitchen ?Qw
Bathroom 1 FV ?6S (yL s?
Bathroom 2 V0 50
Bathroom 3 _ g80 g0
Bathroom 4 i SV ,51c? So
Other
FIREPLACES
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
l?u rio h6tN (St o W: i 2 13 a7 0? ?
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
Sign Date
Company Name
* This form is the responsibility of the General Contractor
] tat I I ?+ W ? `-1'-103 H-)?t
RESIDENTIAL
BUILDING PERMIT APPLICATION
' CITY OF EAGAN I,/Y\ Q t:5 `-I 3 QI rl U .?
3830 PILOT KNOB RD, EAGAN MN 55122
651.681-4675 3P P r?? -- -')-p1
q 0 .
New Construction Reauiremanla RemodellRilpair Requirement
• 3 registered site surveys showing sq I of lot, sq. ft. of house; and all roofed areas • 2 copies of plan n q
(20°/ maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions 't 10
3-?
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations • Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan tat (laded after
• Rim Joist Detail Options selection sheet (bltlgs with 3 or or less units) C n k-Q vim - °.?S. s .3 O C_i
I a ?"v
DATE 2
/0 -Z- VALUATION IIS)a?tb
SITE ADDRESS
TYPE OF WORI
APPLICANT
STREET ADDRESS t:/57- /MPt- ivjgVVt
TELEPHONE # (6-/'J7t9S'-6S7fCELL PHONE #
PROPERTY OWNER
TELEPHONE #
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
aeer31;-Gede?a MINNESOTA RITLES 7670 CATEGORY I MINNESOTA RI;L1S 7672
"
'
",
? L I
(
S
13 M
type • Residential ventilation Category 1 Worksheet Submi tted New Energy Code Worksheet Submitted
j
I Energy Envelope Calculations Submitted
[A
PI rtbing Cohractor:
dl???
Phone #
_ qz-a/a
- umCiing systcrri inc u e s _ Water. oftener Law n Sprinkler Fee: $90.00
_ Water Hcater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Afe f4 IG ZM? Phone # 9J?o2 ?9 ??
Mechanical system inclu des: Air Condi ' rig Fcr. 570.00
-- f lcat Riccoviery System
Sewer/Water Contractor. is9cA Phone # 7/03 -/ais d?q
-----------------------------------------------------------------------------------------°----°-------------°--------°
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
ULTI-FAMILY BLDG _Y ;XN
FIREPLACE(S) _ 0 X 1 -2
'STATE AO)ZIP /a
D FAX # &kF/-510'-4;1 49 a 7
Certificates of Survey Received eP Tree Preservation Plan Received - Not Requlredc? Updated 4102
OFFICE USE ONLY
? 01 Foundation
X 02 SF Dwelling
? 03 01 of_ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Parch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 36 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 04 000 Occupancy MC/ES System
Census Code /Inz Zoning P10 City Water _
SAC Units &771
_ Stories _1_ Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length ) 0 Fire Sprinklered
Type of Const _ Width ?yf r
REQUIRED IN SPECTIONS
X Footings (new bldg) k FinaVC.O.
Footings (deck) _ FinaFNo C.O.
_ Footings (addition) _ Plumbing
?1( Foundation _ HVAC
_ Drain Tile Other
Roof - Ice & Water _ Final Pool
Ftgs Final
Air/Gas Tests
Framing _ _
Siding
Stucco _
_
Stone
Fireplace -k R.I. -,YAir Test _
final _ _
-
Windows (new/replacement)
Insulation Retaining Wall
Approved By / -2? , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
, o? r- v X to 75, 4J Nv
?62 73'.?
MNr T, l' rCIMPL,IANCE REPORT
Mir„ , .i }n,?rgy Cod^
MNr-I„ "-,ftwarr Ver.F"-;nI1 0
Permit ff
Checked by Date
COT)l J! : 1,,,L0' a
STAB, t1; lln?sOt ?t
TYPE: Single Family
IaATP;: Q ' 2000
DA'T'I. ' '' l r,ANS: 8/3/00
T T'i W71I,KQTTT RT.,H.WTTnN V
cnn ! .Ml, i;: PAFSrS
Rerw i , "I r?n -- 3R6
Yon, ??.•• - 7..85
26,1° Than COde
Area or Cavity Cont. Glazing/Door
Perimeter R_ Value R_Value U_Value
342
1 44.0 0.0
CEII ''
WIN 1r .
1
.986
l1, d Frame, 16 O. C .
19.0
2.0
2
0 1.
WAI 1 Frame, 16" 0. C.- 169 10.0
0
1] .
0.0
BSNI 9.0' ht-/8.3' bg/9.o' instil 1.12 ..
0
10 0'0
BST•1"r :. 3.5' ht/3.1' bg/3.5' instrl 20 . 0.350 1
GLd,;'.I' .:. Gdilvlc'ty:, or T)nnrs, Abnvr. (;Fade 2,94 0.350
8
DO'';. .
FTV?' "!lIPMENT: Furnace, 92.0 AFDP ------•------
CO?a'. l.! '+IIr'R STATEMENT: The proposed building design described
d other here is
calculations
cony 1 Ttt, with the building plans, specific
T ations,
ropose an
ing
-build
d been
} tT permit
Min
n the
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l
nesota p
Code
Energy
gi,'I
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requirements
li i
eet
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to
Bill' W,-, /nr.si_gner.
Date 2 or
a
Surveyor's Certificate
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Lot 16. Block 1, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving
easements of record.
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: D IIo ??1Jri[ ?D ?iT P??
DATE OF SURVEY:
LATEST REVISION:
d
rc
r
U
0 Q DOCUMENT STANDARDS
??
F ? Registered Land Surveyor signature and company
F1 ? • Building Permit Applicant
d ? ? • Legal description
? ? Address
? ? • North arrow and scale
?
? ? House type (rambler, walkout, split w/o, split entry, lookout, etc.)
/?
?i
' ?
? ?
? Directional drainage arrows with slope/gradient %
Pr
d/
i
ti
d
t
i
&
d
,
r ?
?
• opose
ng sewer an
ex
s
wa
er serv
ces
invert elevation
St
t
y
[8/?
?
• ree
name
Driveway
[]/ ? • Lot Square Footage
G ? ? • Lot Coverage
ELEVATIONS
Existing
pr ? ? • Sewer service (or Proposed)
y ? ? • Property comers
V, ? ? • Top of curb at the driveway and property line extensions
? '?/ ? • Elevations of any existing adjacent homes
? V ? • Adequate footing depth of structures due to adjacent utility trenches
? ? • Waterways (pond, stream, etc.)
3 ? ?
?J? ?
C? ? ?
?
I1) ?
V D0
?
?4/? ?
C9/' ? ?
? El ?
LP' ? CI
C ? ?
Proposed
• Garage floor
• Basement floor
• Lowest exposed elevation (walkout/window)
• Property corners
• Front and rear of home at the foundation
PONDING AREA (if applicable)
• Easement line
• NWL
• HWL
• Pond # designation
• Emergency Overflow Elevation
• Pond/Wetland buffer delineation
DIMENSIONS
• Lot lines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
• Show all easements of record and any City utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
• Retaining wall requirements, if any /?71 Al
Reviewed:
G:/FORMS/Building Permit Application
PLUMBING
(RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date/e/
Site Address Unit #
Property Owner Telephone # (&O) 36
41
Contractor
,66,e- 7
,? Al
/
Address S ??? t rll? UC_. ?/// lNr city
?C,'/ /y?iQ!
State /(f y/ Zip S(f ?Telephone # 0/? f? 441 -" 1; s?
The Applicant is Owner ? Contractor Other
Septic System AlKew, - Refurbished submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, including $ 50.00
- Adding fixtures 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:
_ RPZ _ new installation _ repair _ rebuild \ $ 30.00
- Lawn irrigation system
Y//
ater softener _ Water heater
4 $ 15.00
eplacement _ additional
State Surcharge
$ .50
Total $ S U
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 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 with the
approved plan in the case of work which requires a review and approval of plans.
r k r1' ??c? ?? ?o
R A te
Applicant's Printed Name Applicant's Signature
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105976
Date Issued: 08/06/2012
Permit Category: ePermit
Site Address: 1672 Skywood Lane
Lot: 16 Block: 1 Addition: Oakbrooke 6th
PID: 10-53765-01-160
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 Patricia A Heald
5866 Blackshire Path 1672 Skywood Lane
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125551
Date Issued:07/28/2014
Permit Category:ePermit
Site Address: 1672 Skywood Lane
Lot:16 Block: 1 Addition: Oakbrooke 6th
PID:10-53765-01-160
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 -
Patricia A Heald
1672 Skywood Lane
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature