4025 Johnny Cake Ridge RdAddress `'I'0 2-S- ?rlhY?ln?„ C a _L°t, K-g K-t?l Zip 5512 3-
Lot 1?_ Blk Sub C) a-IC,?o v n r 1 L-e_-
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: /D - // `'9 Z Yes No Inspector: '
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
9
Deck 1
Please verify with We builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet 6efore freeze potential exists.
Contact engineering division at 681-0645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
?l?` ot
Site address: ? Block Subd
a<C°
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 sVucture: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
V-**'This structure: will be consVucted to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE
Water Heater
Fumace
G9L 3 a??L-?
?
Dire
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathroom 1 V -OS ?Q o °
Bathroom 2 t F?-OS ?D 5-Z3 ?
8athroom 3
•--- V_ o? p ?
Bathroom 4 i ? t? V-? S b ?
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIREC7 ATMOS
? q ??o [bD T,?- 7 em
i hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
Signature /!
l2?j-t-e f
CompanyName
/Ql // r 6 -L
Date
This form is the responsibility of the General Contractor.
? -
CS R SIDE?TIAL ' p 5a'{ a
? BUILDING PERMIT APPLICATION M9
CITY OF EACAN /J 1 2
3830 PILOT KNOB RD, EAGAN MN 55122 9
4Ws• gy
Fl o . cjo
Oj0 . '5o
L_p +- 11 1210Ck a 00_?O I ? 6 6? ?68'I-4675 -? ?
New Construetion Reoul eMs ` RemodellReoair Reaufremente
l
• 3 registered sile surveys showirg sq. fl. of lot, sq. ft oF house; and all roofed areas . 2 copies of p
an
(20% maxunum lol coverage allowed)
• 2 copies of plan showirg beam & wlndow sizes; poured found design, etc.) •
• 1 set of Energy Calculations for heated additbns
1 sile survey for exlenor additions & decks ?
J
• i set of Energy Calculations • Indicate'rf home served by sep[ic system for addNons
• 3 copies of Tree Preservation Plan'rf lot platted after 711193
. Rim Joist Defad Optioris selection sheel (bldgs with 3 or less uniGs) T
dN
DATE ? (a? VALUATION I I O?d ??
SITE ADDRESS
TYPE OF
APPLICANT _
STREETADDRESS
!?,-v+ c S
CELL PHONE # FAX #
PROPERTYOWNER TELEPHO #
0
----------------------------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDEN L BUILV
N?
y i
Energy Code Category _ MINNESOTA RULES 7670 CA'1'EGORY 1
(4 su6mission type) • ResidenGal Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
ATE +JZIP'5&laI
-------------------
)NLY
RiJLES 7672
ode Worksheet Submitted
Plumbing Contractor: Phonc #
Plumbaig sysfem includes: Wa[erSottencr Lawn Sprinkler Fee: $90.00
Waler Heatcr _ No. of R.I. Batlis
_ No. of Baths
` Rsa-as9 a o?-
Mechanical Contractor: 90lWSj*Ne- Phone # y
Mechanical system includes: Air Conditionui Fee: $70.00
Heat Recovcry System
Sewer/water Conhactor. ?t}+? G¢.Nv*? Sw==-P Phone #?3 '?°? gJ°?g38
-------------------------°-°--------------------°-------------°--------------------------------------------------------
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.
Signafure of Applicanf 1!fZ% Z'
MULTI-FAMILY BLDG _Y JC N
4 FIREPLACE(S) _ 0 X1 _ 2
OFFICE USE ONLY
Certificates of Survey Received ? Tree Preservation Plan Received _ Not Require
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bldg
?02 SF Dwelling ? 08 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.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
A 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Glve PCA handout to appllcant
Valuation Occupancy ? MC/ESSystem
Census Code ? v l Zoning City Water
SAC Units ?71 Stories ? Booster Pump
Nbr. af Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const _AOL W idth
REQUIRED INSPECTIONS
? Footings (new bldg) ? FinaUC.O.
_ Footings (deck) . FinallNo C.O.
_ Footings (addition) _ Plumbing
X Foundation HVAC
? Drain Tile
_ _
Other
Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Franilng Siding Stucco Stone
? Fireplace _y R.I. vAir
? _? Test ? Final Windows (new/replacement)
?t Insulation 1( Retaining Wall
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
Approved By T-2 , Building Inspector
----------------- - ------- ---
r
FL
i'
;
• ? ? ? ?? ? ?
l,091?0-??
Total
JI1l13:53
Mi.tci---+.;!k COMPLIRNCE RBPORT
Enezgy Code
80ftware VergiOn 3.0
P. 02i03
Permit
C;:ec a y DatP
;?? n-r F; ; rainnesota
7.c'r: ': 2
rqp'eT;zUC.TION TYPT:
VnT.r• . 6-'7-2000
Singla Family
t?r,i-7- ^F PLALJBs 3/20100
' T r'T.":' 11MA5R WALKOUT ELEVATION #1
C','?ltt'r,ihA?CE: PA93E3
F?arjl, i r-d UA = 393
VniP;,MC ? 294
<!=.:'- Ber_t.er Than Code
Ar.ea or Cavity c".ont. Glazing/Door
Perimeter R-Value R-value U-Value
-------------------^----.------------------ ---------- --------------..
1228 46.0 0.0
ta,;.:?d Frame, 3,6" O.C, 2039 19,0 2.0 1
:7nod Frame. 16° O.C. 149 10.0 2.0
9.01 ht/9.3' bg/9.0' insul 47 11.0 0.0
;;c;ir. r!n,,?, 3.3' ht/3.11 bg/3.51 inHUl 20 1.4.0 0.0
Wir.d.ows or. Door.s, Above orada 334 0.350 i
?`^" "•" 38 0.350
Ht%?,C f;:}UIPMENTt Furnape, 92.0 AFUB
--.. .....----"-'_"-"'---_-.------------------ '-------..__•-__.--'--.•"^"---"`
rcm?i.,tAerCE STATIIMEtuT: The propoeed b+iilding deeign deecribed here ie
r.on,is•:ent with the building plans, specificatiaas, and other aalculatione
A»bmik*.ed with the permit epplicatlon. The proposed building has bean
u?;!iqr:?ci to meet the requixements ot the MSnnasota Snergy Code. _
Bv. i I.dari Designer,
?
?, ..
4 LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: ?o'I' II 9ID/;K--:2
DATE OF SURVEY:
d
LATEST REVISION:
rn
c
m
U
DOCUMENTSTANDARDS
Y ¢
O Z D
Q
6 ?U'/ t? n . Registered Land Surveyor signature and company
?? U • BuildingPertni[Applicant
/C ? • Legaldescnption
?" ? ? • Address
?J 0 ? • Narth arrow and scale
L9"/ ? ? • House type (rem6ler, walkout, split w/o, split entry, lookout, etc.)
o ? • Directional drainage arrows wRh slope/gradient °h
/c ? • Proposedlexisting sewer and water services 8 inveR elevation
rd ? ? • Street name
? ?
? ? • Driveway
? ? • LotSquare Footage
?
v ? • Lot Coverage
? ? • Benchmark
ELEVATIONS
/ ' Existin
R' ? / ? • Sewer service (ar Proposed)
rJ ? 0 . Property comers
??/ ? • Top of curb at ttie driveway and property line e#ensions
? e" ? • Elevations ot any existing adjacent homes
u?? • Adequate footing depth of structures due to adjacent utility trenches
? ? • Waterways (pond, stream, etc.)
Prooased
?/ ? ? • Garage fbor
F? ? ? • Firstfloor
v ?/ ? • Lowest exposed elevation (walkouUwindow)
?/ ?S ? • Property comers
f?' ?? ? . Front and rear of home at the foundation
/ PONDING AREA ('rf apolicable)
? f/ ? • Easement line
? ?7/ ? . NWL
? ?1 ? • HWL
? i11?/? • Pond # desgnation
? Ca' ? • Emergency Overflow Elevation
DIMENSIONS
M/u ? • Lot Iines/Beanngs 8 dimensions
? • Right-oFway and sVeet width (to back of cur6)
iiy ? i7 • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring pertnanent footings)
! ? Il • Show all easements of record and any City utilRies wi[hin those easements
ii:, ? • Selbacks of proposed structure and sideyaM setback of adjacent existing sW ctures
?Vn LI . Retaining wall requirements, if any
Reviewed:
Surveyor's Certificate
SURVEY FOR :PULTE HornEs
DESCRIBED AS :Lot 11, Block 2, OAKBROOKE 5TH ADDIION, City of Eagan, Minnesota and reserving
easements of record.
JUN 2 6 REC'D
t
?( ?? s ?? ? ?1? _ ?t lul?drnu?n Slapee
`? ``J pr ? VIfaN Ni?
? ??. 8e Requfred
Ky .¢:.F*,?{JJ->•"...... t . 56WE!{.....
' 43i.7 4025.
14A
? JOHlV1VY CAKE
RIl)GE ROAD
9313
PEUCE ? ?.
JO
''prO9e
A?
gp° 6°eey
cy e?.
a?
33J,7?J>
ti ? 9?? ??Sb+e ? 31, o
9z_.3 '634,? ~
Ago LOT SQ. FOOTAGE
? HSE. SQ. FOOTAGE
LOT COVERAGE _
- ' 41
pAYo
?
# 17921
PROPOSED ELEVATIONS
Top of Foundation = 935.5
Gorage Floor =a3a,q
Basement Floor =q2c.,5
Aprox. Sewer Service =923.st
Proposed Elev. _ (Z-::)
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
SCALE: 1 Inch m 30 feat
..I?,
= 3,608
= T, 821
507o
BENCHMARK, rqH@C.P. Ot9012
E/ro= q31.' 9
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
HEDLUND I HEREBY CERTFY iHAT TNIS IS A 7RUE AND CORRECT REPRESENTATON
OF 7HE BOUNDARIES OF iHE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
PLANNlNG 6NGINdSRING SURV617NC SHOW IMPROVEMENTS OR ENCROACMMENTS, EXCEPT AS SH
2005 Pln Oak Drive
Eagan, MN 55122 Dn1'E Phone: (651) 405-6600 E Y. UNDGREN, UND SUR 01
Fox; (651) 405-6606 I NES UCENSE NUMBER 14376
N0:
02R-O50
BOOK:
CAD FILE:
Oakbrooke 5
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105966
Date Issued: 08/06/2012
Permit Category: ePermit
Site Address: 4025 Johnny Cake Ridge Rd
Lot: 11 Block: 2 Addition: Oakbrooke 5th
PID: 10-53764-02-110
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 Yuriy Balandin
5866 Blackshire Path 4025 Johnny Cake Ridge Rd
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:EA127283
Date Issued:09/25/2014
Permit Category:ePermit
Site Address: 4025 Johnny Cake Ridge Rd
Lot:11 Block: 2 Addition: Oakbrooke 5th
PID:10-53764-02-110
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 -
Yuriy Balandin
4025 Johnny Cake Ridge Rd
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:EA128099
Date Issued:10/27/2014
Permit Category:ePermit
Site Address: 4025 Johnny Cake Ridge Rd
Lot:11 Block: 2 Addition: Oakbrooke 5th
PID:10-53764-02-110
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 -
Yuriy Balandin
4025 Johnny Cake Ridge Rd
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 �
I
C�6Ol �� �i! � Permit#: � �
� � — I
RECEIVED � Permit Fee:_�� • Qd j
3830 Pilot Knob Road � i
Eagan MN 55122 QC� Q � ZQ��j I Date Received� ` — I
I �.` _ �
Phone: (651)675-5675 � staff:�) �
Fax: (651)675-5694 � i
�������_����__���J
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
� � �1� �
Date:��Site Address: � ��
Tenant: � r Suite#:
��
� v � .-.
�" � Name: �l(�� Phone: �_���
, Re �den Ow. �
���n�. �����.�s" � �'
; Address/City/Zip: �
' '��"��'"
�� �' Milbert Co�pan Inc dba Culligan Wa er �icense#: WC641376
� � ` ` Name: � Y�
��� `°`� �
� � �'
� ���� � Aad�ess: �18Q1 50`� St East ��ty. Inver Grove Hgts.
; ,e�,dntr�ctoq
� � � state:� Mn zip; 5 5077 pnone: 651-451-2241'� � �
'� � William R Milbert `
.� 6� Contact: EmaiL•
�
� �
` � �New _Replacement _Repair _Rebuild _Modify�Space Wor1c in R.O.W.
��!pe �� ,�Q��� —
Description of work:
' RESIDENTIAL
:�
� ' ��� � Water Heater �
�Water Softener
� Lawn Irrigation(_RPZ/_PVB)
�: ��Pe m t'Ty;
Septic System Add Plumbing Fixtures�Main/_Lower Level)
New Water Turnaround
"� � Ak�anr�onment
,� �
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, oc Water Heater and Snftener{includes�5.00 Stats Surchar�e)
" $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Seatic Svstem Abandonment,Water Turna[ound*(includes$5.00 State Surcharge)
*Water Turnaround(add$200.00 if a 5/8"meter is required)
$115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �Q O O
TOTAL FEES$ V
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.aopherstateonecall.ora
I hereby acknowledge th9t 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 reguires a review and approval of plans.
� � � �l�-�-� x _
�
Applican 's Printed Name ApplicanYs Signature
.:�� - . �� ._�,..�:. .
* . �.
`F� � 4EI �._
�R�qu�:edti ns.� e • .; ,. � . . -
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�IV�e,e� -e( ed� e • i .