1558 Johnny Cake Alcove. a-12: 7:29AM: 952 894 0925 1952 894 0925
f L kiJ
BuR1vsvrL.i?
Heating & Air Conditioning, L.L.C.
J2481 RkodelslmrdAve S, Savage, MN 55378 • 952-894-0005
Orsrat Test Report for Job#
Address City G a?--
(lrri m?nT
D86' nt InS1211
Type of Fif. F/A ? HW- SpaCe HT Unit HT
Other Make i
Modei r? .??kc-/00
Seria!
Input /tp
Pilot Type HpT SURFACE IGNlTOR
Pressure 3 ` C02_ ..
Input CFH /Gb, °'°O 02_ ti' , -S?
StackTemp /Ua C0--70-_
Daie Tec?tec
Comnanv
7echnisran
?
9.6K
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Ir-t
Site address: (L?Pfj/cAe_ Lot -a Block _3 Subd.
On Apnl 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 sWcture: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MOUEL BTU'S VENTINGTYPE
Water Heater ? p/050??-
aE
Fumace 32 ?t?c 7 ?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
rES No
Kitchen kitchen -Tiiw lgcg O R#??
L'
Bathroom 1
/y rv_ 05- VQ Q I/
Bathroom 2 l? . . ? 1/0 -5-C /
Bathroom 3 -5'V _ s-o --? V/
Bathroom 4 i, o
Other u ?C v SC) v.
?
VENTING
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MOUEL BTU'5 oiREC7 AirnOS
MAKE-UP AIR MODEL TYPE CFM's
N9 UI- 2oc:> lZ7
J
I hereby acknowledge that fhe above informa6on is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
Si atur ? Date (
Q?
Company Name
` This form is the responsibility of the General Contractor.
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ?
.
651-681-4675
NewConstructian Reauirements
• 3 registered site suneys shawing sq. R. of loi, sq. tt. of house; and all roofed areas
(20% mauimum lof coverage allowed)
• 2 copies of plan showing 6eam & w(indow sizes; poured found design, etc.)
• 7 sef otEnergy Calculations
• 3 copies of Tree Preservation Plan If lot platted after 717/93
• Rim Joist Detail Optbns selection sheet (Wdgs with 3 or less unifs)
DATE / 2
LC '?-.??
RamodeVReoair Reauirements I_C)
. 2 copies of plan
. 1 set of Energy Calalations for healed addNians
. 1 site survey for exterior adddions & decks
. Indicate if home served 6y septic system for additions
VALUATION
SITE ADDRESS MULTI-FAMILY BLDG _Y _L4
TYPE OF WORK_ FIREPLACE(5) ? 1 _ 2
APPLICANT -e ?C?i ?i
STREETADDRESS /SJ ZS v?/n?z? Li.llc ?6'/d?uc CITY -a zw
TELEPHONE # GS/- ?3 ?/2 CELL PHONE FAX #
PROPERTY
?ssizz
TELEPHONE#
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CATr:GOHY 1 MINNESOTA RULES 7672
(d submission type) • Residential Venfllation Category 1 Worksheet Submitted • Naw Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
Hcat Recovcry Systcm
I hereby acknowledge that I have read this application, state
with all applicable State of Minnesota Statutes and City of T/(
Signature of
OFFICE USE ONLY
_ Watcr Softcner
Water Heater
No. of Ballis
_ Phone #
Lawn Sprinkler
No. of R.I. I3aths
Phone #
Phone #
ree: $90.00
v{AllG 2 3 2002
?
is correct, and a
to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
t.. .>
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Altaration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
[3 25 Miscellaneous
? 30 Accessary Bldg
? 31 6ct. Alt - Multi
? 33 Ex[. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
*Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy JL3 -Aff, MC/ES System _
Census Code Zoning City Water _
? SAC Units Stories Booster Pump _
Nbr. of Units Sq. Ft. PRV _
Nbr. of Bldgs Length Fire Sprinklered _
Type of Const VB?J W idth
REQUIRED IN SPECTIONS
Footings (new bldg) FinaUC.O.
? Foorings(deck) _
_y FinaUNo C.O.
_ Footings (addition) T Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas 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
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex "If18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Pibg_Y or _ N
O&IL
v.
7ol
Surveyor's Certificate
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Lot 17, Block 3, OAKBROOKE 5TH ADDIION, City of Eagan, Minnesota and reserving
easements of record.
1389 R O°R?
ly ?
W o ? ?LCO
---- n ?
---- -- j7.5 939v
\
Exlst. Home ? ? ?? ?9• q3q7
TOB = 941.1 73.,
f '-J
I p?j 94`0 _•b
I ? 39,
1
? q39A I h N
------J .OO 99o.z 94 ?
m C) I
az.oo 9ct. _---_
? ? z?o ? losi ?
N 991 ? ?
100 Coro9e m I
? 932.7? Exist. Home
? I 10.00 .SO 1?-?TOB = 942.5
939.9 ?
. N Proposed
cv 2-Sfory ? Lr) ?I
1 s'aow w I nj ?
I N ?
93i.8 7010 q aa. 0 20.b0 3 II
`?3 -I- O 932?5 ?_-__
4.0 :14-
` CJ 1uG'«-c /\J I ,, II? 0?
929.0 ? ? ? I
s;?4p,o2 JS ,
L 0 T SQ. FO0 TA GE = g, g g 9? 6j 82 430 3' ?
930.5
HSE SQ. F00 TA GE = 1, 861
LOT C01/ERAGE = 27%
# ,829,
PROPOSED ELEVATIONS
BENCHMARK, TNN?m ?8p?q?3
Top of Foundation = 942,5
Garage Floor =qq2,l
Basement Floor =433.g
Aprox. Sewer Service =qao.s!
Proposed Elev. - ? MIN. SETBACK REQUIREMENTS
Existing Elev. _
Drainoge Directions = Front - House Side -
Denotes Offset Stoke = • scnLe: i incn - ao reet Rear - Garage Side-
JOB N0:
HEDLUND I HEREB7 CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 02R-062
OF TNE BOUNDARIES OF THE ABOVE OESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MV DIRECi Sl1PERYiSION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNlNC 6NG1NB6RINC SURVBY/NC SHOW IMPROVEAIENTS Oft ENC CHMENTS, EXCEPT SHOWN.
2005 Pin Ook Drlve
fogan, MN 55122 DAiE CAD FILE:
Phone: (651) 405-6600 ?17 N E OtA`LICENSE N Eft 14376 R Oakbfooke 5
Fax: (651) 405-6606
o c?- 3
a
5+%,.J SO $94
RESIDEN4IAL e)?
BUILDING PERMIT APPLICATION
CITY OF EAGAN 1'}'? 0 '::T O(o I? --I O.tz?D
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675 C ? 9 O ? o
NawConaWCtion Renuiremend RemodeVReoairlRenuirements
• 3 registered sila surveys showing sq. ft. of lot, sq. fL of house; and all roofed areas • 2 coPies of plan "-
(ZO% maximum lot coverage allowed) • 1 sel of Energy Calculations for heated additions 5
• 2 copies of plan shmdng beam & windaw s¢es; poured found dasgn, etcJ . 1 site survey for extedor additians & decks
. 1 set of Energy Calcula6ons • Indicate ff home served by septic sysfem for additions
• 3 copies of Tree P2servation Plan i( lot plaltad after 711193
• Rim Jaist Detail Options selection sheet (61dgs wAh 3 or less units) L--
DATE ?// i VALUATION
?
-a --I' .1 J
SITE ADDRESS 7-515_b' So ? nn v? jc..e, A I cov tJ MULTI-FAMILY BLDG _ Y _ N
TYPEOF WORK /Vew S%wc Ie, ?nvnt FIREPLACE(5) _ O? 1 _ 2
APPLICANT.E? 1+t- Ho?t of A 1V Cot P
STREET ADDRESS SIf //o, -tk w?s t-? r lc w4y S%CITYF_a_qer STATE-a-4- ZIP -5S 12-1
TELEPHONE #(0S1'&s? _ S.200 CELL PHONE # FAX #
PROPERTYOWNER P, I*e- 46+cs oi- /yIV (mf P TELEPHONE# 6-5'11 t1S1-iPt"
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUI
Energy Code Cate9orY -Ir MINNLSOTA RUI.LS 7670 CA'I'EGORY 1 _
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumhing Contractor: _V . I f k .? L %.n Phone #
Plumbing sysLCm includes: ?- Water Softenef " I.awn Sprinkler
Water Healer _I No. of R.I. 13aths
? No. of Baths
Mechanical Confractor. 13c.. r k sv; I h.
Mcchanical system includcs: Air Condilionuig
_ Heat Recovery Systc:m
Sewer/Water Contractor. /r'1-r o 6-0?a 1
Phone# 95;) 1&9q-aooS-
Fce: $70.00
Phone# "7Co3?)44.2S-A 538'
1 hereby acknowledge that I have read this application, state that the information is orrect, and a ee to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordaa s.
Signature of Applicant
1-011,
OFFICE USE ONI.Y
Certificates of Survey Received
Tree Preservation Plan Received _
Not Required ?
Updated 4l02
--95I-y? _2
ree: $90.00
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bldg ?
yil? 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 O 22 Porch/Addn. (4sea.) ? 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
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
-
Valuation i ? ? o ce-to
Occupancy tZ MC/ES System
Census Code _h24___ Zoning PI) City Water ?j
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV ?
Nbr. of Bldgs ? Length ? Fire Sprinklered
Type of Const Width y t_ ?
REQUIRED INSPECTIONS
? Footings (new bldg) _ FinaVC.O.
_ Footings (deck) y FinaUNo C.O.
_ Footings (addition) ` Plumbing
? Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
?C Framing _ Siding Stucco Stone
p,p. Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
? Insulation Retaining WaII
Approved By ?r ^ ? , Building Inspector
Base Fee` R
Surcharge ?
? ?o?s'x ?5' = ?C
7
/ .7
?,
Plan Review
MCIES SAC
City SAC
Water Supply & Storege
S8W Permit & Surcharge
73
f ?
3e 3!? 1.
Treatment Plant
Plumbing Permit
Mechanical Permit
Li
S
h ?/ -
cense
earc
Copies
OthEf
Totai ?t
/TI70)9
v/ b
. LOT SURVEY CHECKLIST FOR RESIDENTIAL
, _ . BUIIDING PERMIT APPLICATION
PROPERTYLEGAL: 4.p? I J efEGK ak!^fn ?p 5'?A
DATE OF SURVEY: 2
m
LATEST REVISION:
?
c
m
t
r?
DOCUMENTSTANDARDS
Y a
o 'z a
a
'
?
? ? • Registered Land Surveyor sgnature and company
[i? ? ? • BuikJing PertndApplicant
? ? • Legaldescnp6on
r? u ? • Address
[a?? ? ? • North artow and scale
lY ? ? • House type (rambler, walkout, splR wlo, split entry, lookout, etc.)
Y?
V? ? • Directional drainage arrows wdh slope/gradient °h
? • Proposedlexisting sewer and water services 8 invert elevation
[W ?
e/ ' ? ?
? • SVeet name
D
i
• r
veway
[V/ ? o • Lot Square Footage
? ? • LotCoverage
[?i' ? ? • Benchmark
ELEVATIONS
/
fi.?'/ ?
?
• Existinq
Sewer service (or Proposed)
d ? ? • Property comers
g' ? ? • Top of curb at fhe driveway and property line extensions
??
?[? ? • Elevations of any existing adjacent homes
/
' ? • Adequate footing depth of structures due to adjacent util8y trenches
? ?3d ? • Waterways (pond, stream, etcJ
Prooosed
tY o ? • Garage floor
6?? ? • First floor
? ? ? • lowest exposed elevation (walkouUwindow)
w / ? ? • Property comers
?? • Front and rear of home at the foundation
PONDING AREA (if aoulicable)
? ?H'/ ? • Easement line
? 41'/ ? • NWL
? ? • HWL
iJ rg/ ? . Pond # desgnatan
? a/ ? • Emergency Orerflow Elevation
DIMENSIONS
1/ ? ? • Lot lineslBearings & dimensions
ra?/ ?? • Rghtof-way and sVeet width (ta back of curb)
G?' ? ?7 • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all structures requiring pertnanent footings)
e / ?? • Show all easements of record and any City utilAies within those easements
CX ,?7 ? • Setbadcs of proposed structure and sideyard setback of adjacent existing sWCtures
LJ?? ? . Retaining wall requirements, if any
Reviewed: , Z 6tl.r>< Z
Name / Date
:.. Surveyor's Certificate
SURVEY FOR :PULTE HoMEs
DESCRIBED AS :1-ot 17, Block 3, OAKBROOKE 5TH ADDIION, City of Eagan, Minnesota and reserving
easements of record.
MAY 21 REC'B
----qq?7l
I
Exist. Home ?
TOB = 941.1 ?
VJ?
&Cx
Lor
HSE
LOT
# ,829,
SQ. FODTAGE
SQ. FO D TA GE
CO VERA GE _
PROPOSED ELEVATIONS
Top of Foundation = qqz,s
Garage Floor = 942.1
Basement Floor =4a3.s
Aprox. Sewer Service =9ao.st
Proposed Elev. _ C=
Existing Elev.
Drainage Directions =-
Denotes Offset Stake = •
= 8,891
_ 1, 867
21%
'
?
4LC?V
.e
iy Tn,mIRD4.G DEPT.
moodim VAP"
*I
« RoWnim t.W1 WW
Be Ro*°V
7 _--
?942.v
T-
I
I Exist. Home
TOB = 942.5
.9 42? 1
- I
?
i
i
?
i
? ?----
933.1
po `? oMo ? ?=Qu?G3ED
SCALE: 1 inch = 30 feet
Front - House Side -
Rear - Garage Side-
JOB N0:
HEDLUND ' HEREBY CERTIFY 7HAT THIS IS A TRUE AND CORRECT REPRESENTATION 02R-062
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERN AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNING 6NGINEERINC SURVBYINC SHOW IMPROVEMENTS OR ENC CHMENis, EXCEPT AC)SHOWN.
2005 DATE ? Z ?Z' ? •
CAD FILE:
Phone: (651) 405-6600 E D. LIND EN, > SURVEYOR
Faz: (651) 405-6606 N OTA LICENSE N ER 14376 Oakbrooke 5
BENCHMARK, TNN,m /$YI4/3
MIN. SETBACK REQUIREMENTS
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120354
Date Issued:02/04/2014
Permit Category:ePermit
Site Address: 1558 Johnny Cake Alcove
Lot:17 Block: 3 Addition: Oakbrooke 5th
PID:10-53764-03-170
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Katharina M Dietermann
1558 Johnny Cake Alcove
Eagan MN 55122
Norwest Contractors
8469 Zanzibar Ln N
Maple Grove MN 55311
(612) 859-8517
Applicant/Permitee: Signature Issued By: Signature