1508 Oakbrooke Lane
Bu, ntv?4?
Heating & Air Conditioning, L.L.C.
12481 Rhode Is(artd Ave S, Savage, MN 55378 • 952-894•01705
Orstat Test Report for Jot#
Address - - ;-,:• .,.? City
Occupairt
D2t of Insrall
Type of HT. F/k--?j_ HW Spac:e HT Unit HT
Malae t. w,J 1
Model ? -9 6 i?: 3 - 7:? ?
Serial /Q .:3•3 ; ?
Input
Pilot Type HOT SURFACE 1GNlT4R
Pressure C02
Input CFH 02 ? . ?
Stack Ternp CO
Date Tested /0- ;290a
Company
Technician :. f }
& A/R CONDITIONlNG
,)ed6 - cc?:L
ll
??r?
Address 0 C'a-JY(
I.ot 1 ? Blk .3 Sub
Zip 5512?
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON.
Date: , - Q 3 Yes No lnspector:
Final grade (6" &om siding)
Permanent steps (gazage)
Pertnanent steps (main entry)
Peimanent driveway
Pettnanent gas
Sod/Seeded grass X
TraiUcurb damage
Porch
Basement finish
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 lawn faucet before freeze potential exists.
Contad engineering division at 6814645 before working in rightof-way or instating underground sprinkler system. ?
W6ite • City Copy Yellow - Resident Copy Pink - ConVaaor Copy
2004 RESIDENTIAL Bi7II.DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
S - a-l -?`I-
New Construction Reauiremenls RemodeVReoair Reauiremenk (fi Use nf"
3 re8istered site surveys showing sq. ft ot lot, sq, ft of house; and all roofed areas 2 copies of plan
dditi
l
l
h
d ?"??$uN?y ..,,@@?.d =
s'PT3rt`?
cd
T[o
p -? .;_N
=-7_N
(20%maximumlotwverageallowed) ons
ations
or
eate
a
lsetofEnergyCalcu i
re
i
g :
2 copies of plan showing 6eam & window sizes; poured found desgn, etc. 1 ske survey for additions & decks Tiee Pres Required Y _ N
lsetofEnergyCalculafions Addifion - indreatellon-siteaepticsystem Qn70te3ep1164y,1stem„ N
3 copies of Tree Preservation Plan if lot platted afler 711193
Rim Joist Dehail Options selection sheet (bldgs wAh 3 or less units
Date _5_ Construction Cost
SiteAddress r?aKhroakP tU V(e_ Unit/Ste #
Descriptian of Work ?
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 2
Property Owner ? iKe UG(.[<ed'lSf?? f Telephone #( 65? )? IG ?? 7QU
0 b! E c,
Contractor
Address Ci[y
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Categorv 1 _
• Residendal Ventllation Category 1 Worksheet
(Jsubmissiontype) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
m c-
MAY
I hereby apply for a Residential Building Permit and acknowledge that the info tionlete " accurate;
that the work will be in conformance with the ordinances and codes of the Ci of Eagan the St te of MN
,Yd Statutes; I understand this is not a permit, but only an application for a permit, zmml 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.
. ?
?l k? ?aC.keYl3 }-ffi? ?
Applicant's Printed Name A plicant's Signature
Telephone # (
Telephone #(
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex 'C 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Pibg_Y or_ N? 25 MiSCellaneOUS
Work Types
,To 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation voC)
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const ?
Foorings (new bldg)
Footings (deck)
_ Footings (addition)
_ Foundation
_ Drain Tile
Roof Ice & Water Final
_ 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
7otal
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof ? 48 Windows/Doors
'Demolition (EnBre Bldg) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
Final/C.O.
O Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ AidGas Tests Final
_ Siding _ Stucco _ Stone _ Brick
W indows
_ Retaining Wall
Building Inspector
JUN 2 6 REC'D ,5''urv e y o r's Ce r t2 f i c a te
SURVEY FOR : PuLre Hornes
DESCRIBED AS : Lot 15, Block 3, OAKBROOKE 6TH ADDITION, City of Eogan, Minnesata and reserving
easements of record.
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27.00 w 4357 x938`6 I?
\sp s3, ??? v Iwa ? CA4 a o Gara9e ?f I' J 07
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9 n:
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27.00 ? rL0$•?? . 1.
bs
947.9
9432
? , -
3.1 M&*Mn ?
pr qetaining WWt W'N
ea Required L 0 T SQ. F00 TA GE = 17,142
HSE SQ. FOO TA GE _ 1, 852
L 0 T CO l/ERA GE = 1 1q'
? .
P.R.V. REQUiR
# 18232
PROPOSED ELEVATIONS
BENCHMARK,
Top of Foundation =q?y=, ,_te,- =vnzaa
Garage floor
Basement Floor =q3!.5
Aprox. Sewer Service =q3U s'
Proposed Elev.
= 0 MIN. SETBACK REQUIREMENTS
Existing Elev. _
Drainage Oirections = Front - House 5ide -
Denotes Offset Stake = • SCALE: 1 inch = JO feet Rear - Garage Side -
JOB N0:
I HEREBY CERTIFY THAT THIS IS A TRUE ANO CORREC7 REPRESENTATION - 02R-403
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
H?DL
ND T
ll O
BY ME DR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT
BooK
PAGE:
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. :
PLANNING ENCINh'ERINC SURVBYlNC . .
2005 Pi
k D
i
O ?
ve
n
a
r
MN 55122 /?
j
DATE
Q
/?! L/Q Z
•
CAD FILE:
Eogan, _
-
Phone: (651) 405-6600 R D. LINDGREN, LAN SURVEYOR Oakbrooke 5;
Fax :(651) 405-6606 ?11NNESOTA LICENSE NUMBER 14376
H l^
?? (??, 1 3 -5?r w " U g-l ?'jP 5a-c? SD
C) ak-ko kb? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 p 0
si q3_ I 'i
9 U ?So
NewCanstructionRequiremenls ' RemodeVReoairReauirements
. 3 registered sde surveys showirig sq. tt. of lot, sq. ft of houu; and all rooted areas • 2 copies of plan
(20% mazimum lot coverape allowed) , • i sel of Energy Cakulalions for heated additions
• 2 copies of plan showirg bearn & window sizes; poured fourM design, elc.) • 1 sile survey for exlerior additions 8 decks
• 1 set of Energy Calculalions • Indkale if home served by septic system for addihons
• 3 copies W Tree Preservalion Poan H lot platted after 711/93 ??? I?? ?
• Rim Joist Detail Optiom selection shcet (bldgs vrith 3 or IBSS units)
DATE
VALUATION
SITE ADDRESS I5-09 Qo- Jc J?roo?. ? <x+,.L_ MULTI-FAMILY BLDG _Y _XN
TYPE OF WORK FIREPLACE(5) _ 0 1!1 _ 2
APPLICANT
0
STREET ADDRESS 915_/4-r,-4 s Y P,? ? ?. 14T CITY E;?- STATE AYX/ ZIP "J 2/
TELEPHONE #??/??lS? save CELL PHONE # FAX #
PROPERTY OWNER P? Ile- ,Vb? s o?, ?LJ/r% Ce-r P TELEPHONE #?sT??i
.......................... '----------------------------- ------------------------------ ---------
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category ? MINNESOTA RUI.r:S 7670 CA1'N:GORY 1 MINNESOTA RUI,ES 7672
(4 submission type) • Residential Ven4lation Category 1 Worksheet Submitted ? • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing CoMractor: Ile '- # D ?_5? -L1 q 2 =z l 2-1
Plumbing syslem includes: _ Water Softener Jukawn Sprin Fee: $9(1)()
I Water Heater I io. of R.I. Bath
? No. of Baths .?'
Mechanical Contractor: Phone #
Mcchanical systx;m includes: t Air Conditioning ree: $70.00
_ Heat Recovery System
Sewer/WaterContractor. mct?a 6?-r?- ( Phone# 7&?1 qa8'-293!'
------------°----------°---------------------------°--------------------------°------------°--------------------------
I hereby acknowledge that I have read this application, state that the infor 'o ' correct, a gree compiy
with all applicable State of Minnesota Statutes and City of Eagan Or ' e
Signature of Applicant
OFFICE USE ONLY LIX
Certificates of Survey Received Tree Preservation Plan Received Not Required _
Updated 4102
OFFICE USE ONLY
y? 01 Foundation
?y02 SF Dwelling
?O 03 Oi of _ plex
? 04 02-plex
? 05 03-plex
? 06 04plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 77 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex PI6g,_Y or _ N
? 20 Pool
? 21 Porch (&sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacemen! •DemoliUon (Entire Bldg only) - Give PCA handout ta applicant
Valuation LAI,7 Occupancy MC/ES System
Census Code I-aI4 Zoning City Water ?
SAC Units _0? Stories .2 Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs
Length
4r ? Fire Sprinklered f
Type of Const -Vj!i)- Width ,' /
?T-
REQUIRED IN SPECTIONS
Footings (new bldg) 1,(
? FinaVC.O.
Footings (deck) T FinaUNo C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof [ce & Water Final Pool Ftgs Air/Gas Tests Final
Framing _ Siding Stucco _ Srone
Fireplace R.I. AirTest
?
? mal Windows(new/replacement)
Insulation Retaining Wall
Approved By, / . , 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
7, s's'v
7 o 31 /gc?
???? y?`? =4s,7
Y& 0 Wo
i i
MNcheck COMP( IANCF RFPORT I ?
Minnasnta Enernv (;ndp I PPrmifi # ?
MNcher.k Saftwara Ver.-inn 3.0 I ?
I
I ('her.ked hv/r)ate I"
COUNTY7 Dakota ? I
STATF: Minnesota
70NF: 2
CONSTRUCTION TYPE: Single Family
nATE: 1-11-20(l9
DATE OF PLANS: 7/25/00
TITLE: Oakbrooke Sterling with Lookout
COMPLIANCE: PASSES
RPnuirad UA = 532
Ynur Home = 403
94.90/. RPttar Than Coda
ArPa or Cavitv Cnnt G127ina/lDnnr
PPrimPtpr R-Value R-ValuP 11-Value UA
-- ------------------------------------------------------------------------
CRI-INGS 1219 3£3.0 O.0 37
WAI_I S- Wno(l Frame 16" 011 2673 19 0 9_C) 150
BSMT-Cnnr.. 9_0' ht1R.3' hnl9.0' insul 1t147 11A 0.0 61
GI_A71NG- Windnws or i7nnrs Ahnve GradP 402 0.350 141
DOORS 38 () 3517 13
FI OnRS- Over OutsidP Air 48 38.0 0_0 1
HVAC EOUIPMFNT- Furnar.e. 92.0 AFl1E
---------------------------------------------------------------------------
C?CI?API 14ls'f F CTATRAGNT Th d h i'({jFlE3 flfuleFl fiPSPF1I3Pd h2fe
mnsiGtent with the huildinn nlans. soecifir.atinns. and nther calr.ulations
suhmitted with the nermit annlir.ation. The nrnnosed huildinn has heen
designed to meet the e ire nts?he,AA?neso Energy Code.
BuildedDesiqner ?sZ.,. l.7 ? Date
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL.
DATE OF SURVEY:
LATEST REVISION:
m
w
C
l0
v DOCUMENTSTANDARDS
Y ? °v
O Z Q
?Y Fi ? • Registered Land Sunreyorsynature and company
/u ? • Building PertnR Applicant
5d ? ? • Legai descnption
?/? ? • Address
VEI ? • North atrow and scale
??f7 ? • House type (rambler, walkout, spld w/o, split entry, bokout, etc.)
?/? ? • Directional drainage arrows wRh slopelgradient °k
La',[7 ? • Proposediexisting sewer and water services & invert elevation
P? ?
? ? • Street name
r1
? ? • Drneway
?o ? • Lot Square Footage
? ? • Lot Coverage
F? Cl C7 • Benchmark
ELEVATIONS
Existina
? ? • Sewer service (or Proposed)
? u ? • Propertycomers
?? ? • Top of curb at the dnveway and property line eMensions
[7 Et/ ? • Elevations of any existing adjacent homes
? Ya?/ ? • Adequate footing depth of structures due to adjaceM utility trenches
? CX ? • Waterways (pond, stream, etc.)
Proposed
?? ? • Garage Floor
? ? ?
s' ? • First floor
L
[
? •
owestexposedelevation(walkouUWindow)
p/ u ?
? • Propertycomers
¢
? ? • Front and rear of home at the foundation
PONDING AREA (if aqolicable)
? ? ? • Easement line
? r?,a/' /??
? • NWL
• HWL
? Vd
? ra1, ? • Pond # desgnation
? 'r, ? • Emergency Ovefiaw Elevation
?I/ ?
n
r?
i??
?
DIMENSIONS
• Lot lineslBearings & dirnensions
• Rightof-way and sVeet width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requinng pertnanent footings)
• Show all easements of record and any City utilities wdhin those easements
• Setbacks of proposed 5tructure and sideyard setback of adjacent existing structures
• Retaining wall requirements, '"
?
?
?
?
n
?
Reviewed:
JUN 26REC-o Surveyor's Cert2f2cate
SURVEY FOR : PuLrE HoMEs
DESCRIBED AS : Lot ,s, elock s, OAKBROOKE 6TH ADDITION, City of Eagon, Minnesota and reserving
easements of record.
c? V,V?JF? .
_ B3_
•, rF?,iP?G J3EPT.
F?
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28?.64 _----? o°o
N84°37'34"E ----------
T I ,
__------ - I o
? -- lu p
? 22.00 ?
95o.m ? - _ _ _ - ? ?q o ? ? 939.0 .--a
U 27.00 W 93P,1 x938.'b
0 ? v y n o Garoge ,n (Jt
? s3. ? .c /WpW .i(94 'oo N?a ? CO
o? ?^a Proposed2.00 O)
a °
? oo- ?
\? v °o 2200 9.PCory/p o q30,3
?\ ? I??a " qm.' ° _.--? ?,?? <q_„'•
\Q o F ?.I N 2.00
°
o 6
fw ?/
''/?? ? ? ryO`i? •?p4(
\ \ LO Q IO ? 27'00
< °
S . a 1
J•? ?0j 99_.I?
997 q
\
Or Reteink9 VM 1f il
ee qeyuired L 0 T SQ. F0 0 TA GE = 17,142
HSE SQ. F00 TA GE = 1, 852
LOT C01/ERAGE _ 71%
?
...? .
PAoGo R 'm`=3Wtl IlED
?
?sw- •
# 18232
PROPOSED ELEVATIONS
BENCHMARK,
Top of Foundotion =04?H 5 ??:an?.aa
Garage Floor
Basement Floor =g3^.._
Aprox. Sewer Service =°a<<s?
Proposed Elev. MIN. SETBACK REQUIREMENTS
Existing Elev. = Front - House Side -
Drainage Directions =
Denotes Offset Stake = . SCALE: 1 mch = 30 feet Reor - Garage Side -
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION JOB N0:
02R-403
HEDL UND OF THE BOUNDARIES OF THE ABOVE OESCRIBED PROPERTY AS SURVEYED
BY ME OR UNOER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PaGE:
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. i
PL.9NNING 14'NGINSER7NC SURVEYING -
2005 Pin Oak Drive
Eagan, MN 55122 OATE ' CAD FILE:
Phone: (657) 405-6600 R D. LINDGREN, lAN SURVEYOR Ookbrooke 5
Fax :(651) 405-6606 lJ-??/TjL INNESOTA LICENSE NUMBER 14376
N Jr
V?
Site address: ??(?°5 I??CJ/?9(r XzJP, Lot ff Block -3 Subd. &2"G .
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
-LZ?This structure: will be consWcted to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MOUEL BTU'S VENTING TYPE
Water Heater ? S.
Furnace
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES NO
Kitchen kitchen
Bathroom 1
Bathroom 2 ,y "n - _ VQ
Bathroom 3 45? &ftA) Si/ Sn So
Bathroom 4
.,1
X os"i,
k
aty
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
? ? 0 C?r-
MAKE-UP AIR MODEL TYPE CFM's
i hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
ure ?
?
CompanyName
As
Date
This form is the responsibility of the General Contractor.
-1033?)_,
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
C o.9..??. ? ? ?-a -?-?c ?'? •
Please complete for modifications to existing residential dwellings.
Date fJ I_J?
1 6 J
_
/ ?
SiteStreetAddress_ OaKb?oake lAtle
Unit#
Property Owner /"t i(t iY TWI i(d d4eASf[14_ Telephone #&057) 890 o1709
Contractor Telephone # ( )
Address City State Zip
The Applicant is: Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
? Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If You are insta!linp 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 _RP2 _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ s I?d
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. „ ?
Ole AoJirruaedt
Applicant's Printed Name ApplicanYs Signature
?ICOcpa, -I? ?o.??
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan J
3830 Pilot Knob Road, Eagan MN 55122 C-a.j.?-ed' ??
TelepLone # 651-675-5675 FAX # 651-675-5694 1j,?..? ChA??
New ConstrucGon Renuiremenis RemodeUReoair ReouiremeMs
3 2gistered site surveys shaxing sq. tt. af l06 sq. R of house; and all roofed a2as 2 copies of plan
(20°k maximum lol coverage allowed) 1 set of Eneigy Calculations (or heated aAditlons
2 copies of plan showing beam 8 window s¢es; poured found design, etc. 1 sfte survey for addidons 8 dedcs
1 set of Energy Calculatiom Addifion - irMkate !/on-sRe septk sysfem
3 copies of Tree P2servafion Plan if lot platted aRer 711193
Rim Joist Detail Op6ons selection sheet (buildings with 3 or less unils)
Offu;e Use Onlv
Cert WSurveyRecd _Y _N
Tree Pres Plan Recd _ Y_ N.
Tree Pres Required _ Y_ N
OnsiteSepticSystem _Y _N
Date 7 Construction Cost Mi 0o0
!
SiteAddress Unit/Ste #
Description oF Work &/,fh aFf /^?K d7Lil?II?LP/?f
Multi-Family Bldg _ Y N
?-- Fireplace(s) _ 0_ 1 _ 2
Property Owaer "ir aaL/1Jf fyfl- Telephone #
Contractor
Address City
State Zip 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
(J submission type) Submitted Submitted ,
• Energy Envelope Calculations Submiried
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # ( )
7elephone # ( )
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 plan in the case of work which requires a review and
approval of plans.
A?+C n nn s
? ?
6Sfidf 1n ! n i 9 LI
., D5 I
Applicant's Printed Name Applicant's Signature 11 I _ ?
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex q 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ?19 Lower Levei ? 24 Stortn Damage
O 06 04-plex ? 72 12-plex PIbdY or_ N? 25 Miscelianeous
Work Types ?
? 31 New 0 35 Int Improvement ? 38 , Demolish Interior.
P? [
? 32 Addition ? 36 Move Building ?42 Demolish Foundation
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof :
? 34 ReplaCement 'Demol7tlor+ (EnGre Bldg) - Giva PGA handoutto applicant.
Valuation Occupancy <22 MCES System
Census Code ? Zoning City Water
SAC Units Stories ` • Booster Pump
# of Units O Sq. Ft. PRV
# of Bldgs I Length Fire Sprinklered
Type of Const S? Width
_ Footings (new bidg)
_ Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
? RooF _ Ice & Water _ Final
_ Framing
Fireplace R.I. Air Test Final
? Insulation
? 30 Accessory Bldg
? 37 Ext. Alt - Multi
? 33 Ext. AR - SF
? 36 Multi Misc.
? 44. ' Siding
? 45 Fire Repair
?' 46'• Windows/Doors
REQUIREDINSPECTIONS
FinaUC.O.
_,Y Final/No C.O.
? Plumbing
? HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Approved By: ?? A $" f'D'S guilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
„ + '. . .. . ? . . .
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA106307
Date Issued: 08/20/2012
Permit Category: ePermit
Site Address: 1508 Oakbrooke Lane
Lot: 15 Block: 3 Addition: Oakbrooke 6th
PID: 10-53765-03-150
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace Description: House & Garage
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
COn1111entS: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee SUn1111ary: BL -Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 8,160.00 Total: $105.25
Contractor: -Applicant - Owner:
Pride Home Solutions Michael D Bockenstedt 2325 Endicott Street 1508 Oakbrooke Lane
St Paul MN 55114 Eagan MN 55122
(763) 767-4444
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.
ApplicanvFermitee: signature issued By: signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127780
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1508 Oakbrooke Lane
Lot:15 Block: 3 Addition: Oakbrooke 6th
PID:10-53765-03-150
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 -
Michael D Bockenstedt
1508 Oakbrooke Lane
Eagan MN 55122
Redstone Builders Llc
4084 Oakbrooke Alcove
Eagan MN 55122
(612) 236-8888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137388
Date Issued:06/30/2016
Permit Category:ePermit
Site Address: 1508 Oakbrooke Lane
Lot:15 Block: 3 Addition: Oakbrooke 6th
PID:10-53765-03-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Michael D Bockenstedt
1508 Oakbrooke Lane
Eagan MN 55122
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature