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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. ?? . E?? y- vSd'ilT 1QYL 6. . _??rANT' ^1 :: \? P,?:I^lj t" 1.0 v t-, aai.? ?, z 284.64 ° ---? ?.q N84°37 '34"E ^ ------------- 1,09 ?--- I o 9502? n. _____Q' ob A II -------- Q +--- - - - _ ° 22.00 0 ?'a+ 939.0 ? ? 27.00 w 4357 x938`6 I? \sp s3, ??? v Iwa ? CA4 a o Gara9e ?f I' J 07 g ? a ProPosed2.00 I?pi?Xl ,t` w` 22. 0 0 g•pcw?rwIp'WOa i V Q W, ?' S tw?,s ? ? n 9 3; O ? z.'c2 i9G? 9 n: e F ? t? I N 2.00 m ?A9 o \ 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? aa?•i ? z 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