1510 Oakbrooke LanesURlvsvrLLE
Heating & Air Conditioning, L.L.C.
11487 Rhode Island Ave S, Savage, MN 55378 • 9,52-894-000,5
Orstat Test Report for Jobf q3a12
nddress_ city ?
Space HT Unit HT
Date Tested
Company
Male l rrr7n\r
Model Y 12C-? 4 l?.' --Z s - (,o
Serial S 8' Da .572? ,/ 7/
Input -7S ?
Pilot Type HOT SURFACE IGN/TOR
Pressure ? 5 C02
InputCFH `74,- 02 °. ?
Stack Temp /91 ` CBURN VILLE HEATING & A/R COND/T/ONING
Technician
Other
Address 1 I-3 1 U U 0-1C nYC1 0IC `2. Zip 5512 ---;L
Lot 7Blk 2)_ Sub () 0-y-bY 0 4-f-
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF?FINAL INSPECI'fON.
Date: Yes No Inspector:
Final grade (6" from siding) x
Permanent steps (garage)
Perntanent steps (main entry) x
Pecmanent driveway 'VI
Permanent gas x
SodlSeeded grass ?
TraiUcurb damage
Porch ?
Basement finish ?
Deck ?
Please verify with the builder the removal af roof test caps from the plumbing system and the shut-off of water suppty to
ihe outside lawn faucet before freeze potential exisls.
Contact engineering division at 6814645 before working in rightof-way or instelting underground sprinkler system. ?
WAite - Ciry Copy Yellow - Resident Copy Pink - Contraclor Copy
5v .3-6,
2007 RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do not combine inside and outside
olumhina on the same annlication senarate aoolications and oermits are reouired.
Date Os? /Iq !
Site Street Address ?S/O Unit #
PropertyOwner rr & c,.? 7elephone# ((a5-/) 68g9a?
Contractor Telephone # ( )
Address City State Zip
The Appllcant is: Owner 8 Oceupant _ Licensed Plumbing Contractor
New Refurbished Submit 2 sets of plans and MPC license
Septic System Includes County fee
-
- $ 100.00
Per as-built $ 10.00
Fire Repalr (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alter ions to existing dwelling -
Add plumbing fxtures to main level lower level. This fee includes $ 50.00
installation of a water softener and/or water e ter at the same time. If you are
installing onlv a water softener and/or water healer, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
instailing.
_Septic System Abandonment
_Water Tumaround (add $136.00 if a 518" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $
i nereby appry tor a Kesiaennai rmmomg rermrt ana acknowieage tnac me mrormanon is compieie enu eu
in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I underst;
only an application for a pertnit, work is not to start without a permft n ork will be in accordance with the
a plan is required to be reviewed and approved. ,/ I ,
r'Vla-ri?C Sec?r
ApplicanYs Printed N e
Signature
lI1Cl YIC WVIR WIII VG
? l!!J?i? ll L'J• lS I?
auc 14 2oa7
r„ ..r
?W(!?2
2006 RESIDENTIAL BITILDING rERMrT nrrLicnTTON
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Coretruction Reouiremenls
3 registered site wrveys showing sq. R. of Id, sq. ft M house; aM II rooted areas
(2V1. meaimum lot coverage 2flowed)
2 capies M qan showing beam 8 window sizes; poured (wnd desyn, etc.
1 setof Energy Calalabore
3 oopies o f Tree P reservation Plen'rfbt platted a fl er 711193
Wm Jo'st Delail Options sdectian sheet (builtlings with 3 or less uni5)
Minnegasca mechanical ventilation fartn
? ?f1 . ?
C/ ?
«
RemoGeUReoairReauiremerAS
&
?
2 copies af plan shuxing footlrgs, beams, NisS ?Ot" ? ?.
1 set of Ener9Y CaIwW6ai5 fa heateA aAdi6on5 Tr?e?, x . , . ?,,
tsitesurveyforaddifions8decks .;,x?.
AddPoon-irdlcateMOn-slteseylicsysfem ' ,..,.?. ?
/'14do,j4 I0//r Lc?/da??l
Date
SiteAddress J5-/O Of}XBfL Construction Cost no
qo?C LAJ UniVS[e #
zZ
Descriptioo of Work 23AS011+1 E?4T _96MD fl E_
Multi-Family Bidg _ Y_Y N Fireplace(s) _ 0 X t _ 2
Property Owoer k1Lf} Telephone #(??) L? ? D'/ Zg p
ContraMor
Address
State City
Zip Telephone 1! ( )
COMPLETE TNIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
. ResidenGal Ventilalion Calegory 1 Worksheet
(4 submission lype) Submitted
• Energy Envelope Calculatians Su6miqetl
A NENf BUILDING
Minnesota Rules 7672
J • New Energy Code Worksheet
Submitled
In The last 12 months, has The City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address ot masTer plan:
Licensed Plumber
Mechanical ContracTor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wili 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 wark is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wor d
approval ofplans. m T?
/CiCHm" ? S'a3+w-
Applicant's Printed Name
?
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 09 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (45ea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Paroh (screeNgazebo)
? 05 03-plex ,Ll 11 10.plex lb 19 Lower Level ? 24 Stortn Damage
? 06 04-ptex ? 12 12-plex ° 25 Miscellaneous
WorkTvpes J
J-A C( DeS /Y,
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46
L] 34 Replacement *pemolNion (Entire Bidg) - Glve PCA handout to applicaM
DESCfipt10I1: Water Damage _ Yes
Valuation -31 a(tE> . flD Occupancy MCES System _
Plan Review 100°k or 25%
Census Code ?. Zoning City Water _
SAC Units Stories 8aoster Pump _
# of Units Sq. Ft. PRV _
# of Bldgs Length Fire Sprinklered _
Type of Const Y 1 Width
_ Footings (new bldg)
_ Footings (deck)
_ FooGngs (addition)
_ Foundation
Drain Tile
Roof Ice& Water Final
n Framing
)Q Fireplace _2_0 R.I. 70 Air Tes[ 70 Final
Zt InsulaUon
REQUII2ED INSPECTIONS
? 30 Accessory Bidg
? 31 Ext. Alt - Mufti
? 33 EM. Alt - SF
? 36 Mul6 Misc
Siding
Fire Repair
Windows/Doors
_ Sheetrock
FinaVC.O.
FinallNo C.O.
HVAC
Other
_ Pool Ftgs _ Air/Gas Tesis Final
_ Siding _ Stucco Lath _ Stone La[h _Brick
_ Windows
_ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC1ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
4
, S9'? Q RESIDENTIAL BiJIELDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsUuclion Reauirements RemodeVReoair Reauirements
3 registered site surveys showing sq. ft.,,)f lot, sq. ft. of house; and all roofed areas 2 wpies W plan
(20% maximum bt coverage allowed) 1 set of EneTgy CalcuYaUons for heated additions
2 copies of plan showing beam & windori sizes; poured found design, etc 1 site survey for additions &decks
1 sel of Energy Cakulahons Add'dion - indicate if arsde septic system
3 copies of Tree Preservation Plan H bt platted aker 717193
Rim Joist Detail Options seled'wn sheet (hldgs with 3 or less units
CT 7o°n
JA-G?jaly-
OtficeUseOnlv L.I1?1o`3
CeA of Survey Recd
Tree Pres Plan Recd
Tree Pres Not Reqd
_ Onsite Septic System
Da[e a,3
Site Address ),rj /0 Q/}-K-gQppjLe L*oc
Z2 ao
Cons[ruction Cost 4.5000
UnitlSte #
Description of Work nnh bcLIL
Multi-Family Bldg _ i' x N Fireplace(s) x 0 _ 1 _ 2
Properry Owner ?f.£-F ?f??'1?-? Telephone # ( 6'?+r' 1) Iogir 9 09?
Contractor ?&'
Address '
State CiTy
Zip Telephone # ( )
COMPLETr: THIS AREA ONLY 1F
Energy Code Category Minnesota Rules 7670 Cateeorv 1
. Residential Ventiladon Category 1 Worksheet
(J submission type) Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor.
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone #(
Telephone #(
II ?i i lUN 0 1? r' J?I
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete arid accurate;
that the work will be in conformance with the ordinances and codes of the 6,y of-Eagan and the Jtate of MN
Statutes; I understand this is not a pernut, 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
appro of plans.
?.
/, Si? Z&V -//A
Applicant's Printed Narie App icanYs Signature
OFFICE USE ONLY
Sub Types
<
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 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.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex lgl 18 Deck ? 23 Porch (screenlgazebo) ? 38 Multi Misc.
? 05 63-plex ? 11 10-plex e
? 19 Lower Levei ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
f? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
tO 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (81dg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •DemoltUon (Entire Bldg) - Give PCA handout to applicant
Valuation dDt> Occupancy ?R3 MC/ES System
Census Code Zoning City Water
SAC Units _ Stories Booster Pump
Nbr. of Units _ Sq. Ft. PRV
Nbr. of Bldgs Length L? Fire Sprinklered
Type of Const U n Width Z a`
Foorings(new bldg)
`74 Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & W'ater Final
_ Framing
_ Fueplace _ R.I. _ Air Test _ Final
Insularion
REQUIRED INSPECTIONS
Final/C.O.
?W FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
\\
D $Ubd. /lr.?JC?
5lteaddress: La44 sia?c...,Z
On ApriN 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventllation, was adopted. As a result, the Ciry of Eagan is requiring that 1he following information be
submitted prbr to Issuance of a Certfficate of Occupancy.
I hereby acknowledge that the above informadon is correct antl agree co w11-r, ^-• --
requirements.
?2 ./3 •n ?--
, Date
Sig atuPuc.r?
Compeny Name
1 • This form le the responsibiliry of the General Contractor.
This struclure: i$ consWCWd ro meet mfnlmum reqNrements ot the Mn Energy CodB? chapter 7870
OR rs 7672 or 7874
? This struccure:1y11l.U ?nstNCted ta meet more restdctlve requlrementa of ChaP?
(?'.t7d'0 t??,
c) Lk 3 ?SIDEN IT AL 'Q ?.
BUILDING PERMIT APPLICATION P.
p?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
851-881-4675
s 3 964 s3)2 '1
s 394 s- 90 s-0
539 (o? 7a s°
NewConstructionReauiremenls RemodeVReoairReauiremeMS ? '
• 3 regisiered site surveys showing sq. ft of loi, sq. ft. of house; an?ll roofed areas • 2 copies of plan
(20 h maximum btcove2ge albwed) • 1 set of Energy Calculations for heated additions
. 2 copies of plan show(ing beam $ window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• lsetofEnergyCalculations /?.. Indicateifhomeservedbysepticsyslemforaddihons
• 3 copies af 7ree AreservaGon Plan if lot pla8ed after 717193 y?•? / ? l
. RimJoistDetailOptionsselectionsheet(bldgswith3orlessuniLS)
DATE VAWXION
JOB SITE ADDRESS \5\z
IF MULTI-FAMILY
PROPERTY OWNI
TYPE OF WORK
APPLICANT?
ADDRESS
PAGER #
FIREPLACE(S) _ 0 ?1 _ 2
PHONE# (v5\"991'61`CW7
ZIPCODE',->S 1Z4
PHONE#1IA I FAX#
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Sut
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #:
Plumbing System Includes: Water Softener _ I.awn Sprinkler
Water Heater No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: ?
Mechanical System Includes: _ Air Conditioning
_ Hcat Rccovcry System
Sewer/WaterContractor:OMa- A&'WJ&
45Z ?Z?=2
ree: $90.00
Phone# Ql?)Z- SCIA_-
Fee: $70.00
Phone # \\.o-j
All above information must be su6mitted prior to processing of application.
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan
Signature of Applicant
Certificates of Survey Received ? Tree Preservation Plan R
and agree to comply
Not Required
Updated 2002
OFFICE USE ONLY
XOt Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 0 7 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck D 23 Porch (screened) ? 36 Multi
O OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
/X 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 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 L7 Occupancy MC/ESSystem
Census Code Zoning ? City Water ? f
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV ?
Nbr. of Bldgs _L Length Fire Sprinklered
Type of Const ? Width
REQUIRED INSPECTIONS
X Footings(new bldg) FinaUC.O.
_ Footings (deck) ? FinaVNo C.O.
_ Footings (addition) _ Plumbing
-;,C Foundarion _ HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Fralviug Siding
Stucco
Stone
_
?C Fireplace _X R.I. Ny Air Test ? Final _ _
_
Windows (new/replacement)
yf ` Insulation ?ir Retaining Wall
Approved, By 7-2.. , Building Inspector
Base Fee
?
Surcharge
Plan Review
MC/ES SAC
city s,ac `
, µ a
Water Supply & Storage A
7
S&W Permit & Surcharge q, 7
Treatment Plant
Plumbing Permit
Mechanical Permit 713
License Search 2J
Copies ,'
Other ?I,?}W m Y3 0
Total 6T-00 p
/ 7?,0 32
NOV, 2.2000 10:31PM 95289845431
nu.cbD r.l/1
?
NNcheCk COMPLTANCS REBORT
Minneaota Eaergy Code
mgcheck Software Version 3.0
? PeTm t
C ecke by Aate
COUNTY: Dakota
STATE: Mizusesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 10-23-2000
DATS OF PLANS: 8/la/00
TI2LE: DARTMO'UTH wALKOUT EL&VATION #3
PROJECT IN80RbIATIO14:
EARLEY LAKE
COMPLIANCE: EASSES
Required VA = 547
Your Home = 486
z1.1& 8etter Than Code
Area or
Cavity
Cont.
Glazing/Door
Perimeter R-Value
----- R-Value
---'- U-Value
-------------------------
CEILING3
--
----------
1540
2674
---
44.0
19.0
0.0
2.0
1
WALLS: Wood Frame, 16n O.C. 10.0 Z•a
F7ALLS: Wood Frame, 16 O.C. SSMT: Conc
0' ht/8.3' bg/9.0'
9 insul'-8'71 -5-0 0.0 1
.
.
GLAZING: Wiadows or poors, Above arade 520 0.35a
p
350
DOORS
FLOORS: Ovsr IInconditioned Space 38
336
38.0
2•0 ,
AC E UIPMEN'T• Furnace 92 0 AEUE
HV Q . . •
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
COMPLIANCE STATEMENT: The proposed building design described here ie
consistent with the building plana, apecifications, an.d other calculatione
submitted with the permit appllcation. The proposed building has been
desi? `? e8 to meet th re irements of the Minnesota Eriergy Code. 8
l?ylo
Builder/Designer U ?'t Date
??
,.
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMITAPPLICATION
PROPERTYLEGAL: 01vck 3 ?lJtK??08A?. Ie?'?
DATE OF SURVEY: a ;?
LATEST REVISION:
Y ¢
O Z
?J
?^
?C
?
?J
?
?L
? n
VE
d
rn
c
w
cL? DOCUMENTSTANDARDS
0
a
Q
? • Registered Land Surveyor signature and company
, • Building Permit Applicant
= • Legal description
? • Address
C! • North arrow and scale
' • House type (rambler, walkout, split w/o, split entry, lookout, eic.)
. Directional drainage arrows with slopefgradient %
_ • Proposedlexisting sewer and water services & invert elevation
_ • Street name
C • Driveway
C • Lot Square Footage
_ • Lot Coverage
ELEVATIONS
/ Existin
?L? ? • Sewer service (or Proposed)
?ci ,_ • Property corners
• Top of curb at the driveway and property line extensions
_?:_ • Elevations of any existing adjacent homes
? ?_ • Adequate footing depth of structures due to adjacent utiliry Venches
_r? _, . Waterways (pond, stream, etc.)
Prooosed
? ? L • Garage floor
/ • Basement floor
ft - • Lowest exposed elevation (walkouUwindow)
? G • Property cornera
5? ? C . Front and rear of home at the foundation
PONDING AREA (if aoolicable)
? 14 C • Easement line
? ? G • NWL
?:, ,? ? • HWL
G ?/ • Pond # designation
_ ,C u • Emergency Overflow Elevation
?L J
?G
? i:
OIMENSIONS
• Lot lines/Bearings 8. 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. ali 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 requireme
Reviewed:
2
Surveyor's Certificate
SURVEY FOR :PUL-rE HoMEs
DESCRIBED AS :Lot 14, Block 3, OAKBROOKE 6TH ADDITION, City of Eogan, Minnesota and reserving
easements of record.
JUL 3 0 REC'D
?. ?? ?'{?? a? ?? ? ?? 1Saka +?? . A MI
or ReWnir?g WEIB VlM
M Required
; azs.
`• ?
Y
L4j"''
:1 ? pZ
6r - ? I O
? 20a?,
ao 5?3 2129 W ,? ?l?L/? o
Wiiliams Brothers Pipeline Compony ? p
Telecammunications Easement
Ooc. No. 1003487
943. 939.9 I 01
94 O ?C 994.1 ?? ?o p0 "?? 935.5
ti- ? ?i-cn 93r.7
993:1. ?^?. ?• ? ? C?, y -o 931,7
. `S'i ? \ `Ti ?O ne?? 4 \ i ? „ r•? _
4355
„qo p0 ° \936 ? i .
?.
990. „? ?9•
\,?• 1
? ?.?'3
`Y ,o ,.
91.1
L 0 T SQ. F00 TA GE = 13,322
? HSE SQ. F00 TA GE = 1,888
` LOT C01/ERAGE _ 74%
r
°oG=?o?Io G?i?'??DD
# 18261 I'm -A
PROPOSED ELEVATION S
BENCHMARK,
cP ? qoit,
Top of Foundation = qqs.o eie?= assss
Garage Floor = 9a41.co
Basement Floor =93cp.o
Aprox. Sewer Service =93101
SETBACK REQUIREMENTS
MIN
Proposed Elev. -? .
Existing Elev. _
Front - House Side -
Drainage Directions = n+
ar - Garage Side-
Denotes Offset Stake = •
{
SCALE: 1 inch = 30 feet 4P
.c'
`i +" '\R;:? JOB N0:
5?`?pr-?tSTfftFl? .~?
HEDLUND I HEREBY CERTIFY 7HAT THIS IS A TRUE?AND-CORREF? REPRES?TA710N 02R-465
OF THE BOUNOARIES OF THE ABOVE^0,(FSCRIBED ?PyR?dPFtiRFY AS'31?RVEYED
BY ME OR UNDER MY DIRECT SUPERMSION AND OOES NOT PURPO''RT TO BOOK: PAGE:
PL SHOW IMPROVEMENTS OR ENCROACHMEN?TS, EXCEP,?T;-A HOWN!?
ANNINC 6NGINb'BRING SURYEYlNG 8? i\, ,:.i•,, •
.
2005 Pin Oak Drive %?^' •- "?
Eagan, MN 55122 DA7E " "` CAD FILE:
Phone: (651) 405-6600 Y D?,UNQ?RENc L''AND VEYOR
Fax: (651) 405-6606 LICENSE NUMBER 4376 OOkbf00ke 5
2007 RESIDENTIAL PLUMBING PeRnmT aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
6D. 5 D
Please complete for modifications to existing residential dwellings. Do not combine inside and outside
nlumhina on the same aoohcation, senarate aoolications and oermits are reauired.
Date 91 I /S I o'7
/
Site Street Address /s?fl O!4l? (?jC ht Unit #
PropertyOwner P_I Gf-F14 ?-n 5 EG j4 I? Telephone #( )
Contractor UA (?Lt=?/ ??Z_UMP7)n1(I Telephone# (q?2) 492_ -2 121
Address E62C Qu ?KC?G /a ue-7 City JO rL ?/9 rJ State nA A( Zip 3-5 3 S?2
The Applicant is: _ Owner & Occupant ,,/-Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of pians and MPC license Includes County fee
$ 100.00
Peras-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling
V Add plumbing fixtures to main level 1// lower level. This fee includes
installation of a water softener and/or water heater at the same time. If you are $ 50.00 ?
.?__ _._...
installing onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 'S.Lo-,YD
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete antl accurate; that the worK V4111 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 i accordance with the approved plan in the event
a plan is required to be reviewed and approved.
?c#UGVan Sa?cs?o
ApplicanYs Printed Name Ap anYs Signature
2007 RESIDENTIAL MECHANICAL rExMiT nrrLicnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwelhngs & townhomes/condos when permits are required for each unit
??
6QV
Date I 1 / 5 / ?
Site Addres6SA b?5?1i1.1Gy??.? Unit #
Property Owner Telephone #(Ua P,PzC l
Contractor g?
Street Address c?La I e. W 1?1n City ?`V I?1.1?9?C Vv
?'? Telephone # ( 1Lyq&
Stat
wA Zi
p
e
Bond i!: -I b,?S? ^I ??JJ Expires: q 1L
The Applican[ is _ Owner ? Contractor _ Other _
Fire repair (replace burned out appliances, duetwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or al[era[ion ro existing dwelling unit $ 50.00
_ furnace ?Additional _Replacement _ New
air exchanger
air conditioner
heat pump
l
? other?? ?'e C ll/VlS' l
V
State Surcharge
? ? ??J ?_', ?? ?•, ?? I_. ? ?? .50
NOV 0 9 2007 ?
$ lsb
Total
I hereby apply for a Residential Mechanical Permit and acknowledge tha[ [he information is complete and accurate; that the work will
be in conformance wi[h lhe ordinances and codes of the Ciry of Eagan and wi[h [he Mechanical Codes; [hat I understand this is not a
pertnit, but only an application for a pexmi[, and work is no[ [o start without a permit lhat the work will be in accordance with the
roved plan in the case oC work which requires a review and approval of plans.
/aN l ,UUV-?n.e?} ?Vl,?sOw
plicant's Printed N e Applicant's Signatiale
Use BLUE or BLACK Ink
j Permit
City of Win I
I Permit Fee: ~ v
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date. _Igve" ZOI~ Site Address:aILV.411- / G. a l Cam-- Unit
Name: C 4w_ Phone:
RESIDENT / /
OWNER Address / City / Zip: /0 L7~ lbbf~t Z-C + C__
Applicant is: Owner _&K Contractor
TYPE OF WORK Description of work: -C e- e0a r
Construction Cost: Multi-Family Building: (Yes
/ No )
Company: Contact: rZk~ ZArsO-'J
CONTRACTOR Address:- qo8IOe aA,611la-ft ~C!✓ °L City:
State: jWI✓ Zip: s'~/ZZ Phone:
License 2A:562a458 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public infbmwtiort. Portions of
the information may be classified as non-public if you provide specific reasons that' K+auld peri zk.the; City to
conclude that the are trade secrets.
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.gopherstateonecall.orq
I hereby acknowledge that 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 wo of to start without a p ; that the work will be in
accordance with the approved plan in the case of work which requires a review and appr I of plans.
x S dre.J
Ap Printed Name Applican ' g ture
Page 7 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121506
Date Issued:04/04/2014
Permit Category:ePermit
Site Address: 1510 Oakbrooke Lane
Lot:14 Block: 3 Addition: Oakbrooke 6th
PID:10-53765-03-140
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 -
Richard L Segar
1510 Oakbrooke Lane
Eagan MN 55122
Redstone Builders Llc
4084 Oakbrooke Alcove
Eagan MN 55122
(612) 236-8888
Applicant/Permitee: Signature Issued By: Signature