1518 Oakbrooke LaneBII RNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55375 • 952-894-0005
Orsiat Test Report for Job# `??? ='
Addtess l? I f? C)r? ?: ?ti, ? _ << ?:_.,,,k Ciiy ? ??? ,,.?,•:,
OCCIJt?M
Date of tnstail ?
Type of HT. F/A ? HW Space HT Unit HT:
Otlher
Malae
Modei
Seria! SE 0 K
Input
Pilot Type HOT SURFACE IGN/TOR
Pressure C02 ?- Input CFH 02
Stack Temp CO
Date Tested
Company BURNSV/LLE HEATING & A/R CONDIT/ONlNG
Technician
lj5i$ OAkbv ookk IWC. Lot 4fo Block ?3 Subd.
Site address:
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 consUucted to meet minimum requirements of the Mn Energy Code, Chapter 7670
/ OR
V This sGUCture: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
VEN TED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's ves No
Kitchen
Bathroom 1
Bathroom 2
Bathroom 3 kitchen
(Y1A?N
(?STR
m S? £
?iS?UlS?rllL
NwSON? C
ROI,> hl ? 3at
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Fv -6 5- Y a
S???
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5?
Bathroom 4 bRA,? ?u, ? S0
O
other l.,cail 446N ?(tpu.i if • ?• d S
FIREPLACE S LOCATION
GAS
WOOD
MANUFACTURER
MOOEL
BTU'S VENTING
DIRECT ATMOS
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements,
01
Sig ure Date
Company Name
* This form is the responsibility of the General Contractor.
??JESID&TIALR-(r4
L? u ? 3 BUILDING PERMIT APPLICATION
13L Sb`\ a? 5l ?a . 5 5
I'(lE Sb?1??(i' `7C+.S?
CITY OF EAGAN
C)???t 3830 PILOT KPIOB RD - 55122
651-681-4675
NewConstructianReauirements RemodeVReoairReauirements
• 3 cegistered site surveys showing sq it of lot, sq. ft. of house; an?ll roofed areas • 2 copies of plan j 3??j -
(20%maximumlotcoverageal6wed) ' . isetofEnergyCalalationsforheatedaddiGons ?
. 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site suney for exterior add'Aions & decks
. 1 set of Eneigy Calculations . Indicate if home served by septic system for additions
. 3 copies of Tree Preserva4on Plan if lot platted after 711193 ,3
• Rim Joist Detail Op6ons selection sheet (61dgs with 3 or less units) ??j
DATE VALUAION
JOB SITE ADDRESS Da.?.?s??,
IF MULTI-FAMILY
PROPERTY OWNI
TYPE OF Wq;ORK I
APPLICANT?'?
ADDRESS
PAGER #
LDING, HOW MANY UNITS?
.,,,
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELX- --
?
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 ?„{
(checkone) - ResidentialVentilationCategory lWorksheetSubmitt?d0CT 0` ?:Q i,
Energy Envelope Calculations Submitted
J MINNESOTARULES7672 ?9y ? ?
- New Energy Code Worksheet Submitted
Plumbing Contractor: ????e., \??•? Phone #???
Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00
? Water Heater 1 No. of R.I. Baths
ZA_ No. of Baths
Mechanical Contractor: niN j\w,., Phone #
Mechanical System Includes: _ Air Conditioning Fcc: $70.00
_ Heat Recovery System
Sewer/Water Contractor.10?Q,?Ct bs a, Phone #???
All above intormation must be submitted prior to processing of applicatlon.
I hereby acknowledge that I have read this application, state that the informat is cor ect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan inances
Signafure of Applicant
Certificates of Survey Received C9 Tree Preservation Plan ReceivTe-.\ Not Required 6p
FIREPLACE(S) _ 0 ? 2
_ PHONE#??l-ky%l-Oe
ZIPCODE5 \,Lk
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 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 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 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 *Uemolitlon (Entire Bldg only) - Give PCA handout to applicant
Valuation ? Occupancy /2"3 MC/ES System
Census Code Zoning Ciry Water
SAG Units Stories ? Booster Pump
Nbr. of Units Sq. Ft. ? PRV
Nbr. of Bldgs d/ Length Fire Sprinklered
Type of Const V Width
REQUIRED INSPECTIONS
? Footings (new bldg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
Footings (addition) _ Plumbing
Foundarion HVAC
? Drain Tile Other
Roof _k Ice & Water .x Final Pool Ftgs Air/Gas Tests Final
Frannug Siding Stucco Stone
_
Fireplace k R.I. JVAir Test 417inal _ Windows (new/replacement)
? Insulation _ Retaimng Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
7reatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
/3rZ9 7S
Approved By
vnV/=%Iv 13SMr //?3 4
fL rt 73
Building Inspector
/75g3"
? .73 `/l
6 733?
ll??qo_
/j-°/ 71D
MNcheck COMPLIANCE REPORT
Minnesota Enerav Code
MNcheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single.,Family
DATE: 9-26-2001
TITLE: OAKBROOKE ST. ,7'Alygg, WALKOUT, ELEVATION #1
OMPliIAI1CE:_PA6SES ?
Reciuired UA = 547
Your Home = 430
21.4% Better Than Code
Permit #
Checked bv/Date
Area or Cavitv Cont. Glazina/DOOr
------------------
-------------- Perimeter
-- R-Value R-Value U-Value UA
CEILINGS ----------
-----------------
-------------
--
WALLS: Wood Frame, 16" O.C.
WRLLS: Wood Fra
16" 1291
2495 44.0 0.0
19.0 2.0 35
140
me.
O.C.
BSMT: Conc. 9.0' ht/8.3' bcr/9.0' 307
insul 738 10.0 2.0
11
0 0
0 25
BSMT: Conc. 3.5' ht/3.1' bcr/3.5'
GLAZING: Window insul 70 .
.
11.0 0.0 43
5
s or poors, Above
DOORS Grade 478 0.350 167
38
FLOORS: Over Outside Air
HVAC EOUIPMENT: Furnace
88
9
38.0 0.0 0.350 13
2
,
2.0 AF
------ ------- UE
----------------------------- ---------------
--
OMPLIANCE STATEMENT: The prooosed buildinq desiqn described
consistent with the buildina Alans
------------
here i8
-----
, aAecifications, and other
submitted with the Aermi anolication The Aroposed buildina
desi
ned to
t calculations
has been
g
mee
the r i ment e innesota Energy Code.
Builder/Designer
Date
p&vkvA
i
, PULTE HOMES OF MINNESOTA
JOB INITIATION ORDER
DATE: 8/7/2002
JOB NO:
COMMUNITY:
ADDRESS:
MODEL NAME:
BUYER:
ADDRESS:
HOME PHONE:
SALES REP:
0320-410-03 LOT: 10 BLOCK: 3 UNIT:
Oakbrooke Single Family ADDITION: Phase 4
1518 Oakbrooke Lane CITY: Eagan STATE: MN ZIP: ####
St James MOUEL#: 18291 ELEVATION: 1 GARAGE: RIGHT
Bryan & Laurie Oliver
1830 Kathryn Cir CITY: Eagan STATE: MN
651-454-6470 BUSINESS PHONE: 952-888-2210 BUSINESS PHONE:
Jolayne Moberg PHONE: 651-686-2862
QTY ;OPTI'ON DESCRIPTION LOCATION NP'RICE;
1 18291 St. James ?
1 00000 Lot Premium $3,000
1 14001 iST CARPET UPGRADE $1,595
1 14004 1ST CARPET PAD UPGRADE $360
6 17024 CEILING ELECTRIC OPENING all beds, loft, flex, grt rm $600
1 18015 ELEVATION #1 $0
1 22001 3RD CAR GAR-EL#1 $8,150
1 22018 INSULATED GARAGE DOOR - 3 CAR $350
1 23007 3 TON AIR CONDITIONER $2.800
1 25000 DBLE. INTERIOR DOOR mstr $310
1 26043 WOOD RAILING - 2ND FLOOR $775
1 28053 42 UPPERS - BASE $400
1 31001 LAUNDRY CABINETS - BASE $250
1 31011 LAUNDRY TUB SNGL COMPRTMNT $300
1 32004 SATELLITE R.I. $165
1 40026 LAMINATE KITCHEN/DINETTE $1,770
1 40027 LAMINATE FOYER AREA $675
1 40029 LAMINATE HALL $1,130
1 40030 LAMINATE BATH #3 $125
$0
$0
$0
TOTAL $311,745
THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER AND THE PUCHASER (S) FOR THE ABOVE ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERINTENDENT:
APPROVED BY SALES:
ZIP: ####
Builders License # 0001371
? LO7 SURVEY CHECKLJ3T FOR RESIDENTIAL
BUILDING PERMR APPLICATION
PROPERN LEGALL `- ,>r 16 .Q/D , k 3 Oq ? 4r-;sa kP Cv 74-4
DATE OF SURVEY:
IATEST REVISION:
m
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oa a
DOCUMENT STANDARDS
/o ? • Registered Land Surveyor stgnaiure and company
rY,0 ? . BuildingPermdAppRcant
? ? . Legal description
? ? • Address
?
?
? o
? .
• North arrow and scale
H
t
bl
k
/
L?" ? ouse
ype (ram
er, wal
out, spGt w/o, spld entry, bokout, etc.)
D
? . irectbnal dreinage arrows with sbpelgradient %
q/ ? ? • Proposed/ebsting sewer and water seMCes & invert elevation
? ? . Street name
pi/ ? ? . Drnveway
L/ ? ? • Lot Square Footage
fa? 0 ? • Lot Coverage
ELEVATIONS
/ Exdstina
e? ? ? • Sewer service (or Proposed)
0 ? • Property comers
C? ?. Top of cufi at the driveway and property line extensions
u? • Elevatmns of any exissting adjacent homes
? CL?,n • Adequate foo6ng depM of stivctures due to adjacent uNGly trenches
? ? ? • Waterways (pond, stream, etc.)
Prooosed
p/? ? • Garage floor
fld' ? ? . Basement floor
F/ ? ? . Lowest exposed elevatron (walkouUwindow)
?l' ? ? • Property comers
?r/ ? ? . Front and rear of hame at the foundaUon
PONDING AREA (if aoplicable)
? ? ? . Easement Bne
? d/ ? . NwL
? d ? . HWL
? ? . Pond # desgnafbn
? ?1/ ? • Emergency Overflow Elevation
? ?? • PondMletlandbufferdeNneo6on
DIMENSIONS
-
B"/ ?? • Lot lines76earings S dimensions
?r ?? • Rghtof-way and sVeet width (to back of Curb)
G? ?? • Proposed home dknensbns inGuding arry proposed decks, overhangs greater than 2', porches, etc.
(i.e. aN sWCtures requiring pertnanent footlngs)
? . Show all easements of record and any Ciry ublides within those easements
?? • Setbacks of proposed structure and skleyard setback of adjacent ebetlng structures
?? • Retaining waH requirements, if any ,
Reviewed:
Name " Date
G:IFORMSBuilding Permrt Application
S2,crveyor's Cert2ficate
SURVEY FOR : PULTE HOMES
DESCRIBED AS : Lot 10, Block 3, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving
easements of record.
t; ?y
w:
? ??qUite?
S/LT
?el?C L%
?o ?oVo
Lor
HSE
Lor
sQ.
SQ. f UU lAGE
CO I/ERA GE _
# 18291
PROPOSED ELEVATIONS
Top of Foundation = qaa.o
Garage Floor =q?3.e
Basement Floor =asb.o
Aprox. Sewer Service = 932.ot
Proposed Elev.
Existing Elev. -
Drainage Directions =
Denotes Offset Stake = .
HEDLUND
PLANNING ENGINBERJNG SURV6YING
2005 Pin Ook Drive
Eagan, MN 55122
Phone: (651) 405-6600
Fax : (651) 405-6606
= 7, b6 7
7,?'
SCALE: 1 inch = 30 feet
I HEREBY CERTIFY THAT THIS IS A TRUE
OF THE BOUNDARIES OF THE ABOVE DE3
BY ME OR UNDER MY OIRECT SUPERVISH
SHOW IMPROVEMENTS OR ENCROACHMElt,
DATE
r;.,.la,+ ;-, n ?a.?
n r4e
?-
?
EY
BENCHMARK,
?.a. gq?lLl
Ele, 4ss 9s
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side -
TION JOB N0,
=YED 02R-634
TO
BOOK: PAGI
14376
Oakbrooke 5
. ?>
RECEIVED
OCT 22 2002
FAGAfV
ENGINEERIP;G PEPI?,RThr,EN?
Use BLUE or BLACK Ink
I For Office Use 1
I ~ I
j
j Permit ! 117,
City of Eat(, ~ Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: y
Phone: (651) 675-5675
I~
Fax: (651) 675-5694 1 Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1.3 20 3 Site Address: Unit
Name: / Z4%( f1' Phone:
Resident/
'IQ
Owner Address / City / Zip:
Applicant is: Owner Contractor
Description of work:
Type of Work
Construction Cost:: Multi-Family Building: (Yes No
Company: ens Contact,'-^~,~/~' 11":%.Sd'V
Contractor Address: ''r41 f')+'d~l~t' fC~7rlf' City: Qa~+
State: AI/y ZiiP: S..7IZZ Phone: 7
License #:cP~(~ Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ON' " RUCTING A NEW BUILDING
In the last 12 months, has the City c i r plan based on a master plan?
_Yes _No If yes, date and adc
Licensed Plumber: Phone:
G7-
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting docur,tents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit 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.org
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 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.
Exterior work authorized by a building permit issued in accordance with the Mi nesota State uilding Code mus a mpleted within 180
days of permit issuance.
X X
Ap rinted Name Applican ' ure
Page 1 of 3