4085 Oakbrooke AlcoveSi1 RNSV I LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378 • 952-894-0005
Orstat Test Report for Job# -
Addre.ss ? ; { , city .
OccupaM ? `Date af Install ;`? - - 0V
Type of HT. F/A - HW Space HT Unit HT
Other
Malae ( f.,; ,^ ?, -,
Model
Seri2d
Input
Pilot Type HOT SURFACE IGN/TOR
Pressure
Input CFH
StackTemp
qate Tested
C02
02 _?-
CO ?.-Company BURNSVILLE HEATlNG & AIR CONDlTIONtMG
Technician
# ? ? ? D ? RESIDENTIAL
BUILDING PERMIT APPLICATION
f? ? 3 GTY OP EAGAN ?`?' fi/ O Q
3830 PILOT KNOB RD • 55122 / U
71nq 076 03 651-681-4675
NewConstrualonReauirements RamodeUReoairReouirements ?-?Z r,?r
. 3 registered site surveys showing sq. ft. oF lot, sq. ft of hrouse; and all rooted areas . 2 wpies of plan V I
(20°h maximum lot coverage all(ywed) . 1 set of Energy Cakulations for heated additions
• 2 copies ot plan showing beam 8 winduw Sizes; poured found design, etc.) . 1 site suney for exterior additlons & decks ?
• 1 SEt of Energy Caltulatirns
• 3 copies of Tree Preservation Plan'rf lot plat[ed after 7/7193
• Rim Joist DeWil OpUons selection sheet (bldgs with 3 a less units)
DATE ?Zl Ltl C) j VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS 'f085 68K13y2voK'6 ALCo vE
IF MULTI-FAMILY BUILDIN/G1, HOW MANY UNITS?
PROPERTY OWNER?/j_e_,q0Yv)f_.S C31fI1
J
TYPE OF WORK ? C G?C /"P /m FIREPLACE(S)
APPUCANT s H hT1 ? H. S l? igO Vi PHONE #
ADDRESS g_L3_i??lOY?hWt?7 AM/& h4 ZI
PAGER #
FAX #
_0 1 _2 _3
PCODE
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RiJI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category t Worksheet Submitted
- Energy Envelope Calcula6ons Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Conhactor:
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must 6e submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature ot Appltcanf
Certifcates of Survey Received
CELL PHONE # L lc1'S6?1-
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
_ Tree Preservation Plan Received
Not Required _
Updated 1l01
OFFICE USE ONLY
0 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 D4-plex
? 31 New
X 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. 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 Windows/Doors
"Demolition (Entire Bldg oniy) - Give PCA handout ta applicant
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fueplace _ R.I. _ Ait Test _ Final
_ Insulation
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
MC/ES System
City Water '
Booster Pump
PRV
Fire Sprinklered
Other
_ Pool _ Ftgs _ tlir/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By J C_ , 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
Gopies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex *x18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex P1bg_Y or _ N
"6t f 1v, v(:)
IJ,T
?..-i- '? 3 ??
C' + w 4-l Fsu c?
4p n W? c? o
ESIDENTIAL
' BUILDINC PERMIT APPLICATION
GTY OP EAGAN yy`? i{ (e? I 1
3830 pILOT KNOB RD - 55122
651-681-4675 p P ?-} (o (0
New Conslrucfion ReauiremeMs
• 3 registered site survays showing sq. fl of lot sq• ft of house; and ail rooled areas
(20°/, maximum bt coverage allaxed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 setofEnergyCalcula6ons
• 3 copies of Tree Preservation Plan it lot platted after 711193 n
• Rim Joist Detail Optlons selection sheet (61dgs wifh 3 or less units)
K.x
r-i o ? sD
90.?
RemodeVReoair Reouirements
2 mpies of plan
• 1 set of Energy Calculatlans for heated addNOns
• 1 site survey tor exterior additbns & dedcs
0
DATE V/7/ VALUATION (EXCLUDING LAND) /m/ Z2-b
JOBSITEADDRESS 409S 0 A1Cg?tooK?ALCov?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER AJff e- Avne-3 of IAY Cfi()0
TYPE OF WORK /Z [,s iOb,n?'?h 1 FIREPLACE(S) _0 l! 1_2 _3
APPLICANT ??AIE PHONE #
ADDRESS OIS- N0erh Wez+ /1CWh JUd-k FA&ft ZIPCODE&2?)21
PAGER# CELLPHONE# 1a"365"171,) Fpx#6sI-9qy-692,7
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPL
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventila6on Category 1 Worksheet Su
- Energy Envelope Calculations Su6mitted
? MINNE50TA RULES 7672
New Energy Code Warksheet Submitted -
Plumbing Controctor. A IvY PLv'101 *PJG' Phone #: 9.5Q -" 2' 1I Z)
Plumbing System Includes: Water Softener O Lawn Sprinkler Fee: $90.00
Water Heater L No. of R.I. Baths
3 No. of Baths
Mechanical Contractor: RV(7151/, liQ 81$' my
Nlechanical System Includes: 1/ Air Conditioning
_ Heat Recovery System
Sewer/WaterContractor:Ivet?0 6erie.Ja / SC?y)C,C-s
d
Phone# (A
Fee: $70.00
Phone # ?62T-2g,
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant /%yYI ES
Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required l(
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
?v 02 SF Dwelling ? OS 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 ? 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
p 31 New
? 32 Addition
? 33 Alteration
0 34 Replacement
? 30 Accessory 9ldg
? 31 Ext. Alt - Multi
0 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' O 43 Reroof ? 46 WindowslDoors
•Demolition (Entire Bldg only) - Give PCA handout to applicant
P
yo//0 % Occupancy
Valuation l s ,
Census Code IA 4 Zoning
SAC Units O/ Stories
Nbr. of Units Sq. Ft.
Nbr. of Bldgs ? Length
Type of Const Width
? Footings (new bldg)
_ Footings (deck)
Footings (addition)
? Foundation
?Q Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _y R.I. 4 Air Test? Final
Insulation
Other
_ Pool Ftgs Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved Byaj?_, 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
? MC/ES System
?-? City Water
Booster Pump
16 PRV ?
..? / Fire Sprinklered
y?
REQUIRED INSPECTIONS
7K FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
_ HVAC
&r4 Z-
mU
??70 ?c! S = d ? Sso "?
ll7G ?rS?-`
6,31 l ?O m=
a ?L?vE-L.
G 6f-R tq- U?
[`/?p o?,x! ?o z
?
7,.34a<°-
lS3le!7`I. 0-
Address
I.ot 7 Blk 3 Sub
Oakbrooke Sth
THESE I1'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE
Date: P - 15- p/ Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage)
Perntanent steps (main entry)
Permanent driveway
Permanentgas
3odlSeeded grass
TraiUcurb damage x
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut•off of warer supply to
the outside lawn faucet befote freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - ContracWr Copy
PERMIT# ? I ? I (,o
RECEIPT DATE:
EOOE US1DENT1AL PLUM$INH PEgMTT AcPi'LICATION
C1TY QF EAfiAeiV
3$30 PILOT KNOB ftD
EAHAN, MN 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: `CoI.I/ DCLkorooke, -AiCC7Ue/
OWNERNAME::_ Gi re CU.Ia , VeI^YI? TELEPHONE#: C?SI) ?I?JI ?
"4??
? (AREA CODE)
INSTALLER NAME: tV O r b I b YYl ?t1il,WL6I v\.p TELEPHONE #: (0 12. ' 9 27 ~`td 33
2°l05 C7t??^?ictd d (AREACOCE)
STREET ADDRESS: AV'GvIN.C- ;o Lt,"µ'l
CITY: STATE: MN) Zip. 55'40$
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license)
includes $40.00 County fee $ 100.00
Note: Additional consWtant fees may apply
'
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, WCWDWG
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
RPZ: new installation/repair/rebuild $ 30.00
lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge nn fr- $ 50
TOtel .JUN 1 N$ .SO
I hereby acknowledge that I have reatl this application, state lhat the information is correct, and agree to 4?KpLy-with al4epplicable City of Eagan ordinances. It
is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability fo any damages caused by the City during ils normal
operetlonal and maintenance activities to the facilities constructed under this permit wilhin City pr/o-p?,e?rty?lr?ight•?of•way/e?asement.
??/ ? ??
SIGNATURE/IAIYD CV)F PERMITTEE 1l02
PERMIT# ?I ( -?) 3
RECEIPT DATE:
2002 RES1A£NTIAL PLUMBINH i'E$MIT AP{'LICATION
CITY OF EkfiAN
S$SO PILOT KNOB RD
P.iRfi1kN, bIN 55122
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: "l ?D ? Dak 6?6 !?lCo ) e- ?
OWNER NAME: : TELEPHONE #: ? rrySo2 ???
(AREA CODE)
INSTALLER NAME:
STREET
CITY:
?
?
_ SEPTIC SYSTEM, new/refurbished (requires lwo sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repairlrebuild 0
JUN 18 2002
$
30.00
?awn irrigation system
B
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ 50
t
t
l
$ s=-
?
o
a -
I hereby acknowledge that I have read this application, statethatthe information is correct, and agree complywRh all applirable City of Eagan ordinances. It
is the applicanPs responsi6ilByto notifythe proparty ownerthalthe City of Eagan assumes no li d or any dam caused by the City during its normal
operational and maintenance activities to the Bcilities constructed under this pertnit w[hi Ci erty/ri of a/e seme?t.
? (fs (!!
SI TURE OF PERMITTEE 1102
PERMIT# 1 RECEIPTDATE: a?
2002 MIDENT7AL PLUMSING P£M1T APPLICATIOA
crrY og EAs,ax
S$SO PII.OT KNOB RD
$Paei4P, MN 55122
881-8$1-4875
Please complete for. single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS- 7?J(fr (J.9KdY0(Jl?? CaL<-
OWNER NAME: : 9RLL` S,?i{/IWO TELEPHONE #: Z11 S-? " 7 S2 l7 ?
(AREA CODE)
INSTALLER NAME: SG9 YY) 'e-- TELEPHONE #: 7 S--
(AREA CODE)
STREET ADDRESS:
CITY:
STATE: ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONlALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
? Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 518" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
Total $
/
I hereby acknowledge Nat I have read this application, state ihat the information is Correct, and `to plywit p01i ity of Eagan ordinances. It
is the applicanYa responsibility to notity the property owner Mat the City of Eagan asaumes i' r any da es ca y the Ciry during Rs nortnal
operetional and maintenance activities to the facilities constructed under this permit wi ' ertylrig ?w? . t.
SIGNATURE OF PERMITTEE 1/02
JUL-27-203F3 14:42 PULTE HCMES
M-Naheck CQMFLZANCE REPORT
*AinneBota Energy Code
hIIJcne_k 90ftware 'lersifln 3.0
CGWTSt: Dakata
STATE: Minriegptg
ZONE: 2
wON3TZUCT'_qA7 jypg: ainale Family
nA,xE: 7-23-2000
r'A?E oF PsAtas: '7!2E/OJ
?':TLE: oakbrocke Sterlirg with Lookoue
C6IMPLIANL'E; p}Sh'SES
R3quired 7Tp - 532
Y'ovr some n 403
24•2i BBttor Thai; COde
P.e?;02
--
Chec ed by- Aate
Area or Cavity Cont. C3lsziz3g/DOOr
Ferimeter R-Vaiue R-Value U-valUe
--??-------°----------- ---
----- - -----1'--------'---
C82LZNGS ------'---------------
dlA..t,LJ: VYOOp Framr., ld" O.C. _218 38.0 0.0 19 BSNIT: Conc. 9.0' ht/8.3' 6gJ9.0' ineul 1047 11.0 e.0 1
GLAZZNG: wiildows pr poora, 7bpVe Grade 402
DO 0 R& 38 01350 2
FLUC'+Rc: Over OutaidC Aii y .350
HVAC EQi9TPD1EN'T: Furnaca. 92.0 AL'i7E '? ?8.0 p.? ^
------------- -------- ----------------------------------------------
COMPLIAIdCB 8TATEti1ENT,--Thg propused building design desaribed l;ere is------
cansistehC with the buildi.ag pla", spec1fipa440n5, and othez calculations
aubmitted wzth th= per:nit ap licaticn. rhe p,oposed building hae been
deeiyned to C' omen innesata 3nexgy :,'ode.
r ?
$L111C?1°Yj iJBBi=PT
,TiBL'@ ?`(
TOTHL F.32
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMR APPLICATION
PROPERTY LEGAL: Lof -7 eluok 3 /J?'?,?•-na S'?'Li
DATE OF SURVEY: 7? l?? d J
LATEST REVISION:
DOCUMENTSTANDARDS
r signatuie and company
/ PPl?nt
B
?
@ ? • ?a a ?P?n
0 ? • Address
? ? . North arrow and scale
? ? . House type (rambter, waaout, split w/o, split entry, bokout, etc.)
nY/ ? ? • Directbnal drainage arrows with sbpe/gradient %
dJ?
C?p ?
? •
• Proposedlebsting sewer and water services & inveR elevatbn
Street name
?
? ? • Driveway
/ ? ? . Lot Square Foofage
[+Y o
V ? • lot Coverage
ELEVATIONS
/ E»asstinq
[9' ? ? • Sewer service (or Proposed)
[d?,t7 ? • Property comers
?? • Top of curb at the driveway and property line extensions
? Cd,, ? . ElevaGons of any epsting adjecent homes
? G7?j? • Adequate footing deptti of structu2s due to adjacent u4Tity trenches
? [3? ? • W aterways (pond, stream, etc.)
Prooosed
Ek/ ? ? • Garage 8oor
Gl/ ? ? • First fbor
Gl/ O? . Lowest exposed elevation (waBcouVwindow)
?/o ? . Property comers
e? ?? • Front and rear of home at the foundalion
? PONDING AREA fif ?oNcablel
? O • Easement line
? ?
? 0 • NWL
?
?
? ?/(7 •
• HWL
Pond # desgnaUon
? 4? ? • Emergency Overibw Elevation
DIMENSIONS
/
d/? ? . Lot IlnesBearings 8 dimenaiona
II"/ ?
r ? 0
? •
• Rightof-way and street width (to back of curb)
P
d h
di
i
i
l
dm
? ropose
ome
nens
ons
nc
u
g any proposed decks, overhangs greaterthan 2, porches, etc.
(i.e. ail strudures requirhig pertnanent fooUngs)
/? ? • Show all easemenffi of record end any City utilities wilhin those easements
Gl? 0 • Setbacks ot proposed sWcture and sideyard setbadc of adJacent exdsting atructures
? ? • Retaining wall requirements, H any
Reviewed:
Surveyor's Certifzcate
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Lot 7, Block 3, OAKBROOKE STH ADDIION, City of Eagan, Minnesota and reserving
easements of record.
92b3
? z5 AtJ G 08 REC'D
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LOT COVERAGE _
# 18232
PROPOSED ELEVATIONS
Top of Foundation = qqg,C)
Garage Floor = qy7(o
Basement Floor = 43q o
Aprox. Sewer Service =q??.o-
Proposed Elev. = 0
Existing Elev. _
Drainoge Directions = --
Denotes Offset Stake = .
SCALE: 1 Inch - 30 feet
S/LT
= 10, 2,3
= 9) 774
17?
?
til nq
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BENCHMARK, cm{roi Pnt
E(eu= 95a.°I
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
HEDLUND I HEREBY CERTIFY THAT ililS t5 A TRUE AND CORRECT REPRESENTATION
Of' THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYEO
BY ME OR UNOER MY DIRECT SUPERNSION AND OOES NOT PURPORi TO
PLANN/NG BNCINSSR7NC SURV6Y7NG SHOW IMPROVEMENTS OR ENCft CHMENTS, E%CEPT AS SHOWN.
2005 Pin Oak Orive p ^ b ?
Eagan, MN 55122 DATE _1/?Q/y?1
Phone: (651) 405-6600 ' 0 LINDGR N. LA 0 SURVEYOF
Fax: (651) 405-6606 1 E A LICENSE Nl1M 14376
N0:
01R-300
FILE:
Oakbrooke 5
Surveyor's Certificate
SURVEY FOR :PULTE HOMES
DESCRIBED AS ;Lot 7, Block 3, OAKBROOKE 5T}i ADOIION, City of Eagan, Minnesota and reserving
easements of record. ?
9263
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HSE SQ. FDO TA GE
L 0 T CO l/ERA GE _
PROPOSED ELEVATIONS
Top of Foundation = qqgp
Garage Floor = 91171(,
Basement Floor =939.0
Aprox. Sewer Service = 43(0,01
Proposed Elev. = 0
Existing Elev. -
Drainage Directions =
Denotes Offset Stake = .
= 10, 234
= 1) 914
18%
?
?
e?
?
?
13
?
0
?
?
?
X
BENCHMARK, C?hoI p,t
eleu. 950.°j
MIN. SETBACK REQUIREMENTS
SCAIE: 1 fnch - 30 feet
Front - House Side -
Rear - Garage Side-
HEDLUND i HEREBY CERTFY iHAT THIS IS A TRUE AND CORRECT REPRESENTA710N
OF TNE BWNDARIES OF 7HE ABOVE DESCRIBED PROPERTY AS SURYEYEO
BY ME OR UNDER MY DIRECT SUPERNSION AND DOES NOT PURPORT TO
PLANNING 6NGIN6d'RJNC S1ZXV6Y/NC SHOW IMPROVEMENTS OR ENC OACHMENTS, EXCEP7 AS OWN.
2005 Pin Ook Drive
Eagan, MN 55122 DATE
Phone: (651) 405-6600 R 0. NDC , IAND S YOF
fnx: (851) 405-6606 S LICENSE NUMBEft 76
N0:
01 R-300
fILE:
Oakbrooke 5
PERMIT # ?iO V ? __1k__
ftESIDENTIAL PLUM$ING P£iiMIT APPLICAT[ON
crrY oF EAsetx
3$30 PILOT KNO$ RD
EAfiAN, MN 55122
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: t4 r) k-(
OWNER NAME: :
INSTALLER NAME: ?c'?'?
STREET ADDRESS: '5- '? L/ D_
CITY:
RECEIPT DATE: l I ' L - V /
A-(,-'ill
TELEPHONE #:
(AREA CODE)
TELEPHONE #: A-S?v
(AREA CODE)
Place a check mark next to the permit work type
STATE: m
ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
?
Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repaidreboild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes Caunty & Consulting Inspector fees
• requires MPC license
Water turnaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 115.00
$ 165.00
State Surcharge $ .50
Total $ 5zl- S zq
i':u41
Reminder. Scheduie inspections of alterations, i.e.'water heaters, water softeners, water turnaround, etc.
I hereby acknowiedge that I have read this application, statethatthe information is corcect, and agree ta complywith all applipGle Ciryof Eagan ordinances. It
is the applicanCs responsibility to notify the property owner that the Ciry of Eagan assumes no Iiabilily for anydamages caused by fhe City during its nortnal
operational and maintenance actlvities to the bdliUes constructed under this pertnit ?vMirxC?? pro rty/ri -/ way/ ase / t.
?? f`?/ v /.L
v
SIGNATURE OF PERMITTEE Updated 9r01
Site address: M??IC?L(-014wLot ? Block 3! SubdP4 09()??
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
This structure: will be constructed to meet more restric6ve requirements of Chapters 7672 or 7674
pPPL1ANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
water Heater
Furnace
Dryer E U S ?12 64 aa P°ti l?f' ?Cc-f
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
rE5 No
Kitchen kitchen
Bathroom 1
Bathroom 2
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOQ
MANUFACTURER
MODEL
8TU'S VENTING
oiaEc7 niMOS
1 fU , X ff /? 6vo - 7oao
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
/Vis-1p
Sig lur Date
CompanyName
This form is the responsibility of the General Contractor.
RESIDENTIAL
L 1 g? -?? BUILDING PERMIT APPLICATION S-)0.o0
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
New ConsWcUon Reauiremanb RemodeVReoalr Reauircmentn
• 3 registered site surveys showing sq, ft of lot sq. ft of hoase; and all mofetl a2es • 2 wpies of plan ?(20%mazimum lot coverage allaxed) . 1 set of Eneyy Caiculations for heated addiGOm
. 2 copies of plan showing 6earn 8 window s¢as; pouietl found desgn, etc.) . 1 sRe survey for ex[enor adtlitians & decks
. t set af Enerqy Caltulatlons . Indicate N home served by septic syslem for additions
. 3 cropies of Tree Preservatian Plan H IW platled after 7l1I93
. Rim Jaist Detail Optrons sOedbn sheet (bldgs wilh 3 or less unds)
DATE O '?--
JOB SITE ADDRESS
/C_
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER?
TYPE OF WORK ri n i<YG\ fIREPLACE(S) K 0_ 1_.2
APPLICANT
PHONE# ?S/ -'r9-3
ADDRESS _f-f D ? S e- a(C,p v i2cz-etG•,,, r r" n ZIPCODE 55 «3
PAGER # "
CELL PHONE # -
FAX #
NEW RESIDENTIAL SUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(chedc one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
, MINNESOTA RULES 7672
New Energy Code Worksheet Su6mitted
Plumbing Conhactor: _
Plumbing System Includes:
Mechanica! Conhactor.
Mechanical System Includes:
Sewer/Water Contrattor.
_ Air Conditioning
_ Heat Recovery System
All above information must be submitted prior to processing of application.
Phone #
Fee: $70.00
Phone
I hereby acknowledge that I have read this application, state that the information i4@y??3, ^^-'.a.?imply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?
/ Signoture of Appllca?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Req ired _
Updated 2002
_ Water Softener
? Water Heater
_ No. of Baths
VALUATION
Phone #:
Lawn Sprinkler Pee: $90.00
No. oF R.I. Baths
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of,plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex O 13 16-plex
O 08 OB-plex ? 16 Fireplace
? 09 07-plex ? 77 Garage
? 10 08-plex ? 18 Deck.
? 11 10.pleax A 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
? 20 Po01
? 21 Porch (3-sea.)
? 22 PorchlAddn. (4sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
0 31 New 0 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Oemolish (Foundation) ? 45 Fire Repair
X 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Daors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
V
l
i s
a
uat
on Occupancy MC/ES Sy
tem
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type af Const v_ Width
T`
?
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) FinaUNo C.O.
Footings (addition) Plumbing
Foundation y
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storege
S&W Permit 8? Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
FinaVC.O.
?C
HVAC
6:'
Other
_ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By Building Inspector
Use BLUE or BLACK Ink
r
I For Office Use I
Permit C;
City of Ea~a~
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 ; Date Received: - Z
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I T- I
/ J2012 RESIDENTIAL BUILDIN/G~ PERMIT APPLICATION
Date: % Site Address: 6G°cTVk Unit
Name: D C`~ cJ~N/~" Phone:,!! C/ 7~5 ` 7
RESIDENT /
OWNER Address/ City/ Zip: 7oo$-
Applicant is: Owner Contractor
TYPE OF WORK Description of work: JZ0-4yl
Construction Cost % b O0 Multi-Family Building: (Yes / No
Company: L117~1071 A~Fkf7a /oKZ-5 Contact:
Ti
CONTRACTOR Address: f $`5 I/~/~i'if/!~fi~-~ i✓ity:/,/i9
State: Zip: Phone:
fi
License e, C, /9 6'3 6 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 information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they 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 Minnesota State Building C e must be complet within 180
days of permit issuance.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120987
Date Issued:03/07/2014
Permit Category:ePermit
Site Address: 4085 Oakbrooke Alcove
Lot:7 Block: 3 Addition: Oakbrooke 5th
PID:10-53764-03-070
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 -
Dale C Sanford
4085 Oakbrooke Alcove
Eagan MN 55122
Antonsen Construction Inc
411 marie Ave Ste B
South St Paul MN 55075
(651) 340-1791
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178262
Date Issued:08/08/2022
Permit Category:ePermit
Site Address: 4085 Oakbrooke Alcove
Lot:7 Block: 3 Addition: Oakbrooke 5th
PID:10-53764-03-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Duyen P Dao
4085 Oakbrooke Alcv
Eagan MN 55122
(651) 334-0150
St Paul Siding Inc
14180 Adelaide Ave
Rosemount MN 55068
(651) 698-7777
Applicant/Permitee: Signature Issued By: Signature