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4089 Oakbrooke Alcoveib. f. 4 ? 7 3 y ??"? '?` c?-? ? Y ?.?. ?7735 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN rn P . ?o..? 3830 PILOT KNOB RD - 55122 ? at f'J L 3 651-681-4675 NewConstructionReaufremeMS Q 0.-K-L`(11? -&,? RemodeVRecairReauirements - • 3 regislered si(e surveys showirg sq. R ot bL sq. il of haue; and all roofed areas • 2 copies of plan (20% maximum bt owerage allawed) . 1 sel o( Energy CalculaUOns for heated addi6ons • 2 copies of plan showing beam 8 vrindow sizes; poured found design, ek.) . t sile survey fw exteria addi6ons 8 decks • 1 set of Eneigy Catc lations • 3 copies of Tree Preservation Flan N lot plaCed after 711/93 . Pom Jasl Detail pptlons selection sheet (bldgs wilh 3 or less unils) tFS-_7 0 .3 RX_11t, DATE 10 Jlpr/o I VALUATION (EXCLUDINGLAND) jJB SITE ADDRESS 41Odr7 0a kbr a,E,_ 41?? v 4 ? eAtij, /?- IF MULTI-FAMILY BUILDING, HOW MANY UNITS? /V1A PROPERTY OWNER R It'- Abnv rs oV /"P'%/ Lo?v TYPE OF WORK A)tw Ca» st??ctb., FIREPLACE(S) _0 11 _2 _3 APPUCANT //f?U Ce,o PHONE #&sl \ H51-37-200 ADDRESS 915 Xlo tA r? it Pa rk ZIPCODE SSI.Z I ? PAGER # CELL PHONE # FAX # NEW RE3IDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNFSOTA RULES 7670 CATEGORY 1 i i?} ?=?(? (check one) - Residential Ventilation Category 1 Worksheet Su6mitted - Energy Envelope Calculatfons Submitted 7 II Z(Xo f I Z( MINNESOTA RULES 7672 1 - New Energy Code Worksheet Su6mitted --- -- Plumbing Contractor: 1/a t ? e P/u ? ? "?,- Phone #: (eeS! ) y9.;2 -a /;Z 1 lyc Plumbing System Includes: Water Softener _ Lawn 5prinkler Fee: $90.00 )c Water Heater ? No. of A.I. Baths 3 No. of Baths Mechanicai Contractor. Q4 ? n s o s 11e, /,/es f?.L Phone # 0saJ s9v - ooos blcchanical System Includes: _X Air Conditioning Fee: $70.00 _ Heat Recovery 3ystem Sewer/Water Contractor. /y/, f ro Gf_?a 1 Phone # ('71,3) 8-,? 43 B All above informaBon 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 comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican} ZZZ 4_'? !l9 ?/? P/tc .?a.?s s o?.I? 4 -p Certificates of Survey Received??") Tree Preservation Plan Received _ Nat Required (/? Updated 1101 OFFICE USE ONLY 0 01 Foundation X 02 SFDwelling ? 03 01 of _ plex ? 04 02•plex ? 05 03-plex ? 06 04-plex O 07 05-plex ? 13 16-plex O OS 06-piex O 16 Fireplace ? 09 07-piex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex PI6g_Y or _ N ? 20 Paol O 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screened) ? 24 Stortn Damage ? 25 Miscellaneous I ? . ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF O 36 Multi x 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to appilcant (x Valuation U Occupancy MGES System Census Code 1 o r Zoning City Water SAC Units ?L Stories on Booster Pump Nbr. of Units Sq. Ft. PRV tllh7J Nbr. of Bldgs ? Length ?L Fire Sprinklered Type of Const v- lU Width r-iG / REQUIRED INSPECTIONS ' ZC Footings (new bldg) FinaUC.O. _ Footings (deck) _ FinaUNo C.O. Footings (addition) _ Plumbing ? Foundation _ HVAC Drain Tile Roof Ice & Water Final Other Framing Pool _ Ftgs _ Air/Gas Tesu _ Final ? Fueplace ? R.I. ?AirTest x = Final Siding Stucco Stone ? Insulation _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector g?sr - Ft", s e?r? ? ao ? I7, SSD II'Io 5,??( ?/s. ? ? sr Fc.? _ ?3? l &o 7U 2N?a ?S177Z ?2i?X ?ISY? = ssos?X.?l6_ 66 0 Z Siteaddress: / 00 oh)cfgcd(?r At-?vr- Lot! Block 3 Subd.041(RjI0p1`F 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 sWcture: is constructed to meet minimum requirements of Uhe Mn Energy Code, Chapter 7670 OR ? This sWcture: wili be consWcted ta meet more restrictive requirements of Chapters 7672 or 7674 APPLL4NCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE WaterHeater ? AAg" osa rfs Fumace G 201006 Dryer EXHAU5T SYSTEM LOCATION TYPE MODEL CFM's VENTED Yes n0 Kitchen kitchen Balhrooml )0117)714 50 ? ??`Us- V gD Y Bathroom 2 M,577' y+? N SDA/ / C 0 / Bathroom 3 Ila ,?ro? /1 •? Y 8athroom 4 Qther FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL B-U'S VENTING DIREC7 ATMOS 1 Fq? f w A?xJ 10 6ac?a ?2- ?Z aoa_ ,? I hereby adcnowledge that the above information is wrrect and agree to comply with the Minnesota Energy Code and City of Eagan requirements. le') m?1lr i Wna(?ye Date j NU ITe- }6{-S ? ompan y Name This form is the responsibility o1 the General ConUactor. Address 4089 Oakbrooke Alcove ZlP 5$122 IAt 4 Blk 3 Sub Oakbrooke Sth THESE iTEMS WERE / WERE NOT COMPLETB AT THE TIME OF THE FINAL INSPECITON. Date: 21•1I ' OY Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) 7r-"j PQ =rs 0 K- Permanent driveway Permanent gas Sod/Seeded grass TraiUcurU damage Porch Basement finish Deck Please verify with the builder the temoval of toof test caps from the plumbing system and the shutroff of water supply W the ouiside lawn faucet before freeze potential exists. Contaa engineering division at 6814645 before working in right-af-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy RESIDENTIAL BUILDING Permit Application t> City Of Eagau 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New ConsWction Reauirements RemodeUReoair Reouirements Offce Use Onlv 3 registe2d site surveys showing sq. R ot lot, sq. k. of house; and all roofed areas 2 wpies of plan Cart of Survey Recd (200h marzimum lat ooverage albvred) 7 set of Energy Calculations for healed addiUons Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, eta 1 sile survey for additions & decks Tree Pres Not Reqd lsetofEneqyCalcula6ons Adddion-irMiceteifon-sftesepficsysfem _On-siteSep6cSystem 3 wpias of Tree Preserva6on Plan if lot platted a(ter 7l1193 Rim Joist Defeil Options seleclion sheet (61dgs wiN 3 or less units Date 0 6 / OS / ZW3 Site Address Construction Cost Unit/Ste # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telep6one # (GS1 Contractor Address Sta[e City Zip Telephone # ( ) &/1ol.? -iley M"X° K- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category . Residential Ventliation Category 1 Wo _ et • New Energy Code Worksheet (J submission type) 5ubmitted Submitted • EnergyEnvElope;C2lquYah ?oq ?rnlttr? Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is coxnplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of M'iV 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. ApplicanYs Printed Name plica 's S' ature OFF[CE 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 PorchlAddn. (4-sea.) ? 04 02-plex ? 10 OS-plex ?( 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition . ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant V l ti t O S S ? ?U l a ua on ccupancy f(s em _ MC/E ys Census Code ? , V/ Zoning City Water _ SAC Units Stories Booster Pump _ Nbr. of Units Sq. Ft. PRV _ Nbr, of Bldgs Length Fire Sprinklered _ Type of Const v p-i _ Width Footings (new bldg) V Footings (deck) Footings (addiuon) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. Air Test _ Final Insulation ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair W indows/Doors REQUIRED INSPECTIONS FinaUC.O. ?C FinallNo C.O. ? Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By 7 2, , Building 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 ?. ? ?o . Surveyor's Certificate SURVEY FOR :PULTE HOMES DESCRIBED AS :Lot 9, Block 3, OAKBROOKE 5TH ADDIION, City ot Eagan, Minnesota and reserving easements of record. _yq;qry7- - 491, 93?eA i i? i ?a qqT.O ? `- •' ? • S88'2 '30"W 139,23 ti u1 - - _o r ?0 t938.7 p 1??? N 55• ??° " // \ ? ` ?, o °o Go o9e $ 997?o ? \\ \ 938? w oo `191?.b ) \ ? ? 3 , oo pa s???' P°W N? 947, ? ? $ 94b.1 ? • 2q7.0 \ 11 5 f :\939.4 ?j ?.y9 i . G v21 _k• q3R0 ,9 SP L 0 T SQ. F00 TA GE HSE SQ. F00 TA GE L O T C01/ERA GE _ 111 18323 PROPOSED ELEVATIONS Top of Foundation = qqe,o Garoge Floor =947,r? Basement Floor =939•0 Aprox. Sewer Service =93bA_ Proposed Elev. _ <Z=> EAsting Elev. Drainage Directions =- Denotes Offset Stake = • HEDLUND PLAIVNlNC dNGINdSRlNG SORVSYlNG . 2005 Pin Oak Orive Eagan, MN 55122 Phone: (651) 405-6600 Fax; (651) 405-6608 SCALE: 1 Inch - JO feet N0: 1 HEREBY CER11FY TNAT 7HIS IS A TRUE AND CORRECT REPRESENTATON O1R-451 OF h1E BOUNDARIES OF THE ABOVE DESCRIBED PROPERtt AS SURVEYEO BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PASHOW IMPROVEMENTS OR ENCROAq1MENTS, EXCEPT AS HOWN. DATE -q-1fc.,Z10L CAD FILE: ? X.? = 1,31061 = 1, 720 13q' BENCHMARK, Q 7 ?\ O ? ? MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side- INOdt , LAO? SURVEYOR LJCENSE NU 71378 Oakbrooke 5 PERMIT# C) ` U RECEIPT DATE: 2002 RESIDENTIAL FLUMBINfi PEft61IT APi'LICATlON CITY OF £AfiAN 3830 Paor ?ciuo6 ?tn fAfiAN, bIN 55122 651-6$1-4675 Please complete for. SITE ADDRESS: single family dwellings, townhomes and condos when permits are required for each unit, 6ackflow preventer for irrigation system OWNER NAME: :"md ?/NhaDA ? TELEPHONE #: rl`T Y? 7?RG3 (AREA CODE) INSTALLER NAME: 1X TELEPHONE #: 7,0 S STREET ADDRESS: S? 674 J?!D 4 (AREA CODE) CITY: /YH,195? STATE: W . ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) includes $40.00 County fee $ 100.00 Note: Additional consultant fees may apply . MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: Adding fiMures to lower levels or room additions, exclutling water softeners and water heaters. $ 50.00 Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Othec RPZ: new installationlrepair/rebuild $ 30.00 lawn irrigation system Replacement/additional: /X?water softener _ water heater $ 15.00 5tate Suroharge $ .50 Tofal 2002 ? J? $ 1 JuN 2 0 I hereby acknowledge that I have read this application, statethatthe information is correct, and agree t complywith all istheapplicanYsresponsi6ility assumssl liability §n p rig - ah operational and maintenance activities to the §cilities constructed under this pemi ,pvffhjp,CIty pro ?an oMinances. It during iGs normal SIGNATURE OF PERMI7TEE 1102 CITY USE ONLY PERMIT #: -7 3 /` RECEIPT DATE: 5008 RESIDERTIlkL M£CRARIClEI. ?ERM1T APPLIClkTIOA cmt oP Ensa?iv 3830 Pu.or xxoa gn $ElBRP M1Y 55122 661-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: '?'L7i y/17 Z SITE ADDRESS: OWNERNAME: L?St.?. cJC"j TELEPHONE#: 1??2?? INSTALLER NAME: ?I/ TELEPHONE #: STREET ADDRESS: CITY: & STATE: m/?] ZIP: SS/ Z Z Place a check mark next to the permit work type Addon, modification or alteration to existina dwelling unit $ 30.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: State Surchar e $ .50 Total $ :?p - SO SI ATURE OF P T E voz CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: EOOE COMMEItCIlkL MECEL4ftICALI. PEiiM1T ihPPLICATION CiTY OiT El46uekN 3$30 PILOT KftOB !iD 3:AHAN, Mft 551 ES 651-6$1-4675 Piease complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): PHONE #: - WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: TELEPHONE #: STATE: ZIP: WORK TPPE: New construcrion Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping SpecifyNature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plum6ing inspector. Fees: 1°/a of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contrac[price: $ x 1%= $ (Base Fee) State surchazge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 TUL-27-2020 14:42 cULlc HCMES MNaheck CCMFLIANCE REPQRT Minnasota Ennrgy Code MOheck 9ofCware Varsian 3.0 CQ+J:STY ; Dakata STATE: Mianesota ZDhE: 2 CON3TRVCTTDN TSiPE; Single Fatnily ?aA.x?E: 7-a7-2c?oo TJATE OF PZATSSC 1;125/00 T:TLR: oakbrooke StsrZir_g w_th Lookout CO3;PLIAItiCE: PIiSBES Reguired L7A = 532 Yaur Fiome . 903 14.2t Batc,er Thttr. Code P. 02/02 Pe_.it # Chec ced by Aate nrea or Cavity Cont. C3lazing/Door Perimater R-Vaius R-Value U-Value ...._-?-*I-?-[1-__...._._.._..---- - ------------- .__----_••__-------`-------^------ CIYISJ?llVVp 1-218 3E.0 0.0 Woad Frame, lb" O.C. 2673 1910 2.0 1 BSM7': Cona. 3.0' ht/8.3' bgi9.0' inaul 1447 11.0 0.0 aLAZ2'NG: Wi,ildpws oY Doore, Abqve Grade 402 0.350 1 nG:'SRd 38 0.350 F'7.UQN.S: bver puyside Air 48 38.0 0.0 HVAC EQ*JIpNlENi^: FL'Yri$ce. 92.0 F-rUE ----. " ------•------------------ " '-------••_---------...-----------------"- GC,MPLIILNCE STATEMEN'a : Tkte propoaed building deaign desct'ibed heTe is conei;ataraC wittz the }auildS.ng plane, spncificatibns, and other calculations aubmitted wi.th the perrit ap licaticn. 'rhe propoeea building has been d.eeiynec to sr?..t? •_ T? ` qff@i'j -c???NlinnesGta 3aargy Gode. 9uilder/nea DaCB T? ''OTRL F.t72 411?dtV oF eaqan Name• P? ie- /z..,, s o 4 //zif? 6r,o Date: Site Address: 4/089 04 k b roo 4 Aouo Tetephone #: &51 ? KSa -S?av Rim Joist Detail Options As outlined in the new Energy Code, buildings constructed with three units or less require that rim joists be put up according to detail options shown below. Please circlelhighlight the option you will be using. # 8 Other : b7 .'.? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL: L-e"I ?I ?Iz'ck: :3 C???".,-- DATE OF SURVEY: LATEST REVISION: ? rn c m v DOCUMENTSTANDARDS Y ? v O Z ¢ ?? ? • Registered Land Surveyor signature and company L9?,[7 ? • Building PertnitApplicant ? ? R / ? • Legal descnption ? ? / ? . Address ik' ? ? • North artow and scale f4/ ? ? ? • House type (rembler, walkout, split w/o, spli[ entry, lookout, etc.) ? ? • Directional drainage artows with slopelgradient °k ?? ? • Proposed/existing sewer and water services & invert elevation ? ? • Street name d/ ? ? • Driveway ? ? • Lot Square Footage ? 1 ? ? • Lot Coverage Q? ? ? • Benchmark ELEVATIONS Existinq ? ? ? • Sewer service (or Propased) ? O ? • Property comers ??/ ? . Top of cur6 at Ne driveway and property line eMensions ? ? • Elevations of any existing adjacent homes ? CY/ ? • Adequate footing depth of structures due to adjacent utility trenches ? Cu' ? • Waterways (pond, stream, etcJ Prooosed ? ? • Garage floor CY/ ? ? • Firstfloor [X? ? ? • Lowest exposed elevation (walkouUwindow) 10 ? • Property comers ??? • Front and rear af home at the foundation PONDING AREA (ff aoolicable) ? ? ? • Easement line ? [??' ? • N W L n ly ? • HWL ? d/ ? • Pond # designation ? ? • Emergency Overflow Elevation DIMENSIONS o? • Lot lineslBearings 8 dimensions V ? ? • Right-of-way and street width (to back of cur6) ?? . Proposed home dimensions including any praposed decks, overhangs greater than 2', porches, etc. / (i.e. all structures requiring pertnanent footings) C? ?? • Show all easements of record and any City ulilities wifhin those easements fa?/ ?? • Setbacks of proposed structure and sideyaM setback of adjacent existing sWdures m' ? ? • Retainingwallrequirements,'rfany Reviewed: ln,C7[ -?? G?n a? in -! S D/ Name //" /Date i, . I Surveyor's Certificate SURVEY FOR :PULTE HOMES DESCRIBED AS :Lot 9, 81ock 3, OAKBROOKE 5TH ADDIION, City of Eagan, Minnesota and reserving eosements of record. OGT 12 REC`D v` ? "? ?r> W% . I L"" .,? ..r,,.,c .„.rq -l T? "'ra?,-';??'? ? . . . . . . S A it':_ _.._ i ru LQn ?? . .VP;NYT_ ?S/LT 588'21'30W 139.23_ \ A? \ \ \ \\ ?? \\ ? \ o \ P? s \ # 18323 PROPOSED ELEVATfONS Top of Foundation = aqe,o e938.? 12?V \ °o J 2? p0 ? ? pe•s zzc s.s ? p??tocy 20o r ?w ?!I' 4 ? 9 P M1, W $ $ oo c,4 N ? ? 4? / / / ,t 9A4 V ? } \ qq?.o qaby0 ? ?A J ? ?O L 0 T SQ. FO 0 TA GE HSE SQ. F00 TA GE L 0T CO 1/ERA GE _ 7 ? i? = 13, 061 = 1, 720 13/CVO BENCHMARK, 7 Garage Floor =q97,(, Basement Floor =939.0 Aprox. Sewer Service =qat.•ot Proposed Elev. - ? MIN. SETBACK REQUIREMENTS Existing Elev. _ Drainage Directions = Front - House 5ide - Denotes Offset Stake =. SCALE: 1 Inch - 30 feet Rear - Garage Side- JOB N0: HEDLUND I MEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATON 01R-451 OF 7HE BOVNDARIES OF hiE ABOVE OESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERV1510N AND DOES NOT PURPORT TO BOOK: PAGE: PL,1NN/NG dNG1NSdRING SI1RV6)I1VC SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS HOWN. . 2003 Pin Oak Orive d 'c ,f? Eagan, MN 55122 DATE ?/f?L»r? ?' CAO FIIE: Phone: (651) 405-6600 . UNDGR , LA SURVEYOR Fax: (651) 405-8608 1 N 7A UCENSE NUMWR 14376 . Oakbrooke 5 City of Eap 3830 Pilot Knob Road Eagan MN 55122 Phone:(657) 6755675 Fax:(651)675-5694 --Fa-O-ifice ---Use ----------, ? PBRiilt fi . ? Permk Fee: ?O 1 ? j -Dffie Received?? ? . I ... . _ .... . . ? . . 1 ? Statf: I L________________' 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Dare: TenaM: RESIDENT/OWNER Name: Oncoy-u Njl(l_\A-?Phone:UIlJi' Zq"/" AV, ?YC-YLj `) Address / City / Zip: CONTRACTOR Name: ? I Afl- 4 nse#: ?. ?. . r, Address: < i ?\ Ciry:AY State:xy 1`?dip: Phone: Cl?-LI ?40 ?4ntact Person: TYPE OF WORK ?` New _ ReplacemeM _ Repair _ Rebuild _ Modify Space _ Wodc in R.O.W. Descri Uon of work: PERMR TYPE RESIDENTfAL Water Heater Water Softener Laxm Irrigation ,_Add Plumbirg Fxtures ? RPZ /_ PVB) I Main _?<_ Lower Level) Septic System _ Water Tumaround New _ Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Wffier Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (inciudes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (tnGudes $.50 Srate Surcharge) "Water Tumaround (add $165.00 it a 5/8" meter is required) $100.50 Septic System New ($70.00 per as buiR) (includes Counry fee and $.50 State Surcharge) $90.50 Fire RepBir (replace bumed out appliances, duclwork, etc.) (indudes $.50 Sffite Surcharge).... _ TOTAL FEES $ ? her eby ackrpwledge thffi th5 intormeUOn is complete arW accurste; (hat the work will be in conlomiance with the ord' and codes of the Ciry W Eagan; that 1 understand ihi5 is nol a pefmit, but only an application lor a pertnlt, and work is not [o start witM e at fhe work will he in tt acco ance with ttie approved pan in the case of work which requires a review and approvaofps. X ?J??ys--' Appli 's Printed Name An6ica 's Signature ? FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground _Rough-In Air Test _Gas Test _Fnal Site Address: City of Eapn - -or:---Ottice--Use ---------- ? F?// I j Permil #: ?PertnitFee:a1 /p ? DateReceived:AnI I ? I Stafl: ? - - - - - - - - - - - - 2009 RESIDENTIAL BUILDING PERMIT APPLICATION - - Date: Site Address: 7 o y I ()G? k 6 +'aaLe Q-- A ICO y-?- Tenant: Suite #: RESIDENTlOWNER c Name: a,6,]'?" Lt SG 4-da ? Phone: Address / City / Zip: 9 QK 7 LC, k 6 tirelL fl Applicant is: _ Owner +---contractor TYPE OF WORK Description of work: ?+ ?t r 5 l-? ?c9c?r l-el? F?,.?, ?v 2vv'^. H a n2?'+ 6 4?`. ? Construction Cost:'?m v(YO Multi-Famiiy Building: (Yes _/ No L__? CONTRACTOR Name: 6rn?- ,OSc"'i? ?-t7, s7 . License #: Z O/3 % Z 11 Address: ?? ? _ 4 l?. State: ? Zip: . S YO z. cty: Im-- L Pr ? Phone: (P/ ?_ Zyz, li r7 ? ContaclPerson: ?'4..t/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILbING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Resitlential Venlilation Category 1 Worksheet • New Energy Code Workshaet C8t890fy Submitted Submittetl (4 submission type) • Energy Envelope Calculations Su6mittetl 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 ot master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: NOTE: Plans and supportMg documents that you submit are considered to be public information. Port/ons of the information may be classified as non-pubUc if you provide specific reasons thaf would permit the City to conclude that tlre are trade secrets. I hereby acknowledge that this iMormation is complete and acwrate; that the work will be in conformance with the ordinances and codes oi the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to stan without a pertnit; Ihat the work will be in accordance with the approved plan in the case of work which requires a review antl approval of plans. X /'+ l tiUi .L'l & /I 5 ?'C/QtnJ App icant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LtNE SUB TYPES Foundation Single Family MulTi 01 of Plex Accessory Building WORK TYPES New Addition _4Alteration _ Replace Valuation Plan Review (25%_ 100 % 41) Census Code # of Units # of Buildings Type of Construc[ion _ Fireplace _ Porch (3-Season) _ Storm Damage _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Deck Porch (Screen/Gazebo/Pergola) Exterior Atteration (Multi) ? Lower Level _ Pool _ Miscellaneous _ Interior Improvement Move Building _ Fire Repair ^ Repair _ Siding Reroaf _ Windows _ Egress Window Demolish Building' Demolish Interior Demolish Foundation Water Damage 'Demolition of entire building -give PCA handout to applicant Occupancy 'fft?,t Code Edition vtttl? Zoning Stories Square Feet Length W idth _ Foatings (New Building) Footings (Deck) _ Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final ? Framing Fireplace: _Rough In _Air Test _Final ?C Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL MCES System SAC llnits City Water Booster Pump PRV Fire Sprinklers _ Sheetrock Final / C.O. Required ? Final / No C.O. Required ? HVAC Other: Pool: _Footings _Air/Gas Tests _Final _ Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspecior PERMIT# ? I --) ` ?5-1 REGEIPT DATE: 2002 UUSIDENTiAL PLUN1$INfi PER4ITT APPL1CATION crrY oe EAstkx 8830 PILOT KNOB RD E,ase?x,MN 55122 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: __ qV Oq DwkbrDo-eJ ?41CoVc-? OWNER NAME: : l Jt??UL.[iU ? ?? Sw TELEPHONE #: ? ?501 q`1 7(JCI/3 (AREA CODE) INSTALLER NAME: STREETADDRESS: `V O lrb 2-01105 ib YVl F, IA,Wtloi vl? C'yGtr'FiGld ?? lvll ae- TELEPHONE #: b IZ' 9 2-7 "' 4f 033 SO(ti,-14'1 (4RcACODE) CITY: 1V1p IS, STATE: M? Zip: 5540$ _ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) includes $40.00 County fee Note: Additional consultant fees may apply $ 100.00 • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: $ 50.00 _ RPZ: new installation/repair/rebuild ? lawn irrigation system ? $ 30.00 ReplacemenUadditional: _ watersoftener _ waterheater $ 15.00 State Surcharge $ 50 f? ? ? ? ? Total SO D ?s I hereby acknowiedge that I have read this application, state lhat the informalion is correct, and agree lo com I ith ali app ica6le City of E ordinances. It is the applicanPs responsibility to notify the pmper[y owner that the City of Eagan assumes no liability for a ma9es caused by the Cit ing ils normal operatlonal and maintenance activities to ihe facililies constructed under this permitwilhin City propertylrig t-of-wayleasemenl. SIGf7A7URE UF PERMITfEE 1102 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131976 Date Issued:07/17/2015 Permit Category:ePermit Site Address: 4089 Oakbrooke Alcove Lot:9 Block: 3 Addition: Oakbrooke 5th PID:10-53764-03-090 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 - Paul H Standal 4089 Oakbrooke Alcove Eagan MN 55122 (651) 368-4062 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature City of Elan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL 0 7 2016 r Use BLUE or BLACK Ink For Ofhce Use Penni #: Perm Fee: Date Received: Stat L 2016 RESIDENTIAL PLUMBING PERMIT APPUCATION Date: -1. 1N1 Site Address: 4 o 8 cl ©ct k ado I A.eecw- Tenmit Suite #: Name: PCLUA ciLLc.X Phone: US -9°14 8 63 Ad&ess/City /Zip: 14Ok°ICa kindA-ecew-U i NEN Sstaa Name: 0.A144. c uu License #: it Lig ar7 we." Resident/Owner Contractor Type of Work Permit Type Address: 44.0 N evil ii lit? city: State: W1 zip: 5404 to Phone: r 1 t 5= ' to --8 W-1 e v , uQ C? a -f ) Aries Contact S I M Email: New Replacement _ Rept* _ Rebuild Modify Space Work in R.O.W. Description of work: a/ft-V i WaTii ,(Y)P-t eA/LiV RESIDENTIAL Water Heater Water Softener Lawn irrigation ( RPZ / PVB) SepticSystem Add Pluming Fixtures ( Main t _ Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (indudes State Surcharge) $6000 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System! Abandonment, Water Turnaround` (includes State Surcharge) 'Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ (j�O 0-z) CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground unifies_ 1 hereby sedge that this itorrnidion is complete and accurate; that the work wit be r. conformance with the ordinances and codes dim City of Eagan; that 1 understand this is not a permit, bin only an aeon for a pennit, and work is not to start *dhoti a pen* that the work win be in accordimce weih the approved plan in the case of work which requires a review and approval of plane. X JIM Se o6E R, Applicants Printed Naas' X Applica 5e,14--ale4 co re FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: