1662 Oakbrooke CirAddteSS 1662 Oakbrooke Cir Zip 5512_2
Lot 9 Blk 5 Sub Oakbrooke 4th Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ()_23_00 Yes No Inspector:
Final grade (6" from siding) -Ir
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas X
Sod/Seeded grass
TtaiUcurb daznage
Porch ?
Basement finish x
Deck
Please verify wit6 the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the autside jawn faucet before freeze potential exists.
Contaq engineering division at 681-4645 beforc working in righbof-way or installing underground sprinkler system. ?
W6ite - City Copy Yellow - Resident Copy Pink - Contractor Copy
Siteaddress: A6? C, IC-Ie.- Lotk- Blotk ? Subd 0AMObl?e ?LA
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
submittetl prior to issuance of a Certificate of Occupancy.
_ This sUucture: is constructed to meet minimum requirementsof the Mn Energy Cotle, Chapter 7670
? ` OR
v This sWCNre: will be wnstructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater V Aam" ?
le ?
Fumace 2SO ?f 036'O bp S U00 Pr C?-f`
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MOUEL
CFM's VENTED
YES r+o
Kitchen kitchen
Bathroom t ? Bpyok S' FO "U KO ?
Bathroom 2
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BN'S VENTING
DIREGT airnos
6000 T 2om ?
I hereby acknowledge that the above informaUon is cortecf and agree to comply with the Minnesota Eneigy Cotle and Ciry of Eagan
requiremenfs.
e4
Sigp?tu?e Date
NU ?C. ?o Yqg-?? _
CompanyName
This form is the responsibility of the General Contractor.
`? ?l1,l?Cd
L 9 BL CITYUSEONLY RECEIPT#: ?? "? D
SUBD. I/W[ I V r ?(? Y lAi 1?? RECEIPT DATE: /-I']'Q D
PERMIT# `I r 73 3
2000 PLU2+IDING PERMIT (RESIDENTIAL)
CITY OF EAGAN r
3830 PILOT ICNOH RD
EAGAN, tM7 55122
651-661-4675
\l /,1
Please complete for: D single family dwellings
D townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations ta existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x a = $
Floordrain 3.00 x = $ :
G8S I In 011t18t ' minimum - 1 3.00 X = $ ? ?
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $ -
Laund tra 3.00 x $ -
Lavatory 3.00 x = $ -
Septic System newlrefur6ished • requires MPC lia. 75.00 % _ $
Septic S stem a6andonment 30.00 x = $
RPZ new installatioNrepairlrebuild 30.00 x = $
Rough opening 1.50 x 3 = $ ,
Shower 3.00 x I = $
Underground sprinkler if dweliing is under conshuction 3.00 x = $
Underground sprinkler 'rfexisting dwelling 30.00 x = $
Water closet 3.00 x = $
Waterheater 3.00 x I = $
Water softener if dwelling under construction 5.00 x = $
Water softener If existing dwelling 30.00 x = $
Waterturnaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
TOt81 -> -> -> --? $ SO . ° ?
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
•-• --- • --------- • ----------------------------------------------------------------------------------------------------------- • ------------ •-
hereby adcnowledge that I heve read this applicatian, shate U?at tha information is mrtect, and agree to comply with all appliceble Cily of Eagan ordinances.
Il Is lhe applicenPs responsibility to notify the property owner that the City of Eagan assumes no liability for eny damages cauud by the City during ks
normal operetlonal antl maintenance activi[ies to the facilities construded under this peimit wRhin City properiyMght-of-wayleasement.
SITE ADDRESS
OWNER NAME: :
INSTALLER NAME:
STREET ADDRES:
cim r /Tdf
TELEPHONE #:
(AREA CODE) ZIP:a ._.-?
SIGNATURE OF PERMITTEE
C,?TY USE ONLY
L '
SUBD. .BL k?p 1)RECEIPT #: 1 J c] ? I l?
RECEIPTDATE:
PERMIT# L a l?
2000 PLUMSING PERMIT (RESIDENTIAL)
CITY OE EAGAN
3830 PIIAT tIN08 RD
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflaw preventer for underground sprinkler system
GI]l7'IIDCc
FACH 1i
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet * minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurbished "requfres M17PC Iic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new instailation/repaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler rfexistingdwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $ -
Waterturnaround 30.00 x $
State Surcharge
rotal .50
_> --> --> -> $ .50
Reminder: Gall for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------------?----------------------------------._....--•------------------------°------------ --?--••---------------
I hereby adcnowledge tha11 have read thls application, state that the 1nFarmation is cortect, and ag2e to eomply with all applicable City of Eagan ardinanoes.
It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused py the City during iGs
normal operetional and maintenance activities to the faciliHes constructed under this pertnit within City propertyinght-of-way/easement.
i „ i ., ..
SITEADDRESS: 1 W I7.1- "G?1"%U17VA U?% -
OWNER NAME: : __I il.& /'f'L-YK?- _
INSTALLER NAME;
STREET ADDRESS:
CITY:
TELEPHONE
(AREA CODE)
TELEPHONE #: 6 (2- ?-,-3 L/ 6
(AREA CODE)
ZIP: ?
OF PERMITTEE
Cl'1'Y USE ONLY
LOT I BL ?
SUBD. U a kb roo ke? 1-? .-- _
PERMIT #: 4 ? I I o
RFcEirT #: 1'7154'W ?
RECEIPT DATE: g-?' O U
2000 M£CHANICihL PERMIT (RESIDENTIAL)
crrY oF EAsM
3830 Puor xaos Rn
En?snx M?u 55122
p 651-6$1-4675
Date: 0?7 /O O
Complete this section onlv if you are installing HVAC in a single-family dwelling, townhome or condo under
construction and not owner/occupied.
4
• HVAC: 0-100 M B T U
ADDTI'IONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
3 00
State Surcharge .50
Total $ 3g c
Complete this section onlv if you are remodelinQ, addinp, to, or replacinp an existing single-family dwelling,
rownhome, or condo. Please indicate if it is a new item, alteration, or replacement.
_ New _ Replacement _ Other
Fumace
Air exchanger
Remirider: Call for final inspeclion.
SITE ADDRESS
OWNER NAME:
INSTALLER NAMS
STREET ADDRESS:
CITY:
_ Air conditioning
? Other
Fee $ 30.00
State Surcharge 50
Total $ 30.50
?. , CirolfJ
PHONE #: k-l - c5--adU
(AREA CODL)
? PHONE #: 9So1 - ?-9 ? dPXJ?S`
STATE: //'? h ZIP: 6`S a3 7a
SIGNATURE OF PERMITT E
CITY USE ONLY i'
L BL PERMIT#: ?
-
SUBD. RECEIPT#:
APPROVED BY: , INSPECTOR RECEIPT DATE:
2000 hI£CHiRNICAL PE[ZM1T (C0141141EiCIAW
CITY OF £AfiiAN
8$30 PILOT KNOB ftD
EAeAx,lauv 55 i 22
651 -6$1-4s75
,
Piease complete for: all commercial/industrial buildings
multi-family bUildings when separate permits are not required forI each dwelling unit
DATE: ?
Ij
WORK TYPE: _ New construction Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping '
When ixstalling/removing undergrouiid tank, call 651-681-4675 for inspection 8y fre nrarshal and
plun:bing irispector. I
Description of work:
Fees: 1°/a of contract price OR $30.00 minimum fee, whichever is greater. ° .
Underground tank removaVinstallation = minimum fee
Conhact price: $ x 1% _$ (Base Fee)
State sarcharge calculate at $.50 for eacfi $1,000 Base Fee
TOTAL $ I
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
PHONE #:
(AR6A WDH)
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CIT'Y:
PHONE#: -
(AREA CODG)
STATE:
SIGNAT'URE OF PERMITTEE
;
CLAIM VOUCHER - REFUND REQUEST
, CTTY OF EAGAN
MAKE CHECK PAYABLE TO: Valley Plumbing
ADDRESS: 860 Quaker Ave. Jordan, MN 55352
LOCATION: 1662 Oakbrooke Cir P.I.D./LEGAL`I.t BI S Oakbrooke 4th
RECEIPT #/DATE: #135547 8/8100 VALUATION: 34.50 --'
REASON FOR REFUND: Duplicate Permit Issued PERMIT #: 42142
TYPE OF REFUND:
Electrical Pemut
Plumbing Permit
Mechanical Permit
Building Pecmit Fee
Plan Review Fee
SAC (MC/WS)
SAC (City)
SAC (Admin)
Water Connec6on
Sewer Peanit
Water Pemilt
Account Deposit
Wa[er Meter
Water Treatment
Surchazge
Urility Acct Ovetpayment
Curb Box Deposit Refund
Construction Meter Dep Refund
W ater Usage Chazge
Other
3211-9001 $
3212-9001 $34.50
3213-9001 $
3210-9001 $
3422-9001 $
2275-9220 $
3866-9379 $
3446-9001 $
3865-9220 $
3743-9220 $
3713-9220 $
2252-9220 $
3716-9220 $
3868-9220 $
2155-9001 $
2250-9220 $
2253-9220 $
2254-9220 $
3711-9220 $
$
TOTAL $34.50
I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
SI ATURE -
c6
C????'I)C)
DATE
BL U ? CITY USE ONLY
SUBD. OA brOO1?e.' ?{ ?'?
RECEIPT #:
RECEIPT DATE: e5-
PERMIT #
2000 PLUt+BING PERMIT (RESIDENTIAL)
CITY OE EAGAN
3830 PII.OT KNOB RD
EAGAx, tat 55122 ?j
651-681-4675
Please comple for: ? single family dwellings ?
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
EACH / !1
21??
Cokfl:?'?
? TOTAL
Alterations to existing dwelling minimum fee
Describe: $ 30.00
Baih tub ? 3. x = $ ?
Floor drain . 0 x = $
Gas piping outlet ' minimum - 1 00 x = $ ?
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $ -
Laundry tra 3.00 x = $
Lavatory 3.OD x = $
Septic System new/refurbislred • requires Mrc i 75.00 x = $
SeptiC System abandonment 30.00 x = $
RPZ naw installationlrepaiurebuild 30.00 X = $
Rough opening 1.50 x = $ ,
Shower 3.00 x = $ ?
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler rfexisting dwelling .00 x = $
Water closet 3. x = $ '"
Water heater 3.0 x = $ ?
Water softener ff dwelling under construc' n 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water tumaround 30.00 $
State Surcharge .50 --> -> -> $ .50
Total
Reminder: Cail for inspections of alrkrations, i.e. water heaters, water softeAers, etc.
-- --- ----- - ------ --- --
I hereby adcnoxrledge that I have 2zd this appliptio sfate that the iMortnadon is corteG, and agree to compy wRh all It is the applipnYs responsibility to notiTy the pro rty owner that the City of Eagan assumes no Iiabiliry for any dan
normal operetional and meintenance activities to e facildies construded under this permit within City propertylright-
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
cirY:
--------------------
of Eagsn ordinences.
by the Cky during ks
TELEPHONE #:
(AREA CODE)
E #:
STATE: ZIP:
SIGNATURE OF PERMITTEE
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: Valley Plumbing
ADDRESS: 860 Quaker Ave. Jordan, MN 55352
LOCATION: 1662 Oakbrooke Cir P.I.D./LEGAL: Lt 9 Bl 5 Oakbrooke 4th
RECEIPT #/DAT'E: t1135547 8/8/00 VALUAT'ION: 34.50
REASON FOR REFUND: Duplicate Permit Issued PERMIT #: 42142
TYPE OF REFUND:
Electrical Peimit
Plu[nbing Pernrit
Mechanical Permit
Building Permit Fee
Plan Review Fee
SAC (MC/WS)
SAC (City)
SAC (Admin)
Water Connection
Sewer Permit
Water Permit
Account Deposit
Water Meter
Water Treahnent
Surcharge
Utility Acct Ovecpayment
Curb Box Deposit Refund
Construction Meter Dep Refund
Water Usage Charge
Other
3211-9001 $
3212-9001 $34.50
3213-9001
3210-9001
3422-9001 $
2275-9220 $
3866-9379 $
3446-9001
3865-9220
3743-9220
3713-9220
2252-9220
3716-9220
3868-9220
2155-9001
2250-9220
2253-9220
2254-9220
3711-9220
$
$
TOTAL $34.50
I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
0c) _
DATE
s -?-k-"j -'-1 '-I 1 9 ? `-f
2000 BUILDING PERMIT APPLICATION (RESIDEN7IAL)
cmr or eacnn
3830 PILOT KNOB RD - 55122
"?
e51-e81-4675
Haw CorWmcft, ReaW,ornw,?. C'? ?' /.?1 S! b ? 11+
> s"srer.a are wNers towu,o sa rt rn wt w. e. a nouw s copies a qan
aid ga roofed areos (1M6 ma)dmum bf coveraae cdbwedf f7 1 sS1 ot anerpy CoaWqMOnf tor hBaled additlam
D 2 coptes d plau (ahow bamn A window slzes: Pa+red hd tleslgn; eftJ 1 tlle wneY for exhdor atldMaft t tlecks
D 1 $e1 of ansryy cdculaXqn .
D 3 eaptes ot hae preservaHOn Dfm N fW PbKad mlar 711193
DATE: rIl I1/ J o CONSiRUCTtON COST: l9 Z20 _
?
DESCRIPTION OF WORK: e5761tn71 c, I
STREET ADoRESS: 16?a OAKRPm}C.j?-- LjyL-fe-
Lor: 9 sLocIC '-<? sueu./r.i.D. C 04UPIKE
Name: Phone M:
PROPERTY Lao Rnt
OWNER
Sfreef Addresa:
CMY State: Zlp:
Company. !'Uye- A„m, e`f VMl Lo?p Phone #: ?51 ?'Sa 3) To
' (area code)
CONTRACTOR
sheer nadreaa:l.3.sslla c %1n?`4 1?3 ,Qcf .sv,-Fc. 3a? uceme r )S) / Exp,
cny /? k-ndo11., A?ts srota: np; o
ARcxrTECri /1 n
ENGINEER Company: S'7 ?;? ? tl S A?/"? Name:
Telephone t: ( )
Sheet Addreaa: Reglstratbn t:
citY State: Zlp:
'4?? -??3)
3ewedwater licensed plumber (i/ installina saweNwater): Vh II ??PLU 711,133 h I G Phone #: ?I
I hereby xknowledpe lhat I have reod Ihh appikalbn. date ihat the iMomwrion fs carecf, and oyree b comply wilh oN app6cable Stafa
of Minneaota Slulutea and CHy o1 Eapan Ordinancea
Slpnahire of AppBcanY.
Certifiqtes of Survey Received ?
Tree Preservation Plan Received ,
OFFICE USE ONLY
Yes No
Yes No _. ? Not Required
JUL I 2
/?i6
OFFIGE USE ONLY
BU1LDiNG PERMIT SUBTYPES
0 01 Foundatfon p 07 Orrplex
02 SF Dweliing p 08 pg.plgx
O 03 01 of _ Plex O 09 07-plex
0 04 02-plex ? 10 08-plex
E3 05 03-plex ? .17 10-plex
O 06 04-plex , O 12 12-plex
WORK TYPE
)( 31 New
O 32 Addition
0 33 Alteration
O 34 Repair
O 13 16-plax O 21 Poroh (3-sea.) ? 31 Ext Alt - Muld
O 17 Garage O 22 Porch/Addn. (4sea.) p 33 Ext. Alt - SF
O 18 Deck p 23 Porch (screened) ? 36 Muld
E3 19 Lower Level O 24 Stortn Damage
qog Y or_ N O 25 Miscellaneous
0 20 Pool O' 30 Accessory Bidg. 0 36 Move Bidg.. O 43 Reroof
0 37 Demolish (Bidg)' 0 44 Siding
? 38 Demolish (Interior) O 45 Fire Repair
E3 42 Demolish (Foundation) O 46 Windows/Doors
" Give PCA handout to applicant for demollUon permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowabie) s?
UBC Occupancy
Zoning -P-Q-
# of Stories
Length
Width
Basement sq. tt.
Main level sq. ft.
2 ?N-) Q s9.ft.
/nA-n . sq. ft.
MISCELLAN EOU5INSPECTIONS
0 Stucco/Stone
APPROVAL3
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SiW Permit
S/W Surcharge
Treatment PI.
Park Ded.
rraiig Ded.
Other
Copies
Total:
Building
7 i
?
?
sq. ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinkiered
? Engineering Variance
Valuation: $ i oLFo
G ?
,
?.--? s
y/ l S? = ??,• .? ?:.?
r, „ _ .,,.,? `• ,-
???- L"
?
. .? .. - .F _. ? w?
. ; .-, _. ., . _ . .'
7 (S ?'/? ? ) /,e;'vz)
1 ? ?1-2,54
`SAC Units
% SAC
nr i zruu
RECAP
,/Ob #: 0320-209-05
Addl'esS: 1662 Oakbrooke Circle
LegB(: Phase 2 lot 9 block 5
Comm: Oakbrooke SF
Owners: Ted and Dawn Daley
Phone #.- 651-292-8160
OAKBROOK SINGLE FAMILY O
Quantity Option Description
#
1 18052 BASE HOUSE
1 LOT PREMIUM
1 11012 FULL BASEMENT - WALK OUT
1 ?18039 ELEVATION-#4--\,
1 16000 CONCRETE PATIO
1 22015 THREE CAR GARAGE
1 `-22017- INSULATE 3 CAR GARAGE
1 19000 UPGRADE EXTERIOR DOOR
1 21021 GAS FIREPLACE - CER4MIC W/WOOD
1 25012 6 PANEL OAK MAIN FLOOR
1 26043 WOOD RAILING TO 2ND FLOOR
1 14007 15TCARPETPAD UPGRADE
1 14160 3RD CARPET UPGRADE
1 15081 CERAMIC TILE BATH #1
1 15082 CERAMIC TILE BATH #2
1 40009 LAMINATE FOYER AREA
1 40020 LAMINATE KITCHEN/DINETTE AREA
1 40022 LAMINATELAUNDRY
1 40028 LAMINATE BATH # 3
1 10055 SPACEMKR MICROWAVE
1 10087 UPGRADE RANGE SMOOTH TOP
1 28046 UPGRADE CABN'TS R'SD P'NL
1 28057 42 UPPERS - SQ RAISED PANEL
1 29006 CAST IRON KITCHEN SINK
1 36019 WATER LINE FUTURE ICEMAKER
1 13021 BRASS TRIM BATH
1 31017 LAUNDRY TUB SNGL COMPRTMNT
1 17002 FREEZERCIRCUIT
1 23007 3 TON AIR CONDITIONER
1 2$012 HUMIDIFIER
1 32023 SECURITY SYSTEM - BASMT
1 36038 WATER SOFTENER
1 35014 48EDROOM
1 19025 GARAGE SERVICE DOOR
1 99000 Additional 16' Deck Board
1
99000 MOVE DEN WALL BACK 1' INOT LAUNDRY
ROOM FOR FUTURE BOOKSHELF
MAR-lb-20d0 10:28
P J2-'L?
MNChack COMPLIANCE REBORT
Minnesota snergy Cods I Permic #
tlcheck Software VeYeiOn 3.0
ChECiced L^y/L'aC?
COGN'PY; Dakota
STAT3; Miririeaptll
ZDh'E : 2
CONBTRUCTION TYPE: Si=igle r^amily
DATE: 3-16-2000
DA'S'E OP' PL,A1Vg; 3/16/00
TITLE; F7LLKIFtK W/0 EL. #2
coMeLzANcE: PAssEs
Raquix'ed U11 = 508
Your Hame = 407
19.9ir Hatter Than Code
AY98 or Cavity Cont. G18zing/Dopr
Perimeter R-Value R-Va'ue u-V>lue
------------------------------ ^ ---------,----^---
--------------- - ------
CEILING9 1444 44.0 0.0
WALLS: Wood Frame, 16" O.C. 2327 19,0 2.0 1
WAI+LS: Wood Frame, 16'l O.C. 283 iQ.O 2.0
BSMT; Conc. 9.0' ht/8.31 bg/9.ot inaul 402 11.0 0.0
GLAZING: Windowe or poors, Above Grade 4e5 G 3?0 1
DOQR3 38 0.350
FLOORS: (7ver Unconditioncd Spaca 352 38.0 0,0
FNAG EQUIpMENT; Furnace, 92.0 AFUE
---- ----------------- -------------------------------------°- - ---° - -•--
COMPLIANCE gTATEI+ENT: The propoeed building desige described heYe is
conaiatent with the building plane, specifications, and other c,'culaLions
submittad with the permit applica*_ion_ Thc, propoaed building hakci.car.
designed to me e Miyzee)sota Energy Code.
Builder/Deei
l
Tii';;.. r. aG
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
? PROPERTYLEGAL: L-•r V .?'4/rm/l X?s r'DU.t'iz2noilc' 4f~ 4DD2'7-Z-01I
h OATE OF SURVEY: --??
?L LATEST REVISION:
?
C DOCUMENTSTANDARDS
0
Q 4 Q
Registered Land Surveyor signature and company
? • Building Permit Applicant
m/f ? : Legaldescnption
W-'. ? Address
? ? • North arrow and scale
?? : House type (rambler, walkout, split w/o, splR entry, lookout, etc.)
g e Directional drainage artows with slopdgrodieni °h
? ? • Proposedlexisting sewer and water services & invert eleva6on
yv o ? - Street name
r?? ? • Driveway
e- ? ? • Lot Square Footage
P/? ? • LotCoverage
ELEVATIONS
/ Exis4na
tr' fe' ? • Sewer service (or Proposed)
d?p? ? • Property comers
?? }? - Top of curb at the driveway
??? • Elevations of any existing adjacent homes
?zv'o Adequate footing depth of structures due to adjacent utility trenches
Prooosed
/
m' o ? ? Garage floor
da/ ? o • First floor
R/ ? ? • Lowest exposed elevatlon (walkouttwindow)
r?? ? • Property corners
[a? ?? • Front and rear of home at the foundation
PONDING AREA (rf aodicade)
? V/ ? • Easement line
? d? " ? . NWL
o dl' ? • HVUL
d d3/ o • Pond # designation
? d?-/ ? • Emergency Overflow Elevation
DIMENSIONS
?o ? • Lot 5nesl8earings & dimensions
k--,a ? • Right-of-way and street width (to back of curb)
e" a? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sVuctures requiring permanent footlngs)
ta?'o ? - Show all easements of record and any Cily utilfies within those easemenfs
dv'? p • Sekbacks of proposed structure and sideyard setback of adjacent mxrsting structures
a?? • Retaining wall requirements, 'rf any
Reviewed:
Name
March 1998
CRAr?BIOGPRMR.FM
Surv e y o r's
Certificate
SURVEY FOR :PULre
DESCRIBED AS ' Lot 9, Block 5, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota
' County, Minnesota and reserving eosements of record.
?
RQ (? ?$
?.
.
Date Cx ]?EPT. ;
EAGAIV EIVGIIVEERTN ?
DAK?3RODK?'
(6?IRCI??S?
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Plon f/ 18052
PROPOSED ELEVATIONS
Top of Foundation = 454,0
Goroge Floor = 953.b
Bosement Fioor =q45.0
Aprox. 5ewer Service = qao.'Tt
Proposed Elev. _ C:?:D
Existing Elev.
Droinage Directions -
Denotes Offset Stoke = .
r
o1r
-
c0fa9e
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S
__=_ _ _ _ -- - ::--'1-71
N84'10'31"E 220.10
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I -.,.Uv 9a4_3 ? I
49,5 ?
Propo9etl ? -SrLp l ?
9; Story o ^' ?
i Pew w??' N ?ltlCi?- ?r
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26.00 943.9
O
? 493.(u 1 j?
p)ss \\; i.
?\ I
F ? !
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L0T SQ. F00TAGE = 25,841
?.? HSE. SQ. FDO TA GE = 1,819 LOT COVERAGE = 71'o q43.0
?
?o?o Vo ???.SlYJN?M?D
REC????0 Mv
?J
SCALE: 1 inch e 30 leet
BENCHMARK,
MIN. SETBACK REQUIREMENTS
Front-25 House Side -
Reor -i5 Garage Side -
I HEREBY CERTIPY THAT THIS IS A TRUE ANO CORRECT REPRESENTATION JOB N0:
HE?L??? OF THE 80UNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED OOR-219
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. BOOK: PaCE:
PLANN/NC 6NCIN66R/NC SURVIi'Y/NC
2005 Pin Ook Drive / &a4n??
Eogon, MN 55122 DATE !?? / Zbl? • CAO FILE:
Phone: (651) 405-6600 F Y D. LINOCREN, ?ND SURVEYOR QAKBROOKE
Fox :(651) 405-6606 _? d? MI ESOTA LICENSE N MBER 14376
WWINS
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
ciTV oF eac,vN
3830 PILOT KNOB RD • 55122
651-681-4675
New ConatnrcNOn Reaulremenh
.7,?g _oc)
n S reg? red sifa suneys ahowing sq. ft. ot lot, aq. R. of house ?. I ? U
?
antl I roofed areas f29X maximum loi coveraae allowed) Ci ?
? 2 coples ot plans (show beam & window sizes; poured fitl. design; etc.) '
D 1 set of energy calculations
? 3 copies of hee presenalion plan If bt ptanetl alfer 7/1/93
171)-
Remodel/Reoair Reaulremenh
?60- 50
Calted 11211?
2 copies of plan
1 set ol energy calculaHOna (or heatetl addlflor?a
1 alfe wrvey for eMerior atldiflons & tlecks
DA7E: I ? u CONSTRUCTION GOST:
DESCRIPTION OF WORK: i"i Yl )6?Pd ??u5?'Phea'? )( mulfi-(amily bidg., how many units9
STREET ADDRESS: I66 a 0
Ciy
LOT: 9 BLOCK: ':?' SUBD./P.I.D. 0: (MI(Dhotr ?A
Name: Phone i:
PROPERN uw Firsf
OWNER
Sheet
cl ?-
Sfate:
Zip:
Company: AAC-Av-sWXV (ornor,aa: ?g-/ o-D
COMRACTOR (area code) ?
SheefAddress: I.?r?) j!F)TI.D(7V H"e IId uoanse a 2 ) e?/ v2aaoo1
ciy /9PM()e14 &S state:.1(0 zjp: SVIa
ENGIN ER ARCHITECT/
Company: -!?4A J= ?.S 4,9O Vr- Name:
Telephone #: ( )
Sheet Address: Regishafion #:
CMy
State:
Zlp:
sewedwater ltcensed plumber (it instantng sewertwater): ?14I1f?PLIIUW Phone #: (4-1-2 )21-9Z'.)4 ZI
I hereby acknowledge that I have read this application, sfate fhat the intormation k cortect, and agree to compy wHh ag app6cable Sfafe
of Minnesota Stalutes and City of Eagan Ordfnances. Signature of APPllcant: ?.fMM1'I a?laal?.e.? 6 ?Z- 3 6 G-J ?Z)
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No JUL 2 1
Tree Preservation Plan Received _ Yes _ No _ Not Required ?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation 0 07 OS-plex ? 13 16plex 0 21 Porch (3-sea.)
O 02 SF Dwelling p OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex O 18 Deck ? 23 Poroh (screened)
O 04 02-piex ? 10 OS-piex JK 19 Lower Level ? 24 Storm Damage
0 05 03-plex ? 17 10-plex PlbgkYor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool 0 30 ' Accessory Bldg.
WORK TYPE
111f 31 New ? 36 Move Bldg. O 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) '? 45 Fire Repair
O 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 0/
No. of Units 0
No. of Buildings Z
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City water
Booster Pump
PRV
Fire Sprinklered
Building _flla Engineering Variance
Valuation: $ ap°
? 31 Ext. Alt - MuHi
O 33 Ext. Alt - SF
? 36 MutU
SAC Units
% SAC
! ,
__ _ _ _ _ _ _ _ _ _ ' - _ _ _ _l
? For Olfice Uae I
j Pertrid#:
I ?
? PannftFw: ?5 . ?
? Date Recerved: i
I ?
? Staft: ?
- ----
2009 RESIDENTIAL BUILDING PERMIT APPLICA710N ??I
DaM: -I '-L C-c- O? Site Address:
Tenant: Suite #:
Pnone: 01 -z`s39
? 04
Ie
'th'QD(jJe? 4- p5
•
RESIDENTlOWNER .
.
?_
Nama:
I
Address/City /Zip: /t?2 -?6/22-
Applicant is: _ Owner X Contractor
TYPE OF WORK Descriptionofvrork: ) 'S-tzD+^y
Construction Cost C6 ? o p n'p p Multi-Family Building: (Yes _/ No A-)
CONTRACTOR Name: - a v)' 4 e't 4 c41S?? P'+C, License#: 2- OZ62b2Z
Address: 21716
?^4 tC< ?? ??j-` ?
Zip: ??' S ? T ?{
State: ?
.
_
.
City:
Phone: 2^ tf L 9' 3 Z 22. CoMad Person: 131 L",
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEUU BUIIDING
Minnesota Rules 7670 Cateaory 1 Minnesota Rules 7672
Energy Code . Residerfial VentiFation Category 1 Worksheei • New Enengy Code Workeheet
CBLCgOry Su6mitted Submitted
(4 submisslon type) • Energy Envebpe CalculafiGwis Submitled
!n Me fast 12 months, has the Cityof Eagan issued a permitfor a similar plan based on a master plan?
_Yes _No It yes, daffi and address of masUer plan:
Licensed Plumber: Phone:
MechanicalContractor. Phone:
Sewer 8 Water Contractor: Phone:
NOTE: P/ans and supporting documents that you submit are considered to 6e puWic informa#on. Portions of
the irtformatron may be classified as non-public if you provide specffic reasorts that woufd permit the City to
condude that the are trade secrets.
I Feeby aclmoHiedge tliet tlia iMOrtnation is canGlete arW accuiate; that the work will be in confamsnce wilh the adirerwes and cades of ihe Cily of
Eagan; ttat I undemWM this is not a pertni[, but ordy an application for a pertnft, and work is not to start »ithait a pertn6; that the xork will be in
accordance wdh the aPPmveA plan in the case M work wluch requires a review ard aPDroval of plans,
x x?
ApplicanYs Prlnted Name ApplicanCs Signahrre
i-,
u I`?_ Page 1 of 3
I',,, Lil ?IJ
j
??? AFR 2,4 2009
- 166? ??acK<!-?, C14-
„
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundatim
_ Single Family
Multl
07 of Plex
Accessory Buflding
WORK TYPES
New
Additlon
--
_ AI[eradon
Replace
Retaining Wall
Flreplace Porch (3Season) _ Storm Damage
_ Garage _>CPorch (4Season) _ ExteriorAltendon (Single Family)
pock poreh (ScreenlGazebo/Pergola) _ ExteriorAlteratlon (Multl)
Lower Level Pool _ Miscellaneous
Interiorimprovement _ 3iding _ Demolish Bullding•
Move Building _ Re?oof _ Demdish IMerlor
Fire Repair _ Windows _ Demolish Founda8on
Repair _ Egress Window _ Water Damage
'Demolilion ot entfre 6uilding -give PCA handout to applicant
DESCRIPTION ?
0 zo
? '9
Valuation _
_
Plan Review
(25%100°k*)
Census Code
# of Units
# of Buildings
7ype of ConsUuction ?
Oxupancy 1, / U& :Y MCES System
Code Edition SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Sprinklers
Width
REQUIRED INSPECTIONS
Footings (New Building)
? Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice 8 Water Final
? Framing
Fireplace: _Rough In _Air Test _Final
? Insulation
Meter Size:
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
Copies
Shcetrock
Final / C.O. Required
Final 1 No C.O. Required
_?c HVAC
Other:
Pool: _Footings _AirlGas Tests _Final
_ Siding: _Stucco Lath _Stone Lath _Brick
W indows
Retaining Wall
Erosion Control
Building Inspector
TOTAL
fr ?pq
(G/ 06
ST??
7 uto =?0 y ls?i', y7 = 5P), lD
?l C1 oyv,) ??.._
Pa?`fg?( T "?,f?
!
REScheck Software Version 4.2.1
Compliance Certificate
Project Title: Two Story Room Addition
Enefgy Code:
Location:
ConsWction Type:
Glazing Area Percenmge:
Heating Degree Days:
Construction Site:
1662 Oakluoolce Circle
Eagan, MN 55172
OwaedAgent:
Ted & Pewn Daley
1662 Oakbrodce Cirole
Eagan, MN 55122
651-686-2839
DesigneNContractor.
Bart Ikens
David SchwEich Construdion Inc.
21776 Kenrick Ave
Lakevllle, MN 55044
952489-3222
barl@tlavidschwelclrconsVUCtbn.com
Ceiling t: Flat Ceiling or Scissor Truss 300 44.0 0.0 8
Wall t: Wood Frame. 16° o.c. 800 19.0 0.0 29
WirMow 1: Other 137 0.300 41
WiMOw2:Other 30 0290 9
Wintlav 3:Other 50 0.3W 15
Door 1: Glass BO 0290 23
Door 2: Glass 20 0290 6
Floor 1: Slab-On-Grade:Unbeated 47 10.0 32
Insulation depih: 3.5'
Fumace 1: Forced Fbi Air 92 AFUE
Air Conditianer 1: Elec6ic Gentral Air 73 SEER
CompNarrce Statement: The proposed building design described here is consislent with the building plans, specifications, and oMer
calculations submKted with the permit application. The DroPased 6uilding has 6een designed to meet ihe 2000 fECC requirements in
REScheck Version 42.1 and to comply with the mandatory requirements listed in the REScAeck Inspeclion Checklisl.
' ? ? h??_ ,??'•- '? _?r---__f.l/,???---- L? ?aU - U y
Name - Title Signature Da/e
2000 iecc
Greensboro, North Carolina
Single Family
40%
3865
Project TiUe: Two Stvey Room Addition Report date: 04120I09
Data fllename: Untitletl.rclc Page 1 of 1
Complianca: 22.0Ys Better Thae Gode Maximum UA: 209 Your UA: 183
C?J( REScheck Software Version 4.2.1
Inspection Checklist
Ceilings:
? Ceiling 1: Flat Ceiling or Scissor Truss, R44.0 caviry insulation
Commerrts:
Above-Grede Walis:
? wall t: Wood Frame, 16' o.c., R-19.0 caviry insulation
Comments:
Windows:
? Window 1: Other, U-Mclor: 0.300
Fw windows wilhoN labeled U-factors, desaibe feawres:
#Panes _ Frame Type Thertnal Break? - Yes - No
Canmmds:
? Window 2: ONer, U-factor: 0290
Fw windows without labeled U-factas, desaibe features:
#Panes _ Ffame Type Thernal BreaK? - Yes - No
Comrtients:
? Wmdow 3: Olher, U-faclor: 0.300
For wiMows withwrt labeleA U-lactas, describe features:
#Panes - Freme Type Thelmal Break? - Yas - No
Comments:
Doors:
? Uow 1: Glass, U-facbr. 0290
CanmeMs:
? Door 2: Glass, U-faclor. 0.290
Comments:
Floors:
? Floor 7: Slab-OMGrade:Unheafed, 3.5' i1reulation deptA, R-10.0 conunuoua inwletion
CommeMS:
Slab insulation w2ends down from the top of tha slab to at least 3.5 ft. OR down M at Ieast the boltom of the slab ihen horizontally for a
tofal disiance of 3.5 ft.
6cterior insulation has a rigid, opaque, weather-resisfant prolective covering Mat covers Me exposed (a6ove-grade) insulalion arM extentls
at least 6 in. below grade.
Heating and Cooling Equipment:
? Fwnace 1: Forced Hot Air: 92 AFUE or higher
Make and ModH Number.
? Air Conditioner i: Eledric CeMral Air: 13 SEER or hlgher
Make aiM Model Number.
Air Leakage:
Cj JoiMs, penetrations, and all other wch openings in ihe 6uildirg emrelope that are sources W afr leakege are ?lad.
C) Recessed IigMs are 1) Type IC rated, w 2) installed inaide an eppropriate aio-tight assembly with a 0.5' clearance from com6ustible
materials. H non-IC rated, fuctures are instaped with a 3' clearance Trom insula0on.
Vapor Retarder.
Project Title: Two Story Room Addition Repon dafe: 0920/09
Data fileneme: Untitled.rdc Page 2 of 4
Li Instelled on the warm-in-winter side ot ali norr-venteq fiamed ceilings, walis, and floors.
Materials IdeMification:
Ej Malerials aM equipment are instelled in accotdance with the manufacturets inslallalion instructions.
L] Meterials arM equryment are idenUfied so that compliexe can be detertnirred. Li Manu(actwer manuals fw all installed heaNng arM cooling equipment and service water heeting equipmeM have been provide0.
? Insulalion R-values, glazing U-fadors, and heating equipment elfdency are deary marked on ihe build'mg phans w speciAcations.
u Insulalion is installed according to manufaclurer's instruGions, in subsfaMlal contact with the surtace being insuleted, and in a manner
that achieves the ratetl R-value willioW compressing the ireulation.
Duet Insulation:
C] Duds in uncaWiBwied spaces are insuWted W ffi least R5. Ducts outside ihe build"vg are insulated to at Ieau R-6.5.
Duct Constnictbn:
? All joints, seams, and connections are securety faslerred with weMs, geskels, maslics (adhesives), mastic-pWsembedded-habric, or
tapes. Tapes arM mas6cs are rated UL 181 A or UL 181 B.
Exceptions:
Continuously weMfld and bddng-type brgiWdlnal joints and seam5 on duds operatlrg at less tlian 2 in. w.g. (500 Pa).
? TAe HVAC syslem provides a means for balancirg air and water systems.
Temperature Controls:
Lj Thermostats exist for each separate HVAC system. A manual a automatic means to parfielly restrict or shut off the heafing and/or
cooling input to each zone or floor is provided.
Service Water Heating:
Lj Water heaters wilA vertical pipe risers have a heat trap on bMh ihe inlet and oullet unless the water heatfler h8s an integral heat trap or
is part of a arculaNrg system.
C] Circulallrg hot water pipes are insulated to Me levels in Table t.
CirculaUng Hot WaEer Systems:
U Clrculafing hM water pipes are insulated to Ne levels in Table 1.
Swimming Pools:
C] All heated swimming pools have an oNofF heater swilch arM a cover unless over 20% of the healing energy is trom rwn-depleta6le
sources. Pool pumps have a time dodc.
Heating and Cooling Piping Insuhitlon:
E) HVAC piping conveying fluids aDOVe 105 degrees F or dulled fluids belov 55 degrees F are insula[ed to the levels in Teble 2.
Project Title: Two Story Room Additian Report date: 04J20l09
Data fliename: Untitled.rcic Page 3 of 4
Table 1: Minimum Insufation Thickrress for Circuladng Hot Wairer Pipes
Imulation Thiekness in Inchas by Plpe Sims -
Non-Circulating Runouts CBCUlating Malns and Runouts
Heated Water Up to 1' Up to 125' i.S M 2.0' Over Y
Tempereture ('F)
170-160 0.5 7.0 1.5 2.0
14G-169 0.5 0.5 1.0 1.5
106-139 0.5 0.5 0.5 1.0
Table 2: Minimum insulation Tbickness for HVAC Pipes
Fluid Temp Insulffiion Thlekness In Inches by Pipa 3lzes
.
Pipiny7 System Types Rarmaf°Fl 2' Rurrouts 1' and Less 125' M 2.0" 2.5' to 4'
Heatlng 8ystems
LowPressure/TempereWre 201-250 1.0 1.5 1.5 2.0
Low 7emperature 120.200 0.5 1.0 1.0 7.5
Steam Condensate (tor feed water) My 1.0 1.0 115 2.0
Cooling Syatsma
Chilled Water, Re/rigereM and 40-55 0.5 0.5 0.75 1.0
Brine Below 40 1.0 1.0 7.5 1.5
NOTES TO FlELD: (BU'dding Department Use Only)
Project TiNe! 7wo Story Room Addition Report date: 04120/09
Data fllename: Untitled.rck Page 4 of 4
I
I SURVEY FOR :ruuc
DESCRIBED AS : ?°ountY•BYIr?n?NtOVAN?Bd00k??? .?uni.?n1: oW.:m.Ea'aa. Dotoio
Surv e y or's
Certificate
-ma
aio? 1 +eosx
PROPOSEO ELEVATIONS
Top of Foundation . pNa
Goroqe Fioor a q63.?
Basament Floor =q4ac
AOroa. Sawer SBMCe n q4oas
Propoasd Elar, .. ?
Exletfnq Eiev. .-
Dralnage Girectipna --
Oenotes Of(set Stake = •
i
? ST`?'''-/ ?''•f'???
?,.
l y `ym'
Lor so. FooracE 7A,8ai
HSE. S0. FOOTAGE = 1,819 7X/'t;' `
LOT COVERAGE = 77o
r
i
?
?
i
?
i
,
,
,
,
1 p
1 Q
1
? ry
? 3
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S?S?QTZ
BENCHMARK,
Min, SET9ACK ftEOUiREMENiS
FroM-75 Houae Slae -
w" i tiw , w r.n Rear -» Garaqe 51ae -
I M[REBT C7,1{11(T TIIA7 d15 iL A SNUC ANO CORRCCi RFPRFSCrt1A}IOM
HEDLU/VD a1111 BWNC/alES Vf TK ABOK O[SGIB[0 PRpPERTT AS SURYCKD
BT M[ OR IlHOEA 4Y pmECf SLPCRN90N AHO ORS NOT VtIPPDRi TD
SNOW 111PROKYEr+fs M CNCRMMMdTS, C%4PT /5 SNDYM.
PLN'N/NO LNGMPlMNO SYRYlWNC
2000 PI1 Oot AM
Ca wtG -/u7/QO
L.W. uw 53171 v n ?wnroru
Pnmc [0311 Mn-uoo ••",••'"••
£0iC0'd LZLS ZS7 iS9 S3WOH 31'lfld~
pOft-ItS
85:ZL L00Z-56-boti
.. . D r ?
Abh ? ? M E IJ i F?or?;use ---------i
? ? ?, 2009 ? ?
Clty of Eaiftc)n A?N ; Pernnit#
I Permd Fee: ??' ?v I
3830 Pilot Knob Road
Eagan MN 55122 ? Date Received: j
Phone:(651)675-5675
Fax: (651) 675-5694 i Staff: i
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Le OQ.1` 6Y-LnlLfJ l.t t-A.x-
Tenant: Suite #:
RESIDENT 1 OWNER Name: Phone:
Address ! City / Zip: 0 ri. C i`?'
Applicant is: _ Owner I Contractor
TYPE OF WORK Description ofwork: T
-A Up lu?
_
00
Construdion Cost: Multi-Family Building: (Yes _! No ?
CONTRACTOR Name: 6 lut.;n ' Y"+?'1`r iT'OYYlO License #: lX: -
Address:
City: 30Y"AC.t ? State:filr?_ Zip:
Phone:q0'4j,)-917b ContadPerson: i citu-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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 8. Water Contractor: Phone:
NOTE: Flans and supporting documents thaf you submrt_are considered to be public enformation Portions of
ecific reasons that w?ould perrnit the City to '.`
ou pr'bvrde s
be class?fied as non ptrblic if
the infofmafinn i»a
y
p
y
, s ? ' ? ? n.` concfutt?ti+ai the a? #raAe sFecrets. . `r, ? . _ , jr . ?.
1 hereby acknowledge that lhis information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a permd, but only an application for a permit, and work is not ro start withou 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 pla
X 'T M Sh;X ?.
Applicant's Printed Name Ap ' nCs Signature Page 1 of 3
City of Eagn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2009 RESIDENTIAL PLUMBING PERMIT
Date: ol Site Address: ? 6(-? °`' 0. ?? ?(w k f-
Tenant:
'e.
TION
Suite #:
RESIDENT/OWNER Name: ??( ?
Phone:
`
Address / City / Zip; b-? K If- l?" `-
CONTRACTOR Name: U)e U O D??n -f/It- License #:
Address: 9,01 ?? ?• ??
,,/
City: i ? e'?'J ??'r'I ?? State: ?N Zip: 7
Phone:9Sa -) 58.S?6 6 / ContactPerson:'<'Tevc L/e
TYPE OF WORK _ New _ Replacement ? Repair _ Re uild ?Modify Space _ Work in R.O.W.
Descri tion of work: ?PN- !l ? I1 S 8''Y-5; l'1 N
PERMIT TYPE RESIDENTlAL
Water Heater _ Water Softener
(-?dd Plumhing FiMures
_ Lawn Irrigation y
? RPZ PVB) Main _,? Lower Level)
Seplic System _ Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowled tha thi information is complete and accurate; that the work will 6e in conformance yvf T tl{E ortlmances antl codes oi tne ary oi
Eagan; that I unde ta thi is not a permit, but only an application for a permil, and wo is not s a wi 6 ut permit; thaf the work will be in
accor n wit v I case of work which Lrequires a review and appr ?an .
X ?i' e n? ye 1 z? x
Applica t's P int Name Ap IicanY Signa ur
-- -----------
i t?'cYr?eu? ?
? Permit #: I
? Pertnit Fee: 'e;b, 50
?
? Date Received: ? i
? Staff: ?
L_________________
----------
I ForofficeCJse ?
? Permit #: ?
I ?
? Permit Fee: rD ^.?D
?
I
? Date Received:
? StaN:
L -----------------?
2009 MECHANICAL PERMIT APPLICATI N
Date: 0? -1?'" b °I Site Address: 1IOba (?a Yl ?'? Y` c Ol ?-
Tenant:
suite #:
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RESIDENT / OWNER one:
Name:
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Name:
CONTRACTOR ?.
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Address: -to/ V
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City: 4y_' State: InKI Zip:
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Phone:
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TYPE OF WORK - New _ Replacement -LAdditional _ Alteration _ Demolition
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NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on ermiited screenin methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE New Construction - In(erior Improvement
Furnace -
Air Conditioner _ Install Piping _ Processed
Air Exchanger _ Gas _ Exterior HVAC Unil
Heat Pump _ Under / A6ove ground Tank ( Install J_ Remove)
When installing/removing lank(s), call for inspection by Fire
I
Other nspector
Marshal and Plumbing
RESIDENT(AL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FIf2 f@PBif (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharge)
$ TOTALFEE
COMMERCIAL FEES:
$70.50 Underground tank installationlremoval OR Contrect Value $ x 1%
$50.50 Minimum (includes State Surcharge)
_ $ Permil Fee
- If Pertnit Fee is less than E1,000, surcharge is $.50.
- If Permit Fee is > 51,000, surcharge increases by $.50 for each =$ State Surcharge
$1,000 Permit Fee (i.e. a$7,001-$2,000 Permit Fee requires a$1.00 surcharge).
$' TOTAL FEE
I hereby acknowledqe fhat this information is complete antl accurate; inat tne worK wm be m coniormanw wim me or inances ano cooes m me ?ny ul Ceyan, ulat
I understand this is not a permR, 6ut onlyan application for a permit, and work is not to slart without permi * that w rk will 6e in accoMance with the approved
plan in Ihe case of work which repu es a review antl approval of plans. .
Applica Ys Printed Name App ica 's Sig at
FOR
Reviewed By:
Date:
Required Inspec6ons: _Under Ground _ Rough In _Air Test Gas Service Test _In-floor Heat _Final
EMerior HVAC
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA089464
Eagan, MN 55122 . Date Issued: 06/02/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1662 Oakbrooke Cir
Lot: 9 Block: 5 Addition: Oakbrooke 4th
PID 10-53763-090-05
Use
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Lofgren Heating & Air Theodore J Daley
5708 Upper 147th St W 1662 Oakbrooke Cir
Suite 102 Eagan MN 55122
Apple Valley MN 55124
952 431-5811
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use 9
Permit f j
City of Ea Rd~
I 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:
- - - - - - - - - - - -
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Z Site Address: Unit
Name: Phone:
RESIDENT / >
a Z C~, rc XA&at C/2'
OWNER Address / City / Zip: 1,1/
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 12r1,A00010
Cam!/
Construction Cost: Multi-Family Building: (Yes / No )
Company: Contact:
CONTRACTOR Address: City: _517-- •/'`'~~f G
State: " Zip:t 4d;Sr7~G Phone:
License 72 rt/ '12D Z D
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
I 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 Code must be completed within 180
days of permit issuance.
x f 0
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165970
Date Issued:12/03/2020
Permit Category:ePermit
Site Address: 1662 Oakbrooke Cir
Lot:9 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Theodore J & Dawn M Daley
1662 Oakbrooke Cir
Eagan MN 55122--421
(651) 528-2828
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature