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1573 Oakbrooke TerBi1RNSyILLE Heating & Air Conditioning, L.L.C. 12981 RhoAe Islaird Ave .S, Snvrege, MN 5537R • 952-894-0005 Orstat Test Report for Job# 33 -? 3 Address_ City r4_?-, ?UpBllt ' 1"v?t? r ?? " Date of Install V z 5 o z Type of HT. F/A V' ;' HW Space HT Unit HT Othef , ?'- Malae Cr^??X Model 6 2Go3 - -7 s• (. Serial 5&02 c- o`(1 n Inpld °7 5, coo a r.? Pilot Type HOT SURFACE IGNITOR Pressure 3 s? C02 (o -0 Input CFH '7r 02 ?. o Stack Temp R4P CO D Date Tested r y o' Company BURNSV/LLE HEATING & A/R CONDIT/ON/NG Technician ???? Address I5i3 Oakbrooke terrace Zip 5512 2 IAt 12 Blk 3 Sub Oakbrooke Sth Addition THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL Date: ? Yes No Inspector: 1i[/lf Le n t41- Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway ? Permanent gas _ Sod/Seeded grass TraiUcurb damage Parch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? While - City Copy Yellow - Resident Copy Pink - Contractor Copy RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 17 ( $ 2- ? Telephone # 651-675-5675 FAX # 651-675-5694 c?,?t t o - i `F-?3 New Constructian Reau"rcements RemodeVReoair Reaui2menls Office Use OnN 3 registered site surveys showirg sq ft of bt sq. (L o( house; and aA roofed areas 2 copies of plan CeA of Survey Recd _ Y_ N (200/6 marimumlotcoverageallowed) isetofEnergyCalculalionsforhealedaddiUons TreePmsPlanRecd _Y _N 2 copies of plan showirig heam & window sizes; poured found design, etc. 1 sile survey for additions 8 decks Tree Pres Reqd V N 15eto(EnergyCalcuWtbns Additlon-indicafei/on-sdesepticsysfem On•siteSeptlcSystem _Y _N 3 copies of Tree Preservation Plan rf lot platted atter 717193 Rim Jaist DeUil Options selecUOn shee! (bldgs with 3 ar less unifs Date -9-L / -So/ ? Construction Cost ?A?:C,?700 Site Address A5 7 3 0"A (%T66`1(?F %ZiCyQ Unit/Ste # k Description of Work wI ( Multi-Famlly Bldg ,MY_,?N Fireplace(s) ? 40_ 1 _ 2 Property Owner Telephone #vS/ ) ' G Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 . Residential Ventilation Category t Worksheet . New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan8 _ Y ___. N If so, 25% plan review fee applies. Licensed Plumber Telephone #( ) Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and the State of MN 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 appmval of plans. Applicant's Printed Name ApplicanYs Signature OFFICE USE ONLY Sub Types ? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 27 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 (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 .X 32 Addition ? 36 Move Bldg. ? 42 Demolisfi (Foundafion) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 ? 34 Replacement •Demolttion (Entire Bidg) - G ive PCA handout to applicant ValuaUon d Occupancy /[ ^.3 MC/ES System _ Census Code G? 3?! Zoning City Water _ SAC.Units - Stories Booster Pump _ Nbr. of Units Sq. Ft. h1 - 3 PRV _ Nbr. of Bldgs - Length /, L Fire Sprinklered _ Type of Const ? Width at ? - Footings (new bldg) ? Footings(deck) _ Foorings(addition) Foundation Drain Tile Roof Ice & Water Final Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Base Fee Surcharge Plan Review MC/ES SAC cay sac Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Ait - SF ? 36 Multi Misc. Siding Fire Repair 0 WindowslDoors REQUII2ED INSPECTIONS . Finavc.o. ?• FinaUNo C.O. . _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By Building Inspector ,! ----a- ---c... . Ry 143 ? 3G/L dXr/ / /?i/LGy 9?J?/+'" ??' 7,? ' pr 6K g s-7? ' iJCSl,ttlk$r,U AJ ; Lol 12 BIOtN 3, OAKBRUIW,[ giH AUU:I(NJ. City of Enpnn. 4h.noaalo nnd •?ar.ir„ CC]C!tltnl9 Of flCOfQ. I . . . , 91u5 rnt(??J fj/7 ??<l l ' / S \ ? h aU? / ?? , ? / ? •a" ` ?i ?°?/? / ?p ra? ?'/ e O ?33La 36 t „ `?'0? °•f w' Q?o q1b2 ` l s ?/ • ? \ ? ryY COngn ?Q?O ? > Lor sQ. FooracE = 21,221 HSE 5q. FODTAGE = 9,852 '33-1 LOT COVErAGE = 87. y? I k 18234 I Pr.OPOSEL ELEVAT10N5 -' 9ENCHMARK, ?nn.,?ae? Top of Foundatlon a n3ro F...•^ 3" GqIO^yC fkGO( = q3?e.b Bnsement FIDOf =92q0 Aprcx. Sewef Service = 923 oc ? °roposed Elev. ? n NdN. Sc1fiACK P.EGUIREMENiS ? Existinq Elev. Dro?noge Direclions =--- Front - House Side - Denetes Of(sel Stoke = . scnLe i mCn -30 r,a Rear - Caroge Sfde - hI,EDLt!!VD P4NNIHC 8NGlNlCRINC SURVfYlNC 2005 Pln pok Drlvs Eaqan, MN 35t22 Pnons: (651) 405-6600 _ Poe : (657) 403-6806__ _ I HEREBT CERTIiY THAT THIS IS A 7PUE AND CORRECf REPRE5ENTAilOY Of THE BbUNG/NiES OF THE ABOVE OESCRIBED PPOPERir n5 SuRVEY,;O BY ME OR UNDER NY DtRECi SUPERNSION ANO DGES NUT PURPORT iC SHOW IMPROVEuENiS Ofl ENCROACHMENiS. E%CEP7 AS SHOWN. OAtE 0. lINDCNEN. l 0 SURVEYOR P/o MINNESOiA UCENSF. NUTA9ER 14376 Oakhrocke 5 Site address: /S 73 Oo-? U roo (r.?. 1i rac c- LoL3 I 'Z Block O'Z Subd. 6o k b roa k? S, 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. I This structure: is wnstructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR _ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLL4NCE GAS ELEC MANUFACTURER MODEL 8TU'S VENTING TYPE Water Heater ? ?.???. ti A. f1'?j? O 5 3 Fumace f ?a,,,? n o G'o? (o o«?o i rec-?' Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES NO Kitchen kitchen Bathroom 1 . Q'?? ??\/ !4 SfON•`G ?[ V -0? V M Bathroom 2 o s 1?'??? a oe c s o ?c- O S v G2 S a ? Bathroom 3 8athroom 4 Other FIREPLACE S LOCATION GAS WOOD MANUFAGTURER MOUEL 8TU'S VENTING DIRECT ATMOS .?,. ? l ? ?t /U G' 1 Q70 T' !2 ' R 27 cuo MAKE-UP AIR MODEL TYPE CfM's I hereby acknowl dge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan require ts. m Si ??ture Dat l,c- /k~,& Company Name ` This form is the responsibility of the General Contractor. Lo+- ia 61ock 3 O(Akbr'Wke S+-? S+ w yg9s5 6 P#- y 2290 RESIDENTIAL M P 4 y gg q ? BUILDING PERMIT APPLICATION R a CITY OF EAGAN wit 1-1 0 3830 PILOT KNOB RD - 55122 651-681•4675 5, aoa, ss 70 Sp 90•.5D a`Cj 310. 95 NewConaWetlon ReouiremeMe RemodellReoair ReauiremeMs • 3 registered sde surveys showing sq. ft of lot sq. ft. M twuse; aiW all mofed areas . 2 mpies of plan ' (20% maximum lot coverage allowed) . t setof Energy Caladations far Ieated addilions • 2 capies of plan ahowing beam 8 window sizea; paured found design, etc.) ??,?aq6 + 1 sde survey for eMeioradditrons & decks • 7 set ot Energy Calalations ?1 G . InOicale if Iwne served 6y septic system for addrtiore ? • 3 copies of Tree Preservation Plan 81M platted after 711793 . Rim Joist Detail Options selection sheet (bldgs wilh 3 or less unils) DATE ?????,;', VALUATION JOB SITE ADDRESS /S 73 d 0.\-- 6 ? lti Te?tr -, - - IF MULTI-FAMILY BUILDING, HOW MANY UNITS? WA PROPERTY OWNER F?? lt-f- N0?5 o-F fk'N Co c,p TYPE Of WORK /V¢-- Cons L?r..?b-+b„ fIREPLACE(S) _ 0? 1_ 2 ??/S?' APPLICANT P, Itr- C, r? PHONE# (,2) ADDRESS N,rtl.?..est S,.;?- 1G/D ZIPCODE SS?aI PAGER # CELL PHONE # PAX # NEW RESIDENTIAL BUILDING ONLY - FILI OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - ResidenHal Ventilation Category 1 Woricsheet Submitted - Energy Envelope Calculations Submitted ZC MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. + !!:5= Phone #: ri -S ?z 4/ 9? 1 Plumbing System Includes: ? Water Softener _ Lawn Sprinkler - F e: $90.00 ? Water Heater 1 No. of R.I. Baths 3 No. of Baths Mechanical Contractor: e 4 CN S Vi !I a_ 14-e-a -6 ; Mcchanical System Includes: tC Air Conditioning _ Heat Recovery System Sewer/Water Contractor. /r/e Y ro I Phone # yS -Z? F 5 L/, vo o,S Fee: $70.00 Phone # 7 6ioZ L/-:;ZB "__? 9 3& All above information must be suhmitted prior to processing of application. C)? I hereby acknowledge that I have read ihis application, state ihat the information is correct, and agree tMompiy with ali applicable State of Minnesota Statutes and City of Eagan Ordina ces Stgnature of Applicant _ zez.67? Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required Updated 2002 OFFICE USE ONLY ? 01 Foundatian ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg * 02 SF Dwelling ? 08 OB-plex 0 16 Fireplace ? 21 Porch (3sea.) ? 31 . Ext. Alt - Mutti ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 38 Multi 0 05 03-plex O 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous y 31 New O 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding ? 32 Addition 0 36 Move Bidg. O 42 Demolish (Foundation) 0 45 Fire Repair ? 33 Alteration ? 37 Demofish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (EnUre Bidg only) - Give PCA handout to applicant Valuation (OLA7 Occupancy MC/ES System Census Code ?() ? T Zoning ? Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. ? PRV ? Nbr. of Bldgs _L Length Fire Sprinklered Type of Const J[LV Width ? ? ? -P? ? ? Other _ Pool _ Ftgs _ A'v/Gas Tests _ Final _ Siding SNcco Stone _ Windows (new/replacement) Approved By 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 REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) FinaVNo C.O. Footings (addition) Foundation Drain Tile Roof Ice & Water Final Framing Fireplace ?[ R.I. X Air Test 4 Final Insula[ion FinaUC.O. ?f _ Plumbing HVAC 13 ?r PPO ..? ?16 ? ? -?'- // llc-? t9 9 yr? i i MNcheck COMPLIANCE REPnRT I MinneGOta Enerav Cnde I Permit # MNr.her.k Snftware Version 3_0 I Cher.ked hv/Date I" COUNTY- Daknta "- STATE: Minnesota ZONE 2 CoNSTRUCTION TYPE: Single Family DATE: 1-11-2002 DATE OF PLANS: 7/25/00 TITLE: Oakbrooke Sterling with Lookout COMPLIANCE: PASSES Reauired UA = 532 Ynur HomP = 403 242% BPtter Tfian CodP ArPa or Cavitv Cnnt_ GlaAna/Donr PerimPtPr R-ValuP R-Value U-Value UA CEILINGS 1218 3A.0 0.0 37 WALLS- Wnnd Framp. 16" QC. 2673 19.0 2.0 150 BSMT: Conr.. 9.0' hUA.3' ha/9.D' insul 1f147 11.0 0.0 61 GLAZING- Windows nr poors. Abnve Grade 402 0.350 141 DOORS 38 0.350 13 FLOORS: Ovar Outside Air 48 38_0 00 1 HVAC EnUIPMENT: Furnace. 92.0 AFUE ----------------------------------------------_--____--_- COMPLIANCE STATEMENT? The nronnsed huildina desian dPSr.rihPd here IS tnnsistent with the huildina nlans_ snecificatinns. and other calculatinnS suhmitted with the nPrmit annlication. The nr SP,d h ildina has heen designed to meet the r ire nts 7oft esot ?ergy Code. ? BuildedDesigner ' , ,-? ??? Date LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMITAPPLICATION PROPERTY LEGAL: ? UT 1:2 BI D t. K2 5'r4l ? DATE OF SURVEY: 1-11F'-02 LATEST REVISION: m m c m v DOCUMENT STANDARDS Y a '0 O Z Q 6'/ ? ? • Registered Land Surveyor signature and company ? ? • Building Pertnd Applicant fd' ? ? • Legal description ;/? W ? . Address ? ? • North artow and scale Er' o ? . House type (rambler, walkout, split w/o, spfit entry, laokout, etc.) ¢? ? u • Directional drainage arrows wRh slope/gradient % ?? ? • Proposed/existlng sewer and water services & invert elevation ? ? o • Street name ? ? ? • Driveway d? 0 • Lot Square Footage ? ? • Lot Coverage C7 ? ? • Benchmark ELEVATIONS Existin C? ? ? • Sewer service (or Proposed) fd' ? ? • Propertycomers ¢? ?? . Top of curb at the driveway and property fine extensions ? FJ/ ? • Elevations ot any ebsting adjacent homes ?¢?'/ ? • Adequate footing depth of strudu2s due to adjacent utility trenches ? [?' ? • Watervvays (pond, sVeam, etc.) Prooosed ? ? ? • Garage fbor ? ? ? • Firstfloor d ? ? . Lowest exposed etevation (walkouUwindow) G7/ / ? ' ? • Property comers 0 ? ? • Front and rear of home at the foundation PONDING AREA (if aooficable) ? ? . / Easement line ? C? ? • NWL ? [a/ ? . H W L ? [.t' ? • Pond # designation ? [9) ? • Emergency Overtlow Elevatbn / DIMENSIONS L9' ? ? . Lot lines/Bearings & dimensions 0/ 0? • Rght-0f-way and sVeet width (to back of curb) G? ?? • Proposed home dimensions including any proposed decks, ovefiangs greaterthan 2', porches, etc. (i.e. all structures requmng permanent footings) 3)/0 ? • Show aA easements of record and any City utilities wRhin those easements 60 0 • Setbacks of proposed structure and sideyard setback of adjacent epsting structures ?? ? • Retaining wall requirements, N any Reviewed: Surveyor's Certificate SURVEY FOR : PULTE HOMES DESCRIBED AS : Lot 12, Block 3, OAKBROOKE STH ADDIION, City of Eagan, Minnesota and reserving easements of record. FEB 0 7 REC'9 / 930.3 . ? . , -r?Z ? /$ 3? S 6 C j .. _' ?? 111 18232 PROPOSED ELEVATIONS Top of Foundation = 937.0 Garage Floor = q3(o,(p Basement Floor -q2a.0 Aprox. Sewer Service = 925.o± Proposed Elev. _ C=) Existing Elev. _ Drainage Directions = Denotes Offset Stake = . HEDLUND PLANNlNC 6NC/N6BRINC SORVBYINC 2005 Pin Ook Orive Eagan, MN 55122 Phone: (651) 405-6600 Fax : (651) 405-6606 y, •i •--? _? f? d , " i?"'? .? { Z? ? n? , ? ....? ?..i 7 :?'.?y??i,e*?j,T F.j??l7?'x' L??s'.t',. / A? r ? 0 i• o / ? ? ? 93?c,2 I\~ ? 3 ? o \ \ r'9• \ oa '?. F? ? ' •9 Q ? 93 \ \ ? / ? l / 40, 0E ?`` ?•4 ? S ? ? az9.3 427.3 op 7s ^7O? / ?/ ? r. e, • i / 933.b \ o° ry ?800 432 ry^. ? oq gp ?,S' soo, . 17 ?s ??Y o° '?ry l O co„ o0 3 °9e oo ? ? PO ryti I 436 ? ? ? i co^ 6?Y N L n SCALE: 1 inch ? 30 feet ?A o .9? O 933.? 93q 7 ? ? 93, 3D s IlT MNG E = 21,221 = 1, 852 Sq BENCHMARK, C,P m?,l Box E1e0: 923.?.4 MIN. SETBACK REQUIREMENTS Front - House Side - Rear ,- Garoge Side - I HEREBY CERTIfY THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHO,WN. DATE _y114-1D Z- WFUD. LINDGREN, Ll&D SVRVEYOR - 6?-Oe 17? _MINNESOTA. LICENSE NUMBER 14376 Qs` s L 0 T SQ. FOO TA GE HSE SQ. F00 TA GE L 0 T CO l/ERA GE _ N0: 02R-020 PAGE: Oakbrooke 5 PERMIT City of Eagan Permit Type:Building Permit Number:EA108051 Date Issued:11/13/2012 Permit Category:ePermit Site Address: 1573 Oakbrooke Ter Lot:12 Block: 3 Addition: Oakbrooke 5th PID:10-53764-03-120 Use: Description: Sub Type:e-Reroof Work Type:Reroof Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Melvin Scroggins 1573 Oakbrooke Ter Eagan MN 55122 Haug Contracting Group dba New Line Roofing 3141 Fernbrook Lane N Plymouth MN 55447 (612) 251-1152 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA125686 Date Issued:07/30/2014 Permit Category:ePermit Site Address: 1573 Oakbrooke Ter Lot:12 Block: 3 Addition: Oakbrooke 5th PID:10-53764-03-120 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Melvin Scroggins 1573 Oakbrooke Ter Eagan MN 55122 Redstone Builders Llc 4084 Oakbrooke Alcove Eagan MN 55122 (612) 236-8888 Applicant/Permitee: Signature Issued By: Signature jt\'' � - ` �J� °, �/ Y� r For Office Use !j.7,I E AG� � � q � `���(� Permit*: /-5 9/-37 ��- A Permit Fee: . Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspections(&cityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10/29/19 Site Address: 1573 Oakbrooke Terrace, Eagan Unit#: Name: Mark Morgan Phone: 612-704-9219 Resident! 1573 Oakbrooke Terrace, Eagan, MN 55122 owner Address/City/Zip: g Applicant is: Owner Contractor Type of Work Description of work: Replace Existing Deck, ailing and steps Construction Cost: $9,000 Multi-Family Building: (Yes /No ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: $1)� 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: Fire Suppression Contractor: Phone: NOTE:Piens and supporting documents that you submit am considered to be public information. Portions of the iMbrma tion gray be classified is nonpublic if you provide specific reasons that would permit the City to conclude that they we hada secreta. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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.gooherstateonecail.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and 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. xMark Morgan xMark Morgan DT.'2 9;o so;':a :09° Applicant's Printed Name Applicant's Signature • DO NOT WRITE BELOW THIS LINE / - 3 Ad/wok-6 /i�2/9LC l -9/ 7 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) _ Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi * Deck — Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex _ Lower Level _ Pool — Accessory Building WORK TYPES _ New — Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior — Alteration Fire Repair _ Windows _ Demolish Foundation Replace t Repair _ Egress Window _ Water Damage — — Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation /6960 Occupancy Inc -/ MCES System Plan Review Code Edition i/ SAC Units (25%_100%.Z Zoning p1) City Water Census Code ii 34' Stories Booster Pump #of Units / Square Feet / 8'.-X PRV #of Buildings / Length — Fire Suppression Required _ Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Y- Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control - Shower Pan /��/ Other: Reviewed By: /' f/ / ,Building Inspector RESIDENTIAL FEis-0 &/ .: Base Fee o Surcharge Plan Review 57 MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3