4111 Oakbrooke CurveRES1D TIAL
- ;
BUILDING PERMIT APPLICATION
CITY OF EAGAN 1? e
3830 PILOT KNOB RD • 55122 MF~ I73zq 1- 01 JO
LI ? 657•681-4875
New Constrvetfon ? u remen? a K b ro? ?L ? ?? RemodeUReoair ReouireltfV-q1 33 0- 90,J0
• 3 regislered site surveys sMwirg sq. ft of bt sq. fL of house; and all roofed areas . 2 copies ot plan
(2096 mazimum bt wmrage allow4 . t sel ol Eneigy Calwlaoons tor heated addNais '-^
• 2 wpies M plan showing beam 8 wiMow sizes: povred fdpid design, ek.) (-? ?/ `?? ?. 1 site survey for exterior additions 8 dedcs
• t set of Energy Cala,;a5ons ?/ ?? Y?
• 3 copies of Tree Preservation Plan if lot platted aher 711l93 1`?
• Rim Jast Defail Options selection sheet (bldgs with 3 a leas unb)
hvoS r
DATE I VALUATION (EXCIUDING LAND) fTVV?
jJB SITE ADDRESS 701( 0AICEXOO](1i CUYVL
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? _
PROPERTYOWNER n T'U1?_Homt-s U71A11)CO/
'fYPE Of WORK RtStirIU„-ho FIREPLACE($) _0 11 _2 _3
APPLICANT S,4JIAF_h3A,D011r PHONE#
ADDRESS W061S godh1.vc. A Pq? jG1va.1 t-46 0 ZIP CODE
PAGER # CELL PHONE #? h Q- 30_1711 FAX #
NEW RE5IDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULFS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitt
Energy Envelope Calculations Submitted
/MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor, Y411C 7m /'Z-U1jLlg?& Phone #: %QV Til?Z-1121
Plvmbing System Includes: _ VVater Sofrener Iavvtt Sprinkler Fee: $90.00
Water Heater T No. of R.I. Baths
? No. of Baths
MechanicalConiractor: b(nc1110C tJhi?na -1?ll? Phone#
Dlechanical System Includes: Air Condiu^ oning
Heat Recovery System
7Sz- g qq-- oa.ir
Fee: $70.00
Sewer/WaterConfractor: Mtf'Ib u-2nCfG) SClVdG?6 Phone# 763-iViagJZ38
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant d?*YA&LQI-,( At- /)) lT e?1h''
Certificates of Survey Received J? Tree Preservation Plan Received _ Not Required V
? - N-
Updated 1101
OFFICE U5E ONLY
? Ot Foundation
ol 02 SF Dwelling
? 03 Ot of_plex
O 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Firepiace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
O 22 Porch/Addn. (4-sea.)
? 23
'
Porch (screened)
? 24 Storm Damage
6 25 Miscellaneous
0 30 AccessoryBldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
O 36 ' Multi
i
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' O 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy /q -3 MC/ESSystem
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. 14?2 PRV
Nbr. of Bldgs Length -5?1 Fire Sprinklered
Type of Const Width 2/?
REQUIR D INSPECTIONS
? Footings (new bldg) `? FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
?
Drain Tile
Roof Ice & Water Final Other
? Framing _ Pool ^ Ftgs _ Air/Gas Tests _ Final
Faeplace _ R.I. _ Au Test _ Fina1 _ Siding Smcco Stone
? Insulation _ Windows (new/replacement)
Approved Byut?Building lnspector
------------------------- --------------------------
Base Fee ----------- ------°----5? ?
---- ---------------------°-°----------°------? ?
? v ?
Surcharge 7d
Plan Review
MC/ESSAC /-zf I?EL .
c
City SAC &
$? ?
? f?? ?S r
Water Supply & Storage
58W Permit & Surcharge
Treatment Plant q,?/ , ??,?Z
Plumbing Permit
Mechanical Permit
License Search
ies
C
7 3 ?
op ??
Other
Totai -
?? J ?Q (
?
Address 4 1 1 1 Oakbrooke Cu
Zip 5512?
IAt ' Blk 4 Sub dakbrookP Srh
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: Yes No Inspector:
Final grade (6" from siding) r
Permanent steps (garage)
Permanent steps (main entry) P S 7?W?v?K
Permanent driveway (A?r
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please ver' with the builder ihe removal of roof test caps from the plumbing system and the shut-off of water suPply W
the outside awn faucet before freeze potential exists.
Contact engineering divisioa at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
,TtJ_-27-20@0 14 :A2 PULTE HGMES
MNcheck CQMFLZANCE REPORT
Minnesota Enexgy Code
MNcheric 9oftware Version 3.0
COtJ?3`S'Y: Dakata
STATE: Minnesota
ZONE: 2
CON3TRUCT7-QN TYPE: 5ingle Family
aAxE: 7-27-2000
llATE QF PLAN9: '711'2s/00
TITLE. oakbrooke Starlir_g with LookouL
COMPLIANCE: PABSES
RsquireC UA = 532
Yc>ur xome = 903
24.2% Better Thar_ Code
P.?1122
PErittit # '
Checked by Aate
Axea or Cavity Cont, C31azingjDoor
Perimeter R-Vaiue K-Va1ue U-Ualue
--------------------- - --- - --------------------- "..------°--- - -----------
CEILINGS 121$ 38.0 0.0
67A:LS: Wood Frame, 16" Q.C. 2673 19.0 2.0 1
BSMT: Cona. ^y.0' ht/8.3' bg/9,0' insul 1047 11.0 0.0
GLAZTI33: wi;tdaws or poora, Above Grade 402 a,sSQ 1
DOOR9 38 0.350
FLOCiRS: Over Ou:side Air 48 38.0 0.0
`rNAC EQ"7IHMEN'i : FLrnaca, 92. p AFTJE
-'----- " -------------°---------'----------°---------` - ------------------
COP+IPLIPNCS STATEMENT: Tkte proposed build'-ng design desesib5d hexe is
eons±stent with the building plana, specifi.cat£or.s, and other calcular.ians
gubmitted with tha permitapylicazicn. The pYOpoeea building has been
c3eeigned ta m?ee??egy? emen?,??t?e-Minnesota rnaray Ccde.
TOTRL F.02
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
' , • ' BUIIDING PERMIT APPLICATION
PROPERTY LEGAL: 1,07, Z ,Plnak q .r-/E
DATE OF SURVEY: O/
LATEST REVISION:
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DOCUMENTSTANDARDS
Y a
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Q
G/ ? ? • Registered Land Surveyor signature and company
F/ ? ? • Buiiding Pertnit Applicant
V ? ? • Legal description
¢iI ? ? • Address
[9/ ? ? • North arrow and scale
L? ? ? • House type (rambler, walkout, splR w/o, splft entry, bokout, etc.)
V ? ? • Directional drainage arrows wfth slope/gradient %
0/13 ? • Proposedlexisting sewer and water senrices & invert elevatron
GY ?
V ? • Street name
i
D
? ? • r
veway
59/ ? ? • Lot Square Footage
? ? • Lot Coverege
Cl
Y ? • Benchmark
ELEVATIONS
Existina
G? ? • Sewer service (or Proposed)
?
n?o ? • Property comers
G? ?? • Top of curb at the driveway and property line eMensions
?W/ ? • Elevations of any existing adjacent homes
? Q/"L • Adequate footing depth of structu2s due to adjacent utility trenches
? [Y ? • Waterways (pond, stream, etcJ
q? ? ?
d? ?
p? u ?
V? ?
G?? ?
Proposed
• Garage floor
• First floor
• Lowest exposed elevation (walkouUwindow)
• Property comers
• Front and rear of home at the foundatian
PONDING AREA (if aoolicable
? V ?
? C? ?
? q/ ?
? ? ?
? CP/ ?
L9I ? ?
? ?
V? ?
do n
r?/ ? ?
C4' ? ?
• Easement line
• NWL
• HWL
• Pond # designation
• Emergency Overfiow Elevation
DIMENSIONS
.
Lot lines/Bearings & dimensions
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring pertnanent footings)
Show ail easements of record and any City utildies within those easements
Set6acks of proposed structure and sideyard setback of adjacent existing structures
Retaining wall requiremen
.
Reviewed:
Surveyor's Certificate
SURVEY FOR : PULTE HOMES
DESCRIBED AS :Lot 1, Block 4, OAKBROOKE 5TH ADDIION, City of Eagan, Minnesota and reserving
easements of record.
?L
S? LT
• VACXNT- G?I1 G'?
LOT 2
948.5
h S8528'28"E 200.96 9?v.4
sr-/--------
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c^o j / R41,
,W r 99re
M I
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L _L 9959m
4) ? ? = - - ?D
42A ' ?. _
492.> -' ----
S85'28'28"E 236.22 9
L0T SQ. FDOTAGE
HSE SQ. F00 TA GE
L 0 T CO I/ERA GE _
// 18232
PROPOSED ELEVATIONS
Top of Foundation = 947.5
Garage Floor =947.1
Basement Floor =9a9.5
Aprox. Sewer Service =92s.at
Proposed Elev.
Existing Elev.
Drainage Directions = -
Denotes Offset Stoke = .
? ?.
i?
po [?o?o n E?Q U E L?D
o?
?....
. ?,
r - - -
a 27.00
u
i
2.00
?
m Propoeed ?
0 2-Slory
2.OO pcs ..
G
m
e
27.00
- ?
= 14, 627
_ 7, 852
7 3q"
? - -?-
?
Garoge
Q
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-A
r,=
\
BENCHMARK,
MIN. SETBACK REQUIREMENTS
Front - House Side -
SCALE: 1 iocn = 30 feet Rear - Garage Side -
Fox :(651) 405-6606 TA LICENSE NUMBER 14376 SEP 2 4 REC'U
JOB N0:
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 01R-425
HEDL UND OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND OOES NOT"PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. . BOOK: PACE:
PLANNINC 6NGINBBRINC SURVBYINC 2005 Pin Oak Drive Q Q Eagan, MN 55122 DATE _1_/1.Q/ OI ? CAD FIIE: '
Phone: (651) 405-6600 Y D. LINDGREN, LA SURVEYOR: Oakbrooke 5.
?69 45a,
50- s-D
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
e-
Date0/ 12c( ! 0c-( ockkbrook
/
Site Street Address C Unit #
PropertyOwner ?p4/_1 Telephone# (W) 75 Z^l?
zs-
Contractor Telephone #(9Sz)
Address :??f?57 Cr/ City State />7/7 Zip
The Applicant is: _ Owner XContractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
Water Turna ound (add $121.00 if a 5/8" meter is required)
Other: aA_rVvu-oJ- `F7t, ?--
Water Softener _ Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be ' ordan with the approved plan in
the event a plan is required to be reviewed and approved/J??j?
C t -, L, -o/ d e_?,? AL`???
ApplicanYs Printed Name ApplicanYs Signature
SEP 2 4 2004 ?
ey
Site address: r+I I N IW 0;3I(6 CUO, Lot! Block 1? Subd.
On April 15, 2000 the Minnesota Energy Code, Category h Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This structure: is consVucted to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: will be constructed to meet more restrictive requiremenls of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE
Water Heater ?
-O)l
N/V )Oj
Furnace ? /xy7y7 D G„d b 0 o?a
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
rES NO
Kitchen kitchen
Bathroom 1 soN C A5?1-O.5'viw Do 1,-
Bathroom 2 M n 60V IC. as- v? .3ro v
Bathroom 3 /? 112-
.asv gf o ? ? ?
eathroom 4 ? Ilef p-,vn, gr-o G
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
8TU'S VENTING
DIRECT Ain705
Km J G1? jav ' a a??
I hereby acknowledge that the a6ove information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requiremenls.
S`
x fv }iOMp-?
Company Name
/o IId ?
Date
" This form is the responsibility of the General Contractor.
2004 RESIDENTIAL BTJII,DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction ReauiremenLa RemodeUReoair Reaui2ments
3 regislered site surveys showing sq. 8. of lot, sq. il. of house; and all roofed areas 2 copies of plan
(200k maximum lot caverage albwed) 1 set of Energy Calcula6ons for heated additions
2 copies ot plan shovring heam & windaw sizes; poured found design, etc. 1 site survey for additions & decks
1 set o( Energy Calculations Addifiwr - irMicate i(on-sAe septic sysfem
3 copies of Tree Preservation Plan if lot platted aiter 711193
Rim Joist Oetail Options selection sheet (bldgs wBh 3 or less units
,t?la oo
S- C)
Ofice l?s? Y?nN - Y
CeRofSurvay'Racii ? _y,,,_N
Tree Pres Plan Reod ?Y _„iN
Tree.PresRequired Tl" T'N.
On-site Septlc System ..`y _ N'...
04
Date
Site Address y ? I 1
o`-I
6c.k??.e ?? ? v
Construction Cast
C"YiFe, UniUSte #
Description of Work Lo_j?,, "vcL
Multi-Family Bldg _ Y_ N Fireplace(s) x 0 _ 1 _ 2
Property Owner 5- r: c. ?..e1 Ir=4;G nr.e..r-. Telephone #([q51 ) ys Z- 6SZS
Contractor ?^C. •
Address I `1 S3
State iM+J ?
q P;r+c 12r4 nf E
City Q d; o r LclC?e_
Zip S5?`1Z Telephone#(qsZ)Zao ?1oS
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residentiai VentllaUOn Calegory 1 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted Su6mitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber OiTnn
? U ? Telephone #( )
Mechanical Contractor $EP 0 9 ZOU4
Telephone #( )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
perxnit; that the wark will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
r11'? ?v??'Pi
ApplicanYs Printe Name
awR4_..
ApplicanYs Sign e
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (scresn/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 71 10-plex ? 19 Lower Lavel ? 24 Storm Damage
? 06 04-plex O 12 12-plex PlbgdY or _ N ? 25 Miscellaneous
Work Types
? 31 New ,$( 35 Int Improvement ? 38 Demolish Interior ? 44. Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Errtire Bldg) • Give PCA handout to applicant
Valuation ;&ty_ Occupancy MCES System -
Census Code 1-13y Zoning City Water -
SAC Units ? Stories - Booster Pump ?
# of Units ? Sq. Ft. - PRV ?
# of Bldgs Length Fire Sprinklered ?
Type of Const Width ?
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Foorings (deck) ? FinaUNo,C.O.
_ Footings (addition) Plumbing
_ Foundarion ? HVAC
Drain Tile Other
? Roof _ Ice & Water _ F
Framing inal - Pool = Ftgs =Air/Gas Tests Final
Siding Stucw Stone Brick
Fireplace R.I. Air Test Final Windows
? Insularion Retaining Wall
Approved By:
Base Fee Ll '
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI
Building Inspector
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4111 Oakbrooke Curve
Lot: 1 Block: 4 Addition: Oakbrooke 5th
PID:10- 53764- 010 -04
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Delta Construction Inc
547 Woodduck Dr, Unit H
Woodbury MN 55125
(651) 747 -6323
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
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.
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Robert 1 Evans
4111 Oakbrooke Curve
Eagan MN 55122 - -421
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA088729
04/14/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115123
Date Issued:09/23/2013
Permit Category:ePermit
Site Address: 4111 Oakbrooke Curve
Lot:1 Block: 4 Addition: Oakbrooke 5th
PID:10-53764-04-010
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert J Evans
4111 Oakbrooke Curve
Eagan MN 55122--421
(651) 366-7935
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140726
Date Issued:01/17/2017
Permit Category:ePermit
Site Address: 4111 Oakbrooke Curve
Lot:1 Block: 4 Addition: Oakbrooke 5th
PID:10-53764-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
John J Kirby
4111 Oakbrooke Curve
Eagan MN 55122
(651) 212-0495
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
41
t
Use BLUE or BLACK Ink[1 I
20�� For Office Use
0
..' '` ' *' Q ��� Permit#: / !7� � l
• fil7. _2
0 �, Permit Fee:
%
� e<r Iwo b Date Received: a 1'/141
3830 Pilot Knob Road I Eagan MN 55122 Staff: (f1
Phone:(651)675-5675 I Fax:(651)675-5694
buildinginspections(a�citvofeagan.com
2017 RESIDENTIAL BUILDING PERMIT/ APPLICATION
Date: 12 -( / ' Site Address: l 1 1 1 0a F-1r ca IC ('"u t ii e_- Unit#:
Name: 31- c(b\ Phone: 6 / 2 f 2�-0`MX'
1 Resident! i /
Owner = Address/City/Zip: 411)) 6a k Lf V() C t^f ire
1
Applicant is: Owner Contractor
L
i Description of work: A ttc 6_ L u (if.' i e ba Mr4Te -to An 4,k &dfcrc✓--
Type of Work
I
Construction Cost` v� Multi-Family Building: (Yes /No )
erw�w.�..me»»+mvinn..�.,:.e vw..«.-..,,.«.. _ewmmrnw......,u..........»..,. m�aewM+.:.>m.«r.nw.tran..mw.0 vveruav mu«mcm«ew;.v vnvarnm.ma. .......... ...................m
..............
1
D�° trn�lu�� C3t�.1tcis
Company: ,� Contact: 3t� 11
Contractor Address: 17--)' 2- 3—lave/A C City: kti l /1C.
State: 1&I) Zip: -5-,-6q`1 Phone: 02--.306.- 0f Email:
i
License#: 4 Z Lead Certificate#:
If the project is exempt from lead certification, please explain why: i
_..iPc)/fir /N Of
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i
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:
t
i Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
1
Fire Suppression Contractor: Phone:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be t
classified as non-public if you provide specific reasons that would permit the Ci r to conclude that the are trade secrets. I
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.gopherstateonecall.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 appro o . r s.
x 03 l LOP ..r x ii,,a,,t/
Applicant's Printed Name Applic. is Signature
Page 1 of 3
'il1 / 6A/419t2.004C Ott 'E NOT WRITE BELOW THIS LINE t '-17/ Es
P
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 4. Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior
4 Alteration _ Fire Repair _ Windows Demolish Foundation
Replace Repair Egress Window — Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 30O Occupancy Me_ -/ MCES System
Plan Review Code Edition13'. --
SAC Units
(25% 100% v) Zoning _ _ City Water -
Census Code 1 3 M Stories Booster Pump _
#of Units I Square Feet PRV
#of Buildings I Length - _ Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 4. Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice ;Mater _Final Pool: Footings _Air/Gas Tests Final
Framing K 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: , Building Inspector
RESIDENTIAL FEE
Base Fee g
Surcharge
Plan Review ff 7 i
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165612
Date Issued:11/10/2020
Permit Category:ePermit
Site Address: 4111 Oakbrooke Curve
Lot:1 Block: 4 Addition: Oakbrooke 5th
PID:10-53764-04-010
Use:
Description:
Sub Type:Residential
Work Type:New
Description:Garage Heater
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
John J & April M Kirby
4111 Oakbrooke Curv
Eagan MN 55122
(651) 212-0495
Ron's Mechanical
2026 Colburn Dr
Shakopee MN 55379
(952) 445-8585
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166838
Date Issued:02/09/2021
Permit Category:ePermit
Site Address: 4111 Oakbrooke Curve
Lot:1 Block: 4 Addition: Oakbrooke 5th
PID:10-53764-04-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John J & April M Kirby
4111 Oakbrooke Curv
Eagan MN 55122
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169987
Date Issued:06/16/2021
Permit Category:ePermit
Site Address: 4111 Oakbrooke Curve
Lot:1 Block: 4 Addition: Oakbrooke 5th
PID:10-53764-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
John J & April M Kirby
4111 Oakbrooke Curv
Eagan MN 55122
(651) 212-0495
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170851
Date Issued:07/20/2021
Permit Category:ePermit
Site Address: 4111 Oakbrooke Curve
Lot:1 Block: 4 Addition: Oakbrooke 5th
PID:10-53764-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
John J & April M Kirby
4111 Oakbrooke Curv
Eagan MN 55122
(651) 308-7972
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature