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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: ? rn c R U DOCUMENTSTANDARDS Y a 0 Z ? 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-/-------- `? ? 1 - - _ -- ---__ ? c^o j / R41, ,W r 99re M I N Z rl 4(0.8 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 --'? 1 -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