4117 Oakbrooke Curve
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SiIRNS'yILLE
Heating & Air Conditioning, L.L.C.
12081 Rhnde /slandAve S, Savage, MN55378•952-894-0005
Orstat Test Report.for Jobf ?2 92
AddfeS$ 41f `] vR K/jRUDKc C_ La i JL CIjy 4??AC4A ?)
Date of Instail
Type of HT. HA X HW Space HT Unit HT
Otlher
Mafce j.E nt uv >C
Model G a-Gca 3- 7s -?
Serial sgo-.) SS9'3i'?!
Input '7s,??c9v riTu. k-b
Pilot Type HOT SURFACE IGN/TOR
3 ?S i wc-
Input CFH -75
StackTemp 10-7
Pressure
C02 (I . a
n2 ? 5
Co '0-
Date Tested I ! - I -3 ° 0 a-
Company
BURNSVlLLE HEAT/NG & A/R COND/TION/NG
Technician ?
GeLM4o'b Block oz Subd. Z?,4K?LOOtt? -
3Meaddress: `fiI"1 C)???-?
On ApriH 15, 2000 the Mlnnesota Energy Code, Category I Building Requirements for insulation protechon, air
tightness, and vsntilation, was adopted. As a resufl, the Ciry of Eagan is requiring that the following information be
submltted prbr to issuance of a Certlflcate of Occupancy.
I hereby aclmowledge thai. the above informaNon is cortect end agree to comply +,0 tha Minnesota Ener4Y Code and CftY oi Ea9an
requirements.
l2• r3. e-s._
• o e _? Date
3fgn t re
UL?,c /fohG$
Company Narr`me
• This torm is the responslbillty of the General Contractor•
_ This strucwre: iq conswcted to meet minlmu?R ulremenis ol the Mn Energy Code, Chapter 7670
of Chapt
? This strudura; NJIL? ?n?ry?ed ta meet more reslrictiae requlrementa ers 7872 or 7874
b ooyS
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemtits are required for each unit
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Date (a / 23 / o..?
Site Address GANDHAM, VI JAY
Unit #
4117 OAKBROOKE CURVE
EAGAN, MN 55122
Property Owner (651) 452-1388 Telephone # ( )
Contractor NVfWLVM P.VNIBINV W.
(612) 82T-4033
Address City
•
State ip Telephone # ( )
The Applicant is _ Owner Contractor _ Other
,.?
SeptiC SyStem NeW RkarblShed Su6mit 2 seLs of plans and MPC license
$ 100.00
Includes County fee. Additional consultant fees may apply.
Aiterations To Existing Dwelling Unit, Including $ 50
00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater .
_ Abandonment of septic system
W ater tumaround (+ 5/8" meter if needed - $121.00)
Other:
_ RPZ ? new installation _ repair _ rebuild $ 30.00
Lawn irrigation system .?
ilL 4,
Water softener Water heater 15.00
_ replacement _ additional By
Statc Surcharge • $ .50
Total -.. '. " - - -- ? 30oEe
I hereby apply for a Residenha! Plumbing Pz:mit and aclrnowledge 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 with the Plumbing Codes; that I understand this is not a
permit, hut 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.
Jlo--? NoC60-VV,
Applicant's Printed Name AWgfc?t'§ ignature
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? Rk?DEN AL?
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
New CanstmcUon Reaulramenb
• 3 registe2d sile surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas
(20% maximum lol coverage allowed)
. 2 copies of plan showing beam & window sizes; poured found design, elc.)
• 1 set of Enargy Calculations
. 3 copies of Tree Preservalion Plan'rf lot pladed after 711193
4 .s'?o a , s.?-
?o.sa
1? s-o _
S'? 3 (03. 8S
RemodeURaoair Reauirements
. 2 copies of plan
• 1 set of Energy Cafculatans for heated additions
• i sde survey for ezterior addNOns & decks
• Indicate "rf home served by seplic system for addNOnS
. Rim Joist Defail Options selection sheel (bldgs with 3 or less unds) -3?/
DATE 7? 3-02' VALUATION
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cOL l l¢-i
5"M
SITE ADDRESS L} I 1l MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK? IU ?4 ` I ?o,w Csn s?r- ?1'0., FIREPLACE(S) _ 0_X 1_ 2
APPLICANT P 14c- /46?s ?4 isZiU 6, a
STREETADDRESS VIS' AJa,-r1.,,:.i+ PIc,,? r'`.a...,.? lyo CITY 4??? STATE MU ZIP -4?5121
TELEPHONE# (0SI?NS?-S?oD CELLPHONE# ?ola '?°1 J?1? I FAX#
?
PROPERTYOWNER ?6?s o? /?Zi(/ Ce-rp TELEPHONE# 65I.A/S2°SX0o
-------------------------------------- -------------------------------------- --°---------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category ? MINNESOTA RiILGS 7670 CA1'EGORY I _ MINNESO"1'A RUI1:S 7672
(J submission type) • Residential Ventilation Categary 1 Worksheet SubmiHed • New Energy Code Worksheet Submitted
. Energy Envelope Calculalions Submitted
Plumbing Contractor. , v R I1?"??-? ??- Phone #
Plumbing system includes: Water Soltener Lawn Sprinkler Fec: $90.00
1 Water Hcater I No. oP R.I. Baths
3 No: ol' Balhs
Mechanical Contractor: ws ?; II c. k"Phone # 9S 8f ?"-OooS
Mcchanical systecn includcs: _t Air Condilioning ? Fcc: $70.00
_ HeaC Recovery Systcm
Sewer/Water Contractor. ttL i
------------------°-------------------------------------------------------
I hereby acknowledge that I have read ihis application, state that the
with all applicable State of Minnesota Statutes and City of Eagan 05
Signature of
1111 Q
Phone# 7&31 l1a9 -oZ93P'
comply
oFricE usE PNi.Y
Certifcates of Survey Received I Tree Preservation PI y eceive quired ? Updated 4/02
OFFICE USE ONLY
? 01 Foundation
`5?02
? SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04plex
? 07 05-piex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 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.)
? 22 Porch/Addn. (4-sea.)
? 23 Parch (screened)
? 24 Storm Damage
? 25 Miscellaneous
c
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
)"k 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 48 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation La?v0 Occupancy ,)Z
3- 94 MC/ES System
Census Code -LQ?- Zoning ,
? City Water #5
SAC Units -4pL Stories ? Booster Pump
Nbr. of Units Sq. Ft. PRV ?S
Nbr. of Bldgs /- Length Fire Sprinklered
Type of Const 010_ Width
REQUIRED INSPECTIONS
?(y Footings (new bldg) ? FinaVC.O.
! Footings (deck) _ FinaUNo C.O.
Footings (addition) _ Plumbing
? Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests _ Final
? Framing _ Siding Stucco _ Stone
? Fireplace ? R.I. ?( Air Tes? Final ? Windows (new/replacement)
? Insulation ? Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge /
? yQ j? I?' b? ?s
Plan Review
MC/ES SAC o X
City SAC
Water Supply & Storage
S&W Permit & Surcharge y
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other 3- C?19?1. ff.;: i,." °- ??
Total 70v ?
??
17, ??v
?2,r,cf o
?I ?V 7
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: 1?tYf . K ?IJG f, .2 (/q rvo Ke
DATEOFSURVEY:
LATEST REVISION:
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U DOCUMENTSTANDARDS
Y a °v
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?? • Registered Land Surveyor signature and company
!?? ? • Buibing PermdApplicant
? ? ? • Legal descnption
? • Address
fd ? 0 • North arrow and scale
?? ? • House type (rambler, walkout, splR w/o, splR entry, lookout, etc.)
C? ?? • Directional drainage arrows wdh slope/gradient %
V ? ? • Proposed/existing sewer and water services & invert elevation
vi/ ? ? • SVeet name
? ? ? • Oriveway
q? ? 0 • Lot Square Footage
E??7 ? • Lot Coverage
?1/ ? ? • Benchmark
ELEVATIONS
/ Existino
?" ? ? • Sewer service (or Praposed)
V? ? • Property corners
?? • Top of curb at the driveway and property line extensions
? P, ? . Elevations of any existing adjacent homes
?0/ /? • Adequate footing depth of structures due to adjacent utility trenches
? ?S' U • Waterways (pond, stream, etc.)
/ ProDased
?
?j/ ? ? • Garage floor
f1/ ? ? • Firstfloor
u? ? ? • Lowest exposed elevation (walkouW+indow)
L?/ ? ? • Property corners
M? ? . Front and rear of home at the foundation
PONDING AREA ('rf apolicable)
/
? r7 ? • Easement line
fl ? ? • NWL
? ? . HWL
? ? • Pond # designation
? ? • Emergency Overtlow Elevation
I?( O I7
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?if ? ?
r,? ? ?
i? ? ?
I?? ?
.
DIMENSIONS
Lot lineslBearings & dimensions
Rght-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 all easements of record and any City utilities within those easements
Setbacks of proposed sUUCture and sideyard seMack of adjacent existing strudures
Retaining wall requirements, '"
.
Reviewed:
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MLVcheck COMPLIANCE REPORT
Minnesorz Enerav Code
MNcheck Saftware Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 9-26-2001
TITLE: OAKBROOKE ST. JAMES, WALKOUT, ELfiVATION 41
COMPLIANCE: PASSES
Required UA = 547
Yovr Home = 430
21.496 Better Than Code
Permit #
Checked bv/Date
Area or Cavitv Cont. Glazina/Door
Perimeter R-Value R-Value U-Value UA
---------------------------------
CEILZNGS --°- - ------
1.291 --- - - --
44.0
--
-- - -
0.0
-------°-------
35
190
47ALLS: Wood Frame. 16" O.C. 2495 19.0 2.0 25
WALLS: Wood Frame. 16" O.C. 307 16.0 2-0 4
3
0' ht/8.3' b4/9.0'
BSMT: Conc
9 insul 738 11.0 0.0
.
.
SSMT: Conc. 3.5' ht/3.1' b4/3.5' insul 70 11.0 0.0 5
167
GLAZING: Windows or poors. Above Grade 478 0.350
13
DOORS 38 0.350
FI,OORS: Over Dutside Air 88 38.0 0.0 2
HVAC EOLIIPMENT: Purnace. 92.0 AELfE
--- -------------------------- - -------------------------------------
COMPLIANCE STATEMENP: The orooosed huildinca desian described here is
consistent wiCh the buildina olans, specifications. and other calculations
submitted with the oermit annlication. The prooosed buildinq has been
designed to meet the.requirements oE the Minnesota Energy Code. ,
Builder/Designer Date
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Surveyor's
S i OL-T
276,s6 frWGLr
` 95C
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SURVEY FOR :PULTE HOMES
DESCRIBED AS : Lat a, Block 2, OAKBROOKE 6TH ADDITION, City of Eogon, Minnesota and reserving
easements of record.
J U L 3 0 RfC'D
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umoman ?
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L 0 T SQ. FOO TA GE
HSE SQ. FOO TA GE
L 0 T CO I/ERA GE _
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DAT
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# 18291
PROPOSED ELEVATIONS
Top of Faundation =cszo
Garage Floor =qsi.c.
Basement Floor =qaao
Aprox. Sewer Service =qao.ot
Proposed Elev.
Existing Elev.
Drainage Directions = -
Denotes Offset Stake = •
\
HEDLUND
PLANNING BNGINBERlNG SURVBYING
2005 Pin Oak Drive
Eagan, MN 55122
Phone: (651) 405-6600
fax : (651) 405-6606
Cert2f2cate
3Q
P o p o .? d? - ? -?a,
( 8 tory 95/.3 / 5(iN ? '?(
a?w -?r •-t- ? s W ?
\?? i 24a,? ? o
9\9 \ \ \^lb ?7.84 ?6 e ? p Q ? 9 ... l !
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= 15, 281
= 1,869
12%
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SCALE: 1 inch = 30 feet
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BENCHMARK,
ca,' 9oi?
Eieu : 955.55
MIN. SETBACK REQUIREMENTS
Front - House Side -
Reor - Gorage Side -
+'Y F.:•?.......:*?i,, ':c JOB NO:
I HEREBY CERTIFY THAT THIS IS A TRU?t??P,ND CORRECT'SRE.?.;RESENTATION -404
OF THE BOUNDARIES OF THE ABOVE.OES?GfiBEDcPROP?ERTY"?5 SURVEYED 02R
BY ME OR UNDER MY DIRECT SUPERaISI?N AND(yD?Q6S NO?f P?URPORT 70
SHOW IMPROVEMENTS OR ENCROACHMEN S, 1EXElt'NWS SHiWN. eOOK: PncE
T
DATE _? / Z? / D? • . ? _ CAD FILE:
???-? a,?Dc?PCiND? pLAI SURVEYOR Oakbrooke 5
INNES ?J,r4?EN5NUMBER 14376
.,
Use BLUE or BLACK Ink
r
For Office Use 2 S
Permit J j
City of Ea ~a~ s
I Permit Fee:
I 1
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received: `J
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
C 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 'Y117 Unit M
t
Name: Phone:
Resident/
Owner Address/ City/ Zip:
Applicant is: Owner Contractor
Type of Work Description of work: le Am oa- Z n St,o~vL 1Z Construction Cost: Multi-Family Building: (Yes No )
Company: i~t"°i7lU» t S,b)ly~ r~i~ ~~°SS Contact: <16f i~~
Contractor Address: City: de
State: Zip: 5~~ g Phone:/ V/Z° O8/l
i
License Bc,&Z-l Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I
i~
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
conclude that the 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.popherstateonecall.orci
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. j
x x c•
Applicant's Printed Name A pl cants Signature
Page 1 of 3 L