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4118 Oakbrooke CurveSURNSVILLE Heating & Air Conditioning, L.L.C. 12481 Rhode Island Ave S, Savnge, MN 55378 • 952-894-0005 Orsht Test Report for Job# 4/0 74, Address 1IiIN 04146RvvKE (;urvt= CItY LA4Ar-j OCCUp211Z - - Date of Install 9- 2 -7-0 '2 Type of HT. F/A k HW Space HT Unit HT M81a2 4: tJt-) c:> >( Model (SSD?-Q3--I s ? Serial 580aAZ3? Z) 8 Input `7S.bvo 87u41 Pilot Type HOT SURFACE /GN/TOR Pressure 1 vJ C.- C02 C, •? InputCFH -7S 02 S•'7 Stack Temp C18 CO ..(? Date Tested 1(7 - Z?t - Q z- Company SURNSV/LLE HEATING & AIR CONDITIONfNG Technician Address 'A W;? 00Y? Y I.ot (e Blk _2?- Sub C-l K Y .f -e- Zip 5512? u f. r\ lr -e THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: - M -p)Z Yes No Inspector: Final grade (6" from siding) X Permanent steps (garage) Ix Permanent steps (main entry) X Peimanent driveway x Permanent gas Ix Sod/Seeded gtass TraiUcurb damage X Porch Basement finish Deck Please verffy 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. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Convactor CoPY 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City OFEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consiruction Reauirements RemodeVReoair Reaui2ments Office Use Onlv 3 registerad sfte surveys showing sq. ft. of lol, sq. fl. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N (20%meximum lot coverage allawed) 1 set of Energy Calalatians forheated additions Tree Pres Plan Recd _ Y_ N, 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree PresRequlred _Y _ N 1 sat of Energy Calculations Addition -indicate ifonsite sepGcsystem On-site Septic System _Y _ N 3 copies of Tree Preservation Plan 'rf lot platted after 711193 RimJoistDetailOptbnsselectionsheet (buildingswitli3orlessunits) Date ConstructionCost SiteAddress 11 00,\-6r010V-6 C`" `/ U-0- ?q?QQ,v? M p? 5510'2- UoiUSte # Description of Work U1 ? ?-v Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner l? 6?? ?`( QV Li-? en al' ?Ij Telephone #(6 S ?) ?s? t( ? I ?? • ? Contractor ?Q vv?? Address State Zip City Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Ene[gy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitled Submitted . • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # l I I hereby apply for a Residential Building Permit and acknowledge that the inf rmation iTrutffqh?C"an accurate; that the work will be in conformance with the ordinances and codes of the C -ar?"-?fi - te 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 approval of plans. N If so, 25% plan review G r? o Y' -¢. v `- •.A q Yn ? 0.. ? App ' ant's rinted Na e Applic ' S' e OFFICE USE ONLY Sub Types ? 01. Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02. SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex 'Y- 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. 0 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 Siding .$? 32 Addition ( ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33.Alteretion ? 37 DemolishBuilding" ? 43 Reroof ? 46 WindowslDoors ? 34' Replacement •Demolitlon (Endre Bldg) - Give PCA handout to applicant Valuation t) ? Occupancy MCES System Census Code ??. Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const V6 Width _ Footings (new bldg) ,)C Faotings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS Final/C.O. ?c Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Fina] _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other. Total ? (J? 66?c )z Dc? a f ?e?, ;JIJN 2pFr-? ,5,'urveyor's Cert2,,ficate . ., SURVEY FOR : PULTE HOMES DESCRIBED AS : Lot 16, Block 3, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving easements of record. 3:1 Nladmm siopes or Retaining 1Na11 Will Be Required C.B. ?"?9994 / 999.3 ??Le _ 94 A"i 999.7 Y a / .., . ,._ L (1' ^ / / r ? 0 N ? 450.2 1\ ? ) 9?° ? 950.3 SILT 95i.9 ......_.., "-- w vc m? ro a / / W o $ 'i ._. _ _ 0 ? ?ENo& / ?. ? o ?o $?? ^ ----_. ? ?- 28.00 -_ ? . ?VACqNh "?II ., S ??. 4451.3 0° 94z.5 ? 99 .. 9 O 35 Z ?8 67 Proposed z'Story o ? ? C) i 95I.5 0° . B,Pcw ° o <. v W IJO Garoge _?T ?O I 494.9 21.84 443'5 'o0 24.83 992.3 ` ___ ____ _ ___ ___ ____ ( .. -7? ??J'4 t ' ?..F., aao.9 . ' 1` : : ,,. ?ACnwr- L 0 T SQ. FOO TA GE HSE SQ. FDO TA GE L 0 T CO l/ERA GE _ F i> ? -: # 18291 PROPOSED ELEVATIONS = 17,542 = 7,643 9% BENCHMARK, Top of Foundation = 952.6 Garage Floor = asi.c, Basement Floor = 044.0 Aprox. Sewer Service =940.0*_ Proposed Elev. _ C=> Existing Elev, _ Drainage Directions = Denotes Offset Stake = • HIEDLUND PLANNINC ENGlNB6RING SURVSYfNG 2005 Pin Ook Drive Eagan, MN 55722 Phone: (651) 405-6600 Fax : (651) 405-6606 MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side - I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY OIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. DATE _" ?_I5 ? oZ ??a_-.n--? ? E(jD. IINDGREN, LAI`46 SURVEYOR v.. c-;3 C?> MINNESOTA LICENSE. NUMBER 14376 i/ / J08 N0: 02R-384 BOOK: ? FIL.E: Oakbrooke 5 ? SCALE: 1 inch = 30 feet Site address: c°OAG &(W- Lot 16 Block3 Subd. aj'+pA?_ On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, antl 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 sUucture: is consUucted 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 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater Fumace k`- ^Wok CZ_?-???L?' ?Ucv Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTEO ves No Kitchen kitchen Bathroom 1 kS1J/ 0 ' (3 (JU L/ Bafhroom 2 kle? / , , Ll? Bathroom 3 Asle-l, ? Bathroom 4 y? ?-V S(? SO ? Other FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIREC7 ATMOS J ? X?q f'/u.?iit??o -1S z7aoa a/ MAKE•UP AIR MODEL TYPE CFM's I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. n Ya.li? /To?rl?s . CompanyName //-/8' O 2. Dale " This form is the responsibility of the General Contractor. 61 3 ??-- ` RESIDENTIAL 3 S I Fs3 -1o .Z:?;D 851-681-4675 P,n ?.???? 9 o ? i' NewConsWCtionReauiremBMS RemodellReoairReauiremeirts ' • 3 reglstered site surveys shmving sq. ft. W bt, sq. ft. of house; and all roofed arees • 2 copies of plan S.3 4 4 3? -(20% mazimum lot coverage aUowed) • 1 sel of Energy Calculatiore for heated additions • 2 copies of plan showing 6earn & w(indow sizes; poured tound design, etc.) • t site survey for ezterior add'N"ons & decks /• Indicate if home served by seplic system for addilions 1 set of Energy Calculations t? 3101 • 3 copies of Tree Preservation Plan it lot platted efler 711193 ? . Rim Joist Detail Options selection sheet (bldgs wiUi 3 or less units) DATE VALUATION SITE ADDRESS !?Y//S 04 1C broo ? C? ??a- MULTI-fAMILY BLDG _Y X N TYPE OF WORK 4? fIREPLACE(S) _ 0X 1_ 2 APPUCANT R STREETADDRES$ ?S'IS /Uer t'?w?FY P?o6wa.. S -,ae./ uDCITY 'g#?q" STATE IWVZIP SS 2 TELEPHONE # Cos?rlS.2- 6a00 CELL PHONE # FAX # PROPERTYOWNER /?Z/-z56 l-&.er cf 114110 6rg TELEPHONE# C95`1ASr2 - S2 CU COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUI Energy Code Category ? MINNESO"fA RUITS 7670 CA"I'EGORY I (Jsubmission type) • Resitlential Ventilation Category l Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor. Vm I ie _ r I?!H Phone # Plumbing system includes: Water Sor Iawn Sprinklcr ! Water Heater _I No. of R.I. Baths 3 No. of Baths Mechanical Contractor. Mechanical system includes: ( Air Conditioning Heat Recovery System Sewer/WoterControctor. /4a+-ro 4?Q I Phone# 8Sy-oooS Tee: $70.00 Phone # 7la 412S-.2 9 I hereby acknowledge ihat I have read this application, state that the infor af n is correct, and agree to comply with ali applicable State of Minnesota Statutes and City of Eagan Or in c. l? Signature of Applicant - ___--------- __--°-------- OFFICL' USE ONLY Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required ? Updated 4102 BUILDING PERMIT APPLICATION CITY OF EAGAN m 0 3830 PILOT KNOB RD, EAGAN MN 55122 rcc: ryv.vv OFFICE USE ONLY ? 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 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Y or _ N ? 25 Miscellaneous 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitian (Entlre Bldg only) - Give PCA handout to applicant Valuation ?? C? Occupancy ?MC/ES System Census Code Zoning ? City Water ,q` /!v? SAC Units _01 Stories ? Booster Pump r Nbr. of Units Sq. Ft. PRV ? Nbr. of Bldgs _1 Length ? Fire Sprinklered Type of Const ? Width L ? REQUIRED INSPECTIONS ? Footings (new bldg) ? FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing ? Foundation _ HVAC Drain Tile Other Roof _ ice & Water Final Ftgs _ Air/Gas Tests Pool _ Final ? Framing _ _ _ Siding Stucco _ Stone ?t Fireplace N( R.L 1(Air ? t? _ Test _?Final _ Windows(new/replacement) y Insulation ?( Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC city sac Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumhing Permit Mechanical Permit License Search Copies Other Tota I ? Approved By t Building Inspector /Po y I 5'' =- ? ??l Dv rn MqP`'' f K(O a- ?V+'J / )-YK Kco r,ry 0 , ?y4 1? N 6 CD NINcheck COMPLIANCE REPORT a Minnesota Ener4v Code NINcheck SoEtware Veraion 3.0 o- N ? N COUNTY: Dakota Q STATE: Minnesota ZONE: 2 ? CONSTRUCTION TYPE: `O DATE: 9-26-2001 TITLB: OAKBROOXE ST COMPLT3lI4CE: PASSES Single Family JAMES, WALKOUT, ELfiVATION #1 Required UA = 547 Your Home = 430 21.9%- Better Than Code Permit # Checked bv/Date Area or Cavitv Cont. Glazinq/Door. Perimeter R-Value R-Value U-Value l7A - --------------------------------- CBILTNGS ---- ------- 1291 -------- 44.0 ---- - --- 0.0 ------------ - --- 35 P7ALLS: Wood Frame. 16" O.C. 2495 19.0 2.0 1.90 WALLS: F7ood Frame, 16" O.C. 307 10.0 2.0 25 BSMT: Conc. 9.01 ht/8.3' ba/9.0' insul 738 11.0 0.0 43 SSMT: Conc. 3.5' ht/3.1' bq/3.5' insui 70 11.0 0.0 S GT.A'LING: 47indows or poors. Above Grade 478 0.350 7.67 DOORS 38 0_35(1 13 c FLOORS: Uver Outside Air 88 35.0 0.0 2 = HVAC EpUIPt+IP•.NT: Furnace. 92.0 AFliE - ---- ----- ------------------------- ---------------------------------- ----- W __C9MPLIP.hICE _S.T&TELNENT.-.--_Sh?_ornnosed_huildisw__.desian_..descrihedJiere_.is-___----_---_ a consist??nt ?•?ith the buildina olans. soecifications. and other calculations submitted with the oermit aioolication. The Urooosed buildin4 has been designed to rneet the requirements oE the Minnesota Energy Code. , Builder/Designer IL(?y?j Date M m ti ti t9 ? N ? R1 I CL W Jn N 0 d ? ? a ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUtLDING PERMIT APPLICATION PROPERTY LEGAL 9,IO ? k '?? Oq. K DATE OF SURVEY: d LATEST REVISION: rn c m ? DOCUMENTSTANDARDS Y a o z a a / U ? • Registered Land Surveyor signature and company X Cl ? • Building PertnitApplicant s?/ ? n • Legal description ?t ? / ? • Address N ha/ ? 7 ? • orth arrow and scale H F ? 6? ? ? • ouse type (rem6ler, walkout, split w/o, splft entry, lookout, etc.) Di / ? • rectional drainage arrows wdh slope/gradient % Ef/ t7 ? • Proposedlexisting sewer and water services 8 invert elevation f?Y/ ? ? • Street name n3/' ? ? . Driveway Pl/ ? 0 n ? • Lot Square Footage L C ? • ot overage Ca? ? ? • Benchmark ELEVATIONS Existinq V ? ? • Sewer service (or Proposed) ? ? • Property comers Sd ?? • Top of curb at the dmieway and property line extensions ?0 • Elevations of any existing adjacent homes u? . Adequate footing depth of structures due to adjacent utility trenches ? ? ? • Watenways (pond, stream, etc.) Prooosed rN/ ? ? • Garage floor vl ? n . First Boor ? • Lowest exposed elevation (walkouUwindow) ] ? • Property comers C1' CI ? • Front and rear of home at the foundation PONDING AREA ('rfapolicable) ? f!/ ? • Easement line Cl h?"?? ? • NWL ? hr ? • HW L • Pond # desgnation ? f-i . Emergency Overflow Elevation DIMENSIONS (J/ Ci ? . Lot lines/8eanngs 8 dimensions CI f_] • Right-of-way and street width (to back of curb) pX ? Ci • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all strudures requiring pertnanent footings) V/ 1.1 ? • Show all easements of record and any City utilRies wfthin those easements n? ? u • Setbacks of proposed structure and sideyard settback of adjacent existing structures i/i i? . Retaining wall requirements, 'rf any Reviewed: Name JUN 26 REC-o Surveyor's Cert2fZcate SURVEY FOR :PULTE HOMES DESCRIBED AS : Lot 16, Block 3, OAKBROOKE 6TH ADDITION, City of Eogan, Minnesota ond reserving easements of record, L •??j ? ?r^ ''Le' ? , a r 3.z 5i, ,_ i"...s 4 1 i-..... 3:1 milefturriisiapes ??p?pW ?O?? ? ? Tt? B9 F$eqUIP6d 998 q h JQ? 94 ? A?' f -?- ! f?? BO c - ? . , n ^ ._....n ' « . . ? r ;? ? "'---•_ o °?T -- • . / ? / p' ? / ? •? ? W n o I ? ? / ? ,; ? ? ? m ? 0 444,4 O ? / ? o 0 ? / } f ti°' 9as, 1° ?? 950.0/ I -- -- -- M _-------- -- - - - - , N84031 0 aso.a oas ??j E?G& ?. RRoVo ????????D. # 78291 PROPOSED ELEVATIONS Top of Foundation = asz.o Garage Floor = 95i•(0 Basement Floor = aaa.o ? Aprox. Sewer Service = 940,0 Proposed Elev. _ (:=D Existing Elev. Drainage Directions = - Denotes Offset Stake = . HEDLUND PLANNINC ENCINEERINC SURVEYING 2005 Pin Oak Drive Eagan, MN 55122 Phone: (651) 405-6600 Fax : (651) 405-6606 - ' 28.00 •3 (V N 18 Zr?Stpsed c .6I 8'pcw y o v p Goroge 21.84 ? 24.83 ? ? l-; --- ----?s LOT SQ. FOOTAGE = 97,542 HSE SQ. FOOTAGE = 1,643 L 0 T CO l/ERA GE = 9% SCALE: 1 inch = JO feet ?VRCANT. -? Z I p ? jW?o !r? IVO 1?0 ? ?- - - - - - - - - - - - J I -? . -?- ? • - vncA?r- BENCHMARK, MIN. SETBACK REQUIREMENTS Front - House 5ide - Rear - Garage Side - I HEREBY CERTIFY THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYEO BY ME OR l1NDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. D.4TE _ LD_/_I5 1JgY0 E D. LINDGREN, LA 4 SURVEYOR fl-) - e3?> ftvel3 MINNESOTA LICENSE NUMBER 14376 N0: D2R-384 BOOK: FILE: Oakbrooke 5 2006 RESIDENTIAL BUILDING PERMIT APPLICATION '70 ,6D City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauiremenis 3 registered site surveys showing sq. fl. of lot sq. k. of house; and all roofed areas (20°k mazimum lot coverage allowed) 2 cropies of plan showirg 6eam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Presenatlon Plan if bt platted after 7/1193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical venlilafion fortn RemodellReoair Reoui2menfs Offi1 c I a Use OnN 2copiesofplanshowingfoofings,beams,joisis Cer[ofSuiveyRecd Y _N 1 set of Eneigy Calculations for heated additions Tree Pres Pian Recd ?Y' _ N, 1sitesurveyforadditions&decks TreeP2sReqwred . E'??Y.??-N Add'rtion - indkateSon-sitesepticsystem Oh-sdeSepticSystem '_Y _N ?? Date ?` `!/ ??4/ 0jo Construction Cost Site Address lJ // $ CQ Klo V o 0 V, Cu V?? UniUSte # a a? f`ti?l Ss? a Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner l.t ?y YX'1 i f CL l7 ?^ I C> D? yf ?? Telephone #( 6S 1) ?I S y ?( 91 Contractor SP Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential VentilaGon Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionrype) Submitted Submitted . Energy Envelope Calalalions Submitted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informa6on 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 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. Applica t's P' ted Name Applicant igna e DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 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 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex 6' 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multl Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 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 'Demolftlon (Entire Bldg) - Give PCA handout to applicant D05CNptI0I1: Water Damage _ Yes Valuation Occupancy ?- 3 MCES System Plan Review 100% or 25% 1 Census Code 43Y Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length ? ? Fire Sprinklered Type of Const x( Width ? Footings (new bldg) _?o Footings (deck) _ Footings(addirion) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fueplace _ R.I. _ Au Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. 'o Fina]/No C.O. HVAC Other _ Pool Ftgs Atr/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Building Inspector F 4fi 52??- ? Z S ------------------ ? For Ottice Use ? I j Permit #: ? Permit Fee: a?0 C) J ? Date Received?i I ? I ? I Sta(i: ? 2009 RESIDENTIAL BUILDING PERMIT APPLICATION ???f l l?SSl4? Date: O?5 L- C40 Site Address: 7?l rS ?lGg/D81lv 'e- Tenant: Suite #: RESIDENT / OWNER Name: Jkr, re-v- Phone: b5? "°/SY -?I `r'I I Address ! City / Zip: ylli%- aK t'?Ja*'1GC Applicant is: ?Owner _ Contractor TYPE OF WORK Description of work: Fih ? 5L- L.~? t 1'k ew 1- c,o Construction Cost: 7&0y ^ Multi-Family Building: (Yes _ I No CONTRACTOR . Name: 1`" Ul , P'- C 2?° License k: Addre ss: City: State: Zip: -p Phone: ContactPerson: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (q SubmiSSiDn type) • Energy Envelope Calculalions Submitted 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 Contrector: Phone: Sewer & Wafer Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public lnformation. Partions of the informatlon may be classified as non-pubfic il you provide specific reasons that would permft the City to conclude that the are trade secrets. I hereby acknowledge that this iniormation is complete and accurate; that the work will be in conformance with Ihe ordinances and codes of the City of Eagan; ihat I understand ihis is not a permit, but only an application for a permit, and work is nol to slart without a permil; ihat the work will be in accorda??ce with the approved plan in ihe case oi work which requires a review and appr0 I oi plans. x x ApplicanY ri te a Applicant's ' ture Page 1 of 3 `lu???,? ?r??? DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Single Family _ Multi _ 07 of _ Plex Accessory Building WORK TYPES New Addition ?c Alteration Replace _ Fireplace _ Porch(3-Season) _ Storm Damage _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Deck _ Porch (ScreeNGazebo/Pergola) _ Exterior Alieration (Multi) ?c Lower Level _ Pool _ Miscellaneous Interior ImprovemeM _ Move Building _ Fire Repair Repair Siding Reroof _ Windows Egress Window Demolish Building' Demolish Interior Demolish Foundation Water Damage 'Demolition ot entire building - give PCA handout to applicant Valuation Plan Review Occupancy , MCES System Code Edition W 7 SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers (25%_ 100%-p Census Code ik of Units # of Buildings Type oi Construction ? W idih Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Z Framing Fireplace: _Rough In _Air Test _Final ?C Insulation Meter Size: Reviewed By: 771 ?L _ Sheetrock final / C.O. Required ? Final ! No C.O. Required ? HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wali Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plani Copies TOTAL L-L f ro"?'3k` 3110c-'10 I Forbffibe-Usa --------- - ? Permd I ? Permit Fee: ? Date Received: `•? ? I ? ? Staff: ? L -----------------? 2009 MECHANICAL PERMIT APPLICATION Date: ? bS ?Site Address: 4111 b Tenant: Suite #: s-`/-0I/ Name: YLf?iL Phone: ??-v RESIDENT/OWNER Address 1 City I Zip: 7/S- ??7v ? ? ?l2 z s ? CONTRACTOR License #: Name: e? Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK _ New _ Replacement Additional _ Alteration Demolition d Kec ,,wfr' dkcP 4dd i4 LpB?- k Description of work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to - be screened by City Code. Piease contact the Mechanical Inspector or one of the Planners for information on ermitted screenin .rnethods. RESIDENTIAL COMMERCIAL PERMIT TYPE New Construction _ Interior Improvement Furnace _ Air Conditioner _ Install Piping _ Processed Air Exchanger _ Gas _ EMerior NVAC Unit Heat Pump _ Under ! Above ground Tank (_ Install /_ Remove) " _ When installing/removing tank(s), call for inspedion 6y Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire f2p81r (replace burned out appliances, duclwork, etc.) (includes $.50 State Sumharge) $ TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ z 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Perrnit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharge increases by $.50 for each =$ State Surcharge $1,000 Permit Fee (i.e. a$1,001-$2,000 Pertnit Fee requires a$1.00 surcharge). $ TOTALFEE i nereoy acKnowieage tnae mis mrormauon ¢ compiete ana accurate; mat me worK Mn oe m comormance wim me nances anv cwes u? ?ne ??ry o. .eya.1, UlaL I under antl this is not a pertnd, but only an application for a permit, and work is not to start out a pertnit; ih Yl e rk will be in accordance with the approved plan e case of work ich reQuires a review and approval of plans. X ur? y E??r?eV ApplicanYs P mted Nam -r pl' s re FOR OFFICE USE: .. "? . -. . , . . :. . - 11 : ?,,,.J. - ° ' ' '. - . . ' Reviewed By: . Date: Required Inspectionsi . Under Ground Rough In _Air Test Gas SernceTest In-floor Heat ' Final , Extenor HVAC Screemng lnspection r City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(651) 675-5694 --- ----------- I ?nr fl?ce use ? f ? Permit#: i I Permit Fee: ? i ? Date Received: ? I i ? I ? ? Staff: `-----------------? 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Yllf D?fl?v?1?? Tenant: Suite #: RESIDENT/ OWNER Name: / ? /`' e? Phone: Address / City Zip: 4"11K- rv8lt7 uKY/ M? '$$1'U CONTRACTOR Name: License #: Address; City: State: Zip: Phone: Contact Person: TYPE OF WORK 1/New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESIDENTlAL Water Heater _ Water Softener Lawn Irrigation i/Add Plumbing Fixtures RPZ !_ PVB) ? Main _ Lower Levei) Septic System _ Water Tumaround New Abandonment RESlDENT/AL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plum6ing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as 6uilt) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurete; that the work will 6e in conformance wlth the fnanc?s anp codes oi tne Ury or Eagan; that I understand this is not a permit, but only an application for a permit, and, is not to startw" out a pe R; that the work will be in accQ` ance with the approved plan in the case of work which requires a review and appr I plans. X /UP?y X ? ApplicanYs Printed Ra'me ' ApplicanYs POR OFFICE USE . Reviewed By: Required Inspections; _Under Ground _Rough-In _Air Test _Gas Test _Final Use BLUE or BLACK Ink I For Office Use I I ~~pp I City Permit 13 I 1 I I Permit Fee: 1 W . - I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: ?C.~ I I r~ 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7 Site Address: 1///.P 00-K N U C- VV (LV Unit RESIDENT I Name: ~Ltr,T}_(e,,' Phone: OWNER Address / City / Zip: ,sue/c~7v~ Applicant is: Owner Contractor Description of work: Q fir(,' ~hk~ua 6~"Le TYPE OF WORK Construction Cost: Multi-Family Building: (Yes / No ) Company: % i/e- 10-*4 S` f' e.-n contact: I~IC 0 S 0V(2A CONTRACTOR Address: / 173 !;a-~-4 14 V'e A) City: P/V kx Quf P\ State: I/ v1 / l< Zip: S3,(L/ Z. Phone: (Z6 3) I > -2- License ®t7 J ;'J3 Q Lead Certificate oo - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of per ' .is uance. x x ~ex scma v Applicant's Prin ed Name Applicant's Signature Page 1 of 3 SMOKE DETECTORS ARE REQUIRED ON EVERYVEL OF THE HOUSE AND IN EVERY SL EPIING ROOM AND IN EVERY HALLWAY L ADING TO A SLEEPING ROOM 1,,t ; ON MONOXIDE ALAI—l!vt ..: ✓c INSTALLED IN ALL NEW SINGLEAMI Y AND MULTI FA�,1ILY DWELLING UNITS FIRE STOP SOFFITS AND ALL. Y,`,°;" OTHER DEAD S CES r- ttCipit", 'SNI; 0.t;. EGRESS • 3. • 20" N • MI . • MAX. OF 44 MUTE: ADD UP t611110 CD UNDArF! , iAu.'• r+ GRAD LATE• BUILDING INSPECTIONS DIVISION PERMIT City of Eagan Permit Type:Building Permit Number:EA125331 Date Issued:07/22/2014 Permit Category:ePermit Site Address: 4118 Oakbrooke Curve Lot:16 Block: 3 Addition: Oakbrooke 6th PID:10-53765-03-160 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. 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 - Yuriy Grigoryev 4118 Oakbrooke Curve Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature