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
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;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.
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494.9 21.84 443'5
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# 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
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CD NINcheck COMPLIANCE REPORT
a Minnesota Ener4v Code
NINcheck SoEtware Veraion 3.0
o-
N
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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
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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'
?
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,_ i"...s 4 1 i-.....
3:1 milefturriisiapes
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, N84031
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# 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