4119 Oakbrooke CurveSURNSVILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode !slandAv¢ S, Savage, MN 55378 • 951-894-0005
Orstat Test Report for Job# 'y97 7
AddreSS 14 0Av 6eboec Cc,?rv0- Cjjy (?nc,A?
Occupant
Date of Install 10 • 1`4 - 8?;L
Type of HT. Fll- }C HW Space HT Unit HT
Otlher
Make 16: nJ 0 o ,c
Model Ci?)G Q-3 --7s -
Serial 580 a A a3c? ?9
Input ?ls,arao r37ur4
Pilot Type HOT SURFACE lGN1TOR
Pressure 3 5 twc, C02 ? 3
Input CFH -157 02 9 ?
StackTemp qy CO .-?
Date Tested
Company BURNSVILLE HEAT/NG & A/R
Technician
/
`
1Z, -C-E1
IR[i.-369- ??1-7
Address `A11 W z Jq-- Zip 5512
Lot -1_ Blk a. Sub
THESE ITEMS WERE ! WERE NOT COMPLETE AT TEE TIME OF THE FINAL INSPECI'fON.
Date: //.2rS,pZ Yes No Inspector:
Final grade (6" from siding) vl?
Petmanent steps (garage) tl?
Permanent steps (main entry) ?
Permanentdriveway
Permanent gas V/'
Sod/Seeded grass
TraiUcurb damage
Porch f
Basement finish f
Deck V-'
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in rightof-way or instalGng underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Site address: 4), y OAK$taoK?r Lot 407 Blodc e'L-- Suhd. 9!1AK4A4mKb"
On April 15, 2000 the Minnesota Energy Code, Category I 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 consUucted to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
? This structure: wiil be consWcted to meet more restrictive requiremenGs of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater ? Y4 /F44 l7ie.d 04f2- 1 e S 245; ?j
Fumace ? LErl?o x L 23 - 21 F' L- 1 54 ODO 471 i16t-T
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
Yes no
Kitchen kitchen
Bathroom 1 0"A" P.4.4ase.??? FJ- os?! Sa ?
Bafhroom 2 .i
J- oSVo
sv
?
Bathroom3 gAZA14 SN/_ b0 80
Bathroom4 ?. 5\1 _ SD 50
Othef NUN4F? ?, h V ' SD Sa
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECi ATMOS
? ? Near rl 4b (oooo T'A.- 6 -).7 aoo ?
I hereby acknowledge that the above informa6on is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
?. Cso L
Signature
Pu c rg- rfoA ss
CompanyName
// - z 5 -a x_.
Date
" This form is the responsibility of the General Contractor.
•J3a 7 b ?--? --l d-?? -a- O c?L ko v_UzrLt-_ 44-
RESIDENTIAL
p p s 3a? g gUILDING PERMIT APPLICATION
m? S 3 a?5 CITY OF EAGAN
S 53a ?0 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
?Z
NewConsWCtionReauirements RemodellReoairReouiremenrts
• 3 registered sRe surveys showing sq. k. of lot, sq. ft of house; and all roofed areas • 2 copies of plan
(20% macimum lot coverage allowed) . 1 set of Energy Calculadons for heated additlons
• 2 copies of plan showing beam & windrnv s¢es; poured found design, etc.) • t site survey for exterior additions & decks
• 1 set of Energy Calculalions ?// . Indicffie "rf home served by septlc system for additions
• 3 copies of Tree Preservation Plan ff lot platted after 7/1193
. Rim Joisl Detail Optiore selection sheel (bldgs with 3 or less units)
DATE VALUATION ? ZO, Ul?)o
SITE ADDRESS OGN?
TYPE OF WORK 7\-)e?J 5'%
APPLICANT
MULTI-FAMILYBLDG _Y -Ir
FIREPLACE(5) _ 0 _ 1 _ 2
STREET ADDRESS C7?? NOS?'?we_c? !'GJ??1-??ITY?STATE
TELEPHONE #?cSN?t'q A?1?9 CELL PHONE # \uXZ 3bc1- ?'R? ? FAX #
PROPERTY OWNER
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUI
Energy Code Category _ MINNI;SOTA RULES 7670 CATI?GORY I MP.
(J suhmission type) • Residential Ventilation Category 1 Worksheet Submittetl • I
• Energy Envelope Calculations Submitted
Phone #
Plumbing Contractor: _???\\'e- Phonc #
Plumbing sys[em includes: ? WaLer Softenerv I.awn Sprinkler rec: $90.00
1 Waler Heatcr L No. of R.I. Bafhs
?..? 1'0. of 13atlis
Mechanical Contractor??"t Phone #
Mcchanical system includes: ? Air Conditioning rcc: :$70.00
_ Heat Recovcry System
Sewer/WaferConhactor:'%t'<<b '??Z^2t'ck\
---------------------------------------------------------------------
I hereby acknowledge that I have read this application, state tkat the
with ali applicable State of Minnesota Statutes and City of Eagdlz?Crc
Slgnature of Applicant
12UL1:S 7672
and agree to comply
OFFICF. USE ONLY
Certificates of Survey Received A Tree Preservation Plan Received _ Not Required K
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2 ;'a ?-?-
---
' q Ly ,5 2002
r'l
Updated 4/02
OFFICE USE ONLY '
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
)<02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
?4_ ;i1 New ? 35 Int Improvement C 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bidg only) - Give PCA handout to appllcant
Valuation 1 G?,` ,;:!?7'? a Occupancy (L 3 - af MClES System
Census Code 1 b I Zoning 190 City Water
SAC Units Stories _15A- Booster Pump
Nbr. of Units Sq. Ft. PRV ?
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Af?_ Width
REQUIRED INSPECTIONS
? Footings(new bldg) ? FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
Footings (addition) _ Plumbing
? Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Fi nal _ Pool _ Ftgs _ Air/Gas Tesu _ Final
Framing Siding Stucco Stone
Fireplace ? R.I. 1iAir Test ? Final Windows (new/replacement)
Insulation « 1t Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
6 1 !-,t 52 !v
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• MAR-16-2009 10:2f3
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MNCheck COMPI,IANCE REBOgT
Minneaota Snergy Cods
MNcheck software vereioa 3.Q
COIINTY: DBkota
9TAT8' MiArieHOtA ZONE: 2
CUN9TRVCTION Typg, Siazgle Family
D14TE: ,3-16-2000
DATE OF PI.3u7g; 3/16/00
TITT,E: FALI{IRIC tq/0 EL. #2
COMPLIANCP: PA93E5
Requ,ired UA . 508
Your Ftome s 407
19-94 Hetter Than Code
P.02i02
Perm t #
CSWrke by DaCe
14x98 ox CSVlty CoAt_ GlA2ing/DOOY
Perimeter R-Value R-Va'ue II-Value
--?------------ $----^----
----------------------------
C$TLING,9 ---------------------
WALLSe Wood Frame, 16" O.C. 1444 44.0 p_p
WP+I+LS: wood Fratne, 16it O.C. 2327 19.0 2.0 3.
BsMT: Coac. 9.0' ht/8.34 b 9,p, 28? 1C?.0 Z,p
GI.AZING: Windowe or Dpora,?p?,bove pr?de 4
3? 85 11:a 0.0
DOOR4 0.350 2
FLda83: Over Unconditioned spaca 352 38.0 0.0 0.350
HVAC EQU18MENT: Furaace, 92.0 AFUg
-----------------------------------------------------------
COMPLIANCE gTATgpMWT; The propoeed building design daecriBed here is
coneistent wlth the building plana, epecifications, and othex caiculations
submitted with the pesznit applica:ion. The prcposed butlding has been
deeigned to me Q
e M_ "Pa"ota Energy CQde,
SuildeY/Deaia„m? y •-? ,_ ???? ? ?? /
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Dar.e
TOTqL P,02
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDINGPERMIT APPLICATION
PROPERTY LEGAL: L ,d ,-7 gfa ak :? Gf? ?/dn, .??i ? 7 h
DATE OF SURVEY:
LATEST REVISION:
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v DOCUMENTSTANDARDS
Y a a
O Z Q
kY ? ? . Registered Land Surveyor signature and company
? ?
? ? • Building Pertnit Applicant
L
? ? • egal description
ip/ ? O • Address
V? C7 • North arrow and scale
? • House type (ram6ler, walkout, splR wlo, split entry, lookout, etc.)
Qi ? I] • Directional dreinage artows with sbpe/gradient %
GY ? ? • Proposed/existing sewer and water services & invert elevation
aK ? ? • Street name
¢J? ? ? • Driveway
ry ? ? • Lot Square Footage
Et' ? ? • Lot Coverage
p-, ? ? • Benchmark
ELEVATIONS
Existina
/
i? ? ? • Sewer service (or Proposed)
13?/ n ? . Property comers
? ? • Top of wrb at the driveway and property fine eMensions
? t7? ? • Elevations of any existing adjacent homes
? pf'
V o . Adequate footing depth of structures due to adjacent utildy trenches
? ? • Waterways (pond, stream, etc.)
Praoosed
?C ? • GarageFlOOr
p?y7 ? • First floor
Cu? ? ? . Lowest exposed elevation (walkouUWindow)
r/ ? ? • Property comers
IV ? ? • Front and rear of home at the foundation
/ PONDING AREA ('rf aoolicablel
o u • Easement line
? ? • NWL
? QX ? • HWL
i i ?,/? • Pond # desgnation
? i9' ? • Emergency Overflow Elevation
/ DIMENSIONS
?f ? ? • Lot lineslBearings & dimensions
IH? ?? • RghtoFway and sVeet width (to 6ack oFCUrb)
rt? ? U • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all structures requiring pertnanent footings)
?? • Show all easemenGs of recoM and any Cdy utilRies wAhin those easements
?jt7 ? • Setbacks of proposed structure and sideyard setback of adjacent existing sW ctures
L?( ?? • Retaining wall requirements, 0 any
Reviewed:
Name
!
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,S'urveyor's Certif2cate
SURVEY FOR :PULTE HOMES
DESCRIBED AS : Lot 7, Block 2, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving
easements of record.
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L O T SQ. FOO TA GE = 74,658 HSE SQ. FOOTAGE = 1,797 ?p? /N?
L 0 T CO I/ERA GE _ 12%
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# 18052
PROPOSED ELEVATIONS
Top of Foundation = 91511.0
Garage Floor =q53,co
Basement Floor =916.0,
Aprox. Sewer Service =443•st
Proposed Elev. _ C=::>
Existing Elev.
Drainage Directions = -
Denotes Offset Stake = •
HEDLUND
PLANNING ENGJNB6RlNC SURVEYING
2005 Pin Oak Orive
Eogan, MN 55122
Phone: (651) 405-6600
Fax : (651) 405-6606
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BENCHMARK,
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MIN. SETBACK REQUIREMENTS
SCAIE: 1 inch = 30 feet
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF THE BOUNDARIES OF THE A80VE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
DATE _Z-/_! _/ oZ 6 ?
F D. LINDGREN, LA?URVEYOR
MINNESOTA LICENSE NUMBER 14376
Front - House Side -
Rear - Garage Side -
JOB NO:
02R-413
BOOK: PAGE:
CAD FILE:
Ookbrooke 5
ryC..?,fi,ae{g,.
.4
RECEIVEa
JUL 17 2002
FAGNiV
ENGINEERING DEPARTMENT
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA111414
Date Issued:06/24/2013
Permit Category:ePermit
Site Address: 4119 Oakbrooke Curve
Lot:7 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-070
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Jonathan Estebo
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Cuong Tran
4119 Oakbrooke Curve
Eagan MN 55122
(763) 227-6303
St Paul Siding Inc
1597 Niles Ave
St Paul MN 55116
(651) 698-7777
Applicant/Permitee: Signature Issued By: Signature