4121 Oakbrooke CurveAddress 14 ?? ? OC4K,?Y'0o1<e- CurVe, Zip 5512_
rAC 6 Blk a sub 00-"rook? (G-'?
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: /- 14 - 03 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) X
Permanent steps (main entry)
Permanent driveway x
Permanent gas x
Sod/Seeded grass
TraiUcurb damage ?
Porch jX
Basement finish X
Deck x
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply b
the ouiside lawn faucet before freeze potential exists.
Contad engineering divisioa at 681-4645 before working in rightof-way ot installing underground sprinkler syscem. ?
Whitt - City Copy Yellow - Resident Copy Pink - Contractor Copy
. 400
RESIDENTIAL BUILDItiG
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstNCtion Reauirements RemodeliReoair Reauiremenis Office Use OnN
3 mgislered site surveys showiig sq. fL of lot sq. R of house; and all roofed areas 2 copies ot plan Cert of Survey Recd _ Y_ N
(20% maximum lot coverage albwed) 1 set of Energy Calculafions Oor heated addilions Tree Pres Plan Recd _ Y_ N
2 copies of plan showing heam & window sizes; poured found design, etc. 1 site survey lor addiUons 8 decks Tree Pres Not Reqd _ Y_ N
1 set of Energy Calculations Additlon - indicate ilon-site septic system On-site Septic System _ Y_ N
3 mpies of Tree Preservation Plan if lot platled aNer 711l93
Rim Joist Detail Options selection sheet (bidgs with 3 or lass unt
Date = /? lJ lQ? Construction Cost ?2-200, ,Q0
Site Address l-()Q UnitlSte #
?
f&
,Z
/
Description ot Work
"i
/
- ) 2z-,J
Multi-Family Bldg _ Yk N Fireplace(s) _ 0_ 1 _ 2
Property Owner ? z /4-t? e/r? GP Telephone # -(?j )
Con[ractor
Address C'itY Y?Gii-?Sc/?ll? _
State Zip ss? Telephane # (j ? ?O?ZTJ,?2COMPLETE TNIS AREA ONLY IF C
Energy Code Category - Mimmesota Rules 7670 Cateeor?
• Residential VendlaUon Category
(J submission type) Submitted
. • Energy Envelope Calculations 3
A NEW BUILDING
Minnesota Rules 7672
:?New Energy Code Worksheet
? ?`` Sbmitted
Have you previously constructed a building in Eagan with a similar p?an\?Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
N If so, 25% plan review
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
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.
Applicant's Printed Name ?? ApplicanYs Signature
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ;6- 18 Deck ? 23 Porch (screen/gazebo)
? 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
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46
? 34 ReplaCement _ 'DemolWon (Entire Bldg) - G ive PCA handout to applicant
Valuation Occupancy MC/ES System _
Census Code ?/ 3 y Zoning City Water _
SAC Units Stories Booster Pump _
Nbr. of Units Sq. Ft. PRV _
Nbr. of Bldgs Length Fire Sprinklered _
Type of Const Width
Footings (new bldg)
? Footings (deck)
_ Foo[ings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. Air Test _ Final
Insulation
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
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
0 33 EM. Alt - SF
? 36 MuIG Misc.
Siding
Fire Repair
W indowslDoors
REQUIRED INSPECTIONS
Finavc.o.
}[ FinaUNo C.O.
Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
/ ?0 ~
,S'urv e y o r's
SURVEY FOR
DESCRIBED AS
910.0
` 940.2
. ? \ N
? ? i . ..
?
?
\ \?
?
?
\ ?? S
\\ \? R(5o
\ ? ?S•.
3:1 AAa)dnwm &PpM ,
or Retatning Wall Wip
Be Required
?
?
Q ?
Certific a te
:PULTE HOMES
:Lot 6, Block 2, OAKBROOKE 6TH ADOITION, City of Eagan, Minnesota and reserving
easem ents of record.
w. r s v
. \
? ? . . S?_._??_ ??_._...... _?......
' > A A ..r ., ., . .
1-5'x,6'
«
4.6 14?` \ \
2 ? \
9 .0 956.8 OO
O gyb \
y\
48 95.
\? 95 10Q ,I.??
2 954.8 ,.
?
954.4
951.5
\ 954-6
O? pq ? ? c
s r L Z \\ o? ? 955.0 y?? / • y ?
?LrNG[• `??._o° 954.0 ? ?
954.2 ? / c ? .
U y ? /
95<,5 4 ? 1
L O T SQ. FOO TA GE = 14,752 953.5 53. p???
HSE SQ. FOOTAGE = 7,852 95,., 0L 0 T CO l/ERA GE = 131'o
// 18232
PROPOSED ELEVATIONS
Top of Foundation =955.5
Garage Floor =955.1
Basement floor =947.5
Aprox. Sewer Service =g43.5
Proposed Elev. _ ?
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
HEDLUND
PLANN7NC liNG/NBBRlNC SURV6YING
2005 Pin Oak Drive
Eagan, MN 55122
Phone: (651) 405-6600
Fax : (651) 405-6606
BENCHMARK,
MIN. SETBACK REQUIREMENTS
SCAIE: 1 inch = 30 feet
I HEREBY CERTIFY THAT THIS IS A
OF THE BOUNDARIES OF THE A801
BY ME OR UNDER MY DIRECT SUR!
SHOW IMPROVEMENTS OR ENCRO4
DATE 1-1-1 4/ D "Z
Front - House Side -
Rear - Garage Side -
IRED1,.PSO?.ERW AS StJRVEYEO
?ANa?00ES'NO? PURPORT TO
iE,XGEPT., nS SNOwN.
63:`,
'D:p-?• iNOGRN , LAW SURVEYOR
6ENSE NUMBER 14376
JOB N0:
02R-47.3
BOOK: PAGE: 'y
i`
CAD FILE:
Oakbrooke 5
`y r:,
51(aS ?
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 permits are required for each unit
-$ /s-sb
Date 1 / 1Y / 0-3
Site Address epwJ??? &IU/`l.. Unit #
Property Owuer ipG,& Telephone #( t11?)
Contractor
?-
aaaress ciTy
State Zip W Telephone # (bq .S .?el
The Applicant is _ Owner V Conuactor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license
Includes Counry fee. Additional consultant fees may apply. $ 100.00
AI[eratious To Eaisting Dwelling Unit, Including
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water turnaround (+ 5!8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair r
r? aq T ?
$ 30.00
o?!r,
_ Lawn irrigation system
, OD3
V Wa[er softener _ Water heater u ?
_ replacement _ additional By
$ 15.00
State Surcharge $ .50
Tota? $ J6; -0
I hereby apply for a Residential Plumbing Pernut and aclrnowledge that the informarion is complete and accurate; that the work will
be in confomiance with the ordinances and codes of the City of Eagan and with the Plumbing Codes, that I understand this is not a
permit, but only an application for a permit, and work is not to start without a pemvt; t6at the work will be in accordance with the
approvedplan in the case of work wluch requires a review and approval of plans.
ApplicanYs Printed Name Applicant's 5ignature
?:-t-6j s? _7°r 0 & ? y ? I -I
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN f'rvp
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 p (J
New Construction Renulrements
• 3 regislered s'rte surveys showing sq. fL of lot, sq. tt of house; arid all roofed areas
(20% mazimum lot croverage allowed)
• 2 wpies of plan showing beam & window s¢es; poured found desgn, etc.)
. 1 set of Energy Calculations
. 3 copies of Tree P2servalion Plan if lot platted after 7/1193 ?
• R'un Joist Detail OpCrons selecGon shcet (bldgs with 3 or less unNs)
DATE
SITE ADDRESS
TYPE OF
APPLICANT
STREET ADDRESS
FIREPLACE(S) _ 0 zi _ 2
TELEPHONE #\!?\L-':1NVkAT'CELL PHONE
PROPERTY
?:,?I
Energy Code Category _ MINNLSOTA RUI.N:S 7670 CA't'?GORY I ?' MINNLSOTA
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted °'. A! ,?NeW ??erauC
Il' U 1 LUU?
• Energy Envelope Calculations Submitted ??
Plumbing Contraetor:\\, Phon"
Plumbing sysfem includes: Waler Softe Iawn Sprinkler
1 Water HcaLcr ? No. of R.I. Balhs
Wl?Z No. of 13aths
Mechanical Contractor: 'UutN?v ?? \'yp_?x? tNSq
Mcchanical systcm includcs: Air Conditioning
__ Heat Recovery Syslcm
Sewer/WaterContractor: V??-?r0 ve'neTCA
--------------------•----------------------------------------------------------
I hereby acknowledge that I have read this application, state th t the infc
with all applicable State of Minnesota Statutes and City of Eagardinc
Signature of Applicant
Certificates of Survey Received v i?,".i
/'l
?o-
OFFICF, iJSL ONLY
------------------------------------------ ----------------------------------------
COMPLETE THIS SECTtON FOR "NEW" RESIDENTIAL BUILDINGS ONLY
TELEPHONE #
e-,q (o `1 1?
5?4 `l U 0
SIa3.il
ZIP
767`L
'-i o. ; O
'? p.T?-(7
Submitted
P'ee: $90.00
Phone # C] b ^1- U0(15
P'ce: $70.00
Pnone # ?`e3 - ?1Za-acl3F
and agree to comply
Tree Preservation Plan Received _
MULTI-FAMILY BLDG Y k N
RemodellReoair Reaviremenh
• 2 copies of plan
. 7setofEneqyCalculationsforhealedadditions
. 1 sile survey for euterior addilions & decks
• Indicate'rfhomeservedbysepilcsystemforaddilions
3357s d?
g- ?-?-_
VALUATION
Not Required ?
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
0 06 04plex
? 07 05-plex ? 13 16-plex
13 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garege
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
O 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
E3 36 Multi
)4 31 New ? 35 IM Improvement ? 38 Demolish (Intenor) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Repiacement 'Demolition (Entire Bidg only) - Give PCA handout to appiicant
Valuation Occupancy ?Z?'"? MC/ES System --'
Census Code o/ Zoning City Water
SAC Units 01 Stories ? Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length ? Fire Sprinklered
Type of Const 14zz:? Width
REQUIRED INSPECTIONS
? Footings(new bldg) FinaUC.O.
_ Footiags (deck) _ FinaVNo C.O.
Footings (addition) _ Plumbing
? Foundation _ HVAC
? Drain Tile Other
Roof -g- Ice & Water ? Final Pool Ftgs AidGas Tests _ Final
Frammg _ Siding Stucw Stone
? Fiteplace
4 R.I. y Air Test -V Final Windows (new/replacement)
_
At Insulation g Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Totat
?N/1?,,i !jJ'MT 7?6)0 L7 /?
/ s>1-1 ,, !/ Jo !ff 6
a- -v°i=ti2
?
Buiiding Inspector
/ 7 590 '''
<03/ &O 40
G 5"77??
/? y, y ?
i i
MNr.her.k CnMPLIANCE REPnRT I
Minnesnta Enerav CndP I Permit #
MNcher.k Snftwara Vercion 3-0 I
I
I C:F1P.C:ICP,(i hV/DafP. I I
COUNTY- Dakota
STATE- Minnesota
ZONE 2
CONSTRUCTION TYPE: Single Family
DATE- 1-11-2(102
DATE OF PLANS: 7/25/00
TITLE: Oakbrooke Sterling with Lookout
COMPLIANCE: PASSES
Rernuired l1A = 532
Your Hnme = 463
242% BettPr Than CndP
ArPa nr Cavitv Cont_ G127innlDnnr
PPrimetPr R-ValuP R-Value U-Value UA
------------ ------------------------------------------------------------
CEii_INGS 1218 38.0 0.0 37
WAI I S- Wnnd FramP. 16" n.C. 2673 19.0 2.(1 150
BSMT: Conr.. 9.0' ht/R.3' hn/9.(1' insul 1047 11-0 0.(1 61
C=,LA7_ING7 Winrinws or Dnors. Ahove Grade 409 0.350 141
DnORS 38 11.350 13
FLOORS: Over OutsidP Air 48 38-0 0.0 1
HVAC E0l11PMFNT- Furnar.e. 92.(1 AFUE
COMPI_IANCF STATEMFNL ThP nmnnsPd huilrlinn desinn dear.rihed here is
r.nnsistent with the huildina nlans. snar.ifir.atinns, and nther caIr.ulatinnS
suhmitte(l with the nPrmit annlir.ation_ The nrnnnsed huilrfinn has heen
designed to meet the e ire/? nts of the ' eso Energy Code.
BuildedDesigner ??_ 1/? Q :,??_ Date
" LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: I???k ?? UC,?IJTaOK? /?
DATE OF SURVEY: 7• 2,?,D =l
LATESTREVISION:
?
rn
c
m
c=? DOCUMENT STANDARDS
Y ¢ ?
O Z ¢
?G?
? _? • Registered Land Surveyor signature and company
? ' • Building Permit Applicant
nl ?
'
? ?"'
- • Legal description
Add
/? . • ress
?
?
t! ! ? u • North arrow and scale
P/ ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? G C • Directional drainage arrows with slope/gradient %
V? C • Proposed/existlng sewer and water services & invert elevation
Il ? ? . Street name
• Driveway
? ? C: . Lot Square Footage
?o 7 • Lot Coverage
ELEVATIONS
Existin
? ? • Sewer service (or Proposed)
?? ? "? • Property comers
I? ?- • Top of curb at the driveway and propeKy line eMensions
?? C • Elevations of any existing adjacent homes
_?' • Adequate footing depth of strudures due to adjacent utiiity trenches
r'? ? • Waterways (pond, stream, etc.)
Prooosed
!/ -, _ • Garage Floor
? _ • Basement floor
• Lowest exposed elevation (walkouUwindow)
?y/,r: '? • Property comers
i?? ?_ • Front and rear of home at the foundation
PONDING AREA (if apolicable)
/
? iB
;? • Easement tine
-? v/ ? . NWL
? ? C • HWL
! ? iZ?/ • Pond # designation
- ??" - • Emergency Overflow ElevaGon
? L
;_?i,
DIMENSIONS
• Lot lines/Bearings 8 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 permanent footings)
• Show all easements of record and any City utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
• Retaining wall requirements, -
Reviewed:
OK
,Surveyor's Certificate
SURVEY FOR : PuLTE HoMEs
DESCRIBED AS : Lot 6, Block 2, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving
easements of record.
v?
r
sao.o y ? , , ? -?
\`\ ?•? , ?Jy ?G??q ?aa_-___,-?_,.
Dr?.?r?y
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ses s..
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? \ ?? . .... , _...
\ \
\
? \\
\ \
\
? \\
\ \
\ \\ s
Os,
?
?\ ?\\ 2O,
934 a
b Required
?
F ?
?
954.8
954.4
\
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T
{.
954.B
vO
d
6
Y
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954.2 \
O
L 0 T SQ. F00 TA GE
HSE SQ. F00 TA GE
L 0 T CO l/ERA GE _
_ 14,752 = 1, 852 953.7
73%
# 18232
PROPOSED ELEVATIONS
Top of Foundation =955.5
Garage Floor =955.1
Basement Floor =947,5
Aprox. 5ewer Service =9 43.5
Proposed Elev. = (Z::::)
Existing Elev.
Drainage Oirections = -
Denotes Offset Stake = .
SCALE: 1 inch m 30 feet
HEDLUND
PLANN7NG 6'NGINBERING SURVSYINC
2005 Pin Oak Drive
Eagan, MN 55122
Phone: (651) 405-6600
Faz : (651) 405-6606
I HEREBY CERTIFY THAT THIS IS A
OF THE BOUNDARIES OF THE ABOL
BY ME OR UNDER MY DIRECT SU 14
SHOW IMPROVEMENTS OR ENCROAR
DATE `4"/ ??'
BENCHMARK,
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side -
JOB N0:
'RESENTATION 02R-473
AS SURVEYED
PURPORT TO BOOK: PAGE: iWN, '
? ? ??) .
Y `?- CAD FILE:
IP
LAW SURVEYOR
NUMBER 14376
Oakbrooke 5
\
95J.0\
p0 ? 9:
E ?
954.8 ,.
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951.5
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?.
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/
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.
Date 25 ! r: ` / f?fADA
Site Street Address y?a 1 C?`? ? I?rao K? C
ur LJa
Unit #
Property Owner Telephone # ( )
Contractor S Pl') 'L2/' !/ uM.?r??1?-`-C-
Address Sc), !,? itC y 7elepnone # 76L
State? Zip 'LO 3 ?
S:Y37k
The Applicant is: _ Owner _ 11 ontractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
Water Turnaround (add $121.00 if a 5/8" meter is requQired)
? Other. tivi?4?.1
? $ 50.00
Water Softener _ Water Heater
_ replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _ rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby appiy 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 in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
6'u (to-j--' sX-/ L4e?- a d ? D
Applicant' Printed Name Applicant's ignature
? ,qpR 2 g 2004
(4,3??-,)-- % i??9.a5
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan I?3830 Pilot Kno6 Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtlon Reauirements RemodeVfteoair Reouiremenb ice>Use Oniv
3 regislereC site wrveys shaxug sq. R of bt, sq. ft of house; and all roofed areas 2 capies of ptan Cwd°SurneyRecd s" Yr N
(20% ma)Cmum bt coverage elbxed) 1 set of Energy CalcuWtions for hwted addifions ,Tree P,res PJadRecd p,;,,.Y N,
2 wpies ot plan showing beam & vrindow sizes; poured lound design, etu 7 site survey br additions & decks Tree_PfeS Re9?re?` ;'?Y '' " N
1 setofEnergyCakuFa6rnns Add'Aion - indicatei/wi-sitesepficsystem On-stteSeptlCSystem
3 copies of Tree Preservation PWn "rf lot pladed after 717193
RimJois[DetailOpliansseleclionsheet (bldgswilh3orlessunAs
Dgte __;`/ ?'3 Construction Cost
Site Address y/7i UnitlSte #
Description of Work l 2 l.G „oJ/ G
Muiti-Family Bldg _ YI N Fireplace(s) t 0 _ 1 _ 2
r Ay/
/
O
P
t
- I/
/ Telephone #Q/
0 C19G?
A9C1 5
r
_
wne
roper
y
,
/ 5
-
Contractor
????
Address Ciryez.r?S
? -
Sta[e
T Zip ? Telephone #
COMPLETE THIS AREA ONL7 IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catesorv 1 _ Minnesota Rules 7672
Energy Code Category . Residentlal VenM1lation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calwlatlons Submined
Have you previously constructed a bdilding in. Eagan with.a similar_plan? _ Y _ N If so, 25% plan review
fee aPPlies. >
??,., ,
??
LicensedPlumber /,/ r ° r Telephone#( )
I,? •. GVU,) I ? d?V HI\ _ J Lv?T ?
? 7
Mechanical Contractor? ? elephone #( )
Sewer/WaterContractor y-" ?elephone#( )
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 NIN
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 iri accordance witfi the approved plan ip the case of work which requires a review and
approval of plans. ? '
/1, ` ? /?L,.?- -?
ApplicanYs Printed Name pplicant's Signature
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. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mul6 Misc.
? OS 03-plex ? 11 10-plex 'I[ 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex ? Plbg_YOr_N ? 25 Miscellaneous
Worlc Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
A 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - GNe PCA hantlout to appliwnt
Valuation Occupancy MCES System
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
TypeofConst llh Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundation ? FIVAC
Drain Tile Other
Roof _ Ice & Water _ Fina] _ Pool _ Ftgs _ Air/Gas Tesu Final
? Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
? Insuladon _ Retaining Wall
Approved By: Buiiding Inspector
--------- T -----°--------------------------°-------------------------°------------------------------------
Base Fee /
Surcharge (f
Plan Review
MC/ES SAC
City SAC
Utiliry Connection Charge
S&WPermitBSurcharge ?
Treatrnent Plant
?g?
License Search j?,--" '"
Copies .o?S ?
Other
ToWI
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114184
Date Issued:09/12/2013
Permit Category:ePermit
Site Address: 4121 Oakbrooke Curve
Lot:6 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-060
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 .
Jeff Pelant
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 -
Kevin D Stultz
4121 Oakbrooke Curve
Eagan MN 55122
(319) 551-8594
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120264
Date Issued:01/29/2014
Permit Category:ePermit
Site Address: 4121 Oakbrooke Curve
Lot:6 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-060
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 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 -
Kevin D Stultz
4121 Oakbrooke Curve
Eagan MN 55122
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA144235
Date Issued:07/18/2017
Permit Category:ePermit
Site Address: 4121 Oakbrooke Curve
Lot:6 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
Kevin D Stultz
4121 Oakbrooke Curve
Eagan MN 55122
(641) 451-0296
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
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For Office Use
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EAGAN
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., Permit Fee:
CCDate Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections(a)citvofeacian.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
z Name: iee-14rl 4-/4/ii'L/9 !J Sieh Phone:
‘'.; Resident/ / �/
Owner Address/City/Zip: '/ /�d f-/ Oa �D� C.t.."v`rL
4
Applicant is: Owner
Contractor
x Description of work: 3 a-sv
o1SIC.4-42e.42-• /90,—.C. "
Typeof Wor ,
Construction Cost: Multi-Family Building:(Yes /No )
,( .1 -adwe S 0 1
Company: Gl - ��ontact: /4�`Iil
:3.
' Address: Zo Cf l cr sr City: dwYlr!/nglv'h
Contractor , i
:,, State: /1&,Zip: 'Z( Phone: Ars-7- 6.-f2. Email: 414-P/061(04.- /'/C/ ''1.
. #
x":"' License#: (J9r 3�- �Lead Certificate#:
If the project is exempt from lead certification, please explain why:
f9
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:
Fire Suppression Contractor: Phone:
NOTE:Plans anct.Aupporting documents that you"sub it are considered to befp blic d ation Portions pt them z ay be ""
"classified as non-publxp.#�+ou provide specific rests thatta±va�ld permit the Cify.trr,coticludb ?ar '*r...'�We.�- .: s ���:� v"x� F."
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.citvofeanan.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.aooherstateonecall.ora
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 o
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 ans. iv
Applicant's Printed Name cant's Signature
z/7/ . /i em/mrece (itle_6/6- /5/ 177Z * I
DO NOT WRITE BELOW THIS LINE `
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 _ Lower Level _ Pool _ Accessory Building
WORK TYPES
— New _ Interior Improvement _ Siding _ Demolish Building*
Addition Move Building _ Reroof _ Demolish Interior
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 I ( KO Occupancy 1L MCES System
Plan Review / Code Edition 'ri_ At ) SAC Units
(25%_100% ) Zoning A / City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V J5 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
$, Footings(Addition) ) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof:_Ice&Water Final Pool: Footings _Air/Gas Tests Final
7c Framing ,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
X Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
lc Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 11_,, , Building Inspector
RESIDENTIAL FEES .._,�BaseFee 3 .. 50.C°rj,F '""
Surcharge
Plan Review
MCES SAC v
---„- i ? A/o
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
*
Surveyor ' s Certificate ,
___.
SURVEY FOR :PULTE HOMES vl 1, 1 OfiKkocec CUA e-
. /s/ ' ,1
DESCRIBED AS : Lot 6, Block 2, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving
easements of record.
° a 20�
940.2 NtA l
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Retaining YWill `, `� \ 95'4 oOeR
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LOT SQ. FOO TA GE = 14, 752 9 .5 �� `��
HSE SQ. FOO TA GE = 1, 852 �`�
953.7 0A ,/
LOT COVERAGE = 13%
# 18232
PROPOSED ELEVATIONS
BENCHMARK,
Top of Foundation =955.5
Garage Floor =955.1
Basement Floor =947.5
Aprox. Sewer Service =943.5
Proposed Elev. = C=2) MIN. SETBACK REQUIREMENTS
Existing Elev. =
Drainage Directions = — Front — House Side --
Denotes Offset Stoke = • SCALE: 1 inch - 30 feet Rear — Garage Side —
•
.' f D•,.1:y,��,�4%. JOB NO:
I HEREBY CERTIFY THAT THIS IS A .7-, ,.-06 CORR�,E, ,iREPRESENTAT1ON 02R-473
OF THE BOUNDARIES OF THE ABO_,r'� �pIED R , AS SURVEYED
HEDLLIND BY ME OR UNDER MY DIRECT SUI�R aSial- +I }•P, '
SHOW IMPROVEMENTS OR ENCRO4141 ENII4.kP4 AS SI OWN PORT TO BOOK: PAGE:
PLANNING ENGINEERING SURVEYING
2005 Pin Oak Drive c n': ,i 37f, .4• ..
Eagan, %IN 55122 DATE /I4 p�' �, �-+ .I�,,c CAD F11X:
Phone: (651) 405-6600 ! T1= fl:r-•�1 1b 'r, L•4 i SURVEYOR
Fox : (651) 405-6606 MIN :••'.A';,1; €EN'sE NUMBER 14376 Oakbrooke 5
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA154546
Date Issued:03/29/2019
Permit Category:ePermit
Site Address: 4121 Oakbrooke Curve
Lot:6 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-060
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.
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 -
Kevin D Stultz
4121 Oakbrooke Curve
Eagan MN 55122
(319) 551-8594
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature