4125 Oakbrooke CurveStIRNSyILLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Islartd Ave S, Savage, MN 55378 • 952-894-0005
Orstdt Test Repart for Job# p?%?
Address cz7?:?;
Space HT Unit HT
M2k2
MOd21
Serial 6? ? t ; ?h f ?? ', J ? •?'?..ri
Input s ? ? ?--4-•
Pilot Type HOT SURFACE /GNITOR
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Pressure C02 <iJ ?
Input CFH 02
Stack Temp f0";" CO
?
Date Tested _ /fC 7
Company BURNSVlLLE HEATlNG & AIR
Technician j! ? `-
OCier
PLUMBING (RESIDENTIAL) °
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 \
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts aze required for each unit
6
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Date
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Property Owner J`"?e L? m P7 Telephone #(66-1 ) 9s-2
Coutractor ?Tt-o lY ?lu/hb/?t
Address 7 j g1 City
State inn, Zip S?6yy Teiephone# (?) ?39 ?ii-2?
The Applicant is _ Owner X- Contractor _ Other
Septlc Sys[em New Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes Counry fee. Additional consulWrvt fees may apply.
Alterations To Esisting Dwelling Unit, Tncluding $ 50
00
_ Adding fxlures to lower levels or room additions, exGuding water softener and water heater .
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _
L 30.00
? Lawn irrigation system J
i) UN ` ry 7rna i I
uu - U?
_ Water softener _ Water heater $ 15
00
--------------
By .
_ replacement _ additional '-- - " ?
State Surcharge $ .50
T
l sb
3eJ '
ota $ -
I hereby apply for a Residenrial Plumbutg Permit and aclmowledge that the information is complete and accurate; that the work will
be in wnfomiance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pennit, but only an applicafion for a pemilt, and work is not to start without a pernut; that the wark will' be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
jd4 'L 5-1r-qJ 6y,
ApplicanYs Printed Name Applic 's Signature
' RESIDENTIAL BUII.DING
1 ? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtlon Reaulrements RemodellReoalr Reauiremenfs
3 registe2d site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas 2 eopies of plan
(20%maximum bt coverage allowed) 1 set of Energy Calculations for heated addifions
2 copies ot plan showing beam & windox, s¢es; poured found design, etc. 1 site survey for addifions 8 decks
i set of Energy Cakulations Addition - indicate i(onsite septic system
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Oepil Options salection sheet (bldgs with 3 or less units
7D
? -D ?
Office Use Onlv
Cert of Survey Recd
_ Tree Pres Plan Recd
Tree Pres Not Reqd
_ On-si[e Septic System
S-_A1 MQ-t,
Date ?/ _Z.?C/
Site Address ?S' (i,f#d<6? Construction Cost 7m b
LUnit/Ste #
Description of Work EOlf:f
Multi-Family Bldg _ Y Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # (60) 115?2-760 C.
Contractor
Address
State _ _ ?/?/ , R(? ?? ?76,
Zip, r{0 City eklm?
Telephone # (7,6? *7T ' -G
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculatlons SubmitteA
Licensed Plumber
Mechanical Contractor
Telephone # (
1? j\ Telephone #(
Sewer/Water Contractor.
Telephone #(
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 thas 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 casep?'iwork which requires a review and
approval ofplans.
Applicant's Printed Nazne
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 OS-plex ?6 Deck ? 23 Porch (screen/gazebo) ? 36 Multl Misc.
? 05 03-plex ? 11 10-plex 13 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
B 31 New ? 35
? 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation (9L9p
Census Code
SAC Units
Nbr. of Units ?
Nbr. of Bldgs
Type of Const
Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDaors
'Demolition (Entlre Bldg) - Give PCA handout to applicant
Occupancy 12.- MClES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
Footings (new bldg)
Footinga(deck)
7 Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTION5
FinaUC.O.
FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _
_ Sidiug Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By f2= , 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
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Surveyor's Cert?if2cate
, SURVEY FOR :PULTE HOMES OCT Q
DESCRIBED AS : Lot 4, Block 2, OAKBROOKE 6TH AODITION, City of Eagan, Minnesota and reserving ? REr,?D
easaments of r\eNcoGrd?. ?? N^ q33?
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LOT SQ. FOOTAGE = 20,760 HSE SQ. FDOTAGE = 1,852 \ ? . - ' ?39
L O T CO l/ERA GE = 87o ea.
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# 18232
PROPOSED ELEVATIONS
BENCHMARK,
Top of Foundation = qss,s C.P ? qo,,,
Garage Floor = qss.i e,<? < 9ss.ss
Basement Floor =q4V9
Aprox. Sewer Service = vas.st
Proposed Elev. = O MIN. SETBACK REQUIREMENTS
Existing Elev. _
Drainage Directions = Front - House Side -
Denotes Offset Stake = . scnLE: i Inen ? 30 }eet Reor - Garage Side -
?
I HEREBY CERTIFY THAT THIS IS A TRUE Af??pRREC-N0 ',SENTATION JOB No:
HEDLUND OF THE BOUNOARIES OF 7HE ABOVE DEB?(i?D PROP ?.`A US URVEYED 02R-510 ?
:
BY ME OR UNDER MY OIRECT SUPERVISION '{(IS??DbOP RR ORT TO
SHOW IMPROVEMENTS OR ENCROACHMEN?YS „EXCEP'? y? OWpN ?-: BODK: PACE:
PLANNINC 8NGlNBSRlNG SURVSYING = :jlit (?"K
2005 Pin Ook Drive ? ex-t
Eagan, MN 55122 OATE 9 126 oZ Uit ?•?? '" -?r - CAD FILE: ' ?Phone: (651) 405-6600 F EK° l?;INOG.ftEN, v" SURVEYOR - ;s
Fax :(651) 405-6806 M NE50T`!o?,l?l?6 BER 14376 Oakbrooki5 ._.?
PLUMBING (RESIDENTIAL) `?-p ls Sd
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 pernriu are required for each unit
Date ?"( / A?
Site Address Lh,-f }- 5 Uni[ #
Property Owner Telephone #(? 6 C 0
Contractor
Ci
Address
ty
State Zip ?? I Dl lP Telephone # ---015
The Applicant is _ Owoer ? Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Additional consultant fees may apply.
Alterations To Eaisting Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild
I7 30.00
r
_ Lawn irrigation system
? Water softener Water heater
- gy
$ 15.00
? replacement _ additional
State Surcharge , $ .50
?
Tota? I hereby apply for a ResidenUal Plumbing Permit and aclmowledge that the information is complete and accurate; that ffie work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an application for a pemut, and work is not to start without a permir, that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
? -Ltr?n Applicant's Printed Name App cant's ignature
Surv e y o r's
Certific a te
SURVEY FOR :PULTE HOMES OCi Q
DESCRIBED AS : Lot 4, Block 2, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving ? REC?Q
easements of record.,j
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# 18232
PROPOSED ELEVATIONS
Top of Foundation = ass..s
Garage Floor = qss,i
Basement Floor = qae?
Aprox. Sewer Service = q43.st
Proposed Elev. _ C=D
Existing Elev. -
Drainage Directions =
Denotes Offset Stake = •
HEDLUND
PLANNJNG BNGINEERING SURVBYING
2005 Pin Oak Orive
Eagan, MN 55122
Phone: (651) 405-6600
Fax : (651) 405-6606
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9AA S 1? 3? ° po5°d $ ??p
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= 20,760 = 1,852 0 0
fj'% ?'??/ ? E 6a' 9sa.1
q53' q5qX
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? 41 25
0015
?
SCALE: 1 inch = 30 feet
I HEREBY CERTIFY THAT THIS IS A TRUE
OF THE BOUNDARIES OF THE ABOVE DE£
BY ME OR UNDER MY DIRECT SUPERVISI(
SHOW IMPROVEMENTS OR ENCROACHMEN'
DATE 1_/Z1k/O4
3:1 Wkmh= S%:;=
CP RoWP1EP1g Wdl WJ0
OS Required
BENCHMARK,
?•P ? qOlb
e?e?= ?ss.ss
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side -
:T :F2EPRESEN TAT10N
'ER?T?.Y?rAS4SUR VEYED
l-NOf PURP_ORT TO
,SSn 0 WNY s
EN?ti N6c SURVEYOR
iE;:NU?ER 14376
02R-510
FILE:
Oakbrooke, 5
N0:
i,v C7
RESIDENTIAL
/ BUILDING PERMIT APPLICATION .70 -?
. .. CITY OF EAGAN m ? 39 ?
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 nn , O
f ?S
NewConstrudionReauirements RemodeUReoairReauirements
. 3 registered sile surveys showing sq. fl. af lot, sq. ft of house; and all roofed areas • 2 copies of plan
(20%maximumlotcoverageallowed) • isNOfEnergyCalculationsforheatedadditions
• 2 copies W plan shmving beam & window sizes; poured found design, elc.) • 1 sile survey for extedor addNOns & decks
• 1 set of Emrgy Calculations • Indicale'rf home served by septic system for additions
• 3 copies of Tree Preservalion Plan'rf lot platted after 711193 C
• Rim Joist Oelail Oplions selection sheet (bldgs with 3 or less unils)
DATE ????\ dZ VALUATION U?v
SITE ADDRESS J-Q- MULTI-FAMILY BLDG _ Y? ?
N'?`M\"A FIREPLACE(S) _ 0 ? 1_ 2
TYPE OF WORK ?
APPLICANT N`r-u"N`0L-
STREETADDRESS??SNCITY`-'laS?c?'N STATE? ZI
?o?Z???-?? ? X #
TELEPHONE #??J??y?K$?CELL PHONE # A
PROPERTY OWNER w?
TELEPHONE ?
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSO`1'A RULF.S 9670 CA1'1:GORY 1 !l MINNLS01'A RULrS 7672
(J submission t}pe) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Su6mitted
Plumbing Phone # yca-Z\Z,
Plumbing sysccm includcs: Water Softcncr Lawn Sprinkler Fcc: $90.00
\ WaLer Heater L No. of R.I. 13aths
Z? No. of Baths
MechanicalContractor: ?nJN % \\'e:
Mcchanical system includes: Air Conditioning Phone#
P'cc: $70.00
_ Hcat Recovery Sys[em
Sewer/Water Contractor.`\?`?. `!O Ge?e s (?\
Phone # y?? ?-\J"
"_':?:i'-'??,r ?, ? '----"'--"--°--------------°- --""""-
I herebyiacknowledge that Ill?ave read this application, state at the inforrr
with op;iappNcakle Sica?te?oflMinnesota Statutes and City of Eag Ordinanqe
;I I r? --7? O?I SlgnatureofApplicant ?
]?- - - -- ,
s of Survey Received ?
orrIcr: usL orri.Y
Tree Preservation Plan Received _
and agree to comply
Not Required 'fi) Updated 4102
OFFICE USE ONLY
? 01 Foundation
)K 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS OB-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (&sea.)
? 22 Porch/Addn. (4sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accesfiory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
X 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Add'Rion ? 36 Move Bldg. ? 42 Demolish (Foundalion) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolition (Entire Bldg anly) - Give PCA handout to applicant
Valuation Occupancy l?-3 MC/ES System
Census Code AG/ Zoning 19'4 Ciry Water
SAC Units Stories .L Booster Pump --
Nbr. of Units Sq. Ft. PRV -
Nbr. of Bldgs ?i Length 4' 7 Fire'Sprinklered ---"
i-
Type of Const 1//V
Width
?
REQUIRED NSPECTIONS
Footings(new bldg) ?` FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
Footings (addition) _ Plumbing
? Foundation _ HVAC
? Drain Tile Other
Roof ?E Ice & Water ? Final _ Pool _ Ftgs _ Air/Gas Tescs _ Final
Framing Siding _ Stucco _ Stone
?
=
Fireplace kR.I. -V Air Test 1 Final Windows (new/replacement)
? Insulation _ Retaining Wall
Base Fee
Surcharge
Plan Review
MClES SAC
cicy sac
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Approved By
j SY ?c/L !! 70 ? j`t=
5,9 ti,?J ti 6 *, C? 16 4?,
Building Inspector
/7 `JJU
!j 1Y y ? t?
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MNr.hpr.k CnMPLIANCE RFPORT ? pP?it #
Minnesnta Fnerav Cnda ? I
MNr.har.k Softwara Version 3.0
I (:hPr.kPC1 hv/DatP f I ,
C0UNTY- Daknta
STATE: Minnesota
7_ONF: 9
CONSTRUCTION TYPE: Single Family
DATF: 1-11-2002
DATE OF PLANS: 7l25100
TITLE: Oakbrooke Sterling with Lookout
COMPLIANCE: PASSES
Rerniired UA = 532
Your Hnma = 403
242% RattPr Than Cndp
Area or Cavitv Cnnt. GlaAnnlDnor
PPrimetar R-ValuP R-ValuP U-Value UA
----------------------------------- -----------------~---------------37
CEILiNGS ???? ?? ? ? ? 150
WALI S: Wrxod Frame- 16" O.C. 2R73 19.0 ?.? 61
RSMT: Cnnr. 9.0' ht18.3' hn19.0' insul 1047 1 -0 00 0.350 141
5? ??
GLAZING: Winrinws or ponrs. ?Rnve Grada 402
DOnRS 4R 3R_0 D-D ?
FLnORS- nvPr OutsidP Air
HVAC Fb111PMFNT: Furnacp. 92.0 AFUF _. .....
- - - - - --------- - --
COMPI.IANCF STATEMENT' The nrnnnsed huilrlinn tlPSian (lescriberl here is
cnnsistent with the buildinn nlans. snPCifir.atinns. and othar calr.ulations
suhmitted with thP nermit annlir.atinn. ThP nronnsed huildinn has heen
designed to meet the e ire nts of the eso Energy Code.
_ ?? ? ? ?777? _ Date
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMITAPPLICATION
PROPERTY LEGAL: LDf T /bG k ?'j?l?fd?/CP 6-1In
DATE OF SURVEY:
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LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building PermitApplicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
. Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
S?-
C
Existina
• Sewer service (or Pmposed)
• Property carners
• Top of curb at the driveway and property line extensions
• Elevations of any existing adjacent homes
• Adequate footing depth of structures due to adjacent utility trenches
• Waterways (pond, stream, etc.)
Prooosed
Garage floor s// - _ • Basement floor
? .-. ? • Lowest exposed elevation (walkout/window)
Property comers
ry ?_ • Front and rear of home at the foundation
? PONDING AREA fif aoolica61e1
? / ? . Easement line
? ? _ • NWL
? ? D • HWL
L • Pond # designation
D X,- . Emergency Overfiow Elevation
n
? ?
n
s?/ C
DIMENSIONS
• Lot Iines/Bearings & 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. ali structures requiring permanent footings)
• Show all easements of record and any Ciry utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
• Retaining wall requirements, i
Reviewed:
Slteaddress: ?/ZS k Le A. ?u-??-- LotkJ Bbck OL' Subd.
On April 15, 2000 the Minnesota Energy Code, Category I Suiiding Requlrements for insulation protectlan, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring tfiat the following information be
submittetl pnor to issuance of a Ceilificate of Occupancy.
_ This sWcture: ia constructed to meet miniinum requlroments of the Mn Energy Code, Chapter 7870
OR
Thia atructure; i I be conatructed to meet more restrictive rsquirementa of Chepiers 7872 or 7874
APPLIANGE tiAS ELEC MANUFACTURER MOpEI. BTU'8 VENTINQTYPE
Water Heeier MAPF, ?... 457
Furnace cNw ? ?? M )iec
Dryer VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES No
Kitchan kitchen
Befhroom t
Bathroom 2 S v0
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATIQN
GAS
WOOD
MANUFACTURER
MODEI
B1'U'S VENTINt9
DIRECT ATMQS
b/'a ?? TQ-13 z.
MAKE•UP AIR MODEL TYPE CfM's
_
hereby acknowledge that the above information Is correct and agree to comply with the Minnseota Energy Code and City of Eegan
yr4fno
Date
" Thls fomi Is the responsibllity of the General Contractpr.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117847
Date Issued:10/23/2013
Permit Category:ePermit
Site Address: 4125 Oakbrooke Curve
Lot:4 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
James Hunter
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 -
Jerome Q Truong
4125 Oakbrooke Curve
Eagan MN 55122
(512) 773-7145
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119534
Date Issued:12/04/2013
Permit Category:ePermit
Site Address: 4125 Oakbrooke Curve
Lot:4 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-040
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 -
Jerome Q Truong
4125 Oakbrooke Curve
Eagan MN 55122
Hoffman Weber Construction Inc
3515 48th Ave N
Brooklyn Center MN 55429
(866) 970-1133
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146178
Date Issued:10/12/2017
Permit Category:ePermit
Site Address: 4125 Oakbrooke Curve
Lot:4 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-040
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Jerome Q Truong
4125 Oakbrooke Curve
Eagan MN 55122
(612) 282-1641
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
qcin For Office Use
Cityof Ea an Permit#: /y‘ c7 / .
Permit Fee: 63830 Pilot Knob Road
- 0
Eagan MN 55122
Phone: (651)675-5675 Date Received:
Fax: (651)675-5694
Staff:
L
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial- Lapplications.ti
Date:i 6(/2.,-112.0n Site Address: t)� 0 .-�JY�k. Ciw't
Tenant: _ __ _ _ Suite#:
�.,, , t Name:v____��..,.._.,_ .�_�,......,._____ ,__A u��. _,.__ Phone:,__.. .,-�.�. .,, _____.. _ ____
., Residen--
Address/City/Zip:
Name. \rv1i�1 l �l�5 �.C3
d)'y� .,,_� ., a License#: g
\�
I Address343� ova.1A.(_ City: CV1 1
Contractor i
State: !NYU Zip: 5s 23 Phone: Lo )a--3k,10-6S\1
Contact��1� \V�`M1✓\ Email: J`I•v Civ VRC�Q�� C� . 1
x New Replacement Additional Alteration Demolition
Type of Work i Description of work± .AW ' 4Irh .s 1 Y d 3 r iy5 I ,4" csKIA
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods. j
RESIDENTIAL COMMERCIAL
P Furnace > New Construction Interior Improvement
Air Conditioner Install Piping Processed
Permit Type — I
—Air Exchanger Gas Exterior HVAC Unit
4
Heat Pump Under/Above ground Tank ( Install/_ Remove)
i Other
,.,.,,..u,,w , .,..... ..�,,a,, „ � Mµ......� ..,, ., �,. ., ,,.,,,, ,A,�ti_ .��.,. ,� �,... .n.�,��,„ ��,..•A..._w ,.,,a..w�.. �,_�.�a.��,,.�.,_.,.,.,..rot
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
__ a .K . � �_.�,,._ _.� d w , ... �w ._. ..,,. . ...._ ,.
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee ;
i
_$ Surcharge
Surcharge= Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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.
x Welel - \ ►e-N x _eikd, k
Applicantsprinted Name Applicant's Signa ure
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test . Gas Service Test In-floor Heat Final HVAC Screening
Use BLUE or BLACK Ink
For Office Use
/I/� �/
fPermit#: / / t b�`6City of Eakall Permit Fee: ...6-1/11/1. -/
3830 Pilot Knob Road i
Eagan MN 55122 Date Received: t '2-!
Phone: (651)675-5675 n ;�
buildinginspections(Wcitvofeagan.com Staff: � L
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: V 4tj T01 (A Phone: S1Z` 113'1115
Resident/
Owner Address/City/Zip: 11 Z S 0 4 K. tl(L01- C 1/vt 1f C
Applicant is: Owner V Contractor
Type of Work Description of work: r t AI t SBA56A-,tc,y r
fi
Construction Cost: y 000 Multi-Family Building: (Yes /No ,)
Company: A ` hE eW,rCtM al,0110-., at-/+kl(n Contact: 3 (P0c)`4 �C
Contractor Address: 11 0t I N G..-t 0 c city: L../ -E yt C t
State:M'V Zip: 5 v y4 Phone: te I J No (0 2%( " (, t."41 L
License#: DG (63 7 x a L,ad Certificate#:
If the project is exempt from lead certification, please explain why:
� 0
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 and supporting documents that you submit are considered to be public information. Portions of the
information maybe classified as non-public if you provide specific reasons that would permit the.City to conclude that they
are trade secrets.
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.citvofeauan.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.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with t e 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 wi' ut a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval ef plans.
x J1K OSS x
Applicant's Printed Name Applic •natu
Page 1 of 3
E-- O"L<2t/2 C-tU`OONOT WRITE BELOW THIS LINE fi-/ ,'
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
X 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 jc_4_0_120 Occupancy 4,1 MCES System
Plan Review Code Edition V! O"` SAC Units
(25%_ 100%' ) Zoning (0 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 1 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
X Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
1\ Shower Pan IL' Other:
Reviewed By: ` , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
''' ''(iXvi7P-9)1
Plan Review
MCES SAC
City SAC
Utility Connection Charge � � 06 0
S&W Permit& Surcharge 270 ......,
1 f . ,-r
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152702
Date Issued:10/26/2018
Permit Category:ePermit
Site Address: 4125 Oakbrooke Curve
Lot:4 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Jerome Q Truong
4125 Oakbrooke Curve
Eagan MN 55122
(612) 801-0745
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature