4127 Oakbrooke CurveBiJRNSV I LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode !a(aru! Ave S, Savage, MN 55378 • 952-A94-000.5
Orstat Test Report for JoW 411P 33
Address L!!-'??? 0p-K?3-<001<t- &<, vt
OccUOant
Dabe of Install /-ra 8 03
Type of HT. F/A ?t HW Space HT Unit HT
Otlher
Malae /-4=NN0\'
Model i :L;. 7; _ b
Seri31 Sc>lp K 3 a
Input 'ls,u<,o f?n.A N
Pilot Type HOT SURFACE IGNITOR
Pressure 3.
C02 (,,. -:)-
Input CFH -7S 02 E. ?'
Stack Temp 912) CO f. ?"
Date Tested
.,
/- a`i-o.?
Company BURNSV/LLE HEATING & A!R CONDITIOIVING
Technician
?av ry1ojVt-\
Siteaddress: 7?? lAtk}'a?0?kri- Lo863 Blockq2 Subd. OAkbtDOk
CuRV?_
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 foliowing information be
submitted prior to issuance of a Certificate of Occupancy.
This shucture: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
1/-"This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
pPPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE
waterHeater V? (qm?. 0 MRiD
Furnace ? NO X CA0 70 000
Dryer
EXHAUST SYSTEM
LOCATION
TYPE VENTED
rES xo
Kitchen
kitchen i
Bathroom1 mairi QEiiYkSG ?I (C
w
room 2
Bath
(?ST
R-AN t
?
Bathroom 3 ?
Bathroom 4 ?'? BRQ 5 .? Sp ? ?
Other LAVNd? S?J - v d ?
VENTING
fIREPLACE S LOCATION GAS wooo MANUFACTURER MODEL BTU'S DIRECT ATMOS
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
i 6?
L J:_
Sign ure
I 1 Norv,cS
Company Name
a-a) -o'5
Date
? i :OC)
• This form is the responsibility of the General Contractor.
L? ?a
. ,
RESIDENT?
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
gx- Sb3a? SISL-I. ?S
mE ?b33s ?o-so
PL Sb3ae q?.,v
-At
53?5. \S
New Construction Reauirements RemodellReoalr ReauiremeMs
. 3 registerad site surveys showing sq. %. of lot, sq. ft, af house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allawed) • i set of Eicergy CalculaGons for hea(ed additions
• 2 copies of plan showing beam & window saes; poured found design, etc.) • 7 site survey for ex1erior additions & decks
7 setof Energy Calculations • Indicate if home served by septic system foradditions
. 3 copies of Tree Preservation Poan if lot platted after 711/93 ?? _.^
• Rim Joist DetaO Opfions selection sheet (61dgs with 3 or less unNs) ??? ('l v?-+"
DATE ? VALUATION
SITE ADDRESS 4 \ 7-
TYPE OF
APPLICANT
STREET ADDRESS
CELL PHONE
C,/.d J-e-
J\
\'M FAX #
MULTI-FAMILY BLDG _Y L! N
fIREPLACE(S) _ 0 _ 1 _ 2
5?\z\
PROPERTYOWNER TELEPHONE#
---------------- "----'---"'----------- --------------- """"--°""-. ?5',-r ',',-?°
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS O,NLY„_ IJI
iU I
Energy Code Category _ MINNESO'fA RiILES 7670 CATEGORY 1 ? MINNESOTA RUL.ES 7672 ?
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy'Code.Worksheet.Submffied--. Energy Envelope Calculations Submitted
Plumbing Contractor: _V\?\ Phone #
Plumbing syslem includes:? Water Softcner Lawn Sprinkler Fee: $90.00
\ WaCer Hcater A No. of R.I. Baths
"?'Z No. of Ba1hs
Mechanicai Contractor. ?u1 CV 's'".
Mechanical sysCem inchides: ? Air Condilioning
_ Heal Recovery System
Sewer/WaterContractor: r'`\
------------°------°-----°--------------°----°---------° °----°-----
I hereby acknowledge that I have read this application, state thatthe
with all applicable State of Minnesota Statutes and City of Eagal
Sfgnature of Applicant
Phone # "\
Fee: $70.00
Phone #
is cqqect, and agree to comply
` OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required
Updat=d 4/02
OFFICE USE ONLY
? 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 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 6R. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 1 D-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 W indows/Doors
? 34 Replacement *Demalition (Entire Bldg anly) - Give PCA handout to applicant
Valuatfon Occupancy MC/ES System
Census Code oj Zoning ?l7 City Water
SAC Units G/ Stories ? Booster Pump ---
Nbr. of Units °i Sq. Ft. PRV /z3
Nbr. of Bldgs 491 Length Fire Sprinklered --
Type of Const W idth ?
REQUIRED INSPECTIONS
? Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
? Foundation _ HVAC
Drain Tile Other
Roof V Ice & Water X Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
JC Framing Siding Stucco Stone
? Fireplace _ R.I. _ Au Test _
_ Final Windows (newheplacement)
? Insularion _
_ Retaining Wall
Approved
Base Fee
Surcharge
Plan Review
MC/ES SAC
ccy sac
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
J?-RG =-
Building Inspector
/Mo
`='/-J), /l `i
/-u1 // GLl ?f/ Q .5h ? Jq4iG
7"
9a/V*j rz 7336 c /c;
_r---
/53 3G`f
.
NOV. 2.2069 10:31PM 95Z8yd454?1
. ?
MIlQcheck COMPLIANCCQaep0?T
Minnesota Ener9Y
Ilcheck Software Veraion 3.0
COUNTY: Dakota
9TATE: Minnesota
CON9TRVC'I'TON TYPfi : Single Family
DATE: 10-23-2000
DATE OF PLkNg: 8/10100
TITLE: DARTMOUTH W?OUT ELEVATSON #3
PeYmlt #
Checke by/Date
PROJECT INFORMATION:
EARLEY T-nxF
COMPLIANCE: PASSE$
Required UA @ 547
Your I3ome = 4$6 Cavity Cont. Glaainq/DpOr
1,1.1% 8etter Than Code pxya or A-Value
pasimeter R-Va1ue R-Value
------- 1
"'---_'
-------'-----44.0 0.0
--------------------?1540
CEILING3 2674 19.0 2.0
Wood Frame, 16" O.C. 236 10•0 2.0
WALLS: 5.0 0.0
WALLS: Wood Frame, 16" O.C. 9 , insul -g?? 0.350 1
3SMT: Conc• 9.0' ht/8 •3 b`??0Ve arade 520 p,350
GLAZING: W=n?O7g os Doors, 38
2.0
DOORS 336 38•0
FLoORS: Over IIncoriditioned Space -_-___--__r____,,,w____
HVAC EQUIPMENT: Furnaca, 92_0 AFUB ________?si? de9cribed here ie
---------------
COMPLIANCE STATEI?NT; The pxopo$ed building ?d othex' ealculatians
yaps, epscificatioas, has been
submitted consistent with with the the permit building aPPlication• The Pr°posed building
Code.
=e iremente af the M?e9Otia ?e? ?
deaigned to meet thei 4? Date
?..
O?A?
Builder/Designer V VX `)
PULTE HOMES OF MINNESOTA
JOB INITIATION ORDER
DATE: 91812002
JOB NUMBER: 0320-403-02 LOT: 3 BLOCK: 2
e-sao
UNIT:
COMMUNITY: Oakbrooke Single Family ADDITION: PHASE 4
BUILDING ADDRESS: 4127 OAKBROOKE CURVE CITY: Eagan STATE MN ZIP: 55122
MODEL NAME: Dartmouth MODEL#: 18261 ELEVATION 2 GARAGE: RIGHT
BUYERS NAME: BINH HUYNH & THOUNG NGUYEN
CURRENT ADDRESS: 1871 BEAR PATH TRAIL CITY: EAGAN STATE MN ZtP: 55122
HOME PHONE: 651-688-6457 BUSINESS PHONE: 651-266-6269 BUSINESS PHONE:
SALES REPRESENTATIVE: Jolayne Moberg PHONE: 651-686-2862
QTY OPTION DE$CRIPTION . LOCATION PRICE
1 18261 DARTMOUTH $314,990
1 00000 LOT PREMIUM $20,000
1 11012 FULL BASEMENT-WALK-OUT $4,695
1 18023 ELEVATION #2 $4,695
1 22019 3 CAR GARAGE W/ BRICK $7,425
1 26011 VAULT CEILING IN MASTER BEDROOM $2,560
Gw $o
$o
$o
$o
$o
$o
$o
$o
$o
$o
$o
$o
$o
$o
$o
$o
TOTAL $354,365
THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER AND THE PUCHASER (S) FOR THE ABOVE ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERINTENDENT:
APPROVED BY SALES:
6uilders License # 0001371
PULTE HOMES OF MINNESOTA
CHANGE ORDER #1
DATE: 9/14/2002 19-seo
JOB NO: 0320-403-02 LOT: 3 BLOCK: 2 UNIT: 0
COMMUNITY: Oakbrooke Single Family ADDITION: PHASE 4
BUILDING ADDR ES-c 4127 OAKBROOKE CURVE CITY: Eagan STATE: MN ZIP: 55122
MODEL NAME: Dartmouth MODEL#: 18261 ELEVATION 2 GARAGE: RIGHT 0
BUYERS NAME: BINH HUYNH & THOUNG NGUYEN
CURRENT ADDRES:1871 BEAR PATH TRAIL CITY: EAGAN STATE: MN ZIP: 55122
HOME PHONE: 651-688-6457 BUSINESS PHONE: 651-266-6269 BUSINESS PHONE: 0
SALES REPRESENTATIVE: Jolavne Moberq PHONE: 651-686-2862
QTY OPTION DESCRIPTION L'OCATION
.: _ ..n,Y. . PRICE
_ .. . .
TOTAL FROM PREVIOUS JIO OR CHANGE ORDER $354,365
1 32002 CAT 5 MEDIA OUTLET MSTR, FMRM, LIV $165
1 20035 UPGR. ROOF SHINGLES $195
1 15081 CERAMIC TILE BATH #1 $450
1 15083 CERAMIC TILE BATH #3 $425
1 15090 CERAMIC TILE FOYER $1,025
1 15082 CERAMIC TILE BATH #2 $1,000
1 14007 1ST CARPET PAD UPGRADE $395
1 14001 1ST CARPET UPGRADE $1,715
1 23012 HUMIDIFIER $625
1 28053 42 UPPERS-BASE $295
1 26043 WOOD R,4ILING TO 2ND FLOOR $1,250
1 26047 WOOD RAILING TO 2ND FLOOR REAR STAIRCASE $1,500
1 10055 SPACEMAKER MICROWAVE $625
1 10091 UPGR. GAS RANGE $450
5 77024 CEILING EIECTRIC OPENING ALL BEDS, FMRM $500
1 17028 CEILING FAN FMRM $275
1 39070 SOLO TUBE MAIN BATH $575
7 17043 ELECTRIC PANEL-BASEMENT $325
2 32001 CAT 5 PHONE OUTLET KIT, MSTR, DIN, UPSTAIRS HALLWAY $200
$0
$0
TOTAL $366,355
THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER AND THE PUCHASER (S) FOR THE ABOVE ITEMS.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED SUPERENTINDENT:
APPROVED BY SALES:
Builders License # 0001371
PULTE HOMES OF MINNESOTA
CHANGE ORDER #2
DATE: 911812002 19-Sep
JOB NO: 0320-403-02 LOT: 3 BLOCK: 2 UNIT: 0
COMMUNITY: Oakbrooke Single Family ADDITION: PHASE 4
BUILDING ADDRESS 4127 OAKBROOKE CURVE CITY: Eagan STATE: MN ZIP: 55122
MODEL NAME: Dartmouth MODEL#: 18261 ELEVATION 2 GARAGE: RIGHT 0
BUYERS NAME: BINH HUYNH & THOUNG NGUYEN
CURRENT ADDRES:1871 BEAR PATH TRAIL CITY: EAGAN STATE:
HOME PHONE: 651-688-6457 BUSINESS PHONE: 651-266-6269 BUSINESS PHONE: 0
SALES REPRESENTATIVE: Jolavne Mobera PHONE: 651-686-2862
QTY OPTION;', DESCRIPTION,', _EOCATION , ?PRICE;
TOTAL FROM PREVIOUS JIO OR CHANGE ORDER $366,355
-1 32001 CAT 5 PHONE OUTLET DINING ROOM ($100)
2 32002 CAT 5 MEDIA OUTLET DINING ROOM, BED #2 $330
1 17029 CEILING FAN W/ LIGHT KIT FMRM $325
-1 17028 CEILING FAN ($275)
-1 14001 1ST CARPET UPGRADE ($1,775)
1 31001 LAUNDRY CABINETS-BASE $250
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
1 $0
TOTAL $365,170
THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER ANO THE PUGMAStH (5) hUK 1 hit AnWt i i tm5.
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERINTENDENT:
APPROVED BY SALES:
MN ZIP:55122
Builders License # 0001371
LOT SURVEY CHECKLIST FOR RESIDENTIAL
' BUILDING PERMIT APPLICATION
PROPERTYLEGAL: Lo"f' 3 /310?K 2 0gA'!e1?J3kf' G??
DATE OF SURVEY: ? -2 -7- 59 Z?'
m LATEST REVISION:
rn
c
m
t
c)
DOCUMENTSTANDARDS
Y a p
O Z Q
rl?? _ • Registered Land Surveyor signature and company
ul/? ? • Building Permit Applicant
Legal description
? ? • Address
d/ ? ? • North arrow and scale
House type (rambler, walkout, split w/o, split entry, lookout, etc.)
V/? _ • Directional drainage arrows with slope/gradient °/a
? ? • Proposed/existing sewer and water services & invert elevation
A/ ? ? • Street name
g/ n_ ? . Driveway
t7/ C _ . Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
Existina
?/? • Sewer service (or Proposed)
N ? - . Property comers
u ? . Top of curb at the driveway and propeRy line extensions
??/ ? • Elevations of any existing adjacent homes
Adequate footing depth of structures due to adjacent utility trenches
? ?/ - • Waterways (pond, stream, etc.)
Prooosed
Z -i .? • Garage Floor
?? ? • Basement floor
/? • Lowest exposed elevation (walkouUwindow)
Property comers
d C C • Front and rear of home at the foundation
PONDING AREA ('rf aoolicablel
CY ? G • Easement line
? ? " . NWL
? 9/ ? • HWL
? V/ E • Pond # designaUon
u v _ • Emergency Overflow Elevation
y ?.
IV/ -
? ?
DIMENSIONS
• Lot lines/Bearings 8 dimensions
• RighFOf-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 ff anv
Reviewed:
,
Surveyor's Cert2f2cate
SURVEY FOR : PULTE HOMES OCT 0 8 RfC'O
DESCRIBED AS : Lat 3, Block 2, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving
easements of record.
?.
. ?,
. ?
CP
- 3NCy
- Ae
wip
3:9 RAcgirAwil 8!2?
oe Re4ffiinivg W1 "N
Bg R?eqUIPed
L O T SQ. FOO TA GE = 21,178
HSE SQ. FOO TA GE = 1,888
L O T CO l/ERA GE = 9%
# ,826,
PROPOSED ELEVATIONS
Top of Foundation = q54,o
Gorage Floor =as3jo
? Basement Floor =q,15.0
?
Aprox. Sewer Service = 942.0
Proposed Elev. = 0
Existing Elev.
Drainage Directions = -
Denotes Offset Stake = .
HEDLUND
PLANNINC ENCINBBRINC SURVEYING
2005 Pin Ook Drive
Eagan, MN 55122
Phone: (651) 405-6600
Fax : (ss,) aos-ssos
BENCHMARK,
aP 4 qpi?
EleO = 955.55
MIN. SETBACK REQUIREMENTS
?1
?o?o R?? (1211 u I ki' FF 0
,
......?., ?1.1.7 1,..11.i"AlV??iJTLLIV\A.Ll1ii T.
?-? oE-i? - q??-z
q: g'VE
E CIJ- '
K ?45D, 0? .?OAKB.R ?4127
SCALE: 1 inch = 30
I HEREBY CERTIFY THAT THIS IS
OF THE BOUNDARIES OF THE AE
BY ME OR UNDER MY DIRECT Sl
SHOW IMPROVEMENTS OR ENCRC
DArE
r- -A'^!?!Y'- -?•?
1'?n AN
:_????E VAI 17 lm"?
?-
_
Front - House Side -
Rear - Garage Side -
?ENTATION
SURVEYED
PORT TO
N0:
02R-636
BOOK:
fIAND SURVEYOR
NUMBER 14376
Ookbrooke 5
iv (?
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
r
ito J? 3?- Telephone # 651-675-5675 FAX # 651-675-5694
NetvCons4vctionReauiremenis RemodeVReoairReauirements
3 registered sfte surveys showing sq. ft of lot sq. R of house; and all roofed areas 2 copies of plan x?.
(20% max6num lot coverage albwed) 1 set of Energy CakuWtions far heated additlore iee {??igit??, ?V#
2 copies of plan showing beam & window sizes; poured found design, e?. 1 sile survey for additions 6 decks e , ??
7setofEneigyCakulations Addition - indicateif ar•sNesepGcsystem .
3 copias of Trce Preservation Plan H bt platted after 711193
Rim Joist Detail Opfions seledion shcet (Wdgs with 3 a less unlts
Date 7
SiteAddress / ?
7-7 o 0\ Construction Cost ? ?0 ? ? 6 0 • ?
1Ll. f/J{1JJ UniUSte #
Description of Work
Multi-Family B?dg
_ Y ? N a'fHl?_-?°l ?
Fireplace(s) _ 0_ 1 _ 2
Property Owner ? 1 Iv H wo Telephone # (?x } Z? ? " ?Z L,!P.
Contractor
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Ivlinnesota Rules 7670 Category 1 Minaesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheat • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a buiiding in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building Pernut and acknowledge that the informatio -' te;
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 tlus is not a pernut, 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 ork which requires a review and
appmval of plans.
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Ait - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex vl? 19 Lower L/Gvel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbg?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
-Ei 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (EnUre Bldg) - Give PCA handout to applieant
Valuation 3-e 9 v Occupancy MCES System
Census Code <N Zoning City Water
SAC Units ? Stories Booster Pump
# of Units ? Sq. Ft. PRV
# of Bldgs ? Length Fire Sprinklered
Type of Const ..r Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
_ Foundatian
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUIRED INSPECTIONS
FinaVC.O.
? Final/No C.O.
? Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tesu Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: 17J2?' 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
ToWI
Iq Ci
2007 RESIDENTIAL BUIL?ING PERMIT APPLICATION
City Of Eagan
3830 Pi?ot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements
3 regislered site surveys showing sq. ft, of b6 sq. fl, of house; and all roofed areas
(20 % maximum lot cwerage alloweA)
1 Soits Report 'rf propwed buOding is m be placed on disNrbed soil
2 wpies of plan showing beam & window sizes; poured Pound desgn, etc.
1 sef of Energy Calalafions
3 copies of 7ree Preservation Plan A lot pWtted after 711193
Rim Joist DeWil Opfions selection sheet (buildings wiN 3 or less units)
Minnegasco mechanical venfilation lortn
RemodeVReoair Reuuirements
2 copies of plan showing foo6ngs, 6eams, joists
1 set of Energy Calcula6ons fa heated addNore
1 site survey fw additions 8 decks
Add6on - indcak i( wrsite seplic sysfem
U&a 2l
/
Olfice Use:OnN
CertofSurveYRecd _y... -N
SalsReport _Y `_N
TreePresPWrcRecd _Y _N.
TreePresRequiteA _Y - N
OMSiteSepticSystem _Xr. _N
` C(.&0.
Plans are considered pubiic information unless you state they are trade secret and the reason. I
_QZ ? r b ? ?? Construction Cost ? ?-00 ??
Date
n' ???Zn ,? ?? +?? UoiUSte #
Site Address l-t- f.. ?
?'r??.-,
Description of Work
Mu(ti-Family Bldg _ Y ? N Fireplace(s) ? 0 2
PropeHy Owner 77 _ TelepAone # b ?6 ?i U
Contractor
Address City
State Zip Telephone N ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
- Minnesota Rules 7670 Cateeorv 1 New Energy Code Worksheet
[Energy Code Category . ResidenHal Ventila6on Category 7 Worksheet
(J submisslon type) Submitted Submitted
. . Energy Envelope Calcula6ons Submitted
In ihe last 72 monihs, has The Ciry of Eagan issued a permii far a similar plan based on a master plan2
Y _ N If yes, date and address of master plan: Licensed Plumber P, `U' E ? v K Telephone #( )
Mechanical Contractor lUL 1j M7 Telephone #( ?
Sewer/Water Coniractor `' N - Telephone #( ?
41-
I hereby apply for a Residential Building Permit and aclrnowledge 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.
i-i- ?...-?_
Applicant's Printed Name ApplicanYs Signature
e r t
Su6 Tvpes
DO NOT WRITE BELOW THIS LINE
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ;K 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 StormDamage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
WarkTvaes ?JIyL?G'1 6 V? /yl.»'v? l'f
? 31 New ? ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
)X 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitlon (Entire Bldg) - Give PCA handautla applicant
D05CI'Ipt1011: Water Damage _ Yes
Valuation C?v Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const V8 Width
Footings (new bldg) .
? Footingr (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice Bc Water Final
Framing
Fireplace _ R.I. _ Air Test _ Fina]
.! Lnsulation
Approved By: _
REQUIltED INSPECTIONS
_ Sheetrock
FinaUC.O.
? FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Building Inspector
---------------- ----------------------------------------
Base Fee
Surcharge
Plan Review ?
MClES SAC
CitYSAC
Utility Connection Charge
N??<<..rr
S8W Permit & Surcharge
TreaUnent Plant Ll?
License Search L
Copies 1r?J(?I?T 0?
Other ?
Total
SURVEY FOR
DESCRIBED AS
,S'urveyor's Certificate
PULTE HOMES OCT 0 8 REC-o
:
:Lot 3, Block 2, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota ond reserving
easem ents of record. _
.'.?
rENcE
!t?
W
= 21, 178
= 1, 888
99'
J
3:1 MaArnum Swo
or Fietaining Well Will
Bs Fle4uired
L D T SQ. FD 0 TA GE
HSE SQ. FOO TA GE
L 0 T CO l/ERA GE _
# ,8z6,
PROPOSED ELEVATIONS
Top of Foundation = qs4.o
Garage Floor =qs3.?o
Basement floor =qqs.o
Aprox. Sewer Service = aaz.o^
Proposed Elev. _ C=D
Existing Elev.
Drainoge Directions = -
Denotes Offset Stake = •
HEDLUND
PLANNINC 6NCI1VEERING SURVEYINC 2005 Pin Oak Drive
Eagan, MN 55122
Phone: (651) 405-6600
Fax : (651) 405-6606
,_ ?. ?v.__.........__.:. _. _ ?.a !:'• ?'; - -; a' ,
?OW`40v0 L `\ ?R 1
????D
? X ?
% q53.2
CURVE
?
? oKE
OAK$R??4127
?V
?
BENCHMARK,
CP. 4 GUI<n
Ek.,?? ass.sS
SCALE: i inch = 30
I HEREBY CERTIFY THAT THIS IS A
OF THE BOUNDARIES OF THE A801
BY ME OR UNDER MY DIRECT SUPj
SHOW IMPROVEMENTS OR ENCROA(
DATE
-Z7-c?2_
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side -
SENTATION
SURVEYED
:PORT TO
(lAND SURVEYOR
NUMBER 14376
N0:
02R-636
Oakbrooke 5
Gity of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: , / 0-40
Use BLUE or BLACK Ink
For Office Use
Permit #: 16/ '41a -
Permit Fee: I 05- 5
Date Received: 1 I l a 5/13
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
/3 Site Address: i i a? DAKI3k60 6 e l)1e )
Name: & A)ti //v /\) YT
Unit #:
Phone:
Address / City / Zip:
Applicant is: Owner
Description of work:
Contractor
Construction Cost: Multi -Family Building: (Yes / No
Company: a2 M0$D�vi iot)
Address: 9=K //AML-tLike Ave j"
State: MOO Zip: 537/3
License #: &: 66743
City:
Phone: E/—5y'7`74,2(03
Lead Certificate #: Iti la o 5^/
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:
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.orq
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 permit issuance.
x ' 1/t/3 1 +J Osarg6t )
Applicants Printed Name
x
Applicants Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173001
Date Issued:10/25/2021
Permit Category:ePermit
Site Address: 4127 Oakbrooke Curve
Lot:3 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Binh Van Huynh
4127 Oakbrooke Curv
Eagan MN 55122
(612) 239-4022
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature