4128 Oakbrooke Curve77-
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
700. o-u
?GW 5/11/6 . N
New ConsWdion Reauiremenis RemodeVReoair ReauiremenGS Ofice Use OnN
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all raofed areas ?2 copies af plan Cert of Sun2y Recd _ Y_ N
(20%maximum lol caverege allowed) 1 ulof Enargy Calculations for healed addNons Tree Pres Plan Recd _Y _ N,
2 copies of plan showing beam &windowsizes; poured found desi9n, elc. /7 sile survey toraddHians & decks Tree Pres Requi2d _Y _ N
iselofEnergyCalcula6ons Addifion - indicafe'rfonsdesepfksyslem On-si[eSepticSystem _Y _N
3 copies of Tree PreseNation Plan if lot platted after 711193
Rim Jolsl Detail Opfions selection sheet (hugdings wHh 3 or less units)
Date 1o ?r- l D5? Construction Cost DD
Site Address y ? a? 04 ? Iroo ?? CV j'^/e Unit/Ste #
Description of Work j't 2 W ?.2 c.?
Multi-Famity Bldg _ Y? N Fireplace(s) _ 0_ 1 _ 2
Property Owner ?G{ Tk tX (P- /l C( Telephone #(ys,? ) y4q- a 3o N - ce/I ?
Contractor ?Nl ,gd!/?GeF (_-USYr?1 N C;'Xq?'}i'k" _-Z-/?C .
Address City wDY
State ip Telelz ),Z 13,2- 733 7
5 2005 ?11114
COMPLETE THIS AREA ONLY IF dONSIRM, CTING A'NEW BUILDING
??„r1V1111IICJUI"QAWGS /V/z
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilafion Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitled Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building 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 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.
r ? Gl
licant's Printed Name
?
Ap li anYs Signature
OFFICE U5E ONLY
Sub Types
,
? 01 Foundation ? 07 05-plex ? 13 16-plex O 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 x 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 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 O 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 handout to applicant .
Valuation -,Lzy Occupancy )? `3 MCES System '-
Census Code Zf Zoning P`1_ City Water "
SAC Units - Stories - Booster Pump '-
# of Units - Sq. Ft. PRV ?
# of Bldgs - Length ? Fire Sprinklered ?
Type of Const ? Width `
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
? Footings (deck) ? Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test Final _ Windows
_ Insulation _ Retaining Wall
-----------------------------------------------------------------------
?? ?
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Surveyor's Certificate
SURVEY FOR . ? ? PuLre HoMEs
DESCRIBED AS : 4 1 28. ? nVE Lat 6, Block 3, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota und reserving
i' Uly eo5ements of racord.
RooKE C 4.o S? F
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$ <P . ?? rrr'fl
/?g DO 95a 2
o'"
00 0 E b ?
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a Retaining yyall yM
Be Required
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LOT SQ. FOOTAGE = 24,009 H5E SQ. FOOTAGE = 1, 797 -
LOT COVERAGE = 79"
?? • ` ? --•
?11 ?M1N! JvY1
HeasG t
p 18052
PROPOSED ELEVATIONS
Top of Foundation
Garage Floor
Basement Floor
Aprox. Sewer Service
Proposed Elev.
Existing Elev.
Drainoge Directions
Denotes Offset Stoke
Co ti'l'rt &'fnr }n Gn su
?
2 °/u graq/e
o _reevi '.o
" L________________
= 95b3
= 955'1
=9a1.3
=99bo
= 0
a43? N89°42'35"E 75.42 0 441.0
BENCHMARK,
MIN. SETBACK REOUIREMENTS
Front - House Side -
SCAIE: 1 mm - ao r„t rc? Reor - Garoge Side -
HEDL UND 1 HEREBY CERPPY THAT THIS IS A AFD CORREq??+FiEPRESENTAT10N
OF THE BDUNDARIES OF THE ABO,. R?pEP?PR?('ERLY AS SURVEYEO
BY ME OR UNOER MY DIRECT SU RV/SION )JR?OES NOT: PURPORT TO ?ue no:
02R-525
PL4NN1NG 6NClN6ERINC SURV6YJNG - SHOW IMPROVENENTS OR ENCROR?,F?ENSy,WgRlrpS!SHONRJ.
' BWU: PaCE:
2005 Pin Oak Oriv<
E
MN 5 ? ^
f_
V
Q I/_
I!.1 ;/f
??
?J
agon,
5122 DATE _.J_,/!S?./
'
O CPD ?LE:
Phane. (651) 405-6600 ? iM1(pR [N.
L StIftVEYOR
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O
Fax ;(651) 405-6808 s
E NuMBER 1437 6
li akbroake 5
PLUMBING (RESIDENTIAL)
Permit Apptication
City Of Eagan
q??? 3830 Pilot Knob Road, Eagan Mn 55122
t Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts aze required far each umt
Date6_/ a? l 03
SiteAddress h' ?a g Dak byDvK? C CA,6eC Unit#
Property Owaer 1GLKK 2 ??Oc Telephone #( 6S1 )99 4 7 g S 9
Contractnr
Address City
State Zip Telephone # ( )
The Applicant is ? Owner _ Contractor _ Other
Septic System New Refurbished Submit 2 sets of plans and MPC ficense $ 100.00
InGudes County fee. Additional consultant faes may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures ta lower levels or room additions, excluding water softener and waier heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ %01? new installadon _ repair _ rebuild $ 30.00
Lawn irrigation system
Water softener Water heater - 15.00
replacement
additional
_
_ ?
.50
State Surcharge I
T
l $ 3c??
ota
I hereby apply for a Residenrial Plumbing Permit and acknowledge tLat the information is complete ana accurate; tnat me worx wui
be in conformauce with the ordinances and codes oF the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an application for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
?Z-Zi TakKZLLA
ApplicanYs Printed Name
ApplicanYs Signature
`?
? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681•4675
gu 5sab5 50117-19
New Conatruetlon ReauiremeMS RemodellReoair Reauiremenb
• 3 registereA site surveys showing sq. ft ol l04 sq- R of house; and all raafed areas • 2 copies of plan
(20% mazimum lot caverage a0aved) . 7 set of Energy CalcWations for heated addilions
• 2 copies of plan showing heam & vrindaw saea; poured lound design, etc.) ?l 1 s@e survey for extenor addNOns & decks
• 7 set of Energy Calculatlons K ?3?? V 7. Indicite M home served 6y septic system for additlore ?
• 3 copies of Tree P2servation Plan "rf lot platted aRer 717193 ?
. Rim Joist Defatl OpUons selection sheet (hldgs wBh 3 w less urub)
LG( 83, q?tD
DATE VALUATION
JOB SITE ADDRESS ` y\Z- D OC?.??ruo? C..v.i.re_
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? '
PROPERTY
TYPE OF
FIREPLACE(S) _ 0 ? _ 2
APPLICANT\3vAN-Q- \\a? V I PHONE# \nS\A54 -105`3I
ADDRESS S\S, Vyo ZIPCODESS?Z`
PAGER # CELL PHONE # lu?Z-?JlcS- ???? FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEG ? nr7 ?
(check one) - Residential Ventilation Category 1 Works bmitteil r t?l p
- Energy Envelope Calculations Su6mitted II
/ AUG 2 G 200Z J
? MINNESOTA RULES 7672 ?. S
New Energy Code Worksheet Submitted By
Plumbing Contractor. Phone #: -
Plumbuig System Includes: Water SoFtener ? L,awn 5prinkler Fee: $90.00
? Water Hcater ? No. of R.I. Baths
Z? No. of Baths
Meehanical Conhactor. %'o N3 S4 x\-4. Phone #k
Mechanical System Includes: 1 Air Condidoning Fee: $70.00
? Heat Recovery System
Sewer/Water Contractorkl\p?_o Q?2.+\y_4'c..\ Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that i hove read ihis applicotion, state that the inforrt? tion is a ect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eag Ordinance .
Signafure of Applicant
Certificates of Survey Received ? Tree Preservation Plan Receiv _ Not Required
Updated 2002
-44
OFFICE USE ONLY
. :,
? 01 Foundation
02
? SF Dwelling
? 03 01 of _ piex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 OSplex ? 13 16-plex
13 08 06-plex ? 76 Fireplace
? 09 07-piex ? 17 Garege
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
13 22 Porch/Addn. (4sea.)
? 23 Porch (sueened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Ait - Multi
? 33 Ext. Alt- SF
? 36 Multi
? 31 New ? 35 IM Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Mave Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation ?OoD Occupancy 9dGf? MC/ES System
Census Code Zoning C-0 City Water
SAC Units o/ Stories 19, Booster Pump
Nbr. of Units Sq. Ft. :97 113(. PRV
Nbr. of Bldgs ? Length `f 8?f Fire Sprinklered
Type of Const ? Width
? Footings (new bldg)
_ Footings (deck)
Footings (addition)
? Foundation
Drain Tile
? Roof _ Ice & Water _ Final
Framing
Fireplace I R.I. _k Air Test V_ Final
X Insulation r'
Y'
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
ToWI
_ Other
_ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Siding Stucco Stone
Windows (new/replacement)
? 2 ?C.Tyt-?'H,lLwr9xG
Approved By 7-2 , Building Inspector
/3A--st 1092 X IS = J? J??v
6M?? / U 9 p`/
o 7?
"6 - 71 7?y
l.,...r.._.-•---^?
REQUIRED INSPECTIONS
? FinallC.O.
FinaVNo C.O.
_ Plumbing
_ HVAC
MpR-1E-202P 10:28
aIlQOhac3c COMPI,IANCE REBORT
miavneaota Br,ergy Code
t+ATCheck 3oftware VessiOn 3
COL'IA'I"I a Dakota
STA.TE; Minneaate
ZONE: 2
CaN6TRVCT201v TYpE: Sissgle Fami?y
AATE: 3-=6-2000
DA'i'E UF pL.ADIS: 3116100
TITLE: FALFCIP.K f6/D EL. #2
COMPLIANCL: PA9SE8
kequirqd UA = 506
Your Homp = 467
19•9k Bsttsr Than Cade
P . 02,12
Permit
Choeke by DaCe
Axam or Cavity Cant. Glazing/DOar
--^-------°------------- Perimeter R-Value R-Va:?ue iJ-Valua
-------
CEILINqS -_
------
1444
___-^----^
44.4
------°
0
0
-------------..
WALLSe Wppd FraT(IE, 16" O.C. 2327 19.0 .
2.0 2
WALIiS: FJoOG3. FY'aSIIGr 16" Q.C.
283
10.0
2.0 ,
ssMT; Coxzc, 9.01 ht/9.3, bg/9.o, iasui 402 11.0 a.o
GLAZING: WindOWs or DOara, Above Grade 485 0.350
1
DOpRS
FLOQRS: Qver Unconditioned Space 38
352
39.0
4
0 0.350
iFVAC PQU=PMENT; guraace, 92.0 AF
-------
- UE .
---
?------°...----'--^ °--
COMFLIAhCE STATEmsNT: 'rhe prppog -----^^-"--
ed building ^ .__
-----
design de
-^----_'
maribed
_----°---^'-_
he3:e is
coneiatent with the building plan a, specificatians, an d other aalculations
esubmittad wiCh tlae permit applica
d i :ion. The proposed bu.ilding haa been
e? 4ned to me e M4pmef?ota Enexay Code.
J
suildarJDe?igner f?" ? ? ` Dar_e '' ?
?
TOTRL P.02
Surveyor's Cert2f2cate
SURVEY FOR PULTE HOMES
DESCRIBED AS ?p VE Lot 6, Block 3, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving
J.? easements of record.
/ .. ? ?, 4540
-' O??q, 9592 AUG 27 REC'D
OAKBR
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00
R E
9532 ?? 0 955.? ? 456.0 `
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LOT SQ. FDOTAGE = 24,009 HSE SQ. F00 TA GE = 9, 79 7
L 0 T CO I/ERA GE = 7?'
? ? --?
?
- ?`-----------------
# 18052
PROP05ED ELEVATIONS
Top of Foundation =q,6,;
Garage Floor
Basement Floor =?a?3
Aprox. Sewer Service = 9aeo
Proposed Elev. = 0
Existing Elev.
Drainage Directions = -
Denotes Offset Stake = •
HEDLUND
PLANNING ENGlNESRING SURVEYINC
2405 Pin Ook Drive
' Eagan, MN 55122
Phone: (651) 405-6600
Fax : (651) 405-6606
::•
0
41
a13a N89°42'35°E 75.42 9
BENCHMARK,
MIN. SETBACK REQUIREMENTS
SCALE: 1 inch m 30 feet
I HEREBY CERTIFY THAT THIS IS A -
OF THE BOUNDARIES Of THE ABOVE
BY ME OR UNDER MY DIRECT SUPEF
SHOW IMPROVEMENTS OR ENCROACH
Front - House Side -
Rear - Garage Side -
IJOB N0:
TION
02R-525
NOT i'UFIPORT Ta
DATE _a 10?/ OZ
D EYRVEYOR I Oakbrooke 5
IER 14376
lOT SURVEY CHECKUST FOR RESIDENTIAL
• BUILDING PERMIT APPLICATION
PROPERTY LEGAL: Lot ?e /fIor. KS DCrK?fbAe GA
DATE OF SURVEY: S D 1
? LATEST REVISION:
c
w
c
c?
DOCUMENT STANDARDS
Y $
o z a'
a,
[Y ? ?' . Registered Land Surveyor signature and company
P? ? ? • Building Permit Applicant
? • Legal descriptlon
[Y 0
? ? • Address
? ? . North arrow and scale
p/? ? . House type (rambler, walkout, split w/o, split eMry, lookout, etcJ
V ?
V ? • Directional drainage arrows with slope/gradient °k
i
8
l
il ? . Proposed/exis5ng Sewer and water serv
ces
invert e
evation
6/ ? ? . Street name
V ? ? • Driveway
d ? ? . Lot Square Footage
V? ? . Lot Coverage
ELEVATIONS
Existina
tre/ ? ? • Sewer service (or Proposed)
G'l ? ? • Property comers
?? ? . Top of curb at the tlriveway and property line eMensions
??? . Elevations of any existing adjacent homes
u[?/ ? . Adequate tooting depth ot structures due to adjacent utility Venches
? L9' ? . Waterways (pond, stream, etc.)
Prooosed
? ? ? . Garage floor
? ?
? • Basement floor
? ? • Lowest exposed elevation (walkouUwindow)
V. ? ? . Property comers
A?? • Front and iear of home at the foundation
PONDING AREA (if aoolicable)
?
D ? • Easement line
? y ?
? v? •
. NWL
kWL
? C?,? . Pond # designation
? [4? ? • Emergency Overflow Elevation
DIMENSlONS
V? C
V? ?
d ? e?
?? ?
C?? ?
L+? ? ?
• Lot lines/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. all sVuctures 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, if anv
Reviewed:
. .
,S'urveyor's Cert2ficate
SURVEY FOR Pt1LTE HOMES
DESCRIBED AS : 4? 28 ?vE
?•? Q Lot 6, Block 3, OAKBROOKE 6TH AODITION, City of Eagan, Minnesota and reserving
easements of record.
ooKE ?.o SEP ? 6
AK$ R 954 2 ?p?e
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qqT.b Cf Fuh*mg ? vve4Y
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L O T SQ. FOO TA GE = 24,009 HSE SQ. F00 TA GE _ 1, 79 7 \ \ ;-: 9
L 0 T CO I/ERA GE = 77
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Co wtrq e6v- +a el's v r \ \
e
b,;?o?um 2116 94041d
ow
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? L________________?
# 18052
PROPOSED ELEVATIONS
Top of Foundation = qsc?,_?
Garage Floor =q,sq
Basement Floor -q4-7,3
Aprox. Sewer Service =94L,.0
Proposed Elev.
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
HEDLUND
PLANNING ENGlN6ERING SURVEYING
2005 Pin Oak Drive
Eagon, MN 55122
Phone: (651) 405-6600
Fax : (651) 405-6606
BENCHMARK,
MIN. SETBACK REQUIREMENTS
a:
I HEREBY CERTIFY .s....
THAT 7HI5 IS A ?7+t?U...
AND CO
OF THE BOUNDARIES OF THE ABOV'?,?AESCRIBEA
?E?
BY ME OR UNDER MY DIRECT SUP'ER SIO?J AH?L
SHOW IMPROVEMENTS OR ENCROA NkS ttE?%?Fd
DATE 161-7E
0
N89°42'35"E 75.42
SCALE: 1 inch = 30 feet
'RESENTATION
AS SURVEYEO
PURPORT TO
LFmSD SURVEYOR
NUMBER 14376
Front - House Side -
Rear - Garage Side -
02R-525
N0:
CAD FILE:
Oakbrooke 5
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
? q p? CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
? I s s?
Date
S'teStre res?
Unit #
Property Owner cc?; Q? Telephone #
Contractor /At/e 0/
AddresSg/???L,J,g?,I.d,n_ /@ ?gCity Telephone# Qrg-r
State?l Zip
The Applicant is: _ Owner Contractor _Other e
Alterations to existing dwelling
--- fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
_ Water Softener ? Water Heater
# replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebu' ? $ 30.00
State Surcharge Qy 9'?,p ?"O $ .50
-
Total *
$ ??•?e)
?
I hereby apply for a Residential Plumbing Permit and acknowledge that e i ormation is complete
and accurate; that the work will be in conformance with the ordinances d codes of the City of
Eagan and the plumbing codes; that I understand this is not a ermit but only an application for a
permit, work is not to start without a permit and work will bA in ccord nce vy?h the approved plan in
the event a plan is required to be reviewed and approved.// ??
,
??b?r D??•
ApplicanYs Printed Name
ApplicanYs Signa)tare
Address: 4128 Oakbrooke Curve Zip: 55122
I,ot: 6 Block: 3 Subdivision: Oakbrooke 6th
THE FOLLOWINC ITEMS WERF,/WERE NOT COMPLETE AT FQVAL INSPECI'ION ON
Yes No Comments
Final grade - 6" from siding
Permanent ste s- gara e
Permanent ste s- main ent
Permanent driveway
Permanent gas
Sod/Seeded lawn
TraiUcurb damage
Porch
Lower level finish
Deck
Fire lace
• VeriFy with yom builder that roof test caps from the plumbing system have been removed.
• Tum off water supply to the outside lawn faucets before freeze potenrial exisu.
• Call the City's Engineering Department at 651-681-4645 prior to working in right-of-way or installing
irrigation system.
BUILDINGMSPECTOR-1 FPC 17
cd/bldginsplCorms/2002/fina1 inspection checklist
t-Eo"-ts o? r01?11.,A-
1',elj l- 11!
? ??? ?? /Y?/J
r1„u t-?mk? _
,? ? g- Lat qbS° Block -93 Suhd,
8Ne address:
Requirements for insulatlon protection, alr
On Apdi• 15, 2000 the Minnesota Energy Code, Category I Buliding of Eagan Is r?uiring that the following fnformalon ?
tsu6mitted Prior ? Islsulance of a Ceprtlflcate of OccuPancY C?
I hereby acknowledge thet 1h8 ab°vs Informatlon Is correct ana agrea '° ?^rY °
requlremenfa ---?
SI ns ra 1
CompanyName
l-i5-o3
Date
Thls form Is ?he responsibflity of the 6eneral Contracfor.
Thls atructure: ? conetructed to meet minimum requlreme!!ta ot tlm Mn E?? ?' ?a?r 7870
OR 7872 or 1874
? Th18 BtNftllf8; IdU?. ?n?f"? t0 meet mare re?ridwe re9ulremeMs d C??
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Clty Olf ����11n q • ,
3830 Pilot Knob Road / /��/
Eagan MN 55122 RECEIVED Date Received: 7
Phone: (651)675-5675 ce
Fax: (651)675-5694 JAN 10 2011 Staff: -•
Cc11
6-01
l 2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: i b A Site Address: "� l a 0 �< /2 D v)<- un v Unit#: r/
I l Name: S `,_D TA l<�LL Phone: 6.,S}F �°1 �.. . .,�g�
Resident/ T` 1 g (Roo v ell % '�L L
OWner Address/City/Zip: 1/ 12— F) b k E C Z 0 6n/a iv cL
1
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i Applicant is: Owner Contractor �� -- 6,7
w6__ " %%
Type of Work ` Description of work: �6--(� I–, i f h
iConstruction Cost: ry �yMfm Multi-Family Building: (Yes /No ) I
4
, , Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
I
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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I
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:
I
I
Mechanical Contractor: Phone: I
Sewer&Water Contractor: Phone: I
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to t
, _.. ....conclude that the are trade secrets. ..w,w w _w
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 Sta ildi g Code must be completed within 180
days of permit issuance.
x x 4
Applicant's Printed Name Applicant's Signature
Page 1 of 3
qt, DO NOT WRITE BELOW THIS LINE `I 0
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 [1(4__V_Va Occupancy Dv L.; MCES System
Plan Review Code Edition . , .. SAC Units
_
(25%_ 100%_) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 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
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing XC30 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
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC ;2o
X d 1"/ 0
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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r
For Office Use
' '' Permit#: I�City of Eaaall .a 3
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED Date Received: _ A 1-7
Phone: (651) 675-5675li
Fax: (651) 675-5694 JAN 10 2011 L staff: t►_.
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: t /o b /) ? Site Address: i 2' C'/9 )< Q 061<1-. (1 ev( ,11 G)A iv 5 S i ZZ
Tenant: Suite#:
Resident/Owner Name: Phone:
Address/City/Zip 'T it a cy,Kai 1.5T CV , 14 Co IV 5-S 1 L 1
IName: License#:
Address: City:
Contractor / f.
State: Zip: Phone: Ce/ / UJ /. , 7 3 - .-' /-2
; Contact: Email:
Type of Work —New —Replacement —Repair _Rebuild —Modify Space —Work in R.O.W.
I Description of work: /�E167 IetIC }-
/ 7'/) l S
, a `�RESIDENTIAL ,�. ,v� ..�., .. .�._. ,W���� � � , ��„ . .x ���..
Water Heater
Water Softener
Lawn Irrigation ( RPZ/ PVB) 1
—
Permit Type
I Septic System I
Add Plumbing Fixtures( Main/ Lower Level)
New Water Turnaround I
i Abandonment ; —,,i
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
} $60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) i
i
*Water Turnaround (add$280.00 if a 3/4"meter is required) i
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES $ t
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pl
x x ,r4S1r ;4---
Applicant's Printed Name Applic nt s Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-in Air Test' Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA160185
Date Issued:02/20/2020
Permit Category:ePermit
Site Address: 4128 Oakbrooke Curve
Lot:6 Block: 3 Addition: Oakbrooke 6th
PID:10-53765-03-060
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 -
Siddhartha Takkella
4128 Oakbrooke Curve
Eagan MN 55122
(612) 423-2617
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature