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4130 Oakbrooke CurveRESIDENTIAL BUII.DING Permit Applicatiou City Of Eagan ? ?? ?- Q?. 3830 Pilot Knob Road, Eagan MN 55122 ??. J ? Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWCtionReaui2ments RemodeVReoairRsauiremems Office UseOnlv 3 registe2d site surveys shrnxing sq. ft, of lot, sq. ft. of house; and all ioofed areas 2 copies of plan Cert of Survey Recd (20% maximum lotcoverege allowed) 1 sef of Energy Cakwlafions for heatetl additiore Tree Pres Plan Recd 2 mpies of plan showing beam & window sizes; poured fountl design, etc. 1 site surveyfor additions 8 decks Tree Pres Noi Reqd lsetofEnergyCalculations Add'rtron - inAicateif arsitesep6csystem _Oo-siteSepticSysfem 3 copies of Trce Preservation Plan'rf bt platled aker 7/1193 Rim Joist Detail Options selection sheet (61dgs with 3 or less units Date -6/ Site Address / V ?? n-6 Canstruction Cost C) 1?? Kb????? UniUSte # Description of Work 'Dw' Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner Telephone#(65I ) 4-10 -(F'0 45 Con ractor Address State ? ? .. Zip S?? City 1 ? Telephone #(612 ) (o C?^ rl to 3--1T?5 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category (J submission type) Licensed Piumber - Minnesota Rules 7670 Catepory 1 • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations_Submittedl ? I Mechanical Contractor Sewer/Water Contractor Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit ahd 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 ap roval of plans. LkMKnE'? Cpr?-C) Applicant's Printed Name WMAAtrssignaiufe? OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 02-plex ? 10 OS-plex p 18 Deck 0 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 W 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation ?j ') ° ? Census Code Y S `/ SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ?! h _ Footings(new bldg) _?o Footings (deck) _ Footings (addition) Foundation Dtain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Occupancy 2-3 MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS FinallC.O. FinallNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall 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 _1 ? 30 Accessary Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors •Demolition (Entire Bldg) - Give PCA handout to applicant Surv eyor's Certif2c ate SURVEY FQR : PULTE HOMES DESCRIBED AS : Lot s, Block 3, OAKBROOKE 6TH ADDITION, Cfty of Eagan, Minnesota and reserving easements of record. ,_,4^"/ AU G 19 REC'D o O ' eso.s ? . " ? ._....i.'?? .. ? '. F ..t:,l ':*•'::. 3:1 ma*mn wpm or R"n" V" ? Be Required SI L7 feNcE - R?E ,. ? aCU 0 51.9 / 952.5 E B 5z.3 953.1 N p?.0 &a? 2a?"61 ? +d sss.o ? 3.8 y10? N \ N \ 951.5 0 10 ? 1 \ y ?? ? '_'i \ t?•. ?ay o ? ",-+ OP?q %! a. 948.8 .o N ?369 ?? \ t o0 3'!•09 \ ?:r 949.0 \--u. ' 949J - 8. 2. ? e+e.o LOT SQ. FOOTAGE = 22,593 HSE SQ. FOOTAGE = 1,852 . L 0 T CO l/ERA GE = 89' IL4`1GYYN RE? ?EWED B?r ?AI`E sNSPECT9ONS DEPT , &ti R ?• L Y..t ? .. ....,.. ' ? RE1v 1iV :iIGAN F'blGl:dFk:RMG ]?EP'L' ? 94&3 ? ? ? ? t y ?0 e ? o i ? l ? ._\ ` , ? ? ? ? ? ?---? ? 18.4 ? 5.90 ? N89°42'35"E ? ? i 0 0 0 0 ? 0 rri rn ? O 0 # 18232 PROPOSED ELEVATIONS Top of Foundation =955.3 Garage Floor =954.9 Basement Floor =946.3 Aprox. Sewer Service -943.3 Proposed Elev. Existing Elev, - Drainage Directions = Denotes Offset Stake = . SCALE: 1 Inch = 30 I HEREBY CERTIFY THAT THIS IS A TRUE'` ` HEDLUND OF THE BOUNDARIES OF THE ABOVE DES 8Y ME OR UNDER MY DIRECT SUPERVI510 ? SHOW IMPROVEMENTS OR ENCROACHMENT PL,leVNING 6NGlN6BRINC SUR{'6YINC 2005 Pfn Oak Drive p Eagon, MN 55122 DATE 'A Phone: (651) 405-6600 6 J F ? ;... -Fox : (651) 405-6606 MlNN! I I I I I L______ W - ---- \ . .. . .. ?4' ?y{ ? ? ? ? ? ` ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? \ \ \ \ •----------- E 93.10 4i.o BENCHMARK, _.__..._ -- ---------? ir TO 74376 MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side - I J08 NO: , ozR-s1o BOOK PM'E Oakbrooke' S ? 9`f g c? PLUMBING (RESIDENTIAL) Peraut 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 pernuts are required for each unit 4aa-?z s 27 03 Date ? Site Address t ' 3d QG ? ??ad ? ?r V`?, Unit # Property Owner Telephone # ( ) Contractor SLh'?? 4J' Iv ?'Yl ? LD Y ? n Address ry\ ?-Q S . City J \ Gi ? r ? State Zip <;'VO Telephone# The Applicant is _ Owner ? Contractor _ Other Septic System New _ Refurbished Submit 2 sers of plans and MPC license $ 100.00 Includes County fee. Additional eonsultant fees may appfy. Alterations To Euisting Dwel?ing Unit, Including $ 50 00 _ Adding fixtures to lower levels or room additions, exclutl ing water softener and water heater . _ Abandonment of septic system _ Water tumaround (+ 5/8" meter if needed - $121.00) _ Other: A?. ? _?v? \?1\ C?? ) \V"? RPZ new installation repair rebui?tl\1\ 30.00 ? Lawu irrigation system _ Water softener _ Water heater $ 15.00 _ replacement _ atlditional State Surcharge $ .50 30 Total . $ I hereby apply for a Residential Plumbing Pemut and aclmowledge that the information is complete and accurate; that the work will be in conformauce with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I undarstand this is not a pemrit, 6ut only an application for a pemut, and work is not to start without a pernvt; that the work will be in accordance with the approved plan in the case of work wluch requires a review and approval of plans. A ?c4 m ApplicanYs Printed Name Applicant's Signature 4! 3a o?ai?r3cu?K? c?'"wCa` ?oi'fo5' ?odc.°? subd. 4f?K+s Sfle addrese: On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements far insulaifon protectlon, air the City af Eagan Is requfring that ihe following information be , and ventilatlon, was adopted. As a result, tighfiess submitted prior to issuance of a Certfficate of Occupancy. I hereby acknowledge dhat the above fnformatlon is correct and agree to complY wfth the MInnesoja Energy Code a"d Ciry of Eagan requirements• Date SignaWre Comparry Natrie • This fortn Is the responsibllity of ihe Geneeal Contracror. Thls structure: k cOnstrucled =a meet minimum requlrements ot the Mn Ener9Y CQ?, ChaP?? 7670 ? This structure: dl.? ?nstructad ta meet more restricctivve requfrements of ChePters 7672 or 7874 I,.Z:3+ s bt?a_zs RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-881-4675 New Conslruetlon Reauiremenls • 3 registered si[e surveys shovring sq. ft. o( lot sq. ft of house; an?ll roofed areas (20% mauimum lot coverqqe albwed) • 2 copies of plan showing beam 8 windaxsizes; poured found design, etc.) • t setaf Energy Calculations • 3 oopies of Tree Preservation Plan'rf lot platted after 711133 . Rim Jast Detail Options seletlion sheet (bldgs with 3 w lass units) FIREPLACE(S) _ 0 '! 1 _ 2 PHONE#VSX" "`Aa'c "1o?tS? ZIP CODE S _ FAX # 5,?b3.?`1 -1 D. 50 Rc7. 5-0 ?-'- ?s3a?-g9 B(a-i Ccj? DATE Ch`a-- VALUXION \S?3okj-?'o JOB SITE ADDRESS If MULTI-FAMILY PROPERTY TYPE OP HOW MANY UNIT3? ADDRESS PAGER CELL PHONE # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNE50TA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Su6mitted Plumbing Contractor:N? Q??en???vevr.?..nu Phone #: GSa - 4ciz- 2-WA Plumbing System Includes: Water So ner Lawn Sprinkler Fee: $90.00 Water Heaker L, No. of R.I. Baths Z? No. of Baths Mechanical Contractor.li?V., N s. 4\?a... Mechaziical System Includes: Air Conditioiung p _ Heat Recovery System Sewer/WaterContractor.'2xrb All above information must be submitted prior to processing of application. I hereby acknowiedge thpt I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eag4Qrc Signature of Applicant Certificates of Survey Received '55 Tree Preservation Plan RemodeURenairReauiremems 'S?A)S,vZ{t}'I • 2 copies of plan • 1 set of Energy Calculafions for healed addiUons • 1 site survey for exterioraddilions 8 decks • Indipte'rf home served by sepfic system for additions Dye Phone # Fee: $70.00 ? Phone # I I'I'_ 7 ? 111 ? 5y$?l3 ME 5qg4S P`Q 5'lg Ll t° ' 4' <35 Not Required ? Updated 2002 OFFICE USE QNLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg F 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 171- 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 Windows/Doors ? 34 Replacement *Demolltion (Entire Bldg only) - Give PCA handout to applicant Valuation E500 L Occupancy 611- MC/ES System Census Code 421_ Zoning _,D City Water SAC Units (71 Stories _a_ Booster Pump PJbr. of Units Sq. Ft. D PRV Nbr. of Bld gs ? Le,ngth ? ? Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS ? Footings (new bldg) ? FinaUC.O. _ Footings (deck) FinaUNo C.O. Footings (addition) _ Plumbing X Foundarion HVAC Drain Tile _ Other Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final Framing _ _ Siding _ Stucco _ Stone Fireplace _X R.I. _)!rAir Test 4 Final _ Windows (new/replacement) Insulation _?. ? Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC city sac Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanicaf Permit License Search Copies Other Total Approved By , Building Inspector ------------ --------------- -------------------------------------------------------- p, n"s Irl / ) 70 ?C I ? = { 71 5 _9_0 113 01 ?J 1 17 D xei- `1 ' _ 9tiA l l 2 e X S'? 3 -? #rL Cf/? rL V?r? C. (? le ).. y! J (er & 3? /5-U 1 5 ?? ?? 2 i i MNr.har.k COMPI_IANCF RFPORT I Minnesnta FnPrav Cnde I PPrmit # MNr.hPr.k Snftwara Versinn 30 I I ChPr.kPri hv/DatP I COUNTY: Dakota STATE: Minnesota 7_ONE ?_ CONSTRUCTInN TYPE: Single Family DATE- 1-11-2002 DATE OF PLANS: 7/25/00 TITLE: Oakbrooke Sterling with Lookout COMPLIANCE: PASSES RPnuirPd UA = 532 Your Hnme = 403 24_2%, RattPr Than CnciP ArPa nr Cavitv Cont Gla7inn/Dnor Parimeter R-Value R-Valua U-Value UA ------------------------------------------------------------------------------- CEILINGS 1218 38A (1.0 37 WALLS- Wnnri FramP. 16" O.C. 2673 19.0 2.0 150 BSMT- Cnnr._ 9.0' ht/8.3' ha/9_0' insul 1047 11A 0.0 61 GLA7ING: Windows or poors. AhovP Grade 402 0.350 141 DnnRS 38 0_350 13 FI.OORS: Ovar Outside Air 48 38_0 (1.(1 1 HVAC F_OUIPMF_NT Fiirnar.e. 92.0 AFl1F_ ------------------------------------------------------------------------------- COMPI_IANCE STATF_MF_NT The nrnnnsPd huildinn desinn desr.rihed here is r.nnsistent with tha huildinn nlans. cner.ifir.atinns. and other r.alr.ulations suhmittPrl with thP nermit anolir.atinn_ ThP nrnnosP(l huil(finn has heen designed to meet th/e?e ire/ nts of theZ-??U 77, Energy Code. Builder/Designer (__L4K_1%_ ,0 Date_ LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL Lat 5 131vGK 3 OGtk6rz)DAe, DATE OF SURVEY: Z-4- D -2 ? rn c m t LATEST REVISION: U UVGUMCNISIANUAKU5 Y a a o 'z a . Registered Land Surveyor signature and company / • Building Permit Applicant • Legal description • Address • North arrow and scale i?/' _ • 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 L t C • overage o ELEVATIONS Existina ? _ - • Sewer service (or Proposed) . Property corners ?/ -/ • Top of curb at the driveway and property line eutensions 7 ?7/ ? • Elevations of any existing adjacent homes ??! _ • Adequate footing depth of structures due to adjacent utility trenches ; -?-: • Waterways (pond, stream, etc.) Prooosed ?' fl • Garage oor ?/ - - • Basement floor ?/ - -- • Lowest exposed elevation (waikout/window) ? ._ C • Property comers G . Front and rear of home at the foundafion PONDING AREA (if aoolicable) ? / -, ? Easement line / NWL ? a? 'L • HW L ; ?/- • Pond # designation . y? _. • Emergency OverFlow Elevation DIMENSIONS Lot lines/Bearings 8 dimensions "?1 /_ = • Righbof-way and street width (to 6ack 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 utiliUes within those easements . 1/ -- . • Setbacks of proposed structure and sideyard setback of adjacent existingstructures ??'. . • Retaining wall requirements, if any Reviewed: Name ! Date FD-p?Z' OK Surve y o r's SURVEY FOR : PULTE HOMES DESCRIBED AS : Lot s, Block 3, OAKBROOKE 6TH easements of record. AUG 19 REC'D , ?. onl o pAK? ? 950.5 1` a`n V.9 mwtmm? etz? ?? OP ?1????? ? Required 51L? ff Nd L O T SQ. FOO TA GE HSE SQ. F00 TA GE L 0 T CO I/ERA GE _ # 18232 PROPOSED ELEVATIONS Top of Foundation =955.3 Gorage Floor =954.9 Basement Floor =946.3 Aprox. Sewer Service =9 43.3 Proposed Elev. _ <=?) Existing Elev. Drainage Directions = - Denotes Offset Stake = • HEDLUND PLANNINC ENG7NS6RING SURVh'YING 2005 Pin Oak Drive Eagan, MN 55122 Phone: (651) 405-6600 Fax : (657) 405-6606 3.BJ`? 954.6 k5( Cert2f2cate City of Eagan, Minnesota and reserving C%'gVE U 95?.5 952.5 oo°? 955.1 ? }?•// 0l?1\` 9 '1?` 954.0 54.8 3? 00 l c' G°ro9e v° R- a oss ?, e2°?tay??o \\ ? ,NO ,a pp o 949.4 949J = 22,593 _ 1, 852 8/O ? \\ O I \ Fri I \ m I \\ cli a I \? Q L__________________-- \ ? -; ?. 948.6 a 3 g9 i A 8.8 > 948,0 ; 4 ?'?Un :? c> y 9 rG. -- :,xv?,T?? D,F.P`L°. ? 9ae.3 ^^- ? ? o, \N89:042'35"E I ? O i \? •- ?, o - ? 936.O1 N89°42'35" ,l st \ k€ ? ? t SCALE: 1 inch = 30 I HEREBY CERTIFY THAT THIS IS A TRUE' ANEIt(;6RRECT REPRESEI rxG,;)1 .,v_ OF THE BOUNDARIES OF THE ABOVE DESCR?f?D" PROPERTY ASySI BY ME OR UNDER MY DIRECT SUPERVISION` A415R66E3TNOT ZPURPi SHOW IMPROVEMENTS OR ENCROACHMENTS,REXCEP,T1,?I?,?S??SHOWN_l* DATE r 1 ? .a .i 93.10 sai.o BENCHMARK, ..__._ - _... -.._.. __ _-.__-----o MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side - TION JOB N0: _YEp 02R-510 TO BOOK: PAG -'-- ICAD FILE: JRVEYOR Oakbrooke 5 14376 \ 1 \ \ ? 949.0 ? \ ? \ \ ? ? `?j?I7Sa MECHANICAL (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 aze required for each unit Date 03 Site Address W??v C)OL ?y?6 Unit # PrapertyOwner A1e.w3y bJ1Uoc) Telephone#(?? )4-70 J(04!?I2) Contractor R, Irnsville Haati ng & MS It16 , 12481 Rhode Island Ave. So. Street Address Savage, AnN 5547R_1 199 State Zip City Telephone #(`(/? The Applieant is _ Owner ? Conhactor Other Add-on, modifcation or alteration to esisting dwelling unit $ 30.00 furnace replacement air exchanger air conditioner X other- GC{,,(oLQ e- Mo.k Lc. State Surcharge $ .50 Total $30,5c) I bereby apply for a Residenrial Mechanical Pernut and acknowledge that the information is complete and accurate; that the work will be in wnformance with the ordinances and wdes of tLe City of Eagan and with the Mechanical Codes; that I understand ihis is not a permit, but only an applicarion for a permit, and work is not to start without a perntit that the work will be in accordance with tLe approved plan in the case of work which requires a review and approval of plans. -- 1?,?t? ?' I'; ApplicanYs Printed Name plicant's Si ia re ,? i JpN 2 1 2003 ? ? MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Ptease complete for: commercial/indushial buildings multi-family buitdings when separate pecmits are not required for each dwelling unit Date Site Address Uoit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address Cjty State Zip Tetephone # ( ) The Applicaut is _ Owner Contractor Other Work Type _ Newconstruction UndergroundTank _Install _Remove _ Interior Improvement Call for inspection during installation/removal of tank Processed Piping Nature of Work: PBiOrit FEC $50.50 Minuniem Fee (includes State Surcharge) Contract Value $ x .Ol% Perxnit Fee • Ifpermit fee is $1,000 or less, add $.50 If permit fee is over $1,000, add $.50 per ? $ State Surcharge $1,000 Pemut Fee $ Total Fee I hereby apply for a Commercial Mechanical Pernrit and aclazowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Meckianical Codes; that I understand this is not a permit, but only an applicarion for a pemut, 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. ApplicanPs Printed Name Applicant's Signatute ' For Office Use C ity of Eaall Permit Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: 17 Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9 Site Address: b10 Tenant: Suite RESIDENT / OWNER Name: tG~c CCa > /1 G Phone:/Cs Address / City / Zip: / a k Applicant is: Owner y<Contractor TYPE OF WORK Description of work: Construction Cost: ~8®• ao Multi-Family Building: (Yes / No -Xi J21 5; CONTRACTOR Name: / /f y /1 • L4i_ e.- ,66/)1_ r+G'.+I icense 2o.2 70e! Yf' Address: 4t /77, N .SyY7 City: City: P(.,rbet/V State: AA zip: /100, Phon o 7 7s_ .7/7S Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) . Energy Envelope Calculations Submitted 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: 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 conclude that they are trade secrets. 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/~y 1 L?i n x Applicant's Printed Name Applican ' re Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA118390 Date Issued:10/31/2013 Permit Category:ePermit Site Address: 4130 Oakbrooke Curve Lot:5 Block: 3 Addition: Oakbrooke 6th PID:10-53765-03-050 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 . Laura Gillespie 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 - Monica Montgomery 4130 Oakbrooke Curve Eagan MN 55122 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143079 Date Issued:06/01/2017 Permit Category:ePermit Site Address: 4130 Oakbrooke Curve Lot:5 Block: 3 Addition: Oakbrooke 6th PID:10-53765-03-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Monica Montgomery 4130 Oakbrooke Curve Eagan MN 55122 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143547 Date Issued:06/19/2017 Permit Category:ePermit Site Address: 4130 Oakbrooke Curve Lot:5 Block: 3 Addition: Oakbrooke 6th PID:10-53765-03-050 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 - Monica Montgomery 4130 Oakbrooke Curve Eagan MN 55122 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA161487 Date Issued:05/28/2020 Permit Category:ePermit Site Address: 4130 Oakbrooke Curve Lot:5 Block: 3 Addition: Oakbrooke 6th PID:10-53765-03-050 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB 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 - RPZ/PVB/Lawn Irrigation $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 - Monica Montgomery 4130 Oakbrooke Curve Eagan MN 55122 (651) 216-8186 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173737 Date Issued:11/30/2021 Permit Category:ePermit Site Address: 4130 Oakbrooke Curve Lot:5 Block: 3 Addition: Oakbrooke 6th PID:10-53765-03-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Monica Montgomery 4130 Oakbrooke Curv Eagan MN 55122 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174546 Date Issued:02/03/2022 Permit Category:ePermit Site Address: 4130 Oakbrooke Curve Lot:5 Block: 3 Addition: Oakbrooke 6th PID:10-53765-03-050 Use: Description: Sub Type:Furnace & Air Conditioner Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Monica Montgomery 4130 Oakbrooke Curv Eagan MN 55122 (651) 468-9982 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature im 14 6 0 i k ®i A I n EAGa N 00*� 3830 PILOT KNOB ROAD j E.AGAN, MN 56122-1810 ECEIVE (651) 675-5675 i FAX: (651) 675-5694 buAPR 2 8 2022 ildinginsoectionsCc�citvofeagan com For Office Use q jPermit #: I _/1l I I � I Permit Fee: -—=--,L_ I I I I c%_ I � Date Received: l I I I i stab` -------------- 2022 RESIDENTIAL DEH1* PE KMnwWPPLICATION Date: 04/28/22 site Address: 4130 Oakbrooke Curve —.an�, ��..-. �- nit #: t Name: Jackie &Melissa Danielsen 651-468-9982- ��IX Resident/ tl Phone: Owner Address / City / zip: 4130 Oakbrooke Curve, Eagan, MN 55122Ul 1 jjmi1187 Appiicantis: Owner @gmaii.com/ F-�-----•---.,..�-....•._...,_. ✓ Contractor_ _Owner Email g necyn�ttnn nf%s�r&; Teardownofexisting deck, build new. Deck sized forfutureporch. �Porohstructure byothers nF��`-maxi -CConstruction Cost: $19�898 20 X onstruction Multi -Family �...�. , amity e (Yes Q .,., .. ,... Building: Company: Outdoor Spaces Design & Build Co. y Q uinneli p Contact: `�� m Address: 19205 Harappa Ave Contractor City. Lakeville State: MN — zip: 55044 phone: 952-412-4241 Email: jayme@oSdab.eom License #: BC689582 Lead Certificate NAT-F168253-1 xD-•4w• �- ficate # If the project is exempt from lead certification, please explain why: Not built pre-1978 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: Fire Suppression Contractor: . _.. .: Phone: NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may bey 4�n classified as norr:ubliou provide specific reasons that would ermif fhe City to conclude that the 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.citvofeagan com/subscribe. GALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.aooherstateonecall org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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. xJayme Quinnell x �u}'Ail%ae�VS PI-Intcu Name. a a7 itlnGl66ErC 00 ulc+i :saidoo :Ja4l0 peak olpe�l ;ueld;uau lMl. abaeyajnS'8 Wul9d MTS a6aeu uol;oauuoo Aimin ovs 40 ovs S30IN a6aeyoanS a;e; s X f7 91 MaIAOU ueid GO) : 71 >t21 - --l'3a4 all4ptL uo!;enleA pa;einoleo 7 S33d IVI1N301SEIN .io;oadsul 6utPpS ` r AS paMaana� Ir — :aaL130 Io4uo0 uolso.t3 IeUid— ul yono�l--_ :uo!ssaaddnS ajf3 !oJ;uoo uopeu leul- IflPi0eg—s6ul}ooJ :lleM 6ululeloN sMopu IM S133 �o!a8— qle� auo;s qje- 000n;g— :6uipls a1ll uleaa leuld— s}sal se0/aly sbu'IOOJ—:!ood POOH }sal AIV Gull se0 }sal aolAaas OVAH paiinbaN "0'0 ON / leu!d pojinba�i -0.3 / leu!d pmaainb;zy6 isvla��viueaatl; aai� Mid dwnd aa;soog aa;eM A3!o s;!un ads uaa;sAs S33W :awls ,a;aW 44 P!M `liun:v j ;aa3 aaenbS sapo;s (:3a 6uluoz 07.02 - 7-dAW UOIIIP3 aPoO Aouednoo0 ued aaMaUS slleM Pams silent aa!3 mooa;aays 6ultgeaUS uol;e!nsul leUi_— ;sal aly ul gbno�l—:aaeldaa!3 anOH sa�nuin Og -� 6uluaeJ3 leUlA— as;eM 'g aol— :;oob IIpoe8 a.ao4a8 not#epun,o,,l ___.._. uolaepuno3 --- (uoI;IPPd) SBu14003 (moaa) s6ul1003 (6uIPling MON) s6ul;oo3 SNO1103dSNI 032003U —81\ uopona;suoo }o edAj silun jo # Qox- c ,tl r-:,l! de C." inopt„iptl, b'Od eA16-6wpllnq aji;ua;o uoilllouaaa, aelos — MopulM ssaa63 ,6uipl!ng Us!lowea _ sMopulM aBuwea aa;eM — 6uipling anoW — ;ooaab — iiedaal ai13 — 11eM 6ulule;au — 6ulp!s — aleda�l — 100d — !anal aaMo"j — 41v1:a�1,::�uze;:.°aa�ws)�a.rw bu!p!!ng Ajossaood — (uoseaS-q) tioaod — a6eae0 — snoauellaosiW — (uoseas-£) gDJOd — ooeldaa13 — V ! :#;ivaaad -oNffW -y)D D.� q j -oc) Q :ssa-'ppv evs AINO" 3Sn 351zuo Jo -A apoo snsueo (:Q %00 6 %s Z) Ma1A08 veld uoi;enleA pa;elnoleo NOIldlMOS3a aoelda�l — uoi;eaa;id — uo!I!PPd MaN i~�Tl.�f=L�Ti�1 xaid 10 W _ EPi "P.1 Nllmej ai6uiS — u0!;epuno3 — S3dAl ens