4131 Oakbrooke CurveSiJRNSVILLE
Heating & Air Conditioning, L.L.C.
12081 Rhode /s(and Ave S, Savage, MN 55378 • 952-89¢0005
Orstat Test Report for Job# `?`1r f
Sk?.?ti:.?'C:t? t L!f:. CiniU ??
AddreSS q13 4?._fle,.. ',. `
Occupant
?. Dabe of lnstall J
?
lype of HT. F/A -?< HW Space HT Unit HT
` Othea
M3k2 ?..t?.r?•?:,r:,?.
Model
Serial S.xn 3 A- -7 3
Input 'f?- :_ _?• ?;:?? ,,
Pilot Type
Pressure
Input CFH
HOT SURFACE IGNlTOR
COZ - . './
_7,? 02
Siack Temp CO .?
Date Tested '' ! k
Company BURNSVILLE HEATING & AIR CONDITIONING
Technician l_ c La
Address: 4131 Oakbrooke Curve Zip: 55122
Lot: 1 Block: 2 Subdivision: Oakbrooke 6`h Addition
TAE FOLLOWING ITF.MS WERF./WERE NOT COMPLETE AT FINAL INSPEGTION ON -57-0.3
Yes No Comments
Final ade - 6" from sidin
Permanent ste s- gara e
Permanent ste s- main ent
Permanent driveway
Permanent gas
Sod/Seeded lawn
Trail/curb dama e X
Porch
Lower level finish X
Deck x
Fire lace
• Verify with your builder that roof tes[ caps from the plumbing system have been removed.
• Tum off water supply to the outside lavm faucets before freeze potenrial exists.
• Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
BUILDING INSPECTOR
CONTRACTOR:
Pulte Homes of Mn Corp
815 Northwest Parkwya Suite 140
MN 55122
L/F05 bo`T(.
?RIK?Rk
sh adaress; q131 04bROO'? . LaiIbl eiod _92 subd. 0*6056k
CuKJ C uC a `,50 w/?cw
? On April 15, 2000 the Minnesota Energy Code, Category l Building Requirements inr insulation protection, air
Nghtness, and venUlation, was adopted. As a result, the City of Eagan is requiring that the following informatlon be
submitted prior to issuance of a Certiflcate of Occupancy.
Thls shucture: Is coneUucted to ineet minimum requirements of the Mn Energy Code, Chapter 7810
/ OR
._,,L Thia sWeture: w 11 constructed m meet more restrictlve requiremenb ot Cheptere 7872 or 7874
APPLIANCE OAS ELEC MANUFACTURER MODEL BTU'& VENTING TYPE
WaterHeeter mA 9,AAV4 t-( R )0 q
Fumece ? e 6 "10.? c-?'-
Dryer
EXFiAUST SY8TEM
LOCATION
TYPE •
MOOEL
CFM'6 vENTED
YES aO
KitCI1Bn kitchen
Bafhroom 1
IVkc?` rt
P??a,?-s«:, c.
..
FV- 08 v Q
180 ?
Befhroom 2 018S(Z (-? ASoN cC VA -Va S6 ?
Bethroom3 (61srR - Go so LI-11
Bethroom a V•so 5a ?
Ot,er ??a e? sv - so
FIREPI.ACE 3
LOCATION
GAS
WODp
MANUFACTURER
MODEL
BTU'S YENTINO
o1??' AiM08
iAM?I elrJ1J6 . 4av nB 4,74040
i hereby acknowletlga that the ebove Informatlon Is correct end egree W comply wlth the Minneaota Energy Code and Clty of Eagan
requirements.
34)03
? Sign re Dete
oltf hfa f S
CompenyName
• This form Is the reaponalbllity of the Genaral Contrector.
IF
9-t ER SID N'1`IA?
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements
• 3 registered site surveys shawing sq. ft. of lot, sq. ft. of house; anc911 roofed areas
(20% maximum lat coverage albwed)
. 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies 1T. ree reserva0on Plan'rf lot plaHed after 71V93
. Rim Joisl Detail Options selection sheet (bldgs wiN 3 or less uniLs)
?
DATE ?\?
JOB SITE ADDRESS \ ?\?a\ OcJ.?-`c1t?.
IF MULTI-FAMILY ILDING, HOW MANY UNITS?
PROPERTY OWNER ?
TYPE OF WORK ?Q.vJ 'S,?,, c?\? U
ADDRESSC?\_--, NvT?-`1??1Q,S"? CG,s
PAGER #\.\Z 3kA- tM? CELL PHONE #
t..(, 6a,
FIREPLACE(S) _ 0 ?1 _ 2
P H O N E#\,%\-0?NAAA$ rI
i?L ??uob
ME
5i3q _ \- 7
-M. s?
?? ?(
RemodellReoalrReauirements '? C,?[ls • ?''
. 2 mpies o( plan
• 1 setof Energy Calculations for heated addNOns
• 1 sde survey for extedor additions & decks
• Indicate if home served by septic syslem for additions
?
VALUNION \?°? .Q'J?
.;.?-
ZIP CODE"?"?\Z\
FAX #a' Cl9'1? -1o?a9
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESO'1'A RULES 7670 CA'l'EGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Suhmitted
- Energy Envelope Calculations Submitted
v MINNF,SOTA RUI,F.S 7672
Mechanical Contractor:
New Energy Code Worksheet Submitted
Plumbing Contractor. \ ?\? D? Phone #1VM_' Ar-\-L? Z?
Plumbing System Includes: _ Water Softcner L,awn Sprinkler Fee: $90.00
1 WaCer Heater \ No. of R.I. Baths
1 y rro. or B?s
Phone# -?_--?!A\\-r?m!J
P'ee: $70.00
Phone # `Zc13g
Mechanical System Includes: Air Condilioning "
Heat Recovery System
Sewer/Water Contractor: \?1\V&O Q?2>I\P_r- ".\
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the informal' n is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga rdinances.
l+M ?•
Signature of Applicant
Certificates of Survey Received ? Tree Preservation Plan Receive _ Not Required
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy ? ?l MC/ES System
Census Code Zoning City Water
SAC Units () l Stories Booster Pump
Nbr. of Units Sq. Ft. PRV ?
Nbr. of Bldgs .? Length ?i{! Fire Sprinklered
Type of Const ?,[ hd W idth
REQUIRED INSPECTIONS
? Footings(new bldg) ? FinaUC.O.
_ Footings (deck) FinaUNo C.O.
Footings (addirion) _ Plumbing
? Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water Fi nal Pool Ftgs Air/Gas Tests _ Final
Framing _ Siding Stucco Stone
? Fireplace _$, R.I. _X/Air Test 4 Final Windows (new/replacement)
.( Insularion
T ? Retaining Wall '
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
ciry sAc
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
60C 109Z
Ih??
?? ?! ? I
70 l
L9 k
P 3y
24 a
I 1,0-h
I
?
r sI1D(4
MAR-16-200¢J 10:28
P. Q2: 02
MNcheck COMPLIANCE REPORT
M;.nneaoCa Snerg3! Code Ferm
hIIScheck 9oftware verai4n 3.0
' Cseeke Sy Dat?
COtJATI'Y: Aakota
8'TATE: Miririeaottl
ZONYT : 2
CQIJSTRUCTIQN TYPE: Siaigie ramily
a7ATE; 3-16-2000
DR'TE OF PLANS: 3/16/00
TITr,Ef: FALKIItA W/0 £i,. #2
COMPLIANCL: 2A38ES
RequlYed UA m 508
Your Home s 407
19•9k Hettar Then Codc
nrea or Cavity Coat. Glaxing/Pooz
Perimeter A-Vmlue R-Va1.ue U-Value
---?..--_-•---------------------_._------------ ^ ------^-------------^-----
C$IaINfbB 1444 44.0 0,0
WA-X#LSi DPaod Frame, 16" O.C. 2327 19.0 ' 2.0 1
WAS+LS: Wood Fr.ame, 16" O.C. 283 10.0 2.0
SSMT: QaztG. 9.6' ht/8.31 bg/9.6l ineul 402 11.4 0.0
CLAZING: Wi,ndewm or poora, Above Gracle 485 0.350 1
DO0P-9 38 0.330
FLDORS: Over Unaonditioned space 352 38.0 0.0
FNRC PcQVIBMEIVT: Furnaca, 92.0 AFUE
°--------- ^ •_------°---------'--------'-----------------`--^----------^---
COM'PLFA,NCE STATEMENT: The proposed building design_ daacribed 11er.e iae
coneiateat with the building plana, specificatione, and other aalculations
submitte3 with t.ye germit applica:ioa. The praposad buil.ding has been
deaigxicd to me e MipFgepota Energy Code.
Suilder/Deeigaer_ ~ Dgr_e
TOTRL P.02
P4*,-rvl l` ?`
PULTE HOMES OF MINNESOTA
JOB INITIATION ORDER
DATE: 10/3/2002 4•00c
JOB NO: 0320-401-02 LOT: 1 3l.OCK: 2 UNIT:
COMMUNITY: Oakbrooke Single Family ADDITION: PHASE 4
BUILDiNG ADDRESS: 4131 Oakbrooke Curve CI7Y: Eagan STATE MN ZIP: 55122
T
MODEL NAME: Falkirk MODEL#: 18052 ELEVATION 2 GARAGE: LEFT
BUYERS NAME: Souksavath & Sophoumy Keopaseuth
CURRENT ADDRES° 13320 Thrush St NW CITY: Andover STATE MN ZIP: 55304
HOME PNONE: 763-754-0603 BUSINESS PHONE: BUSINESS PHONE:
SALES REPRESENTATIVE: Jolayne Moberg PHONE: 651-686-2862
OPTION , DESCRIP,TION : PR?,;?
1 18052 FALKIRK $289,990
1 00000 LOT PREMIIIM $20,000
1 11012 FULL BASEMENT - WALK OUT $3,525
1 18023 ELEVATION #2 $1,795
1 22019 3 CAR GARAGE W/BRICK $7,595
1 10001 PROFILE PKG-GAS RANGE, MW, DW BISQUE $1,400
1 19025 GARAGE SERVICE DOOR $760
1 19021 FULL VIEW ALUM COMB DOOR $150
1 21008 GAS FIREPLACE - BRIQUETTE $4,450
1 28053 42 UPPERS - BASE $340
1 26043 WOOD RAILING TO 2ND FLOOR $775
1 14004 CARPET PAD UPGRADE $370
1 14001 1ST CARPET UPGRADE $1,465
1 29006 CAST IRON KITCHEN SINK BISQUE $425
1 13077 WHIRLPOOL TU8 $1,175
1 31011 LAUNDRY TUB SNGL COMPRTMNT BASEMENT $300
2 17000 ADD'L ELECTRIC OUTLET GARAGE $100
6 17024 CEILItJG ELECTRIC OPENING $600
1
2 23007
32002 3 TON AIR CONDtTIONER
CAT 5 MEDIA OUTLET
MSTR, LOF7, DEN FRMR $2,804
$330
1 39010 SOLO TUBES $575
$0
TOTAL
ceno TuC enn $338,920
VF ITPMS
THIS CONSTITUTES A CONTRACT BETWEEN THE 5tLLtrc Awu i nc rwrl.+.+11. i_i -
APPROVED BY BUYER
APPROVED BY BUYER (S):
APPROVEQ BY SUPERINTENDENT
APPROVED BY SALES:
°,.
Builders License # 0001371
lOT SURYEY CNECKLIST FOR RES{DENTUIL
BUILDING PERMIt APPLICATION
PROPERTY LEGALL 13 ? / yfld rk k(?YD nKP Ci4
DATE OF SURVEY: /6
LATEST REVISION:
?
?
c
R
t
U
a
O _
?
a
¢
DQCUME,NT STANDARDS
i
o ? • Registered Land Sunreyor signature and company
[a/ ?
? ? . Budding Pertnit Applicent
? ? • Legal description
?./? ? . Address
? ? . North arrow and scale
?G ? . House type (rambler, waAcout, split w/o, split entry, bokout, etc.)
? ? • Directbnal drainage arrows wilh slope/gradient %
? ? . Proposedlebsting sewer and water services & invert elevatan
? ? . Street name
P1 ?
v ? • Driveway
?
p ? • Lot Square Footage
0 ? . LotCoverage
ELEVATIONS
Exisiina
? ? ? • Sewer service (or Proposed)
? ? • Property comers
fd/ ? ? . Top of curb at the driveway and property line eMensbns
? ? . Elevafions of any epsting adjacent homes
? ? • Adequate footing depth of structures due W adjacent udlity trenches
? ? ? • Waterways (pond, sVeam, etc.)
Prooosed
/ ? ? . Garagefbor
? ? • Basement fbor
? ? ? • lowest exposed elevation (walkouVwindow)
?? ? • PropeAycomers
vO? . Front and rear of home at the foundation
C3' ?
? o
? V, ?
?
?
?
? G
Nf/ ? ?
? ? n
?? ?
? ? Cl
?? ?
r3' ? n
PONDING AREA (if aooliCabie)
. Easemeot 6ne
. NWL
. HVUI.
• Pond # designation
• Emergency Overtbw Elevation
. PondNVetland buHer deNneation
• Lot lineslBearings 8 dimensbns
• Rightof-way and aVeet width (to back of curb)
• Proposed home dimensians including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. aB shuctures requiring pertnenent footlngs)
. Show all easements of record and any City u67ides wdhin those easements
• Setbacks of proposed structure and sideyerd setback of adjacent e)dsting structures
• Retaining waN requirertien ff any
Reviewed:
G:/FORMS/BUikluig Permd Applicatian
.. Surveyor's Certificate
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Lot ,, Block 2, OAKBROOKE 6TH ADDITION, City of Eagan,
Minnesota, and reserving easements of record.
cor
HSE
LOT
SQ. F00 TA GE
SQ. FO 0 TA GE
C01/ERA GE _
. zo.o
= 19, 193
= 1, 797
16?
S'B LT
??pr'?r
L ???o Vv ? ?r?'n ?r?--?--??-
I ?
#• 18052
PROPOSED ELEVATIONS
Top of Foundotion = 948.0
Garage Floor = 947.6
Basement Floor = 939.0
Aprox. Sewer Service = 929.5
Proposed Elev. _ C=D
Existing Elev.
Drainage Directions = -
Denotes Offset Stake = .
SCALE: t inch = 30 teet
? ????1??
BENCHMARK,
E?? 9?19zr
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
JOB N0:
HEDLUND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTAiION 02R-6$9
OF THE 80UNDARIES OF THE ABOVE OESCRIBED PROPERTY AS SURVEYED
9Y ME OR l1NDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLdNNING 6NGIN6BR1NG SURVSYlNC SHOW IMPROVEMEN75 OR ENC OACHMENTS, EXCEPT SHOWN.
2005 Pin Oak Drive I^ '
Eagan, MN 55122 DATE SSG/11_/?Z- CAO FILE:
Phone: (657) 405-6600 ? F Y. UN EN, LA SURVEYOR
Fax: (651) 405-6606 ?v??W /? ??J N A UCENSE NUMB R 14376 Oakbrooke 5
RESIDENTIAL BUII.DING
(pl 3 a3 Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtlon Reauirements RemodeUReoair Reauirements Offce Use OnN
3 registered site surveys shaving sq. R. of bt, sq. tL of house; and all rooted areas 2 copies of plan Cert of Survey Recd _ Y_ N
(200h macimum lot coverage albwed) 1 set of Energy Calculadons for heated additions Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & window sizes; poured found design, etC. 1 site survey for additions & decks Tree Pres Reqd _ Y_ N
lsetofEneyyCakulaQons Add'rtion-indkateifonsitesepGcsystem OnsiteSepficSystem _Y _N
3 copies of Tree P2servation Plan "rf lot platted afler 717193
Rim Joist Detail Optlons selection sheet (hldgs vrith 3 or less unils
Date 69 / I`_/
Site Address 4H?
C p 3
l p}? K R
G nl i Construction Cost
ROO KG Cv ¢V C- UniUSte #
r?j _ 2?
Description of Work Dc- C K
Multi-Family Bldg _ Y? Fireplace(s) _ 0 2
Property Owner g . RE V->nnj T?( ??j L U Telephone #( 69) )EtS 2-9 lj: L44
Contractor
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Vendlation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submiked Submitted
• Energy Envelope Calculations Submitted
Have you previously consiructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/ W ater Contractor
Telephone #(
Telephone # (
Telephone # (
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the informarion 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
3tatutes; I understand this is not a permit, 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.
RET>oy C?oT'T1 PoL? ?
ApplicanYs Printed Na e pplicanYs ' ature
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 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 MiSCellan0ous
Work Types
? 31 New
X 32 Addition
? 33 Alteration
? 34 Replacem ent
Valuation ?
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const ?
Footings (new bldg)
k Footings (deck)
T Footings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Width
REQUIIiED INSPECTIONS
FinaUC.O.
? FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 30 Accessory Bldg
0 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
tji5aG 2-106-*-0
`T? ?
r Surv e y o r's
Certif2cate
SURVEY FOR
DESCRIBED AS
:PULTE HOMES
Lot 1, Block 2, OAKBROOKE 6TH ADDITION, City of Eagan,
Minnesoto, and reserving easements of record.
. . ._.. ;? i?;._.,..,
ti , `n
Lor sQ. FooracE
HSE SQ. F00 TA GE
L O T CO VERA GE _
= 77,793
= 1, 797
16%
R, 11 ? F?y ,)
O W¦ ? i u t?i ?
?-' ?°??. `: v u u u L.,, ?
18052
PROP05ED ELEVATIQNS
Top of Foundation = 948.0
Garage Floor = 947,6
Basement Floor = 939.0
Aprox. Sewer Service = 929.5
Proposed Elev. _ (Z-::>
Existing Elev.
Drainage Directions =-
Denotes Offset Stake = •
;
SCAIE: 1 inch = 30 feat
g?
g:ti ?We?
?-, mn o? ?p?uired
?
BENCHMARK,
Y,L'HCV 1p1,Z
E.<= 9N9.zs
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
HEDL UND I HEREBY CERTIFY TNAT THI$ IS A TRUE AND CORRECT REPRESENTATON
OF THE BOUNDARIES OFTHE ABOVE DESCftIBED PROPERTY A5 SURVEYED
BY ME OR UNDER MY DIRECT SUPERNSION AND DOES NOT PURPORT TO
Plr1NN1NG BNGlNh'6RING SURY$Y/NG SHOW IMPROVEMENTS OR ENC OACHMENTS, E%CEPT SHOWN.
2005 Pin Oak Drive n^? ?
Eogon, MN 55122 DATE
Phone: (651) 405-6600 pv??l ?29-f?(, rTot Y. LIN EN, LA SURVEYOf
Fax: (651) 405-6606 N n LICENSE NUMB 14376
JOB N0:
02R-689
Oakbrooke 5
??-9 o,Go
C? of Ealan
3830 Pilot Knob Road
Eagan MN 55122
PhOne: (651) 675-6675
fax: (651) 675-W
a sq 75c?,
..-----------------
, ?
?
? ?7B
?
,
i
? Offie Received: I
t -------^-----°.?
zoos RESiDENTIAL BUILDING PERaAtT APPUCAnON
om: fl ?t o sftaaa=s: yI'_?I oAVIraaic Cuavi--
suw f:
TCniM:
RESIDElJT10VYNER
Addreas 1 Cdy!
AppGeant is: _ Oxmer ?__Contrador
TYPE pF WORK I DescripCron of work:
CONTRACTOR
conatr?u?ion cose 4? 19 ?3 ? 8?
acv.
MulGFerNq! "ft= (Yes-? No-&-j
? Ucersa #: ?????
Addrm: f
W. &-111cW' sW:.mw
Pb,ne: r051 -N,A9-q= c«wPanIon: 1Cnc'PY1
COMPLEFf THIS AREA ONLY IF CONSTRUC7ING ANEW BUILQING
fiMnnea0t8 Ru?s 7870 Csteoorv t ' hAinnama Rulea 7872
Enw9Y Code . Retwa" v«mtamon.calegelr 1 waaftd - • *w Emsr code waahex
: S?niRed
?? tYPe) ' EmW E"v°bpe 0*00ons &WOld _
,n u,. nst sz monqm nas mo cxtr of S"m hoL+aa a aomdt mr a sMuar plan beaoa on a nmsesr vlan4
_Yes No If yes, daffi and address of mastar plen:
Licenaed Plumber: Phow:
Msehenieal Contraotor. PhOnB' .
Sewd' & Wamr CAntreClor: Phone:
i tcete0y d*WWWp Hiat thk §dOnnffion Is om?ple66and eoaaaEC fo tli6 work rr0 00 in 00nbfffWM WO Gio aCRmna sM co068 ot 4is Clar A
EaPn: ttw t wxW81IInd tlds is not a pemtB, 48 aVj an appfiMm ta a pennC, aM waAc is nIX Lo:steut vMKRA a pmmiC tliaS the wak wR Oe h'
aocadence wim me WpoNed pMm m thg case of waAdwNa, ieq*es a rewaw ana Wr" a pWs. .
x "-C1} 1-4VIU(pc X 1?\ ?
ap~s Printed Name qPpOomni's 9413001e ppp 1 oi 3
For Office Use '] i
,, •�, Permit#: /55 ! /p ��3./7
p s/a97b I
REC EI ..... ..,`. E AGA N
Permit Fee:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 DEC 31 201$
Date Received: a3/ Cc
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff
buildinoinspections(acitvofeaaan.com L J!
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 12. / 3 1 / IS Site Address: 413 1 O!4.13 2 DO16E CL -U Unit#:
Name: 12—`I P 1I M rI Phone: 6S) -2 R
Resident!
Owner Address/City/Zip: 4 I D 1 -OCKE GAlz\/; Ets6i AN .c ci 22_
Applicant is: ,C. Owner Contractor ''))
Type of work Description of work: '�jQS�Irn e r1�" Fi r I,S1�Th'13 � k 1 QJ)
Construction Cost: 11' I S, DOD Multi-Family Building:(Yes /No>C )
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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 andsupporting documents that yeti submit are consideredlo be public llnfon»adon. Portions ofthe information maw be
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.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.
X \NI 1\A y x
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
If/31 Oi . 4r o % 3 7/-6
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
rNew _ 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 ,,/ /J
Valuation -PI t 7/ 7 '4 , Occupancy f12C--1 MCES System
Plan Review llCode Edition /41/12°(5— SAC Units
(25%_100% I4) Zoning j�._ City Water
Census Code _ Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V13 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 10 Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof: Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
�4 Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS
?0 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: I D Vl/\ t V I/14 , Building Inspector
RESIDENTIAL FEES GI ?Z Sg, ft ® z0•--ss_ ,
Base Fee I
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
For Office Use
:::::ec:
/S7/ I CCC/`� . 0 0
Date Received;
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
build indinspections(d)citvofeagan.com L
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: \ / ( (0/ I bi Site Address: ( 0 a xL,Oaec yr JC
Tenant: R X&n /4 a/C, Suite#:
RBStd1'i( i1#�3i
Name: � `la d Jul a . Phone: 51 - Z�� - 5 C 1
1
Address/City/Zip: j 1 3 1 Oa/(kroo'4(, C ur 1/G
Name: License#:
Contha Address: City:
; State: Zip: Phone:
Contact: Email:
N4 •
4tNatic New Replacement —Repair —Rebuild (Modify Space Work in R.O.W.
I-49� � Description of work: ''���� � �ti S e
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation( RPZ/—PVB)
P
lye Septic System
New
Add Plumbing Fixtures( Main/ Lower_ Level)
z,dit Water Turnaround
��� Abandonment
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)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$
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.00aherstateonecall.orq
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.citvofeastan.com/subscribe.
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 aye. MA)e,
Applicant's Printed Name App icant's Signature
Meter Rel a _... ffi. � ?.Riad: Mang e
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165048
Date Issued:10/15/2020
Permit Category:ePermit
Site Address: 4131 Oakbrooke Curve
Lot:1 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-010
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 -
Ryan & Shera Maki
4131 Oakbrooke Curv
Eagan MN 55122
Street Plumbing Inc
11804 River Hills Dr S, Unit 5
Burnsville MN 55337
(612) 419-9926
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165059
Date Issued:10/15/2020
Permit Category:ePermit
Site Address: 4131 Oakbrooke Curve
Lot:1 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Microwave with venting
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, Mark Anderson at (952)
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 -
Ryan & Shera Maki
4131 Oakbrooke Curv
Eagan MN 55122
Platt Contracting Services Inc
21445 Palomino Dr
Prior Lake MN 55372
(612) 817-8486
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178187
Date Issued:08/03/2022
Permit Category:ePermit
Site Address: 4131 Oakbrooke Curve
Lot:1 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-010
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 -
Benjamin Jacob Wolf
4131 Oakbrooke Curv
Eagan MN 55122
(612) 743-5916
Liberty Comfort Systems Inc
627 East River Rd
Anoka MN 55303
(763) 422-8760
Applicant/Permitee: Signature Issued By: Signature