4134 Oakbrooke CurveSi1RN5VILLE
Heating & Air Conditioning, L.L.C.
72481 Rhade Island Ave S, Savage, MN Si378 • 952-894-0005
Orstat Test Report for Job#
Address 5? City
Date of Install a
Type of HT. f/A?W Space HT Unit HT
Otlter
Male r: 61c
Date Tested
Company
Model &J??e a3-75 -(.e,
Serial _ 50h3Aa 374J 3
Input
S1ackTemp 99" CO_1
Pifot Type HOT SURFACE /GNITOR
Pressure -?',5-? C02 L.?.3
Input CFH ?t;- 02
3???n 3
BURNSVILLE HEAFING & A/R CONDlTION/NG
Technician ::?,Se_-
w -ES -7 0 1 (,,,
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN ?ti?\ \0
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 p P
T?-L9 3 9
'-) G . S1
C? 0 •?
Naw Construction Reouirements RemodellReoair Reauirements
• 3 registered site surveys showing sq. ft. of bt, sq. ft. of house; and all rooted a2as . 2 wpies of plan (4, I I
(20°,6 maximum lat coverage allowed) . 1 set of Energy Calcula6ons for heated addNons ?
• 2 copies of plan showing 6eam 8 window sizes; poured found design, etc.) . 1 si[e survey for e#erior addAions & dedcs
• 1 set of Energy Calculalions . Indicale if home served by seplic system for addilions
• 3 copies of Tree Preservation Plan'rf lot platted after 711193
• Rim Joist Delail Options seledion sheel (bldgs with 3 w less units) ? 3-7a 3
DATE VALUATION
SITE ADDRESS
TYPE OF WOR
APPLICANT
?Mb?rookR CaYit-B.LDG -Y '%IV
K A SCv?c.?\n? FIREPLACE(S) _ 0!?I _ 2 STREETADDRESS C??S \V63"tVWe54i? CWCITY'C-- G-SA w?_STATE?'2 ZIP S\Z\
loXZ-1(A a1IIFAX #
TELEPHONE #LS?1?4-ko?6?CELL PHONE # -?
PROPERTY OWNER
TELEPHONE #
----°---------------....... ------------------------------------------------------------ ------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNISOTA Ri1I.F.S 7670 CA71'1;GORY 1 ? MINNLS01'A RULI?S 7672
(J submission type) • Residential Venlilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: t',9Phone #
Plumbing system includes: Waler SoftenbS Iawn Sprinklcr Pec: $90.00
? Water I-IeaLer No. of R.I. 13aths
No. of Baths
Mechanical Contractor: ul tJ z U.& , t? ?
Mcchanical system includes: _ Air Conditioning
_ Hcat Recovery System
Sewer/Water Contractor. ,U ?7t-`neS G^\
Phone # O52'
Fcc: $70.00
P h o n e # ' 1?? - e\21'?s 'Zr\ IZ
-------------------°-----------------°--------°-------------------°-------------------------°-----------°------------
I hereby acknowledge that I have read this application, state that the inform %ns ect, and agree to comply
with all applicable State of Minnesota Statutes and City of Ea n OrdinanceSlgnatule of Applicant
Certificates of Survey Received v
orrIcE usr: oNLY
Tree Preservation Plan Received _
Not Required )C-
Updated 4/02
SI°?3.1
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg
)< 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn 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 Atteration ? 37 Demolish (Bldg)" 0 43 Reroof ? 46 wndows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation ?,?dV a Occupancy 9,1,-4)4? MC/ESSystem
Census Code f Q/ Zoning ? City Water
SAC Units Stories ? Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) ? FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesks _ Final
Framing _ Siding Stucco _ Stone
?
Fireplace _,X R.I. VAir Test Y Final Windows (new/replacement) .
Insulation -x Retaining Wall
Approved By , Building Inspector
Suroha ge 60SIt /, S
Plan Review
MC/ES SAC
? ??h) ?O
?
City SAC
Water Supply & Storage -2 ^2 2-
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
L?? 7
(
i i
MNcher.k COMPLfANCE RFPORT ?
MinnPSnta Fnerav C ndP i Permit #
MNr.hPCk SoftwarP Version 3-0
I ?
I Cher.kPCl hvlDatP I" I
?
CnUNTY: Daknta
STATE: Minnesota
7_ONF? ?
CONSTRUCTION TYPE: Single Family
DATF? 1-11-2002
DATE OF PLANS: 7/25100
TITLE: Oak6rooke Sterling with Lookout
COMPLIANCE: PASSES
RPnuirad l1A = 532
Ynur Hnme = 403
24_20/. Ratter Than Code
Area or Cavitv Cnnt. GI27ina/Dnor
Perimeter R-Value R-Value U-Valua UA
CEILINGS ----------------------1918 390 0-0 37
??
P 50
9679 9 0 ba 9?' insul 1!}47 ? 111.(1 n 0-0 0
WALI C nnr o 'htR_3'
GLA7ING- Winrfnws nr Dnnrs- ?? hnve Gra?fP 409 0.350 141
DOORS 0.350 13 1
FLOORS- Over O?itsicie Air 48 3R.0 0-0 HVAC F_C?UIPMFNT- Fumace. 92.0 AFt1F
COMPLIANCF STATEMENT7 The nronosed huilciinn ?IPSian ciesr.ribed here is
mnsistant with the huildina nlans. snPr.ificatinns. and other calculatinns
suhmitted with thP nPrmit annlication. The nrnonced buildina has heen
designed to meet the?J e ire nts o/f t?he eso Energy Code.
.. ., . ...-- ---_ / ? ? // ? Date
1
LOT SURVEY CHECKLIST FOR RESIDENTIAL
. BUILDING PERMIT APPLICATION
PROPERTY LEGAL• I- ot QI z)c-K 13 OGLK Lbv Ke- 61'Gt
DATE OF SURVEY: /D- 2 f P- D:;"
LATESTREVISION: D-a
d
a
c
R
t
U
O ` 9
z Q DOCUMENT STANDARDS
?? ? • Registered Land Surveyor signature and company
q? ?
6111 ?
? •
• Building Pertnit Applicant
L
ld
cri
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es
p
on
ega
V/ ? ? • Address
?/ ? ? • North arrow and scale
fi}/ ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
?
? fJ • Directional drainage arrows with slope/gradient %
? ? • Proposed/existing sewer and water services & invert elevatlon
? ? . Street name
p? ? ? • Driveway
B'/ ? ? • Lot Square Footage
H' ? ? • Lot Coverage
ELEVATIONS
Existinq
U/ ? o • Sewer service (or Proposed)
ol / ? ? • Property comers
!l ?? • Top of curb at the dnveway and property line extensions
?V ? • Elevations of any existing adjacent homes
? -G'/ ? • Adequate footing depth of structures due to adjacent utiliiy trenches
? ?d ? • Watenvays (pond, stream, etc.)
Proposed
y2( ? ? • Garege floor
? ? • Basementfloor
fd ? CI • Lowest exposed elevation (walkouUwindow)
(v f7 ? • Property corners
V C) ? • Pront and rear of home at the foundation
/ PONDING AREA (if applicabie)
? p" ? • Easement line
? ? • NWL
? EL ? • HWL
? ? ? • Pond # designation
? 43? ? • Emergency Overflow Elevation
? !D/ ? • Pond/Wetland buffer delineation
V/? ?
Ya ?
V? f.l
d" ? ?
?a',f_i ?
du ?
• Lot Iines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. 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 requiremei
Reviewed:
G:/FORMSlBuilding Permit Applicatlon
Surveyor's Cert2f2cate ? .
SURVEY FOR : PuLrE HornEs
DESCRIBED AS : Lot 3, Block 3, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving
easements of record. ??..
?
?4 San Moin
cOyl 6. 5?_ ?.EM CUR VE
a? 1302 5 S 5' 949
2
; ? R= 80.00 .
?.s
L 64.01
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948.1
5 .0 ?
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37.00
9
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7148 50.8.00 o I
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10.00
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11
1 ? Proposed
! 0 2-Story
° 9'pcw o° I 1?
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I 10.31 ti
0° 18.00 °0 13.69 ?
s46T 2 37
949.3
8 3.69 -
/ 949.@ 50
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2.0
/
950'3 ? 951
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0
.
? I 951.9
L 0 T
SQ. F00 TA GE = 26
4 79
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SQ. F00 TA GE _ 1
852 ?5
3?' --•'?
L 0 T ,
CO l/ERA GE = 7% ? QD
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3:9 PASUC??PPi ?? r ?
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4aining 1 i
pp F?a ?
Be Required • ?
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--------------------- I
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41.9
'
" 37.8
E 127.81
N89°42
35
# 18232
PROPOSED ELEVATIONS
' BENCHMARK,
Top of Foundation = 951.5 TNH01&2/2
Garage Floor = 951.1 EL=949.25
Basement Floor = 942.5
Aprox. Sewer Service = 939.5
Proposed Elev. _ C=D MIN. SETBACK REQUIREMENTS
Existing Elev.
Drainage Directions = -
Oenotes Offset Stake = •
HEDLUND
PLANNINC BNClNEERING SURVBYING
2005 Pin Oak Drive
Eogan, MN 55122
Phone: (651) 405-6600
Fax : (651) 405-6606
SCALE: 1 inch = 30 feat
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
DATE j_D_/jb/0-j,
Front - House Side -
Rear - Garage Side -
LINDGREN, LANaJ SUftVEYOR
LICENSE NUMBER 14376
JOB N0:
02R-713
BOOK: IPAGE: 4
CAD FILE:
Oakbrooke 5
sltaaddre93: 413q 0A-\<bRQ)Ke Lot 1?YJ Block,03 suba, OnXbacJaK
C"i Ft?i e-
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation proteciion, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance af a Certificate of Occupancy,
_ This structure: Is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This sfructure; wfll be consVucted to meet more restrictive requirements af Chapters 7872 ar 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE
WatarHeater V m Q ?i0 pq'
Furnace 0 X C
Dryer
VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES No
Kitchen kitchen -? ? ?$O ?
Bethroam 1 NA `t -Qa _ V Q v?
Bathroom2 ? QaNhSON?L '!SS-?? ? ?
Bathroom 3 ?
Bathroom 4 i $? ? Sv , Jr0
Other 1.{}VNa
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
8TU'8 VENTING
DIRECf ATMOS
I ?;1 -N- 0 WWI IK- 211 °0D
I hereby acknowledge thet the above informallon is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements,
4 SI ture
??
CompanyName
-z' /a?1a?
oet? e/- T.-,
' This form is the responsibility of the General Contractor.
City otBaQan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: Z-33
Permit Fee: /0,521
Date Received:
Staff:
J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Site Address: [ L
Name: 651
Address / City / Zip:
Pel Unit #:
Phone: / 2 -88 ? 40/O
l 3 y 0114 6/00 i✓ cv/(/‘e
Applicant is: Owner Contractor
Description of work: /2._/'t7
Construction Cost: 00C
Multi -Family Building: (Yes / No
Company: Y USS1 if X g-4.7 �` — Contact: A -'S /'/d242. f
Address:770 f.✓‘ -e/1- wDCi�r i' (J City: r77 --i 46,7 2
State: Zip: S75—//e,
License #: 2- 63 8 Lead Certificate #:
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:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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 State Building Code must be completed within 180
days of per ua
x
Applic n ame
x
Applicant's Signature
Page 1 of 3