4136 Oakbrooke CurveSiteaddress; 4413b OAkbR(h<<.!E Lotqa Block03 subd, DNk?R?k
Cuf?1?
On April 15, 2000 the Minnesota Energy Code, Category I Buiiding Requirements far insulatfon protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submltted prior to issuance of a Certificate of Occupancy.
, This struclure: Jt consVUCtad ro meet minimum requirements af the Mn Energy Code, Chapter 7670
/ OR
? This sVUCture; will be constructed to meet more reatrictive requirements of Cheptere 7872 ar 7674
APPLIANCE GA8 ELEC MANUFACTURER MODEL BTU'S YENTIN(i TYPE
Water Heater rnWA,V"?8 14 OS 15
Fumace f ?? X (o ' '7000o ec?
Dryer
EXIIAUST SYBTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen (A f- M ? Go UJF ) sp ?
Bathroom t ? AGOA i C F*V' 0 rd - V ?
Bathroom2 m pq tittSo 1iC rv-OS-'i??
Bathroarn3 ? ? I* , GJ'.p ?
Bathroom4
ocnar 40Nd $Row -
ISO ? J
FIREPLACE S
LOCATION
GA8
WOOp
MANUFACTURER
MODEL
B?U'S VENTING
DIRECT aTM06
I hereby acknowledge ihat the above information
requiremente.
Slgnatur? PU tT` E
CompanyName
is corcect end agree ta comply wilh the Minnesots Energy Code and City of Eagan
Z4 / I???;
Date
• This form ie the reaponsibility of ihe General Contractor.
Loist a 3eoc-k
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RESIDENTIAIf'P-
BUILDINC PERMIT APPLICATION r----
CITY OF EACAN
3830 PILOT KNOB RD • 55122
651•681•4675
New Conslrue8on RevuiremeMa
• 3 regirtered site suneys showing sq. R of lol, sq. ft W house; and Imoted
(20% marzimum bt coverage allowed)
. 2 copies of plan shwwing heam & wirMox sizes: poured fowM design, etc.)
• 1 set of Energy CakNations
• 3 copies W Trea Preservatbn Ran ff lot platted afler7l753
• Rim Joist Detal Optiore selection sheet (Wdgs wtlh 3 or less unils)
so9l?3
RemodeVReoahReauiremenb
. 2 wpies of Olan
• 1 set of Energy Calculatbns for heated addilbns
. 1 sRe survey for exterior addiliors & decks
•Indica0e M home sened by saptlc system for additiore
(:,- /?
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DATE ?\ \Q? VALUATION ?Sl? _ C1bJ
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? _
PROPERTY
TYPE OF W
APPLICAN
ADDRESS `
PAGER # _
CELL PHONE #
PHON E#?-"C1y- ??l$A
_ZIPCODE \11\
FAX #?X??y
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 ?n (check one) - Residential VeMilation Category 1 Worksheet Submitteil
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted By ?
Ptumbing Contractor: ?1?\\?n.??Cc Phone #:??Z-- ??Z'Z\ Z?
Plumbing System Includes: Water So er Lawn Sprinkler Fee: $90.00
? Water Heater 1 No. of R.I. Baths
Z? No. of Baths
Mechanieal Conhactor. ?vyt?lS?.l? e t Phone #?JZ-
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System Sewer/WaterConhactor. \Vv'2\"s o v e `?`et G? Phone# ?b?- AZ'?- Z `3a
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state ihat the inf mation's correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eag %Ordinan
Stgnaiure of Applican^ti?
Certifcates of Survey Received ? Tree Preservation Plan Recei Not Required _
Updated 2002
FIREPLACE(S) _ 0 ? 1 _ 2
OFFICE USE ONLY
01
? Foundation
???
///
? 02 SF Dwelling
? 03 01 of _ ptex
? 04 02-plex
? 05 03-plex
? OB 04plex
? 07 05-plex ? 13 18-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex O 17 Garage
? 10 08-plex ? 18 Deck
O 11 10-plex ? 19 Lower Level
? 72 12-plex Plbg Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4sea.)
? 23 Porch (screened)
? 24 Storm Damage .
O 25 Miscellaneous
yyq
A 31 New ? 35 IM Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. 0 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Ooors
? 34 Replacement 'Demoiition (Entlre Bldg only) - Give PCA handaut to applicant
Valuation P 1 cVo Occupancy MC/ES System
Census Code / pi Zoning City Water
SAC Units or Stories Booster Pump
Nbr. of Units . Sq. Ft. ? PRV +t"? ?S
Nbr. of Bldgs / Length ? Fire Sprinklered
Type of Const ?[A.) Width z
?I
?
?M1
?
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) x FinaUNo C.O.
Footings (addition) Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final
Framing
Fireplace ?i R.I. ?Air Test l i Final Insula[ion ?` T
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
FinaVC.O.
Other
_ Poal Ftgs Air/Gas Tesu _ Final
_ Siding Stucco Stone
_ Windows (newlreplacement)
Approved ByTZ , Building Inspector
Gr°°ak, I t9 q ?- ? / a.
?-
,?
3 L." e ,?
?'?°'i?`''?,
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
0 36 Multi
3 ??
k 5-- 4/- = '-/ y, 20-4
7L9y t' V
?3??i?
P. kidi etIV
rarR-16-2039 10!29
wmr.r,wok ccaMMxatrcE REaaRr
Mwnn*aata snazgY cods
tWc:heck 3oftware vareian 3
(:Qt7NT"f : Dak.ota
SmATB e Minnaaata
3QNE: 2
CpNBTRVCTSMT TYGE: SAxlglm Fami2y
DA':.'Ea 3-16-2000
p31TE pF PLAa78e 3/16%00
TITLE: k'ALKT$S Wj0 )M, #2
C.OMPLY.ANCB: PA98E6
Ettequix'ed VA p 508
Ycsur Hqme m 407
19.94- B9tt6r ThaR Cqde
C ?ake D?tie
nxam or Cavfty Cone. Glazing/Doox
aerimeteY R-Value R-Value TJ-Value+
__...,..__- _- _--^.'---^-- --- ^ -- ---------- '----•__....__....__...._ _
GSILIxIC38 1444 44.0 0.0
WALL6o C9ood FrarnO, 16" O.C. 2327 19.0 2.0 '
YIALLJ: oPnod. Frame, ls" O.C. 283 7.0,0 2.0
SSMT; Cnnc, 9.01 hr./a.3i bg/9.o, inaul 402 11.0 a•O 0,366 1
GLAZ2Na: Windowe or poare, Above Qrade 485 0,350
pppR,g 38
P'L001R6: Qver iJneeaditioned space 352 36.0 0.0
FNAC PQL?SPMELVT t Furus.ce, 92.0 AFrJB
. -
CqMFLIANCE STATEdEA1^:: +The Proposed building^desigro. .daeGxibed yereLs
iae.s
?atwith with e Perntit building Plns ?i propo?ed bui].dng hPaa C b?en
ubmitto3
daemigncd ta mm e M?ota Energy Code.
Sui.lder/DOOigae
Dst0 ??a?
?7 ..
TtlTRL P. 02
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: Lbt a QL?? 3 (?IK`hrnnlC2. Co?
DATE OF SURVEY: /J- aD- d
LATEST REVISION:
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DOCUMENT STANDARDS
u ? • Registered Land Surveyor signature and company
¢?jfl ? • Building PermitApplicant
0' ? ? • Legal description
W ?
/ ? • Address
H? ? • North arrow and scale
?? ? . House type (rambler, walkout, split w/o, split entry, lookout, etc.) '
'?
v ? • Directional drainage arrows with slope/gradient %
/ ? ? • Proposedlexisting sewer and water services & invert elevation
0 ? • Street name
? ? • Driveway
H/ O ? • Lot Square Footage
2f ? C] • Lot Coverage
ELEVATIONS
i Existin
d /{7 ? • Sewer service (or Proposed)
a?/L7 ? . Property comers
tJ? ? ? • Top of curb at the driveway and property line extensions
y?/ ? • Elevations of any existing adjacent homes
? ?A ? • Adequate footing depth of structures due to adjacent utility trenches
? a ? • Waterways (pond, stream, etc.)
Prooosed
V/ ?
v ? • Garage floor
-
? 0 • Basementfloor
C/ ? ? • Lowest exposed elevation (walkouUwindow)
41/ 0 ? • Property comers
0l ? ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? G
i?/ ? • Easement line
? ?
6"? ?
'
r • NWL
H W L
? ia
?
. .
? L? ? • Pond # designation
0 p' ? • Emergency Overflow Elevation
? ? ? • Pond/Wetland buffer delineation
0 ? • Lot lineslBearings & dimensions
v ? • Right-of-way and street width (to back of cur6)
? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all structures requiring permanent footings)
eT fl ? • Show all easements of record and any City utilitles within those easements
?/? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
CY fl l ? • Retaining wall requirements, if any
Reviewed:
Name : Date
G:/FORMS/Building Permit Application
Surveyor's Certifzcate
SURVEY FOR : PuLrE HOMES
DESCRIBED AS : Lat z, elock s, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving
easements of record. •P A
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LOT SQ. FOOTAGE = 29,670
HSE SQ. FOOTAGE = 1, 797
L 0 T CO l/ERA GE = 6%
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17.q ?
Prop. Home
TOB = 951.5
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so.s
N89°42'35"E 139.54
# 18052
PROPOSED ELEVATIONS
Top of Foundation = 949.5
Garage Floor = 949.1
Basement Floor = 941.5
Aprox. Sewer Service = 937.0
Proposed Elev. _ ?
Existing Elev. _
Drainage Directions =
Denotes Offset Stoke = •
ai.s
BENCHMARK,
TNH01&2/2
EL=949.25
MIN. SETBACIt REQUIREMENTS
Front - House Side -
Rear - Garage Side -
JOB N0:
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 02R-753
HEDLUND
PLANNJNC ENCINSERING SURVEYINC
2005 Pin Oak Drive
Eagan, MN 55122
Phone: (651) 405-6600
Fax : (651) 405-6606
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 jJ_/ZO?OZ 1?•
E D. LINDGREN, D SURVEYOR
MIN SOTA LICENSE NUMBER 14376
BOOK:
FILE:
Oakbrooke 5
` 7 ?n??•?
L?JnLil 3 Va L?? L:??1
6Z/(,
SCALE: 1 inch - 30 feet
[
????? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
a ??
(0 (i /
New Construction ReouiremenGa RemodellRepair Reouiremenls Oft Use?Onlv
3 regisle2d sile surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeR af Survey-Rectl _ Y_ N
(20°k maximum lot coverage allowed) t set of Energy Calculations for heated addNOns Tree Pres Plan Recd _ Y_ N,
2 copies of plan showing beam & window sizes; poured Pound desgn, etc. i site survey for addillons & decks Tree Pres Required _ Y_ N
1 set of Energy Calculations Adddmn - irMicate if arsde sepfk sysfem On-sAe Septic System _ Y_ N
3 copies of Tree P2servation Ptan A lot pfatled aRer 771193
Rim Joist Detail Options selectlon sheet (61dgs with 3 orless units
07 / dt
Date
CanstructianCost SpD•c`
Site Address 4t 36 bRt'L8R-oOIG= 0 uRJ2 UniUSte #
Description of Work BUiLbiN(r A DECK
Multi-FamityBldg Y0 Fireplace(s) _ 0 X 1 _ 2
Property Owner n91K-E Avn IW? ?t?.?- Telephone #(GS l) 4Sa -! 0 Q(
t'vla 1G/-- o?
Cootractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residenfial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope CalculatioM Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y !1,N If so, 257. plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/ W ater Con tractor
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 res a review and
approval ofplans. 'I) r
JYI/KE f5lwD
Applicant's Printed Name
Signal
(15
JUN 0 7 2004
`
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By
-41u
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 93 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace Q 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 08-plex p 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 Miscellaneous
Work Types
?P 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
IF
? 30 Accessory Bldg
? 37 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bidg) - Give PCA handout to applicant
Valuation ;? ? DE>Q, 0,0
Census Code '[ 3 ?{
SAC Units
# of Units
# of Bldgs
Type of Const V n_
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Spnnklered
Width
REQUIRED INSPECTIONS
Footings (new bldg) Final/C.O.
? Footings (deck) ? Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Air/Gas Tests Final
Pool
Ftgs
?
=
Framing?L°SS T/f?n ?io"AgbVC G+a+Yne =
=
Siding Stucco Stone Brick
_ Fireplace _ R.I. _ AicTest _ Final Windows
_
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
k
Surveyor's Certificate
;PULTE HOMES -
; Lot 2, Block 3, OAKBROOKE 6TH ADDMON, City of Eagan, Minneaoto ond reserving
easements af record. ,Q ya??
. O,?f r . ? 6 man
rYC
B4l.6
SQ. FOOTAGE = 29,670
- SQ. FDOTAGE = 1,797
CDUERAGE = 6%
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Prop iHome
TOB 94].5
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? ? $ 8l62
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?p`o0 71.48 ? _______-
? ?17a4 ?Z?O ? ? Prop. Home
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107060
Date Issued:09/25/2012
Permit Category:ePermit
Site Address: 4136 Oakbrooke Curve
Lot:2 Block: 3 Addition: Oakbrooke 6th
PID:10-53765-03-020
Use:
Description:
Sub Type:e-Reroof
Work Type:Replace
Description:House
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Michael Farrell
4136 Oakbrooke Curve
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature