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4139 Oakbrooke Curve Use BLUE or BLACK Ink For Office Usg j Permit j City of Ea Ed~ ~ Permit Fee: 3830 Pilot Knob Road 11 Eagan MN 55122 j Date Recei d: G j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: E9,4, Ae4Z7 &A_ Z~W __Unit Name: '4 4l -ey/ / Phone:.'10 ~J ~d~ Di L~ 70 RESIDENT / OWNER Address / City / Zip: Applicant is: Owner/ Contractor TYPE OF WORK Description of work: 06e Construction Cost: % Multi-Family Building: (Yes / No CompanyAA-0, k! 'E Contact: rJ Ty-C it ~I ' - CONTRACTOR Address: V Ar pl_ City: d~Yl ~e ~ v . State: I-AIAI Zip: Phone: Z_ License V'1%9 '4 40 Lead Certificate Does this project require Lead Remediation? ❑ Yes No (see Page 3 for additional information) If no, please explain: A' 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: 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 the are trade secrets. 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.aooherstateonecall.ora 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 the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applica ignature Page 1 of 3 NEW SINGLE FAMILY DWELLING - BUILDING PERMIT REQUIREMENTS Site Address: Applicant: Phone Number: Check ✓ Appropriate Box ❑ One (1) signed and completed building permit application including a current contractor license number. ❑ Two (2) copies of detailed plans, drawn to scale including but not limited to; foundation plan and wall design including foundation wall insulation, radon control system, floor plan(s), cross section(s), elevation plan(s), beam size(s), joist size(s) and spacing, label window and door openings with the manufacturing U-value, and label all exterior wall and ceilings with the R-value ❑ Three (3) copies of a scaled Certificate of Survey prepared by a Minnesota registered land surveyor complying with City approved Survey requirements (maximum size 11 x 17). ❑ One (1) copy of energy code design criteria labeled on the plan, verifying that the building envelope meets the provisions of Table N1102.1 and/or Table N1102.1.2. Exceptions would include one of the following calculations that must be submitted for approval: o R-value computation method per N1102.1.1. o Total UA alternative per N1102.1.3. o Engineered systems alternative per N1102.1.5. ❑ One (1) copy of calculated heat loss / gain and calculated cooling load verifying HVAC sizing in compliance with the Minnesota Energy Code. ❑ One (1) copy of IFGC Appendix E, Worksheet E-1 calculating combustion air size, AND One (1) copy of IMC Table 501.4.1 calculating makeup air quantity. OR One (1) Centerpoint Energy Form completed by a HVAC contractor, including size of mechanical room.* ❑ One (1) copy of New Construction Energy Code Compliance Certificate (N1101.8). ❑ Two (2) copies of the individual lot tree preservation plan, if required by the development contract, shall be in accordance with the Eagan City Code. * Please contact (651) 675-5675 if you are experiencing problems with the Centerpoint Energy software. REMODEL / REPAIR REQUIREMENTS Check,/ Appropriate Box ❑ Two (2) copies of plan showing footings, beams and joists, label window and door openings with the manufacturing U-value, and label all exterior wall and ceilings with the R-values ❑ One (1) copy of energy code design criteria labeled on the plan verifying that the building envelope meets the provisions of Table N1102.1 and/or Table N1102.1.2. Exceptions would include one of the following calculations that must be submitted for approval: o R-value computation method per N1102.1.1. o Total UA alternative per N1102.1.3. o Engineered systems alternative per N1102.1.5. ❑ One (1) site survey for additions and decks ❑ Addition - indicate if on-site septic system LEAD CERTIFICATION EXEMPTION Check ✓ Appropriate Box ❑ The applicant is not a Minnesota licensed residential contractor, residential remodeler or roofer. ❑ The building was constructed after 1978. ❑ The structure is not residential housing or a child occupied facility. ❑ The renovation will not disrupt 6 square feet or more of painted surface per room for interior activities, or 20 square feet or more of painted surface for exterior activities, and does not involved windows. Page 3 of 3 Address ? I O a k b r n o k a Cn r v P Zip 55122_ Lot " 16 Blk 5 Sub Oakbrooke 4th THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: _ 17-0 Yes No Inspector: G Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Pettnanent gas x Sod/Seeded grass TraiUcurb damage Porch Basement finish x Deck X Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before frceze poten[ial exists. Contact engineetittg division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractot Copy : OakbrookeSE ? FRX N0. : 6516862948 Jan. 10 2002 07:21P1 P2 s pUL` ? HONS OF MIN.S..`.'-OTA CHANGE O DER #9 oare: 117r01 JOB NO: 0320-216-05 . LOT: 16 9LOCK: 5 UNIT: 0 COMMUNI'fY: Oakbrooke Single Family AAbITION: PHASE 2 BUILDiNG AODRESS: 4139 OAKBROOKE CUftV CITY: Eagafl STATE: MN MdDEL NAME: Sterling MODEL#: 18232 ELEVATION 1 6ARi4GE: RIGHT TOTAL FROM PREVIOUS ,110 OR CHANGE ORDER $? $229,990 ?. i8232 8terling 51,000 1 0000o Lat Premium i 18023 ELEVATION #2 1 22002 3RD CAR GARAGE-ELEV#2 $7,2 ; 5 i $500 ? 1 25017 CWST.DRS W/PF MAPLE 1 28056 42 UPPERS - MAPLE $595 l 28044 CASINETS - MARLE $1,980 1 26011 VAULT CEILING- MASTER B.R. $1,230 1 14007 1ST CARPET PAU UPGRADE $215 1 14084 1STCARPEf UPGRADE $1,440 t' 11012 FUl1 BASEMENT- WALK OUT $3,860 1 31004 LAUI+IDRY CABINETS - MAPLE $450 1 23007 3 TON AIR CONDITIONER $2,350 1 29006 CA57 IRON KITCHEN S1NK $425 1 25000 DBLE. INTERIOR DOOR $260 1 26043 WOOD RAILINf3 - 2NP FLOOR 20 ? $1050 , 1 10119 WASHER WI GAS DRYER 50 $? 1 10096 VENTED KITCHEN APPLIANCE $268,320 70TAL . . u? wo m2 rtG?C ZIP: 55122 BUYERS NAME: BOB APPERT CURRENT ADDRESS: 406 LE?WARD TRAIL CITti': N/00DBURY STATE: MN ZIPE 65129 HOME PHONE: 661-714-5598 BUStNES5 PHONE: 651-452-5200 BUSINF-SS PH<7NE: 0 SALES REPRESEMA7IV JMM PHONE: 0 AIVU I I'1C ru?o- 1?1 - v?. ? r?? 1- - APPROVED BY BUYER APPROVEQ BY BUYER APPROVED SUPERINT APPROVED BY SALES: $uilders License # 0001371 \\\11 7U?-27-2020 1a:q? FUL?E H[MES MNaheck CQMALIANCE RfiPORT Minnesoka Enazgy code MNche=it 3oftware Ilersion 3.0 COC7:ITY: D>kotd STATE: MinnesOta ZOh'E : 2 CON3TRUCTICPI TYPE: 9ingle Family naxE: 7-27-2000 r.AxE nF Pi.ntvs: 7!2=/00 TITLE: pakbro0ke Sterlir_g with Lookout COMPLIANCE: PA69E9 RBqulred IIA = 532 Ycur Home a 403 74.2t Better Thar. Code P. 02/d2 Pexmit # Chec ed by Date Area br Cavity Conk. C+Iazing/Duor _ ______FerimaCer R-VBiue R-Value II-ValUB -'-`------------- --_..-----^ ._- ------^-`---------'---- CSILIIv'G9 1218 38.0 0.0 'r7A:4L9: Wood Frame, 1611 O. C. 2673 19.0 2.0 7. 83MT: Conc. 9.0' ht/8.31 bg,'9,0' inaul 1047 11.0 0.0 6LAZIN3: Windows or poore, 7Love Grade 402 0,350 1 DOORB 38 0.350 FLCK`AS: (Sv6r Outeidc Air 48 38.0 0.0 HVAC EQUTPMENT; FLxzidee, 92.0 Ar?JE ------------°------------------•---- ----_" `-----------------•-----------'-- CDMPLZA.IICB BTATEMBNT, The proposed building deaign described here is consistent with the building plana, epecifications, and oLher calculations submitted with the gETTlt applicaticn. The proposed building hao been aeeigned to nneseta saezgy eocle. Builder/beaigne Dace 4F r/ TOTqi_ F.02 A y' LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION U n H ? w ? C 0 ? Q O ? Q ? ? ? o 0 ? 0 ? ? m? ? a ? ?O V? 0 F ? ? ELEVATIONS Existin • Sewer service (or Proposed) • Properry comers • Top of curb atthe dtiveway • Elevafions of any ebsting adjacent Aomes Adequate footing depth of structures due to adjacent utility Venches Prooosed / rr' o ? • Garage floor ? /? ? • Firstfloor m' a ? • Lowest exposed elevation (walkouUwindow) m? ? • Property corners ? • Front and rear of home at the foundation PONDING AREA (if apolicable) d a a • Easementline U/ ? o . NWL r,/ a ? • HV1lL ? ,? • Pond # designation ? o/ ? • Emergency Overfiow Elevation DIMENSIONS ? • Lot lineslBearings & dimensions ?? ? • Right-of-way and street width (to back of curb) o" o ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. /' (i.e. all strudures requinng permanentfootings) a 2 ? • Shaw all easements of record and any City utilitles wdhin those easements vo ? • Setbacks of proposed structure and sideyard set?ack of adjacent epsting strudures - Retaining wall requirements, if any,, ?/ Reviewed: Er, o ? ? ? PROPERTY LEGAL: Z, & J"Y c?9l?E'sK?OA' 4TN /?D ? DATE OF SURVEY: I,!c? -.o I LATEST REVISION: DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • BuildingPermitApplicant • Legaldescription • Address • North arrow and scale • House type (rambler, walkout, spl'R w/o, split entry, lookout, etc.) • Directional drainage artows with slope/gredient % • Proposed/epsting sewer and water services 8 inveR elevation • SVeetname • Driveway • Lot Square Footage • Lot Coverage ?" 4L / Date Mareh 1988 CRAIGIBI0CPRWr.FM - Surveyor's Certificate SURVEY FOR :PULTE DESCRIBED AS % ?eservsin glea9em, e0yKBR0ecord4'f}{ ADDITION, City of Eaqon, Dokota County, Minnsotq end ? . `' tr /^ . ?s WETLAND NwL•e2o.a n1. NWL-921.3 j ; #IL37M 93625`??+,=?' Exlsl. Hans TOB =942.0 <,. ' / ?9B -?y .. g 4 940 <? O? \ \ < q909 , kr? ? \ .? ? \ Y 943 ?1 / ?.? Plan # 18232 9 ? ?0 ? 4 ?0 q2• LOT SQ. FODTAGE = 9 0, 364 ?k*1'? HSE. SQ. FOOTAGE = 11669 LOT COVERAGE = 161'a PROPOSED ELEVATIONS Top of Foundation = 9414,0 Garage Floor =q43,6 Basement Floor =935A Aprox. Sewer Service =928.4t Proposed Elev. = Q Existing Efev. _ Oroinoge Directions - Denotes Offset Stoke = . scni.e: i inen - so r"t BENCHMARK, -rNHCD 14,ws F-i.o. 937.42 MIN. SETHACK REQUIREMENTS Front -25 House Side - Rear -15 Garaga Side- ,NAW9 I Q RF(;'n ,roe na HE?L??? ' HEREBY CERIIFY 1HAT MIS IS A TRVE AND CORRECT REPRESENTATION OOR-270 OF 7HE BOUNDAPoES OF ME ABOVE ?SCRIBED PROPERtt AS SURVE'fED BY ME OR UNDER MY DIRECT SUPERNSION ANO DOES NOT PURPORi TO 800K: PACE: PLANNINC SN0N6BRINQ SVRiFYINC SHOW iMPROVEMfNfS OR EN =CHMTS. ExCEPT a.' SnOxM. 2005 Pln Ook Orivs e Eaqon. MN 55122 On7E O• CAO flLE: Phone: (651) 405-8600 °' ?D??' LAP '?R?Y? OAKBROOKE Faz: (651) 405-6608 /-J?!'--?1 ?g IN TA LICkNSE NIIMBdi 14376 . PERMIT# L,?- RECEIPT DATE: RESIDEPTIAL PLUM$INfi PER14I1T APPIICATIOft crrY og EAsm sSso Paor Krros en E46AN, M1Y 55122 651-661-4675 Please complete for: ? single family dwellings > townhomes and condos when permits are required for each unit ? 6ackflow preventer for irrigation system SITEADDRESS: _ / Iv / W?&?a a u4v_VV ?'. OWNER NAME: : TELEPHONE #: 0- 3 / .211 J (AREA COOE) INSTALLER NAME: SAIJ TELEPHONE #: G/ Z- ?; 3??f/ S?? ? STREET ADDRESS: ??Vd' Qv,trr,C (AREACODE) CITY: / vw STATE: V-Y1 k\ ZIP: Place a check mark next to the permit work tvpe _ New residential dwelling unit under construction and not owner/occupied $ 90.00 ? Add f -on, modi ication or alteration to existinp dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nat f k lyw V ?- 0&?"/l L 09? 4 , ure o wor : - Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license , Sfate Surcharge $ .50 ' Total $ S?• S? Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this applica[ion, state that Ihe information is correct, and agree to comply with all applicable Gity ol Eagan ordinances. it is the applicanPS responsibiliry to notify the property owner that ihe City of Eagan assumes no liabiliry for any damages caused by the City during ics normal operational and maintenance activities to the facilitles constructed under lhis permit within y propertylrightof-w yleasement. ?- w SIGNATURE OF PERMITTEE Updated t/01 PERMIT # ;-4 l.o I I RECEIPT DATE: Please complete for: SITE ADDRESS: OWNER NAME: : INSTALLER NAME: RU1DENTIlkL PLUM$1N6 PEiMiT APPLICATION crrY oF EAsM 3830 Paff xiuos ftn PA6RA, 3lFi 5512E 651-661-4675 ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system 39 ? z ru? C TELEPHONE #: (?r) !`?b TELEPHONE #: ?J ?? ?`?' ?? ( REACODE) STREETADDRESS: c7?-0O' Z?f?ti>?r.? e-/G" CITY: STATE: ZIP: S535Y? Place a check mark neYt tn the eermit work tvoe New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: Lh G.ej C"bc 4ge- Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total I (n 7`1 ???) Reminder. Be sure to schedule inspections of alterations, i.e. I hereby acknowledge Ihat I have read this application, state fhat tha Information is corzect, a is the applicanPs responsibility to notify lhe property owner that ihe City of Eagan assumes operational and maintenance aclivities to the facilities consWcted under Ihis permitwithirf hBaters, water sotten i rs, etc. I = f Eagan ordinances. It Gty during its nortnal OF PERMITTEE Updated 1101 Surveyor's Certificate SURVEY FOft :PULrE DESCRIBED AS ; Lot 16. Block b, OAKBROOKE 4TH ADD1710N, Clty of Eagan, Dokota County, Minnsota and reeerving eosements ot record. Edet fiome TOB .qq2p qo. ? Q ? <' ? ? •,? /. ? \ ?j? . ?9 Plan 111 18232 PROPOSED ELEVA710NS Top of Foundation = 9q9,o Garage Floor =4a" Basement Floor =935.o Aprox. Sewer Serv(ce =92e.4r Proposed Elev. Existing Elev. _ Qraincge Oirectlons = Denotes Offset Stake = • .,? WETLAND ? NwL=8zo.o ??1a HN7.=921.3 932.4 \a :r? / i o0 \ 0. 1? M ,? 939 ?/ ^ Q43. 4"' ` eL ? S_i ?? ?i ?ya?• ? 9a ???Ii08 ? / 92. ? 00 9-q.of 14 \m. ? S/2% /-z- t ??QeS?L'O LOT SQ. FOOTAGE HSE. SQ. FOOTAGE LOT COVERAGE _ SCALE: t tnch - 30 feat = 1(J, 364 = 11669 16q BENCHMARK, TNM o 14,1 ?.5 6k?= 937.a? MIN. SETBACK REQUIREMENTS Front-25 House Side - Rear -15 Garage S1de- JOB N0: L?/IIID I NEAEBY CERTIFY THAT iHIS IS A TRUE AND CORPECT REPRESENTATION OOR-270 Of SHE BWNOARIES OF SN£ ABOVE DFSCRteED PROPERSY AS 9URVEYEO IfEDBY ME OR UNOER MY CIRECT SUPERNSYON AVO DOES NOT PURPORT TO BOOK: PACE: PLANNINC dNClNFFRINC SVRt2'YlNC SHOW IMPROWMENTS OR EN CMMENTS, EXCEPT RS SHONN. 2005 Pln Ook Drtve ! •.?^._ L Eagan, MN 55122 DA'IE _{._??a?/ Q CAG fiLE: Phone; (851) 405-6600 J Y INDGREN. UND SU OR Fax: (651) 405-6606 1 SO uCE1+5E NuMBER t.76 OAKBROOXE I . ? I .,I .,..,,1 ,.I I .,,., ..? .I?A""' City of Eapn ? 0 5 2ooa ?.n? SuN ?----------------- ? ? Permit#: ? S / V.J I j I Permit Fee: ? Date Received: I ? I ? Staff: I !------------- -- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /O` `7'0 U Site Address: Tenant: Suite #: RESIDENTIOWNER Name: fJL? ? , O Phone: Zd3- GI`9U! Address I City 1 Zip: ?3? ?a,(?6 ro?Fi P C?(ti ??-? Applicant is: _ Owner >4 1?7Contractor ?a CttA- TYPE OF WORK Description ofwork Lt4- Construction Cos Multi-Family Building: (Yes _/ No? CONTRACTOR Name: YlB ??'etli Tv-License ZO6OPZ7 ? ' Address: 1?71?'f 8CAGYO%'/?04 e d- : ? z?PS`?3 3 te City: &/ ? Sta ' / ??? d ( ?L Phone: l/?D D ?Contact Person: T?6 ?s COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 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: fhafyoU subrriit are considered to be pv6?i,,?inf6rmati4n;- Porfions ni NOTE Plans andsupportmg?,alocumenfs ? : the anformatron may be classrfied as nbn pubiia, ?f you prov?de specific reasoOithaf kvduld permlt th$ Crfj+`?o aoiecludeYtiai?th's .?ar? tradesecrets & . ?;1'?,M 11 (??t I hereby acknowledge that this information is complete and accurate; that the work will 6e in confortnance wdh the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that ork will be in . accord nc ith the approv plan in the case of work which requires a review and approval of plans. X V`?5 ??KD App icanfs Printed Name ApplicanYs Signatu loo,41P 6?-? '/ d --L 941Ad.? Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? OS-plex ? 76-plex ? Single Family ? 06-plex ? Fireplace ? 01 of _ Plex ? 07-plex ? Garage ? 02-Plex ? 08-plex ? Deck ? 03-Plex O 10-plex ? Lower Level ? 04-Plex ? 12-plex i ?nPI?DeS WORK TYPES r New ? Interior Improvement ? Addition O Move Building ? Alteration ? Fire Repair ? Replacement DESCRIPTION: Valuation 3,0 Q!D• Occupancy Plan Review Code Edition (25%_100%? Zoning Census Code L 3 Stories # of Units Square Feet # of Buildings Length Type of Const Width REQUIRED INSPECTIONS Footings (new hldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof: _Ice & Water _Final ? Framing Fireplace:_R.I. _AirTest _Final ? Insulation / Reviewed ? Accessory Building ? Pool ? Porch (3-season) ? Eut Alt. - Multi ? Porch (4season) ? Ext Alt. - SF ? porch (screen/gazebo/pergola) ? Multi Misc. ? Storm Damage ? Miscellaneous -2 eq:. t3or7w, ? Siding ? Demolish Building* ? Reroof ? Demolish Interior ? Windows ? Demolish Foundation ? Egress Window ? Water Damage ' Demofition (entire building) - give PCA handout to appficant 'Z,oa7 vY??^ MCES System SAC Units City Water 8ooster Pump PRV Fire Sprinklers Sheetrock Meter Size: FinallC.O. ? FinallNo C.O. HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Building Inspector RESlDENTlAL FEES: Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 -- i ?c+?=-fiszse se -----7 -- ? I ? Pertnit / I I I PermitFee: I ? ? Date Received: I I ? I ? ? Staff: ? L ----------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 09 Site Address: ( t `) 1 ?? K 1?,T,10Y" C?vo, JG Tenant: Suite #: RESIDENT / OWNER Name: ?=v I Vj C) Phone: Address / City / Zip: CONTRACTOR Name: KkCL I '?LO - License #: He( Address: $ D ?- City: L V-C ?? L-L- C7- State: Zip: ? ?0\1 L Phone: 15a' yI ?G 1" ? a-gY Contact Person: t'? ?,6 TYPE OF WORK _ New _ Replacement _ Repair ZRebuild _ Modify Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RES/DENTIAL Water Heater Water Softener _ Lawn Irrigation ?Add Plumbi FiMures ? RPZ /_ PVB) (_ Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (inciudes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (indudes $.50 State Surcharge) `Water Tumaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 nderstand this is not a permit, hut only an application for a permit, and work is not to start without a permd; that the work will be in accordance e app ? plan in the case of work which requires a review and approval of plans. ? =--_ ?-??vZY? -H E? X V?,/ Applicant's Printed Name ` ApplicanYs Signature FOR OFFICE USE , ; Datec'? " ' i?? ( i ; Required Inspections - UnderGround Rough In _AirTest GasTest =Final?'" 3" -Yn City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone:(651)675-5675 Fax:(651) 675-5694 2008 MECHANiCAL oaee: Slte Address: TenanL• Gv ?1 &f ?-----------------i ? For Office Use ? I ] ???/ I 1 Permit #: / ? Permit Fee: `?•??-% ? I I I Date Receivetl: I i i ? Staff: ? TION Q..:. A/ d .unax: - 'i RESIDENT / OWNER - /<N ?' ? d?Phone: J ? Address / Cily / Zip: _ `7l 3j- 0A( ? CONTRACTOR Narne: -1 /;1 z zG , License #: ? S l 3 -7 a p -?j AddreSS: ?? S ? ?? ??'r •°S ? /?? llw//' c, /j Cfty: _ State:MAL Zip: Phone: j???/74(- 179(? Cpntact Person: d- TYPE OF WORK _ New _ ReplaCemant Additional Alteration DemoliNon Description of worki / 1r16'1 (v F,?li -?Ze, .-,g q1 ? 11? e ? n S'.Zw 9,e ?+- 7=- NOTE: 8ofh roof mounted and ground mounted mechanlcal equlpment Is requlred to be scneened by C/ry Code. P/eese cantact the Mechanlcal lnspectar or one of the P/anners /or lnformation on Permitted screen/n methods. PERMIT TYPE RESIDENTIAL COMMERC/AL _ Pumace _ New Construction _ Interior Improvement Air Conditioner _ Ins[ali Piping _ prceessed Air Exchanger _ Gas Exterior HVAC Unit _ Heat Pump HVAC units must be screened O e "' ?'? `? ? "?n 5 . /O h _ Under / Above round Tank 9 Insiall / _ Remove) t er " When Inslailing/removing tank(s), call for inspection by Fire Marshal antl Plumbi Ins eCtor RES/DENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unft (includes $.5o State Surchazge) $90.50 Fire repair (reaace bumed out appuances, duclwork, etc.) (includBS $.50 State Surcharg8) $ 70TAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contrect Value $ x 1% , $50.50 MiNmum (inoludes State Surcharge) - If Perm' FM is IB9s than 51,000, surcharge is $.SD. -$ Permit FB@ - It P rtni Fee iS > $1,000, surcharge ixreases by $.50 far each =$ S28tC SUfCh3fQe $1,000 Pertnit Fee (i.e. a$1,001-$2,000 Permd Fee requires a$1.00 surcharge). $ TOTAL FEE I hereby acknovAedge thaz this informafinn is Complete arM accurate; that ihe k'll I undetstand Mis is npt a wor ?x De m conformance rnth Ihe ortknances and codes of the City of Eagan; tliai permi6 bul only an appNCatlon fw a permR, and Nvrk plan in the cese of work which requires a review and approval d plans is not to sNart without a permit; that the work wi11 be in accordance with the approved . x ? c4tl? ApplicanYs Printed Name x Aooh nA Ps Siana?rw FOR OFFICE USE Reviewed By: --- Date• Requlred Inspactlons: _Under Ground - Rough In _Air Test Gas Service Test In-floor Heat _Fnal PERMIT APPLI Site address: +139 O}}K82?31jXF CufVt Lot16 BlockSubd. 0fl1(9PzP1(f On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. This structure: is constructed to meet minimum requirements of the Mn Energy Cotle, Chapter 7670 OR _ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE water Heater v AflM-ow Furnace ?enn ? 3248 9.s- OOO Osipev Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES No Kitchen kitchen Bathroom 1 r r- V Bathroom 2 ???? ? 7 ry?bs Bathroom 3 Bathroom 4 Other VENTING FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT a7MOS MAKE•UP AIR MODEL TYPE CFM's LP / I hereby acknowledge that the above informa6on is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. - ??4244 sPu?re ? v ?mcs CompanyName S/l?/Cl Date ' This fortn is the responsibility of the General Contractor. 1- RESIDENTIAL BUILDING PERMIT APPLICATION -?" C.JSS ? I CITY OF EAGAN -f-t' q3830 PILOT KNOB RD - 55122 ?j ?f0 • DO 651-681-4675 ? ?7 NewConatruetionReauiremenb RemodeAReoairReauiremeMe "?- OF • 3 regislered site surveys ahowing sq. ft M kl, sq. ft. of house; and all roofed areas • 2 copies of plan ? (20%maxMum lot coverage allowed) • t se[ of Eneyy Calculations for heated additbns • 2 copes of plan sMwing beam 8 window sizes; poured found design, etc.) • 1 site survey for exlerior edd'Nons 8 decks • 1 set of Energy Calculalions • Indicate If home served hy sepdc system kr additions • 3 apies o( Tree Presenation Plan N lat platled after 711193 • Rim Jolsl Detail0ptbns selection sheet (bldgs with 3 w less unGS) DATE $ /Z S / 7-Ge- r VALUATION JOBSITEADDRESSg&'I ORKC'a¢.eM6 GvQ?v??'" IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 20a67-1 /4W' ?2i tiT TYPE OF WORK D655C K FIREPLACE(S) _ 0_ 1_ 2 APPLICANT 20li /40PR&?'?'7 PHONE#!vS/ 06-2S1/ ADDRESS 4t39 0AK&L¢vK.E 6-11/2?4 ZIPCODE PAGER # CELL PHONE # GSI -LR3 "77QG fAX # 6Yl'4.SZ'5-7Z7 NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 ?$n n (check one) - Residentfal Ventilation Category 1 Worksheet Su ?Atl /'' ? ?! r? - Energy Envelope Calculatlons Submitted ? MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Conhactor. _ Plumbing System Includcs: Mechanical Confractor: _ Mechanical System Includcs: Sewer/Water Contractor. _ Water Softener _ _ Water HcaLer ? No. of Baths Air Conditioning Heat Recovery System Phone # ree: $70.00 All above informatlon must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances Signature of Applicanf ? ? ? 2? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 1lOt Phone #: Iawn Sprinkler Fce: $90.00 No. of R.I. Baths Phone # OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-piex O 20 Pool 0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) O 04 02-plex ? 10 OS-plex eP 18 Deck ? 23 Porch (screened) O 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage 0 06 04-plex ? 12 12-piex Plbg_Y or _ N O 25 Miscellaneous p 31 New 0 32 Addition ? 33 AlteraBon ? 34 Replacement . __ , ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multl ? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding .. ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WlndowslDoars "Demolition (Entire 81dg only) - Give PCA handout to applicant Valuation Census Code SAC Units Nbr. of Units / Nbr. of Bldgs ? Type of Gonst ' .? ? Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By M , Building Inspector Occupancy / Y- 3 MC/ES System Zoning P-/ 9 CityWater Stories Booster Pump Sq. Ft. PRV ' Length Fire Sprinklered W idth REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) FinallNo C.O. Footings(addirion) Plumbing Foundation HVAC Draia Tile Roof Ice & Water Final Fra[niag Fireplace _ R.I. _ Air Test _ Final Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinaUC.O. ?i ? RESIDENTIAL BUILDING PERMIT APPLICATION 1-4 CITY OF EAGAN 3830 PILOT KNOB RD - Yl'1 \? - 651-681-4675 55122 I s,( I ?. ? ? ,? p ' 9 ?-1 `?-y, ? "?- t - _a-3 - ? i New Construction Reauirements RemodeVReoair Reauirements • 3 registered sile surveys showing sq. R of IoC sq. fl. of house; and all roofed areas • 2 wpies of plan (20% rraximum lot covxage allowed) . 1 set of Energy Calculations tor heated additions • 2 copies of plan showirg beam & window sizes; poured found design, etc.) . 1 site survey for exterior addi6ons & decks • 1 sel of Energy Calculatlons • 3 copies of Tree Preservation Plan i( lot platted after 711193 • Rim Jois[ Detail OpGons selectlon sheet (bldgs with 3 w less unifs) DATE K/? 1 VALUATION (EXCLUDING LAND) JOB SITE ADDRESS ?I3?] OAJC?I`0uK? CU??? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER TYPE OF WORK /[Csi??n?'I?i ? APPLICANT /"U IfCNomCS U?IVW PAGER # CELL PHONE # PIREPLACE(5) _ YES 2?0 PHONE # F?1'V.Sa'Sd°? FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMT-L Ener gy Code Category MI?INESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Sub Energy Envelope Calculations Submitted ?MINNESOTA RULES 7672 i New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing Systein [ncludes: d Water Softener Lawn Spru?kler Fce: $90.00 I?(? Water Heater No. of R.I. Baths 3 No. of Baths MechanicalContractor. QU6n<5l/i??CA3 ?-4 Z!( Viech,mic.d Systcm Includes: Air Conditioniua Hcat Recovery System Sewer/WaterContractor: a !A/ ?rC.rie/u I ????lP es --?, Phone # ?Sj - ? ?1 V `0 00? Pee: $70.00 Phone# 763' 7`2 ?- a93? Aii above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota StaTutes and City of Eagan Ordinances. Signature of Applicant ?'? ?"?? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ?-{ ? `? ? ?-i ?I a- ?I ? Updated 1/01 OFFICE USE ONLY ? 01 Foundation ? 07 OS•plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait- Multi ? 03 Ot 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 ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ?S 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 MC/ES System Census Code I? I Zoning _/0 City Water SAC Units Stories .2_ Booster Pump Nbr. af Units Sq. Ft. J-j PRV Nbr. of Btdgs Length ,So2 Fire Sprinklered Type of Const S^? Width S? ? Footings (new bldg) _ Footings (deck) Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final ? Framing - - - Fireplace R.I. A'u Test Final Insulation Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total REQUIRED INSPECTIONS ? FinaVC.O. FinaUNo C.O. ? Plumbing HVAC ? i I S _ Other _ Pool Ftgs Air/Gas Tests _ Final _ Siding Smcco 5tone _ Windows (new/replacement) ? ? vI I ?-v/ n ? Approved By I,J Building Inspector PERMIT City of Eagan Permit Type:Building Permit Number:EA114538 Date Issued:09/17/2013 Permit Category:ePermit Site Address: 4139 Oakbrooke Curve Lot:16 Block: 5 Addition: Oakbrooke 4th PID:10-53763-05-160 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: 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. 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: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Kevin S Donegan 4139 Oakbrooke Curve Eagan MN 55122--421 Marshall Building & Remodeling Inc 6975 Washington Ave S Suite 215 Minneapolis MN 55439 (612) 369-0123 Applicant/Permitee: Signature Issued By: Signature City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 APR 2 8 2016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4/28/2016 Site Address: 4139 Oakbrooke Curve Unit #: Name: Trygve Olsen Phone: 651-726-4257 Address / City / Zip: 4139 Oakbrooke Curve, Eagan, 55122 Applicant is: ✓ Owner Contractor Description of work: Replace existing rotting deck posts with new footings and new beams. Construction Cost 2000 Multi -Family Budding: (Yes / No ✓ ) Company: Contact: 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: 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.gooherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and 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; t 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 ' = wilding Code b • mpleted within 180 days of permit issua es of the City of the work will be in X ` Applies tt 'I�rinted Name x Appli . T is Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of Plex WORK TYPES New Addition Alteration X Replace _ Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ia ) Census Code #of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS LINE — Fireplace _ Porch (3 -Season) _ Garage Deck Lower Level _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool _ Interior Improvement _ Move Building _ Fire Repair _ Repair 37(0 .oma U$ REQUIRED INSPECTIONS Footings (New Building) ?© Footings (Deck) _ Siding Reroof Windows _ Egress Window i -3(p a-81 Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy ;-9-C- 1 Code Edition 111)11 *2- Pi Zoning P1% Stories Square Feet Length Width Footings (Addition) Foundation Roof: _Ice & Water Final Framing 30 Minutes 1 Hour Fireplace: __Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: / p/n MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL /8 rK/ti ZS -Z X/S. t)i pew� ; i n s �s 5 ,� e.� ►�� PecKr•c5 0-' 6-,9)P-2 .) Page 2 of 3 Surveyor's Certificate Nt-ri 1 SURVEY FOR :PULTE Lit ,DC " l< DESCRIBED AS ; Lot 18, Block 5, OAKBROOKE 411.1 ADDITION, City of Eagan, Dakota County, Minnsata and reserving easements of record, 4324 Exist. some TOB ag4„22 <,�' } // 5/24 /42—cao FIGO? *SW ti 63411-- %/eb ��o ��,��k N. Plan # 18232 PROPOSED ELEVATIONS Top of Foundation = gq'to Garage Floor =R43.6 Basement Floor =935.a Aprox. Sewer Service = iefre Proposed Elev. = c7") Existing Elev. Drainage Directions =-----•� Denotes Offset Stake = • mommemirems • a LOT SQ. FOOTAGE =. 10,364 HSE. SQ. FOOTAGE = 1,669 LOT COVERAGE = 16Z SCALE: 1 Inch .1 30 feet BENCHMARK. Tt+H p I4 I% Eke+■ 937.42 MIN. SETBACK REQUIREMENTS Front —25 House Side — Rear --15 Garage Side-- HEDLUND PLANNING INGJXIJ'RJJI►G stJRVS17NG 2005 Pin Ook Drive Eagan, W1 55122 Phony. 651) 405-6600 Fa:c (651) 405-6606 1 A 1 A. A 11 1 HEREBY CERTIFY THAT TMS IS A TRUE AND CORRECT REPRESENTATION OF WE BOUNDARIES OF lit MOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SIJPER1ASION MD DOES NOT PURPORT TO SHOW IMPROVEMENTS OR EN ENTL EXCEPT AS SHORAN. DATE—i•_.I1rl JOB N0: 00R-270 N.1,11g9111 AN, DOREN. LAND UCENSE NUMBER 1 A.IA,A11 10\ILA . BOOK: PACO CAD FELL OAKBROOKE IAA' PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA139233 Date Issued:10/14/2016 Permit Category:ePermit Site Address: 4139 Oakbrooke Curve Lot:16 Block: 5 Addition: Oakbrooke 4th PID:10-53763-05-160 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Trygve W Olsen 4139 Oakbrooke Curve Eagan MN 55122 (651) 726-4257 Ductworks Heating & Air Conditioning Llc 6108 Olson Memorial Hwy Golden Valley MN 55422 (763) 521-0070 Applicant/Permitee: Signature Issued By: Signature