4141 Oakbrooke Curve° RESIDENTIAL
BUlLDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122 970•00
651-681-4675 CQ?Ie?
NewConstrudionReauiremenis RemodellReoairReauiraments -
• 3 regis0ered site suneys showing sq. il W bt sq. R W house; and all rooted areas • 2 copies of plan
(20% maximum bt wverage allowed) . 1 set of Eneigy Calalations for heated additions
• 2 copies d qan showing heam 8 window sizes; poured fand desgn, etc.) . 1 sile suney for extenor add'rtions & decks
• 7 set ol Enertgy CaicLla60ns
• 3 copies of Tree Preservat'wn Plan if bt platted after 771/93
• Rim Joist Detal Oplbm selection sheet (bldgs wilh 3 a less units)
3-19-fl?
DATE 3'1 5`D i VALUATION (EXCLUDINGLAND)
.jJB SITE ADDRESS `TI L{I DcttL-k->-ookc- C;vcvG
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
. r A--
TYPE OF WORK ? h U4tC I!IC-- FIREPLACE(S) _0 _1 _2 _3
APPLICANT L'ZC=C>2C4-,, 5cLC- PHONE # C41a--3L09-2-&P67
ADDRESS 1 3 5'5- inerllDesr/4 ZIPCODE ?Sl?a
PAGER #4901MMkO CELL PHONE # Co« ?la'?-o?la?1 FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Piumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
blechanical System Includes:
Sewer/Water Confractor.
_ Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee:
$70.00
All 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 complywith
all applicoble State of Minnesota Statutes and City of Eagan OfdjyiaRces.
Slgnature of
Certificates of Survey Received
MINNESOTA RULES 7670 CATEGORY 1
- Residential VentilaGon Category 1 Worksheet Su
- Energy Envelope Calculations Submitted
MINNESOTA RULFS 7672
- New Energy Code Worksheet Submitted
Phone #:
VVater Softener _ Lawn Sprinkler
Water Heater iVo. of R.I. Baths
No. of Baths
Tree Preservation
_ Not Required _
Updated 1/01
Fee: - $90.00
OFFICE USE ONLY
O Ot Foundation
0 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06•plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08•plex ' W18 Deck
? 11 10-plex ? 19 Lower Level
p 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea,)
? 23 Porch(screened)
? 24 Storrn Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
Q 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
D 33 Alteration 0 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demotition (Entire Bfdg only) - Give PCA handout to applicant
Valuation Occupancy IC7- _2 MC/ES System
Census Code 2oning P-4 City Water
SAC Units !? l Stories Booster Pump
Nbr. of Units l Sq. Ft. PRV
Nbr. of Bldgs d Length Fire Sprinklered
Type of Const ? Width
REQUIRED INSPECTIONS
Footittgs (new bldg) FinaUC.O.
Foorings (deck) t5;, FinaUNo C.O.
_ Footings (addition) 7
_ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ F'ueplace _ R.I. ^ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By 44U , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Address
Zip 5512_L
I.ot i s Blk s Sub naknrookP art,
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECT'ION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage) tl/
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
SodlSeeded grass ?
TraiUcurb damage
Porch ?
Basement finish ?
Deck
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 befote freeze potential exists.
ContaM engineering division at 6814645 before working in rightof-way or installing undergtound sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - ContracWr Copy
PERMIT# Y -` ` k I RECEIPTDATE:
Please complete for:
SITE ADDRESS:
OWNER NAME: :
E48AP, MR 55122
651-661-4675
2002 ftESIDERTIlkL PLUM$1Rfi PEiiMiT ArPP11CATION
crn' oF EAsA1v
3$80 PILOT KAOB iiD
single family dwellings, townhomes and condos when permits are required for
backflow preven[er for irrigation system
SAKHAMURU, SEICHAR
4141 OAKBROOKE CURVE
EAGAN, MN 55722
p? (?(?H T ??
?ni?PR 2 6 100Z I U ?I
(651) 365-8697 TELEPHONE #:
(AREA CODE)
INSTALLER NAME: /Y1 p1 TELEPHONE #:
(AREA CODE)
STREET ADDRESS:
crrv:
STATE:
ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repairlrebuild $ 30.00
lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
rotal $
?
3 0 .
I here6yacknowledge that I have read fhis application, state that the information Is correct, and agree to complywith all applicable Cityof Eagan ordinances. I[
is the applicanPS responsibility to notify the property owner Nat the City of Eagan assumes no liability for any damages caused by Ne City dunng its normal
operetional and maintenance activities to the faGlities constructed under this permit within City propertylrightof-way/easement.
SIGN E OF PERMITTEE 1l02
? I r 81 r CITY USE ONLY
L ?L _yL RECEIPT
SUBD. I DaKbYOO KP/ UT7/, RECEIPT DATE: I I?Zl' 1/( l
? PERMIT#
8000 PLtJM$INfi PffMTT (iiESIDENTIALL)
crrYoF gASnx
9$30 PILOT KNOB RD
g+4fiAN. A1A $518E
651-681-4675
Please complete for: ? single family dwellings
D townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FiXTURES EACH # TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.0n0
Bath tub $ 3.00 x = $ -
Floordrain 3.00 x = $3 ?
Gas i in outlet ' minimum - 7 3.00 x = $ ?
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x
Laund tra 3.00 x
Lavato 3.00 x = $ /Z -
Se tic S tem new/refurbished • re ulres MPC Ilc. 75.00 x = $
Se tic S stem abandanment 30.00 x = $
RPZ newinsWllationlreidrebuild 30.00 x = $ ?
Rou h o enin 1.50 x = $ 4!
Shower 3.00 x = $
Under rounds rinkler itdwelfin isunderconstruction 3.00 x = $
Under round s rinkler irexisun dwellin 30.00 x = $
Watercloset 3.00 x = $ -
Water heater 3.00 x = $ -?
Water softener if dwalling underconsVUCtlon 5.00 x = $
Watersoftener Hextscin dwemn 30.00 x = $
Watertumaround 30.00 x --- _ $
State Surchar e .50 -> ---> ---> $ .50
Total _> -> --> ._a E p ?
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, efc.
-•?-----•---------------------------•----....------••----------._....-----••----------------------...-----•••-----• •------------------------
I hereby acknowledge that I have read this application, shate that the infortnaUon is corced, and agree to comply with alI applipble Ciry of Eagan ardinances.
It is the ap0licanPs responsibiliry b notify the property owner that the Ciry of Eagan assumes no tiability for any damages pused 6y the Ciry during its normal
opereGonal and mainlenance activilies to the faaliUes conaWCted under this permit vrilhin Ciry propertylright•of-way/easement.
SITE ADDRESS:
OWNER NAME: : r [A 'P TELEPHONE #:
(AREA CODE)
INSTAILER NAME:
STREET ADDRESS:
CITY:STATE: ZIP: ?
SIGNATURE OF PERMITTEE
. CITY USE ONLY
PERMIT RECEIPT DATE: / rU v I
RE,saDErrriAL MEcHANIcAL ?ERMff ??PLIcATIoN
CI'fY OF gRfiAN
S$SO PILOT KNO$ $D
EwsAN MN 55122
651-6$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are requiretl for each unit
Date: t ' 5"0
SITEADDRESS: kAl4 ? 00146(-b0o zdalrfl& r'u`vlef?
UI?f 1'1o&zt-5 TELEPHONE #: <5?o U
OWNER NAME: )p
(AREA CODE)
INSTALLERNAME: L3L)t-n5 v?l(.e k'¢CLAriq qL41C TELEPHONE#: 95-a- 9 gz/ 0c)0`5--
(AREA CODE)
STREET ADDRE55: IaU Sf 1 KhadQ jc IGnOQ_ Fh/ S
CITY: ?Q STATE: ZIP: 553-71
.
DI?? wl?n?4 m?r4 navh hn eha narmit wnN4 fvnn
? New residentiai dwelling unit under constructionand noi ownedoccupied $ 70.00
Add-on, modification or alteration to existina dwelling unit $ 50.00
. furnace replacement
• air exchanger
• air conditioner
• other LJ
Nature of work: JAN
State Surcharge $ 50
rotal S 70-5?
Reminder: Call for inspections.
SIGNA OF PERMITTEE
Updated 1/Ol
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
CoMMERCIAL M$CiHANtCi.iAiL P£{tMIT APPI?. L'AT$QN
C1TY OF E1A[fi1kN
S$SO PILOT KNOB iZD
EAeAN, Mv 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNERNAME: PHONE#: -
(A2EA CODE) ,
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CIT'Y:
PHONE#: -
(AREA CODE)
STATE:
ZIP:
WORK TYPE: New construction [nstall U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
Specify Nature of Work:
When installing/removing underground tank, caZl 651-681-4675 far dnspection by Fire Marshal and
Plumbing linspector.
Fees: 1% of contract price OR $50.00 minimum fee, whic6ever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL
$
SIGNATURE OF PERMITTEE
;
Updated 1/01
D ??-
2000 BUILDIMG PERMIT APPLICATlON (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 56122
651-681-4675
Ngw ConstnicMon Reauiremenh ? + J'(
? 9 registered sNe surveys aFwwing sq. M. W 101; eq. H. W hand
and Q roofed areas (2D% maximum lot coveraaa ollowed)
? 2 copies ot plans (show beam & wintlow sizes; poured tnd. deafgn; efc.)
? 1 set ot energy colculalions
? 3 copies d}ree preservallan plon 111ot PlaHetl arisr 7/1/99
DATE: I I/ a I?-L CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESSr-?
LOT: -k5 ?BLQK:
Ronwaeueeoair Beawremems
C)c?
2 copies of plan
1 sef of energy calculatiorn br heatetl adtllHOns
1 site wrveY tor extedor atltlitions 8 decka
l,? 0 , z1o D
i( multi-fcmiry bidg., how many unlts?
SUBD.lP.I.D. Y: 0 MICB ?OI?K1? L'j h
Name: Phone #:
PROPERTY Last Pirsr
OWNER
Sheet
Cly Sfate: Zip:
Company:/7J I?(. I?m5 CJW (Da Phone #: S?oo
(area code)
COMRACTOR StreetAddress: license li P? j E?/J_//01
city stare: vp:
ARCHITECT/
ENGMEER Company: Mame:
Telephone #: ( )
Sheet
Reglshaflon #:
ay State: zlp:
Sewer/water licensed plumber (if installina seweNwaterl: ?/7 )/ GY??-yJ?,? Phone #: kV Z- 2l
I hereby acknowledge that I have read this application, state that fhe intormation is eortect, and agree to compty wNh all appficable Stade
of Minnesota Stafutes and City of Eagan Ordinancea
Signalure of Applicant: rn
Certificates of Survey Received ? Yes
Tree Preservation Plan Received i Yes
OFFICE USE ONLY -
??G `" ? •-• ZQ'J?
= No 4
No Not ??`-
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Poroh (3-sea.) ? 31 F_xt:,Alt • Multl
?r 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF
? 03 01 of _ plex ? 09 07-piex O 18 Deck ? 23 Poroh (screened) ? 36 Muki
? 04 02-plex ? 10 DS-plex 0 19 Lower Level ? 24 Storm Damage
? OS 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-piex ? 72 . 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
0 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition p 37 Demolish {Bldg}' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
O 34 Repair ? 42 Demoiish (Foundation) O 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATiON
SAC Code ? # of Stories .2 sq. ft.
No. of Units Length 41?1 sq. ft.
No. of Buildings
Const. (Actual) Width y - Footprint sq. ft. I6 7?
-?A Basement sq. ft. 118?1 Census Code GG (
(Allowable) MV level sq. ft. >z 9a MC/ES 5ystem
UBC Occupancy ft. I Y City Water
Zoning ? C-aLa-K, sq. ft. 1-1;91y Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
'Planning Building -Z Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
?a?'
MC/ES SAC
City 5AC Water Conn. 0 z- z??L
WaterMeter KsLe"_ lo?C,36 S', ° G
Acct. Depasft
S/W Permit
5/W Surcharge
Treatment PI.
Park Ded. - ?o
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
?-
?% B.?/? ??7? ? p?
?L'Z? /
NOV. 2.2000 19:31PM 95289845431
?
NRSCheck COMPLIANCE REpORT
Minnesota Energy Code
1vIlacheck Software Version 3.0
COUNTY: Dakota
3TATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Eamily
DATE: 10-23-2000
DATG OF PLANB: 8/10/00
TITLE: DAR'TMOU'1'H WALgOtiT ELEVATION #3
PROJfiCT 2NFORMA'1'ION:
EARLEY LAKE
COMPLIANCE: PASSES
NV.Cb7 r.l/ l
permit #
Checked by/Date
Required VA = 547
Your Fiome = 486
11.1% Better Than Code p,r@a or Cavity Cont. Glazing/Door
Perimeter R-t7alue R-Value U-Value__-_^
----^-----------
--------'-----
CEILINGS--------------------y 1540 44.0 0-0
14.0 a2.-o 1
WAI.+LS: Wood Frame, 1611 O.C. 2674 19.0
o
WALLS: Wood Frame, 16" O.C.
p,350 1
gSMT: Conc. 9.0' ht/8.3' bg/9.0' insul'-V1 5.0 0.0
GLAZII3G: Wr.ndows or poors, Above arade 530? 0,350
DOORS
FLOORS: Over IInconditioned Space 336 38.0 2.0
HVAC EQUIPMENT: Furnace, 92.0 AFUE -------------------------------
--------
COMPLIANCE STATEMENT: The ProPo6ed buildiag design described here is
consistent with the building plans, apacificatioas, and other ealculatione
submitted with the permit application. The proposed building has been
designed to meet the requir e`?s of the Mi.naesota Energy Code.
J ? lD?
Builder/Designer "• ? "`` "" 'L7?" Date "
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILOING PERMIT APPLICATION
? PROPERTY LEGAL: Ge7' ?? ?LOC,yF°? t?iy,S'BQ.7J.('? ¢ ry?G'dar T?t?l3
h DATE OF SURVEY:
H
?
W
LATEST REVISION:
(Z
C
0 DOCUMENTSTANDARDS
ag Q
°
?
a • Registered Land Surveyor signature and company
?
p ?
? ? BuildingPermdApplicant
Legal descriptian
? ? ? • Address
e?p ? North arrow and scale
? o :
House type (rambler, walkout, splR w/o, spld entry, lookout, etc.)
p a .
Directional drainage arrows with slope/gradient °h
?r? ? Proposed/existing sewer and water services & invert elevation
a?
0 ? :
Street name
0
v0 o • omeway
? ? ? • Lot 5quare Footage
Lv/ ? ? • Lot Coverage
ELEVATIONS
? Ex?s6na
V' ? ? • Sewer service (or Proposed)
v ? • PropeRy comers
? • Top of curb atthe driveway
?w-'o • Elevations of any ebsting adjacent homes
?zXo Adequa[e footing depth of sVuctures due to adjacent utility trenches
Prooosed
? ? o • Garagefioor
p? ? ? • Firstfloor
? ? ? • Lowest exposed elevation (walkouUwindow)
g/ ? ? • Property corners
0, ? ? • Front and rear of home at the foundation
PONDING AREA ('R apolicaWe)
g?" ? ? • Easement iine
? ? ? - NWL
? a a • HWL
o ? ? • Pond # designation
? ? ? • Emergency Overifaw Elevation
/ DIMENSIONS
& di
i
B
ri
? ? ngs
mens
ons
• Lot Iinesl
ea
g'? ? a
? • Right-of-way and street width (to 6ack of curb)
porches
etc
s
ter than 2'
h
n
k
e ? ,
.
,
grea
a
g
s, ovet
• Proposed hame dimensions including any proposed dec
? (i.e. all sVuctures requiring permanent foofings)
? ? • Shaw all easements of record and any City utilities within those easements
m/' ?? • Setbacks of proposed structure and sideyard setback of adjacent e' ag strudures
uirements
9 an
ll
R
t
i
i
? ? ,
y
ng wa
req
•
e
a
n
Reviewed:
/ Date
March 7969
CPAIGJHLOGF0.Mf.FM
Surveyor's Certif2cate
SURVEY FOR :PULTE
DESCRIBED AS • Lot 15, Block 5, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota
? County, Minnesota and reserving easements of recard.
x+ N 1/
Plan # 18231
PROPOSED ELEVATIONS
Top of Foundation
Garage Floor
Bosement Floor
Aprox. Sewer Service ,t
Proposed Elev. = 0
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
HEaLvNAO
PLANNING ENCIN6IFRINC SURVBYING
2005 Pin Ook Drive
Eagan, MN 55122
Phone: (651) 405-6600
Fax : (651) 405-6606
?
SCALE: 1 inch = 30 /eet
BENCHMARK, T,V,-16, ?'s
FiC, = ? t'J 1. s i
MIN. SETBACK REQUIREMENTS
Front - 25 House Side -
Rear - 15 Garage Side -
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 SHONM.
DATE
INDGREN, LAND URVEY
LICENSE NUMBER 14376
JOB N0:
OOR-332
BOOK: PAGE:
CAD FILE:
OAKBROOKE
LU ! 5G1. f- OOTAGE = 22,869
HSE. SQ. FOOTAGE = 1,801
LOT COVERAGE = 8%
PERMIT # "l "I 6qV
RECEIPT DATE: 2I71 0I
RESIDENTIAL PLUM$IR& PEO1T APPLICATION
crrY oe EAtfiAx
8$30 PII.OT KNOB RD
rAsAx, aix 55122
651-681-4675
Please complete for: : single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS:
??/ ?
?/J,LA4
OWNER NAME: . J Lf ?G?LI' TELEPHONE #:
' (AREA CODE)
INSTALLER NAME: TELEPHONE #: ?,? S? y (( ???p
STREETADDRESS : S^a-??- ,?((fl?,c !?J??/ (AREACODE)
CITY: De/ //a 2 STATE: 021 ZIP: -?
Place a check mark next to the permit work type
New residential dwelling unit under construction and not ownerloccupied $ 90.00
L"IZ Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnarou d
?
N
t
f
k
a
ure o
wor
:
Septic System, new/refurbished - $ 225.00
• includes County & Cansulting Inspector fees
• requires MPC license -- -
F; R F? R-r Fr' r p?
? MAR
0 7 2001
state Surcharge g 50
/
BY ?
Tota I
$?Z,2
Reminder. Be sure ta schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowletlge that I have read this appliration, state lhat the information is correct, and agree to comply with all applicable Cityof Eagan ordinances. It
is Ihe applicant's responsibilily to nolify the property owner trfat lhe City of Eagan assumes no liability for any damages raused by the City during its normal
operalional and maintenance acGvities to the facililies constructed under this permit wilhin Pa ment.
i
SIGNATURE OF PERMITTEE
Updated V01
,S'urve y o r's
Certificate
SURVEY FOR :PULTE
DESCRIBED AS' • Lat 15, Block 5, OAKBROOKE 4TH ADDITION, City of Eagan, Dakota
County, Minnesota and reserving eosements of record.
.f
G?a
}
-0000
?
??••
. ?i
io .
CO ?
N
? II ?? ?ol? 939;5 ?
I
I
!
?
WETLAND
NWE=920.0
HWE=921.3
\
\
Droinage k Utlllty Eosement--1-7
\'J) \ \
?
?A4,??,, \ o? \ `5~5 Sg 16 E
A!?`? od 0 93'L.5
/i
1
ti
? \?°
,- ?
0 0 /i
°9a °
4 5 Sel
994 ./ ? ?
?
\
\
\??L
?
.C •
LOT SQ. FOOTAGE = 22,869
HSE. SQ. F00TAGE = 1,801
LOT COVERAGE = 87
Plan // 18231
PROPOSED ELEVATIONS
Top of Foundation = qqp.o
Garage Floor =9ni.co
Basement Floor =qg3 p
Aprox. Sewer Service =42(,.5!
Proposed Elev.
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
BENCHMARK, rNH@ ?/5
Elea = 939. 39
SCALE: 1 inth - 30 feet
MIN. SETBACK REQUIREMENTS
Front-25 House Side -
Rear -15 Gorage Side -
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION JOB N0:
HEDLU/VD OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED OOR-332
BY ME OR UNDER MY DIRECT SUPERNISION AND DOES NOT PURPOR7 TO BOOK: PnGE:
SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
-PL,lNNING h'NGfNBBR1N0 SURVBYINC
2005 Pin Oak Drive /1 i1_iQQ
Eagan, MN 55122 DATE _f _ • ,
liet,
CAD FILE:
Phone: (657) 405-6600 fR . LINOGREN, LAND RVEYOR
Fox :(851) 405-6606 INN TA LICENSE NUMBER 14376 OAKBROOKE
:/ /'
a5og5
R.-90,"
Cujy of Eaian
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651) 675-5675
Fax: (651) 676-5694
^---------------- ;
j Pemut#:_____b`'t.IL?? ;
? Pemrit Fee: i
i
? pgte Received:
?----------------?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
ode: q i°)" srte,aaaress: ylL4l OLKeecd?
suile #:
RESIDENT 1 aWNER Name: JIZ r. rrm? ...?r+n ti•„?.. ...._. .._.._ -
p,ddress 1 Ciry I Zry:
Applicant is: _ Owner _XContractor
TYPE OF WORK Dascription of work: TEAK- ui= F
9-DO. °D Multl•Family8uilding:(Yes_/No.L)
CONTRACTOR Name: Iicensei:
Address: - r I r
Citty:?11???r _Stm:.?zip: 55
PMne:G1?j•"I'Aq•L42Pa1_ ContactPeraon:_KQ
COMPLETE THIS AREA ONLY IF CONSTRUCTiNG A NEW BUILDING
Minneacta Rules 7670 Q+teoorv 1 ?tinnesota Rules 7?M
Energy Code • Residentiel vam'Ietlan.CMPry I watOIeet . • New EnergY Coda waWheet
ca"ory SWxnyped SubmiGeO
(J su6miasion type) • E"eW Emw0M eamjwb0"s sub"ded
tn ths Ie9t 12 morHhs, has the CitY of E89M ISWUNIC! a PWn* tor a 3imil0r Plan basad on e master phn?
_Yes _No if yes, dste and eddress of master plan:
Licensed Plumber:
Mschanieal Contraator:
Sewer 8 Water Contraewr:
Phone:
PhOn6:
i nereby ad<navAadge that tlds infwmffilon is oomple0sarnd aoartero: thea ft worlc wW Da in coMormence vAM tlhs ortGnerxos arM wOes ar the py a
Eagan; nmt I wWmsmM uus is M a pwmn, out ugv an awpnmuon ror a ver^t. ane work is na mStart wiDart a permit: mac n,o wodc we os in
aocaroarke win, me approvec qen m ure ease m wak wtda, requires a rtarew aria aipprarel m alam .
X M- ??MI?IW x ?'
AppllcaM's Printed Name Appika^Ys sior4dre Page 1 oi 3
Siteaddress: . q&, a4we Lot 6- Block E suea.
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 sWcture: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
? OR
•ti ? This structure: will be constmcted to meet more restrictive requiremenGs of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFAC7URER MODEL . BTU'S VENTING TYPE
Water Heater
+Y} 12
Furnace y?n?n 6)?k?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
res No
Kitchen kitchen
8athroom 1
?fdn . .
?rnn5on
L/ -QS VG_
?'
?
Bathroom 2 :qyta)on iG- " --f!S\lQ
Bathroom 3 '
Bathroom 4
Other Ln?? lt%wch? r '?-LSv C
t/
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'% ' VENTING
DIRECi niMOS
'e .• ?? -2_ ;)'7560
?
«
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
?
??rr
Signa e !?
Date
r,
Company Name
' This form is the responsibility of the General Contractor.
411°
C!ty of Eaiall
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit#: l) p I O1
U414�
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Octliki Site Address: �{�tkQQ00KP C(9���(C
Name:
SE i- A2 SAkIAAPA KU
Address / City / Zip:
Applicant is: Owner
r s . : ' 0
Unit #:
Phone: (0‘4)_.3 D Cp — l' 4
At
Contractor
Description of work: Q A'S EMeU T
Construction Cost: 6,000 Multi -Family Building: (Yes / No V )
Company: )• Contact:
Address: r City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
BUILDING CoNSTA.Ue,TEt IN 20ot
,00l PD
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:
Phone:
Phone:
Mechanical Contractor:
Sewer & Water Contractor:
'NOTE Plans .and support!ng documentsythat
the information maybe classified as nonpub
toriclude,
ou submit are considered to be
is If ou provide specific <reasons
ey are trade'secres.
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 permit issuance.
x .ml
Io.. „ A_1./
App want's Printed Name
.fi k.1 AI ■ t'Rs) x
Applicant's Signature
Page 1 of 3
4)`FI Oad ro at/ C
DO NOT WRITE BELOW THIS LINE
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 /
X New _ 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
Valuation 0 Occupancy il, MCES System
Plan Review Code Edition YviJ')-vof7 SAC Units
(25% 100% )t) Zoning (0 City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction 1,/i, Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) 7 -Final / No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: _Ice & Water _Final Pool: Footings Air/Gas Tests Final
�( Framing Siding: _Stucco Lath Stone Lath Brick
Fireplace: Rough In Air Test _Final Windows
)( Insulation Retaining Wall: _ Footings Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
d
Page 2 of 3
v, r\ Ir1
MAMIL
_K
r - - - - - -
For Office Use
C Permit a
ity of Ea an
I Permit Fee: I
3830 Pilot Knob Road I o I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: _ljj ( flA i< flp - CA t 1Q V` i~ Cj f f ~ J~ ~(22
Tenant: Suite
Resident/Owner Name: C { ~ S Qt K 1A-A M U (Z) Phone:1c~1
Address / City / Zip: - EALA t\3 2
Name: License
Contractor Address: City:
State: Zip: Phone:
Contact: Email:
Type of Work - New _ Replacement _ Repair _ Rebuild ✓ Modify Space _ Work in R.O.W.
Description of work: nj N IRPtT4 W K
RESIDENTIAL
Water Heater
Water Softener
° Lawn Irrigation L- RPZ PVB)
Permit Type Add Plumbing Fixtures C Main Lower Level)
Septic System
New Water Turnaround
I Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ o, 00
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.org
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 SEkH A9, _gAKA~I~~ x~~un ~yL
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground ---Rough-In -Air Test- -Gas Test Final-
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165208
Date Issued:10/22/2020
Permit Category:ePermit
Site Address: 4141 Oakbrooke Curve
Lot:15 Block: 5 Addition: Oakbrooke 4th
PID:10-53763-05-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Sekhar V & Lakshmi Sakhamuru
4141 Oakbrooke Curv
Eagan MN 55122--421
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature