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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