1652 Oakbrooke WaySiIRNSYILLE
Keating & Air Conditioning, L.L.C.
12481 Rhode IslanAAve S, Savage, MN 55378 • 952494-0005
Orstat Test Report for Job# 5?2S?-
AddfeSS I lPS-? 0A462OOeL GJAV CIIy (LA CiA
OCCUpfIt
Datie of Install (v - !4, ? v 3
Type of HT. F/A_?. HW Space HT Unit HT
/?
Other
Malae k= ,LWU X/
Model C3???a-S6-G
Serial 5803c s35W?
Input f?>Tucr'f'
Pilot Type HOT SURFACE /GN/TOR
Pressure 3• '?? (W(- C02
Input CFH Sb 02 /b • ?
StackTemp 414 C0)7 ppLnd
Date Tested 7 - Z $ ,
Company BURNSVlLLE
Technician
Address: 1652 Oakbrooke Way
Lot: 1 Block: 1 Subdivision: Oakbrooke 3rd
Zip: 55122
'1'HE FOI.LOWINC ITEMS W ERE/WF,RE NOT COMPLF.TE AT FINAL INSPF.CTION ON g-/.4! r03
Yes No Comments
Final grade - 6" from siding
Permanent steps - arage x
Permanent ste s- main entry
Permanent driveway
Permanent gas ,x
Sod/Seeded lawn
Trail/curb dama e
Porch )C
Lower level finish fj c93 on/ aa,O,Z
Deck
Pireplace
. Verify with your builder that roof test caps from the plumbing system have been removed.
• Tum off water supply to the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Department at 651-675-5646 prior to working in nght-of-way or installing
irrigation system.
y BUILDING INSPEC'POR:
-;0Z
CONTRACTOR:
Pu1te Homes
815 Northwest Pkwy, 4140
Eagan, MN 55122
Site address: b5;?- 4O1 k'f='roa ke Lot.W siock 0
Subd.
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 infortnation be
submitted prior to issuance of a Certificate of Occupancy.
-/This structure: is consWcted to meet minimum requirements of the Mn Energy Code, Ghapter 7670
? OR
_ This sWcture: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MOUEL BTU'S VENTING TYPE
WaterHeater 5- ff>
Furnace V LeAln6?& Ca3- a FL - sq,Oo0
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES r+0
Kitchen kitchen
Bathroom 1 Aa` VQ ?
samroom2 Fv'DSI/O J?0 L'/
eatnroom 3 (y?, ?a S v'° O 8-6
?
Bathroom 4 L 5 -5V 5-5
Other
VENTING
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DiRECT ATMOS
I here6y acknowledge that the above informabon is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
zilylllf
Signaiun IA ?t s
CompanyName
Date
* This form is the responsibility of the General ConUactor.
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t.? l o ck_ I
0 ak,1) va-c??- -Z?-?fC?
o38 -
S-=*-l,J Is 9 I la-? V y 561
RESIDENTIAL BUILDING
Permit Application M Q - 5zl 039 '
4'4 Cr N (Q_ 7y-
'20 •_'S7b
City Of Eagan QP -
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construchon Reouiremenk RemodellReoair Reauirements
3 registe2d site surveys showing sq. ft of lof, sq fl, o( house; and all roofed areas 2 copies of plan
(20%maximum lotcoverege allowed) t set of Energy Calculations for heated additions
2 copies of plan showing 6eam & window sizes; poured found design, etc. 7 site survey for addNOns & decks
1 sel of Eneqy CalculaUore Addifion - indicete i(on-site septic system
3 copies of Tree Preserva0on Plan if lot platted after 7/1193
Rim Joist Deteil Options selectlon sheet (bldgs wBh 3 or less unifs
rt-r,+-,-e I, A?807.
Qft us nly ca-eec-?.
RofSurveyRecd ,51(010-5
Pres Plan Recd
ee Pres Not Reqd
_ On-site SepGc System
Date 4./ 21 / b 3
SiteAddress tl052 ??bfap?
'?r.` Constructiou Cost ?C-N
UniUSte #
Description of Work IVeUJ `{9nSky -UG77.0- Slwy?C Rpw^-E( ?e
B
Property Owner Telephone # ( )
Contractor e(i[k Atmg!?;
Address 815` NbrkwAf:;i
State ' ?N PAflCw u City
ip 5,;571?f Telephone # ( W2 )j q'
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv I
. Residential Ventllalion Category t Worksheet
(4 submission type) Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber Y(? ?-+xbl '
MechanicalContractor SurLC LX-s
Sewer/Water Contractor Crn? SE?UU?
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Telephone #(,:t;Z ?%2 (
Telephone #(q5z) a9`1'0005-
Telephone #(7?? q2B -a936
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application far 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.
/76a? 5gr,?
ApplicanYs Printed Name
OFFICE USE ONLY
Sub Types '
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
?,? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
Q 03 01 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 (screeNgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 MisCellaneous
Work Types
x 31New O
? 32 Addition ?
? 33 Alteretion ?
? 34 Replacem ent
Valuation
Census Code
SAC Units
Nbr. of Units '
Nbr, of Bldgs
Type of Const _vr)
? Foohngs (new bldg)
_ Foohngs(deck)
Foorings(addition)
? Foundahon
Drain Tile
Roof Ice & Water Final
lC Framing? .
Fireplace _ R.I. _ Air Test _ Final
X Insularion
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy 237 WL MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. , L (7 PRV ?
Length ? Fire Sprinklered
W idth
REQUIRED INSPECTIONS
? FinaUC.O.
FinallNo C.O.
_ Plumbing
_ HVAC
O[her
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
Windows (new/replacement)
`?' , Retaining Wall
f
Approved By Building Inspector
---------------- - - - ---- ---------------------------
?a?? I 5 ??d x s? = {?3?? ?o
?ya
r
MRY-12-2000 14:03
NINcheck COMPLIANCE REPORT
Minneaota Energy Code
MNcheck 3oftware Version 3.0
1l . F1[/u3
Perm3t
eakC Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTA'UCTION TYPE: 8ingle Family
DATE: 5-12-2000
DATE OF PLAAIS: 5/12/00
TITLS: CRYBTAL SLAB W/PORCH 6L.1
PROJ$CT INFOFMATIDN:
OAKBR04KE
COMPLIANGE: PASAE3
Required UA = 503
Yaur Homa m 399
20,68 BetLer Thari Cade
Area or Cavity Cont. Glazing/boor
PeYimeter R-ValuA R-Va3ua U-Value
CSILIDTGS 1713 44.0 0.0
WALLS: Wood Frame, 16" O_C, 1784 19.0 2.0
GLA.ZING: 97indowe oY Doora, Above arade 299 0.350
DOORB 38 01350
SIJaB FLOQR$: Vnheated, 42•0" ineul. 196 10.0
HVAC EQUIPMENT: Furnace, 92.0 AFIIS
---------------- --------------------^---------`-------`----------------- - -
COMPLIANCE BTATEMENT- The proposed building deaign deacribed here is
con6iatent with the building plans, apeciEioationa, and other calculations
submitted with the permit application. The proposed bulldiac has been
deeigned to meet the requirements of the Minnesota Energy Code.
Huilder/Dedigner Aate
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: ?C'ck6ioo4e, 3rz?
DATE OF SURVEY: 't- //-D 3
LATEST REVISION:
m
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A
L
V
Ya
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Q
OOCUMENT STANDARDS
cY? ? • Registered Land Surveyor signature and company
IY ?
4?p ?
? •
• Buiiding Pertnit Applicant
Legal description
0 0 • Address
O • North arrow and scale
v ? . House type (rambler, walkout, split w/o, split entry, lookout, etc.)
9--/D ? • Directional drainage arrows with slope/gradient %
vp ? . Proposedlexisting sewer and water services & invert elevation
6/? ? • Sheet name
[9?0 ? • Driveway
G?0 ? • Lot Square Footage
MAD ? • Lot Coverage
ELEVATIONS
ExisGn
v'o ? • Sewer service (or Proposed)
e' ? ? • Property comers
E'? ? • Top of curh at the driveway and properly line e#ensions
L4?0 0 • Elevations of any existing adjacent homes
? L? ? • Adequate footing depth of sWctures due to adjacent utility trenches
? @-1 ? • Watenvays (pond, sVeam, etc.)
Prooosed
9"o ? • Garage floor
V ? ? • Basement floor
Y3/ ? ? • Lowest exposed elevaGOn (walkout/window)
? e?
V • Property comers
o -o • Front and rear of home at the foundation
PONDING AREA (if aoplicabie)
? gi ? • Easement line
? G?? • NWL
? CA? ? . HWL
0 ? • Pond # designation
? fi3?i[] • Emergency Ovefiow Elevation
? C9? ? • Pond/4Vetland buffer delineation
DIMENSIONS
FY ? ?
ra"a ?
P"o ?
?o ?
?p n
€Y ? a
• Lot lines/Bearings 8 dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions inGuding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sWctures requiring permanent footings)
• Show all easements of record and any City utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing sWctures
• Retaining wall requirements, - any
Reviewed:
GJFORMS/Building Permit Appilca6an
: . - Surveyor's Certificate
SURVEY FOR :PULrE
DESCRIBED AS : Lot ,, elock 1, OAKBROOKE 3RD ADDITION, City of Eagan, Dokota County, Minnesota and
reserving eosements of record.
APR 3 0 RECT
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S
e (} ?
932.7
R O
,?QY n
/ . A O
i3 933,1 OD
Son SeWer ? ?R' 'La ?Tr)D 5/ I.?
9,??
oF. $ 935.8 ? O ?y 69? ,ry 934.z 7?
? ?'ss ,20
g o°+ 2 a 26 O
ql5 S .°'o ?oo '>>
' 0a p ?
q O
?\ 1 G
??p_..i((1U? U_11?? f 936.0 \?
y?n?li??
l
? '
ot Re'?`n?n9
? A ?1
u?ted
Exist. Home
TOB = 937.0 /y Cb
x
?
? nO
\?\ ?OO ,0/
??936.2 `.235.8
.
LOT SQ. FOOTAGE = 3,168
HSE. SQ. FOOTAGE = 27047 LOT COVERAGE = 64% - i 5 ?0<ms°We<
,
Plan # 17941
............
C
,y
PROPOSED ELEVATION S ?
?
:
? f?104
9?
t BENCHMARK,
Top Of FoUndatiOn = 937.0
?P
` ? TNH Ookbrooke Tr. & Oakbrooke Way
Garags Floor
B
t Fl = 935.9 0. -
? ,. Elev. = 935.87
asemen
oor
rox
A
Sewer Service = 929.0
=
?'
Qw ?`
.
p
Proposed Elev, 9215
_??
,..•
?
?jly???SO
MIN. SETBACK REQUIREMENTS
Existing Elev. -
Drainoge Directions = Front - House Side -
Denotes Offset Stake = • SCALE: 1 cncn m 30 feet Rear - Garage Side-
JOB N0:
HEDLUND I HEREBY CERTIFY THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OOR-087
OF THE BOUNDARIES OF iHE ABOVE DESCRIBED PROPERTV AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNING FNGINBSRINC SURV6YING SHOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT AS SHOWN.
2005 Pin Oak Orive
Eagan, MN 55122 DnTE CAD FILE:
Phone: (657) 405-6600 FFCJ D. LINO REN, LAN URVEYOR
Fax: (651) 405-6606 IN OTA uCENSE NUMBER 14376 OAKBROOKE
/I i.i .. ^s
(,P?'jn RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings & Townhomes and Condos when permits aze required for each umt
Date 1?3
SiteAddress??`Z Unit#
Property Owner Telephone #
Contractor
Bumsville Heating & A/C, LLC
Street Addresf2481 Rhode_?sland Ave. e
C<<3'
State Savage, MN 55378-1122 Zip Telephone #( y12)
Bond #: lb toa ;?,'S0Y Expires: ff // /?)7
The Applicant is _ Owner ? Contractor _ Other
11i 00
$ 30
Add-on, modification or alteration to easting dwelling unit .
_ furnace replacement ? 1 1
_ air exchanger
? airconditioner ? New _ Replacement
l
other
State Surcharge $ .50
$ 3-?j5"
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordivauces and codes of the City of Eagan and with the Mechanical Codes; 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 aceordance with the
appAved plan in the case of work which requires a review and approval of pla5%., ?
Applicant's Pnnted Name A`pplicant's Signature
COMMERCIAL MECHAIVICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: commerciaVindustnal buildings
multi-family buildings when sepazate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #• Eapires:
The Applicant is _ Owner Confractor Other
Work Type
_ New construction _Install _ Remove Underground Tank
_ Interior Improvement Schedule inspectlon during installation or removal of tank
Processed Piping
Nature of Work:
Pe7m1f F¢¢ $50.50 Minimum Fee (mcludes State Surcharge)
Contract Value $_ x 1% _$ Pemut Fee
• If permit fee is $1,000 or less, add $.50
IFpemvt fee is over $1,000, add $.50 per => $ State Surcharge
$1,000 Permit Fee
$ Total Fee
i nereoy appiy tor a Gommercial Mechanical Pemilt and aclmowledge that the informarion is complete and accurate; that the work
wil] be in confomiance with the ordinances and codes of the City of Eagan and witL the Mechanical Codes; that I understand Uus is
not a permit, but only an applicauon for a pernut, and work is not to start without a permit; that the work will be in accordance with
[he approved plan in the case of work which requires a review and approval of plans.
ApplicanPs Printed Name
ApplicanYs Signature
Approved By: , Inspector Date:
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125781
Date Issued:08/04/2014
Permit Category:ePermit
Site Address: 1652 Oakbrooke Way
Lot:1 Block: 1 Addition: Oakbrooke 3rd
PID:10-53762-01-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shirley Jones
1652 Oakbrooke Way
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128004
Date Issued:10/22/2014
Permit Category:ePermit
Site Address: 1652 Oakbrooke Way
Lot:1 Block: 1 Addition: Oakbrooke 3rd
PID:10-53762-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Lisa Nyberg
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shirley Jones
1652 Oakbrooke Way
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
!"
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