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1679 Skywood Lane Heating & Air Conditioning, L.L.C. 12481 Rhode Island Ave S, Savage, XV 55378 . 952-894-0005 Orstat Test Report for Job# Address Ciiy , r rf Occupant Date of Install Type of HT. NA HW Space HT Unit HT Make Model ?- Serial ??? ,;_; ?j cam, ., Input < >3 rc.+ t Pilot Type HOT SURFACE IGNITOR Pressure C02 Input CFH 02 Stack Temp 1 CO -? ` Date Tested ! Z e Company . Technician kr;- 0 Qi25AT Address: 1679 Skywood Lane Zip: 55122 Lot: 5 Block: 1 Subdivision: Oakbrooke 6th THE FOLLOWING ITEMS WEREWERE NOT COMPLETE 4,T FINAL INSPECTION ON 9-- 1,(t -03 Yes No Comments Final grade - 6" from siding Permanent steps - garage Permanent steps - main entry Permanent driveway Permanent gas Sod/Seeded lawn Trail/curb damage Porch Lower level finish S°? I G/d o Deck Fireplace • Verify with your builder that roof test caps from the plumbing system have been removed. • Truro 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 right-of-way or installing irrigation system. V BUILDING INSPECTOR: CONTRACTOR: Palte Homes 815 Northwest Pkwy, #140 Eagan, MN 55122 Site address: I (n7q t'4A44i Lot W Block -Pj Subd. tea e'bifo& 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 Code, 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 ? ekspii??-B Furnace K Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES NO Kitchen kitchen Bathroom 1 G ?/ ?? g© Bathroom2 t,t tt tt / FV-6SV(D ,D Bathroom 3 Sze,,- I :5V- go Bathroom 4 t t ct t t S ??? S'(? Other FIREPLACES LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS ?• ? NGt? G 0667-t LS a7om I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. Signa Company Name 9R /13 k.3 Date This form is the responsibility of the General Contractor. PLUMBING (RESIDENTIAL) u Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date -i7- / Z / /J it# lm U 47 n Site Address 9 y tt?pe Property Owner 'N•'yty /rB CiYO?a• Telephone Contractor Address /l9 w City State Zip 4S'0 Telephone# Yj?-} The Applicant is Owner Contractor Other Septic System _ New - Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes County fee. Additional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 - Adding fixtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter if needed - $121.00) Other: RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system f//W W h t f tener _ ater ea er ater so $ 15.00 replacement _ additional $ 50 State Surcharge Total $ 1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the wore: will be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is nail ?i 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 f plans. approved plan in he case 'f work whi equires a review and approval ?Apfic nt's Signattue Applic t rinted Name a ?- 5 ak0t-Zoka L BL RESIDENTIAL BUILDING 8,0 -5'6aI? - * q1 lo. 5y Permit Application me (.0* City Of Eagan pp- 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 5?A? j - ?o .5D ?g,8o - go.SO •4 14-1 -11. Office Use Only u t '?'' ,b-Carl of Survey Recd -Tree Pres Plan Recd ' 31101 03 W_7ree Pres Not Reqd _On-site Septic System 1?0" New Construction Reauirements Remodel4teoair Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. t site survey for additions & decks 1 set of Energy Calculations Addition - indicate it on-site septic system 3 copies of Tree Preservation Plan if lot platted after 711/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units 1 Date 17 Z / Z &, / o 7K Site Address It, 79 S; ? eU/ P4,61 b it a r Construction Cost /lo. "' Unit/Ste # Description of Work AS _<4"/, ? A; e lac S Property Owner / ?t Telephone # (&57 ) 9 12 52.E ? Contractor 1 Address (5 State A k) City . Zip YS-1'2 Telephone # (/vS-/ ) Y> z- I ° COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Category I • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor ,vvrSw(? "°^'"3 lv l Sewer/Water Contractor r-? - _ A NEW BUILDING l Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #(f-? c*5 Z/ Z / Telephone #(ija) ?isy 7 oo•>j ?! rlep'hone #(7b1 )'tlP ;?s 38 - I I hereby apply for a Residential Building Permit and,ac_knowledge that the, nformation is complete and accurate; that the work will be in conformance with the ordinances and c6des `of fhe City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Q? )5j ?Ig lk ?051-qo Applicant's P inted Name Ap t s Signature f • % Sub Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool CCC ???,, ,rte 02 / SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of-plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types /- ' 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 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 OFFICE USE ONLY Valuation D ?Ov Occupancy Census Code Zoning _ O SAC Units Stories T Nbr. of Units Sq. Ft. Nbr. of Bldgs ? Length Type of Const Width Footings (new bldg) Footings (deck) _ Footings (addition) Foundation _ Drain Tile Roof _ Ice & Water Final Framing XAir Test VFinal Fireplace 4 R.I. -7 77 Insulation MC/ES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS X Final/C.0. _ Final/No C.O. Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests - Final Siding _ Stucco _ Stone _ Windows (new/replacement) Retaining Wall Approved By -F Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 5L&7,3 Orv G-n110 ?171 23 MNr1 I: COMPLIANCE REPORT Mini' -'rn Energy Code Mc Ir !. ^of.tware Version 3.0 COIH11 .•: Dakota STT','' - Ir i nnesota zone' CON:' HON TYPE: Single Family DA'1'I' - t' - 3 --2000 DATI' 1-1 PLANS- 8/3/00 TITI,' n,RTSTAL SLAB EL.2 PF.C'• 1 I' INFORMATION: OAF' ' ' 0ZI-7 COPT ' PASSES Permit # Checked by Date Rein UA = 421 Yol i " n ^ = 318 24 .' ''-I--ter Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value -- ------------------------------------------------------------------ CEII 1342 44.0 0.0 WATT 'I,>od Frame, 16" O.C. 1538 19.0 2.0 GL,' 7 ', : windows or Doors, Above Grade 188 0.350 DO(', 38 0.350 SLT''' rC'ORS: Unheated, 42.0" insul. 170 10.0 1 HVA'_ I".)IIIPMENTt.p,Furnace, 92.0.AFUE p ?y -_- COMPJ LANCE STAf?4E1'P?".The, tO Osed bUildin' deg aZl4 'PP,(EH ' " wi Atli' ,p_ A " ere in cone-.stmt ildihil01ans', 's ec3f A igl ulatione subm;t.ted with 11', A' peYtititil"ap?licaCion. 1:''h' p both des.idnsd to meet' the iequir'emeiks"-of,`the! Mifinehot' l1 Bui 1'!' , /Des r Oda VOO fa/ ? 0/ ? tff ? e? ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL: Lot Bkr,k I Q( KbeaoKe, 1,4 4 i iI1Dn DATE OF SURVEY: 2-11-o3 LATEST REVISION: m °J C m r U DOCUMENT STANDARDS ? • Registered Land Surveyor signature and company ? • Building Permit Applicant ? • Legal description 0 • Address ? • North arrow and scale ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0 • Directional drainage arrows with slopelgradient % ? • Proposed/existing sewer and water services & invert elevation ? • Street name ? Driveway ? • Lot Square Footage ? • Lot Coverage ELEVATIONS Existing ig 0 0 • Sewer service (or Proposed) U/ ? 0 • Property comers W ? ? • Top of curb at the driveway and property line extensions ? U/ ? • Elevations of any existing adjacent homes ? D/ 0 • Adequate footing depth of structures due to adjacent utility trenches ? C?? • Waterways (pond, stream, etc.) Proposed ? ? Front and rear of home at the foundation PONDING AREA (if applicable) ? VO • Easement line ? q/ El • NWL ? G? ? • HWL ? W/ ? • Pond # designation ? p? ? • Emergency Overflow Elevation ? c4' 0 • Pond/Wetland buffer delineation DIMENSIONS D/ ? ? • Lot lines/Bearings & dimensions ? • Right-of-way and street width (to back of curb) ? U • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. / (i.e. all structures requiring permanent footings) B/E ? • Show all easements of record and any City utilities within those easements tam ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures e?? ? • Retaining wall requirements, if any Reviewed: G:/FORMSIBullding Permit Application Name Date V- /? ? • Garage floor by ? ? • Basement floor M/o 0 • Lowest exposed elevation (walkout/window) ? ? • Property comers Surveyor's Certificate SURVEY FOR : PULTE HOMES DESCRIBED AS :Lot 5, Block 1, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving easements of record. PEAR U 4 RECD 3:11 Rgattimytrlw Blokes or Retaining Wall Will BS Required # 17931 PROPOSED ELEVATIONS Top of Foundation = 943.5 Garage Floor = 942.4 Basement Floor = N/A Aprox. Sewer Service = 931.5 Proposed Elev. = 0 Existing Elev. _ Drainage Directions = Denotes Offset Stake = HEDLUND PLANNING ENGINEERING SURPEYINC 2005 Pin Oak Drive Eagan, MN 55122 Phone: (651) 405-6600 Fax: (651) 405-6606 i p BENCHMARK, - 2 MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side- SCALE: 1 Inch = 30 feet I HEREBY CERTIFY THAT THIS IS OF THE BOUNDARIES OF THE AE BY ME OR UNDER MY DIRECT SF SHOW IMPROVEMENTS OR ENCRC DATE _2 /L9 /D3 JOB N0: ANDS CORRECT'REPRESENTATION 03R-084 7RIBED PROPERTY, AS,--SURVEYED d,AND DOES NOT:PURPORT TO BOOK: PAGF i; EXCEPT AS SHOWN.' 14376 1 Oakbrooke 5 )cv Z ZS-V3 LOT SQ. FOOTAGE = 3,080 HSE. SQ. FOOTAGE = 1,686 LOT COVERAGE = 54% PERMIT Permit Type: Building City of Eagan Permit Number: EA105971 Date Issued: 08/06/2012 Permit Category: ePermit Site Address: 1679 Skywood Lane Lot: 5 Block: 1 Addition: Oakbrooke 6th PID: 10-53765-01-050 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are Comments: not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Krech Exteriors Inc Antonio A Rosadio 5866 Blackshire Path 1679 Skywood Lane Inver Grove Heights MN 55076 Eagan MN 55122 (651) 688-6368 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA125373 Date Issued:07/22/2014 Permit Category:ePermit Site Address: 1679 Skywood Lane Lot:5 Block: 1 Addition: Oakbrooke 6th PID:10-53765-01-050 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 - Antonio A Rosadio 1679 Skywood Lane 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:EA126768 Date Issued:09/09/2014 Permit Category:ePermit Site Address: 1679 Skywood Lane Lot:5 Block: 1 Addition: Oakbrooke 6th PID:10-53765-01-050 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 - Antonio A Rosadio 1679 Skywood Lane 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:EA153356 Date Issued:12/13/2018 Permit Category:ePermit Site Address: 1679 Skywood Lane Lot:5 Block: 1 Addition: Oakbrooke 6th PID:10-53765-01-050 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - David Zimmerman 1679 Skywood Lane Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature