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4083 Oakbrooke AlcoveAddress 4083 Oakbrooke Alcove I.ot 6 Blk 3 Sub Zip 5512? Oakbrooke Sth Addition THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: ,? 7. Yes Na Inspector. „y Final grade (6" from siding) V", Permanent steps (gazage) Permanent steps (main entry) Permanent driveway ? Permanent gas ? Sod/Seeded grass V/ TraiUwrb damage ? Porch f Basement Snish ? Deck Please verify with the buildet the temoval of roof test caps from [he plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Con[act engineering division at 681-4645 before working in rightof-way or installing underground sprinkler syscem. ? W6ile - City Copy Yellow • Resident Copy Pink - ConUactor Copy PLUMBING (RESIDENTIAL) Permit Application !- City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dweilings Townhomes and Condos when pernrits are required for each unit Date Site Address f?l,n x2 n? ? 44 e-,? l le- Unit p Property Owner {J F'? F.5-iL9S157 TelePhone# ? ? ,?-I4 Contractor /Z?? Address -M??_. City ?4?4 ?a? - $? L?A?•t?r.?l ? 0 '?G) ?s-17 state Zip Telephone# ` The Applicant is _ Owner A- Contractor _ Other Septic System _ New _ Refurhished Submit 2 seis of plans and MPC license $ 100 Includes County fee. Additional consultant fees may apply. .00 Alterations To Eristing Dwelling Unit, Including _ Adding fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00 _ Abandonment of sepfic system _ Water turnaround (+ 5/8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair rebuild - $ 30.00 _ Lawn irrigation system 19 Watersoftener _ Water heater $ 15.00 ? replacement _ additional ? A PR 2 9 2003 State Surcharge .50 Total By T herehv ------? -rrv - -r iwuuuig rcruuL ano acicnowieage tnat we mtormation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City oF Eagan and with the Plumbing Codes; that I understand tlus is not a pemrit, but only an applicafion for a pemvt, and work is not to start without a permit; that the work cvil] be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? 11--) 1 l /J Applicant's Printed Nam6 _ pp icanYs Sign ure Site address: Lot Block Subd. R\ c?? 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 restriclive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE WaterHeater V-' rq?on7 \? Z g % Furnace ,C C,a.3- \ Fc.._? txx? Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YE5 No Kitchen kitchen Bathroom 1 Bathroom 2 Bathroom 3 Bathroom 4 Other fIREPLACE S LOCATION GAS W000 MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS ? VJ G bex>o ? `? I hereby acknowledge that the above information requiremen4. ? aW .`4?- Company Name is correct and agree to comply with the Minnesota Energy Code and City of Eagan Date ` This form is the responsibility of the General Contractor. ir- o ? 3 '-S----? w--jj 4 I (? ? - ? RESIDENTIAL 6 BUILDING PERMIT APPLICATION CITY OF EAGAN "Q 3830 PILOT KNOB RD - 55'122 ? 651-687-4675 NewConsWdion Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. oi house; an?ll roofed areas (20% mauimum bt coverage al6wed) . 2 copies otplan showing beam & window sizes; poured found design, etc.) . i set of Energy Cabulations • 3 wpies ot Tree Praservatlon Plan if lot platted after 711l93 • Rim Joist Defail Opfions selectlon sheet (bldgs with 3 or less units) p1 4 ck (?Is ??C) sq? 4qC, 1I,, `+ °1 (? I `?I °r U . Sz? RemodeUReoairReauiremenls . 2 copies o( plan c? 1 set of Energy Calculations for heated addNOns . 1 site survey for entenor additions & decks • Indipte if home served 6y seplic system for addilions DATE _V5,102- 2? VALUAION JOB SITE ADDRESS Zlnb'3 0-, lc 6/002? /l/c-oy? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? yIA PROPERTY OWNER N,i=?-. s c? ?Mn) Cv */J TYPEOFWORK S?hv l?e ?a.rtJ FIREPLACE(S)_011_2 APPLICANT Iu 1-h-e N-o.-s o -? /l'( !iJ (70 r4? PHONE# GSl/ys ?-5'?a2 ? ADDRESS kl? X1or-YL_ wQr-1 /? , ICc„a,' 5?,.; 32_ 74c? ZIPCODE s s???-) PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted ? MINNESOTA RULES 7672 - New Energy Code Worksheet Su6mitted Plumbing Contractar: UR 1 I w P/4 , 6,`kw Phone #: 9-5x? Z tif 9a-?I _Z I Plumbing Systcm Includes: _ Water Softencr Iawn Sprinkler Fee: $90.00 ! Water Heater ? No. of R.I. Baths 3 No. of Baths Mechanical Contractor: 13 u r w s v; phone # 9el -oo n-s- Mechanical System Includes: x Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor. 6" e?R ? Phone D q0?3AePg; ?38 9 ZUUZ All above information must be submitted prior to processing of application. ? I hereby acknowledge that I have read this application, state that the information g?orrect omply with all applicable State of Minnesota Statutes and City of Eagan Ordina s. ? r---? Stgnature of Applicant Certificates of Survey Received --? Tree Preservation Plan Received _ Not Required? - " Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg x 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 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 (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 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 Windows/DOOrs ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Lql_a1" Occupancy ff-k-k-4 MC/ES System Census Code Zoning ? City Water ? SAC Units ()/ Stories Booster Pump Nbr. of Units Sq. Ft. ? 2,13PRV ? Nbr, of Bldgs ? Length ? Fire Sprinklered Type of Const VA) W idth 4[? REQUIRED INSPECTIONS ? Footings (new bldg) ? FinaUC.O. _ Footings (deck) FinallNo C.O. Footings (addition) _ plumbing -X Foundation HVAC _ Drain Tile _ Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests Final ,y Franun8 Siding Stucco Stone ? Fireplace _y R.I. y' Au Test Y _ Final Windows (new/replacement) ? Insularion ? Retaiviug Wall Approved By_ -rz_ , Building Inspector 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 tf, 92 ,?)5':. 3ss0 ?r M? r 10? ?- x ??o I I 3? x s'y = 41,sog? 3 (,,?,???? 7? ? x 16 - r ?? ?? y ? qli? ? ? ? MAR-16-2030 10:26 MNCl]SC3c COMPLSANCE RE80R.T Minna6qta 8n@rgy Cnds MNaheck 9oftware vereioa 3.0 GbLTNTY : I}slr,ota sTRT3; Minzseaptn ZOh'E : 2 CONBTRUCTSON TYpE: Siagle Family DATE: 3-I6-2000 DATE Op pL})it7g; 3/16J00 TT'PT,E: pp2,RIRK W/0 EL. #2 COMpLIANCE: PA98E$ Required LTA = 508 Your Home = 407 , 19.9$ Better Than Cade Axea or Cavity Cont. claaixuq/Aoor --_-...______----------- perimeter R-Value R-va::.ue v- Val'tto' -------- ---- CETLINfi5 -------------------------- ?444 44.0 Q 0 --_ ----° - WALLS: Wpod Frame, 16" O.C. . 2327 19.0 Z,p 1 WALL3: wnod Frame, 161, Q.C. 293 10.0 2 0 . B3MT: Cona. 9.4' ht/8.3' bg/9.0, inaul 402 11.0 0 0 I . GLAZING: WindoWe or Dpore, Above GradB 485 pi 3gpl 1 ?a? FLOORS: Aver Unoonditioned space 38 352 38.0 0 0 . 0'.350 ENAC EQVIEMENT: Furaace, 92.0 AFtTE . L' pMPLIANCE STATEMENT: The propoeed eoneistent ith th r building deaigr_ desaribed here i9T ^ w e building plans, speqificatione, and ether submitted with the permit applica* ioa Th caleulaklons ' _ dmsigned to ma . e proposed buiZding haa ,been: ? - `M?ota Enexgy Codc. Suilder/nee Date ? ? ?I TOTL P.02 I Cities Diaital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. PULTE HOMES OF MINNESOTA RECAP SHEET DATE: 2123102 ze Fae J08 NO: 0320306-03 LOT: 6 BLOCK: 3 UNIT: 0 COMMUNITY: Oakbrooke Single Family ADOITION: PHASE 3 ADDRESS: 4083 Oakbrooke Alcove CITY: Eagan STATE: MN ZIP: 55122 MODEL : FALKIRK MODEL#: 18052 ELEVATION: 2 GARAGE: RIGHT BUYER: DAVID & BRENDA HOOVER PHONE #: 952-431-7907 PHONE #: 0 SALES REP: Jolayne Moberg PHONE #: 651-686-2862 1 18052 F ALKIRK 1 00000 L ot Premium 1 11012 FULL BASEMENT - WALK 1 18023 ELEVATION #2 1 22019 3 CAR GARAGE WITH BR 1 22017 I NSULATE,SHEETROCK 1 22028 I NSULATE O.H. DOOR 3 I 1 19000 UPGRADE EXTERIOR DC 1 19021 FULL VIEW ALIJM COMB 1 19025 GARAGE SERVICE DOOI 1 21008 GAS FIREPLACE - BRIQI 1 25014 CLNST.DOORSIPAINT TF 1 26045 PAINTED WOOD R.41LIN( 1 14000 BASE CARPET ADJUSTA 1 14001 1ST CARPET UPGRADE 1 14004 1ST CARPET PAD UPGR 1 15000 BASE VINYL ADJUSTME 1 15082 CERAMIC TILE BATH 2 1 15001 VINYL UPGRADE BATH 1 40009 LAMINATE FOYER AREF 1 40020 LAMINATE KITCHEN/DIl? 1 40022 LAMINATE LAUNDRY 1 40028 LAMINATE BATH #3 1 10055 SPACEMKR MICROWA\j 1 17006 OMIT RANGElKEEP 220 1 28047 CABINETS - WHITE 1 28055 42 UPPERS - WHITE 1 29006 CAST IRON KITCHEN SI 1 13077 WHIRLPOOLTUB 1 13021 BRASS TRIM BATH 1 31011 LAUNDRY TUB SNGL C 6 17024 CEILING ELECTRIC OPI 1 23007 3 TON AIR CONDITIONf 5 32002 CAT 5 PHONE/CABLElM1 3 32001 CAT 5 PHONE OUTLET 1 39010 SOLO TUBES 1 10096 VENTED KITCHEN APP 1 20035 UPG. ROOF SHINGLES 1 26011 VAULT CEILING- MASTER B.R. 1 17043 ELECTRIC PANEL-BASEMENT 1 10000 PROFILE PKG. - ELEC. RANGE, DW & MW 1 22025 GARAGE DR OPENER12 CONTRLS 1 99000 N.S.O-FINISH BSMT' DOORSIPAINTED TRIM (OPT # 26045), CARPET PAO UPGR. ? (#14004), 1ST CARPET UPGRA?E (OPT #14001), FIN 3/4 BATH, BRASS TRIM (OPT #? 1 99000 STD VINYL N.S.O-BI-FOLD DOORS & CLOSET ROD & SHELF IN AREA WHERE WASHER 8 DRY SHOULD BE: SEE ATTACHED-BUYER HAS WHITE DOORS & TRIM OPT #25014 1 99000 N.S.O-MOVE WASHER 8 DRYER TO BSMT IN UTILITY ROOM: SEE ATTACHED LOT SURVEY CHECKLIST FOR RESIDENTIAL . BUILDING PERMIT APPLICATION PROPERTYLEGAL: Lv+ G a[v4.}?' 3 Cg,KLroeL'2, $"!g DATE OF SURVEY: 3- ' e- o'z ? LATEST REVISION: 1-f rn c m DOCUMENT STANDARDS Y ¢ O Z a Q t? ? ? • Registered Land Surveyor signature and company [9?? Q/ u ? ? • • BuiklingPertnitApplicant L ld i ega escnpt on W ? ? • Address E/ ? ? • North arrow and scale d? ? • House type (rembler, walkout, split w/o, spld entry, bokout, etc.) ru/ ? ? • DirecGonal dreinage arrows with slope/gradient °k PY ? ? • Proposed/exissting sewer and water services & invert elevation la? ? ? • Street name kY ? ? • Driveway w ? ? • Lot Square Footage ? ? ? • Lot Coverage ? ? • 8enchmark ELEVATIONS Existinq U/ ? ? • Sewerservice(orPraposed) ? ? ? • Propertycomers m? ?? . Top of curb at the driveway and property line extensions d? ? • Elevations of any existing adjacent homes ? e? ? • Adequate footlng depth of strudures due to adjacent utility trenches ? ? ? • Waterways (pand, stream, etc.) Prooosed B? ? ? • Garage floor G? ? ? • Firstfloor El-I ? ? • Lowest exposed elevation (walkouUwindow) r? ? / ? • Property camers [a ? ? • Front and 2ar of home at the foundation PONDING AREA (if aoplica6le) ? E/ ? • Easement line ? B' ? • NWL ? rii/ ? • HWL ? 4/ ? • Pond # desgnation ? ? • Emergency OverHow Elevation DIMENSIONS [J? ? ? • Lot lineslBearings 8 dimensions t? n? • Right-of-way and sVeet width (to back oi wrb) E? ? u • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring pertnanent footings) EY ?? • Show aU easements of record and any City utilities within those easements , ?? • Setbacks of proposed sWcture and sideyard setback of adjacent existing sVuctures v?? • Retaining wall requirements, if any Reviewed: ?-/[ Nam / Dafe Surveyor's Certificate SURVEY FOR :PULTE HOMES DESCRIBED AS :1-ot s, Block 3, OAKBROOKE STH ADDRON, City of Eagan, Minnesota and reserving easements of record. APR 15 REC'0 928, O . 1 S?Lf FEai 6lEro -- i1 i ? ,1 991.; 0 ` 1 i f r? , 02'? ?3882 1 \ ?? ? LT% 93?0.00 q392 93&S W 1 ` 4.00 930`•? 20 00 43s / 0 Propoaetl N Z-Story ° / 9'PCw W/o cr 1qq23 N ? \1 20.00 f }\ '..'_ i? Exist Home TOB 998.3 ? ? i i? i . i' ?.. 6 a . i. 9 p ? ? Ga ? ? # 18052 :. . , .. PROPOSEO ELEVATIONS Top of Foundation = 44e.0 Garage Floor = 947,Lp Basement Floor =939.0 Aprox. Sewer Service = aav.oc Proposed Elev. = 0 Existing Elev. _ Drainage Directions = Denotes Offset Stake = . pol?oMo ??QU? Db, Gora9s N j._ i V? ExisL Home f T00 = 998.3 JI NJ ? SO \ \ M ? ? =40. ?.? q4b.2 ? 0?3 ? 4q5,4 &.9 Maximum sbpes OA BROOKE or Retaining Well WN! C'O vL' Be Required ? LOT SQ. FOOTAGE = 12,017 HSE SQ. F00TAGE = 1,664 L 0 T CO l/ERA GE = 14q' BENCHMARK, TNN p 9oi5 Eleo = 992.ob MIN. SETBACK REQUIREMENTS SCALE: 1 Inch = 30 feet Front - House Side - Rear - Garage Side- JOB N0: HEDLUND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 02R-182 OF THE BOUNOARIES OF THE ABOVE OESCRIBEO PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO 800K: PAGE: PLANNlNC ENClN66R1NG SURVBYINC SHOW IMPROVEMENTS OR ENC ACHMENTS, EXCEP7 AS SHOWN. 2005 Pin Oak Drive Eagan, MN 55122 DATE O F D. LIND EN, LAND URVEYOR CAD FILE: Phone: (651) 405-6600 MINN OTA LICENSE NUMBER 14376 Oakblooke 5 Fax: (851) 405-6606 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN I/ 3830 PILOT KNOB RD - 55122 651-681-4675 47(//?,0.l(J New Construction Renuiremenls RemodellReaair Requiremenls • 3 registeretl site surveys showing sq. ft. of bt, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set o( Energy Calculations for heated additions • 2 copies of plan showiig beam & window sizes; poured found design, etc.) • 1 site survey for extetior additions 8 decks . 1 set of Energy Calculations • Indicate i( home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted aRer 717/93 • Rim Joist DeWil Options seleclion sheel (bldgs wi[h 3 or less uniLS) DATE tf U? JOB 51TE ADDR'' IF MULTi-FAMILY PROPERTY OWN TYPE OF WORK APPLICANT ADDRESS PAGER # VALUATION (EXCLUDING LAND) Y? ,??JQ O HOW MANY ZIP CODE K1 _2 _3 NIEV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing SysCem Includes: Water Softener Watcr Hcatcr No. of Baths Phone #: Lawn Sprinkler No. of R.I. Baths Mechanical Contractor. N^r (PCi'dP GOrl9 ar Mechanical System Includes: _ Air Conditiocung _ Heat Recovery System Sewer/Water Contractor: PHONE # Fee: $90.00 Phone # '&g - P90 - /"?Z5,q Pee: $70A0 Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state ihat the inforrnation is correct, and agree to comply with all applicable State of Minnesota Statutes and City.of Eagan Ordinanc . Signature of Applicant ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ FIREPLACE(S) _0 Upda[ed 1101 CELL PHONE # PAX # OFFICE USE ONLY ? 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 ? 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 (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIbg_Y or _ N ? 25 Miscelianeous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demoiition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Foo[ings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & W atei Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fueplace _ R.I. _ Ai i Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , Building Inspector r Use BLUE or BLACK Ink F----------------- I For Office Use I j Permit ® j City of Eatian . I Permit Fee. t 7 I 3830 Pilot Knob Road Eagan MN 55122 ~ j Date Received: Phone: (651) 675-5675 ~a11 i staff: Fax: (651) 675-5694 AP~ I - - - - - - - - - - 2012 RESIDENTIAL BUILDING PERMIT APPLICATION G- Date: Site Address: -10c 3 ~s 4&4~m~ Unit Name: ~hJ05A Phone: 6EV- RITZ - 38 RESIDENT f OWNER Address / City / Zip: Applicant is: Owner D _ Contractor "te TYPE OF WORK Description of work: L Construction Costt:/ 9*X Multi-Family Building: (Yes/ / No 1(,.) Company: ~~1Yl~l$ Contact: J S0.1 CONTRACTOR Address: 9e-or '<'Ik 1'00/CG "140-jG- City: State: _AM Zip: SJ ~ZZ Phone: (V Ba License #:206 2- 6 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) A sc. Wags &V/ f .)-1 240 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 scipporting documents that yoasvbi»ita 4 ©n~iriered to bs p c.f+tf cup or'(4oh§ of, the information may f e{asified as rton=qubfic if you pfie sp ecific reasQiis fi►at:+eiu(d )iermr"t #la;ta#y :to- conotudkthat the ,ar iracie 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.gogherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the mnesota Building Code st be completed within 180 days of permit issuance.. X_ SQ1 J Zc'` 'i x Applican s Printed Name Ap 'a a re Page 1 of 3 6,0,&n~ lkov"- l/`° DO NOT WRITE BELOW THIS LINE /Q SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES 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 l~ 60 -D Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction- Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) 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 ~ (90 Utility Connection Charge ~ S&W Permit & Surcharge Treatment Plant ~pp Copies r-L00I~DV`~' TOTAL Of C9 0C) Page 2 of 3 PERMIT City of Eagan Permit Type: Building Permit Number: EA105201 Date Issued: 0710212012 itj of 0n Permit Category: ePermit R Site Address: 4083 Oakbrooke Alcove Lot: 6 Block: 3 Addition: Oakbrooke 5th PID: 10-53764-03-060 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 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. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Erickson Building Abel H Espinosa 2667 Cottage Grove Place 4083 Oakbrooke Alcove Woodbury MN 55125 Eagan MN 55122 (651) 248-9339 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 Permit Type: Building City of Eagan Permit Number: EA105201 Date Issued: 07/02/2012 Permit Category: ePermit Site Address: 4083 Oakbrooke Alcove Lot: 6 Block: 3 Addition: Oakbrooke 5th PID: 10-53764-03-060 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 - Erickson Building Abel H Espinosa 2667 Cottage Grove Place 4083 Oakbrooke Alcove Woodbury MN 55125 Eagan MN 55122 (651) 248-9339 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:EA118253 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 4083 Oakbrooke Alcove Lot:6 Block: 3 Addition: Oakbrooke 5th PID:10-53764-03-060 Use: Description: Sub Type:Reroof & Siding 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. 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 - Anthony G Studt 4083 Oakbrooke Alcove Eagan MN 55122 (612) 382-9737 Smart Exteriors Llc 332 River Woods Lane Burnsville MN 55337 (952) 451-4200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171846 Date Issued:09/02/2021 Permit Category:ePermit Site Address: 4083 Oakbrooke Alcove Lot:6 Block: 3 Addition: Oakbrooke 5th PID:10-53764-03-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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, Pete DeGrood at (507) 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 - Jacob & Toshia Marcus 4083 Oakbrooke Alcv Eagan MN 55122 (651) 276-4777 Hoffman Refrigeration & Heating 5660 Memorial Ave N, Suite 2 Stillwater MN 55082 (651) 439-5770 Applicant/Permitee: Signature Issued By: Signature