4155 Oakbrooke Dr
Use BLUE or BLACK Ink!
Por Office Use I !
n PermitCity of l Ea-'
I. ,
Ed I Permit Fee:
I I I
3830 Pilot Knob Road nt CT-1V - U
Eagan MN 55122 i Date Received:
Phone: 651 675-5675 I !
I
xl1 Staff:
Fax: 651 675-5694 ~ I
I
'2010 RESIDENTIAL PLUMBING PEIWIT APPLICATION
Date: Site Address: 4is!i D&UotIv- Or.
Tenant:,_ 1 r.) Suit
RESIDENT / OWNER Name: Phone::
Address / City / Zip: Dr. WW 5 cC
JC
CONTRA-TOR Name: 1 "q
.t~t~ License - !
Address:
br' City:
State: 11S
Zip: Phone: lIl
I
Contact: l I q h.b Email:
TYPE OF WORK _ New Replacement _ Repair Rebuild _ Modify Space Work in R.O.W. !
i
Description of work: !
RESIDENTIAL l
PERMIT TYPE
Water Softener
Water Heater
III Lawn Irrigation RPZ / PVB) Add Plumbing Fixtures C Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment !
RESIDENTIAL FEES:
i
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softe' er (includes $5.00 State Surcharge)
$35.00 Lawn Ir I rigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
'Water Turnaround (add $166.00 if a 5/8" meter is required) '
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.Oq State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.0( State Surcharge) "
TOTAL FEES $
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, wvw.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in onformance 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 approva o ~ns.
x 1.
Applicant's Printed Name AjoliciL Signature
FOR OFFIC~ USE Reviewed By: Date:
!
Required Ins sections: Under Ground Rough-In _Air Te ,t Gas Test Final
I
Address 4 1 5 5 O a k b r o o k e B r ZIP 5512 2
Lot I Blk 5 $ub Oakbrooke
THESE ITEMS WERE / WERE NOT COMPLETE AT TI-IE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: Ao?-
Final gtade (6" from siding) ?
Permanent steps (gazage) x
Permanent steps (main entry) X
Perntanent driveway
Permanent gas ?
Sod/Seeded grass
Trail/curb damage x
Porch X
Basement finish X
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 before freeze potential exists.
Contact engineering division at 681-0645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Ye]low - Resident Copy Pink - Contractor Copy
CITY OF FAG;AN
' CFl!:,H:CEfi: .1S TCfiMINFiL N9: 016
DFTE: 0108/04 TIME: 0c30a02
IDa t
NAME: F'UL7E MASTEF: BUILDEfi
2251 3220 4'.LJJ OAI:L+RFi DR 30.00
3210 9001 4155 OAF(BkK DR 399.35
3E366 9379 055 OAt:HhF: TiF; 100.00
3422 9001 4155 OAI;BfiF. DR 649.58
2275 9220 QJJ OA4:CiF<K Afi 1.y083.00
3446 9001 4.,`,5 GAKL+Fit; DR i i..00
2155 3001 055 OAKRft4: DR 0.50
3743 92^LC) 055 OAF.RFiI: DR 50.00
`r..'.1ti5 9001 4155 OAF.HRF. DR 50.50
3868 9220 4155 OAI;FSR4: DR 492,00
Cfi:L22387 X?X< CUNTINUE
USER ID: tAN C[]h!'1'TNUL
cnNrzNur
CITY pF EAf;AN
CASHIFR: 7S TEFiMInAI N0: 016
DATE; O1/18/00 TIMI':: iC]00:03
ID:
NAHE: PLILTE MASTER BUILDER
370 9I'?2O QJJ OAF.HRF. DR 114.00
3713 9220 4i.55 ilAI:HF<f. DR iIL(JO
3£365 9?2(J 4155 C.IAt:BfiY DR 840.00
r
To+,al Rer_eri.F,t Flmr,unt,: 4,475.93
CR 1.?_i'3F3 i
US4-Fi ID: JAN
' 03
a
1999 BUILDINC
NawComtruetlon Reaulreme?
PERMIT APPLICATION (RESIDENTIAL):s y, y-7,?,Ir3
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 C C'ALL'o (- 1 o
651-681-4675
BemodeVRaoair Reauiremenls
? 3 rapistered sNe eurveys showing sq. ft oT lot, aq. R o( house
andallroofedareas 120%maxlmumlotcoveraaeelbwed)
? 2 copies oi plana (sbow beam 8 wlndow sizes; poured hM. dnipn; etc.)
? 1 set of energy cakutatlona
? 3 copies of Vee preservatbn pkn M bt plaCed aRer 711193
DA7E:
DESCRIPTION OF WORK: Ir C.S
STREET ADDRESS: 7 /
VL
LOT: ? BLOCK: `S SUBD.IP.I.D.#: Q4 /LLCODICE
. Name: Phone #:
PROPERTY ust FfBt
OWNER
SVeetAddress:
City
State:
Zip:
CompanyAkr AYnC 5 Phone #: 6-i-I o 6
(area code) ,
CONTRACTOR i
SUeet Address: 13 S$J{J?' { nAth #yi5 IN 60 te °t D o License tl??Exp.
city iVLnj4 Nrp f"s state: /Mu zip:
ARCHITECTI n
ENGINEER Company: S/ly,6 o ?'e- Name:
Telephone #: (
Street
City
State:
Zip:
Sewer 8 vsEer Ikensad piumber (new consWction onlvl: Y lT /I )L 0 ? J?I C Tetephone #: ?l fy ??
PeiwRy applies when addreas change and IM ehange Is requeated once permR Is Issued.
1 hereby aeknowledge fhat 1 have read fhis applkatlon, sfate thattlie iniormation h corteU, and agree to compty wffh all applkable S1ate of Minnesota SYatutes and Cit
of Eapan Ordfnances.
Signature of Applicant: ?L?' /
Certificates of Survey Received ?Yes
Tree Preservation Plan Received Yes
T coples of plan
7 aet oT energy calculatfonu kr haetad additions
7 sHe survey for exterior additfons 8 decks
CONSTRUCTION COST: )0??, ,?-3
OFFICE USE ONLY
No IJ?C 2 2 ..
_ No ? Not Required /-3r)
Registration #:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck 0 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-plez ? 10 8-plex ? 15 Lodging ? 20 Poot ? 25 Miscellaneaus
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actuaq Basement sq. ft. ? Census Code
(Allowable) Main level sq. ft. I SAC Code ?L
UBC Occupancy 6;aZ sq. ft. ? No. of Units
Zoning sq. ft. No. of Bldgs d
# of Stories sq. ft. MC/ES System
Length ? sq. ft. City Water
Width ? Footprint sq. ft. Booster Pump
PRV
APPROVALS Fire Sprinklered
Planning Building DQ Engineering Variance
Permit Fee
5urcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
Valuation: $
6h."Ptg ?120
S"0? =
f a, ; (a??
?4 -:1) a G .93
????:
12/14/99
RECAP
Job 0320-001-05
Address: 4155 OAKBROKE DRIVE
Legah. LOT 1 BLOCK 5
Comm: Oakbrooke SF
OWnerS: ANDREW & KATHERINE WFIALEN
Phone #: 651-6883252
OAKBROOK SINGLE FAMILY OP
Quantity Option Description
#
1 18201 BASE HDUSE
1 LOT PREMIUM
1 16000 CONCRETE PATIO
1 18015 ELEVATION #1
1 200$5 UPG. ROOF SHINGLES
1 22013 INSUL-SHEETROCK - 2 CAR GARAGE
1 21021 GAS FIREPLACE - CERAMIC W/WOOD
1 14007 1ST CARPET PAD UPGRADE
1 14160 3RD CARPET UPGRADE-BERER F.R.
1 10055 SPACEMKR MICROWAVE
1 10087 UPGRADE RANGE SMOOTH TOP
1 28053 42 UPPERS - BASE
1 29006 CAST IRON KITCHEN SINK
1 13077 WHIRLPOOL TUB
1 31011 LAUNDRY TUB SNGL COMPRTMNT
1 2$006 21/2 TON AIR CONDITIONER
1 99592 BASE PRICE REDUCTION
3 32020 ADD'L PHONE JACK
4 17024 CEILING ELECTRIC OPENING
, • :.???:
. '
' Ol?tl[Ri• ivu???^_r.lz.,?,.?+--?
SITE??100{tE?SS
Z
, LONTMCTORt: 1...vr"Ze_ r N
t ...
1.
2.
.:
3
I? 1
3
AW,
;E "p.d COHPUTATION
,.,,,i ' DATE : ?
b. _.s. :: .i,y v ...? . . .
ADETERMiNE'41Q,RKIfIG SO,UARE' FOOTAGE UF EACH,i??,
. ; .: . ... .L,. ;5:l:.( ...
TOTACEXPOSED,SJALLAREA,,,,,,,, sq ft
TOTAL ROOF/CE1LING, AREA,,,,,,,, ~I??y sq ft x,"U',!-?°`
TDTAL EXPOSEU t1AL1' AREA 'CALCULATIONS: ;,?t•,: '"'
_ .,. .. . ' • `^ . . r?-:
??'L SZoo ??.
s`- . .
? •,?;?y?
'Totat exposed?ti@li
`
"
f "'
°{s
e.,:fl6or;:;•.::..
area.ebov sq t
_
,t ?
a) :' Tot?1.Na11?Nlndaw area: , . ,` _ ,?
?.•
5 t ?
i ?
??
„ `?`5 i1?yf
•? Sq ft U
x.
?Y?? `Sr'
-yC
Y' . i. f '4 ..
sq c: x
' •
°
3q ft x ??U??.,i
'?2??_ ? _?
:_::
:?.
b) 'Tocal door ?re? ..:.:.:-:. •, ' ..
' ' ' '
' -
c) Total ol iditig qlass door aree: •
?
e Sq fL X ??Un.??._.?.?L7..,
?
d......
DOUBL6 4laz ,
?-
z
d sg ft x 'lUn
e
.....
Sta
.
d) .Toial f(replace wall area sq ft x fluff
„
-
~
•
''r'
e) Total wall framtn9 area Sy ft x"U'!
(Aoerage 10Y,)........ :.. _
f) Total 'net wall area above •
044
"
" ?t?? =?:?'?`'
f
(l
l
dd)
o sq ft U
,
x
.......
la
nsu
at
r
q) Toca1 rtm Jotsi arca...... sq ft x"U„
r;,?r•
Total foundatton
S
ft
'
.;
area (Exposed).........._?_ 9 ;
S
a .
.
h) Totai foundatlon
's
ft
x lluft
? ..s.? .?
•
?
?"-
.c........ 4 .
t
?
.-?? ';?y£ :... ? ,, :. ? . . _ , . .
. t.) - Total,;neC;: f?oundatian, ft x "U"
area a6ove grade....... • s9
TOTAl,, a) thru
if item qj is the same as, or less than item ,a
l, you .
have me,t the intent
aF ':
;
2 tSC.1R 1.16008 A and 0. • ?'<'
- - - . ,.?...?
?r" " 4
. . ... . ?. . ? . r... .. ,,:. .?.. . ? . . ? . ? ` ? . 04.:. i{. •l!
' .Yi` ' A4 GMn? •` .."? . . • n •• . , r ??:. ` ,
/? ? r• , i t, ',,.r.z,{., 'a?l
TOTAL? EXP SED?I?G. C ?! LCUI.AT?OtlS?,,.
3Fr' S; .XS.., a
aiJ,, g
` . •?'?s ? r :i•: .. ? . ?` ?'._ ,• ''¢ x •n+'Yi
. ° ,.IT
.. %k,7 'ro+,,QtB?'??C!u'Qa3.?
"j ?ii''i•`?f",)Ci`.t;a,;? Q.?? `ft' t???;:i":?54?.!?avy.<. ?t . ? ?? <.i+.? .?t? k'"?;M
- 1'OOf?
W.4•?? .t-..: X.. '?4?w q"''? .i?????^ ?r1? n:?f^ :;^r n ? ,t. +?•,c?M'?.
?w ::??'±t':.;+w,?; :;> ,;,": .r' •ni`Ci '?=`?" P ?^rv"'??W? A +'F c?rk ?i?;
? ? y .
`Totai sky?li'ch??rc8't?i??i??it? S pfG}?nx+llul,??'.Zt#r`1°???t?.r? k? ?rf?fa 't '.r;?•,.
?------
? aaOW
.
k) Tatal roof/cet.l;lnq Praming ?•?' -=a}
? s f t x "U" ___.?_?'?, - 3 • `? ''
' area (Avetave,? inR)..... 4
insulated ' ?•
1) Total net
roof/ceI l inq'area....... sq ft x"U" ; Q77
ToTA4:.1NfthA.?{,??1F? '13. '. . k
??^..,:..??;?:
if cotal of d4 Is,the.,sama.as, or less than.92; yau haJv met?the.',1"n.Eetit;;oF.,.,.._ .r ?.. •?;.?,
z rlW 1.16008 A and,_o. ' .. • , ? , ?, , ;,?.;?.. ' _ -. ;:`::?:
a9
• ,?`: ? .L '?A)'i??n
• 1
•?' ' .?._ .n?y..?.K?e
. `? ?.
? ? ,.L.'. • ?•
?
, .:; . . :
? ALTEWIATE BUILDItIG ENVELOPE DESIfN
,- ,
- : ? " • ' . .. A. ?s +Mt'rr?,u„rr',?v.?k:«r _«..,? ? -... 1. : ?Y'. ?4?, ?
..: ?.. - • . ...TY
To utt I ize the cotot ?en?,elopeiystem ?metliod, the values esta6l't?sfied. by:; the..sum,, ;_?` t,? ??•si?;??
of iteme P3 and 94 ahaii;,not-oe greate??chan the sum of izemsi??r;,anpvr?2:F,?,v?.,..,...
R - . .. , _ .? • n ??;.,?m. ? .., .._ .,.- ?., q?,
' ? ? • . ...?+".2.
? .H
3, + 4. - • .. ....4Y;. _
?e
, s . . . i ??.
?
;,E ?.T I F
- I C A T 1 0 N . :_ •':
;
.,..,?,:.
( ? ' + ' ' 1 i ? 11 ?
thaE:, PhaJe calculated the 11ll1 faetars,and.,:1t,
I hereby certffy;
? • ? ?,?f : ?r :
•;?,,.#,:?
,
values hernln and that [he6uildlnq he[e., described meets or excteclS;`<;thd'State
of Mfnnesota Eneray Conservatlon'Act.;.,
SlqnatureJ
" r.
-7
(Oate)
`
. • r,go
? .:t
(.. X C:7 .
. v i V "L J • ./J ?. ?... ? v . .-• . .? , • ,
, CONSTAl1CTfO11
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'F ??r-`.?J, :,;; .:_?,. "' AL',
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s.°y?A??
A• ?r
?T
ING SECTION:
FRAM
, '
., .
. .:.F,• ? ,?
?
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,f-
C,. iAtaTtOr a} Ir fllmt.
.;, 2' I Z ? .'9 L! E?'t2? '?
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r or a r"
b'Exte
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,
W
ACL INSilLA7E
0)
SECTIOH
(
.
, .
terlor:at,nkf=1-1?L
6 m
.'l.;
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•
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y?
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?• .v? ,? ???
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P
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,
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6 Exter or
?..... ,
? . Y•w'<? ? . ` wear
R!M .lOIST SECTION:
--{ 1 Interior
'•' NOATION INSULATIOtI RE4UIREa:
FO
t U
;
U »R
444
,
.
Min. R-5 an entire wall OR
Min.';R-10 down to frost-depth
T10N
'
:
C
FOl1NDATlON 5
1 Interior air fTlm
2 1( F'?" 1&ei
Y
F 3 12" rn?e. Rc _nc(C
4 Exterior ai r i Im n.17
A? 5
4 -TbTAL
u - t/a ? ii77b
?
' SLAA ON 6ik0E
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, _ ... ._ ? •4?
..'?
c,•;; ?: •Q? ?.a
? ; d;;
q ?
i
.
1 ; ???
;
n '
+q•??? ?Q? Heated Slahs:
Minimum R = 8;5
Unheated Slabs: -
y
.
; Minimum R = 6.2
i
?
?
d b
?
•4??? ?
?
... . t
.
o
'
? .,
a .?
.4
?
•
; i...
1'4??. `?'•"a'?l•
•'"••-.ici; °
, 1 v ,. 'I' • ?'a• '???<
: af ? ?•? ? , 4 . ?.• ''•, ,'; •d ,•'
, . .
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a, ,..:.. ?.,,. • , ,
Page 3
7 a vaLuE
- va ? Z?;,??"
? Jµ "A
..<t?.: h.'.?^? ^rr.??f!' ?i?`?
: A
?. .
;;tl ? 1/R a ? .
.. . ? .?x??
Ytw Y Iv.
®RIj1?'Y??.?y?:C'??.1. ? ..?.
. ?. • .?;
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t k,?`
' ? ?}5r .'T ?'?=L F
Y'
?,,}f v?EN
, FLOW
,
VENTED
?
CEILtNr, fRaF11Hr SECTION:
1• In[erior air fi)m c1.61
z
3
4 Exterlor air: lm still n. 1
$ Inchcs saf[ wood
TOTAL R @ '
U= 1/R=
1 ,Ins(de air film
2
3 ••
4 !`
5 Outslde air i m
TOTAL R =
, .
U 4 I/R; - ?
' P.1g' 4 .
,V?
CONSTRUCTION
cElLi?ir secrlnN';(l
i?
I Incertor a'?r
i
. i s/, • 51x?'?r
3
4 Exterior af+ '
" CEfLlNG FRAMING;
1 Intartor
..,._ .. Z
3 Q. ? ?.
4 Interior
S
) . .
r=?tllm (sctit) -n.Fi ' `
T07AL R ? 7?
U ? 1/R
;1 Oy • , t
:? ??..' : ?' ,
.:f
n..._. ._n
?v?nl n ?' _'S7.rn •ii't.
' U? 1/R??
CEIUtlG SECT10Nv,(ItISUUITED):
1' •Incerlor afe."FTtm n.61
?
. 2
3
4 Exterior air lm still n. 1,
;., TOTAL R
,- ll7 1/R? _
i F
?
?
?" ?
0
0/a
?
o? ?
m-'a
d? ?
W
n
N
?
W
?
IY/
0
0
n
a
?
?
?
?
?
?
a
?
?
a
?
?
• Registered Land Surveyor signature and company
• BuildingPermitApplicant
• Legaldescription
• Address
• North artow and scale
• House type (rambler, walkout, spBt w/o, split entry, lookout, etc.)
• Oirectional dreinage arrows with slope/gradient °.6
• Proposed/ebsting sewer and water services & invert elevation
- Streetname
• Driveway
• LotSquare Footage
• Lot Coverege
ELEVATIONS
Ew'stina
/
¢' ? o • Sewer service (or Proposed)
? ? ?
? • Properly corners
? ? • Top of curb at the driveway
? c,/? • Elevations of any existlng adjacent homes
? d? Adequate footing depth of structures due to adjacent utiliry trenches
Prooosed
OR/ ? ? • Garagefloor
m/ ? ? • First floor
? ? • Lowest exposed elevation (walkouTAvindow)
ra' ? ? • Property comers
?? ? • Front and rear of home at the foundation
PONDING AREA ('rf aoolicade)
/
? d ? • Easement Gne
? 1/? . NWL
? V ? • HWL
? G? o • Pond # designaGon
o d? • Emergency Ovefiow Elevation
GY, ? ?
p ? ?
ra? ? ?
?/ a O?
? ?d?
DIMENSIONS
• Lot GnesBearings 8 dimensions
• Right-oT-way and sVeet width (to back of curb)
• Proposed home dimenaions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permaneM footings)
• Show all easements of record and any Cily utilides within those easements
• Setbacks oi proposed structure and sideyard setback of adjacent ebsting strudures
• Retaining wall req -----'' `°" , 1-1
Reviewed:
PROPERTYLEGAL:
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUIIDING PERMIT APPIlCATION
DATE OF SURVEY: Ad . 7- 5;1?9
n
LATEST REVISION:
DOCUMENTSTANDARDS
Mareh 1998
CRANLBLOGPNMT.FM
?
• " Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lat 1, Block 5, OAKBROOKE, City of Eagon, Dokoto County, Minnsoto and
reserving easements of record.
e?
R
.. ?___/_.-?D =_ ?•
t
9Q $.3.7
v
LOT SQ. FOOTAGE = 8, 654
HSE. SQ. F00TAGE = 1,680
LOT COVERAGE = 191'o
Plan # 78201
PROPOSED ELEVATIONS
Top of Foundotion = 938.0
Garoqe Floor = 98G.8
Basement Fioor =930•0
Aprox. Sewer Service = 9ZS •9 1
Proposed Elev. _ C=D
Existing Elev.
Drainoge Oirections = -
Denotes Offset Stake = .
SCALE: 1 mch - 30 leet
BENCHMARK,
MIN. SETBACK REQUIREMENTS
Front-25 House Side -
Rear -is Gorage Side-
JOB N0:
HEDLUND 1 HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 99R-644
OF THE BOUNDARiES OF iHE aBOVE DESCRIBED PROPER7Y AS SURVEYEO
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO 800K: PACE:
PLANN/NC ENC/NBERlNC SURVEYlNC SHOW IMPROVEMENTS OR ENCROACHMENTS. EXCEPT A$HQWN.
2005 Pin Oak Drive 1 r ?
Eagan, MN 55122 DATE JL/'_/'?LQ ?• L?? CAD fllE:
PhOne: (651) 405-6600 ? E . LINDGREN, LAN URVEYOR
Fox: (651) 405-6606 MINNE TA LICENSE NUMB?R 14376 OAKBROOKE
r..r. rv rir E.nGaN
CFlSH.LE:Fi: ;IS IEIiPtINfjl_ N(.?n 70
?n ,?. n,:.. ?i?_..?; ,_, ?^? -?{ rzr?,=,; ir.i. ??. qa4??
L., ..
?
ILi ;:
i`lAMl_;: F'UI..TF_ ffAS7Efi AUILDER
32:I0 `=?t"li:it. 4<05 C1AKX?fth; riR 97.25
205 9001 405 i]Af;r+r,F: Dr: 1.55
I
Tntal. P;ece:ipt Amaurvi;;; `.-)r,.EO
rfi I.?C;72't
UFi£;fi :I:Li e :161N
zooo suaoiNc
PERMIT APPLICATIOW (RESIDENTIAL)
cmr or encan
3830 PILOT KNOB RD • 55122
851-681-4875
Renwdal/Reoair iteaAremen?a "
D b repisteretl elp wrveys dw`Mn0 94 R W lot. W. R. d houw 2 cap6ea ot Wm
and gjj roofed areaf (20'f6 rtwximum bf eoveraae dbwedl 1 t8t ot Anergy CatCWoMOns for heOTetl addMaM
D 2 coplea d Want Waw bean R wintlow sixes: Paued fitl. Cedgrn e1eJ 1 slle wneY tor exterlor a0<Dllan 8 dacb
D 1 tet af anaryy caladaHOnu > 3 copips d Z prosenaMOn plai M IDt plotptl allw 711/93
DaTE: a _ coNsreucnoN cosr: i U->j J`6 6
?
DESCRIPTION OF WORK:
-k
d
STREETADDRESS: ?LJ. SS DA KMXC D `IlL/-L-
LOE ? BLOCK: S SUBD./P.I.D.1i: JAUKU OIC?
R.U (7
Name: Phone #:
PROPERIY Lad Flot
OWNER
Sheef Addresa:
CHy 3fate: Zip:
Company: ? r1 f7 f . f?orr. es Phone i: ?•?? ??? ?-?. 0 D
(area code)
COMRACTOR Shee? Address: licenae # J?? 17 ExP.
CttY /v?t nl?o?G? ?b?S State: Lp:
EN6INEER ARCHITECT/ Company: -L4R ?= A? Jl S??F-- Name:
Telephone t: ( )
Sheet Address: Reglstratbn M:
Clly Sfate• zip:
Sewer/water 1'icensed plumEer tN installino aewarhraterl&Wj/1,qLL-r1V1'ZJ))0)9 Phone #: L(
1 hereby acknowledye Mql I have read Hds appiicafion, Mafe Mal the Wdortnolion b carecf, and cgree b comply wiM a9 appAcdble Slafe
of MMnewFa Statutes and CMy of Eapan Ordinancea
r
Slpnalure of Apptlcant J,tvtI
OFPICE USE ONLY
Certificates of Survey Received _ Yes _ No FEB _$
Tree Preservatlon Plen Received Yes _ No _ Not Required •- ??
_Z?S?
OFF{CE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 05-plex O 13 16-plex ? 21 Porch (3-sea.)
O 02 SF Dwelling ? 08 06-plex O 17 Garage p 22 Porch/Addn. (4sea.)
O 03 01 of piex p Og 07-plax 0 18 Deck O 23 Porch (screened)
O 04 02-plex ? 10 08-plex M- 18 Lower Level Q 24 Stortn Damage
O OS U3-plex O 11 10-plex Pieg Y ax N 0 25 Miscellaneous
O 08 04-plex p 12 12-plex p 20 Pool E3 ' 30 Aocessory Bidg.
woRK rrPE
? 31 New O 36 Move Bldg. O 43 Reroof
O 32 Addition O
- 37 Demolish (Bldg)' p 44 Siding
33 Aiteration O
Or 38 Demolish (Interfor) 0 45 Fire Repair
D 34 Repair ? 42 Demolish (Foundation) ? 46 WindowslDoors
• Caive PCA handout to applicant for demolition permit
GENERAL INFORMA770N
SAC Code C; . # of Stories sq. ft.
No. of Units t Length gq, g.
No. of Buildings Q _ Width Footprint sq. ft.
Const. (Actuai) Basement sq, ft. Census Code
(Allowabie) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq, ft. Booster Pump
PRV
Fire Sprinklered
M(SCELLANEOUS INS PECTIONS
0 Stucco/Stone
APPROVAI.S
Planning Building Engineering Variance
O 31 Ext Alt - Muitl
? 33 Exl Alt - SF
O 36 MuNi
N3N
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Suroharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
Valuation: $ 3?faa."°
l7.r I?s =30 6 xy ICI d,W.,e.« - :S,o6U
CITY USE ONLY t ?
L _ ? BL ? RECEIPT#:
SWBD. L/cky) Y JUkY RECEIPT DATE:
PERMIT# ? 1' 3
1999 PLUM$IN6 PEfiMTP (ft£SIDENTIRL)
CITYOF EAfiAN
3$30 PILOT KNOB {tD
F-AfiAN, MN 55122
(651) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet * mmimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x $
Laundr tra 3.00 x = $
Lavator 3.00 x = $ /
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $
Private Dis osal 5 stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3 00 x = $
Water heater 3.00 x = $
Water Softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ 50
Total --> --> ----> ----> $
.°.eminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----- ---- ----------- -------------------------
I hereby acknowledge that I have read Ihis application, state that the information is corzect, and agree to comply with all applicable City of Eagan ordinances.
It Is the applicanCS responsibility to notify [he property owner that the City of Ea9an assumes no liability for any damages caused by the City during its
normal opera6onal antl maintenance acLVities to the facilities construcled under this permit y{dhin Ciry property/right-of-wayleasement.
SITE ADDRESS: v.
OWNER NAME: :
INSTALLER NAME:
STREET
EACH N
TELEPHONE #:
(AREA COOE)
TELEPHONE #:
„ (AREA CODE)
STATE: MY? ZIP: 55?
SIGNATURE OF PERMITTEE
CI1'Y USE ONLY
f
Furnace
Air exchanger
_ Other
Air conditioning
Other
Fee $ 30.00
State Surcharge .50
'Total $ 30.50
LOT BL 5 PERhIIT #: '-? 0I_T -7 9
SUBD. 0QJ?y) YjUi RECEIPT #:
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IQtOB RD
&AGAN IA1 55122
-2 ?D 651-681-4675
Date: ??-
Complete this section onlv if you are installing HVAC in a single' family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0.100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Totai
$ 34.04
6.00
3. oa
.50
$ 39.s0
Complete this section onlv if you are remodeline. addine to. or renairins an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration _ Repair
Remender: Call for inspections
siTEnnDxESS: Ar
STREETADDRESS:IoCLIDl D? <[S /&'r- _
OWNERNAME: rxorrE #: l?SI _ ?Sa 5a-ab
INSTALLER NAME:(/Y/?, S!// (AREA CODE)
PHONE #: [Q !? ,p
- U9Y'OGYJ?
S (AREACODE)
CIT'Y:
_ STATE: AIAJ ZIP: ScS -37O
YZZ61? SIGN TURE OF PE E
?
CITY USE ONLY .
L _ BL _
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 NECHANICAL~pERMIT (COMaRCIAL)
CITY 'OF EAGAN
3830 PILOT 1IN08 RD
EPaGAN, I+IId 55122
651-681-4675 -- -- -
Please complete for all commerciaUndustrial buiidings
multi-family buiidings when separate pertnits are not required for each dwelling unit
DATE:
WORk TYPE: _ New construction lnstall U.G. Tank
_ Tnterior Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing undergraund tank, call 651-68I-4675 jor inspection by fue marshal and
plumbing inspector.
Description of work:
Fees: 1% of conaact price OR $30.00 minimum fee, wlrichever is greater. ^
Underground tank removaVinstallation = minimimm fee _. - -- - --= - -= -- ° - - ° - -- --- - -- - _.
Contract price: $ x 1% _ $ (Base Fee)
State surchazge calculate at 5.50 for each $1,000 Base Fee
TOTAL
S
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IIvIPROVEMENTS ONLl): (AREA CODE)
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE: Z[P:
?
SIGNATURE OF PERMITTEE
40?MV oF eegan
u 6,5-
PATRICIA E. AWADA
Mayor
July 6, ZOOO PAULBAKKEN
BEA BLOMQUIST
Andy and Kathy Whalen SANDRA ACMASSON
4155 Oakbrooke Drive council Member:
Eagan, MN 55122 THOMAS HEDGES
Ciry Atlmirnsirarpr
Re: 4155 Oakbrooke Drive - Maximum Slope E. J VAN OVERBEKE
CiN Gerk
Dear Andy and Kathy,
I am writing in response to the review of the site grading I made at your residence on July 5,
2000. I have included a certificate of survey of your lot to reference an area of concern. This
area of interest is highlighted.
The area of concern is between 4155 and 4157 Oakbrooke Drive, more specifically near the
concrete retaining wall for the egress windows at the northwest comer of 4155 Oakbrooke Drive.
The slope of the ground surface in this area is in violation of City Code Section 430 Subdivision
S.J, which states the maximum permitted slope is 3-feet horizontal to 1-foot vertical. The ground
surface in this area appears to be in excess of a 3:1 slope; much of this area appears to be steeper
than a 2:1 slope.
A CeRificate of Occupancy should not have been issued for 4155 Oakbrooke Drive with the area
previously mentioned in its present condition. The area is in violation of City Code. Please see
to it that the slope of this area is corrected to meet the above referenced City Code. Please
contact me with any questions.
Sincerely,
-21.?
,
Russ Matthys, P.E.
City Engineer
c: RAU00/[.meN4153 oakbmoke Dr-Side Slopo
MUNICIPAL CENTER
3830 PILOT KNOB ROAO
:AGAN. MINNESOTA 55122-1897
'HONE. (651) 681-4600
nx. (asi) 6e1-4612
DO: (651) 454-8535
THE LONE OAK 7REE
THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNItt
Equal Opportunity Employer
www.cltyofeogan.com
MAINTENANCE FACILITV
3501 COACHMAN POINT
EAGAN, MINNESOTA 55122
PHONE. (651) 681 d300
FAX.(651)681-4360
TDP (651)454-$$35
PERMIT
City of Eagan Permit Type: Building
Eaaan, Permit Number: EA102304
Date Issued: 12/02/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4155 Oakbrooke Dr
Lot: I Block: 5 Addition: Oakbrooke
PID: 10-53760-05-010
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector Nva 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 S3K $88.50 0801.4085
Valuation: 3,000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Northland Home Exteriors Inc Jolm A Deal
308 Southwest lath St. SW, Suite 147 4155 Oakbrooke Dr
Forest Lake NIN 55025 Eagan NIN 55122
(61)464-0234
I hereby aeknowledae 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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r
For Office Use
~1~~ I
Permit
City of EaI Permit Fee:
Y~
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:( 3 i13
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - - /3 Site Address: r Unit
Name: _~0 yl e0 - Phone: b/-
Resident/ ~ ~ b
Owner ~ Address /City /Zip: r/
Applicant is: Owner Contractor
Type of Work Description of work: `lam (AT + ?'2' t~J -j1' d~Aq t"l° ('y~,
9
Construction Cost: 13 4 ion Multi Family Building: (Yes / No
,w.~
Company: v 9 -&OW 641:4 . VIG Contact:
Contractor Address: \14 1St' City: apr
q State: Zip: Phone: 1o ZoZ 72
f -2
License ! ?5 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
(a 4-e r ) 17 T
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 supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade 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.oopherstateonecall.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 Minnesota State Building Code must be completed within 180
days of permit issuance.
x~ x 4ao~~~~
Applicant's Printed ame Applic rs nature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136401
Date Issued:05/10/2016
Permit Category:ePermit
Site Address: 4155 Oakbrooke Dr
Lot:1 Block: 5 Addition: Oakbrooke
PID:10-53760-05-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
John A Deal
4155 Oakbrooke Dr
Eagan MN 55122
(612) 382-2538
Hoffman Refrigeration & Heating
5660 Memorial Ave. N
Stillwater MN 55082
(651) 439-5770
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159835
Date Issued:01/22/2020
Permit Category:ePermit
Site Address: 4155 Oakbrooke Dr
Lot:1 Block: 5 Addition: Oakbrooke
PID:10-53760-05-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
John A Deal
4155 Oakbrooke Dr
Eagan MN 55122
(612) 382-2538
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature