4157 Oakbrooke DrAddress4 1 57 nakt„-„okP nr Zip 55122
LAt 2 Blk 5 $Ub Oakbrooke
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPE ON.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Petmanent steps (main entry) VIZ
Pennanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify wit6 the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the oukide lawn faucet before freeze potential erzists.
Confact engineering division at 681-4645 before working in rightof-way or installing underground sprinklet system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Site address: 4157 Oakbrooke Dr
Lot 2 Block 5 Subd. Oakbrooke
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, antl 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
11?This structure: wiil be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater Nle / Qs
Furnace 33010/1!/0SZ6 60 ynob ow'co /ect-
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES NO
Kitchen kitchen
Bathroom 1
Bathroom 2 F'v_ Qr vo ?ra y-
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
! r/ N fXJG o Ooa ? 9oa
MAKE-UP AIR MODEL TYPE CFM's
I hereby adcnowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
S?Pt&tts
CompanyName
??/O-r
Date
This form is the responsibility of ihe General Contractor.
*****?***********?*********************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 738
DATE: 08/11/00 TIME: 09:48:33
ID:
NAME: DAN WOHLERS SOUTHSIDE
3213 9001 4157 OAKBROOKE 30.00
2155 9001 4157 OAKBROOKE 0.50
3213 9001 ,3613 BLUE JAY W 30.00
2155 9001 3613 BLUE JAY W 0.50
3213 9001 1223 TIMBERSHOR 30.00
2155 9001 1223 TIMBERSHOR 0.50
Total Receipt Amount: 91.50
CR135664
USER ID: JAN
*:r**:r**x*x******?***x*?x***************
LOT -? BL 5
CITY USE ONLY
PERMIT #: _I 24-7,.J
SUBD.-nakbrook RECEIPT #:
RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT FINOH RD
EAGAN Y•III 55122
Date: o0 651-681-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required Q$3.00 ea.)
30.00
6.00
State Surcharge .50
Total $
Complete this section onlv if you are remodelina, addin?to, or reoairin¢ an existing single-family dwelling
townhome, or condo. Please indicate if it is a new item, alteration, or repair. f
_ New x Alteration _ Repair _ Other
_ Furnace 74 Air conditioning
_ Air exchanger _ Other
Fee $ 30.00
State Surcharge
Total 30.50
Reminder: Call for inspections 4i)
S1TE ARDRESS: qJ '?7 -7 ( AA ? BI MJ;? dy
OWNERNAME: l.lA l(feI7 f7C/?uk-inally PHONE#: CODE)
INSTALLER NAME: PHONE #: (?A-
STREET ADDRESS: ?rJD (? Cooe)
t?J LVAa S-F - Su )-k ! o?,a
CITY: 4'f.pQle V,2 uPv STATE: „AAM_ ZrP: 551a
g?'
SIG ATURE OF PERMITTEE
i?Fi??Y 1
AUG i 0 20??
BY:
L BL
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COtMRCIAI.)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MIIQ 55122
651-681-4675
Please complete for: ali commerciallindustriai buildings
multi-family buildings when separete permits are not required for each dwelling unit
DATE:
WOftK TYPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, cal! 651-681-4675 for inspection by fire marshal and
p[umbing inspector.
Descrip[ion af work:
rFees: 1% of contract price OR $30.00 mioimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
1
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.SO for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE#: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMI'ITEE
CIT OF EAGAN
?-?-- l.? L-I O S ( ?
SHIER: JS TERMI AL NO: 775
DATE: 04/20/00 TIME: 09:20:44
ID:
NAME: PULTE MASTER BUILDER
2252 9220 4157 OAKBROOK D 30.00
3210 9001 4157 OAKBROOK D 1,228.95
3446 9001 4157 OAKBROOK D 100.00
3422 9001 4157 OAKBROOK D 798.82
2275 9220 4157 OAKBROOK D 1,089.00
3446 9001 4157 OAKBROOK D 11.00
2155 9001 4157 OAKBROOK D 0.50
3743 9220 4157 OAKBROOK D 50.00
2155 9001 4157 OAKBROOK D 71.00
3968 9220 4157 OAKBROOK D 492.00
CR127035 ** CONTINU]
USER ID: JAN ** CONTINLT]
•**:r***********?*******+r**x*,rsx*?*****,+
?*****,t?**,t?*********,t*,t,t****** CONTINUI
CITY OF EAGAN
CASHIER: SS TERMINAL N0: 775
DATE: 04/20/00 TIME: 09: 20:46
.
IU:
NAME: PULTE MASTER BUILDER
3716 9220 4157 OAKBROOK D 114.00
3713 9220 4157 OAKBROOK D 50.00
3865 9220 4157 OAKBROOK D 840.00
Total Receipt Amount: 4,875.27
CR127035
USER ID: JAN
******+*+*********+r********?**+*******i
#?f 013q 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
I crn or Ee?citir
3830 PILOT KNOB RD • 55122
? 651-881-4875
??fg 15. )7
('AS
> a reyiarorea ma awey. 3h0wmy aq. n a wr..a. n. a na,w x oovI.s a wa+
and gD roo(ed areat C2096 mmcimum bt ooveraae allowem 1 tbT of enerpy ocdcWaMOnt lot haaleC aCdft»
D 2 coplef of Waro (ahow bYan & wlrWOw A9r, Pa+retl dd dealyn; otc.) 1 7Me aweY fot axleAw ac9mtlan t Oetks
D 1 set ot aneryy cdcWOMan D 3 coWe= W hea Prefewalim Plan M lof WaMOd Mw 7/1/93
DATE: ?I r I I?D CONSIRUCTION COST: I??? 2 b?
DESCRIPTION OF WORK: kfS 1 C/L n r) ld
SiREET ADDRESS: Lfis 7 OA I(Y3 pv?3vE? DY lVt-
LOT: Q BLOCK: SJBD./P.I.D. #: V A1(8PDW ?-
PROPERTY ?ad
OWNER
Phone i:
Sfreet Addresa:
Cly
Sfate:
Lp:
Company: A/ 1-}"t F?Mf-S Phone:: ?r) ?S? - x"l?-b
(area c ?) COMR?,CTOR Sfreet Addresx 1.?S,?l `? ?tY,? C? I 4 144 ts I(? IJc.nee?i J?
cny O I Az+h l4 srare• /V k ?: ?5"SI26
nRCHrtfcv
ENGINEER Company: / Name:
Telephone #: (
Sheet Addreae: Reglsfraibn If:
citN
Sfate:
Lp:
Sewerlwater Iicensed plumber (H Instailiro sawerMrater): VA II F? l' C-OP-EAl C Ptqne #: ( 6 / ) 12h 1-a I ) I
I IerebY acknowledpe Mwt 1 have read Mda app6caMOn, alate that Ihe IMomwHon k carecf, and apree lo eomply wilh atl appBcable Sfale
of Mtnnewta Stalutea and CNy of Eapon Ordfnancea.
? SlpnatureotAppHeant ?
OFFICE USE ONLY
J
Certiflcates of Survey Received _ es _ No I L
Tree PreservaUOn Plan Recefved - Yes _ No ? Not Required ?
OFF{CE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundatlon p 07 05-plex
fi( 02 SF Dwelling p Og ()C-plex
O 03 01 of _ plex 0 09 07-plex
O 04 02-plex p 10 OB-plex
0 05 0-plex p 11 10-plex
0 06 04plex O 12 12-plex
WORK TYPE
X( 31 New
O 32 Addition
O 33 Alteratlon
O 34 Repair
?
? 13 16plex p 21 Porch (3-sea.) 0 31 Ext Alt - Multl
? 17 Garage p 22 Porch/Addn. (4sea.) O 33 Ext. Alt - SF
O 18 Deck ? 23 Porch (screened) p 36 Muid
0 19 Lower Level O 24 Stortn Damage
Prog va_N O 25 MisCellaneous
O 20 Pool O' 30 Aocessory Bldg. O 36 lulove Bidg. O 43 Reroof
O 37 Demolish (Bldg)• O 44 Siding
O 38 Demolish (Interior) O 45 Fire Repair
O 42 Demolish (Foundation) O 46 Windows/Doors
• Ghre PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual) ?
(Allowable)
UBC Occupancy ?
?
Zoning //??.?
/_ ?
,p'?
T
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
,a-&n sq.ft.
6~Q. ft.
MISCELLANEOUS INSPECTIONS
0 Stucco/Stone
APPROVALS
Planning Building ,f(fv
? sq.ft.
sq. ft.
? y Xf Footprint sq. ft.
/ o y,2 Census Code
% b 44 ?L MC/ES System
09a City Water
?? Booster Pump ?
PRV
Fire Sprinklered
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
ciri sAc
Water Conn.
Water Meter
,4cct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
copies
Total:
Valuation: $
09 ;k- 3y6
9?
`l 3
? 4-/'1701V
?
?
SAC Units
% SAC
Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 2, Black 5, OAKBROOKE, City of Eagan, Dokota County, Minnsota ond
reserving eosements of record.
6
jb
:
+
s
R, F I U E-- E V
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G
EAC'. ANF`i M,LPEERIVCv Ll '' : a;/
9\yB
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G+l ?
A
aIP, s°o s r ?? a '434•
,o?w?oyea
\?? ? ? ry Co
? Y37•?! ?9P
Exist Home
T09 = 938.1
TNy) = 93H•1M
?
\\
?a?a Vo ?7FOUMOED
Plon # 18231
PROPOSED ELEVATIONS
Top of Foundotion = q35.$
Gorage Floor = 41 S. Y
Bosement Floor = q2'7.g
Aprox. 5ewer Service = a2o.6!
Proposed Elev. _ (=?>
Existing Elev.
Drainoge Directions = -
Denotes Offset Stake = •
2o ?0?0 /??O bpp ,y'L i
?0 u°a'
>,.
?
os,,
W 6
t Fcv4c"d
,
.
/
i _
93_`g
LOT SQ. FOOTAGE
kSE. SQ. F00TAGE
LOT COVERAGE _
SCALE: 1 inch = 30 feat
Front -25 House Side -
Reor -15 Goroge Side-
JOB N0:
HEDLUND ' HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-083
OF THE BOUNOARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANN/NC 6NClNE6R/NC SURVE'YlNC SHOW IMPROVEMENTS OR ENCR CHMENTS, EXCEPT AS HOWN.
2005 Pin OOk Drive
Eagan, MN 55122 OATE 3 zI_Z1 co ? cAO FILE:
Phone: (657) 405-6600 LiNDGREN, LAND RVEYOR
Fox: (651) 405-6606 MiNNE n LiCENSE NUMBER 14176 OAKBROOKE
= 10,209
= 1,801
18%
BENCHMARK,
TNH =434./y
MIN. SETBACK REQUIREMENTS
RECEIVED qFR 1 4 200C
.
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPUCATION
PROPERTY LEGAL. /07'
n DATE OF SURVEY:
N
?
w
LATEST REVISION: ?
?
? DOCUMENTS7ANDARDS
og 0
a
?Z
`Y /
? ? • Registered Land Surveyor signature and company
v ? • BwldingPermitApplicant
? Legal descnpbon
? :
Address
? • North arrow and scale
Vp ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
e?p o • Directional drainage anows with slapelgredient °r6
a/ ? ? • Proposed/epsting sewer and water services & invert elevation
r? ? ? • SVeet name
q?o ? • Driveway
V ? ? • Lot Square Footage
? • Lot Coverage
ELEVATIONS
ExisUna
o ? • Sewer service (or Proposed)
? ? • Property comers
W/ ? ? • Top oi curb at the driveway
q/' o/? • ElevaUons of any existing adjacent homes
?9 a Adequate footing depth of structures due to adjacent udlity trenches
/ Prooosed
af o ? • Garage floor
? ? ? Firstfloor
v o Lowest exposed elevation (walkoutlwindow)
? : Propertycomers
? Front and rear of home at the foundation
/ PONDING AREA (d aodicaWe)
o
? Q • EasemeM line
? q??
? ? ? • NWL
• HWL
? ?
? d ? • Pond # designatian
• Emergency Overflow Elevadon
DIMENSIONS
/
? o o • Lot GneslBeanngs & dimensions
??
V
??
/
a? ??
m? ? • Right-ot-way and street width (to back o( curb)
• Proposed home dimensions induding any proposed decks, overhangs grea[er than 2', porches, etc.
(i.e. all strudures requiring permanent foodngs)
• Show all easements of record and any Ciry uUlides within those easements
• Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
? • Retaining wall requirements, if any
Reviewed: ¢ /a _ zl? / Date
Mareh 1989
cnAiaOocvnMr.Fra
, ' ;•'.,. MA2-28-209 69 • 0:3^s
- ,
MNchaek COMBLIANCE REPORT
Minneeota Bnergy Code
NINcheck Software V9rqion 3.0
P.02/03 -- " -:r.i
Permit #
Checked hy/Date
COLTNTY: Dakota
BTATE: Minnesota
ZONEe 2
CON3TRVCTiON TYPE: Single Family
DATE: 3-28-2000
DAT& OF PLAN9: 3/28/00
TITLE: 9HEFFIELD 48R Wjo EL. #Z
COMPLYANCE: PA35E5
Required UA - 569
Your Home - 429
24.64 Setter Than Code
Ax'ea OY Cavity Cont. t3lazingjDoor
PerSmeteY R-Value A-Value 1-Value
...................__•.___._.....-`-------------- ^_.-_-.._---------------------
CEILINGS 1176 94.0 0.0
wALLS: wood Frame, 1611 O.C. 2772 19.0 2.0 i
NALLB: Wood Frame, 16" O.C. 290 10.0 2.0
HSMT: Conc. 9.0' ht/8.3' bg/9.0' ineul 936 11.0 0.0
GLAZIN(3e wlndows or poors, Above 6rade 460 0.350
1
DOORS 38 0.350
FLOORS: Over Outside Air 84 39.0 2.0
FNAC EQUIPMENT: Furnaae, 92.0 AFU&
" -`--------------------------'----'----- " ..-....---------------------------
COMPLIANCE 9TAT8P?NT: The proposed building deaign?described here ie
cosllti6CCnt wi--h 'lding plans, epecifiC9tions, and other calculations
submitted with ete 't apQlication: The propocsd builtling haa been
deaiqned to me k the re iremanta of the Minnesota Energy Code.
Suildex/De61 er ?X Date, aD d?
:?
?
JOB INITIATION ORDER ?
Pulte Ho?nes of
Minnesota Corporation
7355 Mendota Heights Road, Suite 300
Mendola Heghts, MN 55120-1112
Phone: (651) 452-5200 Fax: (657) 452-5727
CONTRACTOR/SUPPIJ ER:
CONNNNITY; ( db ,
BUILDINO AODRESS:
NIODEL NPJdE:a
BUYER'S NAME: A
CURRENTAODR'EnSS:
HOME PHONE: ?y! C
MODELNUMBER
LEGAL DESCRIPTION: LOT IJ_ BLOCK C UNff
ADDITION
CfTY: STATEAX ZIp;?
ELEVATION: ? OAfiAOE: LEFT al
DATEOFORDER 2A- CITY: IIJ.lt` ` STATE:W 21PZ?LO(D
SAlES REPRESENTATiVE
?
BUSMESSPHONE:
d ; 0
0000 ' ? a•§ • t?? ;d ?3 .u
BASE PRICE ui ?,' ?it?:
?j ? 9qa f
- - - - LOT PREMIUM 3ooc)
i WI . ELEVATION # 5"
1 Q " Q
? q M. ?PX 0
. S Ib?
? uo
E
5 (',? ?- ;)Wo.
?
? 0 01
3
3z°zo (?J l a
l0
a Zo?2 I o0
5R2 t - °Ca ot?o
?
TOTAL qqD
? APPROVED BY BUYER (S): ?C ^
, APPROVED BY SALES:
?
RELEASED TO START CONST.: eauai HousiNc
orrontuwirv
Builder's License N0001371 This constitutes a contract between the Seller and the Purchaser(s) for the above items.
CITY USE ONLY
L r BL r
sUeo.
RECEIPT#: / d ? 5?; q
RECEIPT DATE: 7- ?1bU
PERMR# Nn790
2000 PLtJMBING PERMIT (RESIDENTIAL)
CZTY OF EAGAN
3830 PIIAS KNOB RD
EAGHN, IMI 55122
651-681-6675
Please wmplete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIYTlIRES
EACH #
TOTAL
Alteretions to existing dweiling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x Z' = $
Floor drain 3.00 x = $
Gas piping outlet * minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = 8
Laundry tra 3.00 x = $
Lavatory 3.00 x = $
Septic System naw/refurbished • requires MPC lic. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installation/repaidrebuim 30.00 x = $
Rou h o ening 1.50 x = $ L
Shower 3.00 x = $
l;nc;erground sprinkler if dwelling is under construction 3.00 x = $
Under round sprinkler rf existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dweltlng under consWCtion 5.00 x = $
Water softener rcexisnny awening 30.00 x = $
Watertumaround 30.00 x $
State Surcharge 50 -> -> ---> $ .50
Total -? -' -' ?' $ ' • ?
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
?--------------------------------• •-----------------------------------•------------------------------------------...--------------- • •-?-----
I hereby acknowledge that I have read this applica6on, state tliat the infortna6on is corteG, and agree to compy with all appliwble City of Eagan ordinances.
H is the applicanPs responsibility to notity the property owner that the City of Eagan assumes no liability for any damages pused by the City during Rs
nortnal operational and maintenance activities to the facilkies construcled under this permit within 9?y property/rightof-way/easement.
SITE ADDRESS:
OWNER NAME: : Z O. TELEPHONE #:
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
(AREA CODE)
CITY: STATE: ///`7 r - ZIP:,
SIGNATURE OF PERMITTEE
G CITY USE ONLY
'LUBD. b
? Y (>PJI`'LQ,
RECEIPT#: J
RECEIPT DATE:
PERMIT# ! I vy ?
2000 PLUNIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IQdOB RD
EAGAN, iMI 55122
651-681-4675
Please complete for. D single famity dwellings
? townhomes and condos when permits are required for each unit
? backflaw preventer for underground sprinkler system
FIXTURES '
EACH #
TOTAL
AlteraGons to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $ -
Gas iping outlet ' minimum- 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $ -
Laundry tray 3.00 x = $ ?
Lavatory 3.00 x = $ -
SBpUC S stem new/refurbished • requires MPC lic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepair/rebuild 30.00 X = $
Rough opening 1.50 x = $ 5a
Shower 3.00 x = $ -
Underground sprinkler 'rfdwelling is underconstruction 3.00 x = $
Undergroundsprinkier if existing dwelling 30.00 x = $
Water closet 3.00 x 3 = $
Water heater 3.00 x = $ ? --
Water softener if dwelling under construeuon 5.00 x = $
Water softener if existlng dwelling 30.00 x = $
Water tumaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
Total _> $ ?
Remfnder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
•-----------------------•------- adfhisappiipt-------ion--, s--}ate ----that ----the --•iMortnation -----------is ------------------------------------------------•------------nan--- ec--.
s-
I heieby adcnowledge that I have re carred, and agree to compy with all applipble Cily of Eagan o?di
It is the applicanPs responsibility to notify the property owner that the City of Eegan assumes no liability for any damages caused by the CRy during its
normal operational and maintenance activities W Me Tacilities consWCted under this pertnit wRhin City property/right-of-wayleasement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
TELEPHONE #:
(AREA CODE)
TELEPHONE #: q5;),
(AREA CODE)
STREET ADDRESS: /?nU J1,l 1UIVA, f`C1%LZ
CITY: ST T: Mn ZIP: -??
%x,?,
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT ? BL ? PERMIT
SUBD. O(h ?A PJ Vn0L/ RECEIPT
RECEIPT DATE:
1/077
13d??/
2000 MECHANICAL PERMIT (RE3IDENTIAL)
CITY OF EAGAN
3830 PILOT IQIOB RD
EAGAN 2Mi 55122
? ?! O0 651-681-4675
Date: ?e
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not ownedoccupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required Q$3.00 ea.)
$ 30.00
6.00
3-0d
State Surcharge .50
Total $ 3q,50
Complete this section onlv if you are remodeline, adding to, or re airin an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New _ Alteration
_ Fumace
Air exchanger
Reminder: Call for inspeclians
SITEADDRESS: '7I">7 ?Cx?c?t7`UC??
Repair _ Other
_ Air conditioning
Other
Fee $ 30.00
State Surchazge .50
Total $ 30.50
OWNER NAME: PHONE #: 66? - '?/6a' ? °ZO U
????" (AREA CO E)
INSTALLERNAME: S?ll('(1Ssll?Iu_ PrtC PHONE#: ra I -$9?C-dc?05
`,,
STREETADDRESS: VaL?'? vtU&lL W,t.nd I$X (ARFACODE)
s
CI1Y: s C(A)Ltq e. STATE:?4d ZIP:
_ ? .
S GNATURE OF PERMITTEE
L _ BL _
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #. _
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PLRMIT (COIMRCIAL)
CITY OS EAGAN
3830 PILOT IQiOS RD
EAGAN, MIIJ 55122
651-681-4675
Please complete for: all commerciaifindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK 1'YPE: New conswction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, cal[ 651-681-4675 jor inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 mioimum fee, whichever is greater.
Underground tank removaUinstallarion = minimum fee
Contract price: $ x 1%= S (Base Fee)
State surcharge calcutate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OR'NER Tr'kir1E: °HONE #:
(AREA CODE)
TENANT NAME (IMPROVEIvIENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE7 Y N. NAME:
INSTALLER:
ADDRESS:
CIT'Y:
CITY USE ONLY
PHONE #: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4157 Oakbrooke Dr
Lot: 2 Block: 5 Addition: Oakbrooke
PID:10- 53760- 020 -05
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
New Life Contracting Inc.
2478 Hillwood Dr E
Maplewood MN 55119
(651) 274 -6943
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Khalil T Aboukhalil
4157 Oakbrooke Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA086134
09/16/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Oct 24 13 10:42a AA Garage Door 651-702-0838 p.2
AM- Use BLUE or BLACK Ink
I For Office t;;; I
City of Ea p 1 Permit
I l~ J 1
3830 Pilot Knob Road Permit Fee:
1 I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff: I
L----------------~
I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 415 Og kb~bo Unit
t
i ° Name: _CQ~, 1 1Q~~ 1"rW.~Gt,~ I Phone:
~(151'~~~"~1 I
Resident/
i Owner € Address / City f Zip: I r S~ OCI ^(,`OKQ, pr C((( I'() ,`'~N SS a.~--
Applicant is: _ Owner /_t___Contractor
Type of Work Description of work: , fl ovabL-M e
:Construction Cost: 1 W Multi-Family Building: (Yes /No
: Company: An 66
Contact:
Contractor i Address: ~7 v _ U>✓ Cam:
Stater Zip: 6-7' Phone: 105 L~ ?1- -7102-1
t
; License Lead Certificate* LS / "1 / n ` d- i
j If the project is exempt from lead certification, please explain why. (see Page 3 for additional information)
7
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:
i 1
Licensed Plumber: Phone:
Mechanical Contractor: Phone,
i
l Sewer & Water Contractor: Phone, 1
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be c/assirled as non-public if you provide speck reasons that would permit the C/ty to
conclude that they are trade secrets. I
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Calf 48 hours
before you intend to dig to receive locates of underground utilities. www.aooherstateonecall arg
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
Fagan; that I understand this is not a penult, 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 ~n
Apphcanirs Printed Name App icals Sr ! ' _
9
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117145
Date Issued:10/15/2013
Permit Category:ePermit
Site Address: 4157 Oakbrooke Dr
Lot:2 Block: 5 Addition: Oakbrooke
PID:10-53760-05-020
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 -
Khalil T Aboukhalil
4157 Oakbrooke Dr
Eagan MN 55122
Cedar Custom Builders & Remodelers
1501 Keller Lake Rd
Burnsville MN 55306
(952) 215-5141
Applicant/Permitee: Signature Issued By: Signature