4103 Oakbrooke TrAddress 4 103 oakbrooke rr Zip 5512 ?
LAt 12 Blk 4 SUb Oakbrooke 3rd
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Pecmanent steps (gazage) ?
Permanent steps (main entry)
Pertnanent driveway ?
Permanent gas
Sod/Seeded gtass
TraiUcurb damage ?
Porch ?
Basement finish
Deck x
Please verify with the builder the removal of roof tes[ caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contad engineerittg division a[ 681-0645 before working in rightof-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•681-4675
ci
New Consfructlon ReauiremeMs
Remodel/Reoalr Reauirements
? 3 registered sNe surveys showfng sq. ft. of lot, sq. k. of house 2 coptes of plan
and all roofed areas (207 maximum lo} coveraae allowed) t set of energy calculeTtons for heated addMlons
? 2 coples of plans (show beom 8 window sizes; poured tnd. design; e}c.) 7 sRe suney for extertor addHtons 8 deCks
> 1 set of energy caiculations
> 3 coples of hee preservafion plan B laf platted aHer 7/1/93
DATE: CONSTRUCTION COST: 9 s `?
DESCRIPTION OF WORK: IVi2vJ S.
STREET ADDRESS: ? \V 5 '
LOT: ,Z- BLOCK: 4
PROPERTY
OWNER
Last
Street
City
Phone #:
First
?
State: Zip:
Companv???- ?o•"'?-S Phone #: ? R,'?A- Lc(a l
(area code)
CONTRACTOR
Street Address:???5 License # Exp. ?\ 'Z?
City W" ?-7??C-aa?rlk-S State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Street
City
Registratton #: _
State: Zip:
Sewer 8 water Iicensed plumber (reauired for new consiruction ontv):
Penalty applies when address change and lot change Is requesfed once permif is issued.
I hereby acknawledge that I have read ih(s appltcaflon, sfafe that the i ormatlon Is c'?ect, an?agree to comply with all applicable
State of Minnesota Sfatufes and C(1y oF Eagan Ordinances. \\ \
Slgnature ol Applicant:
Certificates of Survey Received ? Yes
Tree Preservation Plan Received _ Yes
SUBD./P.I.D. #: C?i?b?aoks? ?```
OFFICE USE ONLY l%
C
No
L? ..
_ No ?NotRequired,
r--
q?
SEP 2 01999
_ ._ ?
OFFICE USE ONLY
P
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
)R:?`02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging 0 20 Pool ? 25 Miscellaneous
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. (Actual) ?VN Basement sq. ft. Census Code 10 1
(Allowable) -CT- IV Main level sq. ft. ) S a? SAC Code o%
UBC Occupancy R.-3 v-i s, .. sq. ft. ) I fJ No. of Units
Zoning ?-1 ?4•?? sq. ft. 5'HS' No. of Bldgs I
# of Stories ? sq. ft. MC/ES System
Length 66 sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire 5prinklered
APPROV,4LS
Planning Building G Engineering Variance
Permit Fee Valuation: $_?aT
Surcharge
Plan Review
License
MC/ES SA , .
C
City SAC GN?u ?
water Conn. 3-,iSr7
WaterMeter a2A-DG.33 ; yyvy?G'
Acct. Deposit 3 y X 17' ?
4-I 3 JS U S U ? 7? 16 b'
S/VV Su charge
Treatment PI.
- 7 r LI.S
Park Ded.
TrailsDed. I(G
Other
Copies
Total: ?'7a3 a,5y = 1-I
SAC Units
% SAC
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JOB INITIATION ORDER
J
? .
Pulte Homes of
Minnesota Corporation COMRA?wSUPPLIER:
1355 Mendota Heights Road, Suite 300 _
MendoW Heights, MN 55 7 20-111 2
Phone: (612) 452-5200 Fax: (612) 452-5727
JOBNO. LJiZ1
CCMAINRY: /'`' `
BUILOINO ADDRES..`
MODEL NM1E - ?' 2AIE:i5
NqOc:?-
hqDEL M11SER:
LOT ^UNR la-4
C(TY: !
ELEVAT70N: J 6ANNCiE' LEFf FUGHT
DA7'E OF OROER:
BUYERS NM1E: -
CtTY: STATE:__
CURRElIT ADDRESS:
BU?ME33 PHONE: BUSINE55 PFIONE
FiCME PHONE:
SALES REPRESENTATIVE
?d'QT_y-:
0000 --
BASE PRICE
LOT PREiNIUM
ELEVATION# ?v
I
I
?
I
I ? l, it _ n
TOTAL LLI. ? "1'
APPROVED BY BUYEA (S):
APPROVED BY SALES:
m ?
E4UAL HOt
RP+ F,iC?? Tf'1 START CONST: noonan?
,
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYIEGAL. ?oT A?
OATE OF SURVEY: h"-
LATEST REVISION. L
DOCUMENTSTANDARDS
/? ? . RegStered Land Surveyor signature and company
?0 ? • BuddingPermRApplicant
a ? • Legal descnption
? ? ? • Address
?? o • North arrow and scale
?? ? • House rype (rambler, walkout, split wlo, splR entry, lookout, etc.)
?? ? • Directional drainage arrows with slope/gredient °h
?? ? • Proposed/epsting sewer and water services 8 inveR elera6on
p/ ? ? • Street name
Gb" o ? • Driveway
? ? ? • Lot Square Footage
?? ? • LotCoverege
ELEVATIONS
Existin
? p ? • Sewer service (or Proposed)
? ? • Property corners
g?? • Top of curb at the driveway
?? /? • Elevations of any e?dsting adjacent homes
D e' o Adequate footing depth of structures due to adjacent utility trenches
Prooosed
/? o • Garage fioor
r? ? ? • Firstfloor
? p Lowest exposed elevation (walkout/window)
c :
Property corners
?
v •
Front and rear af home at the foundation
PONDING AREA (if aodicaWe)
? ad ? • Easement Gne
? s/ ? • NWL
? ? ? • HWL
o e?/o • Pond # designatlon
? ? ? • Emergency Overfiow Elevation
/ DIMENSIONS
?f? ? ? • Lot lineslBearings & dimensions
q?/ ?? ? Right-of-way and street width (to back of curb)
?rf ?? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
/ (i e. all strudures requiring permanent footlngs)
p( ?? • Show all easemenls ot record and any City utilities within those easements
cr/ ??b • Setbacks of proposed shucture and side rd setback of jacent ebsUng structures
??? • Retaining wall requirements, if any
Reviewed:
Maroh 1999
GqAI(ygLpGPRAR FM
_ Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 12, Block 4, OAKBROOKE 3RD ADDITION, City of Eogon, Dokota County, Minns?,and
reserwng eosements of rd.
i
U PU LLa LI c+ Ll k1EQ'??EZ)
+?L
LOT SQ. FOOTAGE
SQ. F00TAGE
C 0 VEF
= 2.100
' 932O
H SE.
LOT
S=L7
Plan g 17941
PROPOSED ELEVATIONS
Y A•
t`
j D3i4
4
f: V
Fr'.GUAN EP7GIIVEEItLRTG DEPT.
SCALE: t incn - 30 taet
BENCHMARK,
Elev = q52.50
Top of Foundotion = 434.0
Garage Floor = 932,9
Basement Floor = N/a
Aprox. Sewer Service = 9i8.9!
Proposed Elev. _ C=)
Existing Elev. _
Droinage Directions =
Denotes Offset Stake = •
HEOLvNAD
PLANN/NC 6NC/NEBR/NC SURV6YlNC
2005 Pin Oak Drive
Eoqon, MN 55122
Phone: (651) 405-6600
Fox: (657) 405-6606
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Goroge Side-
I HEREBY CERTIFY THAT THIS IS A TRUE ANG CORRECT REPRESENTATION
OF THE BOUNDARiES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOE$ NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPi AS 5 OWN.
DAiE _9_/0/ 99 4QVRPD. IINDGR , LAND RVEYOR
MINN OTA LICENSE NUMB 14576
JOB NO:
99R- 468
PAGE:
OAKBROOKE
RECEIVEC) SEP 17 M9
i_i,i `? BL ?
SUBD. C?0,?00?e, l `
Air conditioning
_ Other
1999 MECiiMICAL PERMTT (RESID£NTIAI..)
CfC]' OF FAfiNNi
3830 PaoT Kxos Etu
• EAsnxauvs5122
Date: (ssi ) 681-46 75
/
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 TJ
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
0
?. ?
$ 30Au
State Surcharge .50
Minimum Total Due $ 30.50
?
6.00
3 ?
.50
Complete this section orilv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
? New Alteration Repair _ Other
Reminder: Ca11681-4675 for inspections.
7?6 Fumace
7'C Air exchanger
SITE ADDRESS:
?
OWNERNAME:
INSTALLER NA
STREET ADDRE
CIT'Y: (-"Lf
RECEIPT #: o
RECEIPT DATE:
MECHANICAL PERMIT #
State Surcharge
Total
_ PHONE #: W ` " -1-")?
PHONEnxan cope). ?? ?
??
CTTY USE 01LY
_STATE:/1?17h ZIP: SS17r
?
SI AT'CTftE OF PERMITTEE
?yls-l'pe f//
L BL
SUBD.
APPROVED BY:
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 MEcHANtct41. PERMIT (coMbtEftcIAL)
ClTY OF £Acfii4N
3$30 PILOT KNOB itD.
EkfiAN, MN 551 EE
(651)6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
.^_.? rc: !'Q?.*ru_e!^'r' nurrF:
WORK TI'PE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank (Minimum Fee)
Processed Piping (Minimum Fee)
. `
*'NOTE: When installing/removing underground tank, call 651-6814675 for inspection by fire marshal and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of conhact price OR $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x 1 %
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLI):
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
ZIP:
($.50 per $ 1,000 of permit fee due on all pemdts.)
PHONE #:
(ARE4 CODE)
PHONE #: -
(ARFA CODE)
STATE:
SIGNATURE OF PERMITTEE
L ? gL ? CITY USE ONLY RECEIPT #. ( -7 ? ( 1
SUBD. O?Y,?YQ{}-?9- ??? RECEIPTDATE: q?3o-q9
PERMIT # 3S?O ? "J
1999 PLUM$INfi PEiMIT (RESIDENTIAL)
crrY oe EwsAx
S$SO PILOT KNOS RD
f.tkfiAN, MN $5122
(651) 6$1-4675
Please complete for: > single family dwellings
? townhomes and condos when permits are required for each unit
: backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x -2 _ $ (?
Floor drain 3.00 x I = $ .O 0
Gas I In oUtlet ` minimum - 1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x / C)
Laund tra 3.00 x f = $
Lavator 3.00 x 3 = $ ?i O
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem newlrefurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installationlre air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x I = $ 3.d
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 Z = $ C.,. O
Water heater 3.00 x ( _ $ _O
Watef Softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = a
Water turnaround 30.00 x $ -U
State Surchar e 50 --> ----> ----> $ 50
Total --? --? ----> ---->
$
3(..65-v
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------------------------------------------------------------------------------------------- ---------
I hereby acknowledge Iha[ I have read this application, state that the infortnahon is correct, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the applicanCs responsibility to notify the property owner that the City of Eagan assumes no hability for any damages caused by the City during its
aormal operetional and maintenance activities to the facilities constructed under this permit within City property/nght-of-way/easement.
SITE ADDRESS: D?l-l?/e6c)/?'a ?1?. i
OWNER NAME : TELEPHONE #:
(AREA CODE)
INSTALLER NAME: ? ?l ?? / /?"? ? ? ? TELEPHONE ?? / y 2- -Z I 2 f
(AREA CODE)
STREET ADDRESS:
CITY: STATE. ? ZIP:
SIGNATURE OF PERMITTEE
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127431
Date Issued:10/01/2014
Permit Category:ePermit
Site Address: 4103 Oakbrooke Tr
Lot:12 Block: 4 Addition: Oakbrooke 3rd
PID:10-53762-04-120
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 -
Thomas A Iverson
4103 Oakbrooke Tr
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature