4104 Oakbrooke TrAddiess 4104 Oakbrooke Trail Zip 55122
IAt 21 Blk 3 $ub Oakbrooke 3rd
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: L/ j 3 Uo Yes No Inspector: ?
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas .?
Sod/Seeded grass
TraiUcurb damage ?
?
Porch
Basement finish
Deck
Please verify with the builder [he removal of roof test caps from the plumbing system and the shut-off of wate[ supply to
the oulside lawn faucet before freeze potential exists. '
Contad engineering division at 681-4645 before working in rightof-way or instailing undergmund sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contrector Copy
CTTY OF FAGAN .
CA5HIEF: JS TEkMINAL N0: 768
DATE. 12/23/33 T7MEe 12e33:3E
IDa '
NFlMEe PULTE MASTER E+UII_UER
,
2252 9220 4104 OAt.HR00F.E 30.00
3210 9001 4104 OAMffR00F:E 1y21i.i5
3866 9373 4104 OAKBROOKE 1Uf7,00
342? 900:1. 4104 OAI:$ROOF;E 791.54
?275 9220 4104 C1AF.EtfiQOKE 1y039.50
34•46 9001 4104 OAI:BFi00t:E 0.50
2155 3001 4104 OAF;ksRfJ01(E 0.50
3743 3220 4104 OAt:&FOOVE 50.00
2J.55 9001 4104 OAKBROOKE 70.00
3E36$ 9220 4104 OAt;BF00F1F_ 468.00
CF'i.2i.832 #X? CC1NTINUE
USER ID: tAN CCJNTTNUE
>,--?- ?..? -?) 9
CONTT.NUE
CITY OF EFlGAN
CASHCER: JS ?Ef1MINAL N0. 768
DATE: 1.2!29/93 TIME: 12:33:36
IDe
NAME: PULTF hfASTEfi HUSLDEFi
;3i tE, 3220 4104 OAKBROOKE 114.00
3713 3220 4404 OAKBROOKE 50.00
3865 9220 4404 UAF;HROOItE 825.00
To+,a.l keceiFrt Amoun+.: 47766.79
CRici832
USEfi SD: JAN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF FJiCAN
3830 PILOT KNOB RD - 55122
651 •681-4675
NawConafruction RenuiremeMa RemodellReoair Reauirements
D 3 regfetered ske surveys chowinp sq. R oi lot, sq. R of house
and all roofed ereac (20% mazimum lot eovereae allowed)
? 2 copfes o( plans (show heam d window strea; poured fid. daipn; etc.)
D 7Betotenergycalculafions
? 3 copbc ottrea presenation pian H bt pWCed aRer I11193 DATE: ?? ?? - 0?1?
DESCRIPTION OP WORK:
STREET ADDRESS:
1-i 10
2 copbt of plen
1 eet of energy alalatiorre for heated addXions
1 site suney kr axrorior additiom 8 decks
CONSTRUCTION COST:
f
LOT: BLOCK: ? SUBDJP.I.D. #:
Name: Phone #:
PROPERTY Lest FlBt
OWNER
SVeetAddress:
City State:
Zip:
Company: ? K\?'e- ? e5 Phone #: 0? 8?
(area eode)
CONTRACTOR p
Street Address:)7JSS MQnpLtl??2..??cG :?LZbu Lieense #?3?\Exp. \ zA*?
ciri Mt4oN-t-\r\e;state: zip: sstOkp
ARCHRECTI
ENGINEER
Telephone#: (
Street
City
Registration #:
State:
Zip:
Sewer 8 water Ilcensed plumbet (new rnnstruction onlv): VN\\ Telephone A0\2-- AC, Z- Z\Z ?
Psnalry applies when address change and bt change is raquated once permk is tsaued.
I here6y aclmowledge tliat I have read this appllcation, sTate that fhe hiformatlon ia conect, and apree W mpty wit all applkabls State of Minrresota StatNes and C8
o; Eagan Oidlnances. '
Slgneture of AppllcaM: ?
OFFICE USE O
Certificates of Survey Received &0 Yes _ No
Name:
Tree Preservation Plan Received - Yes - No ?90Not Required SK)
OFFICE USE ONLY
BUILDING PERMIT TYPE
?
?
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
K 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage O 22 Porch/Addn. (4sea.
? 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 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
A 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/SoffitslFascia
? 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) ALM Basement sq. ft. _P3 9G Census Code 1Q1
(Allowable) ??A Main level q. ft. SAC Code
UBC Occupancy ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories - sq. ft. MC/ES 5ystem
Length ' 7t? ?•?, sq. ft. City Water
Width Footprint sq. ft. Booster Pump ?
PRV
Fire Sprinklered
APPROVALS
Planning Building ? Engineering Variance
Permit Fee Valuation:
Surcharge
Plan Review
License
MC/ES SAC NqD
CitySAC
Water Conn. ? prrZ,yv
Water Meter ? r ?
Acct. Deposit ? ?
S/W Permit
S/W Surcharge Treatment PI.
Park Ded.
- - i
Trails Ded.
Other
Copies ?
Total:
SAC Units
% SAC
`???
nIDU(- Fftfk)
Oakbrooke Infinity
Eagan
Date: 11/29/99
Address: 4104 Oakbrooke Trail
LoUBlock: Lot 21 Block 3
Plan: Diamond Lookout
Options: Description:
18023 Elevation #2
35039 Four Season Porch
28046 Upgrade Cabinets Raised Panel
28057 42" Uppers Raised Panel
31002 Laundry Cabinets Raised Panel
14007 Carpet Pad Upgrade
14122 2"d Carpet Upgrade
15026 Vinyl Upgrade Bath 41 & #2
15031 Vinyl Upgrade Kitchen ?
15032 Vinyl Upgrade Laundry "
15090 Ceramic Tile Foyer
17024 Four Ceiling Electric Openings (Porch, MBR, BR #2, and BR 43)
23006 2 '/2 Ton A/C
10055 Spacemaker Microwave
10091 Upgrade Gas Range
36019 Waterline Future Icemaker
21021 Gas Fireplace / Ceramic / Wood Mantel
31011 Laundry Tub 3ingle Compartment (Basement)
25011 Six Panel Solid-Core Oak Veneer poors
22032 Shelving in Garage
39010 Solatube Bath #1
13077 Whirlpool Tub Bath #2
32023 Security System Basement
32020 Three Additional Phone Jacks (Porch, BR# 2& 3)
32012 Two Additional Cable Jacks (BR #2 & 3)
Stain: Cider
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPUCATION
PROPERTY LEGAL: 2"7- LI ? 6??6'%Q
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
D-7-
• Registered Land Suneyor signature and company
• Building PermR Applicant
• Legaldescription
• Address
• North arrow and scale
• House type (rembler, walkout, split w/o, split entry, lookout, etc.)
• DirecGOnal drainage arraws with slope/gredient %
• Proposed/existing sewer and water services & invert eleva0on
• Street name
• Driveway
• LotSquare Footage
• Lot Coverage
ELEVATIONS
EasUna
? ? • Sewer service (or Proposed)
m? ? ? • Property corners
Gl?d ? • Top of curb at the driveway
v ?/b • Elevations of any ebstng adjacent homes
c o' ? Adequate footing depth of shuctures due to adjacent ufiliry Venches
/ Pronosed
d a o • Garagefloor
? ? ? • First floor
? ? ?
/ • Lowest exposed elevadon (walkouVwindow)
? ?
/
CY . Property carners
d
?? • Froni and rear of home at the foundation
PONDING AREA (if aodicade)
? ? ? • Easement line
? ? ? • NWL
? ra? a • HWL
? a( ? • Pond # designaton
? d ? • Emergency Ovefiow Elevation
/ DIMENSIONS
[( ? o • Lot lineslBearings & dimensions
r{? ?? • Right-of-way and street width (to back of curb)
W?? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sVuctures requiring permanent footings)
?? ? • Show all easements of record and any City utili6es wRhin those easements
c5? ?? • Setbacks of proposed structure and sideyard setback of adjacent ebsGng structures
o?' o • Retaining wall requirements, if any
Reviewed: -`;?/ ?
Name 1 Dete
Maroh 7989
CRAIGIBLDGPRMT FM
CITY USE ONLY
?
LOT BL ?D
suan. ?r0 o,n. ??
PERMIT #:
RECEEPT #: ?a37 o
RECEIPTDATE:
Date: ?( - / 7' `oc/
Complete this section ontv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occunied.
• HVAC: 0.100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one requued @$3.00 ea.)
State Surcharge
Total
PHONE #:
Complete this section onlv if you aze remodelina, addine to, or repairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteratioq or repair.
_ New _ Alteration
Fumace
Air exchanger
Remirrder: Call for inspections
SIT'E ADDRESS: /-f / U 7' &A-1
OWNERNAME:
INSTALLER NAME,S.T C1?bL"?
STREET
CIT1':
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN 3630 PIIAT IQdOB RD
EAGAN tM1 55122
651-681-4675
?
_ Repair _ Other
_ Air conditioning
_ Other
Fee
State Surchazge
Totai
PHONE #:
$ 30.00
6.00
.50
$ 'z5-'-7 Si7
$ 30.00
.50
$ 30.50
on)
_STATE:
S TURE OF PERMITTEE
CITY USE ONLY
L _ BL _
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #: _
RECEIPT#:
RECEIPT DATE:
2000 NECHIINICAI, PERMIT (CODMRCIAL)
CITY OF EAGAN
3830 PILOT 1IN08 RD
F.AGAN, NIId 55122
651-681-4675 -
Please complete for: all commercial/industrial buildings
multi-family buildings when separate pertnits are not required for each dwelling unit
DATE:
WORK TYPE: _ New wnstruction Install U.G. Tank
_ !nterior Imgrcvement Remove U.G. Tank
_ Pracessed Pipmg
When installing/removing underground tank, call 65I-681-4675 for inspection by fue marshal and
plumbing inspec[or.
Description of work:
? ..._...._.
Fees: 1% of convact price OR $30.00 minimum fee, whicheyer is greater.
Underground tank removaUinstallarion = minimum fee
Contractprice: $ x1%=$ .
State surcharge
TOTAL g
(Base Fee)
calculate at $.50 for each $1,000 Base Fee
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (IMPROVEMENTS ONLI): (AREA CODE)
WAS TfERE A PIiEVIOUS TENANT IN TFIIS SPACE? Y N. NAME:
INSTALLER .
ADDRESS:
CI1'Y:
PHONE #: -
(AREA CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
L r7.{ B`LI
SUBD.
CITY USE ONLY RECEIPT #: ( I D5d J
RECEIPTDATE: IO-aL(-` I
PERMIT # ? O / - ',:5
1999 PLUM$1Nfi PEiM1T (RSIDENTIAL)
CPfY OP gAfiHN
G
SSSO PILOT KNOB RD /b` l ?
£AfiAN, MN 551 EQ
(651) 6$1-4675
Piease complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Batt; tub o 3.00 x = $
Floor drain 3.00 x = $
Gas i in outfet ` minimum -1 3.00 x / - $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x - $
Laund tra 3.00 x = $
Lavato 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 S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $ G
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 dweuin under wnswction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> --> ---> $ 50
Total --> --? ---> ---> $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------------------------- ---------------•-------------•----------------•-------------•--...-----------------------------------
I hereby acknowledge that I have read this application, state that the Infortnation is cortect, and agrae to comply vdlh all applicable Cfly of Eagan ordinances.
It is the applicanYs responsibility to notiy the property owner that Uie Clty of Eagan assumes no liability for any damages pused by the City during its
normal operetional and maintenance actlvities to the facilitles constructed under this pertnit wilhin City pr erty/right-of-way/easement.
SITEADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRES:
ciTV:
TELEPHONE #:
(AREA CODE)
, 5?
SIGNATURE OF PERMITTEE
1% Surveyor's Certificate
SURVEY FOR :PULTE ?
DESCRIBED AS : Loc z,, elock 3, OAKBROOKE 3RD ADDITION, City^v'o?(Eoqon, Dakoto County, Minnsoto ond
reservinq easements of record.
L0T SQ. F00TAGE
HSE. SQ. FOOTAGE
LOT C
= 3,608 = 2,259 ?
. c- og-,W-E
Plon (/ 17953
PROP05ED ELEVATIONS
Top of Foundation = 933.0
Goroge Floor = q3t • $
Basement Floor = qzv.o
Aprox. Sewer Service = qiq.o
Proposed Elev. _ C=)
Existing Elev. _
Droinoge Directions =
Denotes Offset Stake = .
.r ... ..av._LG -
E.3GA.T3 FN^u- IIS]F,+.'.EtINC'a DEP'1:
BENCHMARK,
SCALE: 7 inch m 30 leel
?.
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Gorage Side-
JOB NO:
HEDLL?ND ' HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 99R-560
OF iHE BOUNDARiES 4F THE ABOVE DESCRIBED PROPERTY AS SURVEVED
BY ME OR UNDER MY DIRECT SUPERVISION AND OOES NOT PURPDRT TO BOOK: PAGE:
PLANNlNC ENC/NE6RlNC SURV6Y/NC SHOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT SnOVN.
2005 Pin Ook Drive pQ Q,
Eagon, MN 55122 DATE CAD FiLE:
Phone: (651) 405-6600 RE . LiNDG EN, LAND RVEYOR
fOx; (651) 405-6606 NNE TA LICENSE NUMBE 14376 OAKBROOKE
plarpi1iFD DEC 2 7 039
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127428
Date Issued:10/01/2014
Permit Category:ePermit
Site Address: 4104 Oakbrooke Tr
Lot:21 Block: 3 Addition: Oakbrooke 3rd
PID:10-53762-03-210
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 -
Arlene B Hoffmann
4104 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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA138617
Date Issued:09/09/2016
Permit Category:ePermit
Site Address: 4104 Oakbrooke Tr
Lot:21 Block: 3 Addition: Oakbrooke 3rd
PID:10-53762-03-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & 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 -
Arlene B Hoffmann
4104 Oakbrooke Tr
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature