4105 Oakbrooke TrPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128459
Date Issued:11/13/2014
Permit Category:ePermit
Site Address: 4105 Oakbrooke Tr
Lot:11 Block: 4 Addition: Oakbrooke 3rd
PID:10-53762-04-110
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 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 -
Steven H Heiser
4105 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
Addtess i, 1 0 5 9 a k brcae ir e1s a} 1 Zip 5512 2
IAt II BIIC 4 $Ub Oakbrooke Third
THESE 1TEMS WERE / WERE NOT COMPLLrI'E AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) x'
Permanent steps (gazage) ?
Permanent steps (main entry) 1K/
Permanent driveway 1C
Permanent gas ?
Sod/5eeded grass X
TraiUcurb damage X
Porch a/
Basement finish
Deck X
Please ver?'}' with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn fauce[ befote freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way ot installing underground sprinkler system. ?
While - City Copy Yellow - Resident Copy Pink - Conttactor Copy
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. " CITY OF EAGAN
? c ?/ 3830 PILOT KNOB RD - 55122 ??--? ??-? S?• ??
J O U 't ?- 659-681•4675
New Consfruction Reaulremenls Remodel/Reoalr Reaulremenls
? 3 regisfered sfle surveys showing sq. fl. of lof, sq. tt. of house
and all roofed areas (207, maximum lot coveraoe allowed)
2 copfes of plans (Show beam 8 window sfzes; poured fnd. design; efc.)
1 set of energy calculations
> 3 capfes of hee presenotion plan if loi piatted afler 711/93
DATE: -\- Z?_G?\
DESCRIPTION OF WORK:
STREET ADDRESS:
fp.
LOT: \\ BLOCK: 4 SUBD./P.I.D. #: OQ\<\l ? tc7i?_
Name: Phone #:
PROPERTY Last Ptrst
OWNER
Street
Cify
State:
Zip:
(?fa- 3Ga?-l-ill
Company?u\T'? \\t,?eS Phone#: o-tCl?' '? 1 0 l
(area code)
CONTRACTOR Street Address:\3SS. %C'AUO-?tAe ?te.s 1?r?L1 ense #\--k9 N Exp.A34Z061Z
CItyvhPvsaAA' Ae,\'\'?" State: Mo. Zip: S5\ Za
ARCHITECT/
ENGINEER Company: SAdMe_ <:1% 5 a?ba..+Qfame:
Telephone #: area eode (
2 copiet o( plan
1 set of energy calculations tor heated addNions
i sBe survey for exteria addMions 3 decks
CONSTRUCTION COST: \0, 5\D
Street Address: Registration #:
City
State:
Zip:
Sewer 8 water Iicensed plumber (reaulred for new constructton onlv):
Penalty applles when address change and lot change is requested once permff Is Issu?df a/? ? ' a I a" I
I hereby acknowledge that I have read this application, state that ihe information Is co ct, and agree to comply w'rfh all applica6le
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Certifcates of Survey Received -1) Yes _ No Sg
Tree Preservation Plan Received _ Yes _ No ?ot Required ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex O 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
)D 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)
O 04 2-plex ? 09 7-plex ? 14 Apartmen ts ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE ?
N 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Sjding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. -? 40 Gas Insert ? 44 . Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.' ? 41 . Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) 0 42 Reroof ? •
* Give PCA handout to applicant for demol ition permit
GENERAL INFORMATION
Const. (Actuap .sA/ Basement sq. ft. Census Code &/
(Allowable) Main level sq. ft. 7 SAC Code
UBC Occupancy sq. ft. UU 7 No. of Units
Zoning sq. ft. No. of Bidgs
# of Stories / sq. ft. MC/ES System
Length 70 sq. ft. City Water
Width J.5? Footprint sq. ft. Booster Pump
PRV
. Fire Sprinklered
APPROVALS '
Planraing Buil ding Engineering
, . Variance
.
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
.. ?
Valuation: $ o or?
cu/Av??
/8G 1 XSy? leo, 8'cs,
74,,r Yq7 ? i(o
i
rzw /v7?970
% SAC
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?A? c?l', ? C? ?
?
?? ? JOB INITIATION ORDER No
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.. I
Pulte Homes of
Minnesota Corporation
1355 Mendota Heights Road, Suite 300
Mendota Heights, MN 55120•1112
Phone: (612) 452-5200 Fax: (612) 452-5727
CONTRACTOWSUPPUER:
o? 50
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JOB ,?.
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CONMUNffY: 7?PllJ?
BVILDINOADORES
S: AOORION:
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C7TY5TATE: t
LP:?
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AqDEL FteME:?L??? MIODEL NUMBER: ELEVATION: 1-5 CiARA6E: LEFT RN3HT
BUYER'S NAAAE: DATE OF ORDER: ,
CURRENTAODRE55:
CfIY: STATE:_ P?
HOIUE PMONE BUSINESS PHONE: BUSRIESS PFIONE:
SALES FiEPRESENTATIVE
?
? q
0000 BASE PRICE
---- LOTPREMIUM
EIEVATION # Q co
TOTAL
E lir?it<!er
APPROVED 8Y BUYER (S):
APPROVED BY SALES:
RELEASED TO START CONST.:
2
EQUAL HOt1SING
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. '' LOT SURVEY CHECKLIST FOR RESIOENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL. ffzaLw 4 -? l
DATE OF SURVEY: ? ?1/1 -c
LATEST REVISION: Z7-
DOCUMENTSTANDARDS
? ? . Registered Land Surveyor signature and company
? ? ? Building PermdApplicant
? ? Legaldescription
? ? • Address
CD/ ? ? • North arrow and scale
p? ? ? • House type (rambler, walkout, split wlo, split entry, lookout, etc.)
?? ? • Directional drainage arzows with slopelgradient %
p/? ? ? • Proposed/epsting sewer and water services 8 invert elevation
? ? ? • Street name
? ? ? • Driveway
W/ ? ? • Lot Square FooTage
? ? ? • Lot Coverage
ELEVATIONS
Existin
0/? D • Sewer service (or Proposed)
;/ o ? . Praperty comers
p/?? - Top of curb at the driveway
* 2/' ? • ElevaUOns of any eps6ng adjacent homes
? i+/.3 Adequate footing depth of structures due to adjacent utllity trenches
/ proposed
p'/? ? • Garage floor
p? ? ? • Firstfloor
e ? • Lowest exposed elevation (walkouUwindow)
rg? /j = • Property comers
[Y ? c • Front and rear of home at the foundation
/ PONDING AREA fif apdicablel
? tr'/ ? • Easement line
? h' ? • NWL
? qi a • HWL
? C/ ? • Pond # designation
? 3/? • EmergencyOvefiowElevaUOn
? . DIMENSIONS
? Lot lines/Bearings & dimensions
v? • Right-of-way and sVeet wid[h (ta back of curb)
m/ ?? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all strudures requiring permanent Tootings)
n- o ? • Show all easemenls of record and any Ciry utilides within those easements
Q? ? ? • Setbacks of proposed structure and sideyard setback of adjacent epsting structures
? ca/o • Retaining wall requirements, if any
Reviewed: / Oate
March 19BB
cpAPWgl?6pRMf FM
t
Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS ; Lot 17, Block 4, OAKBROOKE 3RD ADDITION, City of Eagon, Dokota County, Minnsoto and
reserving easements of record.
?.'
?
??nm?? ???U??ED
LOT SQ.
HSE. SQ.
LOT CO'
?.6
7!5t ?.T
Fte:?E
,
:s."=GA
0d E'TGINEERING IDEPT.
i?
$
,t
.?
#
r
.?
Plon # 17951
PROPOSEO ELEVATIONS
BENCHMARK ,
Top of Foundation = q3q,0 c°"-k`°i P'j"t
Gorage Floor =q32.8 EleV=952.50
Bosement Floor = "/A
Aprox. Sewer Service = qi9.o*
Proposed Elev. _ ? MIN. SETBACK REQUIREMENTS
Existing Elev. _
Droinage Directions = Front - House Side -
Denotes Offset Stoke = • Reor - Garage Side-
scnLe: i inc n - ao reet
JOB N0:
I HEREBY CERTIFY 1HAT THIS IS A TRUE AND CORRECT REPRESENTATION 99R-492
H OF THE BOUNDARIES OG iHE ABOVE DESCRIBED PROPERTY AS SURVEYED
?????? BY ME OR UNOER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANNlNC ENC/NB6RlNC SURVBYlNC SHOW IMPROVEMENTS OR ENCROACMMENiS. E%CEPT AS HON'N.
2005 Pin Ook Drive
j 16 1L "
DnTE CAD FILE:
Eoqon, MN 55722 _
Phone: (651) 405-6600 RcoOMt 4-2799 F Y 0. LINDGREN, LAN SURVEYOR
OAKBROOKE
Faz: (651) 405-6606 INN OTA LICENSE NUUBER 14376
RF-CEIVED SEP 2 7 1999
FOOTAGE = 3,168,
c ' I BL CITY USE ONLY
1
Q? RECEIPT#: I 11?0? 1
SUBD. RECEIPT DATE: 9 -9 " 1?
PERMIT # 1 ?D
1999 PLUM$IN6 PERMTf (RE,SIDENI'IAL)
CrrY OF EAfiAN ?v
S$SO PILOT [{f708 RD
ERfiAbI, MN 55122
(651) 6$1-4615
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES
EACH #
i
TOTAL
Ba!h tub 3.00 x = $
Floor drain 3.00 x = $ Z/i
GeS i in Outlet ' minimum -1 3.00 x
i-ioi cubis a 3.00 x = $
Kitchen sink 3.00 x = $ . li
Laundr tra 3.00 x = $ .lJ
Lavatory- - 3.00 x 141 = $ ?
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 = $
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 = $ Cl
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 --> --? ---> ----> $ ? -
Reminder: Call for inspections of alterations, i.e, water heaters, water softeners, etc.
----•---------------------------------•------------------------------------------------------------------------------- •-------------------
1 hereby acknowledge that I have read this application, sfata that the infortnation is correct, and agree to comply wilh all applicable City of Eagan ordinances.
It is the appiicanYS responsibility to notify the property owner that the City of Eagan assumes no liabilily tor any damages caused by the City durin9 its
normal operational and maintenance activities to the facilities constructed under this permit wtthin City propertylright-of•wayleasement.
SITE ADDRESS:
OWNER NAME: :
TELEPHONE #:
(AREA CODE)
a
INSTALLER NAME: ? TELEPHONE #:
(AREA CODE)
STREET ADDRES i
CITY: STATE: ZIP:
?. -?2
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT ? BL ` RECEIPT #:
SUBD. ?.X?JY11b\Q , ??" RECEIPT DATE:
MECHANICAL PERMIT #
1999 MEcH"icAL PERMrr MsinENTIAw
cTTYoF EAsAr
9950 fILOT KPOB RD
$kfiAN MN 551 EP
Date: /Q,?/y 5 (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 /occunied.
• HVAC: D-100 M b T U
ADDITIONAL 50 M B'{"J
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
360
.50
$ 39 (5-1
Complete this section onlv 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: Ca11681-4675forinspections.
_ Fumace _ Air conditioning
Air exchanger _ Other
a 3v.vi3
State Surcharge .50
Minimum Total Due $ 30.50
SITEADDRHSS: ??Os? /-?- ?-
OWNER NAME: PHONE #:
(AREA C E)
INSTALLER NAME of/;;Z PHONE #:
(AREA CODE)
STREET ADDRESS: /?/J'
CITY:
STATE: /7;1?7 ZIP: t!sz-3 700
pC-?6L-ri ?
SIGNATURE OF PERMITTE
c'i43.s -z??
CITY USE ONLY
L _ BL _ RECEIPT#:
CI 1Rn RFC;FIPT nATF-
APPROVED BY: , INSPECTOR MECHANICAL PERMIT #:
1999 MEcHAvicaL PERMrr ccoMME[tcIAL2
crrY oF E,e?raAx
3$30 PILOT KNOB RD
EA&RN. MN 55122
(651) 6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
CONTRACT PRICE:
WORK TYPE: _ New construction _ Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank (Minimum Fee)
Processed Piping (Nlinimum Fee)
•"NOTE: When installing/removing underground tank, ca11 65 1-68 1-4675 for inspection by fire marshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price QR $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x 1%
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of peimit fee due on all permits.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONL1):
INSTALLER:
ADDRESS: PHONE #:
(AREA CODE)
CITY:
STATE: ZIP:
I
SIGNATURE OF PERMITTEE
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127432
Date Issued:10/01/2014
Permit Category:ePermit
Site Address: 4105 Oakbrooke Tr
Lot:11 Block: 4 Addition: Oakbrooke 3rd
PID:10-53762-04-110
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 -
Steven H Heiser
4105 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
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137181
Date Issued:06/21/2016
Permit Category:ePermit
Site Address: 4105 Oakbrooke Tr
Lot:11 Block: 4 Addition: Oakbrooke 3rd
PID:10-53762-04-110
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 -
Steven H Heiser
4105 Oakbrooke Tr
Eagan MN 55122
(651) 306-9025
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r -
For Office Used//
Permit:ee:
` 11' Cit of FaunPermit IU C °J
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ,/�IUnit#:� Name:... Oh
(il
� - �U�m,�.�,__ Phone: LE-4
49(-65'&9'-
Resident!
-10 `a CO, Cor/ �
owner- Address/City/Zip: O JI'12t
Applicant is: \K Owner Contractor
._ Description of work: OV' -1-kt Q i
Type of Work
Construction Cost: Q9 d Multi Family Building: (Yes /No )
Company: GV' 1
, Co . Contact: *743 —767— '�CDC�.. .
U
Contractor Address: City:
State: Zip: Phone: Email:
E i License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression 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 ff you provide specific reasons that would permit the City to
conclude that their are trade secrets. e m
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,gopherstateonecall.orq
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,liovvtkA Audeils0vt x '0
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159968
Date Issued:02/03/2020
Permit Category:ePermit
Site Address: 4105 Oakbrooke Tr
Lot:11 Block: 4 Addition: Oakbrooke 3rd
PID:10-53762-04-110
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 -
Donald R Anderson
4105 Oakbrooke Tr
Eagan MN 55122
(651) 491-6969
Centerpoint Energy
1240 W River Pkwy
Minneapolis MN 55454
(763) 512-2765
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177110
Date Issued:06/16/2022
Permit Category:ePermit
Site Address: 4105 Oakbrooke Tr
Lot:11 Block: 4 Addition: Oakbrooke 3rd
PID:10-53762-04-110
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Donald R & Constance M Anderson
4105 Oakbrooke Trl
Eagan MN 55122
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature