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4107 Oakbrooke TrPERMIT City of Eagan Permit Type:Building Permit Number:EA128456 Date Issued:11/13/2014 Permit Category:ePermit Site Address: 4107 Oakbrooke Tr Lot:1 Block: 4 Addition: Oakbrooke 3rd PID:10-53762-04-100 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 - Susan Ryan 4107 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 Use BLUE or BLACK Ink, For Office Use on ® i Permit#: R ity Of l CEa-' i b Permit Fee: I L~IJ I I i 3830 Pilot Knob Road SEP 2i Eagan MN 55122 I Date Received: Phone: (651) 675-5675 Staff: I Fax: 6511 675- ► _ 5694 i I, I ,2010 RESIDENTIAL PLUMBING PE,.MIT AP tICA ION Date: Site 9:aji ress: W Tenant: a4i / Suite h RESIDENT / OWNER Name: Phone: (d,-':Ii ~ Address /City /Zip: CONTRACTOR Name: `j Address: 3440 Zke/W l City: (V L,{OI&'~ 4 State: Zip: Phone: -7/5 Q6 t07 i Contact: aW-S fV _ ail: i ' i TYPE OF WORK - New Replacement Repair Rebuild Modify Space _ Work in R.O.W. Description of work: xC./C i < < t PERMIT'TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ / PUB) Add Plumbing Fixtures ( Main Lower Level) - Water Turnaround Septic System New Abandonment i i i RESIDENTIAL FEES: 55.00 Minimum Water Heater Water Softener, or Water Heater and Softener includes 5.00 State Surcharge) I ~ $35.00 Lawn Irrigation (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) i I $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.0y State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.09 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. w".gopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in 4onformance 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 ns. L~.t X x i Applicant's Printed Name App Kcals'-ature FOR OFFICE USE Reviewed By: Dater Required IndI ections: -Under Ground -Rough-in _Air Test Gas Test Final Address_ 4107 Oakbrooke Ir Zlp $512 ? LAt 10 $lk 4 SUb Oakbrooke 3rd THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: r Z f.? 00 Yes No Inspector. Final grade (6" from siding) Permanent steps (gazage) Pertnanent steps (main entry) X Permanent driveway Permanent gas Sod/Seeded grass Trail/curb darnage Porch Basement Snish Deck Please verify with ffie builder the removal of root [est 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 681-4645 before working in right-of-way or installing underground sprinkler system. ? Whice - Ciry Copy Yellow - Resident Copy Pink - Contracror Copy AVI(V1:ae1;17 v<** *x?';* x,:.<,<Y.<Kks,;,':>? ? ";,.k:>;: C 0'Y uF DPEiWIi:R. J5 °'EFiM:i*,qA;_ Qr 994 tAT0. 09123/99 7 CM.= 1C1'.'i.7t3:3 P'A...T17 4'ClME,13 OF Plrtl . P252 9220 105 P;F;r"r,nN: r 20.90 320 9001 005 G4F:BRf)!'i ( T 1,p341,i:i 0866 9379 4105 p f=ti; ?4l. i]i; i : ? 1' t0?1..C1U '}(;)7 !J(???1 ?i?.04./ [ 'L } ,? ? (!11'? tJ??bi/'R4 '( I ?i.'?75v0Cl 075 3220 ?t.n:; pFl;ltl+'ROK T I.2U39.'`'i0 34a;G 900i. 005 Ufi!,F:ziOD'r: T 1.(l ;-,U 81.:55 9001 4 i CY`.i OR!:r;kO04( r i].'riC) 3743 9220 Aim5 unXnRauh r 5O.nr.7 i':L.`:i;5 300:. 4105 r)AKFeRQL'1F; 1' 14.01) 3E36f.' 92?0 4105 DAKF.tRitt.tl; '1 •i.rb't.;.Qt? C01750 :%1 `;(1itiTIPaUE: L'SE!"t Io: viAN ;;X 7(:3.'.1":I.N„F: W?.i?'iTki',- C?TY OF 'c'.t1,FiN C^EHTEk: !S 7[:F:'iTNA:_ K!7; :J9z, rA1E a 09;25J9': T204 J'1.'_''n34 IL' ° F'UITF GF 1?0 d/:iC, 9l•''_H 4105 Or;,c:ROoi<. r 1^.4.00 :77: 3 9220 QOS ClaF;ii':t]G : T 50 ..00 's.ah:: 9220 41.4..i C7f`I:L;IiD^..It " C'`i.ClO 2252 caac?f] ?Li.Ui UFt'bc:0?]'r: i 'O,.qQ .S?;.0 ?t)OL <.:i0i' (?A!:IFiOQV Y 999.35 3866 9:379 41.Oi' Oi'IY.AF?JOY. 1 10f'.0l 34?2 't'f:tti 4107 f:!AKBI:OUF; T 649.58 2275 9280 410i OP.KFtROU': 7 :.yt;:i9 5o 344b 3001 'rf.l'Ir' OA!:iiFi00K T 10.57 E05 f)C?C 407 C.iAKhf20nA T W;7 CR:.1.7562 Q (:C'!T'! NU!=: l!S'::Ft :'De :1AP1 M6 CC?NT.i.NUE 'M?:CYd.`?.:?X:kY„Y,t??:Y,(N)K7k?X,FmXc:?<X(:?h; ;;M?;(::%i??:4S7ti ?M7kti.hS'%K9F%C f';(TV p'= '-AGAn CAS;I:E'i. .18 7t:f:-1S"til. \Jc >91. D•ir.r- V C9/29/99 Tit1F_:, 007e35 ? IC', Nqi''E: PULi"S `I01'i1.-4; [)F MN, 3743 92c".p =.:LOi :lP+:fik:U(?I; "' 'SO.OU 2i...`3 905i 007 C)F§t:}fl-'07+; T W50 :9868 92?O 410; CaICE"•kn(tti T .:,,%Q0 37;i, 5220 41 tOTe T 1.7.411C0 303 9220 407 Chfr.r.;r,cai:rF; 7 50.00 34.iF.o 9220 007 OLlKLiROlJFi 1 825.013 Tu',al Rrr.ci.pt Amo.m+,e 07E34004 CR11rC;E2 't„N ' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) t r CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? 651-681-4675 New ConskueNon ReaulremeMs Remodel/Reoair Reauiremenh D 9 registered sRe wrveys showing aq. R. of bL sq. M. of house 2 coples of plan and gU rooted areas (207, maximum lol coveraae allowed) 1 sef of energy ealculations fw heated addttbna ? 2 copies of plans (show beam 3 window sizes; poured fnd. design; etc.) 1 site survey for exfeylor addHions 3 decks ? 1 set of energy calculaNoni D S coples of hee preservaflon plan 81ot platled alfer 7/1/93 DATE: ?- ZO-Cl Cl CONSTRUCTION COST: DESCRIPTION OF WORK: k)ew ?STREET ADDRESS: 4t v\ oav'?Coa IOT: ? BLOCK: -A SUBD./P.I.D. #: -320 Name: Phone #: PROPERTY Lew prst OWNER Sheet Ci1y StaFe: Zip: Compan'.u?e. tt OvV\+2. c Phone (area eode) CONTRACTOR Sfreet Address:\-1?5 --300IJeense # \3? , Z?` -?- ?•? Cit&A State: MV\ Iip: SS\ zi--> ARCHITECT/ ENGINEER Company: ?'n?2 G? ci.? ?.?-2,! Name: Telephone #: area code ( Streei City State: Zlp: Sewer d, woter Iicensed plumber (reaulred tor new eonslructlon onivl:\-\,- \ C., q- Penalty applies when address change and lof change is requesfed once permH Is Issued. I hereby aeknowledge thal I have read this application, sfate that ihe ormaNon i ortecf, and agree to comply with all appAcabl State of Minnesota Statutes and CfFy of Eagan Ordinances. Signature of Applica?: OFFICE USE ONLY Certificates of Survey Received ?Yes - No Tree Preservation Plan Received - Yes - No 2)Not Required ? Registration #: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 1?6 02 Foundation SF Dwelli ? ? 06 07 4-plex l 5 ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ng -p ex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? OS 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-piex O 10 8-plex ? 15 Lodging 0 20 Pool ? 25 Miscellaneous WORK TYPE jb 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 handou t to applicant for demol ition permit GENERAL INFOR MATION Const. (Actual) Basement sq. ft. Census Code /4/ (Allowable) - Main level sq. ft. ?G -7? SAC Code UBC Occupancy T q a, sq, ft, y No. of Units Zoning sq. ft. No. of Bldgs # of 5tories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. a D_ _ 3_ Booster Pump ? PRV Fire Sprinklered APPROVALS Planning Bu ilding 14 Engineering Variance Permit Fee Valuation: p0 '?- ot-40 Surcharge Plan Review License ? j ??? • • MC/ES Cty SACAC ?7-z 3xsy q?- Water Conn. Water Meter Acct. Deposit S/W Permit y y 71! ??O = j S/W Surcharge Treatment PI. 10?1 Park Ded. Trails Ded. Other , Copies rotal: SAC Units % SAC ities Di ital uality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. 11 .? : 1.1 -4 "U" CGHPIII'Afl"Ut t .. ' dsOrtt.: ??,?,_ ?.. ??_" ?•1",r,?.?iC ?7? .r:t.?(: l??µC??..Y•?? ?.i(iit:?!?il? v1 :l: .• ? 1 l0 i!•L E::POSZD ;i1LL .lnc.'v. . . . . , . . , ? i-"-'r-'---- ss Fc x,?tf:, r •.'!?'`i _ rc;TA1. Ri:ILI!1G A;c............ ? IJfi` ? "711?. L.?'??Je:l% 'v1??4L n.?i.It. 6:??.?'y?-..i • . i?x(.]o5E"7 ... .. :DpvC f lG??f. . ... . . . l?) ?7 T,"?Tai N8WI^Cn:y .' . .. ..? ,..Z I?? _- -- -- - .. ?? _q'•azr-,? • ?-? ?, x ? _ ;.. 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T07AC __ .,..? t3 • 1 i R C'i!.1MG i^RA,M1uG :i.CTfMJ: 1 lntcricr ;tfr fi!m J '1. ?^. 1 \•?^r?yJJ "''(?F?t _-..r inierlur air ftlm is:iij _1,Ft TGTAL R - ? ; U ? 1/R - ?L7• i' Ir,crrior afr film n,;-a 4 Fxterior air f',im {5ri11J - 74TdL ft U. 11R-? CZ )LI?4^ FRAMIHr, ,cGiIGrl! 1- InCa!fiur air fiim 0.61 z -'" 3 y Exterlor ?ir fi3m StiI I) } IfIChC.S SoF-, wond ^- T07AL R = ?? . ?..n ? - ? -- • --- - - - --- -- - ? - --- - ----- ----------------------- ?? c_ JOB INITIATION ORDER N° C° Pulte Homes of Minnesota Corporation 1355 Mendota Helghts Road, Sulte 300 Mendota Helghts, MN 55120-1112 Phone: (612) 452-5200 Fax: (612) 452-5727 .J09 NO. CqM1UNfTY: BUIL.OIWCJ ADD WOODEL tUV.tE: CONTRACTORISUPPLJER: LEOALDE9C;RIVIION: LOT ?? BLOCK ?_ UlRT ? ? 171? eureasruKIE: CURRENTADDRESS: NOIuE PHONE: BUSWE55 PFIONE: SALES REPRESENTATIV?? ftLJ( iN CtTY: -'7 STATEfa6U aP;' 7 1 Ir'&f ELEVA710N: zt? f3ARA0E: I,EFT MGHT DATE OF ORDER: CRY: STAlE: BUSINESS PHONE: k4 i a'.:'t WO' in . 0000 b . BASE PRICE t.F'k gl . qO ---- LOTPREMIUM W 5 ELEVATION # 7 ?? ?? ? ??? c : ??. ? 1J rz r. ?. u s. ?? . . TOTAL c? ? APPROVED BY BUYER (S): w APPFiOVED BY SALES: 1 1 RELEASED TO START CONST.: EounL HausiNc (1PPf1RT11NITV LOT SURVEY CHECKLIST FOR RESIDENTIAL . . BUILDING PERMIT APPLICATION ?Q KE PROPERTY LEGAL 4' 04iS'1''1200 DATE OF SURVEY. 9" / -9? LATEST REVISION: 3 - 2-7 ` qcl DOCUMENTSTANDARDS g/? ?y :3 ? ? • Registered Land Surveyor signature and company • Building PermR Applicant ? ? ? • Legaldescnp6on ? ? • Address ? ? ? • North arrow and scale ? ? • House type (rambler, walkout, split wlo, split entry, lookout, etc.) ?? ? • Directional drainage arrows wi[h slope/gredient °k t( ? ? . proposed/exdsting sewer and water services & imert elevation p/ ? ? • Street name p? ? ? • Driveway ? ? ? • Lot Square Footage m/ ? ? • Lot Coverage ELEVATIONS Existin m' ? ? • Sewer service (or Proposed) p' ? ? . Property comers y? ?? • Top of curb at the driveway ?o • Elevations of any ebstlng adjacent homes a ? ?? ? Adequate footing depth of structures due to adjacent utility trenches Prouosed B/ ? ? • Garagefloor ? ? o ? ? • First fioor • Lowest exposed elevation (walkouVwindow) g' ? ? . Property corners a? - Front and rear of home at the foundaGon PONDING AREA (if aodicablel ? pf ? • Easement line ? d o • NWL ? M/ ? • HWL ? p i/ ? . Pond # designation ? ? r? ? • Emergency OveAlow ElevaGOn t9' ? ? ?/o ? m" ? ? V? ? ov'? o o m/? DIMENSIONS • Lot IineslBearings 8 dimensions • Right-ot-way and street width (to back o( curb) • Proposed hame dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e all strudures requiring permanentfootings) • Show all easements of record and any Ciry utilNes within those easemenis • Setbacks of prooosed structure and sideyard setback of adjacent ebsUng sVuctures • Retaining wall r Reviewed: March 19BB CqAIGl9LpGPRMT FM .. Surveyor's Certificate SURVEY FOR :PULTE DESCRIBED AS : Lot 10, Block 4, OAKBROOKE 3RD ADDITION, City of Eagan, Dakoto County, Minnsoto and reserving easements oi recor ? Po?aVo ?''=\-.SVg??0 L0T SQ. F00TAGE HSE. SQ. FOOTAGE LOT COVERAGE _ = 3,168- = 2,100 66? k 93b a ?=LT En+L'E ;,. ? ?? ?? D..: L?y. - - 9 ? NGLNF^$AVGJDEd°T. f. Plan # 17941 PROPOSED ELEVATIONS Top of Foundation = q33.5 Goroge Floor = q32q Bosement Floor = NIA Aprox. Sewer Service =aiq.i? Proposed Elev. _ C=> Existing Elev. _ Drainoge Directions = Denotes Offset Stoke = • SCALE: 1 inch - 30 faet BENCHMARK, C-ntrol Fb. Eiev, = 93I. 21 MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Gorage Side- HEDL?JHD I HEREB7 CERTIFY THAT TMIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF 1HE,ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT t0 PLANN/NC 8NC/N66RlNC SURV6YlNC SHOW IMPROVEMENTS OR ENCROAChiuENTS, E%CEPT n5 ww. 2005 Pin Ook Drive q l Qq Eagon. MN 55122 DATE PhO?B: (651? 4?$-6600 Reo?e 9-2i 99 R . LINOGREN, LAND S RVEVOF Fox; (651) 405-6606 INN OTA uCENSE NUMBER 14376 NO: 99R-489 OAKBROOKE } ?? . . . ? L 8 CITY USE ONLY SUBD. ((0 RECEIPT#: qU3 RECEIPT DATE: 10-1-q I PERMIT # 1999 PL[TM$IN6 PEfiMIT (RESIDENTIAi.) crrY oF gwsku s$so Paor xxos an £AfiAN, MN 55122 (651) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES EACH # TOTAL gatti t:!h .? 3.00 x = Q - 40 Floor drain 3.00 x = $ Gas i in outlet " 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 newlrefurbished ` 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 = $ 3. Under round s rinkler if dweilin 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 dwellin under conswction 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 alteretions, i.e. water heaters, water softeners, etc. --------------------------------------------------------•-------------------------nd ag•--•-ree to c-------omplywifh a------ll ------------•--•----------------- t hereby acknowledge that I have read this appliption, shate Mat Ne infortnafion is correct, a applipble Ciry of Eagan ordinances. It is the applicanPS responsibility to notlty the property owner that the City ot Eagan assumes no lia6iliry for any damages caused by Ihe City during its nortnal operational and maintenance activitles to the facilities consWcted under thispertnit within City property/right-0f-way/easement. SITE ADDRESS: ` OWNER NAME: : INSTALLER NAME: TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) STREET ADDRESS: ?UO C ?`l/? /6L?// CITY: STATE: ZIP: J13-aC7? -?- ' . SIGNATURE OF PERMITTEE ' D.GI ' I ?) CITY USE OA'LY LOT `? BL ? RECEIPT #: I I n bll? SUBD. RECEIPT DATE: MECHANICAL PERMIT # 1999 MECHANICAL PERMIT (RESiDENTiAIa crrY oe EtsM 3930 PILOT KNOB RD £A&AN MN 551 EE css» 681-4675 Date: Complete this section on[v 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 $ 30.00 ADDIT'IONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) 5tate Surchazge .50 Total $ ?9 ? ? : Complete this section onl 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 inspecrions. _ Fumace _ Air conditioning Air exchanger _ Other SITE ADDRESS OWNER NAME: 6 INSTALLER NAME: STREET )SWRESS: ? CITY: ///D7 ? R State Surcharge Minimum Total Due $ 30,00 .50 30.50 „ PHONE t!: PHONE #: t69 i a? 1S`-(ArA -407u e:2?OS- L BL SUBD. APPROVED BY: INSPECTOR RECEIPT #: RECEIPT DATE: MECHANICAL PERMIT #: 1999 MEcHANlci41. P£R14IIT (coMbtEftcL4la CITY OF £Afi14BT S$SO PILOT KNOB itD £AfiAN, MN 55122 (651)6$1-4675 Please complete for: all commerciallindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: ivtiicli TYft: _ ivew conshvchon _ Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank (Minimum Fee) Processed Piping (Minimum Fee) •*NOTE: When installing/removing underground tank, ca11 65 1-68 1-4675 for inspection by fire mazshal and plumbing inspector. r DESCRIPTION OF WORK: FEES: 1% of contract price QR $30.00 minimum fee, whichever is greater. CONTRACT PRICE X 1% PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLl): INSTALLER: ADDRESS: CTI'Y: CITY USE ONLY PHONE #: - (AREA CODE) STATE: ($.50 per $1,000 of ? fee due on all pemuts.) PHONE #: (AREA CODE) ZIP: ? SIGNANRE OF PERMITTEE Use BLUE or BLACK Ink ADM. For Office Use CPermit lty of Eap ~aN o~ I 3830 Pilot Knob Road 1 Permit Fee: I Eagan MN 55122 I I I Date Received:. ~ Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 1 2010 MECHANICAL PERMIT APPLICATION f Date: Site Address: LA k c~ V hnbkv TjN Tenant: Sll .t A R-_ 1( Suite RESIDENT / OWNER Name: S_ I- L.C r1 Phone: [ PSV G g3- C1 Address / City / Zip: 10ift--~'AA-XAL 011.n S i GZ a if 3 CONTRACTOR Name: SURNSVILLE HEATI rl 8, /C, INC License Qt Address: 3451 W. Burnsville Parkway City: Suite 120 State: ,n Z$urnsville. MN 55337 Phone: aS2 -VA(4--c~S Contact: 7L Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOT ItoofmountOcl and grourid mounted mechanical equpmep('req#tf(ed bed scregnedy r 6or1e.;:P#ease co t act the Me';t~anical lit actor for information bri, emitecf 1ct'►ttlomefhod' ~ i PERMIT TYPE v RESIDENTIAL COMMERCIAL Furnace New Construction _ Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas _ Exterior HVAC Unit _ Heat Pump Under / Above ground Tank L_ Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE 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.aopherstateonecall.ora 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. p X & ~Ck ~ceS~lc~hC~~• x L ntl ~ ) (1n r1 & Applicant's Printed Name App icant's Signature FOR OFFICE USE 'Reviewed By; pate: ; Required Inspections: Under Ground Rough In Air Test Gas'Service,Test In-flWr Heat Final Exterior HVAG Screening Inspection PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA099361 Date Issued: 06/01/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4107 Oakbrooke Tr Lot: 1 Block: 4 Addition: Oakbrooke 3rd PID: 10-53762-04-100 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: hrech Exteriors Inc Susan Rvan 5866 Blackshire Path 4107 Oakbrooke Tr Inver Grove Heights NIN 55076 Eagan NIN 55122 (61)688-6368 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA127433 Date Issued:10/01/2014 Permit Category:ePermit Site Address: 4107 Oakbrooke Tr Lot:1 Block: 4 Addition: Oakbrooke 3rd PID:10-53762-04-100 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 - Susan Ryan 4107 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:Plumbing Permit Number:EA147449 Date Issued:01/09/2018 Permit Category:ePermit Site Address: 4107 Oakbrooke Tr Lot:1 Block: 4 Addition: Oakbrooke 3rd PID:10-53762-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Susan Tste A Ryan 4107 Oakbrooke Tr Eagan MN 55122 (651) 983-9235 Warner Stellian Co Inc 550 Atwater Circle St Paul MN 55103 (651) 222-0011 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA149153 Date Issued:05/09/2018 Permit Category:ePermit Site Address: 4107 Oakbrooke Tr Lot:1 Block: 4 Addition: Oakbrooke 3rd PID:10-53762-04-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Susan Tste A Ryan 4107 Oakbrooke Tr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162550 Date Issued:07/20/2020 Permit Category:ePermit Site Address: 4107 Oakbrooke Tr Lot:1 Block: 4 Addition: Oakbrooke 3rd PID:10-53762-04-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Susan Tste A Ryan 4107 Oakbrooke Tr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature