4109 Oakbrooke TrAddress_ aina nakhrooke rraii Zip 5512 Z
I.ot 9 Blk 4 Sub
Oakbrooke 3rd
THESE ITEMS WERE / WERE NOT COMPLECE AT THE TIME OF THE FINAL INSPECTION.
Date: q _ /6.. 0.7-- Yes No Inspector:
Final grade (6" from siding)
Pecmanent steps (garage) X
Permanent steps (main entry)
Pemianent driveway
Permanent gas
Sod/Seeded gass
TraiUcurb datnage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply W
ihe oulside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before wotking in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - ConVactor Copy
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USEP ':U: :fAi!
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. ? CITY OF EAGAN
3830 PILOT KNOB RD • 55122 651-681-4675
c-????
Hew ConahucHon ReauUemeMs Remodel/Reoalr Reaulrements
? 3 regislered sHe suneys show(ng aq. fl. of bt, sq. fl. of house
and all roofed areas (20%, maximum lot covemae allowed)
D 2 copies of plans (show beam 3 window sizes; poured fnd. deslgn; efc.)
? 1 se1 of energy cakulatbns
? 3 coples of hee preservatbn plan B bt plaHed atfer 7/1/93
DATE: ckx- Zz- - C?-1
DESCRIPTION OF 1
STREET ADDRESS:
LOT: (:A BLOCK: ? SUBD./P.I.D. #: Ua'Nq?+bltyA..¢_
?
PROPERTY
OWNER
Sfreet
City
Lad
4 coples of plan 1 sel M energy calculaHons for heafed addNlons
1 aHe survay for exferior addNtons 6 dec W
coNSrRUCnoN cosr: 1?\ -, a\o • co
Sfate:
Zip:
CompanyN 1?`0- R?-S Phone#:?O`Z- ?.OV
(area code)
CONTRACTOR \ `?,?, ? `,, 1 `
Sheet Address•1 Vv `CAc7,o`[f?c??\FvY?"?%u CC> ucense #V3`1 \ ExP. 3?' ZJCc'
City?" State: \V?Y? Zip: JS` Z.C7
ARCHITECT/
ENGINEER Company: ? ??? ?S C7?.??.?2?+ Name:
Telephone #: area eode (
Shee't
City
State:
Zip:
?_..._.. ...,..s. n...,_.e.. .,?...,,.?e. i.e....?.°a......e.., ?....a.....n.... ....i..?\? \??1\ ?.1? `V?,M 1???A
PenalFy applles when address change and lot change is requested once permH is isaued. a.--?- i 'a `
1 hereby acknowledge fhat I have read this applicatlon, state fhat the iMor lon is cortec and agree to comply wNh ali appiicabl
Sfate of Minnesota Statutes and CHy of Eagan Ordinances.
Slgnafure of ApplieaM:
OFFICE USE ONLY
Certificates of Survey Received ? Yes _ No
Tree Preservation Plan Received _ Yes _ No ?Not Required \12(i
First
Phone #:
Registration #:
OFFICE USE ONLY
BUILDING PERMIT TYPE
.
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 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 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia
32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors.
13 33 Alteration ? 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA hando ut to applicant for demol ition permit
GENERAL INFORMATION
Const. (Actual) ? Basement sq. ft . 'S • 0•6-s • Census Code 10
(Allowable) 5 Main level sq. ft . I f?! ") SAC Code o)_
UBC Occupancy 3 sq. ft. 4 4:j No. of Units I
Zoning l sq, ft. No. of Bldgs
# of Stories I sq. ft. MC/ES System
Length 0 sq. ft. City Water
Width r Footprint sq. ft . Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC ,
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: q ';1 SS-
Q ?e
Valuation: $ 66G
?4'7 x l L
TMI- c o`? , -1Z0
SAC Units
% SAC
Cities DiOtal
ity Control
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1. TOTAL"=`E!(PtlSaD'tWALLkAREII;4;;?;
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2. TQTAL',ROOF/CEILfNC'^?AREA ?.'^?Q+?.o._
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3. TOTAL 'EXPOS'0,?,NALL;AREA CALCllLA710N5:? n _.,. ?.?;i ?.??,,., sr:? ?? ?;?:;,w•?s&,;w«..:?.;? ' ?
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C) TOtBTI 91Idlitg+QfI255t\dOOf 8P88: ._i'?..!-y;.?i.7?4 `7tsi:i4.nk.f;':;4`i???..:;S.??l?. ' ".'cr' , , •.r? •'?e'•?
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area
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rooF/ceilInq area.. . ^]l.??- :ayCy
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1? total of -'4 1s'tht same as; or'lrss ttian.P«, yau have met'-the- intent of
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CE(llYG Scf.TfON (1}lSULATED):
1' interlar air fiTm n.bl
Z
3
4 Fxterior air film stil) n, i
' 70 AL R =
. .. U .w 1 /R =
CEILING FRAHIHr SECTIOt7:
1• !n[erior air film 0.61
z
?
4' Exierior air film still 5567
5 inches sof? waod
.? : . .. it .+,. ' TOTAL` R a
U= 1/R=
„.
,
..a-........... ? .
•) ',Inside"air film'
4
i OuiSidc air ifm n•17
TOTRL R = ?^
U+ IiR °
_ ' __ _ - _ - _ _
; - ---- -- - -- - - - --? -- -- -
JOB INITiATION ORDER N° cz::7
ficte n . A
Pulte Homes of
Minnesota Corporation
1355 Mendota Heights Road, Suita 300
Mendola Heighb, MN 55120-7112
Phone: (612) 452•5200 Fax: (612) 452-5727
SALES
0000
corrrancrowsuarueR:
#
tAT 1 BLOCK -?
ELEVATION: I
TOTAL
L PULTE
:lla.?lrr I;triklrr
APPROVED BY BUYER (S):
APPROVED BY SALES:
RELEASED TO START CONST.:
_qL$
=
EUUAL HOUSING
noanarnuirr
IiC&E PHONE: i &JSRMSS PMONE: &13WE93 PFIONE:
Y
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: Lvr / ?LaG'f 4
DATE OF SURVEY:
LATEST REVISION: 9- 2 9' q?
DOCUMENTSTANDARDS
di/ ? ? • Registered Land Surveyor signature and company
? ? • BuildingPermdApplicant
o
v ? • Legal description
m' ? o • Address
r? p ? • North arrow and scale
? ? • House type (rambler, walkout, spift w/o, spiit enVy, lookout, etc.)
°
q' ? ? k
• Directional drainage arrows wi[h slopelgradient
q? ? ? • Proposed/ebsting sewer and water services 8 invert elevation
? ? ? • Street name
? ? ? • Driveway
? ?
V ? • Lot Square Footage
? ? • LotCOVerage
ELEVATIONS
Existin
?Y/ ? ? • Sewer service (or Proposed)
p? ? ? • Properry cornere
?? ? • Top of curb at the driveway
? h?? • Elevations of any exisling adjacent homes
? m? ? Adequate foo4ng depth of structures due to adjacent utiliry trenches
/ Prooosed
? o ? : C,arage floor
? o First floor
? ? ? • Lowest exposed elevation (walkouVwindow)
? ? • Property comere
?f ? o • Front and rear of home at the foundation
PONDING AREA ('rf apolicable)
a 0? ? • Easement line
? v ? • NWL
? r? ? • HWL
? ?? • Pond#designation
? ?' ? • Emergency Overflow ElevaGon
CY/ ? ? •
m? ? ? •
4/ a o •
Ch ? ? •
? 1/o •
DIMENSIONS
Lat Iinesl8earings 8 dimensions
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
Show all easements of record and any Ciry utilities within those easemenls
Setbacks of proposed structura and sideyard setback of adjacent ebsting structures
ReTdI0ing W311 feduirwments. A arn
Reviewed:
March 1999
CMI(YBLOGPRMT FM
' Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 9, Block 4, OAKBROOKE 3R0 ADDITION, City of Eoqan, Dokota County, Minnsoto ond
reserving easements of record.
C
LOT SQ. FOOTAGE
H SE. SQ. FOO TA GE
LOT COVERAGE _
= 3,16 8:-4
= 2,259
71%
[FE 0 U 0R
x 93l.x
.
?=LT
Plan // 17951
PROPOSED ELEVATIONS
Top of Foundotion = q33.0
Gorage Floor = 931.9
Basement Floor = "/a
Aprox, Sewer Service = 91q,q±
Proposed Elev. _ (::--D
Existing Elev.
Droinage Directions = -
Denotes Offset Stake = .
? .
LCW'^
-n?
? , ?••r7^T'?pi'??i.?tji?'._a ?':-' -•
SCAIE: 1 inch = 30 leet
BENCHMARK, C?a??% ?6.,k
Elev, 93L21
1!
v
?
MIN. SETBACK REQUIREMENTS
Front - House Side -
Reor - Garoge Side -
JOB N0:
HEDLUND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 99R-493
OF THE 80UNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEVED
BY ME OR UNDER MY DIRECT SUPERWSION AND DOES NOT PURPORT TO BOOK: PAGE:
PLANN/NC ENC/N6ERlNC SURV6Y/NC SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT a5 SHOwN.
2005 Pin Oak Drive pA
Eogan, MN 55122 OATE q_ 1/29/ 17 CAO FILE:
PhOne: (651) 40$-6600 FR V. LIND REN, LANO S RVEYOR
Foz: (651) 405-6606 NH A LICENSE NUMBER 14176 OAKBROOKE
saS:rFI\/ED ?EP 2 9 i999
CITY USE OnZY
LOT t BL RECEIPT #: ?` L? S SO
susD. OaU1(cscs j, 3 r dJ RECEIPT DATE:
MECHANICAL PERMiT # ? LJO 1 ?
1999 M£CiiANICAL PEtMTT (RESID£NTIih1J
crrY oF EAsArt
3830 Pu.or xxoa sn
EAsax Mtv 55122
vate: (651)681-e675
Complete this secrion 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
ADDITIQNAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
, S 30.00
6.00
?
State Surchazge .50
Total s ?9 S-0
Complete this section airlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alterarion, or repair.
_ New
_ Furnace
_ Air exchanger
_ Air condirioning
Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
, I
SITE ADDR.ESS:
OWNER NAME: ?
INSTALLER NAME: -2
STR.EET
Alteration Repair _ Other
Reminder: Ca11681-4675 jor inspections.
?4
CITY:
PFIONE #: &V .
(Ee,
AR C?jJQE ? .?
_ PHONE #: (o/ ?SC S
(AREA CODE)
STATE:/7" A-7 ZIP: 1575 13
oo?oa?j
L BL
SUBD.
CITY USE ONLY
APPROVED BY:
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 bi£CHAN1CRL P£R4IIT (COhIMERCIAL)
C1TY OF EA&m
3$30 fILOT KNO$ RD
£i4fiM, kIN 55122
(651)681-4675
Piease complete for: ail commerciai/industrial buildings
multi-family buildings when separate permits are not required fop each dwelling unit
DATE: CUNT':2AC C P?2ICE: _
WORK TYPE: _ 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 651-681-4675 for inspection by fire mushal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
COMRACT PRICE x 1%
PERMIT FEE
STATESURCHARGE
TOTAL
SI : E riDDRESS:
OWNE& NAME:
TENAN'f NAME (IMPROVEMENTS ONLI):
INSTALLER:
ADDRESS:
CTiY
($.50 per $1,000 of ep' Fee due on all permits.)
PHONE #:
(AREA CODE)
PHONE #: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
I
I
?ay/
vn? q CITY USE ONLY I
L l BL . J RECEIPT #:
`. Y?+
SUBD. O O?? V?ll?L.c_ ? RECEIPT DATE:
PERMIT # ?ILOI
1999 PLUbt$IN6 PERMTP (iiUIDENI7AL)
crrY oF Easax
S$SO fll.OT KFOB RD
EAHAN, MN 55122
(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 .
FIXTtIRES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x ' $
G85 i in oUtlet ' minimum - t 3.00 X $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x t = $
Laund tra 3.00 x = $
Lavato 3.00 x 3 = $
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 I = $
Water softener if dwelling under construction 5.00 x = $ e
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ---> $ .50
Total --> --> ----> ---> $ 3 .50
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------------------------------------•-----------------------------------...----•-------•------------• •----------------• --------• ------
I hereby acknowledge ihat I have read this appliption, sfate that the information is cortect, aM agree to comply with all applicable City of Eagan ordinances.
It is the applicanPS responsibility to notiry the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operational and mainteqance activities to the tacililies consVUC[ed under this pertnit within City property/right-of-way/easement.
SITE ADDRESS:
?G
OWNER NAME: : PLLIrlY- t°S TELEPHONE #:
(AREA CODE)
INSTALLER NAME: ?/9????????r???° TELEPHONE #:
(AREA
STREET ADDRESS: CODE)
CITY: ?04?1'U -'? STATE: 1'"ZIP:
1ti-loe
SIGNATURE OF PERMITTEE
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127434
Date Issued:10/01/2014
Permit Category:ePermit
Site Address: 4109 Oakbrooke Tr
Lot:9 Block: 4 Addition: Oakbrooke 3rd
PID:10-53762-04-090
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 -
Judith M Gustafson
1748 Cypress Rd
St Cloud MN 56303
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature