4112 Oakbrooke TrPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128454
Date Issued:11/13/2014
Permit Category:ePermit
Site Address: 4112 Oakbrooke Tr
Lot:17 Block: 3 Addition: Oakbrooke 3rd
PID:10-53762-03-170
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 -
Michael W Isabel
4112 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
Permit # fro l
City of:Ea an
. ~ Pemtft Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
l
Phone: (651) 6754675 i staff:
Fax: (651) 675-5684
2011 RESIDENTIAL BUILDING PERMIT APPLICATION"
Date: « / I Site Address: 00K j9,9 po-/2ffl/4.- Unit
Name: Phone:
RESIDENT /
OWNER Address / City? Zip: l'/ dp-I►~~ ` TW-RJI- A-n egy94 671 /,v7 a
Applicant Is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost % • Multi-FBmny Building: (Yes / No
Company: C901N ) 12 Cortitat2: `t v SY/4uVPm?Y--C
Address:. 5W,0
6i nYCONTRACTOR .
I
stateI1 / zip Phone: .~'1 41- 5
License 3 ~08a L aid certificate A44.7 . 7a? r
If the project is exempt from lead certification, please expiain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A W BUILDING
In the last 12 months, has the City of Eagan Issued a. permit for a simpax plan based on,a master plan?
_Yes _No If yes, date.and address of master plan:
Ucensed Plumber.
" Rhone:
Mechanical Contractor: Phone:
S@MI@r 8i Water COntractor: Vii ~fx'i is `i Ir
' " r c "Rhone.
t. 'F .y
CALL BEFORE YOU DIG.' `Gail Qophe~ State Ona Cstll at (661 4640002 tfo~ protection. against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. oonherstateonecall.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, put only an application for a permit.,: arid. work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of workwYhich requires a review and approval of plans.
Applicant's Printed Name Applicant's Signs re
. . ..ra~,.•rM4 Ye .4 eNH'.Y^, rd`Pi,4ri'AgNy. .,,,:A.. .
Page 1 of 3
PERMIT
City of Eagan Permit Tppe: Building
Eagan. Permit Number: EA098429
Date Issued: 04/01/2011
OR Permit Categorp: ePermit
41 it~ of E3
E
Site Address: 4112 Oakbrooke Tr
Lot: 17 Block: 3 Addition: Oakbrooke 3rd
PID: 10-53762-170-03
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
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:
New Windows for America Michael W Isabel
609 W County Rd E 4112 Oakbrooke Tr
Shoreview NIN 55126 Eagan NIN 55122
(61)203-0149
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
Address 4112 Oakbrooke rr Z;p 55122
LAt 17 Blk 3 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) y
Permanent steps (garage) X
Permanent steps (main entry) x-
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass X
TraiUcurb damage x
Porch X
Basement finish
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and ihe shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ?
Whice - City Copy Yellow - Resident Copy Pink - Contractor Copy
?USE ONLY
L ? BL
SUBD. //Q d,4L 'e, -,?, RECEIPT #:
RECEIPT DATE:
PERMIT# 4? ? ?"7C
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOS RD ^?
EAGAN, MN 55122 ?
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIYTlIRES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pipin outlet * minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
SePtiC $ stem newlrefur6ished ' requires MPC lic. 75.00 X = $
Septic S Stem abandonment 30.00 x = $
RPZ new instaliation/repairlrebwld 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground s rinkler if dwelling is under construction 3.00 x = $
Undergroundsprinkler ifexistlngdwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = 8
Water softener if dwelling under consWcdon 5.00 x = $
Water softener if axisting dwalling 30.00 x = $ r/-
Water turnaround 30.00 x $
State Surcharge .50 --> -> -> $ .50
Total -> --> ---> ---' $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------------•------------------------- ---------------------------------------------------------------..._------
I hereby acknowledga that I have read this application, state that the information is correU, and agree to compry with all applicable Cily of Eagan ordinances.
It is the applicanYs responsi6ility to notify the property owner that the City of Eagan assumes no Ilability far any damages caused by the Ciry during its
normal operational and maintenance activities to the fac itie construct under this pe it within City property/right-of-wayleasement.
SITEADDRESS: % ! Iz, oWal'
OWNER NAME: :
TELEPHONE #: /M /? 15
INSTALLER NAME: ? TELEPHONE #: I
(AREA CODE)
STREETADDRESS: CITY: u lk VtJ ST TE:
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SIGNATURE OF PERMITTE
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1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
, • CITY OF EACAN
3830 PILOT KNOB RD - 55122 ? ?\ ? ? ?I • ? ?
651-681-4675 n O ,? FSoi ?
New Conshudion ReauiremeMs Remodel/Reoair ReauiremeMs
> 3 regMered sNe surveyf showing sq. H. of lof, sq. fl. of house 2 coples ol plan
and gu roofed meas f20% maxtmum loi eoveraae allowed) 1 sef of energy calculaHons for heated addfNons
D 2 copies of plans (show beam a window sKes; poured (nd. design; etc.) 7 aXe survey for exterlor addMtoro i decks
D 1 sef of energy calculations
? 3 copfes of hee presenallon plan B loT plaMed aHer 7/11/93
DATE: 9/? d CONSTRUCTION COST:
DESCRIPTION Of WORK: 4e-,51dP. /Jt1 c, J
STREEf ADDRESS: ???
tYa? ?
LOT: V7 BLOCK: 3 SUBD./P.I.D.#: Q1V'61\O0I?z ,? r?
PROPERTY
OWNER
Last
Sheet
Ci1y
Flrst
Phone #:
State:
Zlp:
?
Company:?/ u/7?e- lZIrescOA,Pl CoPhone#: ?a-SaoD
(area code)
CONTRACTOR
Street Address: s kd 601'e a?a License #/3 2/6cp.
Ciiy A/Y?oh t??t5 State: Zip:
ENGINE RT/ Company: `s/?v1?5A6 N,?XJVC Ncme:
Telephone #: area code (
Siree't Address: RegishaNon #:
Cffy
State:
Zlp:
Sewer 3 water Ileensed plumber (reauhed for new conslrucNon onM: V?/ L LL-/ FLUo ,v a (, Id ?if q a- a ) a )
PenaMy applies when address ehange and lot change Is requesied onee permH Is issued.
I hereby acknowledge ihat I have read thia appiication, state thaf the Inf flon Is con ct, and agree to eomply wRh a0 applicabl
State of Minnesota Statutes ond Cify of Eagan Ordinances.
?
Signature M Applicant
OFFICE USE ONLY
Certificates of Survey Received ?Yes _ No
Tree Preservation Plan Received - Yes _ No _:?"ot Required `!?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
?? 02 SF Dweliing ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
?
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-plex ? 10 8-pleP ? 15 Lodging ? 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 O 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demol ition permit
GENERAL INFORMATION
Const. (Actual) N
? Basement sq. ft. 17 ?7 Census Code ?L
(Allowable) Main level sq. ft. IT24) SAC Code ol
UBC Occupancy
sq. ft.
447 _
No. of Units
Zoning
? sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint . sq. ft. 17A -7 r) Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ? U 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:
'i LA Ot _? ?
Valuation:
w????- .
C-?&eMqb : 44? x L(o= -lI5Z
?'U7?tL I Z?, 2? ?'
SAC Units
% SAC
. ,?-
..,
DOLBU-7 glazed...... (o - --sq ft x louli .
glazed...... ft x llu'l .. --- ?
e) Total door area s4 ft x
.........
c) Total sllding glass door area: ' . • "''g'
. ?
.CL' 9lazed...... j sq ft x uU"
gla:ed...... Sq ft x "U" s • "?
'
i
r
d) Total Etreplace wall area _ sq ft x "U"
e) Total wail Framing area
(Averaae lOq) .......... sd it x "U„
-. 41
f) Total net wall area abave I17? 7 ??U?? • ?? ° ? Z
ftoor (Insulated) ..•••• sq ft x ---
g) Total rlm Joist area..,... Sq ft x"U" •041 _°
To[al Foundatlon -;l- / `
area (Exposed)........... ? /, "q fl?
t?
;
.'?
OuI7ER:
517E AODRESS:
r'..:c' I1`? -.?
,??
v
PHONE : WS: s 4 c, o
t. Li
1, 76Tr1 EXPOSED 41ALl. AREA,,,,,,,, Z lj7' sq ft x"U" ??j
?r--
.
2. TQTAL RO(]F/CE I L I NC AR£A........
? Cj cJ ?2 sq f C x"U" r ad? ° ?`1'
. ?
3. 70TAL EXPOSEO WAIL AkEA [ALCULATION5:-- Total expased wail
area above flaor,,,,,,,, 27G?? sq ft t)
a) Total ka11 windoH area:
EXTER10fl ERVELOPE AVERAGE "li" CONPUTA710N
n.4 . '
CQt1TRACTOR: 1.1..1e. DATE:
' ? , , , , • t. DETEAMIN£ NORKIIIG SOUARE FOUTAGf. OF EACt1;
h) Total foundation
wfndow area .............
3
i} Total net `ounda[ion
area abvve qrade......,.
?su Ft .c u??'? j??_ J -• ..?.-? -..•
x
TO7AL sl thru i)
??
?f f'em ?j f; the same as, or lass [han ftNn You nave me : ehe intent ..
? :;C.1R 1.16J08 X ar.d 0.
i?
yt ?
Paqprl,?
pr°
1.?
W1 i-1.1y-'1 7 7 : i -i?ac.
pw
k. T6TAL EXP(]S@D ROOF/CEIUtIf i.ALL'ULA71CI7S;
3)
k)
Total exposcd
roaP/ceilinii arca........ ft
Totai skylloht area.......
Tccal roof/celltnq fruminq ,..
area (Averaae ln°,)...... ?L??L "?sn f± x"?l" r?G??
q fc x "U"
s
1) '7ota1 net insvleteJ
rooF/cel 1 Inq area. ..... s(I f: x "U"
i07AL J) thru ii
If tutal or ytl {; the same as, or less than.+12, yoa h:,re mc[ the intent oF
i.16OC8 A aad 0.
. ?
' .. .
ALTERt(ATc BUILGitlf; E11'!E{.D c f1E51G?I
Ta ut(lize the cutal 8n•lCIOE7C sys[em inethcd, r.he value, e,tahllshed by Yhe sum
of items p) and A shail noc oe grearer thaa che sum o? 1Lem5 ,41 and #2.
+
3. + 4.
.._?- / ?..?...?....?. .u n .??..?.. '?T'?°
I hP.ft:y CE(YI f'/ thdf I {1nVe C.iI C'.tjet::?j ::v- J" f.,ccor- ..nd
.alues herein ?r.ri that ,he builAin,7 hera ucs..r!I;r'i ,.,tt-- is :7r e':?.eads thr. ....?
oF N;nnesoca .nercly CJnSefv'at!.n ac;.
?._ _ .
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• 'LOT SURVEY CNECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: lor' f 46 7y MK s 0RK6',Pnc7KE 3LP-h??=,f
DATE OF SURVEY: e7-21 -(21(3
LATEST REVISION:
DOCUMENTSTANDARDS
d'
? a - Registered Land Surveyor signature and campany
?'/ ? ? : Building PermdApplicant
? Legaldescription
y ? .
Address
m/? o • North arrow and scale
?? &K • House type (rambler, walkaut, spld wlo, split entry, lookout, etc.) «'
ca?p ? Directional drainage arrows with slope/gradient °/a
r?? o :
Proposed/eps6ng sewer and water services 8 invert efevation
? ? • SVeet name
co'x o ? . Driveway
o/ ? ? • Lot Square Footage
d/ ? ? • Lot Coverage
ELEVATIONS
Existinn
21/0 ? • Sewer service (or Proposed)
V? ? • Property corners
1V ? ? • Top of curb at the driveway
00 m/o - Elevations of any ebsling adjacent homes
m v,"o Adequffie foo4ng depth of sVuctures due to adjacent utilily henches
Prooosed
/
q/ ? ? • Garage floor
?v ?
/ ? • Firstfloor
lk
i
d
L
d
l
ti
V
?
1
v ? ?
? •
on (wa
ou
w
n
ow)
owest expose
e
eva
• P
t
roper
ycomers
ta' ? ? • Front and rear of home at the foundation
PONDING AREA (if aoolicaWe)
lb/ ? ? • Easement line
rbl ? ? - NWL
dY ? ? . HWL
0 ? ? • Pond # designation
0 Gr o - Emergency Overtlow Elevation
/o ?
q/? ?
vo ? ?
? ? q%
ef ? ?
? v?
DIMENSIONS
• Lot linesl8earings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanentfootings)
• Show all easements of record and any Ciry utiliGes within those easements
• Setbacks of proposed strudure and sideyard setback of adjacent ebs5ng structures
• Retaining wall requirements, 'rf any / x
Reviewed:
/HJ - -4?-
March 1998
CRAIG/BLDGPRMf FM
L CITY USE ONLY
B?
SU60. Q??
RECEIPT #: l 02-7 S ?
RECEIPTDATE: D'?-60
PERMIT# 3gbRy
2000 PLiJM$1N& PEPMTI' (RnIDENTIl41.)
crrYog swsM
3930 PaoT xxoa go
PAfit4N, MN 581 EE
651-8$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
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G8S I i11 OutlCt ` 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 = $
Se tic 5 stem newlrefurbished ' raqulres MPC Ile. 75.00 x = $
S8 tIC S stem abandonment 30.00 X = $
RPZ new installation/repairlrebuild 30.40 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwelling is under construction 3.00 x = $
Under round s rinkler irexisiin dwellin 30.00 x = $
Watercloset 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under constructian 5.00 x = $
Water softener If exisdn dwellfn 30.00 x = $
Water tumaround 30.00 x -- _ $
State Surchar e .50 --> ----> ----> $ .50
Total
--?
°>
---->
---->
$
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------•---------------------- -------------------•---°-------------- ----
I hereby acknowiedge that I have read this appliption, siate that the information is correct, and agree to complywith all applicable Cily of Ea9an ordinances.
It is the applicanYs responsibiliry W natify the property owner that the City of Eagan assumes no liability for any damages raused by the Ciry during ifs nortnal
operadonal and maintenance activities ta the facilitie; wnstructed under ihis permit within City propertylrightof-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
:
STREET 7Yzt'7
CITY:
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
(AREA CODE)
STATE: 2z?- ZIP: Y,2
SIGNATURE OF PERMITTEE
L BL ? CITY USE ONLY
? ?
SUBD. _ V AVI?(Oa?, ?
RECEIPT#:
RECEIPTDATE:
PERMIT # ?
1999 PLUM$IN6 PERMIT (uSIDENIuL)
crrYoF Ensnx
3830 Paor KNos ttn
ews,4x, auu 55 122
(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
92th tub g 3.00 x = $
Floor drain 3.00 x = $
Gas I in Outlet ' minimum - t 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 = $ l_
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 dwellin under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ---> $ .50
Total --? --? ---? ----> $ L .
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------• -------------------------------------------------------------nd ag-----ree to comply with all a------------- ---------ppli-cab---le Ci----ty--of--Eagan-----------ce--s-
I hereby acknowledge that I have 2ad this appliption, state ttiat the information is correct, a ordinan- .
It is the applicanYs responsibility to notify the property owner that the Ciry of Eagan assumes no liability tor any damages caused by the Ciry during its
normal operationat and maintenance activities to the facilities wnstructed under this permit within City roperty/rightrof-wayleasement.
SITEADDRESS: Cl.P/J
OWNER NAME: :
INSTALLER NAME:
STREET ADDRES:
cin:
TELEPHONE #:
(AREA CODE)
STATE: /M ZIP: gJ Js&LQ`
SIGNATURE OF PERMITTEE
CITY USE OnLY
LoT 1`l sL xECEIPT a:
SUBD. ? C?--YJJI.[4 RECEIPT DATE:
MECHANICAL PERMIT #
?
1999 MEcHAxicAL PERMrr (RsinENTIAL)
cm' oF EAsM
3$30 PILOT KROB itD
ERfil4A MA 55122
Date: (651)6$1-4675
Complete this secrion onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied,
f
• TiVAC: 0-100 Tvt b T'U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge .50
Total $
Complete this secrion onfv 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 repau.
New
_ Furnace
_ Air exchanger
SIT'E ADDRESS:
OWNER NAME:
INSTALLER NA
STREET ADD&€
CIT'Y: Ad
Alteration Repair _ Other
Reminder: Ca11681-4675 for inspections.
A'v conditioning
Other
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
(AREA
PFIONE #: ,
zar: S S 78
CITY USE ONLY
L BL RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR MECHANICAL PERMIT #:
1999 M£CHRNICAL PfR11lIT (COMblEitcIRL)
CITY OF £AfiAN
S$SO PILOT KNOB RD
EAsM, Mrr ss 122
(651) 681-4675
Please complete for: all commerciaUindustrial buildings
multi-family buildings when separate permits are ?ot 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 (Minirnum Fee)
•'NOTE: When installing/removing underground tank, ca11651-681-4675 for inspection hy fire marshal
and plumbing inspector.
DESCRIPT'ION OF WORK:
FEES: 1% of conhact price ?R $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x 1%
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IIvIPROVEMENTS ONLI):
INSTALLER:
PHONE #:
(AREA CODE)
ADDRESS: PHONE #: -
(AREA CODE)
CITY: STATE: ZIF:
SIGNATCIRE OF PERMITTEE
($.50 per $1,000 of c't fee due on all pemuu.)
i
0 c? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
1-3 ?j } D ? 3830 PILOT KNOB RD - 55122
ri
651-681-4875
New Conatnutian ReaWremenb 6.' I-(- Op Remodel/ReDair Reaulremenh
* J regleteretl sife wrveys showing sq. fl of lot, sq. fl. of Fause
and gp roofed areaa (20% maximum bt coveraae allowad)
> 4 coplea ol plaru (show beam 8 wlndow sIzex poured Intl. design: efcJ
> i set ol eneryy calculaHona
> S coples ol hee preaervaHOn plan if lot p1aHeC after 7/1/93
DAiE:
DESCRIPTION OF WORK:
STREET ADDRESS: /)I I z (u, JCb/me I[ %/a. I
LOT: --Q- BLOCK: t ? SUBD./P.I.D.#: ?,JakbrOOkPi Jrd d1f1nk
/ -
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: Yr1a.v Phoneu: O/d _)3
LaaT First .
r
Street Address: 41/1 Z- 4Da. jcbw I /ra
CHy ?L.c c, G.•, state: M N zip:
-b893
Chr1' 5 N-767
Company: Phone #:
(area code)
SheetAddress: 17/ `/s-- 9•? /`>.c i(/o Llcense# Exp.
dty G State: Zip: _-rj-V` 7
Company: Name:
Telephone t: (
Sheet
Ctly
-? &0 a5a
?C?k Nwss?
2 copies ol plan
1 se? W en9rgy CaICWaHons for heOt9d addi9ons
1 site survey tor extedor addiHons 8 decka
CONSTRUCTION COST:
Sfate:
Sewer/water licensed plumber (N insWllina sewer/waterl: Phone #:
Zip:
1 hereby acknowledge that I have read lhis applicalbn, state ttwt ihe infomwlion is cortect, and agree to compry wilh an applicable StatE
of Minnesota Siatutes and CiFy of Eagan Ordinances. ? n
Signalure of ApplicanY.
OFFICE USE ONLY
Certificates of Survey ReCeived _ Yes -J,/No
Tree Preservation Plan Received - Yes - No
MAY (5
? Not Required ?
Registrarion C
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex O 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plsx ? 10 OB-plex IR:?-19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Pio9xYor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 AcCessory Bldg.
WORK TYPE
? 31 New [3 36 Move Bldg. ? 43 Reroof
2 Addition ? 37 Demolish (Bldg)' ? 44 Siding
33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
[1 34 Repair ? 42 Demalish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 0 k_
No. of Units 0
No. of Buildings I
Cohst. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVAtS
Planning Building
Permit Fee 6 6. S G
Surcharge
Plan Review
License
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies a 5
Totai: 'N6
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Vaiuation: $ q?SOf1
? 31 Ext Alt - Mufti
? 33 Ext. Alt - SF
? 36 Muki
y 3H
SAC Units
% SAC
SURVEY FOR :PULTE
DESCRIBED AS : Lot 17, Block 3, OAKBROOKE 3RD ADDITION, City of Eagon, Dakota Counly, Minnsato and
reserving easements of record.
IF '171
Surveyor's Certificate
LOT SQ. FOOTAGE
HSE. SQ. FOOTAGE
LOT COVERAGE _
?
pAK?
= 3,608,
= 2,100
58?
?4
,
?.nOKE,
Qaoe , -?°a
?A33,
; ??? D
?9v .?.
e,`,?=D?7?.
--,
? E,,TC-; P-;v_--T. ?
?
Plon # 17943
PROPOSED ELEVATIONS
Top of Foundation = 933.0
Gorage Floor - 431.8,
Bosement Floor = qyy,o
Aprox. Sewer 5ervice = qr4.(.2t
Proposed Elev. _ c::::)
Existing Elev.
Drainoge Directions = -
Denotes Offset Stake = .
HEOLvnrv
PLANN/NC 6NC/N66RlNC SURY6Y/NC
2005 Pin Oak Drive
Eogan, MN 55122
Phone: (651) 405-6600
Fox; (651) 405-6606
sxL.T FiNev
F9400 g3 ,0
b ?
proGb\ac °n
94P?w o
dl?
1
Q
90 4
o??h o
? ..-_ ?.'°'J 92
Nw?_ 9?z.a
qzl.o
p0
BENCHMARK,
Ele? = 952."IS ,
MIN. SETBACK REQGIREMENTS
SCALE: i inch s 30 leel
Front - Ho?ySe Side -
Rear - Gp?oqe Side-
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF THE BOUNDARIES OF THE ABOVE OESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER IAY DIRECT SUPERVi5i0N AND DOES NOT PURPORT 70
SHOW IIAPROVEMENTS OR ENCROACHMENTS, E%CEVT AS $HOWN.
DATE p "- = D- jrd?
UCENSE NUMBER 14376
RECEIVED OCT 0 7 1999
?Oll 0 V O ? -?j ? uD
ll LL L
?
„-
,??- ,
? ? r ! ~-
TRAIL
V
C
.?
a
z? o0 932.
N
?b ° ?oro9° w _ n0 ?
J08 N0:
99R-527
BOOK: PAGE:
CAD fILE:
OAKBROOKE
I
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA105945
Date Issued: 0810612012
itj of 0n Permit Category: ePermit
R
Site Address: 4112 Oakbrooke Tr
Lot: 17 Block: 3 Addition: Oakbrooke 3rd
PID: 10-53762-03-170
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a 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 $4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Krech Exteriors Inc Michael W Isabel
5866 Blackshire Path 4112 Oakbrooke Tr
Inver Grove Heights MN 55076 Eagan MN 55122
(651) 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 City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127439
Date Issued:10/01/2014
Permit Category:ePermit
Site Address: 4112 Oakbrooke Tr
Lot:17 Block: 3 Addition: Oakbrooke 3rd
PID:10-53762-03-170
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 -
Michael W Isabel
4112 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