4113 Oakbrooke TrPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128461
Date Issued:11/13/2014
Permit Category:ePermit
Site Address: 4113 Oakbrooke Tr
Lot:7 Block: 4 Addition: Oakbrooke 3rd
PID:10-53762-04-070
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 -
Sheryl M Buss
4113 Oakbrooke Tr
Eagan MN 55122--420
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
Address aits oaknrooke rr Zip 5512 2
Lot 7 Blk 4 Sub Oakbrooke 3rd
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final gade (6" from sidinp) ? D U? 77) (! pvp t/7bAdS
Petmanent steps (garage)
Pertnanent steps (main entry)
Petmanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porc6
Basement Fnish
Deck
Please verify with the builder the removal o'f roof test caps from the plumbing system and the shut-off of warer supply to
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Conlractor Copy
Cities Di
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1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-881-4675
New tonshuefion ReauiremeMa Remodel/Reoalr ReaulremenN
? 3 regBiered sHe surveys showing sq. R. W lot, sq. fl. W bouse 2 coples oi plan
ond all roofed areas (20% maxlmum lot eoveraae allowed) 1 sei o} energy calculations for heated addHions
D 2 eopies of plans (show beam 3 window shes; poured Md. desigrc eTc.) 1 aile survey fa exterbr addRions 3 decks '
D 1 sef W energy calculaNOns
? 3 copies of hee presenaNOn plan G bt plaHed afler 7/11/93
DATE: \O-ZD -C? 5- CONSTRUCiIONCOST: ?OZtpvczt
DESCRIPTION OF WORK: 1\1r-x7 fz. 0.?.'? y.i
?
STREET ADDRESS:
LOT: ? BLOCK: ? SUBD./P.I.D.
7Vame• Phone #:
PROPERTY Last FIrst
OWNER
Street
C11y
State:
Zip:
Company:\ ?.??"e-+ ?`°?e.- Phone #: ?9$1
(area code)
CONTRACTOR \ ??? ?-
Street Address: ? 3O° Lleense # \3A1 Exp.3
ARCHITECT/
ENGINEER
ciy Me,n& o?v& state: ztp: S? ?z-Z-
l
Compcpy: qs c??? Name:
Telephone #: area eode (
Shee't Address: Regisfration #:
CNy
State:
Zip:
Sewer 3 water Iicensed plumber (reaulred for new conshuction onlv):
pEnaHy applles when address change and lof change Is requested once permB is is ed. 6P I?- E-(' - ?-? ?-?
I hereby acknowledge that I hwe read thB appltcaHOn, sfate that fhe Inf fon is co ct, and agree fo comply wRh all applicabl
Stale of Mfnnesotn Statuies and CNy of Eagan Ordinances.
Slgnafure of Applican?
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.)
A 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
O 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
? OS 3-plex ? 10 8-plex ? 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 Bidg. ? 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 INFOR MATION
Const. (Actual) Basement sq. ft. C Census Code (1)
(Allowable) Main level sq. ft. ? SAC Code
UBC Occupancy
Zoning
? sq. ft.
ft No. of Units
sq, . No. of Bldgs ?
# of Stories
? sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Ey A% Booster Pump
PRV
Fire Sprinklered
APPROVALS
?
Planning Building ? Engineering Variance
Permit Fee Valuation:
Surcharge
L .
Plan Review Cv % /
G!' 4
License o?
MC/ES SAC : J?5 7?
City SAC /
Water Conn. l.??7 ?74 l,s-Z
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. ,
Park Deci.
Trails Ded.
Other
Copies
Tocai: 4H ?. I 1
SAC Units
% SAC
Oakbrooke Infnity
Eagan
Address: 4113 Oakbrooke Trail
Date: 9/3/99
Plan: Diamond Lookout
Lot 7 Block 4
Options: Description:
18015 Elevation #1
35039 Four Season Porch
19020 Aluminum Combination Door / Front
25015 Masonite Colonist doors / Oak Trim
25021 French Doors LR / Porch
28047 Upgrade Cabinets White
28055 42° Uppers White
31003 Laundry Room Cabinets White
14007 Carpet Pad Upgradc
14160 3rd Carpet Upgrade
15026 Vinyl Upgrade Bath ftl & i3ath 42
15031 Vinyl Upgrade Kitchen
15032 Vinyl Upgrade Laundry Room
40009 Laminate Ploor Foyer
17000 Two Additional F.lectric Outlets (Garage & Den)
17005 Llectric Dryer Outlct
17024 Fout Ceiling Elechic Openings(Each BR & Porch)
23006 2 1/2 Ton A/C
23012 Humidifier
32020 Four Additional Phone Jacks (BR #2 & 3, Porch, Basement)
32021 Separate Phone Line (Den)
10055 Microwave White / White
,
10091 Gas Range White / White
10104 Refrigerator/Icemaker/ Line
101I8 Washer/ElectricDryer
36038 Water SoRener
21021 Gas Fireplace / Ceremic / Wood Mantel
22005 Insulate Garage
29006 Cast Iron Kitchen Sink Whitc
31011 Laundry Tub Single Compartment
39010 Solo Tube Bath # I
99000 Two Handicap Toilets (E3ath ill Rc !i2)
99000 Three GwU Bars (Toilet Stall, Tub Area & Shower Stalt BA10)
(Loeates TBD at Pre-Drywall Walk)
99000 Bath #2 to be samc as Diamond model in Rosemounh 5heet rock opening fo
toilet stall and omit door to toilet stali (see plan)
Stain: TBD
Cities Digital Oualitv Control
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL Lar 74 0,023ROOM
DATE OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
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• Registered Land Surveyot signature and company
• BuildingPermdApplicant
• Legal description
- Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• DirecLOnal drainage arrows with slope/gredient %
• Proposed/ebsting sewer and water services 8 invert elevation
• Street name
• Driveway
• LatSquare Footage
• Lot Coverage
ELEVATIONS
Ew'sOna
• Sewer service (or Proposed)
• Praperry comers
• Top af curb at the driveway
• Etevations of any exdsting adjacent homes
Adequate footing depth of sVUCtures due to adjacent utility trenches
Prooosed
/
V
C ? • Garagefloor
ielo ? • Firstfloor
cs/ o ? • Lowest exposed elevation (walkouUwindow)
V ? ? • Property comers
?o ? • Front and rear of home at the foundation
PONDING AREA (d aoWicaWe)
i?' ? ? • Easement line
or' ? o • NWL
a' a a • HWL
m., ? ? • Pond # designation
o V? • Emergency Overfiow Elevation
? DIMENSIONS
[Y ? ? • Lot Iinesl8earings 8 dimensions
m'p ? • Rightof-way and street width (to back of curb)
?? ? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. alI structures requiring permanentfootings)
? ? • Show all easements of record and any Ciry utilities within those easements
:?-00 ? • Setbacks of proposed structure and sideyard seffiack oi adjacent exacsting structures
? a, a • Retaimng wall requirements, fF any./ _ Iz
Reviewed:
Mareh 1998
CRAIGIBIDGiRW FM
' Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS ; Lot 7, Block 4, OAKBROOKE, City of Eagon, Dokota County, Minnsota ond
reserving easements of record.
3,60
LOT SQ. FOOTAGL
8 ?=?,T HSE. SQ. F00 TA 2,25
LOT COVERAGE = 6 ? ?.o
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Plon p 17953
PROPOSED ELEVATIONS
Top of Foundation = q31.0
Gorage Floor = 930.e
Bosement Floor =922.0
Aprox, Sewer Service =ai8.qi
Proposed Elev.
Existing Elev. _
Drainoge Directions =
Denotes Offset Stoke = •
HEVLvNa
PLANN/NC 6NG/NE6RlNC SURV6YlNG
2005 Pin Ook Orive
Eogon. MN 55122
Phone; (651) 405-6600
Foz: (651) 405-6606
SCALE: 1 inch = 30 leet
k,
A,
BENCHMARK,
Conitol Pant
Eleu = 931.21
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Gorage Side-
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF THE BOUNDARIES OF THE ABOVE DESCRIBEO PROPERTY AS SURVEYED
BY ME OR UNDER MY OIRECT SUPERVISION AND DOES NOT PURPORT TO
SMOW IMPROVEMEN7S OR ENC EXCEPT A SHOWN.
onre 10_i14i9_? ACHMENTS, &
WFFCf 0 LINDG EN, LAND URVEYOf
A/INN SOTA IICENSE NUMBER 14376
N0=
99R-468
OAKBROOKE
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CITY OF EAGFlN
r_A5HIER: 1S TERMINAL N0: 763
DA7E: 12/31/39 TIMF: 13:25:33
ID:
NAME: f-'ULTE MASYEF BUf.L.UEfi
3210 3001 4113 OAY,RfiOQV:E 331.25
3422 3001 4113 OAI:RROQ4:E 254.31
21559C10f. 4113 fJAF;Bk00KE 12.50
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To+,al ReceiF,t, Ansoien+„ 658.06,
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USE.R ILt: lAN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT 55122 ? ?4-51F - ? ?
f lv
New ConshucHon ReauhemeMs Remodel/Reoair Reauhert?'ei11fN?
? c
? 9 regisfered sHe surveys showing sq. k. of bt sq. H. of house 2 eopies of plan I?'?? 1 S
and QII roofed areas (20% mmimum lot eoveraae allowed) 1 set of energy calculaHons tor heated addHtons
D 2 copies of plana (show beam a window shes; poured fnd. design; efc.) 1 afle survey for extedor addHlons 6 decks '
? 1 sel of energy cakulatloro
D 9 coplea W fiee presenatfon plan B lot plaMed alter 7/1/93
DATE: \Z-' Z\- 12\°? CONSTRUCTION COST:
-r
DESCRIPTION OF WORK: -S?<+.? `1\xe -% -?"'
STREET ADDRESS: A
LOT: ? BLOCK: ? SUBD./P.I.D.
PROPERTY
OWNER
Las1
Sheet
City
State:
Companv-?\? 'e S Phone
FUaI
Phone #:
Ztp:
(area code)
CONTRACTOR
SheetAddreu-\?? -.-? ucense#`-n\ Exp?"31"?
City State: V\ Zip:
ARCHITECT/
ENGINEER
Telephone #: area code (
Shee't
Cffy
Name:
Registration #: _
State: Zip:
Sewer i wafer Ilcenaed plumber (reauhed for new coostrucHon onN): A `? ?` 4\
PrnalFy applfes when addre:s chonge and lot ehange is requested once permN is iss ed.
1 hueby acknowledge thaf I have read fhis applicaHon, state 1haF the info ion b cort t, and a ree to comply with all applicabl
St6te of Minnesofa Statutes and City of Eagan Ordinances.
Signature of Applicard:
OPFICE USE ONLY
Certificates of Survey Received _ Yes _ No ?
Tree Preservation Plan Received _ Yes _ No _ Not Required
?,?51ZZ
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
3K 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PordUAddn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-piex ? 18 Deck ? 23 Porch (screened)
O 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
? 31 New ? 35 Tenant Impr ? 39 Gas Line Oniy ? 43 Siding/SoffitslFascia
? 32 Aiidition ? 36 Move Bidg. ? 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) Y AL_ Basement sq. ft. 17--yo Census Code 4a?
(Allowable)
_YLh) -
Main level sq. ft. -
SAC Code 0L
UBC Occupancy Ozill sq. ft. No. of Units i
Zoning sq. ft. No. of Bldgs i
# of 5tories sq. ft. MC/ES System
Length - sq. ft. City Water
Width ? Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building i'26LG Engineering Variance
Permit Fee J°t 1.`? O Valuation: $ 7? CJ
Surcharge
Plan Review -ati?f . ? 1
License
MC/ES SAC ?_?d
`71
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded. '.
Other
Copies
Total: 6, 5 'FS • O ?
LLA CUnits
SAC
y
?
SUBD.
BL ?
CITY USE ONLY
RECEIPT #:
RECEIPT DATE.
PERMIT #
1999 PLUMB1NG PERM[IT (RE5IDE1VTiAb)
crcY oe EwsArt
3$30 PILOT KNOB itD
EAfiAN, MN 55122
(651) 6$7-4675
Please complete for: ? single family dwellings
? townhomes_and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIxrueEs
EACH #
TOTAL
Bath tub $ 3.00 x p 0
Floor drain 3.00 x 1 = $ " O
Gas piping outlet * minimum -1 3.00 x = $ 0 O
Hot tub/spa 3.00 x =!gfili _ $
Kitchen sink 3.00 x $ D v
Laundry tray 3.00 x $ C> c)
Lavatory 3.00 x = $ p C)
Minimum fee alterations to existing dwelling 30.00 x = $
Private Disposal System new/refurbished ' requires MPC iic 75.00 x = $
Private Disposal System abandonment 30.00 x = $
RPZ new installation/repaidrebuild 30.00 x = $
Rou h opening 1.50 x $
Shower 3.00 x 2- _ $ L. O
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
water closet 3.00 x 3 = $ v
Water heater 3.00 x 1 = $ U
Water softener If dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x --- _ $
State Surcharge 50 --> ---> ----> $ 50
Totat --> --> ----> ----> $ L
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------- ------------------------------------------------------
I hereby acknowledge that I have read this application, stete thet the inforrnation is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS: 7` /
E!
OWNER NAME: : 74e TELEPHONE #:
(AREA CODE)
Z
Z
?
INSTALLER NAME: TELEPHONE#: ?
I
/Z-
6l ? ?
STREETADDRESS: (AREA CODE)
CITY: J/? ? J STATE:
z-
ZIP: ?455
SIGNATURE OF PERMITTEE
/0 '1a q 75
l CITY USE ONLY RECEIPT#: (
? BL
SUBD. aa ? RECEIPTDATE: 0" I -D0
PERMIT# ? 9 % RS
2000 PLU1rIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, I4N 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
oIYnIQFc
EA[H #
TOTAL
Alteretions to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pipin outlet " minimum - i 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavatory 3.00 x = $
Septic System newirefurnlshed ' requlres MPC lic. 75.00 x = $
SeptiC S stem abandonment 30.00 x = $
RPZ new installatioNrepeidrebuild 30.00 X = $
Rough openin 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under consWCtion 3.00 x = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under eonstructlon 5.00 x = $
Water softener it exissng awemng 30.00 x = $
Water tumaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
Total -> -> -> --> $ 3 0 - So
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------ ----•---------------------------------------••----•-----------•-----• •------°---------------• -
It is the applicanPS responsibility to notify the property owner that tha City of Eagan assumes no liability for any damages caused by the Ciry during its
normal operational and mainteoance adivities to th Tacilitles constructed under this permit within City property/right-of-way/easement.
SITEADDRESS: L//C.J
OWNER NAME: : WV TELEPHONE /??
? (AREA CODE) ?
INSTALLER NAME: TELEPHONE #: L?
(AREA CODE)
STREET ADDF?ESS: ?
a ?(,??i ?.- S TE: ZIP: ?
cirv:
SIGNATURE OF PERMITTEE
LOT 2 BL ?
T?
SUBD. &a4-? ?
CTTY USE ONLY
RECEIPT #:
RECEIPT DATE: 1?- ' 1_I l I
MECHANICAL PERMIT #
1999 M£CHA1V1CAL PEiiMTf (RESIDENTiAI)
crrY of Ensnx
S$SO f1LOT KNOB ftD
EALs,vv auv 55122
Date• 1a (651)6$1-4675
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: 0-100 M B T U $ 30.00
ADDTfIONAL 50 M BTU 6-00
• Gas ouUets (minimum of one required @$3.00 ea.) --?'00 %
State Surcharge .50
? Total $ ?cJ?
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, alterarion, or repair.
_ New
_ Furnace
_ Air exchanger
SI7'E ADDRESS:
OWNER NAME:
INSTALLER NA
STREET ADDRI
CITY:
Alterarion Repair _ Other
Reminder: Call 681-4675 for inspections.
Air conditioning
Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
:
it .
PHONE #: C c
IA`e?n(?7?-
` PHONE #:
_STATE:?'?h ZIP: 5-J-37d'
sa?c - &At?r:? SIGNATURE OF PERMITTEE ?J ?
L BL
SUBD.
CITY USE ONLY
RECEIPT #:
`. -
RECEIPT DATE:
APPROVED BY: , INSPECTOR MECHANIEAL PERMIT #: I
1999 MECHAxicA. PERMrr (COaMEftclAL) -
crrY oF Easm
3$90 PILOT KNOB RD
ExsAv, Mx 551 2E -
, (651) 681-4675
d
Please complete for: all commerciai/industrial buildings
multi-family buildings when separate permits are ngt required for each dweiling unit
DATE: CONTRACT PRICE:
WORK 1'YPE: _ 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 651-6814675 for inspection by fire marshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, wlvchever is greater.
CONTRACT PRICE x ] %
PERMIT FEE
STATESURCHARGE
TOTAL
---•------°-------------------•
STTE ADDRESS:
($.50 per $1,000 of rm't fee due on all pe:mits.)
OWNER NAME:
TENANT NAME (IlvIPROVEMENTS ONLi):
INSTALLER:
ADDRESS:
CTFY:
PHONE #:
(AREA CODE)
PHONE #: -
(AREA CODE)
STATE:
ZIP:
SIGNATCTRE OF PERMITTEE
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
t515 cirY oF eac,nN
3830 PILOT KNOB RD - 55122
651-681 4675
Reaulremenb
? ??{N iT- #
DATE: _?"I I^ O(:J CONSTRUCTION COST: ??5?? •? S
DESCRIPTION OF WORK: jgb'7ArR L04J6TL ? N mu1H-family bldg., how many unifst
IidDICATE THE FOLLOVUIPoG Et3UiPRHEPoT TO BE REPLACED AP1D BY WHOPq:
_ Plumbing _ Homeowner or Contracior Name
Mechanical Homeowner or Contractor Name
"NofeIf somebody other ihan ihe homeowner is performing plumbing or mechanical work, fhey must apply for appropriate
permit. Only licensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS:
-?-? f
LOT: -7 BLOCK: 4_ SUBD./P.I.D. C.
Name: rJ U SS 39Lr27L Phone 41: GS I-4S4- SS L4
PROPERTY Lasf Firat
OWNER ghesf Address: ? 1-3 0v( d«?(:5' --7???-'
Cfly K4.4^j StaFe: /"' N Zlp: SS I 22
Company: Phone #: G4'SZ' 15'2Od
(area code)
CONTRACTOR
Sfieef Addresa: (3SS MeNbcTK 04L?(&K5 'P-D License # f37 / Exp. 3- Zm/
cnv Mh?-Nr?,.?p Fferc-N?'s state: MN • ziP: ?5 ?za
?CEI?VTED
AUG 2,
2000
BY:
I hereby neknowledge ihat I have read this applicalion, stale ihat 1he informaHon Ia correcf, and agree fo comply wllh all
applicable Siafe of Minnesota Sfaiutea and Ci1y ot Eagan Ordinances.
Slgnalure of Applfcant.
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
0 03 01 of _ plex ? 09 07-plex ? 18 Deck 13 23 Porch (screened) ? 36 Multi
? 04 02-plex ? 10 08-plex ? 19 Lower Level ?, 24 Storm Damage .
? 05 03-plex ? 11 10-plex Plbg _Y 0r _ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)* ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Demolition permit - Give PCA handout to applicant
GENERAL INFORMAT ION
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105949
Date Issued: 08/06/2012
Permit Category: ePermit
Site Address: 4113 Oakbrooke Tr
Lot: 7 Block: 4 Addition: Oakbrooke 3rd
PID: 10-53762-04-070
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Krech Exteriors Inc Sheryl M Buss
5866 Blackshire Path 4113 Oakbrooke Tr
Inver Grove Heights MN 55076 Eagan MN 55122--420
(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:EA127436
Date Issued:10/01/2014
Permit Category:ePermit
Site Address: 4113 Oakbrooke Tr
Lot:7 Block: 4 Addition: Oakbrooke 3rd
PID:10-53762-04-070
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 -
Sheryl M Buss
4113 Oakbrooke Tr
Eagan MN 55122--420
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:EA154985
Date Issued:04/22/2019
Permit Category:ePermit
Site Address: 4113 Oakbrooke Tr
Lot:7 Block: 4 Addition: Oakbrooke 3rd
PID:10-53762-04-070
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 -
Thomas Rhody
4113 Oakbrooke Tr
Eagan MN 55122
(651) 249-8300
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
