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4115 Oakbrooke TrPERMIT City of Eagan Permit Type:Building Permit Number:EA128517 Date Issued:11/18/2014 Permit Category:ePermit Site Address: 4115 Oakbrooke Tr Lot:6 Block: 4 Addition: Oakbrooke 3rd PID:10-53762-04-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . 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 - Regional Anesthesia Service 13911 Ridgedale Dr Ste 350 Minnetonka MN 55305 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature Address 4 1 1 S fl a k h r n n k a -r r a; i Zip 55121_ I.Ot 6 Blk 4 $Ub Oakbrooke 3rd Addition THESE I'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 6,a-00 Yes No Inspector: Fina] grade (6" from siding) Permanent steps (guage) ?- Permanent steps (main entry) Permanent driveway Permanent gas .? Sod/Seeded grass ? TraiUcurb damage Porch ? Basement finis6 k Deck Please verify with the builder the temoval of roof test caps from the plumbing system and the shutoff of water 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 - Contractor Copy ? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ° ciTr oF eacau 3830 PILOT KNOB RD • 55122 ?LA '{ .-1 s ? 851-881-4675 New Corufiucflon RernilrameMs D S roybAareC tife wrveYS dwwlnp sq. R d bl, W. R. of houw antl gp roded areaa D 2 coples d Plana (thow becffn & wlntlow slzes: DoureA hW. d6tlprr atcJ D 1 Nt Of Nqtpy CdCIdC110ns D J eaplet d hee PreservaMOn plan H bt PtaMed aRer 711/93 DATE: .:3 - Lp - 0'0 DESCRIPTION OF WORK: ?Jcw STREET ADDRESS: q //°5- LOT: & BLOCK: C-?? 3 - ?)b - 00 2 capiea of plan t w? a eneryy cd«dana,a for nearoa aamnans t dle wrveY for a)deda addHloru & deew CONSTRUCf10N COSi: //Cddcc) SUBD./P.I.D. i: 3 '-"? PROPERTY OWNER CONTRACTOR 4RCHITECT/ :NGINEER Name: Phone tad Flrsl Shee} CHy Stafe: Lp: comaany: ftnneso4c?- ri,one #: ?91 '/5 .12 -52.22 (area code) streetAddress:_ TCL ucenser /17/ EXo,3 3/-ec? Gfy 1?11z?rUD dT/? 1173 SMte:. /I/ Company: Name: Telephone #: ( ) Lp: Sheet Address: Regisfrafbn 0: citY ewyr/water licensed aP: Pnone *. 6c l3- ) 4--i a-A t:? / ,6ereby acknowledge that I have read Mis applkalion, atate ttwllhe Intomwibn is cortecl, and agree b comPy wilh a9 app6oable State ? MSoneaofa Slafulea and CNy of Eapan Ordinancea ? Sipnalure of Applicanh Isrtificates of Survey Received ??Yes ee Preservation Plan Received _ Yes OFFICE USE ONLY No _ No ??lot Required State: MAR 6 -C-7r-? .a OFFICE USE ONLY BUILDING PERMIT SUBTYPES 0 01 Foundation ? 07 05-plex X 02 SF Dwelling p 08 06-plex E3 03 01 of _ plax ? Og 07-plex ? 04 02-plex 0 10 08-plex 0 OS 03plex ? 11 10-plex 0 06 04-plex O 12 12-plex WORK TYPE X 31 New O 32 AddiGon O 33 Alteration O 34 Repair O 13 16-plex O ? 17 Garage O E3 18 Deck O O 19 Lower Level p Plbg Yor_N ? o zo Pooi o 21 Porch (3-sea.) 22 Porch/Addn.(4-sea.) 23 Porch (screened) 24 Storm Damage 25 Miscellaneous 30 Accessory Bldg. O 36 Move Bidg. O 43 Reroof O 37 Demolish (Bldg)' O 44 Siding ? 38 Demolish (Interior) O 45 Fire Repair O 42 Demolish (Foundation) O 46 Windows/Doors • Give PCA handout to appticant for demolition permit GENERAL INFORMATION SAC Code ? No. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. ain level sq. ft. lezhl sq.ft. sq.ft. I y4 o MISCELLANE PECTIONS ,)2( Stuc Stone APPROVALS Planning Buiiding 77 WA)t/??? Engineering ? sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance O 31 Ext Alt - Multl O 33 Ext. Alt - SF O 38 Muw ? T-`? Permit Fee Valuation: $ /?C7 Surcharge Plan Review ?? License MGES SAC q31,700 City SAC WaterConn. Water Meter Acct. Deposit ? S!W Permit S/W Surcharge Treatment PI. q?, 7 (?W? ? Q! ..- Park Ded. Trails Ded. ? ,, `? ? Other ?? Copies Total: SAC Units % SAC x , 4x ' f. ? . :r Addresa: Date: Plan: y.{„+ , a,: . Options• 18023 35039 25015 28047 14007 f 14169 15081 40009 40020 40022 17024 17083 23006 E . 32012 32020 ? Px•' 36019 . 111020 .?;:.,.?,... _ ?`31011 - "39010 .i.i Oakbrooke Infinity Eagan 4115 Oakbrooke Trail 11/18/99 Diamond Walkout Note: Plan Change From Crystal Lot 6 Block 4 Description: Fi Elevation #2 4 Season Porch Colonist Doors / P.F/ Oak Trim Upgrade Cabinets White CarpAtPad Upgrade 3"d Carpet Upgrade Cersmic Bath #1 Laminate Floor Foyer Laminate Kitchen Floor Laminate Laundry Floor Two Ceiling Electric Openings (MBR & Porch) R.I. Electric Microwave 2 Y: Ton A/C Additional Cable (BR #2) Additional Phone (BR 02) Waterline Fu W re Icemaker Gas Fireplace / Sheetrocked Mantel Laundry Tub 5ingle Compartment Solatube Bath #1 0 ?.Stain: Cider w:=?. ?. , ?,, ?,-• . .?,.?. , , . _ °=• sp,:a??;?? , t= .?s . - ?rr"t^•6?.A':=;,,;,?,r ':c'. ,? ? lY ,r?'? , _ .. ., x7' . . ? . .". . ? .. . , . . . 3 ' 1 G'e?,a 4^f h 3 `n y"3 . ' ? a ? t1? T l +°"+.y ?y Jx s., fF? ?. }( ???"?.`i?,r.e?'Ww"z.?6??5 ?--?----?-- 1 - ----------- ??? 4 ? JOB INITIATION ORDER N•? SALES REPRESENTATIVE lEOJIL OESCRIPTION: LOT BLOdC UMT ........... ? ? ( `APPROVED BY BUYER (S): 4 APPRaVED BY SALES: RELEASED TO START CONST.: BUSWESS PFIONE: EOUAL HOUSING OPP('I?7pNITY Pu1te Homes of Minnesota Corporation CONTRACTOWSUPPLJER: ?vi v r r?? 1355 Mendota Heighfs Road, SWte 300 Mendota Heights, MN 55120-1172 Phona: (612) 452-5200 Feu: (612) 452-5727 . . ,.. - - - - -- - -- -- - - - - - - - - -- - - - - - - - -- - - - - - - - - - - - - - - - - - - -- - -- - - - JOB INITIATfON ORDER 6A tt% Pulte Homes of Minnesota Corporatian CONiRACTOWSUPPIJER: 7355 Mendota Heights Road, Suite 300 Mendots Hefghts, MN 55120-1172 Phone: (612) 452-5200 Fax: (612) 452-5727 aoerro.? 5 C??lja 4- COMMU18fY; BUIIDINO ADORESS: BUYEK8 NI1hE: CURREMT /1DOF FIOAE PNOHE: SALES REPRES PHONE: ? &PPROVED BY BUYER ( APPROVED BY SAIES: ` RELEASED TO START G LEoa. DEscRwraN: wr eLocx ? uwr ?2 V ? ?T r AODITION: CfTY: _ A7EQ21P: ELhVAT60N: WRARiE: IEFT RpHf DATE OF ORDER C7TY: STATE: BUSWESS PFIONE: ? 2 EOUAI HOUSING nvvnaniuirv ??= "' _ ' '-..??; r?,"...., rp_ - _ _ ' M ti ? . . 1 , N. n?e? • • . . . f?i. ? ? ' ' '!i;?-(??!_'.1'?S' 1???'.._ ? EXTCRIUlt ?NVElO?F f?YFPA!;F "4?'' CL?ru?oini ?i,r? i .i;? ? f AMDt?D ? O??n[a? ??4?_-?oi???S__._...4?__?_ _...___. __.._.. _._•_-.-- -.-----._ _.......____._.._--- -_._____.._._ SITE A000.f5_,: ' ---.. ....___....?........__ ...------- -_. DATE• 70a t?ll? ? ` E? ---- -----. _..__... _PNC"IF: /?b S2dza---- -- _ CUtlf?C o _?i_ ? f_K? i DEiCZH?'?t ?"?Ar;I1lf Stl?IaRE FC? ?7TAC c QF EACII: ? r.__.___._. ...... TOf,1L E:(POS?D l1AlL APEA ? ? 1 sq ft x "U" ? ? ! ? ? ?„???% ? .. •-- m. , . n? ? ? 2. TQTAL RQOF/CEILING AAEA......., ??__ , Sq f[ x "U" ? r' _.?-- - ? t. TUTAL EXPO"E U!JAU. ?AFEA l' 1? rUL.1 I' I OPl i: Try[?) rX?1VSr.iI'?+7I? ? ?,L ??_? area above floor,,,,,,,, 5?? ?[ ? 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I iW HE iU; lf_7: ? i?•c• :JII 7!'f ^ •?.i? f i? i ?? e ; t: 1, , ?• e 'air,. r,uwn >n fir?;;. :rp , ? FJCMU:;'104 Sr'.!:N: ?•^? ?• '• ?' ?----^?---{1 Interlar air PITm •ri h$ ??''i?t'? rY -' -?'_?"_'?._(2 ---? ?1'•4? '?] ?' f ?C" ? f/ L( ? j i??`d ?iw ?. .? y,?17 , _ ... ?•7 r?t ? r? j ' ? _ ? _ "r?• trs.a.??.? .. Exerlor alr iilm (1,17 a.'?i?,' ??''?:"r`• 4• ? ' i4' . r, (q _... . - '?-__ -'.----'?__.___----°-- - . . 4 L r( ' • .d ; ; '? i`aTAL A ? 1?! l 5 u ,f",76 - :laR 7N CaAUE ?? ,a•;.'J? .. ?. . • ; '•__..- .- ?.-? `!, . . •? ? •' " ... ? i' }, `I .?. _ `? , . ,.,i? ??.? ' ; •.? e1 ,,, at . '' . t1 ?. _ ?,F.--<', `?i ' '•?;?%,"'.:I,.. .?'" i . • ,'s '?..,-f_??? ? r.,?. ?I-J ,. ?. :{.._ ilF'? !? r'1 , ? d ?t : ?/.? .?. r ????? •. ' . +.t; • `J ?T`-?....`?..J ,?i1111111;i?1 `? ? 4; . ?"`•,?? .4 .3?'?. ?L??". ?/ . ? .1`"?"--;,7 ';nr?;-.,: 5? :ns' - `1i,' ?'? .• •Q ' ' t. ^ .. ?t? ?, • Q'?.,"•»•', ? . ? 'i i n •?mun , ' .}..f, -_° .. '. •1' - •" :'? ? i , . '.. . :. w.j }!. :..y.ti..,1,, . . .. ' , q •? C .,.,`.._'1"`--""'.i-`;fl,?% pi.y? . i ' • ? . • ? I'.. ? , j 1' I1 RUf. T I t;u ? ? ,i .. I ? -- -;-? . ?; - .=•?''??;., ,.r,• : 1 . -•1 v , f=LOW .2) lni `r P-' i d i E: i.7 C°tt!IIG 3EC 7I1)r1 (irl"AIIAlEO ) < bAi_UC 1 Incr.r(or a1r fl!m i 'i _'"? I?J?`.'.CSaL'!? ?•? ' i Ezterlur` _.?.-?- air f11m ? : rnraT -•-_.y: ?f.'r.?;:':?•`.tl,',`,?k.^ r`!'` .'3.?Sw t' r", itlNr, FRUi1t1f 5E[71aN: ! Interior alr ' fflm n.!it Z -/,!y - . ? ?• ?I i ?C1 ?"'?A?.[_ `' , ' -1 ?7t-? 4 Interlor air f11m sr.illT n,t,l -' ?.lI2 In=hC3 SOfL WOOA !t -AK'* C-1t.!tt,r, S?:':;l?)(1 l'115111,1TEp): 1' IriCe?Inr air fiTm ?1.!?! t? Exterior air- film (still 07T. 707AL tt U? 1/R i vE,urtD CEfI.INr, FRAMfHR'SECTIUII: 1• Interior air f11m 0.6I 4 Exterlar air rilm Still n,?l S rtnches ,ofi wood TOTAL B a ? U- 1/R - ,?,fy ? r ry1 .t,;+? ' z:.• }:{ ? ? - ? 6;,:? ?'%l *i'?,' -?...?-•.. . .,i;- ?. ? • ,_,?Cw.,o,_??--r-•si-?.??.?-"• :.;?;_ ... _.?-'/ r?-..? I I n s i de a( r f i.i m n.?? -- ?? %-_,_•:.?? ? ?r. j , ..M4:r• ? ?r? . /, ???/ ?1 . .. ? ?"?.9'?mkw. ..?rr?•}. n.il OTAL R ., ??---? "v.`Os;',•:,i/R ._.. ? L n H ? w ? C 0 0 ? ? /? ? r? ? ? o'/a ? p?o ? ?c ? q?o ? ra? p? o ?O 0 LOT SURVEY CHECKLIST FOR.RESIDENTIAL BUILDING PERMIT APPLICATION -? PROPERTY LEGAL f3LOM¢ A0. Or?iY?.C?c2?i?E ? DATE OF SURVEY: ?- 12 - TGI LATEST REVISION: DOCUMENT STANDARDS - Registered Land Surveyor signature and company • BuildingPermitAppGcant • Legaldescription • Address • North arraw and scale • Housetype (rambler, walkout, splitw/o, spli[entry, lookout, etc.) • DirecEonal drainage arrows wdh slope/gradient % • Proposed/exdsting sewer and water sennces 8 invert elevation • Streetname • DrNeway • Lot Square footage • Lot Coverege ELEVATIONS Ew'stina R/ ? ? • Sewer service (or Proposed) R//o ? • Property corners r,? ?? • Top of cufi at the driveway 0 V ? • Elevations of any existing adjacent homes ? rl ? Adequate footing depth of shuctures due to adjacent utilitytrenches Prooosed c? ? ? • Garage floor ? ? ? • First floor p? o o • Lowest exposed elevation (walkouUwindow) p? o ? . Property comers Q?? ? • Front and rear of home at the foundation PONDING AREA (if aoolicade) / ? ?L ? • Easement line ? V/ ? • NWL ? a/ ? • HWL ? G?/ ? • Pond # designation ? rd' ? • Emergency Overflow Elevation DIMENSIONS ? ? ? • Lot IinesBeanngs & dimensions ?? ? • Rightof-way and sVeet width (to back of curb) v? o • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all sVuctures requiring permanent footlngs) ?? ? . Show all easements of record and any City u6lides wkhin those easements a-, oZ • Setbacks of proposed structure and sideyard setback of adjacent epsting structures ? Qf ? . Retaining wall req7;;; ? ?16 i Reviewed: ? rOv M amh 1999 CRA091-153PRMf FM Surveyor's Certificate SURVEY FOR :PULTE DESCRIBED AS : Lot 6, elock 4. OAKBROOKE 3RD ADDITION, City of Eogan, Dokota County, Minnsota ond reserving eosements of record. L 0 T SQ. F00 TA GE HSE. SQ. F00 TA GE LOT COVERAGE _ ?titi ? ? 1-°1ti/ d-? ? A?'r ? v. = 3,608 = 2,212 61% Plan # 17944 PROPOSED ELEVATIONS Top of Foundotion = 932,0 Garoge Floor = 931. 6 Basement Floor = 9z3. 0 Aprox. Sewer Service = Proposed Elev. _ (::::D Existing Elev. Droinoge Directions = - Denotes Offset Stoke = • SCAIE: 1 inch = 30 leel o? 0 BENCHMARK, 7NN6) 4o+s'i4.S DJky E4c 432.C4 MIN. SETBACK REQUIREMENTS Front - House Side - Reor - Garage Side- HEDL ?//VD I MEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO PLANN/NC 6NC/N68R/NC SURV6YlNC SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS OIN. 2005 Pin Oak Drive ,(, (/1?_/1? ? Eogon, MN 55122 DA7E L.? ? Phone' (651) 405-6600 j+ Y. LINDCREN, LAND S VEYOf Fox: (651) 405-6606 t,I ES A, uCENSE NUMBER 4376 NO: 99R-a70 F4E: OAKBROOKE RECEIVED 11A„ni 1 5 20I10 ? L BL I 'f CITY USE ONLY RECEIPT #: d I d- '1 ? I \ I ? SUBD. ?C(IC?YOOI?V ? ,J ? RECEIPTDATE: I - 6- OO • • PERMIT# 32 )-/XJ 4@WPLUM$INfi i'ERMIT (ft£SIDENTIAL) Zc o 4 crrY oF EwsAx , j3 3830 PILoT KNOB ftD £?i6AN, 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 FIXTURES EAGH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum -1 3.00 X $ Hot tub/s a 100 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 = $ G. Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under raund s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ W2ter Soften0f if dwelling underconstruction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x $ State Surchar e .50 --> ----> ----> $ .50 Total --> --> ----> ----? S . ? Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------- ------------------------------------------ ------------------------------------------ -- ---- I hereby acknowledge that I have read this application, state ihat the inforrnation is correct, and agree to comply with all appiicable Ciry of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Ea9an assumes no liability for any damages caused by the City during its normal operational and maintenance actiwGes to the facilities constmcted under this permit wrthin Cityyproperiy/right-of-wayleasement. SITE ADDRESS: ' OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: TELEPHONE #: (AREA CODE) TELEPHONE #: STATE: ZIP: SIGNATURE OF PERMITTEE CITY USE ONLY gI 3q , 50 LOT b BL tl_ sUBD. Oaklovooker 3ro1 PERMIT#: y 013 V / RECEIPT #: /d`J 6 N RECEIPT DATE: y' 7" 00 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PZLOT ICNOB RD EAGAN MA1 55122 Date: y ? OQ 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/occuoied. • HVAC: 0-100 M B T U ADDIT?ON.A:. SO M ET[J • Gas outlets (minimum of one required Q$3.00 ea.) State Surcharge Total $ 30.00 6.00 3,00 3q-Cb .50 $ 39, cZ0 Complete this section onl if you are remodelinQ, addine to, or re airin an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration _ Repair _ Other Furnace _ Air conditioning _ Air exchanger _ Other Fee $ 30.00 CtatP Surch2rge .50 Total $ 30.50 Reminder: Ca/l for inspections SITE ADDRESS: ??6rGrUI' .C! L OWNERNAME: ')"(/{4-C_ 4-603'12e5 PHONE#:',b-7 - yb a-baOU ?p ` ? (AREA CODE) INSTALLERNAME: 3JUfVISUi Ic0 qr?d?e •' Y!r _?' p ? C PHONE #: 'q6-a -99Cl- 0606- (AREA CODE) STREETADDRESS: 1a qXI KYID/'.P? ??5?/Ir(?"?/?v ,?.,/ J? CITY: _ STATE: ZIP: S? SIGNATURE OF PERMI7TE??- ?e Siteaddress: Lot -?D- Block? Subd. Lr?,? 5 ? On April 15, 2000 the Minnesota Energy Code, Category I Bullding Requirements for insulation protection, air tfghtness, and venUlatlon'' was adopted. As a result, the City of Eagan is requiring that the following information be ' submitted prior to issuance of A Certificate of Occupancy. _ Thfs structure: Is constructed to meet minlmum requirements oi Ihe Mn Energy Code, Chapter 7670 OR Z? This strudure: wll_? constructed to meet more restrlctive requlrements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL 9TU'S VENTING TYPE waterHeater MC,, \y"o,,3 M0.\o5 S?s Fumace p o,,?? SO M AV o3\00 0. SA ocu D:+e Dryer EXHAUSTSYSTEM LOCATION TYPE MODEL CFM's VENTED vES ao Kitchen kltchen Bathroom t 01r=1' V G2 O Bathroom 2 V O Bathroom 3 Bathroom 4 Other FlREPLACE S LOCATION GAS WOOD MANUFACTUREFi MODEL BTU'S VENTINQ DIpEff ATMOS Zq o00 [.,,, I hereby acknowledge that the above, inionnation is corcect and requirem nts. ' at Comparry Name agree to compty with the Minnesota Enargy Code and Ciry ot Eagan ? OD Date ' This torm is the responsiblliry of the General Contractor. Use BLUE or BLACK Ink - - I I I i Permit ~ ~ i City of Eap I 7, I Permit. Fee: 3830 Pilot Knob Road 1 1 Eagan MN 55122 j Date Received: 1 I i Phone: (651) 675-5675 i i Fax: (651) 675-5694 Staff• I I 2010 MECHANICAL PERMIT APPLICATION Date: ~Geu~~ro Site Address: LAk1'S Q RV41 L0 y Tenant: f Suite RESIDENT I OWNER Name: A Phone: Wg ll-a-~-n Address / City/ Zip: t, ~S OCAJ ` z" M- n 55 0-1 CONTRACTOR Name: ~;5 a~11J1~1Co,~~~~► nse #1~- Address: 5~a City: 229210A State: Zip: Phone: S 1 Contact P t Email: TYPE OF WORK New Replacement -Additional -Alteration Demolition Description of work: 915RAQ st a pica e~ ip ec uir C~edu rCt easyitacjtteNle~hani calor foinformat on;orti.perirl%tte~!<c. eernngm"eto. s ; RESIDENTIAL COMMERCIAL PERMIT TYPE VL Furnace _ New Construction _ Interior Improvement _ Air Conditioner Install Piping Processed -Air Exchanger _ Gas _ Exterior HVAC Unit _ Heat Pump _ Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: J $50.50 Minimum Add-on or alteration to an existing unit (includeState Surcharge) $ c ePair (replace burned out appIfances ductwork, etc.) includes $.50 State Surcharge) TOTALFEE $90.50 Fire r W 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.oooherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work wlll 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 pen'nit, 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 requir a review and approval of plans. v x x Applicant's Printed Name Applican 's Signature SS:Y+.'% .,yy: •sb'. y.: P"tk.. r._.F. _ .,y .;at~s..<y„}:` •s x, hy• °r' ayievveti B eN ~.r4 te:'. . . PERMIT City of Eagan Permit Type: Building Eaaan. Permit Number: EA104606 Date Issued: 05/31/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4115 Oakbrooke Tr Lot: 6 Block: 4 Addition: Oakbrooke 3rd PID: 10-53762-04-060 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 S4K $103.25 0801.4085 Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: hrech Exteriors Inc Regional Anesthesia Service 5866 Blackshire Path 13911 Ridgedale Dr Ste 350 Inver Grove Heights NIN 55076 Minnetonka NIN 55305 (61)688-6368 I hereby aeknowledae 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 Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA127441 Date Issued:10/01/2014 Permit Category:ePermit Site Address: 4115 Oakbrooke Tr Lot:6 Block: 4 Addition: Oakbrooke 3rd PID:10-53762-04-060 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 - Regional Anesthesia Service 13911 Ridgedale Dr Ste 350 Minnetonka MN 55305 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:Building Permit Number:EA129182 Date Issued:01/16/2015 Permit Category:ePermit Site Address: 4115 Oakbrooke Tr Lot:6 Block: 4 Addition: Oakbrooke 3rd PID:10-53762-04-060 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 - Regional Anesthesia Service 13911 Ridgedale Dr Ste 350 Minnetonka MN 55305 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:EA151212 Date Issued:08/14/2018 Permit Category:ePermit Site Address: 4115 Oakbrooke Tr Lot:6 Block: 4 Addition: Oakbrooke 3rd PID:10-53762-04-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 - Margaret Mulderig 4115 Oakbrooke Tr Eagan MN 55122 (563) 543-7448 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA160859 Date Issued:04/20/2020 Permit Category:ePermit Site Address: 4115 Oakbrooke Tr Lot:6 Block: 4 Addition: Oakbrooke 3rd PID:10-53762-04-060 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 - Margaret Mulderig 4115 Oakbrooke Tr Eagan MN 55122 (563) 543-7448 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature