4118 Oakbrooke TrPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128542
Date Issued:11/18/2014
Permit Category:ePermit
Site Address: 4118 Oakbrooke Tr
Lot:14 Block: 3 Addition: Oakbrooke 3rd
PID:10-53762-03-140
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 .
Description:20 SQ
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 -
Marcia M Stevens
4118 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
Address a i i a n a k h r n n k a r,- a; i Zip 5512_2
IAt 14 Blk 3 Sub Oakbrooke 3rd Addition
TFESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: rd b 1 Yes No Inspector: ?j
Final grade (6" from siding) ?
Permanent steps (gazage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas X
Sod/Seeded grass
TraiUcurb damage
Porc6 •
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze po[enHal exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
Whice - City Copy Yellow - ResideN Copy Pink - ConVactor Copy
, L.-? BL ? CITY USE ONLY
SUBD. ??,?'?'.!' i.3r
Dv f
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 L ? ?0 2 ?
651-681-4675 ?
Please complete for: ? single family dweliings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
CIYTIIRFS
RECEIPT #:
RECEIPT DATE:
PERMIT# 4L / 4
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping 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 System newirefurbisned • requires MPC lie. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installaUoMrepair/rebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
UndergrOUnd Spfinkl2r if dweiling is under construction 3.00 x = $
Underground sprinkler rf existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under eonstrucNon 5.00 x = $
Water softener fP existing dwelling 30.00 x = $
Water tumaround 30.00 x $
State Surcharge 50 --> --> -> $ .50
ro?
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------------------------------------------•--•------------•------...-----• •---------------------------- •----• •-----•-------
I hereby aGcnowledge that I have 2ad this applicetion, state tl?-at ihe information is corred, and agree ro comply with all applicable Cily of Eagan ordinances.
It is the applicanPs resDOnsibility to notify the property owner that the City of Eagan assumes no liabiliry for any damages wused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-wayleasement.
SITE ADDRESS: ! I( a 0&4?4U IIal
OWNER NAME: : T ulk
INSTALLER NAME:
V410lY (
STREET ADDRESS: 0
CITY: /Z :R Ss? STATE: ZIP:
TELEPHONE#: ?I)-- 2)I ? lO?s
(AREA CODE)
TELEPHONE#:6/,)"?? 7
(AREA CODE)
SIGNATURE OF PERMITTEE
„ -( i r `)
CITY USE ONLY
BL n i RECEIPT#:
SUeD. e ? f; RECEIPT DATE:
PERMIT# 4lr'7q3
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3630 PILOT XNOB RD
,^ J EAGaN, La7 55122
651-681-4675
?
Please complete for: ? single family dwellings
? townhomes and wndos when permits are required for each unit
? backflow preventer for underground sprinkler system
ilYT11RFt
EACH / #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pipin ouUet ' minimum - 7 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurbiehed ^ requi MPC c. 75.00 x = $
Septic S Stem abandonment 30.00 x = $
RPZ new installatioNrepaidre uild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is un nstr ction 3.00 x = $
Underground sprinkler aexistin9 enin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling un r constn,ction 5.00 x = $
Watersoftener ifexisting dw6iling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge 50 -> --> -> $ .50
TOtal / -> $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
-
---------• •--------•-• • -----------------------•---------------------------------------------•---------------- ---------------
- es.
•
- - , s - Nate - that the - infortnatian - is • corted, and agree to compty with all applicable City of Eagan ordinanc- -
I hereby acknowledge that I have read this application -
It is the applicant's responsibiliry to notify the property owner that the CBy of Eagan assumes no liebiliry for any damages caused by the City during its
normal operetional and maintenance activities to the hacilities construded under this pertnR within City property/right-of-way/easement.
SITEADDRESS: 4IIt OQKYIil TY
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #:
(AREA CODE)
VQI?CV P16 - TELEPHONE
CITY: STATE:
SIGNATURE OF PERMITTEE
CITY QF ERGAN
CASH:[EF'tz JS TERMINA1_ NOc Of]i
DATE: 1 2117/93 TIME:: 14v08:14
,
ID:
NAME: PIJLTE MASTFR FtJILDEk
2252 92E70 4120 OAF:BfiQOF.E 30.00
3210 500:1. 412Q OAF:HfiOUKE 1?156.15
3866 9379 41i'_0 OAF;£;ROOF.E i.[]0.00
3422 9001 41.2E1 OAY.E4RO4KE 751.50
2275 9220 4120 OAP;Bh'OOY.E i.1m.r0
3445 9001 4120 OAY,BFt00Y.E iC1.50
2155 9001 4120 dAt.RR00t.E 0.50
3743 9c!20 q i.20 OAF:k3R00KF 50.00
2155 3007. 4120 GAY.Rfi00F,E 64.50
3868 9220 4120 OAh:BR00t(E 468.00
CR121.39,7 CQNTINUE
lJSE.R ILi; ,IAN CON"1`INUF.
*kCXcX,npc#?C****?F#?k???%??K**?*?*?%?***? CONTIiJL1E
CITY UF EAGAN
CASNIER: JS TFRMINAI. NCI: 007
DpT'E„ 12/1.7/93 TIMEe 14:09?16
IDa
NFlME: P!JL7E MA5Tf"R RU.LLPEFi
3716 9220 4120 OAK$k00KE i14.00
3r i3 9220 412U UAh:Hk00I:F 50.00
:386.°i 9220 4120 C]A14ER0O4;E 825.00
2252 9220 49.1t3 t]AP;EROUk(f: 30.00
3210 Q001 4118 OAF:Bf:L7OF:E 1,200.95
3866 9379 4•11Ti OAY.bR00fJ: L0O.04
3422 3001 4118 (1AF:RFOOP:E 780.62
2275 322[) 4118 DAY,BFt00N.E 17033.50
3446 9001 4118 OAKBROOkE 10.50
E155 9001 4118 fIAKBFt00F;E 0.50
CFii.2J.367 ** COiVTINUC
USER ID: JAN m? CONTINUE
CUNTINUE
CI7Y OF EAGAN
GASHIt:F': JS 7ERMINAL N0: OOi
DATEr 12/17/99 TSME; 14:0EI:i.9
111.
NFlMEe F'ULTE MABTER EsuIL.DEFi
3743 9220 411B DAKRROOKE 50.00
2155 900J. 411.9 04t;bRO(7KE 68.50
386L3 '3^U20 411.8 OAF:BFi004:E 4•68.00
371: 9220 4ii£i OAY,T?k00KE 114.00
37i.3 9220 411
?
5 FlKEsfiOQKE
CI 4.00
5
3SESa yLf_O [
1
4liV h
VFIfi
SFOOYE ?
Y
QCJ.OO
Tor;a7. Fiecwipt Amoun+,: 9p337.?_2
CR1213E, i
USEk ID: :JAN
, . , 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
'7 O, ! 3830 PILOT KNOB RD - 55122
? ( 0 L ? 651-681-4675
NewConstruetlon ReauiremeMS Ramodell ah R olrom n s i a??? c?
D 3 regkhrad slte suneya showing sq. %of b4 eq. R of houw
and gJl rooted areas (20% maxlmum lot emeraoa allmxed)
? 2 copies of plans (sAow beam 8 vAndow sizes; poured fid. deeign; etc.)
D lsetofaneigycekulations
? 3 copies of tree preaervetbn pWn fl bt platbd after I11193
DATE: VL-`o'c?(::i
DESCRiPTiON OF WORK:
STREET ADDRESS:
LOT: \4V BLOCK: ? SUBDJP.I.D.#:
Name: Phone #:
PROPERTY I.est Fint
OWNER
Straet Address:
City
2 copies of pian
1 set of energy cakulatlons kr heated addltlons
1 sik survey for eriarbr addkions 8 decke
CONSTRUCTION COST: `\O -O p0
State:
Company???VP- S
Trp:
Phone A: y?
(area code)
corirRncroR Street Address:?3?S MP??c?.o?c !?. N? _'?b°ce„$e # ?3 ?Exp,
cri?6A&ot.io-NNe:,state: tvkv\ ziP: 55?z-Z
ARCHITECTI
ENGINEER Company: SAcYV`2? ?S G? Name:
Telephona #: ( )
Street Address: Registration 0:
City Stata: Zip:
8ewer8waterlicensadplumberfnewwnaWctlononlvL• TelephoneXVNt"lS
Penally eppliea when address ehanpe and lot change Ia requeated once permk ie isaued.
! hereby aeknowledge that I have read lhis application, slate tlut the Ntormation is co and egree to ce y wNh all applfcable State of MlnnesMa Stahrtes and Cit
of Eagan Ordinancea.
• SignaWre of Applicant:
OFFICE USE ONLY
Certificates of Survey Received ?6Yes _ No
Tree Preservation Plan Received - Yes - No AbNot Required ?
.1
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Pordi/Addn. (4-sea.
? 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
? 05 3-piex ? 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 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 handout to applicant for demolition permit
GENERAL INFOR MATION
Const. (Actual)
? Basement sq. ft. 1? b 1 Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy 4°? sq. ft. ?,? No. of Units ?
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/E5 System
Length ? sq. ft. City Water
Width _?? Footprint sq. ft. Booster Pump
PRV ?
Fire Sprinklered
APPROVALS
Planning Building 7 Engineering Variance
Permit Fee
Surcharge
Pian 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
Valuation:
6 ?A
M f3???
/?/ G1 x
0,t w y
y 0-ty
,lJ?s 0004 ^ 7 3 7 a
1
$ 3?rJo
?? -,n0,9 cg$? D bs
Total:
.
SAC Units
% SAC
I rl
s
Oakbrooke Infinity
Eagan
Date: 9/25/99
Address: 4118 Oakbrooke Trail
Lot/Block: Lot 14 Block 3
Plan: Diamond Walkout
Options: Description:
18023 Elevation #2
35039 Four 5eason Porch
19021 Full View Combination Storm Door
25015 Six Pane1 Colonist Doors / P.F. Oak Trim
25021 French Doors LR / Porch
28047 ' Upgrade Cabinets White
14007 Carpet Pad Upgrade
14122 2"d Carpet Upgrade
??+t;.,=, ?.. ,• 15026 Vinyl Upgrade Bath #1 
15031 Vinyl Upgrade Kitchen
' 15032 Vinyl Upgrade Laundry Room
15090 Ceramic Foyer
17024 Ceiling Electric Opening (BR 43)
23006 2 '/x Ton A/C
23019 Setback Thermostat
,. 32020 Two Phone Jacks (Both in BR #3)
` 10055 Spacemaker Microwave
10087 Upgrade Range Smooth Top
36019 Waterline Future Icemaker
,••• , - 36038.. - ->.,:-Water Softener
21021 Gas Fireplace / Ceramic / Wood Mantel
.. _
? 22032
. .. _.
Shelving in Garage
?,
"
f„ . ..w
13077 ._ ,...
v
VVhirlpool Tub Bath #2
31011 Laundry Tub Single Compartment (Basement)
39010 -" Solatube Bath 91
Stain: Medium
.
r
I :
?x
? q
. J.R• 1. J-1J I' . _'i. : '_.??iJl-n-?"1?._ ll:??i
? EXTERIOR L•NVELOPE AYERAGE "U',' GDNPUTATIOtI
•
- SITE AOOR[55:
T
DA7E:
,i
-S2
? Z'to-Ct
OK:
GONtR1tC •
{ / ' ? DETERM14E 4rORKItIG SOUARE FQOTAG a 4
E OF'EACNti r;. •` ? `,
. ), TOiAL E:CPOS"cD blALL AREA,,,,_,, .
?7 sq
Ft x "U"
? LZbC? ,
TOTAL RUOF/[E
Z ILING AAEA
, , I% 7 s4 f t x"U"
, ,,,,,,
3. TOTl1L EXPO.`:EO 14AI,L AkEA CALCUL A(IONS:
Total expased M3II f
area above floor,,,,,,,, 17.?sEi fc
iel
a) Total wall wlndow area:
i
DCl_SLG ? glaterJ...... r ? ? f t "U"
{.J E,
6} Total door area ......... it sq t-t x"U"
?
.._/ 7-
.?---
? ---?-
c} Total 311Jing glass coor ares:
?-'..
>
DpUp G glazed...... fz x lou„
glazed...... S9 Ft x "U"
? . ?
d) .Total Flreplace wall area
sq ft x Hu,l
i
0
r
e) Total wali framiny area iq
(Averaqe 10:)........'.. Z ZiJ sa
F) Total net wall area above
floor (insulated)....... ? ,L?-?__, ad it x."U•, _ _,_.?U? y - /'?
g) Total rim Julst area...... sq ft X"U" 04?,_ . ° -•
Total .'oundatlon
area (Expased).......... °'i t t
hj TvCal foundation
?
i ---
wlndoN area.... ..... ... W ? ? s4 f.,[ ?
x v
f) Total net Fcundaticn
area above u'ade........ ,?. Sq
?
70Tn1 a) tfiru ?---
?
Ii
?`?+^i ?r: 13 ??'O <i:RP_ .7' . f<f ?i>yS .?._. p
?.,n.l 1•;°^I , ?
? ?i i:
C. ?? fnr!
nc1? "0 Iliren:
i??
.
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Cities Digi
ity Control
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a t1" (;_:
? 4. ? Tr,TnL EXPnSED NUOF/CEtlittf; CAi_fUCATIqt<S: .
fotaf exp(,sed
rooF/ceillnq area........?? sq f;
1) Tntal skylluht a:•ea....... _......_____.?...?._sq ft x"U"
k') Tocal rvof/cell[nq fromtny ^7arr.a (Averacr, 1:'•"? . . , . . .d.__.._?!?___ sa ft x "UF-'. _.
l? T ut31 net lnsa?a; -d /p
t /_72__.?
roa rf/r, ll!nq ar r. a...... f y-?
TorAc. j ) tnru , )
If.total ef ''t: {s the same as, or lrss C1ian,P2, ycu have met the intent of
2, MC.xR 1.I6008 _1 ctnd 0.
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i?) t!?I I1: ,?" _ L`JM;?? Bfl'1!`.?0??• •i'+'il:•••l il'i'i. •ri?UC.
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iQital Oualitv Contro
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NDAi iGN iNSIll_Ai iGY. AEQU',iitD: ' •
Min. A-5 un zneire wail 0& U d i/tt
Min. 2-10 dnwn to frvst.depth •
FJUttDA?T19N S'c:`,'lQN:
_`? --(1 Interinr alr Pllm
???.....?.?.!.?.?
`•--??--!? h?xlrrlur a?r Film 11,17
.`??.... f!,
r- ? HF?3fC? ??dh5:
;;.?1; `:G Unngat?d 5;ao<_:
'? 'fiin?mun ? 6.2
?,'. ?. ..
i?•,?•,f??'_ .I.'i•?fu,'./4 t. ,``"•
S
? ' • ? C;' " ' 4 ' ' • . ' ?, ?71
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COt?;I•SiuCTIaN R vALUC-
Ct:ISHr 9Ef'TiON (i1JSU(A'IEQ)
r
1 Incerlor alr F11m r I
? Exterlor_air f{lm (y?i?j)
y
{ Q TA4 '1 y ?.?
u - iiR a r,,-,
-
r;MirIr scc; IaN:
1 Interior afr PJIm
2 -e71--j 3 r_?I i - 1? lr ?.??h,,L
4 Inierlar air fflm (s t ill n,'r,i •
5 lncheSsaft wou?i Q?{
TOTAI R m 37 n?
' U+ T/Ra
CZII!!;G Sc'.':;16F1 (!NSUTATED):
1' lnterlor air film rt,?T
4 F.xterior air film (still) 0.6i
TOTAL N =
U - 1/R=
CEtLINr, Fr'tAHt1lf ScCTlOft:
1- Interior air Pilm n.hl
2
3
4 Exterlor air film gtill n. I
$ fnches ,oft wood
TOTAL K
u- aiR=
1 InSide air fiim
, -
_?-?--
;i
ti ?1i?[Sidn, air fiim-? ?•?.I?
'1 . 1; R
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
L PROPERN LEGAL Lor ?¢ 3??d"t-3 GO.ff?.??? k
h DATE OF SuRVEY:
W LATEST REVISION: I a -n -
?
o DOCUMENTSTANDARDS
,
o a
a
0 ? - Registered Land Surveyor signature and company
? ? • Building PermitApplicant
o ? • Legaldescnption
ra? ?
;/ ? • Address
/? o • North arrow and scale
? ? House type (rambler, walkout, split w/o, split enVy, lookout, etc.)
S? o Direclional dreinage arrows with siope/gradient %
m? ? o • Proposed/ebsting sewer and water services 8 inveR elevation
r?? ? • Streetname
V W? ? ? : Driveway
A ? Lot Square Footage
e? 0 ? • Lot Coverage
ELEVATIONS
Ewstina
p1?? o • Sewer service (or Proposed)
? ? ? • Property corners
?? ? • Top of curb at the driveway
?? • Elevations of any e?dsting adjacent homes
? Adequate footing depM of shuctures due to adjacent ufiliry trenches
Prooosed
EV/o ? • Garagefloor
o/ ?
UK, ? ?
? • First floor
• Lowest exposed elevaDOn (walkout/window)
ri// ? ? • Property corners
u? o • Front and rear of home at the foundation
PONDING AREA (if avdicade)
? 0/? • Easementline
va ? • NWL
r? ? a • HWL
? o ?
v • Pond # designation
o ? • Emergency OveAlow Elevation
DIMENSIONS
?? ? • Lot lines/Bearings & dimensions
?' ? ? • Right-of-way and sVeet width (to back of curb)
G?/ ? ? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all strudures requiring permanentfootings)
el o ? • Show all easements of record and any Cily utilNes within tfiose easements
d/o /? • Setbacks of proposed structure and sideyard setback o?djacent e)assting sVuctures
? ra' o • Retaining wall requirements, if any ? '? ?
Reviewed
X? _/-?F' '
! Date
MatGh 1998
CRAKL9LDGPRMfFM
' CITY 01= F_AGFlh!
GA'3H1:ERe ,]S TI:.kMfINAI_ NI(Jc 99'7
DA'TEc 01/26/00 T1M1=: 1i`,3e':i.c^.
IU:
NAiSE. F'UL.TE: MASTrk IiUTL..DEF'i
320 9001 4118 tJF4k;BRCJOK T 60.170
205 5001 4:LiF3 OAh:E{kDC1F: ? 0.50
?252 92_2Q 4 i.?? OAF;Bh'CJOK 7 :3C1.C10
32I.D 9007 4t22 0A1(BROOY, 1 1y094.55
3866 9379 022 f:1AF;BF?f70Y. T i.C)C].Ol]
3422 9001 4a.i i? 06htCB1;001! 'i 70.46
i"'i';; 9i'.'.c?Cl 41.22 faiP;BRC70FC 1' 1y009.00
3446 9001 022 (3AF;BIjOOF; T i i..00
05:; 9001 4122 C?A4:RI;001: T 4e50
3743 3220 4122 OAI•:BIiIUK 7 SO.OCI
Ck:l.?P73'? r,nNTINLIE
lJS!:'fi T1?e .7Ai`! #?k ('ONTINUF
m?sk?#? ?%?d? ?%?tYF??KW ?ks# #? ? ?k?k?$?k?'n%k 'M??# z;X? Yc?'c? ?k ?K PnktXt
GCiNTTNLIE.
r:tTY OF EAL'AN
CASH7ER: 39 7F:.kMINAI_ N0: 937
I•A'1'k.,; 01/2L,J00 TLMF_: ii'a 32:13
ID:,
NAhiE: f'IJI._7E i`fAS'1I::P HlJ2l._DEfi
205 7001 4i.22 pFlt;BhOp4: T 59.00
3808 9220 022 C1AF;BF:OOt, T 492.00
370 9220 412? OFlI;$hC1QF; T i.:LA•..IJO
303 9220 4122 []AKBRDD4: T 50.0o
2805 9220 412? QF?I4LtR0OFt 'f 840.00
F
Ta+.a:l. tieceipt Amuuntt 4,702.01
W22737
USFIt :GD: :IAN
'lR?7k?CyKX,<5kl[?%k?#?Kknk?klK'RYC?rK1X7k?K>k>X??k%?-$7k?7K>X k?%k7K7k%(7K
?OC?b
*M BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?610
651-681•4675
NewConeWetbn Reauiremenb
D 3 regMered si[e aurveys ehowing aq. R of lot sq. ft of hausa
andgll roofed areas 120% maximum loteoveraue allwved)
? P wpias ot piens (ehow beam 8 window sizec; poured Pod. dasign; atc.)
? 7setotenerpyplculatioin
D 9 coples of tree prasenatlon pfan H lot platted aPoer 711193
DATE: ?
DESCRIPTION OF WORK: "
STREET ADDRESS:
RemodeVReoafr Reauiremems
'N?^•^
.t?;Raucd 11
qn r? ?
1 V
I J ? ?I
2 copiec of plan
7 sat or enwgy alwlatiom for heated adeWoire
7 ska survey for eztedor addXione 8 decks
CONSTRUCTION COST:
LOT: -\A BLOCK: _2_?, SUBD.IP.I.D.#: C?G.?.?jfou?er Sr&
Name: Phone #:
PROPERTY Last Fimt
OWNER
Street Address:
City State: Zip:
Compeny:cn???0? ?S PhoneA: ?_CkQq-Q:RaR
(area code)
CONTRACTOR StreetAddress:??%S ltl`p.l?CXO?A !? ?
License # ?\3 \ Exp. U?
City?40\?t{4 State: ?? . Zip:
ARCHITECTI
ENGINEER Company: Name:
Telephone #: ( )
Street Address: Regfstratlon A:
City
State:
Zip:
Sower & vwter Iicensed plumber Inew wneW efion onWl: Telephone
Penally applies when addresa change and lot ehanpe le requested once permit Is issued.
I hereby asticnowledpe that I have read tlds epplicatlon, sfate that Nre Informatlon fn co and ?ree W ply wftli pplieabk StaM of Minnesofa Stadrtes and CR
of Eagan Ordlnances.
? Signature af Applicant:
OFFICE USE ONL
:C??
Certificates of Survey Received _ Yes _ No
_? /
Tree Preservation Plan Received _ Yes _ No _ Not Required ?-?
, PJ
?-
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage ? 22 PorchlAddn. (4aea.
? 03 1 of _ plex ? 08 6-piex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level 0 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 Only ? 43 Siding/Soffits/Fascia
O 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
`,S( 33 Alteration O 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 INFORMATtON
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy ?- sq. ft. No. of Units
Zoning sq. ft. No. of Bidgs
# of Stories -' sq. ft. MC/ES System
Length - sq. ft. City Water
Width J Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building
r Engineering Variance
Permit Fee Valuation: $ ? fSPO
Surcharge
Plan Review
License
MC/ES SAC I! rl ?
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. '
Park Ded.
Trails Ded. .
Other
Copies
Total:
SAC Units
°k SAC
CITY USE ONLY
LOT I i BL 3 PERMIT #: 27 35,?
suaD. ?; ri xECEIPr a:
RECEIPT DATE:
2000 MECHANICAI, PERMIT (RESIDENTIAL)
Date: /'" / 7 _ df)
Complete this section onlv if you ate installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
o HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
CITY OF EAGAN
3830 PIIAT KNOS RD
EAGAN 2M1 55122
651-681-4675
State Surchazge
Total
AJ
Complete this section onlv if you aze remodelin¢, addin¢ to, or teoairins an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repa'v.
_ New _ Alteration
_ Furnace
_ Air exchanger
_ Repair _ Other
_ Air conditioning
Other
Fee
State Szircharge
Total
Reminder: Call for inspections
SI1'E ADDRESS:
?
$ 30.00
6.00
?
.50
$ 6 ?-?
$ 30.00
.50
$ 30.50
OWNER NAME: Fat? PHONE #:
INSTALLERNAME: A? PHONEIt:(AGO /?-E) - ??
?? p (AREA CODE)
STREET ADDRESS: ? lkti?s? ?J
CITY: STAT'E: ZIP: S?3 yd
??LLSIGNATURE OF PERMITTE
?4 7
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:-
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COI•MERCIAL)
CZTY OF EAGAN
3830 PILOT lNOB RD
EAGAN, bN 55122
651-681-4675
Please complete for: all commerciaUindustrial buiidings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK T'YPE: _ New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 651-681-4675 jor inspection by jre marshal and
plumbing inspector.
Description of work:
Fees: 1% of conuact price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIT'E ADLRESS.
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IlviPROVEMENTS ONL1):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
PHONE #: -
(nxEn conE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
3 L I BL CITY USE ONLY
SUBD.
RECEIPT#: )d,4I,5 31
RECEIPT DATE:
PERMIT# 4?
2000 PLUMSING PERMIT (RESIDENTIAL)
CITY OF EA6AN
3830 PILOT KNOS RD
EAGAN, MP7 55122
651-681-4675
Please complete for: ? single family dwellings
D townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas iping outlet ' minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbisnea • reyutres nnrc uc. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installationlrepaidrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under consVUCtion 3.00 x = $
Underground sprinkler if existing dweniny 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if tlwelling under eonstructlon 5.00 x = $
Water softener if axisting dwenine 30.00 x = $ -tv,-Av
Water turnaround 30.00 x - _ $
State Surcharge 5D -> -
> -> $ .50
Tot81 -> -> -> --> $
Reminder: Call for inspections of alteretions, i.e. water heaters, water softeners, etc.
------- --- ---------------------------------------• ------------------------------- •---------------------------------------------•------------
I he2by adcnowledge that I have read this applicetion, state that the infortnatian is cormd, and agree to compy with all applica6le City of Eagan ordinances.
It is the applicant's responsibility to notiry the property owner that the City of Eagan assumes no Ilabiliry for any damages caused by the City during ib
nortnal operetional and meintenance activkies to the /facilities constructed under this permd within City property/right-of-wayleasement.
/_
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS: ?? ?/ 1 9 ut WgC HII`PP fY`
CITY: VY STATE: ZIP:
t X
TELEPHONE#: (LS-1- W ?/,f 7
(AREA CODE)
TELEPHONE #: kl) - Q
(AREA CODE)
SIGNATURE OF PERMITTEE
L gL CITY USE ONLY RECEIPT #: 1,1U V!T
SUBD. \1?V???O`? ?= RECEIPT DATE:
PERMIT #
1999 PLUM$INfl PEfiM1T (itESIDENI7A1.)
crrY oF Easax
3830 PaoT Kxos ctn l ?
?
f.tel6kN, MN 55122
c651l 691-4675 !V
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
PIXTURES
EACH #
TOTAL
Bat`; tub u 3.00 x Z = $
Floor drain 3.00 x = $
G8S 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 = $ kf
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 installationlre air 30.00 x = $
Rou h o enin
Shower 1.50
3.00 x
x
l =
= $ b
$ 3
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 dweuin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Waterturnaround 30.00 x $
State Surchar e •50 --? --"' "-' $ .50
Total --> --> ---> ----> $ cj?
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------------•------------------------------------•----------------------------•------------• -• • ----------------• •--------------------
I hereby adcnowledge that I have read this appliwtlon, state that the infortnation is cortect, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYs 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 facilibqs consWCled undgr this pertnit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDR S?
CITY: ? C/
TELEPHONE #:
(AREA CODE)
?
SIGNATURE OF PERMITTEE
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
?ZHN
Rec ulremenfs
s-eepRebei Pleffl-7T>.mHT '
?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651•687-4675
DATE: 8-6I-oa CONSTRUCTIONCOST: ?3g,SS3 °?
DESCRIPTION OF WORK: Zoa*p? thok- e^ut5#- If multi-family bldg., how many unlts?
INDICAlE THE FOLLOWIPIG EQUIPiWEPdT TO BE REPLACED AMD BY WHOM:
? Plumbing _ Homeowner gi Contractor Name
_ Mechanical _ Homeowner gL Conhactor Name
"NOte; If somebody other than the homeowner is performing plumbing or mechanical work, they must apply for appropriate
permit. Only licensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS:
LOT: )4- BLOCK: SUBD./P.I.D. #: 1 Qk?g? oQ/ 31 -
Name: `st t,Tg Eh- !,9lZ _ Phone n: 4?5l - '774 -7689
PROPERTY Wst First
OWNER
Sheet Address: 0AXER00A<&- ?-? I ( '
CNy E: 4.,0* ^-) State: M N zlp: SS j 2 Z
Company: ?L -7[_ Phone #: 6 S/ - Z- SZo6
(area code)
CONTRACTOR
SheetAddress: k-:? SS j1h ?ti?R /??7&f?5 ?l? License# ?37/ Exp.,?"/
CNy M6'71Z cili4 96-7&ATS State: MN • Zip: ?f2a
?EC?IVED
AUG 2 3 2000
BY:
I hereby acknowledge that I have read this appflcafion, sfate that the information is corcect, and agree to comply with all applkable State
of Minnesota Staiutes and City of Eagan Ordinances.
Signafure of
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-piex ? 21 Porch (3-sea.) • ? 31 Ext. Alt - Multi
? 02 SF Dwelling ? 08 06-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of_plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 04 02-piex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-ptex ? 11 10-plex PI6g _Yor_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 handou t to applicant
GENERAL INFORMATION
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
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
Boaster Pump
PRV
Surveyor's Certificate
SURVEY FOR :PUITE
DESCRIBED AS : Lot 14, Block 3, OAKBROOKE 3RD ADDITION, City of Eoqan, Dokota Counly, Minnsota ond
reserving eosements of record.
LOT
HSE.
LOT
it
?
= 3,608
= 2,100
587o
?- .
?.f
z
,?.
SQ. FDOTAGE
SQ. FOOTAGE
COVERAGE _
,?%,..
Plon (J 17954
PROPOSED EIEVATIONS
Top of Foundotion = 933.0
Gorage Floor =93}•g
Bosement Floor = qaq,o
Aprox. Sewer Service = qig,b._
Proposed Elev. _ C=D
Existing Elev. _
Droinage Oirections =
Denotes Offset Stake = .
HEDLUND
PUNNlNC 6NC/N!'6R/NC SURV6YlNC
2005 Pin Oak Orive
Eogan, MN 55122
Phone: (651) 405-6600
Fax: (651) 405-6606
?
?
O
S 'C LT
Fr N eV-
BENCHMARK,
SCALE: 1 inch - 30 feel
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Gorage Side -
I HEREBY CERTIFY THAT THIS IS A TRUE ANO CORRECT REPRESENTATION
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNUER MY DIRECT SUPERVISION ANO DOES NOT PUFPORT TO
SHOW IMPROVEMENiS OR ENCROACNMENTS, E%CEPT ^FIOWN.
DAiE 6.
F E D. L,INOCREN, LAN SURVEYOF
MIN SOTA LICENSE NUMB R 14376
.. ?^
N0:
99R-558
BODK:
OAKBROOKE
?vl?
? REt;E!Mn DEc 1 o 1999
?;-,.CzINTEEI RuvG ,
P
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105944
Date Issued: 08/06/2012
Permit Category: ePermit
Site Address: 4118 Oakbrooke Tr
Lot: 14 Block: 3 Addition: Oakbrooke 3rd
PID: 10-53762-03-140
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 Marcia M Stevens
5866 Blackshire Path 4118 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:EA128251
Date Issued:10/31/2014
Permit Category:ePermit
Site Address: 4118 Oakbrooke Tr
Lot:14 Block: 3 Addition: Oakbrooke 3rd
PID:10-53762-03-140
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 -
Marcia M Stevens
4118 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