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4121 Oakbrooke TrAddress 4 12 i n a k fi r n n k a r,- a; i Zip 55129_ IAt 3 Blk 4 Su17 Oakhrooke 3rd Addition THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIMFy-4F THE nINAL INSPECI'fON. Date: Yes No Inspector: Final grade {6" from sidinW Permanent steps (gazage) Permanent steps (main entry) Pennanent driveway Pertnanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the pl bing system and the shut-off of water supply to the oufside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - ConVactor Copy rr;ar? ? r ?;rrv .: aa c;r•.;,??.r. +.?:;, J; 1.r-..RMxnaL Nt. ata FlFiTEs ( ;3/22/GO 11114 10.9.L- ; _:t; TDq ;dRME:: I"1.1L7t? MNSl'l::F't BU.I:LD; :; I'AF:$:I:E ? 5.7.50 95J9.'710 ;0r!, q0 3866 9379 021 QAKSR':E Trt 3%., . J:L °1 021 OAf;Rli,:F_' "(:t 52q ,:IS3 220 9220 h.ic?i CAh(Op'tl.C 7'ti iyC'.£d7_OC! 3146 900i. F:1.2:i. OA':b`ti1:4L 7h 1,07 i'.'.i",i5 3001 WJ. i:1A4U3F2F;E r"; 0..50 3743 9220 021 CA!:,T,Fi::i_ 11i io•Q-) j f7F11;LifiF.c: TF: 47.50 3'?tiF " 9tl?iy y A 0!":T:?F.._ I« 092 (]tJ ?F'.1`?'rf.gb, ?iPN ??R ?.OAifI4?tlE uSr_ ?+ Lj -'4-9 0 10 '-7 I:i I'=tTE: C?3t92 PUL7?: 412!. WA 38E'."i Yf??'_0 4124 TE"ftt'l: NAI_ NO W 3 /c0 1Jti=r. i.0':615; °4ASiI:ft kUTL.DER. !.14„00 CAF:F P1:E 'ii; U44:$r'tv.. '1 R 67 U'l 940,I l'a 06`F:RRI:E T'R Y rn+t,1 f'rr?'si4rr, Aonvn•; ::III! 3L6 iczp',: (De ,:AP! . r.. _ 2000 BUILDiNG PERMIT APPLICATION (RESIDENTIAL) ctrr or encM ? ' ?l (o ? 3830 PILOT KNOB RD - 53122 ? 851-881-4874 cJ ?=?-Q-?-c? ? ? ? ?- v 1= ?w ??«, ?ren,.?,?. > a reyls+erea stte wry.r towMp aa. rt. a la,,q. rt. a nous. s copi" a plan antl go rooled arem Ct0% maxlmum loi covarcce albwedl 1 fef Of enerpy cdcWaHOns for heC19tl addlMOM D 2 Coples d plans (Show beam 6 wintlow a@ea; poureE Md OesKpr, etc.) 1 aiN wrveY /or eMedor adtlllloru & decb D 1 seT of Merpy calcWalldu D b coples of trep preservaMOn plen H bt plalpd arpr 1/1/93 DATE: w CONSTRUCTION COST: DESCRIPTION OF WORK: SiREET ADDRESS: LOT: ? BLOCK: SUBD./P.I.D. i: Name: Phone #: PROPERIY wst FlM OWNER Street COMRACTOR ARCHITECT/ ENGINEER Cily State:_ ? Companr.C.+\\e- ?tc?vv?e ? CMyM,C+r.&a?Ja \NeF.a?n,?5 V State: Lp: LP: PhoneY:?-?? ?k4y -koR Sq. (area code) SheetAd?eas:? \ 3?? 3?Ucerue0 ?31\ Exp3''3\-06 Comparry: Name: Telephone N: ( Sheet Addreas: RegtsiraHon 0: citY E"4'A uR: TM'S0zy 3ewedwater licensed Plumber (H InstaIlina sewer/water& 'h\ ?\wvr`A Phone #: I hsrebY xknowtedpe thct I have read Mfs applicaNon, a?aFe ihol ihe iNomwHon 4 cbVdi an agree b comply wfTh af appHe?le Sfafe of Minneaota Stalufea and Ciy of Eayan Ordinuncea Sipnalure of AppNCaM: OFFiCE USE ONLY Certiflcates of Survey Received ? Yes _ No MAR 1 $% , Tree Preservatlon Piao Received _ Yes _ No 'otRequired '-?SZD OFFtCE USE ONLY BUILDING PERMIT SUBTYPES Q 01 Foundation O 07 05-plex 0 13 16-pfex Q 21 Porch (3-sea.) Q 31 Ext Ak-Multl X 02 SF Dwetling O 08 06-plex O 17 Garage ? 22 Porch/Addn, (4sea.) ? 33 Ext Alt - SF 0 03 01 of _ plen 0 09 07-plex O 18 Deck O 23 Porcfi (screened) ? 36 Mutt1 O 04 02-plex p 10 08-plen O 19 Lower Level O 24 Stortn Damage O 05 U3-piex O 11 10-plex Plbg Yor_N O 25 Miscellaneous O OB 04-plex O 12 12-plex 0 20 Pool O' 30 Acxessory Bldg. WORK TYPE A( 31 New 13 36 Move Bldg. p 43 Reroof O 32 Addition p 37 Demolish (Bldg)• p 44 Siding O 33 Alteration O 38 Demolish (Interior) O 45 Fire Repair 0 34 Repair 0 42 Demolish (Foundation) O 46 Windows/Doors • Give PCA handout to applieant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq, ft. No. of Units Length sq. ft. No. of Buiidings Width Footprint sq. ft. Const. (Actual) ? Basement sq. ft. Census Code 101 (Allowabie) ? Main level sq. ft. *MC/ES System UBC Occupancy Sq, g, City Water zonin9 ?L sq. ft. Booster Pump - PRV Y?I Fire 5prinkiered MISCELLANEOUS INSPECTIONS Stucco/Stone 6kf7rc APPROVALS Planning Building C?' ??' Engineering Variance PermitFee Vatuation: $ Surcharge Plan Review License MC/ES SAC ciri sac Water Conn. ?/ . Water Meter ? 23 Acxt. Deposit S/W Permit S/W Surcharge Treatment PI. • Park Ded. Traiis Ded. Other Copies Total: . SAC Units % SAC ?1.:, . ' Oakbrooke Infinity Eagan Po Sit Date: 12/4/99 Address: '34 ` 4121 Oakbrooke Trail LobBlock: " Lot 3 Block 4 ;..Plan:--,'-t, -F; ,Antber,Lookout _ ,,. "k '3.» ,+".i. . ?fp ?`?'.mk ? vs'?? : ' :. t;'' • :?? 'is''',:`f,:•:1??X,;'v. e?,?;n ?2xr>: . ' ' -. •.r..'. . . . Optioas:" : Description: .?:.,.- '? °- . .: 18015" Elevation 01 ??',r9; 11025 °, , Finish Basement Craftmaster poors s 25020 Su Panel Craftmaster poors 25022; -' Double French Doors BR #3 Lower Level •, 28053 42" Uppers Base Cabinets 14007 Carpet Pad Upgrade 14122 , 2"d Carpet Upgrade 40009 Laminate Foyer 17005 Electric Dryer Outlet 17024 _ Two Ceiling Electric Openings (MBR & Family Room - See Plan) 23005 2 Ton A/C 32012 Two Additional Cable Jacks (BR #2 &#3) 32020 Additional Phone Jack (BR #3) 10055 Spacemaker Microwave 10102? Protile SiJe by Side Kefrigerator / Waterline / Icemaker ,. . . : • ,,. r'?.g:, t - . . 21020?Gas Fireplace / Ceramic / Sheet Rock Mantel :i1307,7E,?; 'WJiirlpool Tub Master Bath ,r ,v`:_. ._.? : • , ,?. '?;'"..r, . . . . r > "'?.? ?29006'?E . : YCasfIron Kitchen Sink White , , . _ : , • - ES ..: 4'.aA : `?y I?': 'i?{`?^?1.Q]4' >. %fi6ndrY,:Tub'SingleGomp?rtmient?Se???'loort?lalu)???:, ?'i• g? V ytY"4n fu f'- , 7! `• N-?r' ?':a?.,?-'i.??7z`" ? _ - - ' . . • . ?.N?>?.. tk " . . .r?. . ? . . ?yp c?.M .r?y?"g Y1? .X?.:+?y y'1? ?}pr. F? •? - '.StAr : y...: #???? ?t'+_'a-,s,' <v" ''.`4 'ryri> ? '??`-•'<? '? ., . R". ? {. r..?. :ly,?," 2: i "" F'`'?"^ a. ? f :,,'r?'F__ . ? ?'?+,^eJ,, r.=i?.?>'? :fi ????5"?? ?; s?vyyjt??'{?,'F,y?`i?`?.ws ? g ? ?d?53'a1{?I{ e?.. r ¢'?r+,? ,''7•?'^?„ ?, n ? z ?$9, , ?' : e tH-. ' - 4 ? t'? . , ? 13 ?C ? ' 3{ r 4. ? bx3" ? ' '• ?'Y ? 'L?s'?t 'v . . s ?t. D ,. . . . ... .?Cc .. r . N ..S.n+r. = .: SITE ADDRESS: CONTRACTOR• / ry 'DATE: L?? PHONE: </Sz-szoo . G TG O C 7 ? pEl'ERNIHE NORK111G SOUARE FOOTAG'c OF EACH: 1. 70TAL EXPOSED:YALLtAAEA,.,,,... sq ft x"U" G'AREA ........ s'q ft,x ??U" r ? z. TOTAL ROOF/CEIIIN ;. tOTAL EXPOSE? NALL'AREA CALCllLATi0N5: Totai eaposed rall area a6ove floor,,,,,,,, sq ft . a) Toial Ma11 Ninda+ area: . '.rq,3?r'1 a ni", S k .r r.,.c?' ` c) Total slidl6g glass door area: DOUBLE giazed,,,,,, 2qTj sq ft x"u" .?D •• l3??5 F _ glazed...... -- sq ft x 'lU" b) Total doar area 3q ft x?'U" n?1-- ) U glazed...... ---- sq ft RU. gtazed...... ` sg ft x"U" ° d) Tocai `fireplaee wall area sq ft x"U" . • :t_ i? •? 3 ,. s.- I A Ndt: •`, .?e 6r1 sx? : h ? z` *6 r? '. Total'"rralt``framing area t O3 - „?,,,; .a,9z ? q' ? aft?.x. ? . . .. ... . - ... ,? i 1 ? ' - ' ?:w`.? ' : . . i P ?a1%l tarca abovs ? Total4 ? . " ? . "' • ?" . - _ . • .: _"'".? , `E ?d " ? ..// 3LO dsiflacea)::.. .. I G x :q ft _. 'Z,.dO f ?: - ?,`?''_?` ? ? ? ? ? ?. . ;.?.?t' • , , ' _ • ?. ?oidtd`a`tlen` ? , ., s K • :.?; •. ' q ft ?4JY?? A !j 'j+F <')y? .. ? t • • ?? ll sq? ft x U .• - ''' ?? ? . ' ' ' foundatfan ?ota? ?dL 'P2 l`d'2? M%3'it,n,.r Y dM ' ' l 1 SQ f t /!?7 V TOTAl2a) thrv I) ? .;.'?f?, . . . .. ? .t.?sH . _. . ?'-''N: :-??..'',?''"?.,,'??ae?c"'•'s.;7?. it, W .. r z ? ?y? 14' i 1, lY . 0' ;?'ti } ' ? a; yh.v, i?a x +?'. r ,t :?. 4`?• r ? `.' ,y - e . ., yh?Y Y?,'?•i?:? .???'':,}.'rY.?ilFVe'"??si. ?..y???4y},,.%h : f ? '8"h?h'• , ?1 G ? r, page;i J ???r?." ?' ? ? ' • '^ "atiLa' ":'.;?rz r?a:<",?a :.. ?'• , , ? ?:?.;F?.... ....,t-'.`?. . . _ Xrt<:?., : : •'::_,. . T:OTAL`EXPOSED?fIOOFICEIL111R CALCULA7IOG5: ; - ... . • - ' 7ota1 exposed roof/ceilln?l area........ sq ft i ? J) Total skyllaht area....... i ' sq ft x"U" ° k) To[al roof/ceiltnA framtng area (Averaqe if19,) ......?59 ft x"U" ?? ° 3, t5 1) Total net insalated OZZ Zq'r77? roof/calting area....... ?Z sq ft x"U" . ° jf. . __ TOTAL j) thru 1) If total of 14 Is the Same as, or less than.fl2, you have met the intent oF 2 AIG1R 1.16008 A aad 0. _ qLTERtIATE 8U 1 LD I tlf ENVELOPE DE51 GN To utflize the ta[al envelape system me[hod, the values established 6y [he sum of items Fj and 94 shail_not oe greacer than the sum or i[ems 11 and 02. + 2. 3. + 4. v .; ? ? X . ?' ?`? ' • ? _ : ?ur: ? W , ? ... .. . ,.;???< • _ . ,? yf ? ' ? ? . {i_h?'. • i.a?TiY"1i?'C" ?p?? '.?1t. ? '??L?'_?.?f,?4? ? 3 4 ax ? w • -.l$„?4.?. . ??j' . d'Y, e> e' . . _ '. i -0x . ' ?' ? • ?^?{' ? ' ? ?. ; ?,s,r ,` '" r A T I T I F I 0 ti , == _ ? alculated [he ! h a ` ? . t "U" faciors and "A" ave e ca? lFy. th t 00y3 `Tf' hutldlnq here deserlbed aaJ;?hat ihe valnes?-heria;En mres or exeeeds the State . w a cf N(,nnescia?r,Enervy,,-,Conservation Ac;. ' :.. , 4:?° ?rFi??=,, °.r.?- , ??!t• :? .,. , 'i . .. .•lMi ? • y , nL?'?;l.^i,:r.. `4tt ? w ?• ?. ? . _ ? ? ? G ?., .ai. _ . _ .d. ,. i . ?t /51gnaCUre) ;?.~ ?' • :W . ? . r ? ri r V ? ? ? ? ? tr q {' P? 1 J ? ' , WaCaP.' _ ,,•& . ,.., . ? ??' • ? ? rasn 2 i' ? ? ? e a` ? •A. ? : '', 6 '. ? •,• ? t.. j".., ?; . . r'. ?^".`.. ''"' ,.._,.._ ? c'• "CDNSTUUCTfOH 'R VAl r ? . . ? r__. . s,'-'.?'? IlALL FRAHiNG EC'?fiaNe41-1? --- r1 InterIor aIr film% ?Q ?? r? ? • -? ? e-?-rr?nr ? - exzerior at r ri im • U.I i ?1TF'7 1,t1/7(:T'? 1 t3F3_ 3 1'l7_4 4 a/i"L" St)IL"fiZf'TE ' 7_.aC?.?;,..- . 5 AWAd 'S1n11.(C'? 6 Exterior ai r f i im 70TAC. [l-•- 7d.G('? -... , FdUNOATIdN INSULATIUH REQUIRED: ??_ • Min. R-5 on entire xalT OR U' 1/R °_ Min. R-10 down tn frost_depth - FOUNDATION SECTION: . 1 Interiar air fiim .?.6R Z ' TL-11 R,Cf'r I,1LtY 3 12' ?n?1C ? oCtL --• IZS ._...;r:; 4 Exterior ai r i Im n.17 ;;:V; , . S ?. --th exteriar air rtim u.i/ • TOTAL R - IQE± U - 1/R ' LOq,- uALL SECTiON (iN5llLA7ED) --{1 Inter(or atr film 0.68 3 4 U- 1/?- pkc'?4,1 R!N .lOIST SECTIOp: -{1 Inierfor air film 0. Si.AA ON GRAOE ?, .J ' • .? • ? .:`:? .ni ' .. ..,. , Q ? ? ?S ' - .;~<. . -:., . ?, • . ? , ?s;y :, • .: ? ? q i ? ' ?`t ::5 ?'Zy"h,.f•-? ??. ? \.4?C:?; 6 • r a' i;,. ? ? l? ?l • ; r, ?, ? ° ?? _ ' ' ? '?`- , ? , '• He3ted S1ab5: Minimum R = 8.5 . e," .z. Ueheated Slabs_ ? "„•? .,,r;, • ? ? ; . , ??'• -a .4? Minimum R = 6.2 4 ?.. : • : Q•t!? ? `? • , • 4`?? ?+ 4', ? .^ U -1/R 't- •" C ?:'a.:•` ?.?i• ,. 'f' . i4 , ` ,•g ? .- •.d ? • Q ?•' ? . ?• •, ? , ;, . . ?. .?? •Q?- -• ??•-.=--r„ ?, .- Page _ • . . . . ? 'rl.•" S'.k.:{ ? y " . .. ..:??.1. ' _ : CONSTRUCTION CEI?.I???i $E?iQN IINSULI?TEII?' .? 1 Interlar aTr'fTlm - 2 5/7 " 'S1t F'?7TsUC K .rla 3 4 Exierlor a(r fllm sti111 ra),hl TDTAL R A - u- 1/R--QZ? ? ? CE3LING FRAMING 5'eGT10H: 1 2 3 4 5 CEILItIG SEC'CiON (lt15ULATED)= n ?? t' Interiar air Film 2 3 4 Exterior air film s[ill o • I TOTAL R ° _ U !. 1/R=_ ;. :. ?.. .? ? ..,m o-y r• ?' . VENTED - ,.. : . CEiLINr, FRAMINr. 5'ccTloN_ 1• Interior air fiim. , 2 4 Extertor air im stTl,n• ? S t nehes so F e wood • . TOT R ? V a I/R 1 Inside afr fitm n•? 2 3 '• - 4 n.t7 5 O u s i de ? a?i k.' ?? r??.- ???;?ti '- ::;:c' > . ` r:`?'''u. ?'T µrAt`: R ' ?- ?.?ti,j ' -,?+?' ,i'. h.A? ; f5. ?•'.:.,._??? ? Q . page 4 - U- 1/Rs16V r • LOT SURVEY CNECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ? PROPERTY LEGAL: Lvr 4 (-)xKL3i2n);l6 35 h DATE OF SURVEY: 17 - 15' N ? W LATEST REVISION: ? C 0 DOCUMENTSTANDARDS og 0 ° 7l / om an t d i d S ? ? ? p y ure an c urveyor s gna • Registered Lan ? ? • BwldingPermdApplicant ? Legal descriptian J p o ? Address m? ? . North arrow and scale ? ? • House type (ramWer, walkout, split w/o, split entry, lookout, etc.) ? Directional drainage arrows wdh slope/gredieM % ? p ? : Proposed/exisCng sewer and water services 8 invert elevation m??Z ? . Streetname m??o ? . Driveway d,r1 ? . Lot Square Footage ? e ? . Lot Coverage ELEVATIONS / Ew-9 ? ? - Sewer service (or Proposed) ? ? • Property comers p? • Top of curb at the driveway ??p? • Elevations of any epsGng adjacent homes c m/ ? Adequate footing depth of strucWres due to adjacent u4lity ffenches Prooos ed d o . Garagefloor ? ? • Firstfloor q o ? • Lowest exposed elevation (walkoutAvindow) rr?/o o • Property corners Ga' ? ? • Front and rear of home at the foundation PONDING AREA (if aodicade) ? 2/? • Easement line ? 0/o • NWL ? q?/ ? • HWL ? $" ? • Pond # designaGOn ? ?o • Emergency Overflow Eievation ? y ? c o ?? ? n/?o 0 a i9' a DIMENSIONS Lot IinesJBearings & dimensions Right-of-way and street width (to back of curb) Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i e. alt sVUCtures requidng permanentfootings) Show all easements of record and any City udlides wdhin those easements Setbacks of proposed structure and sdeyard setback of adjacent epsting structures Retaining wall reqr°---"- `-'° Reviewed: MarCh 1989 CMKUBlDGP1iMIf FM , . t ?r I Surveyor's Certificate SUftVEY FOR :PULrE DESCRIBED AS : Lot 3, elock 4. OAKBROOKE 3RD ADDITION, City of Eogon, Dokota County, Minnsota and reservinq easements of record. hr. 9 0 or nti a4' LOT SQ. FOOTAGE HSE. SQ. FOOTAGE LOT COVERAGE _ Z? . ?Oe?w = 3,608) = 1, 747 48% / y0a P?,9 ?ao Q?o 9 T-C?;,-?^':"?''"^=.r 45-rL 7- ? L0 qV ? 4 / ? ' PoG°?oMo ??C ??G3?D s,l 4<?; ? Plan # 17923 PROPOSED ELEVATIONS Top of Foundation =932.5 Gorage Fioor =931•9 Bosement Floor =qx3.5 Aprox. 5ewer Service = 416$± Proposed Elev. _ ? Existing Elev. _ Droinoge Directions = - Denotes Offset Stoke = • SCALE: 1 inch - 30 fael BENCHMARK, TNH? Lo+s '1t,5 61K H r4 - 43z.o4 MIN. SETBACK REQUIREMENTS Front - House 5ide - Rear - Goroge Side- HEDL?/ND 1 HEREBY CERTIFY THAT THIS IS A TRUE ANO CORRECT REPFESENTATION OF THE BOUNDARIES OF THE ABO?'E DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY OIRECT SUPERVISION AND DOES NOT PURPORT TO PLANNlNC ENClNE'6RlNC SURV6YlNC SHOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT A SHOW/N. _ 2005 Pin Ook Drive r q(3 ? t•. Eagan, MN 55122 DATE Phone: (651) 405-6600 ! J FFR D. LINO EN, LAN SURVEYOR Foz: (651) 405-6606 ?,% ?tiN OTA UCENSE NUMBER 14176 f"4?0 NO 99R-660 OAKBROOKE q )Iliiii L 8L '" l {1 CITY IJSE ONLY -} suao. Aak_6"o ?.? Jrl r-W? l RECEIPT DATE: ? , 6• 4 d PERMIT# RECEIPT #: ?"9PPLUM$INH PEtMTT (RESIDEN'I1AL) 2-0 a0 crrYoFEaGArr 3830 P1LOT KNOB fiD f.44fiRN, MN 5512E t (651)681-4675 Please compiete for: D singie family dwellings ? townhomes and condos when permits are required for each unit : backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL 8ath tufi $ 3.00 x Z = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum -1 3.00 X = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laundr tra 3.00 x = $ Lavator 3.00 x = $ Minimum fee alterations to existin dweliin 30.00 x = $ Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ 7 • 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 SoftenBr if dwelling under construction 5.00 X = $ Water softener if existin dwellin 30.00 x = $ Waterturnaround 30.00 x --- _ $ State Surchar e .50 --> ----> ----> $ .50 Total --? --? ----> ---- > $ Reminder: Caif for inspections of alterations, i.e. water heaters, water softeners, etc. - --------------------- -------------- ------------------------------ Ihere6y acknowledge that l have read ihSS apphcation, state that fhe infortnation Is covect, and agree to comply with alI 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 operationai and maintenance activities to the facihties constructedNnder this permit wit,hin City propertylright-of-way/easement, SITE ADDRESS: OWNER NAME: : TELEPHONE #: (AREA CODE) INSTALLER NAME: STREET ADDRESS: CITY: TELEPHONE #: ZIP: ,:)?c-?.L'. SIGNATURE OF PERMITTEE Cl1'Y USE ONLY P 3? I"?U LOT ? BL " I PERMIT #: "f nm SUBD. 0akbYO*P,,3r?. RECEIPT #: 1 a-70H RECEIPT DATE: " / 'C)o 'oc) 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EA6AN 3830 PZIAT IINOS RD EAGAN tM7 55122 Date: y'17-00 651-681-4675 Complete this section on[v if you aze installing HVAC in a single fartily dwelling, townhome or condo under construction and not owner/occunied. • HVAC: 0-100 MB T J ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge Total 3_00 .50 $ .? ?i . 5b Complete this section onlv if you are remodeline, addin¢ to, or re airi an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration _ Repair • Furnace Reminder: Call for inspections Other Air conditioning Other Fee $ 30.00 State Surchazge .50 Total $ 30.50 SITE ADDRESS: "7I ? / tra.Khrnplkel -7-r'` OWNERNAME: P.)Ik y'16.t-S PHONE#: li5 / -?fio?".loZOC? `I (AREA CODE) INSTALLERNAME: RUfYl5sU1l?.R 4`J-+'l?a7.1-l'1C ?WI?' PHONE#: Oi6? - S(C/L/'OOQS ' _ (AREA CODE) 11 STREET ADDRESS: CITY: Air exchanger STATE: A-'f/L, ZIP: 37Y SIGN TURE OF PERMITTEE $ 30.00 6.00 ?t?, , 1 L BL SUBD. APPROVED BY: CITY USE ONLY INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECHANICAL PERMIT (CObMERCIAI.) CITY OF EAGAN 3830 PILOT IINOB RD EAGAN, bIId 55122 651-681-4675 Please complete for: all commerciaUindustrial buildings mulU-family buildings when separate permits are not required for each dwelling unit DATE: WORK 1'YPE: Ne;v cor.shvction :nsU.:: U.G. Tanic _ Interior Improvement _ Remove U.G. Tank _ Processed Piping When inslalling/removing underground 1ank, ca![ 651-681-4675 jor inspection by ftre marshal and plumbing inspector. Description of work: Fees: I% of cantract price OR $30.00 minimum fee, w6ichever is greater. Underground tank removaVinstallation = minimum fee Contract price: $ x 1%_$ (Baze Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ ' ----------------------------------------------------------------------------------------------------------------------- SITE ADDRESS: OWNERNAME: PHONE #: (AREA CODE) TENANT NAME (IMPROVEMENTS ONL1): WAS THERE A PREVIOUS TENANT IN TH1S SPACE? Y N. NAME: INSTALLER: ADDRESS: CIT1': PHONE#: - (AREA CODE) STATE: ZIP: SIGNA'I'URE OF PERMITTEE 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) ?? cinr oF eaGaN 3830 PILOT KNOB RD - 55122 651-681-4675 ReauiremenTs > DATE: 9-I I^ 0O DESCRIPTION OF WORK: ?? ll2 Lot.rbFL LAaWL? If mulN-tamlly bldg., how many unMs4 IPIDICATE THE FOLLOWiPoG EQUIPPAEPIT TO BE REPLdCED APfD BY WHOAA: _ Plumbing _ Homeowner or Contracior Name _ Mechanical _ Homeowner or Contractor Name CONSTRUCTION COST: 2 SZ o? "Note: If somebody other than the homeowner is performing plumbing or mechanical work, Ihey must apply for appropriaie permiL Only licensed plumbing coniractor or homeowner may complete plumbing work. STREET ADDRESS: LOT: -3_ BLOCK: +_ SUBD./P.I.D. #: ? Name: O iU Z-j'+ !4 c, L... Phone #: ?oS1 -?L,_q 39? PROPERTY Last First OWNER Sfieef Address: T/2/ Ci1y Stote: PN Zlp: SS 122 Company: Y?t, ?Lt ?D/L1?Tj Phone N: (05/- J?2^ 5260 (area code) CONTRACTOR Sfieet Address: f{L / 6lfTS -RI) licenae # l 3 7/ Exp. .5 2 ? cny MLCnZ0TA- state: ziP: 55120 7 ?C???TE? AU6 2 3 2000 i BY:---J I hereby aeknowledge fhal I have read thia applieallon, atafe ihaf fhe informailon is coned, and agree to comply wHh all applicable Stale ot Minnesola Staiuies and CHy of Eagan Ordinanees. Applicanl: OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition ? 33 Alteration ? 34 Repair ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Deck ? 23 Porch (screened) ? 36 Multi O 19 Lower Level ? 24 Storm Damage , Plbg _Y or _ N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding ? 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Demolition permit - Give PCA handout to applicant GENERAL INFORMATION Na. of Units No. of Buildings Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories sq. ft. Length sq. ft. Width Footprint sq. ft. Basement sq. ft. Census Code Main level sq. ft. MC/ES System sq. ft. City Water sq. ft. Booster Pump PRV PERMIT City of Eagan Permit Type:Building Permit Number:EA127444 Date Issued:10/01/2014 Permit Category:ePermit Site Address: 4121 Oakbrooke Tr Lot:3 Block: 4 Addition: Oakbrooke 3rd PID:10-53762-04-030 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 - Timothy W Gist 4121 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA128250 Date Issued:10/31/2014 Permit Category:ePermit Site Address: 4121 Oakbrooke Tr Lot:3 Block: 4 Addition: Oakbrooke 3rd PID:10-53762-04-030 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 - Timothy W Gist 4121 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