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4124 Oakbrooke TrPERMIT City of Eagan Permit Type:Building Permit Number:EA128545 Date Issued:11/18/2014 Permit Category:ePermit Site Address: 4124 Oakbrooke Tr Lot:11 Block: 3 Addition: Oakbrooke 3rd PID:10-53762-03-110 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 - Janet Ringer 4124 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:EA128783 Date Issued:12/04/2014 Permit Category:ePermit Site Address: 4124 Oakbrooke Tr Lot:11 Block: 3 Addition: Oakbrooke 3rd PID:10-53762-03-110 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Janet Ringer 4124 Oakbrooke Tr Eagan MN 55122 Hearth and Home Technologies 2700 N. Fairview Ave Roseville MN 55113 (651) 638-3309 Applicant/Permitee: Signature Issued By: Signature Address I.ot 11 Blk 3 Sub Zip 5512 2 THESE ITEMS WERE / WERE NOT COMPLE'I'E AT THE TIME OF THE FINAL INSPECI'fON. Date: ? Yes No Inspector: Final grade (6" from siding) X Permanent steps (garage) X Permanent steps (main entry) x Permanent driveway x Permanent gas ? Sod/Seeded grass TraiUcuib damage x Porch ? Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutroff of water supp(y to the outside Iawn faucet before fieeze poteatial exists. Contact engineering division at 681-4645 before working in rightof-way or iastalling underground sprinkler system. ? White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD • 55122 651-681-4675 NewConstruction Reouiremenls RemodellReoair Rauuirements • 3 registered stte surveys shnwing sq. ft. of lot, sq. fl of house; and all roofed areas • 2 wpies oi plan (20% maximum lot coverage allowed) . 1 set of Energy Calculatwns for heated additions • 2 copies of plan showirg 6eacn &window sizes, poured found desugn, etc.) . 1 sRe survey tor er.terior addiUons & decks • 1 set of Energy Calculations . Indicate if home served by septic syslem for additioris • 3 copies ot Trce Preservation Plan If lat platted a8er 7/7/93 • Rim Joist Oetail Optiore selection sheet (bldgs with 3 or less units) o k_ -?c> cg-? S??°? DATE ?tI42_ VALUATION JOB SITE ADDRESS '4IA4 089.$1?6_ 71- efCR^J IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER _RRY 'TFiAt"PSo+-? TYPE OF WORK F9^)18K WAI.LS F69- V6-<kAtE5^)T_ V'Y9_04ftak') FIREPLACE(S) _ 0_ 1_ 2 APPLICANT Roy Ct"Y 05A)Si PHONE# ADDRE35 66 ' g;C AW 2r ?57- P40Z 4 M^) ??n75 ZIPCODE PAGER # d l?-"- CELL PHONE # 65t - 2_V$-7 :2/ FAX #'-'- NEW RESIDENTIAL BUILDING ONLY - FILL OUT CO MR Fr4r Energy Code Category _ MINNFSOTA RULES 7670 CATEGOR A PR 0 9 2002 (check one) - Residential Ventilation Category 1 Worksheet mitted - Energy Envelope Calculations Submitted " MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: Pluinbing Syslem Includcs: Mechanical Contwctor. Mechanical System Includes SeweUWater Contractor. Water Softener Water Heater No. of Baths Air Conditioning Heat Recovcry Systeui Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that th ' or ti is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O i an es. Slgnature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not quired _ Updated 2002 Phone #: Lawn Sprinkler No. oC R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? OS 03-plex O 11 10-plex pQ 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 72-plex PIbg?YOr_N ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi ? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Iq 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 ? 34 Replacement *Demolitlon (Enqre 81dg only) - Give PCA handout to applicant V l i on a uat Occupancy MC/ESSystem Census Code Zoning ? City Water SAC Units ? Stories Booster Pump Nbr. of Units - Sq. Ft. PRV Nbr. of Bldgs ' Length Fire Sprinklered Type of Const v?Aj Width Siding Fire Repair Windows/Doors REQUIRED INSPECTlONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) 51 Final/No C.O. _ Footings (addition) Plumbing _ Foundation X HVAC _ Drain Tile T' Other Roof _ Ice & Water Final Pool Ftgs Air/Gas Tests x Framing Siding Stucco Stone Fireplace _ R.T. _ A'v Test _ Final Windows (new/replacement) X Insularion _ Reta'uring Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ,A5 CG l?jU Building Inspector ?S?Tr PERMIT# / I lY 6)K RECEIPT DATE: 2008 MIDENTIAL PLUM$IN6 P$iibllT APPLICATIOR cirY og EAsM S$SO PILOT KROB RD EAeM, aur 55 i as 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for backflow preventer for irrigation system SITEADDRESS: 41P4 nA4/-b9CX9i;cC Ti APR 16 2002 ? e *unit, S? OW NER NAME: : c.?TFERONl 15 ~T{-I(nN1 PSc/j TELEPHONE #: -? 5l 4gf"L675 (AREA CODE) INSTALLER NAME. ?(.JlaE2 TELEPHONE #: f?eoc) (AREA CODE) STREET ADDRESS: ?{('3-? hoE 9- b/'i?rR,9,? ?. /Q _ - CITY: ?5-A 1-24,11 STATE: /y/6? ZIP: Sv 7- _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply . MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: X Adding fiMUres to lower levels-or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new instal lation/repa ir/rebu ild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 Total $ 2r a•s I hereby acknowledge that I have read this applicaUOn, state that the infortnation is correct, and agree to compty with all is the applicanPs responsihiliry to notify the property owner that the City of Eagan assum?s?o?iability for any dpmage operational and maintenance activities to the facilities constructed under this pertnjt4e'itl?in ' gppert/(rigVf-yW : Cityof Eagan oMinances. It by the Cry dudng its normal OF PERMITTEE CITY USE ONLY L ? ?/?, BL J RECEIPT#: ( p Y `i SUBD. V / RECEIPT DATE: PERMIT # 2000 PLUMSIN6 PERMIT (RESIDENTIAL) CITY OF EAGAN 3930 PILOT KNOS RD EAGPN, MN 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 FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tuh $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet * minimum - 7 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 100 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic System newirefurt>isned • requires MPC lic. 75.00 x = $ Septic System ahandonment 30.00 x = $ RPZ new installation/repairlrebuild 30.00 x = $ Rou h openin 1.50 x = $ Shower 3.00 x = $ Underground sprinkler ifdwelling is underconstruction 100 x = $ Under round sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under consvuction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ ? Water turnaround 30.00 x $ State Suroharge .50 --> --> ---> $ .50 TOtal Reminder: Cali for inspections of alterations, i.e. water heaters, water softeners, etc. ---------------------•-------------------------------------------------------------------------------- ' ---------------------------------- I hereby adcnowledge that I have read this appliwtion, state that the informa6on is correc[, and agree to comply with all appliwble City of Eagan ofdinances. 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 operatinnal and maintenance adivitles to the cilities consfructed under this permit within City propertylrightof-way/easement. SITEADDRESS: ? 1 ) % ?????J'-tJ? -rA- OWNER NAME: : INSTALLER NAME: STREET ADDRESS: .? --)- V-)-- L? I'PV'4' 0' CITY: STATE: f"bl ZiP: J J Y?? lJl G?? -9 TELEPHONE #: (YJ , ~ G,/? ? ? W7 (AREA CODE) TELEPHONE#: (AREA CODE) SIGNATURE OF PERMITTEE C:[TY OE EAGAN CASHIIcFie JS TEIiMINAL N0: 0:1.5 DAY'E:: 02/01/00 TIME: 12:14^37 ILIa NFlPiC; f'UL.TE MA:3TER SUIL_LL:ft 2252 9220 4124 QAt.RR00F:E 30.00 3210 CaUO:I 4124 OAt(Ak00ME: 1gc?62.55 3$66 9379 4124 l"]Flt;Rli(]OE.E 100.00 1422 ')f.l0:l 4•#.24 OAFtRRDf11:F 820„66 i..'.c?"r':, :7220 4124 C)At;F.'•RC1OI:F 1y083.n0 34 4E, `dUO:L 4124 OFrKRfi00KE 1.1.00 21tS5 3001 41.24 C1At.13fi001tE 0.50 3743 j'u''_f) 4424 pfal:RI::OUY.f_' ::iU.OI] 2i.,`,5 9001 4424 OAF:LsR001;E 7?.00 381:,L3 3220 41'4 t:Ifaf;HFt(]ClF:F_ 432.(:l0 CRJ.223713 0 CilNT'tNUG IJSLR :I:De JAid ** C;ONTINUE CON77.NUE CITV 01' EFlGAr! rASH:[I;.Ra 1S TI=.fiMINAI_ NOe. 015 PA'iE: 02lO1.JUU TIMF: 12:14:38 ID ; NAhfE.- F'UI._TF MAST'L-"14 F.tU:CI_i+E:F't 3i16 9220 4124 t7AKE{I=:OOY,E 114.00 3713 9220 4124 OFlt.HRt]piff: 50.00 ;38G'.--i 9220 4124 C)F1P(BIiC1GKG S340.(:)0 t To+al Rracei.p+, Amnurtit" 4a333.7i. CR1223i2, USE:I: :fIto JAN :k9R>sJCk:?*%cra ?k??uc?k?k?KX?? ?%?k?kzc?X?Nc?cM?X?k???;k?*???XX?# 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 9 ?{ I ? 3830 PILOT 101106 RD - 55'122 ? ?4 ?I 851-681-4875 ? 4 d9w Conthucflon Reaulremanh Remodgi/Reoalr Rewlremenh D S replstered sHe wneys ahowiny sq. R d bt, tq. }L W houte antl 20 rooted areoa ClOX mmdmum lot covamae anowecn D 2 eoples d plans (show beam d wlntbw alzea: poured tnd. deaign; etcJ D 1 wf o1 enerpy cdculatlons D J ooplet d trae senaMOn plan d bt ploMed ofter 7/1 /93 DATE: \ \ 3 ab .? DESCRIPTION OF WORK: SiREET ADDRESS: octi\N f Zx?c? ? J J: ? LOT: ? BLOCK: f> SUBD./P.I.D. U: Name: Phone #: PROPERTY taM Flrst OWNER Sheet Address: citY Sfate: ZiP: Companv:Tw\?,2. Phone M: '?j ?lyclb1 CONiRACTOR e (area code) Sheet Address: Licer?se # 3ExP. 3\ O6 ciy srate: Mn vP: 55?z? 4RCHITECT/ cNGINEER Campany: «`M,? _ Name: Telephone q: ( ) Sheet Addreas: Regishrapon Y: CNy ewedwater licensed plumber Stafe: ? hereby acknowledqe Ihat I have read Mis applkaHon, stafe thallhe infa ? Minneaota StaMes and Cily o( Eagan Ordinances. C I ? ' Siynature of ApptlcanY. J 3rtificates of Survey Received Yes ee Preservation Plan Received _ Yes 2 copies of pan 1 set as eneryy cdcWallons tor heafed admllons 1 alte wrvey tor exteda addiHOns & decks COST: ?\(-), C00 Lp: Phone#: is eqiTecf, and agree to comply wiTh aA appBCable State OFFICE USE ONLY No ? . - ? ?? ,.. 2 _ No ? Not Required `? OFFICE USE ONLY BUILDING PERMIT SUBTYPES „ O 01 Foundation p 07 OSplex P( 02 SF Dwelling O 06 O6-plex O 03 01 of _ plex O 09 07-plex ? 04 02-plex ? 10 08-piex 0 05 03-piex O 11 tapiex O 06 04-Plex ? 12 12-plex WORK TYPE ? 31 New ? 32 Addition O 33 Alteration 13 34 Repair # of Stories Length Width Basement sq. ft. ain level sq. ft. sq.ft. na? f sq. ft. GENERAL INFORMATJ,OJV SAC Code f) / No. of Units No. of Buildings Const. (Adual) (Allowable) VAI UBC Occupancy ILILI-1- Zoning _oea_ . F SCELLANEOUS INSPECTIONS 5tucco/Stone IGiQVA(, ? ? -136? -?-? APPROVALS r- Planning Building 12ILLY Engineering 6&dL4q.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinkiered Variance ?9 f - Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Pertnit sM suror,arge Treatment Pi. Park Ded. Traiis Ded. ou,er copies Total: 0 36 Move Bldg. - O 43 Reroof O 37 Demolish (Bldg)• p 44 Siding O 38 Demolish (Inter(or) O 45 Fire Repair O 42 Demotish (Foundation) 0 46 WindowsJDoors " Give PCA handout to applicant for demotkion permit Valuation: [3 13 16plex ? 21 Porch (&sea.) ? 31 Ext Att - Multi ? 17 Garege O 22 Porch/Addn. (4-sea.) O 33 Ext Alt - SF E3 18 Deck ? 23 Porch(screened) O 36 Multi 0 19 Lower Level p 24 Storm Damage F4op Y or_ N O 25 Miscellaneous ? 20 Pool O 30 Accessory BkJg. 13 hl a Ov ?(?2L 0- oelcfir ??i33.?1 ( yyo 3C'? 0' jJ ? Dq? SAC Units % SAC Oakbrooke Intinity Eagan Date: January 4, 2000 Address: 4124 Oakbrooke Trail Lot/Block: Lot 11 Block 3 Plan: Diamond Walkout Options: Description: 18023 Elevation 92 35039 Four 5eason Porch 36019 Waterline Future Icemaker 31011 Laundry Tub Single Compartment Cities Di it?al Quality Control The following image represents the best available image from the original page. 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' ?l. l ; :/ ,i .i?, . ,A •. i l .r ?? ' ? ? I '??: i? ` ii''.7??1? _•G'.???t?' ?? ? _ ?.r ?; . ......_ ', ._ _ .. . .?.- - ,?. -:•..?:.: ?i ?I`? ?s?n. /1 !-?1, l: *Ilr'?_I_rilii- air lor inir• -?l.:hi - ? ' i "''. • . _ _ _ - ,._ ,.., , . 1' 1nCerEnr air flirr ' ?,? .._..__._._._._...--.... ._?.. ?:'._. ?? F:xte??cr air-film (5ti111 ?'?_?_ U + liR =+ -------1 E N I tD CF'l!H? f'tMMlMC ScC :l^!i: i - !1 - !!R - - -- --? i W ?? i .> >? , YI s.Ci ?a?r-.-:S"" ?, _ ? ^ ?• ~-' ;? _! i ? ? S I ? _ J 1... .._ ? : n --___.-"_ ' "'"' _" ?ISE_ ... - l r~?l ??: _ ??•, " .. ? ..?s.___ .?. .?.._.???"„ ?- •• ? -• ? / . . . -' . . . ? . r- __'.-- , ? -'-- - -- I in _--•- -?- ,. --- . , r . ? ?' ....._.._ ? ?.__ ' •_" ? ,.?' ...' _ _'_ '; i: i d?_. ' _ 1 -? - '- , ?i.?;;^:.%?.'`_'o ';e.;`•'-,?;cc?zY.e.!"a''•. ---__ ... - '. LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPIICATION ti n H ? W ? C 0 0 a ? hCa ? ? 0 a ? o ? ? ? ? ? ? 0 El C3 ? PI/ ? ? ? 0 ? ? ?0 C/ ? ? • Registered Land Surveyor signature and company • 8uilding PermitApplicant • legaldescription • Address • North arrow and scale • House type (rambler, walkout, spfit wlo, spli[ enby, lookout, etc.) • Directional dreinage arrows with slopelgredient % • Proposedlebsting sewer and water services 8 invert elevaUOn • Streetname • Driveway • Lot Square FooWge • Lot Coverage ELEVATIONS Existlna • Sewer service (or Proposed) • Property comers • Top of curb at the driveway • ElevaGOns of any ebshng adjacent homes Adequate fooUng depth of strucNres due to adjacent utiGly trenches Prooosed ? ? ? • Garagefloor ? ? ? • First floor ? o a Lowest exposed elevalion (walkouWrindow) /o ? : Properry corners ?' ? o • FroM and rear of home at the foundation PONDING AREA l'R aodicadel / ? d o . Easement 6ne 62( ? ? . NWL &' ? ? . MNL di/ ? ? • Pond # designa6on ? Q/ ? • Emergency OveAlow Elevation m? ? o ?? ? e? a ? CS ? ? a C3' ? d? ? DIMENSIONS Lot lineslBearings 8 dimensions Rightcf-way and street width (to back of curb) Proposed home dimensions indudng arry proposed decks, overhangs greater than T, porches, etc. (i.e. all structures reqLiring permanent tootings) Show all easemenis of record and any City udliEes wilhin thase easements Setbacks o/ propoaed structure and sideyard setback of adJacent exdsling structures Retaining wall reqc:.--°^k' i''"•• Reviewed: PROPERTYLEGAL: DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS March 19BB caN36lncvnW Fn+ L I / 7 CITY USE ONLY SUBD. ?Wbro o K0 . RECEIPT#: 1 w* RECEIPT DATE: 5-17' d c) PERMIT # 1? O l? o-_J 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OE EAC,AN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and candos when permits are required for each unit ? backflow preventer for underground sprinklersystem FIXTURES EACH # TOTAL Aiterations to existing dwelling - minimum fee $ 30.00 Describe: 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 new/refur6ished 'requires MPC Ilc. 75.00 X = $ Septic System abandonment 30.00 x = $ RpZ new Installadonlrepaidrebuild 30.00 x = $ Raugh openin 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under consUUCtian 3.00 x = $ Undergroundsprinkler fiexistingdwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under tonstruetion 5.00 x = $ _ Water softener if existing dwelling 30.00 x = $ Water tumaround 30.00 x $ State Surcharge .50 -> -> --> $ .50 TOtal $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I here6y acicnowledge that I have read this application, stete thet the infarmetio? is wrrect, and sgree to compty with sll applirable Ciry of Eagan ordinances. It is the applicant's responsibility to notity the proparty owner that the City of Eagan assumes no lia6ility for any damages caused by the City during its nortnal operational and maintenance activities to the facilities construded under this parmit within Cify property/right-of•wayleasement. SITE ADDRESS: y?e-y ?IUA/AYI/4fYA v I iia" OWNER NAME: : IUA6 iy-Qae TELEPHONE #: ? 99 ry ?? ?? ? (AREA CODE) INSTALLER NAME: TELEPHONE #: /", ' LIO (nRea cooe) STREETADDRESS: CITY: /?GW /Trm STATE: d9l ?n ZIP= ?°- 4?A????-? _ SIGNATURE OF PERMITTEE CITY USE ONLY L ? BL ? 0 cil & c5.-G 3r? SUBD. RECEIPT #: I -D-,) 71a_?, RECEIPTDATE: a' I'C)U??G'? PERMIT p 3? ?? ? l A-91qq"PLUMBINfi P£gMiT (RESIDENTIl1L) acr)v CITYoFE4fiAN 3$30 PILOT KNOB iiD £A&ikN. MN 55122 (651) 681-4675 Please wmplete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bafh !-ih ;i 3.00 7( _ $ 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 = $ 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 osai 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 = $ 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 14-4 = $ Water heater 3.00 x = $ W8t0f SoRener if dwelling under construction 5.00 X = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> ----> ----> $ .50 TOtel --? --? --> ----> - Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - - ------------ - • - - - - . ------------ •--------•--------------------------------------•----•--------------------- - City- - ordinances- -of Eagan - - with -all- applicable- -and-agree- - to comply- -is-cwrect, - - ,- state- -that the infortnation- I -hereby acknowledge-tha•t 1 have- read -this application- It is the applipnPs responsibiliry to notify the property owner that the City of Eagan assumes no liabilily for any damages caused by the City during ds normal operational and maintenance activities to the faGlities cor3sWCted under this perfiit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: TELEPHONE #: (AREA CODE) TELEPHONE #: (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE 1fz ? CITY U5E ONLY LOT __4_ BL ? PERMIT #: ? ? `1 CjLI SUBD. C)pj'1 rA- RECEIP'I' #: ! a t? 7 3 RECEIPT DATE: ci - 0 C) 2000 MECHANICAL PERMIT (RESIDENTIAL) Date: 4 d? _'Be Complete this section on if you are installing HVAC in a single' family dwelling, townhome or condo under construction and not owner/occunied. • HVAC: 0-100MRT1? ADDITIONAL 50 M BTU • Gas outlets (minimwn of one required @$3.00 ea.) State Surcharge Total $ 30.00 6.00 ? .50 Complete this section onlv if you are remodelins, 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 Furnace Air exchanger Reminder: Call for inspections SIT'E ADDRESS: --,// -)-41 OWNER NAME: INSTALLER NAMEr: STREET ADDRESS: CIT'Y: cxxx os sacax 3830 PILOT IQi08 RD EAGAN DIIQ 55222 651-661-6675 Au conditionirtg _ Other Fee $ 30.00 State Surchatge SO Total $ 30.50 PHONE #: v`J l -?S?o? Sd Z'J-t? ( CODE) ? rxorrE #: ? -/f ?/5? ODa t' ? r-"fAREA CODE) Repair _ Other _ STATE: 1;7 f7 ZIP: QJ ya ?._. ; . SI ATURE OF PERMITTEE .s73 CITY USE ONLY L _ BL _ SUBD. APPROVED BY: , INSPECTOR PERMIT #: RECEIPT#: RECEIPT DATE: 2000 MECHANICAL pERMIT (CO1+II+ERCIAL) CITY OF EAGAN 3830 PILOT 1Qi08 RD EP+GAN, l+ai 55122 651-681-4675 Please complete for. all commercialfindustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE WORK T'YYE: _ New consWction Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping When installing/removing underground tank, caU 651-68I-4675 for inspection by ftre marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee - - - - - - Conhact price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ ' SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLI): (AREA CODE) WAS TI-IERE A PREVIpUS TENANT IN TTIIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE #: (AREA CODE) CITT': STATE: ZIP: SIGNATURE OF PERMITTEE 42499 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CYfY OF EAGAN 3830 PILOT KNOB RD - 55122 651-687-4675 Reauiremenh D440wwrotv,e,+ }?- .-e M E-A o 3? 4/ 9 DATE: 8-1/ -06 CONSTRUCTION COST: DESCRIPTION OF WORK: 2C: /NSUl.ATC LOGAm H muNi-famity bldg., how many unlFs? IfdDICATE THE FOILOWIPIG EQUIPMEWT TO BE REPLACED ARD BY NUHOPA: _ Plumbing _ Homeowner or Contractor Name _ Mechanical Homeowner or Contractor Name Name:_ 1.I-+6 tj?6SOnf -1l5212Y Phone#: &SI' roSSf' ?'3`r? L st Fi t *"Note: If somebody other than fhe 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: I( BLOCK: ? SUBD./P.I.D. A: loJ 0?? VUCA, PROPERTY OWNER CONTRACTOR SfieefAddresa: +Z+ ???r-ocgb T24I L City A:,6 ,+ tiJ state: m Company: t11LTe f767Ers zip: SS !ZZ Phone #: /asr _ 4S2 • S?.eb (area coda) SheetAddress: I3SS ML--'R+D6?k1 A(65 P1) License# 1371 Exp. - bg( cny MI;P..WT•9 {l&-7al7'.s state: M14 zip: S3vus AUG 2 3 2000 I hereby acknowledge that I have read this applicahon, sfale lhat the irNormallon is coned, and agree to compy wHh all applicable Sfafe of Minnesota StatuFes and Cify of Eagan Ordinances. Signalure of pplicant ?? OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? OS 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 ? 19 Lower Level ? 24 Storm Damage Plbg _YOr_N ? 25 Miscellaneous ? 20 Pool ? 30 Accessory Bldg. ? 36 Move Bldg. ? 43 Reroof ? 37 Demolish (Bldg)* ? 44 Siding 13 38 Demolish (Interior) ? 45 Fire Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Demolition permit - Give PCA handout to applicant GENERAL INFORMATION No. of Units No. of Buildings, Const. (Actuai) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. Main level sq. ft. s.q. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Surveyor's Certificate SURVEY FOR :PULrE DESCRIBED AS : Lac 11, Block 3, OAKBROOKE 3RD ADDITION, City of Eagan, Dokota County, Minnsoto and reserving eosements of record. [mv 'ED ' / ?o ?. ?.!?Cz:litr -?-,kr?i.TL,,,T,P?IIVGDEpT, t J. / ? p, D? / G3'? ? ? 9"'`?a Clj nj\ ?? ?,\ SJ o ?ZS,S 15TLT y°iDz ? ?°•°'3 QzY"S ?f.~/1??.°? c`QO Q o ? n V b z7?6LOT SQ. FOOTAGE 3,91D'0 POND HSE. SQ. FOOTAGE = 2,259 BP-35 LOT COVERAGE = 63? H?a922:o .?, .? ? . ?o?o Wo ??? Plon # 17954 ? PROP05ED ELEVATINNS Top of Foundation = 933?n Gorage Floor = 931,9 Bosement Floor = q241 Aprox. Sewer Service = 918./Y Proposed Elev. Existing Elev. _ Drainoge Directions = Denotes Offset Stake = . SCALE: 1 inch = 30 feel .,h CHMARK MIN. SETBACK REQUIREMENTS Front - House Side - Reor - Garage Side- JOB N0: HE?L??? I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-OOH OF THE BOUNDARIE$ OF THE ABOVE DESCRIBED PROPEftTY AS SURVEYED BY ME OR UNDER MY DIRECI SUPERVISION AND OOES NOT PURPORT TO BOOK: PAGE: PLANN/NC 6NC/N66R/NC S(JRVEYlNC SHOW IIAPROVEIAENTS OR ENCROACMMENTS, EXCEPT A ShiOVm. 2005 Pin Oak Drive ,?„:} Eagan, MN 55122 DaTE ? CAD FIIE: Phone: (651) 405-6600 FR Y D. LINDGREN, LANO URVEYOR Fox: (651) 405-6606 b MINN OTA LICENSE NUMBER 14376 OAKBROOKE RECElVEQ „rAN 2 0 2QOD ûûû ÿþ þýý üûøüû úýýøûøñõõ îû áâ þýö ýüûúùøõ ëó üúùø õø øü Þã ÿ ó ü óòòîüøù ñÿ ýðü ï ë ø øø ëþ ôü ô ø ÷ ëû ì ý ü øûüë ø ì ó ûôê ðü ûù ÿëôù ô ì ïèçèææìæìòæ ôú ýü ÿ éüèçèìåìå éüþì óò öñð øø ç ê × ôú ôø æââ òòîû ú í ã íÿ äöáâ ÿäö àâßâææââæ ûùÿ í øø ë ô ÿ ôøù øøûý ëä ýü óùë ÿî ì øø÷ ôýÿü üùýÿü ÿ ÿþ þýý üûüúú ùýýúòèè ôûö ö âßô þýö ýüûúùø Ý öïõ öüúùø ÷öúùø Ý ø öø ü Üãö õ ü õ ôôüøù ó ýòüö ñ ï ö øö ø øööïþ ööîü î ø öÞ öïûöë ý üö ö øû üï ø ë õöûîí ö ö ö òüö ûù ïîù î ë ñ èôçèëëô õù ýüö èëæëæ éüôþë ô óú öòñ øø çö úî ù÷ã ßß ö ôûö úö ð öãöð ÿåá ìßêßßß ö ûù ð ö øø ïöî öö ö îøù øøû ý ïå ýü õùïÿö ë øøÞ öî ýüö ü ùýüö PERMIT City of Eagan Permit Type:Building Permit Number:EA128109 Date Issued:10/27/2014 Permit Category:ePermit Site Address: 4124 Oakbrooke Tr Lot:11 Block: 3 Addition: Oakbrooke 3rd PID:10-53762-03-110 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 - Janet Ringer 4124 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 s �i�, Use BLUE or BLACK Ink , i For Office Use � i 9 Q • j Permit#: I �+� �� I I + � �� ,. ; I Permit Fee: t� �� I 3830 Pilot Knob Road � I Eagan MN 55122 �� Date Received: a �� j Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: I � I . �________________J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � �a �� Date: Site Address: Unit#: � � Name: Sherman and Janet Ringer Phone: 6 51-6 9 9-2 2 3 7 Residentl ; pyy�g�-. � � Address/City/Zip: 4124 Oakbrooke Trail � � Applicant is Owner Contractor Descriptionofwork: Basement finish, unfinished currently T�pe of�Ulrork° � � i Construction Cost: $2 8, 0 0 0 . 0 0 Multi-Family Building:(Yes /No X ) Company: Remodeling Dimensions Contact: Kevin Shultz � Address: 4202 Sumac Point �;ty: Eagan � Contractor �i��: State: MN Zip: 55122 Phone:952-920-5555 Email:kevinQremodelingdimensions.c m ; License#: B C 0 8 4 8 9 5 Lead Certificate#: NAT-10 2 9 3 2-1' If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) � � �� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes X No If yes,date and address of master plan: Licensed Plumber: BenChmark Plumbing Phone: 651-755-8078 Mechanical Contractor: B i nde r HVAC Phone: 6 51-4 5 7-8 7 81 Sewer&Water Contractor: Phone: N�7TE.Plar►s antl suppar�ing da+cerm�nts#hat yau submit a�e considered tc�b�.�tubNi�information. Partic�ns Qf = the information rha,y�r�Classi�recl�s non-publ�c if yoc�pro�riti`�specific rea,�vr�s.tha�wo�ld permit the Cit,�to ' `cor►clutl+�that the ar�i�rade seerets: °-�� ° 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.g,opherstateonecalLarq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, 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 requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building C e mus be completed within 180 days of permit issuance. X Bruce Lyons X ....�-a ApplicanYs Printed Name Applicant's Signature Page 1 of 3 _ '� ��o� �S'�.�� P� . ��6��_3 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace Porch (3-Season) _ Exterior Alteration(Single Family) _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi) _ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex � Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to appiicant DESCRIPTION �, Valuation ` C�� Occupancy Tj?� r� � MCES System � "� Plan Review Code Edition �� SAC Units -- (25%_100%� Zoning �%� City Water ._ Census Code �r3t( Stories "� Booster Pump — #of Units / Square Feet � PRV ,- #of Buildings / Length + Fire Sprinklers � Type of Construction � Width �" REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile � Fireplace: �Rough In �Air Test �Final Siding: _Stucco Lath Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES '�t�tJ-"f� �+ �j�� o�/�I� � Base Fee 3�tS" � Surcharge Plan Review � 3`� 4----� MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink r----------------- I For Office Use � � ��C�� Clty of �� a� � Permit#: � � � f � � Permit Fee: � 3830 Pilot Knob Road � i Eagan MN 55122 i Date Received: � Phone: (651) 675-5675 � � Fax: (651) 675-5694 I Staff: I �-----------------I 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ' �'7 Site Address � �,i °� �,��.� Tenant: Suite#: Resident/Owner ` Name: Pnone: ' Address/City/Zip: � ��oOl�.�- Name: • � License#:�� Contr.actor. Address:_�� ,�,..�_ `— city: .��s State:�Zip: .�4"�`7?_ Phone: �c��/ – ��`– v�� _�' ` Contact: �� EmaiL ' � o C Type Of WOt"k —New _Replacement _Repair _Rebuild�Modify Space �Work in R.O.W. Description of work: �� C��t-�-=K.�.-Lt� RESIDENTIAL Water Heater Water Softener Lawn Irrigation�RPZ/_PVB) P@Ctlllt Type Add Plumbing Fixtures�Main/ Lower Level) Septic System � New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.0o State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic SVstem Abandonment, Water Turnaround'`(includes$5.00 State Surcharge) `Water Turnaround (add$200.00 if a 5/8"meter is required) $115.00 SeptiC System New($10.00 per as built) (includes County fee and$5.00 State Surcharge) TOTAL FEES $ 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.qopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, 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 requires a review and approval of plans. -�Q_.�s� -r�t--��/�,1� X--��----�_.-�'� �� ApplicanYs Printed Name ApplicanYs Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-ln Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA151201 Date Issued:08/14/2018 Permit Category:ePermit Site Address: 4124 Oakbrooke Tr Lot:11 Block: 3 Addition: Oakbrooke 3rd PID:10-53762-03-110 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 - Janet Ringer 4124 Oakbrooke Tr Eagan MN 55122 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155715 Date Issued:05/30/2019 Permit Category:ePermit Site Address: 4124 Oakbrooke Tr Lot:11 Block: 3 Addition: Oakbrooke 3rd PID:10-53762-03-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Janet Ringer 4124 Oakbrooke Tr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature