4125 Oakbrooke TrAddress 4125 o a k b r o o k e T r Zip 55121_
IAt I Blk 4 SUb Oakbrooke 3rd Addition
THESE TIBMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: J2,_1a-0C) Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (gazage) x
Permanent steps (main entry)
Permanentdriveway
Permanent gas x
Sod/Seeded grass x
TraiUcurb damage
Porch
Basement 5nish X
Deck
Please verify with the huilder the removal of roof test caps from the plumbing system and the shutoff of water supply W
the outside lawn faucet before freeze potential exists.
Contac[ engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contraclor Copy
Site address: 4125 Oakbrooke Tr
Lot 1 Block 4 Subd. Oakbrooke 3rd
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, 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.
_ This struclure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
? This structure: will be consUucted to meet more resVictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater ? wQoa4W,r leiQ /05o'Z 4 S e?
Fumace ? 06L4 vif- 550 ry}?tV03(?Ecpo DDO b?i/cc?'
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
rES No
Kitchen kitchen
Bafhroom 1 a 5d1iL F? - b ?Q g? ?
Bathroom 2 ? i FV - p-5- JO $D ?
Bathroom 3 an 5 V- 8e) ?
Bathroom 4 ? I S?- ?D ?
Other
FIREPLACE 5
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT nTMOs
l ? ?Da?7'R8 ? ?
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
Si nalure
o i
CompanyName
I aZia Aao
Date
' This form is ihe responsibility of the General Contractor.
CITY OF EAG
?-?=?-?^j 44 (4 0S a-C
CASHIER: JS TERMINAL NO: 775
DATE: 04/20/00 TIME: 09:18:52
ID:
NAME: PULTE MASTER BUILDER
2252 9220 4125 OAKBROOK T 30.00
3210 9001 4125 OAKBROOK T 1,004.95
3866 9379 4125 OAKBROOK T 100.00
3422 9001 4125 OAKBROOK T 653.22
2275 9220 4125 OAKBROOK T 1,089.00
3446 9001 4125 OAKBROOK T 11.00
2155 9001 4125 OAKBROOK T 0.50
3743 9220 4125 OAKBROOK T 50.00
2155 9001 4125 OAKBROOK T 51.00
3868 9220 4125 OAKBROOK T 492.00
CR127034 ** CONTINUE
USER ID: JAN ** CONTINUE
*?***???*??****+*******?**??*?***?**?**
**+r**,t***:r*?**?***t:tx*****,t?*** CONTI
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 775
,DATE: 04/20/00 TIME: 09:18:53
ID:
NAME: PULTE MASTER BUILDER
3716 9220 4125 OAKBROOK T 114.00
3713 9220 4125 OAKBROOK T 50.00
3865 9220 4125 OAKBROOK T 840.00
Total Receipt Amount: 4,485.67
CR127034
USER ID: JAN
+++++++?.....??..??..?.??. ?.?. ??._.__ . . . . . . . . .
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
ctrr oF FAcwr
3830 PILOT KNOB RD • 55122 ?44$ 5. 67
• , 657-881-4875 L,iX_.ER_Q-
4/,?
> S replMered sHe wrvaya ahowlnp sq. R d lUt s41t. o( lauw 2 coples of pla+
antl gp roofed Crew (20X rtwWmum lof eoveroee dlowedf 1!6t ot eneryy CNcWallons for h60hd adc9Hau
D 2 eopiei Of WCro (shOw beam 3 wlndow alzet; Pourod hW. tletlgN Wc.) 1 flte auveY for exleAa addiMau 3 tl9CW
D 1 set o1 arwrpy opludcNpn .
D ] coplet of hee Pretervallon plan H bt plalptl ortar 7/1/93
DATE:
DESCRIPTION OF WORK:
51REET ADDRESS'
LOT: \
CONSTRUCTION C05T:
Name: Phone 11:
PROPERTY Wd Rnt
OWNER
Sfreet Address:
CMy
State:
Lp:
Companv.?P,one o•.???
CONiRACTOR ? (area code)
Sheet Addresx?S ???c?. ?l'FR\?21?Y?5 J'z?- 10O Ucense i??\Exp. 3\ O\
Ciy WQr?O?t? Stafe: Lp: S5\Z?
ARCHRECT/
ENGINEER Company: Ncme;
Telephone t: (
Sheet Addreas: Regishatlon 1f:
CRY
SMte:
Zip:
Sewer/water lieensed plumber (H Installina sewerMrater)•\??-V\\u Phone P. l4( 1-- 14P\Z--' Z-\ Z-\
I hereby acknowledpe ttwt I have read Mia cPP??, dde Mwt 1he b cort a to compy wHh a1 oppicaWe State
'd Minneaota Statulea and CMy oi Eapan Ordinancea
?
, Sipnalure of Appqcant
OFFICE USE ONLY
Certiflcates of Survey Received _L/Yes _ No
Tree Preservation Plan Received ___,_ Yes No Not Required ? _ 7
BLOCK: .? SUBD./P.I.D.
OFF{CE USE ONLY I 3? 3
19z
BUILDING PERMIT SUBTYPES
O 01 Foundatlon ? 07 OS-plex
? 02 SF Dwelling O 08 OB-plex
03 01 of _ plex O 09 07-piex
O 04 02-plex O 90 OB-plex
O 05 03plax O .11 10-plex
O 06 04-plex O 12 12-plex
WORK TYPE
31 New
O 32 Additlon
O 33 Alteration
0 34 Repair
O 13 16-plex O 21 Porch (3-sea.) O 31 Ext Alt - Muld
0 17 Garage O 22 Porch/Addn. (4-sea.) O 33 Ext Alt - SF
? 18 Dock p 23 Porch (screened) O 36 Mutti
0 19 Lower Level O 24 Storm Damage
P[ng rw_N 0 25 Misceilaneous
O
20
Pool
?
' 30 ,
Accessory BkJg.
O 36 Move Bldg. O 43 Reroof
O 37 Demolish (Bldg)' ? 44 Siding
O 38 Demolish (Interior) p 45 Fire Repair
O 42 Demolish (Foundation) 0 46 Windows/Doors
' Gtve PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings ?
Const. (Actual) vra
(Allowable)
UBC Occupancy ???
Zoning
# of Stories sq. ft.
Length sq. ft.
Width Footprint sq. ft.
Basement sq. ft. T_ Census Code
Main level sq. ft. ?? MC/ES System
(.A71 ? sq. ft. ?-/ H o City W ater
fpD44 sq. ft. ;z Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS IN3PECTIONS
`pf Stucco/Stone 4 n„t??(?
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
cicy sAc
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Sureharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Building Ti5 % Engineering Variance
Valuation: $
rw fo-)N-111
Pvru.,ff
I?ao ,R-
yyo?r
i 3;- X s-y
?
?
? -c-5
Vj yso
715 q o
I(qq
Iol
SAC Units
9b SAC
!
Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 1, Biock 4, OAKBROOKE 3RD ADOITION, City o( Eagan, Dokoto County, Minnsota ond
reserving eosements o( record.
?
It
q
o?
o?
0
Plan # 17941
PROPOSED ELEVATIONS
Top of Foundotion =q31•$
Garoge Floor = 930.0
Bosement Floor = /I/p
Aprox. Sewer Service = '!
Proposed Elev. _ (Z-::)
Existing Elev. - -
Droinage Directions = -
Denotes Offset Stake = .
LOT
H SE.
LOT
SQ. F00TAGE
SQ. FODTAGE
COVERAGE _
SCnLE: 1 inch = 30 (eet
= 3,168
= 2,100
66?'
5=LTFEwar
BENCHMARK,
?
?.
r
??.
,
,.
t?
MIN. SETBACK REQUIREMENTS
Front - House Side -
Reor - Garoge Side-
JOB N0;
HEDL?/ND I HEREBY CERTIFY TMAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-092
OF THE BOUNDARiES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYEO
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NO7 PURPORT TO BOOK: PACE:
PWNN/NC ENC/N6ER/NC SURV6YlNC SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT A HOWN.
?
2005 Pin Oak Drive `
Eogan. MN 55122 DATE 3_13n?? ? CAD FILE:
Phone: (651) 405-6600 AVIFIR D. LINDGREN, LAN ' SURVEYOR
Fox: (651) 405-6606 INN OTA LICENSE NUMBER 14376 OAKBROOKE
REG'FiVED APR 1 4 2000
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DOCUMENTSTANDARDS
. Registered Land Surveyor signature and company
• BuAding PermitApplicant
• Legaldescnption
• Address
• North arrow and scale
• House type (ramWer, walkout, split w/o, spli[ eniry, lookout, etc.)
• Directional drainage arrows with slopelgradient %
• Praposed/ebstng sewer and water services & invert elevafion
• Sheetname
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Edstina
V// ? O
E ? ?
? ? ?
? ? ?
? ? ?
? ? ?
? ? ?
s,?/ o ?
?E 7 ?
?? 0
• SCWef SCIVIC¢ (Of PfOPOSed)
• Property corners
• Top of curb atthe driveway
• Elevations of any exissting adjacent homes
Adequate foating depth of structures due to adjacent utility trenches
Prooosed
• Garage floor
• Firstfloor
• Lowest racposed elevatian (waikouUwindow)
• Property corners
• Front and rear of home at the foundaton
P9NDING AREA (if aodicable)
?
? M
/ ? • Easement line
?
? ?
a? o • NWL
• HWL
m?/ ? • Pond # designation
? ry o • Emergency Overflow Elevation
DIMENSIONS
4/
/ 0 ? • Lot fineslBearings & dimensions
; ? ? • Right-oFway and street width (to back of curb)
ie' ? ? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
? (i.e. all sVUCtures requinng permanent footings)
l
? ? s
• Show all easements of record and any City utilides within ffiose easemen
G? 0}? • Setbacks of proposed strudure and sideyard setback of adjacent existing strudures
0 6? ? - Retaining wall requirements, if any
Reviewed:
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL Lor I&-e/?( 4 O.ZlTZ'?NA
'" DATE OF SURVEY: 3130I06
LATEST REVISION:
AAarch 79HB
CRAIGJ18LA6PRMT FM
?--
JOB
fie
,J
INt1'IATION ORDER N° CO
Pulte Homes of tuvj_
Minnesota Corporation CONTRACTOR/SUPPLIER:
1355 Mendota Heights Road, Suite 300
Mendota Heighis, MN 55120-1112
Phone: (612) 452-5200 Fax: (612) 452-5727
JOBNO._0S/T1_sL0 t nl/r _L/__? LECiALOESCENPT10N: ,_LOT&.OCK? lfNfT "?
COI?TM)NTfY: A?DDfT1i0N: t?-
BUILdNCi ADDftE : ?V?'?'?I?? CITY: STATE:
MDDEL NAAE:
MODEL NUbIBER: ?_ I? ?I , T I ELEVATION: ? C;ARAOE: LEFT RIOMT
vk&
eureas wu.E: aATE oF oaoER:
CURREHTADDRESS: cRy: STATE:
HOWE PHONE: &1SINESS GHONE: BUSINESS PHONE:
SALES REPRESENTATIVE
PRICE
TION
TOTAL
? APPROVED BY BUYER (S):
APPROVED BY SALES: ?
RELFASED TO START CONST.: eounL HousiNc
OPPORTUNITY
Buiiders Lfcense #0001371 This constitutes a coMract between the Seller and the Purchaser(s) forthe above items.
WHITE - MASTER BLUE - SALES GREEN - SALES REP. YELLOW - ACCOUNTING PINK - BUYER r,rn n. FiFi n
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EXTER1011 EHL?ELOPE AVEtWCE "U'i COMPUTATION
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COtITRACTOR: ! __....
? DETEANINE 1iURKI1IG SOUAfiE F70 TAC,F OF EACH:
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? rBL 1 RECEIPT #:
SUBD. RECEIPTDATE: ?"1)5"00
PERMIT# "(D? y I
8000 PLUM$IN6 PERMiT (RESIDENTI&I.)
C11'Y OF EAfiEYN
3$30 PILOT KNOB {iD
i'rk6i41V, MN 551 PP
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
CIYTI IBFC
k!
?
EACH
#
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x a- _ $ 6
Floor drain 3.00 x G = $ 3
Ga5 i in Outlet ' mirnmum • 7 3.00 x $ 3
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x t = $ 3
Laund tra 3.00 x = $ ?
Lavato 3.00 x $ y
S8 tic S stem newlrefurbished ' requlres MPC Ilc. 75.00 X = $
S6 tIC S t8fil abandonment 30.00 X = $
RPZ new installationlre idrebuild 31 X = $
Rou h o enin 1.50 x 3 = $ 'y^?d
Shower 3.00 x I = $ 3 I
Under round s rinkler if dwellin is under conswcuon 3.00 x = $
Under raund s rinkler itexisen dweuin 30.00 x = $
W ater cioset 3.00 x = $ I
Water heater 3.00 x = $ 3
Water softener If dwelling undar constructlon 5.00 x . I = $ S
Water sokener If existing dwellin 30.00 x = $
Waterturnaround 30.00 x $
State Surchar e .50 -> ---> ----> $ .50
Total -? --' --> ....> $ 00
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------•------------------------------------------.......... ------------•-••-------------------------------• •----------••------
I hereby adcnowledge that I havB---read this appliWUOn, state tliat the infamation is correcC and agree W comply with ail applicable City of Eagan ordinances.
It is the applicant's responsibiliry N no6ty the property owner that the Ciry of Eagan assumes no tiaDility for any damages caused by Ihe Ciry dunng its normal
operadonal and mamtenance acGviGes to the facili[ies constructed under this permil within City propertylright-of•way/easemenl.
SITEADDRESS: VO:;LS 0*,11*49x4f. TO If, j
QWNERNAME:: TELEPHONE#:
(AREA CODE)
INSTALLER NAME: TELEPHONE #: G•?
(AREA COOE)
STREET ADDRESS: ,Q `1) ?oe
CITY: -&A(X`9 ^-) STATE: ZIP:
SIGNATURE OF PERMITTEE
CITY USE ONLY
I ? L6? ? R CEIPTtk: t?07?C
-?- 5UBD RECEIPTDATE: 5"D&-o?
PERMITp? _
8000 PLUbI$INfi P£itMTr (
crrY oP EasM
3$30 i'II.OT KNOB ,
EA&kR, MA 551 E
651-6$1-4675)
Please complete for: ? sin le family dwellings
? tow omes and condos when permits
• back w preventer for underground sl
FIXTIIRFS
?uired for each unit
system
FC(:H
R-qj-A,--?.?
0.5 qi?
#
TOTAL
Alterations to existing dwelling - mini um fee
Describe:
$ 30.00
Bath tub $ 3.00 x = $
Floor drain 100 x = $
G85 I In 6Ut1Et ' 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 = $
S2 tiC S Stem newlrefurbished • re s MPC Ita 75.00 X = $
Se tic 5 stBm ahandonment 30.00 X = $
RPZ new installationlrepair! buil 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under nstruction 3.00 x = $
Under round s rinkler it ezistin aweriin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Wat2f softener if dwelling nder consvuction 5.00 x = $
Water sokener if existing wemn 30.00 x = $
Waterturnaround 30.00 x ---- _ $
State Surchar e / .50 --> ----> ----> $ .50
Total --y --? __-> .---> $ . 56
Reminder. Call for inspegfions of alterations, i.e.
thereby acknowledge that I have rea this appficaEOn, state that the intorrnahon is a
----- --- --- --- --------
It is the applicanYS responsi6ilily to rfobty ihe property owner Nat ihe City of Eagan a.
operational and mainlenance ac6vVies lo fhe facilities cons[ructed under this permit
- / ? • S:v
heaters, wfa?, pr ?softeners etc. Up
?lg{I"-?=-- - -- --
[?ect, and a ree to com wiU all aPPIicable Ci of Ea an o nances.
mes no liability for any damages wused by the City during its normal
w hin Ciry property/ri9ni-of-wayieasemeni.
SITE ADDRESS:
OW NER NAME: :
INSTALLER NAME:
STREET ADDRESS: cfZ,?Ll( ) ! /el 1i O?
CITY: STATE:
SIGNATURE OF PERMITTEE
(AREA COOE)
#:
(AREA CODE)
ZIP: ?Ja:l
L Bl CiTY USE QNLY
suao. 04k??r?? ? 3 tc?
RECEIPT #: re d /
RECEIPTOATE'
PERMIT # 40/ ?, ?
Q.OQo Pl+umniNs PEalmr+ (mmENTIAT.)
C1N OF frkfiAN
3$30 PILOT KNOB /ERLD
"`? EA&AA, MN 551 65
1?81^4675 ? l.{,/,\S.Js q7
Please complete for: ? single fa ' dwellings
D townhomes nd condos when permits rh unit
? backflow pre nter for underground sprinkler # TOTAL
r1AI V?\VV
Alterations to existing dwelling - minimum
Describe:
$ 30.00
8ath tub
X
$ 3.00
x
-
$
41
Floor drain 3.00 x = $
G25 i Ifl OUtl6t ' minimum - 1 3.00 X - $
Hot tub/s a 3.00 x - $
Kitchen sink 3.00 x = $
Laund Va' 3.00 x = $
Lavato 3.00 x = $
Se tic 5 stem newirefurmsned ? req res MPC 1. 75.00 x ? $
Se tiC S stem abandonment 30.00 X $
RPZ new installatioNrep rlrebuild 30.00 X = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler ifdwellin i nderCOnstruCtion 3.00 x
Under round s rinkler if existin wewn 30.00 x = $
Watercloset 3.OD x = $ ?
Waterheater 3.00 x
-Ader
Water softener dw 5.00 x $
Wa tersoftener itez? 30.00 x - $
E
Waterturnaround 30.00 x $
State Surchar e .50 --? ----> ----> $ .50 i
Total .._.> i
r. n
_io - -Z:) V
, rs, water softeners, etc. a?
Reminder: yi, for inspectlons of alterations, i.e. water hea e
Q.-Y-u.?-a l.t 9 a° --------------------------------------
fo compl ith all applicable City of Eagan ordinances.
----;-------------------------------------------------------- ----------- ----------
I hereby acknowledge tt?al 1 have read--this applicaUon, stale fha[ Ne i formaGon is correct, an? agre
It is the appliianPS responsibility W notify the property awner that the City of Eagan assumes no liability for any damages raused by the Qty during its nortnal
operational and maintenance achwties lo the facilities constructed under ttiis pertnit wi[hin City,pro0ertylrit t-of-way/easement.
SITE ADDRESS:
OW NER NAME: :
TELEPHONE #:
(AREA CODE)
INSTALLER NAME:
TELEPHONE #: ?1??
(AREA CODE)
STREET ADDRESS: -
CITY: 5TATE: ZIP:
SIGNATURE OF PERMITTEE
C[TY USE ONLY
LOT I BL PERMIT #: qlJ / v-
susD. roo ic0" 3rd RECEIPT li: C K l v"I qb5
RECEIPT DqTE: 00
2000 MECHANICAL PERMIT (RESIDENTIAL).._ _
CITY OF EAGAN -- ---?
3830 PZLOT KNOH RD
EAGAN ta7 55122
651-681-4675
Date:
4---
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
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
g.aa
State Surcharge .50
Total $ 3`? SZ
Complete this section onlv if you are remodelin¢, addine to, or reoairine 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
t - -
Air exchanger ^ Other
Reminder: Call for rnspections
SITE ADDRESS: '7 la,j 0"bi WlC.,2_ ( ( ,
Fee $ 30.00
5tate S•urcharge .50
Total $ 30.50
OWNER NAME: ? r&LS PHONE #: &6_1-
(AREA CODE)
INSTALLERNAME: YYL I ?G' PHONE#: 4?? - 8?i?1 l?C?IS
STREETADDRESS: 1'Q.(je? rn?° S(?ACOUe)
CITY: STATE: /`-Z ?) ZIP: ?Sv?7d?
. f?F.OFPERMITTEE `
y5 ?
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (CONMRCIAL)
CITY OS EAGAN
3830 PILOT EQtOB RD
EAGAN, MN 55122
651-681-4675
Please complete for all commerciaVndustrial buildings
mulB-family buildings when separate permits are not required for each dwelling unit
DATE:
WOItK TYPE: New construction lnstall U.G. Tank
_ InteriorImprovement _ Remove U.G.Tank
_ Processed Piping
When irutalling/removing underground tank, call 651-681-4675 for inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum £ee, whichevar is greater.
Underground tank removallinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 fot each $1,000 Base Fee
TOTAL
SITE ADDRESS:
e
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IhfPftOVEMENTS ONL1):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
STATE: ZIP:
CITY USE ONLY
PHONE#: -
(AREA CODE)
1
.
SIGNATURE OF PERMITTEE
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127446
Date Issued:10/01/2014
Permit Category:ePermit
Site Address: 4125 Oakbrooke Tr
Lot:1 Block: 4 Addition: Oakbrooke 3rd
PID:10-53762-04-010
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 -
Gordon E Brown
4125 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:EA128110
Date Issued:10/27/2014
Permit Category:ePermit
Site Address: 4125 Oakbrooke Tr
Lot:1 Block: 4 Addition: Oakbrooke 3rd
PID:10-53762-04-010
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 -
Gordon E Brown
4125 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
1-
For Office Use
y ' r J �7GS
s� a u °tea i tr l4•
1 Permit 4:
Y` y r yn 11 [' r,�
u_ .,. ; t ,. 4 [:r _ F • Permit Fee: l(!
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
0 C T 3 0 2019 Date Received; /0 ".3a �7
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections ancityofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
1 d Li �
Date: 'u✓ `w� \ Site Address: AfI�J 1/ fel 0�
t
Tenant: io \"_ Suite#:
Name: c� Phone: Ora J4..r +
ReMaa'nt/Ownerl' at "...''''."..-.'..... ,
�--��,�,�� �-,�--�
},�,`'., Address/City/Zip: . 4L__ ' - _, �✓ l V
Name: MILBERT COMPANY dba CULLIGAN WATER
License it: WC641376
CG'''rr3CtO• Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS
State: MN Zip: 55077 Phone: 651-451-2241
• Contact: BILL MILBERT Email: gloria.abas@culligan4water.com
New Replacement —Repair _Rebuild Modify Space Work in R.O.W.
W
Type;of ork — — —
Description of work:
Water Heater
Lawn Irrigation(—RPZ/ PVB)•
y Water Softener
Description Add Plumbing Fixtures( ,Main I Lower_ Level)
__Septic System
Description:_
New -
Connection to City Water from Well
Abandonment
RESIDENTIAL FEES .
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge),:`
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
,$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well" + $290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges 60.00
TOTAL FEES
CALL BEFORE YOU DIG. Call Gophor State Ono 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.gopherslateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
websito at www.cityofoagan.comisubscribo.
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
acco ante v4 he approved in the`c a of work�filch requires arevlew and approval of pl ns.
X .,./U:7_176-1--- ,,, .
Applicant's Printed Name App ant's Signature
Page 1 of-2