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4128 Oakbrooke TrPERMIT City of Eagan Permit Type:Building Permit Number:EA128547 Date Issued:11/18/2014 Permit Category:ePermit Site Address: 4128 Oakbrooke Tr Lot:9 Block: 3 Addition: Oakbrooke 3rd PID:10-53762-03-090 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 - Ross W Andrusko 4128 Oakbrooke Tr Eagan MN 55122--420 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature 4L? q 7_? RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-881-4675 NewConsWdion Reauirements • 3 registered site surveys showing sq. fl. of lot, sq. ft M house; anchll roofed areas (20% maximum lot coverage albwed) • 2 copies of plan shaxing beam & window sizes; poured found design, etc.) . 1 sel of Energy Calalations • 3 copies of Tree Preservahon Plan'rf lot plafled after 711193 • RimJoistDefailOplionsselecGonsheet(bldgswith3orlessunits) DATE I la JOB SITE ADDRE: IF MULTI-FAMILY PROPERTY OWN TYPE OF WORKJ APPLICANT ? ADDRESS ? PAGER # fh CODEs;?' NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: Plumbing System Includcs: MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water SoIlener _ L.awn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. ?('jV' e S ide 6y{1 (gi" Mechanical System Includes: _ Air Conditioning Heat Recovery SysLem Sewer/Water Contractor: PHONE#2T2[fQV'0736 Fee: $90.00 Phone # CSeS- "1/Z-0arz Fee: $70.00 - Phone # All above infortnation must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan OrcJiKiance? _ ??? _ / 1, ? Slgnature of Applicant ?Yl??, ?/ /?G ? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1l01 ? -? RemodellRenalrReouiremeMS i`j, . 2 copies of plan . ?-,y . 1 set of Energy Calculations for heated addNOns -_- • 1 site surveyforextenor additwns & decks • Indicate'rfhomesenedbysepticsystemforaddi6ons VALUAION -- I / I OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Poot ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entfre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Fina Footings (addition) Foundation Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ 5iding Stucco Stone Insulation _ Windows (new/replacement) 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 FinaUC.O. _ UNo C.O. _ Plumbing HVAC Building Inspector Address 4128 Oakbrooke Trail Lot 9 Blk Sub Zip 5512 1 Oakbrooke 3rd Addition THESE 11'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: P#VUt4,q Yes No Inspedor: g a r r y G r i e v e Final grade (6" from siding) 4 Pennanent steps (gazage) - Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porc6 Basement finish Deck Please verify with t6e builder the remo al of roof test caps from the plumbing system and the shutoff of water supply to the ouuide 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 - Contraclor Copy w CITY USE ONLY L _.? BL RECEIPT #: SUBD. OA?t,6 3r RECEIPT DATE: PERMIT# 057f/ 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOS RD ?. EAGAN, hIDi 55122 ? I_ I.U 651-681-4675 ? -r? Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflaw preventer for underground sprinkler system FIXTURES 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 - t 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laund tray 3.00 x = $ Lavatory 3.00 x = $ Septic System newirefurnisned • requlres MPC lic. 75.00 x = $ Septic S stem abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 X = $ Rough openin 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwalling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under consvucllon 5.00 x = $ Water softener If existlng dwelling 30.00 x = $ Water turnaround 30.00 x $ State Surchar e 50 --> ---> --> $ .50 Total -> -> --> --> $ 3U. r Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------------------------------------------------------------------•---------------------------------------• ----------------------- Ihereby acknowledge that I have read this appliption, state that the irrfartnation is cortect, and agree to comply w@h all applicable Cily of Eagan ordinances. It is the appliqnt's responsibility to notify the praperty owner that the City of Eagan assumes no liabiliry for any damages caused by the Crty during its normal operational and maintenance activities to tlie facilities construded under this pertnit within City propertylright-of-wayleasement. SITE ADORESS: //U OWNER NAME: : INSTALLER NAME: STREET ADDRESS: -? TELEPHONE#: 60- (AREA CODE) TELEPHONE #: 1 )? k-3 ?? ? GS??? (AREA CODE) CITY: STATE: M l'-- ZIP: SIGNATURE OF PERMITTEE L - BL CITY USE ONLY ?7, ? •SUBD. ?LS?IFdtt' RECEiPT#: Ilo d l & RECEIPT DATE: 5- I / ` cc) PERMIT# ` Please com ete for. 2000 PLLTIyffiING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT ISNOB RD EAGAN, MN 55122 651-681-4675 D single family dwellings ? townhomes and condos when permits are required foi D 6ackflow preventer for underground sprinkler system FIXTl1RE5 EACH / TOTAL Alterations to existing d ling - minimum fee Describe: $ 30.00 Bath tub $ 3. x = $ Floor drain 00 x = $ Gas piping Outlet ' minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tra 3.00 x = $ Lavatory 3.00 x = $ SB tICSyStEm newfrefurbished "raqufres !LRE li . 75.00 x = $ Septic System ahandonment 30.00 x = $ RPZ new installatioNrepairlrebuild 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler ifdwelling is undercons cfion 3.00 x = $ Underground sprinkler if existing dwetling 30.00 x = $ Water closet .00 x = $ Water heater 3. 0 x = $ Water softener if dwelling aer conso-ucuon 5.0 x = $ el- Water softener if existin welling 30.00 x - $ Water turnaround 30.00 x - = $ State Surcharge 50 - > -> ---> $ 50 TOt81 $ Reminder: Call for I hereby acknowledge that I ha It is the appiicanYs respon e normal operational and m n0 SITE ADDRESS: ?I OWNER NA INSTALLER NAME: _/ TELEPHONE #: STREET ADDRESS: 0( «yiN'`L 0//UU'C IY ' CIN: STATE: ?1/1 ZIP: ?- ? SIGNATURE OF PERMITTEE ? -? of alterations, i.e. water heaters, water soT4eners, etc. read this application, state that the infortnation is corred, and agree to compty wiEh applicable City of Eagan ordinances. i to notify tha property owner that the Ciry ot Eagan assumes no liability for any da ages pused by the City during its ince activities to the facili6es constructed under this permit within Ciry property/right-o wayleasement. TELEPHONE #: L?s l' ?? 3 7 (AREA CODE) M. N•M7.7;t?TTMMT/1?? r[TV 0f= LAG1N r.,pS!a:1:FF'te JS T[f'M.T.NAL. NOa S19 LifflE:: 0204i00 't'7:ML.: 10a3O,29 IDe NANiE; PUt_TF.: t1AS'T'Eli C{;IJ.T.LU[C; 22;2 9220 4128 OAI:RI;OOI: 'i 30„0I7 320 aQCl:i. 4128 UAI;bR('Jr]t: T 105[).55 3866 9879 4:L28 OAf.E;liO(11; T ilJl:l.QO 340 9001 f:LRB flAf`..HFipt11: 7 747.E36 i?'r.?"r'S 922Cl 4128 OAY.ks1"i00t: 'i 1,009.00 3444 9001 4128 t')AKBR00'r'. i 1.:1..00 205 7001 0243 f.!AH.HI;001: T 0.50 3743 9220 4128 L7Ai:EsI;Or.1F; r. 50.00 205 9001 4d.2f3 OC;F:BIi00FC "T 64.00 068 9220 028 06aKDFi001; l 49200 CR.L2:3544 #%c COPdTINUIc USE:R TD: JFlN *1 CONT.T.NU[. ?X?MYF*XC?K?k?kh h??4:k?XtYF?k*Y,tX??%k%li'M#?Ah?%k8(?K 'MW?7a? 'M'M?k?,t --H ? l \o ? c7 1?k?>XXi'M$<>X?K?Xd'i:N?XA?*?71?W'4t?'MX;;(K$Si;tkt>XX<1k'MYn ['0N't]:NUE CITY OF I_6tGAh! (:ASHif:hc 1S TLf,MSNIAl._ N0:, r319 11471 F;; pi'114/OQ T:Lt1[=o 104;30;30 ID: NRNiFc F'UI_Th MAaTE.R FtU7LDCF: 3716 9220 4:L28 OflF.FtkCIOF'. 7 114a00 370 9220 41.28 DAF:RI;OOh '1' 50.00 <;sr ; 9R20 028 oAKBr;oOF; r 840.00 'It Tota1 Rece:ipt Arna.ant: 47738.37. CR 1?3`iA 4 I.1SEF. ISI: .JAN 9 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) cIrv oF EAc:ani . ? 3830 PILOT KNOB RD - 55122 C?l1 ' 851-881-4875 D J replateretl sife wneys showiny aq. R. d bt. sq. H. of house antl goroofetl areas (2Ox rtO)dmumlot aovaraae albwem D 2 coplat d plau (ahow beam a wlntbw alzes; poured hW. deslpn; p1cJ D I saf of enerpy cdpiloMCns > J coples ot hee preservollon ptan M bl plo}led Wler 7/1/93 DATE: DESCRIPTION OF WORK: STREET ADDRESS: LOT: C? BLOCK: _? SUBD./P.I.D.9: 4 eopfes ot qan 1 aet ot energy ea7eWaMOna for heated odmfloru 1 dte wrveY lor exdeAa CtlmHOnt & dBCka CONSTRUCTION COST: Name: Phone PROPERN Laat Flrat OWNER ' Sheef CNy Sfate: Zip: Companv?v.,,? Phone M: (area code) cormincroa SheetAddreas:??JS ucense a \3s1? ?3 3?? City4RL State: \V W1, Zip: 4RCHIiECT/ eIV61NEER Company: Name: TelephOne M: ( ) Sfreet Address: Regishalbn 0: C:Ry ecvedwater Ifcensed plumber (if installina sewer/water !rareby acknowledge that I have read Ihia applicalion, alate thaf (MAinnesola Sfafutes and Ctly of Eagan Ordinances. I 13rtificates of Survey Received -v/Yes sipnature or Applicant. OFFICE USE ONLY _ No comply wfth a0 appBcable Sfate FB - I ee PreservaUon Plan Received _ Yes _ No _ NOt Required ?N, ?? / "'? State: Zip: OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation O 07 05-plex O 02 SF Dwelling p OS 06-plex O 03 01 of _ plex ? 09 07-plex ? 04 02-plex O 10 OB-plex 0 05 03plex O 11 10-plex O 06 04-plex O 12 12-plex WORK TYPE ? 31 New ? 32 Addition O 33 Aiteretion O 34 Repair ??.?. O 13 16-plex ? 21 Porch (3-sea.) O 31 Ext Alt - Multi 0 17 Garege O 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF ? 18 Deck p 23 Porch (screened) O 36 MuRi 0 19 Lower Level ? 24 Stortn Damage Plbp _Y or _ N O 25 Miscelianeous O 20 Pool O 30 Accessory Bidg. 0 36 Move Bidg. O 43 Reroof ? 37 Demolish (Bldg)' O 44 Siding O 38 Demolish (Interior) O 45 Fire Repair 0 42 Demolish (Foundation) O 46 Windows/Doors • Give PCA handout to applicant for demolition permit INFORMATION SAC Code No. of Units No. of Buildings ? Const. (Actual) (Allowable) UBC Occupancy ?. 2oning # of Stories Length W idth Basement sq. ft. Main level sq. ft. 1 , sq. ft. sq.ft. MISCELLANEOUS INSPECTIONS )IC Stucco/Stone (?6ZV?C, r, APPROVALS Planning Permit Fee Surcharge Plan 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 Totai: ,Z4r, d?- /l b sq.ft. sq.ft. Footprint sq. ft. Census Code MC/ES System City Water Booster Pump PRV Fire Sprinklered ? Building ??'?« Engineering Variance Valuation: $ ? c, ?, ?y ' z-- itQ ? 3 ?..,00 yao ti -7 33 .? SAC Units % SAC w -- - - -- - - - - - - - - - . . C` J -- - - JOB INITI/.ATION 0I3DER N° Pulte Homes of Minnesota Corporation CONTRACTOR/SUPPLIER: 1355 Mendota Heights Road, Suite 300 Mendota Heights, MN 55120-1172 Phone: (612) 452-5200 Fax: (612) 452-5727 JOB No.-0 5?1 ? ??5??: LoT ? ?.? ? ?903 COIYTMINRY: ADOrTION: BUtl.DINf3 ADORE : ? ? ? ? ? GTY: STATE: ? Z0? MODEL NAME: ? O MODEL M1M8ER: ?I? " T ELEVATION: ' OAARAGSE: LEFT RIOHT BUYERS NMIE: UATE OF OROER: 1 CURRENTADORESS: CRY: STATE:_ ZI : F10hEPF10NE: BUSWkSS PHONE: BUSWESSPMONE: SALES flEPRESENTATIVE • 0000 ? TOTAL ? APPROVED BY BUYER (S): APPROVED BY SALES: ? ,.. RELEASED TO START CONST.: F?s??? Cities Di it? a1 Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ,?, -4 4 I EX7ERIOR Et7VEi.9PE AUrRAGE `'U'' f:OF1PUTAtI(It! pl?r??R? ??? _":==?J.L??,.,?? ?-----..??__??^i._..__..?._--•--.._.._._,.__._-. 51'E ADttRESS: - ?? CMITitACTf;ft• UA7'E: ' . DETEfiNINE NURKItIC SOIJAftE FOOTpGF OF EACN: F.o. n: PHONE: - s z r?c 1. T07AL EXPOSED llpLL AREA, ..... .__.,...L ? I.,_..??_ SQ f C x'rUii F r 2. TOTAL RUUF/CrILlNG AREA........ s q r[ x^ v ? 3• 707A? EvAPOSED 11p.I,L AAER CaICULP.T;0N6: Total exposed walT area above floor.,...,. 2 j'i? s fr a) ? Total MAl1 wtndow arca: q C7l71?'?FLE gla2r.d..... ,r f "y ft x "L"' - - -? qiazed..... 6) Total doar area sr, ft r. "If" -A, C} Total slldinq qlass dcnr ar>a: .• 9lazed...... sq ft x ..U., 2 7 ,P . glazed...... _`.. sq ft x "U" d) , .Total Ftreplace wall area sq fe x "U" e) Total wall Framing area (Ayeraar 70a) ... . .. , .. sq pe x pc71? P) Total net wall area above • Floor (Insuldted)....... ? ? %?°1 sl ft x "U" _ . ?- - 9) Total rlm jolst atea...... -"` sq ft x "U" Total Foundatlon area (Exposed).......... ^-- / / 3L_.,. _ rtn F? h; 7o[al Foundatlan wlndcw area... ......... ..--- ij 7,?Cal net `oundarinn /? area a6ove qrade........ gq f ; 3' T Otn ) i L a thru ) ?` ?'-°^ -?3 ?5 the sane as, r,r la,s, C`ian i:em ,%I, na, r t`?e i YVU C R;C. nteht eF and 0. 7 To C31 r?{»,eti q nwF!•:r. f t Iny ?rr,. . .. f • ., . >k/11 rcof/a_!lln?l ?=-?a•.:-? ?//? ?..._..?.-?/•_3._':1 T CSdI f7P! IFlSl1l8:^d ?,/ rcof;callinq n^ea...... _?????,? sn `: c ??Ulf ?,;JT ??. . l-or,u. }) r•:, ,i C3S?? ? 1 f rotn I5 tht. SamT a5, u,' l1r. +qu 6avc, mct lP,e InFrnf oF _1 sad 0. :l 'J?, i?... .. . . •? kl.?ifi?.,?•. . _, i ,i :f. ' . . .:ii.C'. . ?[.i?',II ,?:I?i, ????? __:? f GI':d41. . 219 `L .--- .?. 215-1__._---? ? ?. _.._.. 35,4Pl.__--- .. _.,_.._.Z??z ? -- " i' ?... .. _... 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DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w/o, spli[ eMry, lookou; etc.) • Directional drainage artows wdh slopelgradient °.L • ProposedlexisUng sewer and water serrices 8 invert elevation • SheM name • Oriveway • Lot Square Footage • Lot Coverage ELEVATIONS Existing ? Sewer service (or Proposed) V o ? Property comers ? . Top of curb at the driveway : • Elevations of any ebstng adjacent homes ? Adequate footing depth of structures due W adjacent utility trenches Prooosed / m', ? • Garege floor m? ? ? . Firstfloar ? o ? lowest exposed elevation (walkouVwindow) ? ? ? Property corners tr/ ?? • Front and rear of home at the foundaton PONDING AREA (if aodicade) / ? ra' o • EasemeM line m/? ? • NWL r?a?/ }? ? . HWL ? ? ? • Pond # designation ? M."? • Emergency Overflow ElevaOon m/ ? o r,r' o ? s/o ? C3 ? ' g ? G?o DIMENSIONS • Lot 6neslBearings & dimensions • Right-of-way and street width (to hack of curb) • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring petmanent footings) • Show aU easements oT record and any Cily utifiUea wifhin Mose easements • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures • Retaining wa" .°^ui•°m°^'° N °^,• Reviewed LOT SURVEY CHECKIIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: L3t O(?.k 3 (?5)4!!RR",i('E -} y f7??DATE OF SURVEY: I- 7- O(0 LATEST REVISION: March 1989 cnA0eL0cPnW.Fea CITY USE ONLY LOT C?_ BL ? PERMIT #: '7 ???"? SUBD. VWf I KJl"POf &RECEIPT #: RECEIPT DATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IQdOH RD EAGAN 2•IIT 55122 Date: 651-681-6675 Complete this section on if you aze installing HVAC in a single' family dwelling, townhome or condo under construction and not owner/occunied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outleu (minimum of one required @$3.00 ea.) $ 110.00 " 6.00 _ 3 o0 State Surcharge .50 Total $ e 9s!U Complete this section onlv if you are remodeline, addine to, or repairine an existing single.family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. _ New _ Alteration _ Repair _ Other Air conditioning _ Furnace _ Air exchanger Other Fee $ 30.00 Ctate Surmt!arge .50 Total $ 30.50 Reminder: Call for inspections SIT'E ADDRESS: a OWNERNAME: xtk-? `4& PHONE#: IJS?? - 4<saSo10G oa?S- INSTALLER NAME. ryk?C PHONE #: ? ?DE) / STREET ADDRESS: /? YP/ (AREA CODE) CI7'Y: STATE: 171 v! ZIP: S,5?3 7O ??? ??SIGNANRE OF PERMITTEE ??? L _ BL _ SUBD. APPROVED BY: INSPECTOR RECEIPT DATE: PERMIT #: RECEIPT#: 2000 b4:CHANICAL pERMIT (CO1+MRCIAL) CITY OF EAGAN 3830 PILOT 1QN08 RD RAGAN, MN 55122 651-681-4675 - -- -- Please complete for: all commercial/industrial buildings multi-family buildings when separate pertnits are not required for each dwelling unit DATE: WORK 1'YPE: _ New construcrion Install U.G. Tank _ Interior Improvement Remove U.G. Tank _ Processed Piping When installing/removing underground lank, caU 651-681-4675 jor inspection by fue marskal and plumbing inspector. Description of work: Fees: 1% of cantract price OR $30.00 minimum fee, whichever is greater. ^' W --- Underground tank removaVinstallation = minimum fee ------ - ? --== -. ...... Contract price: $ x 1 % = S (Base Fee) ' - - - State surcharge celwlate at $.50 for each $1,000 Base Fee TOTAL CITY USE ONLY , $ SITE ADDRESS: OWNER NAME: TENANT NAME (IIVIPROVEMENTS ONL1): PHONE #: (AREA CODI? WAS TfERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER ADDRESS: CIT1': PHONE #: (AREA CODE) STATE: Z[p: 1 SIGNATURE OF PERMITI'EE ? L BL ? CITY USE ONLY sUao. (I 6±J2Ai? 3 rO RECEIPT #: ? aa °I (Y3 RECEIPTDATE: O? PERMIT # -3 ` -L ! I 1499 PLU141BINfi PFRM1T (WISIDENTIW cirY oF EAsniv S$SO PILOT KNOB f[D f.A18l4A. MN 55112 (651)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL B2th tub s 3.00 x = $ Floor drain 3.00 x = $ G25 i in Outlet ' minimum - 1 3.00 x = $ Hot tu6/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 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 = $ 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 = $ A/V Water heater 3.00 x = $ Water Softener if dwellin under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> ---> ----> $ .50 Total --? --? ----? ..--? $ ?3 Reminder: Call for Inspections of alterations, i.e. water heaters, water softeners, etc. - - - - -------- • - • ---------- ----------------------------- • ---------------------------------------- ---- -------------------------------- - City- of Eagan ordinances. I Aereby acknowledge that I have read this appliption, state ttiat ttie infortnation Is correct, and agree to comply witti -all applicable- Il is the applicanCs responsi6iliry lo notiry the property owner that the City of Eagan assumes no liability for any damages caused by the Ciry during its normal operetlonal and maintenance activities to the facilities,consVucted under this)pertnit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME: : INSTALLER NAME: TELEPHONE #: (AREA CODE) TELEPHONE #: L?A'C ( R ODE) STREETADDRESS: ?J ( ?l?XIS--a CITY: STATE: ZIP: T l Ag,?+ / af/l? SIGNATURE OF PERMITTEE 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) 4?H7?- CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-1675 Reaufremenb > ? ?2?, i '?c ?s oa9487 DATE: S-! 1-OC7 CONSTRUCTION COST: I DESCRIPTION OF WORK: 'tZk21,LAU& L0.A'n L4??esi. rin,is?iF mukl-family bldg., how many unih? IPoDICATE THE FOLLOWIPIG EQUIPRflEPlT TO BE REPLACED APID BY WHOPA: ? Plumbing _ Homeowner or Coniractor Name _ Mechanical Homeowner or Coniractor Name ""NOte: If somebody other fhan the homeowner is performing plumbing or mechanical work, ihey must apply for appropriate permii. Only licensed plumbing coniractor or homeowner may complete plumbing work. STREET ADDRE55: LOT: (3 BLOCK: 3 SUBD./P.I.D.M: OA[CWn6OkPi 3rj Name: AhlbQjSY,h cc Phone PROPERTY Lasf Flrst OWNER d Sheet Addresa: -1 lze O??"LQ^J1?i?rrL.4 / ?- city 1:6" q k.) sme: zip: SS 122 Company:_?v?.l? ?oM?S Phona#:&s/-'E-S2^52c30 CONTRACTOR (area code) Sheef Addresa: ? SS M67JDOlA 0??6005 pD License # I371 Exp. 3^2oo r citi MaKn07.+ Wi--14y417-c srare: Mt.t ziP: ssrzo R??E??TFD AUG 2 3 2000 BY:_____ I hereby acknowledge ihaf I have read fhia appllcaNon, sfafe lhaf the IrtformaNon is corteef, and agree to comply wflh all applicable State of Minnesota Stafirtes and Cfly of Eagan Ordinances. Signalure of Applicard: ? ? ? ? OFFICE USE ONLY BUILDING PERMIT ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex WORK TYPE O 31 New ? 32 Addition ? 33 Alteration ? 34 Repair SUBTYPES ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 08 06-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. 0 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 No. of Units No. of Buildings Const. (Actual) (Allowa6le) UBC Occupancy Zoning # of Stories Length Width 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 Booster Pump PRV ? 31 Ext. Alt - Multi ? 33 Ext. Ait - SF ? 36 Multi Surveyor's Certificate .. SURVEY FOR :PULTE DESCRIBED AS : Lot 9, Block 3, OAKBROOKE 3R0 ADDITION, City of Eogan, Dakota County, Minnsoto and reserving eosements of record. ±5 ? OElv ? / : ? PRep roQ jj? 433.0 ME". S?? ?C N p O ph 97$-? 4 ? o qy,? 34 S??Q3'p?„0 r (D - t p o g ,? ? h ? Ro Poy.ed ? o ^ M ? 5?1 '0? 9 1.. pcwb ? ry ? z4 co 6 9 /o ySv U? p \. ? zh 100 n v o v? ; 0 O N 03 PRep qti?,5? ? TogQ ?33.o i LOT SQ. FOOTAGE = 3,608 HSE. SQ. FOOTAGE = 2,100 LOT COVERAGE = 581'o ? Av. Plan {/ 17944 PROPOSED ELEVATIONS Top of Foundation = 933.0 Garage Floor = 93/.8 Basement Fioor = 9zN•6 Aprox. Sewer Service = `fl'(.S Proposed Elev. = G Existing Elev. _ Drainage Directions = - Denotes Offset Stake = . HEDLUND PLANNlNC ENClNEERlNC SURVEYlNC 2005 Pin Oak Drive Eogan, MN 55122 Phone: (651) 405-6600 Fox: (651) 405-6606 ?i > ?f POND BP-35 NWL=912.0 HWLa921 0 ?[ ?? !i 0R0 V 0 U f.4RE-QUORED ? BENCHMARK, MIN. SETSACK REQUIREMENTS Front - House Side - SCALE: 1 inch = 30 feet Rear - Goroge Side- J06 N0. nno_.nncncrtco? ?cnnrr inri inio u r? inuc rvv wnn¢?? OF THE BOUNDARIES OF THE ABOVE DESCRIBEO PROPERTY AS SURVEYEO BY ME OR UNDER MY DIRECT SUPERVIS10N AND DOES NOT PURPORT 70 BOOK. PACE: Sh10W IMPftOVEMENTS OR ENCROACHMENiS, EXCEPT AS ,OWN. OATE ?? CAO FILE: ? E EY LINDGREN, LAND 5 VEYOR j i E A UCENSE NUMBER 14376 OAKBROOKE RILELEs??ED =-EQ J 1 2000 ûû ÿþ þýý üûøüû úýýøûîñõõ åîû áâå 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 õ ü æââ òæîû ú í ã íÿ äöáâ ÿäöò àâßâææââæ ûùÿ í øø ë ô ÿ ôøù øøûý ëä ýü óùë ÿî ì øø÷ ôýÿü üùýÿü PERMIT City of Eagan Permit Type:Building Permit Number:EA128112 Date Issued:10/27/2014 Permit Category:ePermit Site Address: 4128 Oakbrooke Tr Lot:9 Block: 3 Addition: Oakbrooke 3rd PID:10-53762-03-090 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 - Ross W Andrusko 4128 Oakbrooke Tr Eagan MN 55122--420 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature