4133 Oakbrooke TrAddress 4 i3-a fl a k h r n n k a r,- Zip 55122_
LAt 3 Blk 2 Sllb Oakbrooke 3rd Addition
THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Perrnanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from [he plumbing system and the shuboff of water supply W
the oufside lawa faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sptinkler system. ?
White • City Copy Yellow - Resident Copy Pink - Contractor Copy
W C ? OF EAGAN
?-?-
?
\
CA
IER:
DATE: JS
04/20 T RMI AL
/00 TIME: NO:
09 775
:32:36
ID:
NAME: PULTE MASTER BUIL?ERS
2252 9220 4133 OAKBROOK T 30.00
3210 9001 4133 OAKBROOA T 853
75
3866 9379 4133 OAKBROOK T .
100
00
3422 9001 4133 OAKBROOK T .
554
94
2275 9220 4133 OAKBROOK T .
1,089
00
3446 9001 4133 OAKBROOK T .
11
00
2155 9001 4133 OAKBROOK T .
0
50
3743 9220 4133 OAKBROOK T .
50
00
2155 9001 4133 OAKBROOK T .
40
00
3868 9220 4133 OAKBROOK T .
492.00
i"R127039 ** CONTINU
USER ID: J AN ** CONTINU
**x?*??*??*??*****??***??**?***?**:r?***
*?*??*??*??*??***t,t*?*,t*****??* CONTINU
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 775
DATE: 04/20/00 TIME: 09:32:37
ID:
NAME: PULTE MASTER BUILDERS
3716 9220 4133 OAKBROOK T
3713 9220 4133 OAKBROOK T
3865 9220 4133 OAKBROOK T
114.00
50.00
840.00
Total Receipt Amount: 4,225.19
CR127039
USER ID: JAN
"'?++++a.++.r}?y.a.+**.k***ir***:F***:F***k*****
,/ • ?
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cfTr or e,acar
3830 PILOT KNOB RD - 55122
` 851-881-4875
a a reasroroa sro arvan toynng ey. rt a wt, w. rt. a na,w
Gntl gH roofetl Grew fZ0% maximum bf eaveraae allowadf
D 2 caplet d pkne (show baam d wlndow tlzes; poured hW, tlas(grr afc,)
D t set of enerpy ccleWUlbtn
D 3 capka d hea proarvaMan plan M Id Pkftd aRw 7/1193
DATE: '? - ?0-c)u
DESCRIPTION AF WORK: N\A?
srnEEr nDoREss: ?\ 33 C?.?ti.?,r W?
LOT: ? BLOCK: 2L--, SUBD./P.I.D.
PROPERTY
OWNER
ARCHITECT/
EN6INEER
?
Nan'?e: Phone
LaM flnt
?O? tipu0
Sheet Addreaa:
citY
State:
co,,,pa„y,
1-?A- ?•?`?i-?
SheetAdcUeaa:\?5 0
CHy I?pt%k't,? \K\rq ? S-?SN? Stafe:
Company: Name:
Telephone t: ( )
Sheet Addreaa: Regishaflon s:
citY
Sewer/water licensed
$ q1?5p I°i
('''st1 ed?
s copie: a Wan
1 iet ot energy cdculallan for heaAad addnora
1 aia wner ror wdanw aamnon. a decw
CONSiRUCT10N C05F.
Stuf6:
ZIP: b
ZIP:
Phone#: U?) N"\-4,-
1 hereby acknowledpe Mqt I have read Ihts appilcalion, afafe itwl ihl albn b careZ and a ee b eomply wNh aL app8ooble Sfate
of Minneaofa SMfutes and CMy of Eayan Ordinaneea. ?
Sowture of AppIIrnM:
?
OFFICE USE ONLY
Certlflcates of Survey Received a Yes _ No
Zip:
Pr,cne r:\L\-_ Q1q4 - (":;-RgR
(area eode)
_ ucense r 13`l \ Exp, 3 3?` V 1
,.. - 7
Tree Preservation Plan Received _ Yes - No 4- Not Required N)
v
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 FoundaUon O 07 Orrplex
A 02 SF Dwell(ng O 08 06-plex
O 03 01 of _ plex p 09 07-plex
? 04 02-plex p 10 08-plex
O OS 03plex O 11 10-plex
0 06 04-plex O 12 12-plax
WORK TYPE
?Q 31 New
O 32 Addition
O 33 Alteretion
E3 34 Repair
7k;',s'
5-? o
O 13 16-Plex p 21 Porch (3-sea.)
O 17 Garage [3 22 Poroh/Addn. (4-sea.)
O 18 Dedc O 23 Porch(screened)
0 19 Lower Level O 24 SWrtn Damage
rlbg _Ya_N 0 25 MiscellaneouS
0 20 Pool 0' 30 Accessory Bldg.
O 36 Move Bidg. O 43 Reroof
O 37 Demolish (Bldg)' p 44 Siding
13 38 Demolish (Interior) p 45 Fire Repair
O 42 Demolish (Foundation) O 46 Windovus/Doors
• Glve PCA handout to applicant for demoliUon permit
GENERAL INFORMATIO4
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning -12M-
# of Stories ? sq. ft.
Length sq.ft.
-
-
i?k
Width n I
`
Footprint sq. ft.
Basement sq. ft. Census Code
Main level sq. ft. MC/ES System
(sq. ft. o City Water
sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Ptanning Building T'rrZ,v Engineering Variance
/
O 31 Ext Ait - MuHI
O 33 Ext Alt - SF
O 36 Multl
Permit Fee Valuation: $?
Surcharge
Plan Review
License 3 3? r
7,2
? r
1
MC/ES SAC
citisac
Water Conn. ???
fc ??Q
Water Meter
AcCt. Deposit
S/W Permit
S!W Surcharge l ?
Treatment PI. •
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
r
ir. r-
, Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS ; Lot 3, Block 2, OAKBROOKE 3RD ADDITION, City of Eagan, Dokota County, Minnsota and
reserving eosements of record.
LOT SQ. FDOTAGE = 3,168
HSE. SQ. FOOTAGE = 1,811
? L0T Ci-VERAGE = 577o
?oH ov o F27 ?' ??'.? ??
?11500/F".rE?T
??s? ?O? -
'SwAPL7
Home ?
b RA ?,C9? T49
j
?k? f Il.?.?
? 13
??0
?
Plon # 17931
PROPOSED ELEVATIONS
Top of Foundation = q33.7
Goroge Floor =932,5
Bosement f'loor = No
Aprox. Sewer Service = ytY•`/ f"
Proposed Elev. _ =:>
Existing Elev. -
Drainage Directions = -
Denotes Offset Stoke = .
SCALE: 1 inth = JO feet
BENCHMARK,
MIN. SETBACK REQUIREMENTS
Front - House 5ide -
Rear - Gorage 5ide-
JOB N0:
HEDL(!HD I HEREBV CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-OBB
OF THE BOUNDARiES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER M7 OIRECT SUPERVISION ANO OOES NOT PURPORT TO BOOK: PACE:
PLANNINC 6NClN66RING SURV6YlNC SHOW IMPROVEAIENTS OR ENCROACHMENTS. E%CEGT A SnOVmi.
2005 Pin Oak Drivg
Eogon, MN 55722 DATE ?/30/op CAD FiLE:
Phone: (651) 405-6600 ROID L R
Fax: (651) 405-6606 MiNNE50TA LiCENSE NUTABER 14376 OAKBROOKE
?
"Ir-l-tidtu APR 1 4 2nnn
?,?.,
• r .
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
OAKR
DA"
noN
?
P
)V . ,
.?
-
O
PROPERTY LEGAL
h DATE OF SURVEY: 3-?? 00
w
w ?
LATEST REVISION:
?
N
0 DOCUMENT STANDARDS
o? a
? • Registered Land Surveyor signature and company
? • BuildingPermRApplicant
? • Legaldescnption
m/? ? • Address
01-?o ? • North arcow and sple
?o o • House type (rambler, walkout, split w/o, spli[ enVy, IookoK etc.)
?p 0 • DirecSonal drainage arrows with slopelgredent °k
?? ? • ProposedJexisting sewer and water services & invert elevation
V? ? • SVeetname
Vo ? • Driveway
m"?o ? • Lot Square Footage
m/o ? • Lot Coverege
(
ELEVATIONS
/ Existin
?d/ ? ? ? Sewer service (or Proposed)
y? o Property comers
d? ? • Top af curb atthe driveway
: 0 ? • Elevations of any exdsting adjacent homes
?? Adequate footing depth of structures due to adjacent utilily Venches
Procosed
V-C ? • Garage floor
m/? ? • First floor
? ? ? ? Lowest exposed elevaUOn (walkout/window)
p? ? ? • Propertycorners
qA ? • Front and rear of home at the foundation
? /I
? m? ?
? r? a
?
? ?
o ?
?? ?
?? ?
0/O u
m? ? ?
? tY ?
March 7999
CRAICilBLOGPRMf FM
PONDING AREA (if aodidble)
• EasemeM line
• NWL
• HVVL
• Pond # designafion
• Emergency Ovefiow Elevation
OIMENSIONS
Lot IinesBearings 8 dimensions
Right-of-way and sVeet width (ta back of curb)
Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i e. all strudures requinng permanent footings)
Show all easements of record and any City uGliGes within those easements
Setbacks of proposed structure and sideyard setback of adjacent exdsting strudures
Retainingwallre-`-----"- `-'y
Reviewed:
?' •I.-[a t: i. 1.? ?M1r.? •? '!.1? ,., j " ' ??
'?9'S?? ;;?1'i???r .:it? :,??r:la ?.a'u ?? , .. p , - , •?/ /' `--?
l.??:t...; •?'t?i;,t?;',.?. ;. . 11 . .
, .
j+ EJ?7ERiOR ENVELOPE AvERAGE 11U. COMPl1TATI0N
4j?', !?!I; ' ?•.*?ij??-?•"?E???9',? .. ? - ?, ? .
OIJH[R:
s,tTe nanae.ss- , ' . . -szoo
'OATE:. ? PHONE: yrL
CONtMCTOR:
DETERNINE HaRKING.Sa.UARE Faa7AGE oF EACH:
7
TOTdL EXPOSEfI NALL AR£A, , , , , . .. s9 ,tt x i!p
. ,, ---?--
?
•,r??,.{; - -
::;:i:'.,,; ;j2. TOTAL ROOf/CEILINC AtiEA.......... 13 3"'. sq ft x?????- ? •
T?1TAL EXPOSEO IIALL AREA CALCULAT10N5: .
" ?,;., • • ' , .
? Total expcsed Wall
fl sq f}
?
area a6ove aor,,,,,...,....... .
C •
a) Total wal) wlndaw area: • ?
DOL?BLE 9lazed...... / aq ft x????? , r'lU . 7
? a ?
glazed,,,... sq ft x i Ull
- , ' }q ft x
6) Total door area ,,.,....+ ?- - •• •
c) Total slidlfi,q glass doar area: "" • I
? q ft x nU?? ?jO _ ° _ •- ?T-
s
bOUP?L? 9lazed...... ?
Sg ft X uUji '-_'-
gtaxed.....
? r
r,., ? . .
r`
r s•: ?f? ; ;
S? F7 t?. 1'Y i
? i.
;.
Vf 7 i :
sq ft x "U"
d) Total flreplace wall area
e) Total?wall fram(ng area sq ft x"U" OqZ °--J*-
,
(Average IOR)..... .....?
f) Total net wal) area above
floor' (Insulattd)....... 5q ft x ."U"
. ? eq
g) Total rim Jolst area......?_ ft x °Un
•? ? ?..
?-•- m =
Total Foundat(on
(Exposed).......... s4 ft
erea
h) Tocal' faundaelon ' Ssq ft x"U" ' •??
wlndow araa............. ?-
I) Total net foundatlan sq ft x"ll"
area above grade........ __Ze?
TOtAI a) thru f)
e ?
?
? --
...... -?---
y I.v
3•
.',., •'
IF Item ,q7"(s the!same as, ar less than ftem A1, You have met the intent aF
2 FICAA 1.16008 A and 0. '
?, ..,
page 1
i. ??i??,{? :.- ? '1? . . • . : .
.?, ..t? . ? . . , , i .. ? ),?,?.• , ?
a ;
"°` TornL. ¢xPnsen; aao? cEiunr caLcuuATiaass
?.?
Totat' expn3ed?i
.?, sq ft ? a
rooP/cetl 1i'9} area.«.........
? i'??,•i?l.`?r. ;ix, ?FG: W
'?Fv,.:?t:?, Total'
k) Total roof/celllhq fram(ng ? ? ?' ' •3i5
area (Averaae• lOR) .. .. .. . l ?J" . 'eq ft x ??U??
1) Total net insulated sq ft:x .,QZZ
roof/eellinq area.......?
SotAL',..j.): ° t;h ru ° • 1. ) ?
_
If tota) of 14 Is the same as, or less thaa.62, you have met the',Intent'oF
2 HCAR 1.16008 A aad 0.
..
? J
. ; pITERfJATE BU 1 LD I tIG ENVELOPE I1E51 GN
. To utllize the tota) enveldpe system method, the values establlshed by'the sum
af iteme 63 and 14 shail,not 6e greater than the sum of icems bl'andp2•
+ 2.
3. /D
i '
, . . ,,?• .,1'?'Pt:;s, ,.
, • r ,i
,?? . , ? ; i ? •
?
C E R 7' i F I? C A T I 0 N
- -'
I hereby eertify lhat`1 have caledlated the l'U"• fantors and "it"
values hereln and'thi!"lki4bUiid1no here ?deycr(bed meels orlexeeeds the State,
of Hinnesota Enerdy Consetvatlon Act?,,-,` ?'' '; ' '
?• • ' ? . . . ? ''.''°? 14'??? v
S lqna ture
, ? . . ? ' ' Y1'NF ° ?,??i ?' "t• I , ' 'r? ? ? . '?` ?. .
' • ' ' ' ?' 4 ? / /
/ c "7
i
(oa[e) ' .,
• '
R VAIUE
• . ' 41ALL FitAHINC SECT1109:1;1.:i
1 (nterf^ar1"1at'e??'Pyi?y'1/Mry/1"???? ? n.6n ??I?'??ii;l
i
C?WOtld
c.Z
49
A 5??+,•a
f+ ExteriorT, +4: ' ?.17
TOTAL R
U + 1/R
,
.._. . ;
?
11ALL SEC710M (INSllLATEO)'' s , ?i: "?.
1 Interiar aIr ffini.?
2 ? /7 U ! ??T.IZ?C.L?.?_'_?. ? . d^^'? . .
tai ;l ; 14 Do ; ?
, ? ? •?? ? 3 ? I I 'SLJLA'T1t0
41713UIL?fTJ'iy_:_ I!' v i 7_010
?.
, ? ' , 5 AI Uk? ?IDI??,?:.'r,
6 Exterlor al r. :i 0.17
.,,TOTAI R m 77 97
? • U?1/R°•C?
R1N JOl•ST SELTiON:
• 1 Interfar afr film n.bn
2 p-19 I i'YJLd'flnQ I(1 C(J .
J... ......--43 ?? e .?a?'?' ?xil7rn.. ' ' -• ?'?? , ;
4 ; Z?/i'l' Rt ] I "TFZ .:i ' ? 7 .L`Ce
? 5;
i
;? . ?fi! Exterior air lm 0.17
J-
' FObNUATIUN?INSULATIOtI REQUIRED:
Min11-5i an entite Natt OR 1/a
M#n.'.R=ltlidawn',tu frost_depth
d, A.,
; , . ?. ?FDUNDATION 5ECTION:
e; .', . 1 fnLerior air film i .n.6A .
kA.
: , ? ?
r ? i?t ? ? Q .. ?• ? , .? i ' ?? ?n??C ? ? ?L? ? i
i.?? r /? ? Exter l or a t r;. I 1? n. 17.
aiM?r'h ? (v^ .?j,:1, t?'?15: • ? 1 11 A
l?il ?
r' ' : .e•-• ' ?, (6, c ? I ?, ,?_.:.:.?'? ?
4 ?;ITIT{IL tt' !! -(1,± ??
u ? ??R ? .IV rb
SlA9 ON GRAOE
a' q
' ' ., ? + ? I ,,.
a:•,? f?
i ' . : , d'.• , • . ? Heated' S1abs: , •4'. . 1 „? :?.,,I?'? UI1L
Ld?
h it2d slabs:'' .i;:??? ?-?;yd?:.)' G j.,..:Minimum R ? 6,2 ?:?,.? ? ? ? ? t'.
a•? Page.3 .
. . • ,
' ? ? ? • ,? ? •? ?: ? 1 / ?1 ?'. ' ?7 ? , :1 ? . ' . . ' , ^
n ?
?r.: ? : _...?. . . .
?
?
t
4
J' .
VENTED
: CEI U Ht; SE
I' In
? 2i ?
,3 ?
. y. . Ex
toN a vn?uC:.IN
I ? •"? ? ; , ?f?;;i?
(QN!'I(IIISUUt7ED) :
rlol''11r?`:F1lm;
•-a1lcr-ntlr V_
eriow ftr film: sclli) n.?i? t
_ ' •i ; ?` :3 :? ,TOTAL R. .. . 78? ;
p1/R-?_' .
i ;CEILINC FRAMIN6?S?L`i'l,ON:!?V ? '
t'..'Int`?rtor'?tC!'P.itMi, '
z -5H?= w! 7 7
3 r7. -?_i I I.LUI I-'la
q Incerior air f lm ' stiil
5 ? /z tnehee eo _t wood
,. . „
n
? •
, r TOTAL, n - i 1. 07
' `U- T/R-.(??
CM
I
?•? .
?,,.. .
?
CEIL1pG SEf.7fON (INSULATED):
,
%
L 1
I ;? 3
1• Interfor air fi.lm n.61
3 ?
4 Exterlor air Film I-TF 0.61
TOTAI R >
i --?-
.
? 4
V ? I /R
p
, , • ' ?i ' . . ?'; ' ' •
CEILINr.'FRAHINR.5EC7'tOft:
1• Interfor!alf ftlm' n.bi
VENTED ?i ?, ; ?,-
;
:, ? : ,, '`•??:
. ? q:Exter or!aj .;;rrtp;: sr ?If ' n. ! ?.
r?
? Inche3', so t?waod
! TOTAI R s .
V ° I/R o ?-
i
, I Inslde alr film n•Fl
Z i '
Outstde air film
IZTOTAL :R
U- I/R?_ ;
Page 4 '
CITY USE ONLY
LOT ? BL ? PERMIT #: 4000
06
sU13D. OQkbrookej 3ra xECEirr a: /3 o°w`6
RECEIPT DATE: 5' I 5' U?
2000 MECHANICAL PERMIT (RESIDENTIAI,)
CITY OS EAGAN
3830 PILOT IINOB RD
EAGAN MAI 55122
Date: 651-681-4675
Compiete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
constrvction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one requ'ved Q$3.00 ea.)
State Surchazge
Total
$ 30.00
6.00
.50
$ 2.?
Complete this section onlv if you are remodeline, adding to, or reoairine an existing sing(e-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration
Furnace
Air exchanger
_ Repair _ Other
Air conditioning
Other
Fee $ 30.00
State Surchazge .50
Tbtai $ 30.50
Reminder: Call for inspections
SI7'E ADDRESS: 11_?72 CJC.(./Cb4pC)iCf_ ? / ' -- -
OWNERNAME: ?U/ 'k /`?"DYY(?S PAONE#: C?.S7 - '5????
AREA CODE)
INSTALLER NAME: ?/YIiY1/d7? PHONE #: (!?-
. . 1. (AREA CODE)
STREET ADDRESS:
CITY:
SIGNATUFRE OF PERMITTEE
(0&65-
ZIP: ?Sr?7?
STATE: 14ILl-
4.)aa,e
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #: _
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAI. PERMIT (CObMRCIAL)
CITY Olo' EAGAN
3830 PILOT RNOH RD
EAGAN, bII1 55122
651-681-4675
Please complete for: all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK T'YPE: New consWction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When insta!ling/removing uxderground tank, call 651-681-4615 jor Jnspection by fire marshal and
plumbing inspector.
Descrip[ion of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: E x 1%= $ (Base Fee)
State surcharge calculate at $50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
O'VVI3ER NAME: PHUNE if:
(AREA CODE)
TENANT NAME (IMI'ROVEMENTS ONL1):
WAS THERE A PREVIOUS TENANT IN THIS SPACE7 Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
PHONE#: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMIT7'EE
CITY USE ONLY
3
SUBD. O?M?!?yOCJ?(.. ?
RECEIPT #: ? ? Vf g
RECEIPTDATE: S/-?4' O
PERMIT# qv2V
8000 PLUM$INfi P£fiMTf (fiUIDENTIAL)
crrY oF gwsArr
3830 PILOT KNOB iiD
rnsM, buN 55122
e51-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH
#
TOTAL
Alterations to existing dwelling - minimum fee
Descri6e:
$ 30.00
Bath tub $ 3.00 x z = $
Floor drain 3.00 x i = $
$
Ga5 i in outlet 'm1nimum-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 3 = $
Se tic S stem newlrefurbished • re uires MPC IIc. 75.00 x - $ ?
Se tiC S Stem abandonment 30.00 X $
newinsWllatioNrepaidrebuild 30.00 x
3.00 x
$
N
inklar itdwellin isunderwnsWCtion 3.00 x $
inkler if istindwell 30.00 x
3.00 x $ '
heater 3.00 x = $ ?
Water softener if dwellin under consvueaon 5.00 x - $
Water softener if exiscin dwemn 30.00 x x _
Water turnaround 30.00 x - --
> > 50
?
State Surchar e .50 --> --- ---- .
Total --> _> ---? °--> S S C7
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------------- • ----- ------- ----------------------------•-••--•--
-p-6le City of- E-agan ordinances.
.
•agree lo comply with all- appli-
•
-
-
-
-is•
-
-
-
-correct and-
-
-
•
- w--tion-
- this- -
- ,- stale- thal-the•informaUon-
--appli-
. edge-•
- I•h- av-e-read-
• that•
I hereby ecknowl-
It is the applicanCS responsibility to noUfy the properry owner that the City ot Eagan assumes no liability for any damages caused by the City during its nortnal
operational and maintenance acGvities to Na facilities wnstructed under this permit within City properry/rightof-wayleasement.
SITEADDRESS: %Z 7J 3 G?i??L(J?GD?'? 7-1(
OWNER NAME: : 6'"GG TELEPHONE #:
(AREA CODE)
INSTALIERNAME: TELEPHONE#: 61-Z
STREETADDRESS: (AREA CODE)
CITY: ?Ol?G??? STATE: z1P: y 5 3 y ?
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SIGNATURE OF PERMITTEE
1 CITY USE ONLY ) a q 55?J
L BL /I RECEIPT#:
S?eo. l?ak li rno??Pi ?1'GI RECEIPTDATE: o c)
PERMIT # 0 795"1
? 2000 PLiJMBINfi PERMiT (RUIDENT7A1.) ?
crrYog eAsRrr
3830 eaor KNos en
E,a?enta, buv ssi zf
651-681-4e75
Please complete r: ? single family dwellings
D townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkier system
cnru
TOTAL
IA1 VRGJ
Alterations to existing dwe 'ng - minimum fee
Describe: ?
$ 30.00
Bath tub $ 3 0 x = $
Floor drain . 0 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
$0 fiC $ stem newlrefur6ished ' r ulres MPC c. 75.00 X -
- $
$ '
?
Se tic S stem abandonment 30.00 X = $ ?
RpZ new installation/repaidrebu 30.00 x
Rou h o enin = $ ?
Shower 3.00 x
=
$ ?
Under rounds rinkler ifdwellin isunderco trucOon 3.00 x = $ ?
Under rounds rinkler ifexisun dweuin 30.00 x = $ ?
Water cioset 3.00 x - $
Water heater 3.00 X / = $ ?
W ater softener if dwem unaer eonsvucaon 5.00 x
Watersoftener ifexis dwellin 30.00 x - $
$
Watertumaround 30.00 x > ' 50
$
State Surchar e ,50 --> --- ---- .
Total --> -> -->
Reminder: Call
----- -------- -
I hereby adcnowledge thIt is the applicanPs res
operational and mai n
SITE ADDR S: .
OWNER N E: : ,
INSTALLER NAME:
of alterations, i.e. water
rve read Mis appliption, stale Nat the infortnatlon is corced, and :
liry to notlfy the property owner that the Ciry ot Eagan assumes na
activitles to the (acilitles consWCted under fhis permit within CiTy
water softeners, etc.
.
. .
-••------------------••----.
• Cily of Eagan ordinances .
? cprnply with all applica0le -
,for anv damages caused by the City during its nartnal
?
TELEPHONE #:
TELEPHONE #:
STREET ADD ESS: lJ(//l7f <2"/ 4??G /!k,/U r z z `
CITY: STA
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ZIP:
SIGNATURE OF PERMITTEE
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105941
Date Issued: 08/06/2012
Permit Category: ePermit
Site Address: 4133 Oakbrooke Tr
Lot: 3 Block: 2 Addition: Oakbrooke 3rd
PID: 10-53762-02-030
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Krech Exteriors Inc Heinz G Gutmair
5866 Blackshire Path 4133 Oakbrooke Tr
Inver Grove Heights MN 55076 Eagan MN 55122
(651) 688-6368
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128111
Date Issued:10/27/2014
Permit Category:ePermit
Site Address: 4133 Oakbrooke Tr
Lot:3 Block: 2 Addition: Oakbrooke 3rd
PID:10-53762-02-030
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 -
Heinz G Gutmair
4133 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:EA129758
Date Issued:03/11/2015
Permit Category:ePermit
Site Address: 4133 Oakbrooke Tr
Lot:3 Block: 2 Addition: Oakbrooke 3rd
PID:10-53762-02-030
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 .
Description:15 Sq Re-Roofing
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 -
Heinz G Gutmair
4133 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