4142 Oakbrooke TrPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128554
Date Issued:11/18/2014
Permit Category:ePermit
Site Address: 4142 Oakbrooke Tr
Lot:2 Block: 3 Addition: Oakbrooke 3rd
PID:10-53762-03-020
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 -
John R Simplot Tste
4142 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:EA128557
Date Issued:11/18/2014
Permit Category:ePermit
Site Address: 4142 Oakbrooke Tr
Lot:2 Block: 3 Addition: Oakbrooke 3rd
PID:10-53762-03-020
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 -
John R Simplot Tste
4142 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
Address 4142 0 a k b r o o.c e-: r Zip 55122
Lot 2 Blk 3 Sub Oak'brooke 3rd
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: - --e52;2- Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ,x
Sod/Seeded grass X
TraiUcutb dsmage x
Porch ;
Basement finish
,
Deck
Please verify with the builder the removal of roof test pps from the plumbing system and the shutoff of water supply to
ihe outside lawa faucet before freeze potential exisis.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Residenl Copy Pink • Contractot Copy ?
Siteaddress: 496-?blZaGe /"a? ( Lot °2 Block?3 Subd. CJ?4?Y?r?
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 structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
? OR
This structure: will he constructed to meet more restricfive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Healer ? aY4? MZMS d
Fumace ?]t?b a_a( Pc- r Sy OF1O Uty-c
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen e 18?Owt:) a? ?
Bathroom 1
rYtQ;? b?
-v -os - VQ_
?3 0 r/
Bathroom 2 ? w t k
- ?! p S O
S? ?
8afhroom3 -arb 0.v-? S"/_$o is p ?
8athroom 4 ? L(
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
oiRECi A7MOs
v ,n,uGCa?? Q?-r2-? a7
MAKE-UP AIR MODEL TYPE CFM's
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
W_?
Signatu,r?j I _ f U f?'CwYtrS,
CompanyName
bI y4Z
Date
" This form is the responsibility of the General Contractor.
? l) f ? J?CGk ?
QCk?Ore?ke 3ra
?- w '-( 9 0 () n
? RESIDENTI ? ee
?y?g3?
BUILDING PERMIT APPLICATION MP* 14 9139
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction ReauiremeMs
. 3 registered site surveys showing sq. ft. of lot, sq, ft of house; an?ll roofed areas
(20% maximum lot coverage aWwed)
• 2 capies ot plan showing beam & window sizes; poured found design, etc.)
• 7 set of Energy Calculations ,
3 copies of Tree Presenation Plan if lot platted afler 711193 ?
. Rim Joisl Defeil Options selection sheel (bldgs wdh 3 or less uniCs) ?
DATE RII ()oZ
JOB SITE ADDRESS *f q"2 ()a-t6rcx::,te_
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
RemodellReoairReouirements
. 2 copies of pl2n
• 1 set of Energy Calalatlons for heated addNOns
• 1 site survey for extenoradditions & decks
. Indipie rf home served hy septic system for additions
VALU/YION t 000
?7 1 (Q
(!Qe,?a,)- -cj
U?
y'
PROPERTY OWNER -
TYPEOFWORK.?9C--vJ
APPLICANT
ADDRESS
PAGER # (-I Z- 3 CELL FrHONE #
?,a /9. 7`/
7U. So
pPal-I $vNO 90.50
FAX # 6t5 I
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESO'PA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
L
e ? -°q/a(
C/a-S?
PlumbingContractor: Vax
y I'l 20
U^ Phone#: '
Plumbing System Includes: Wa r SofLener _ Lawn Sprinkler ree: $90.00
Water Heater No. of R.I. Batkis
No. of 13aths
Mechanical Contractor: &-?IS u; Yt h?a'Ahq ENy? Phone # '75-) ?X" ?00 5-
Mechanical System Includes: _ Air Con ' oning Fee: $70•00
_ Heat Recovery System
sewer/water Contractor: 11461o t?-roA--- L? 2? Phone # -?aa -a-938
All above information 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 Ordinances.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
FIREPLACE(S) _ 041 _ 2
_ PHONE# 4Q-3v9-a &fl 7
ZIPCODE SSI? ?
OFFICE USE ONLY
? 01 Foundation
)< 02 SF Dwelling
? 03 01 of _ plex
? 04 D2-plax
? 05 03-plex
? 06 04-plex
? 07 05-plax ? 13 16-plex ? 20 Pool
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 10 08-plex ? 18 Deck ? 23 Porch (screened)
? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
O 12 72-plex Plbg_Y or _ N ? 25 Miscellaneous
x 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Cade
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
X, C)U (I
7
r° t
!
I
?^N
? 30 Accessory Bldg
? 31 6ct. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Impravement ? 38 Demolish (Interior) ? 44
? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45
? 37 Demolish (Bldg)* ? 43 Reroof ? 46
*Demolition (Entire Bldg only) - Give PCA handout to appllcant
C
J- /
Occupancy -
?
MC/ES System
Zoning p
/ p Ciry Water
Stories Booster Pump
Sq. Ft. PRV
Length ?-O `' Fire Sprinklered
W idth _ S l_
Siding
Fire Repair
W indowslDoars
-x::
REQUIRED INSPECTIONS
x Footings (new bldg) X FinaUC.O.
_ Footings (deck) FinaUNo C.O.
Footings(addition) _ Plumbing
? FoundaHon _ HVAC
_ Drain Tile Other
Roof X- Ice & Water X Final Pool Ftgs Air/Gas Tesu
?
? Franung
Fireplace g R.I. _ Siding _ Stucco _ Stone
X. Air Test X Final
Windows (new/replacement)
Insulation -
Retaining Wall
Approved By
Building Inspector
Base Fee -------------------------------rr---------------------------°---------
Surcharge
Plan Review
MC/ES SAC /
73 Y ,.,/
j`"? 9?5Y
?
-7
/ Z' G 3C
!
Ciry SAC CC2 G (.(
Water Supply & Storage
S&W P
it & S Z ? ? c?.. f ?
n J 1? J? t?
erm
urcharge
Treatment Plant
Plumbing Permit ? ?v
Mechanical Permit (
License Search
Copies
Other 3 2?? 30 ---
ToWI ?
--
`70, .s-6
,
MDL'h 1: COMPLIANCE REPORT
Mi_nn " 'i Energy Code
M19r' :':,[Cware Verfiion 3.0
Coir1 .': nakota
STnV ili nnesota
ZOAi!' C0191 "], "TION TYPE: Single Family
DA7'I " '+-2000
Dn-ir •,_ rILArrs: e/3/00
T1`I i i'r' CSTAL SLAB EL.2
pt:.,0; I' ![dFORMATION :
Oni i 1'r;
Ci-,P11 1 ' -t 7 ''F., t PASSES
Permit #
Checked by Date
pr.; . . I nn = 421
y, r. - 318
211 i -r' Than Code
Area or
Cavity
Cont. Gl.azing/Door
Perimeter R-Value
------ R-Value U-Value
---------------
CE 1' " ------------- - ------- - ----------
" 1342 ---
44.0 0.0
WAI.f. r,'nod Frame, 16" O.C. 1538 19.0 2.0
350
0
GI,i'• : Windows or. Doorg, Above Grade 188 .
350
0
DC(,i
ST.7+' ' 38
I-"ORS: Unheated, 42.0" insul. 170 .
10.0 1
gV?.- ' 11'I PMENT: Furnace, 92.0 AFUE
--------
----------------------
CoM!'i ----------------------------------
i)MrCE STATEMENT:+ The proposed building -
deeign ges ibed Isere ia
conr-i• ?.-nt with.the building plana, specif4
'' atiot".r. c1; ?'??Salculatione
been
suhm ii li
r_r•d with tho peftit'applicatiofi. ?
des ?m ,-<3 to meeC the Vequirements bf the Mii't ne9o er cidl:
I
j? Date
Bz,i t : i r';iesigrxer
?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: L o? 2 SIdr IC 3 OaKhr. nkf.
DATE OF SURVEY:
LATEST REVISION:
d
?
c
m
U DOCUMENTSTANDARDS
Y ¢
O 2 o
Q
"
/ ?
0 ? • Registered Land Surveyor signature and company
R ? ? • Building PertnitApplicant
? ? • Legaldescription
V/0 ? • Address
H" ? ? • North arrow and scale
0 • House type (ram6ler, walkout, SpIR w/o, split entry, bakout, etC.)
v/ ? • Directional drainage arrows with sbpe/gradient %
? ? • Proposed/existing sewar and water services 8 invert elewation
fd? ? ? • Street name
? ? ? • Driveway
E? ? ? • Lot Square Footage
v /? ? • Lot Coverage
? ? • Benchmark
ELEVATIONS
Exis6n
C#/? ? ? • Sewer servfce (or Proposed)
? ? • Property comers
m/? ? • Top of curb at the driveway and property Iine extensions
?/? • Elevations of any existing adJacent homes
o ?d/ ? • Adequate foating depth of structures due to adjacent utllity trenches
? [9' 0 • Watenvays (pond, sVeam, etc.)
/ Prouosed
[?' O ? • Garege floor
u/? ? • First floor
p// ? ? • Lowest exposed elevation (walkouUwindow)
[9/ ? ? • Property comers
d0 ? • Front and rear of home at the foundation
PONDING AREA (if aDolicable)
mentline
• NWL
0 ?
? ?O • HWL
? l?/? • Pond # designation
? [9` 0 • Emergency Overtbw Elevation
DIMENSIONS
t9/ 11 ? • Lot IineslBearings & dimensions
v/ O? • Rghtof-way and sVeet width (to back of curb)
f? o? • Proposed home dimensans inGuding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sfructures requ'uing pertnanentfootings)
/?? • Show all easements of record and any City utilities within those easements
Cr o 0 • Setbacks of proposed struau2 and sideyard setback of adjacent exissting sWCtures
?/? ? • Retaining wall requirements, if any
Reviewed:
Name
/ Date
Surveyor's Certificate
SURVEY FOR :PULrE
DESCRIBED AS : Lot 2, Block 3, OAKBROOKE 3RD ADDITION, City of Eagan, Dakota County, Minnsoto and
reserving easements of record.
FEH I I REC'D
r )
r C 9
?..
?..
I r ll
- 3,168
_ ?,811
5 7?
????N
PiVEVV?D
BY - - (?I4-' ----
z
? qi"" - - - - ---
BuiLDIn;G INSPEGTIONs DEP3
S/L 1 `rW Gr
?
5? w U' 6
Rr ,,-
?
? O ? ? J ??
L0T SQ. F00TAGE
HSE. SQ. FOOTAGE
LOT COVERAGE _
Plan # 17931
PROPOSED ELEVATIONS
Top of Foundation = q3co,o
Garage Floor =934,q
Basement Floor = 'q/n
Aprox. Sewer Service =q22•3
Proposed Elev.
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
HEDLUND
PLANN/NG 6NG1NE6RINC SURVBYINC
2005 Pin Ook Drive
Eagan, MN 55122
Phone: (657) 405-6600
Fax: (651) 405-6606
BENCHMARK, rNHE? 3F9/3
Eieo:931.(v1
MIN. SETBACK REQUIREMENTS
q3q o
SCALE; 1 Inch m 30 feat
Front - House Side -
Rear - Garage Side-
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF THE BOUNOARIES OF THE ABDVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY OIRECT SUPERV1510N AND DOES NOT PURPORT TO
SNOW IMPROVEMENTS DR ENCRO CHMENTS, E%CEPT AS SHOWN.
DATE _ ? /? ?QZ ? •
F EY LINDGREN, LAND S VEYOF
I NES A LICENSE NUMBER 14376
N0:
OOR-091
OAKBROOKE
,S'urveyor's Certificate
SURVEY FOR :PULrE
DESCRIBED AS : Lot 2, Block 3, OAKBROOKE 3R1) ADDITION, City of Eagan, Dakota County, Minnsota and
reserving easements of record.
fl S i3?i ti!
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RECEIVED
JUL 10 2002
EAGAN
?w 44 ,,,ENGINEERING D'EPARTMENT
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939.8 44•QQ
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LOT SQ. FOOTAGE
HSE. SQ. FOOTAGE
LOT COVERAGE _
Plan # 17931
PROPOSED ELEVATIONS
Top of Foundation = qs(o.o
Garage Floor =q34,q
Basement Floor = N/n
Aprox. Sewer Service =92z•3
Proposed Elev.
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
ASBl7 b-13-02
93bA
935.3
SCALE: 1 in<h = 30 (eet
= 3,168
= 1,811
5 77o
BENCHMARK, rNHtD 324/3
Ele.? : 93?.'0 ?
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garaqe Side-
??????? I HEREBY CERTIFY THAT TNIS IS A
OF THE BOUNDARIES OF THE ABO\
BY ME OR UNDER MY DIftECT SUPI
PLANNING 6N49I1VEBRINC S(IRVb'YINC SHOW IMPROVEMENTS OR ENCRO (
2005 Pin Ook Drive
Eaqan, MN 55122 DATE 1_1/3 1/02
Phone: (657) 405-6600
Fox: (651) 405-6606
CORRECT
N0:
OOR-091
TO
14376 I OAKBROOKE
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153904
Date Issued:02/01/2019
Permit Category:ePermit
Site Address: 4142 Oakbrooke Tr
Lot:2 Block: 3 Addition: Oakbrooke 3rd
PID:10-53762-03-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
John R Simplot Tste
4142 Oakbrooke Tr
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature