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1627 Oakbrooke DrRESIDENTIAL ` BUILDING PERMIT APPLICATION CITY OP EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConsGUCtionReaulrements RemodeVRenairReauirements - • 3 registued site surveys showing sq. R of l06 sq. R M lause; and all roofzd areas • 2 copies of plan (2(1°I°? maximum bt coverage allawed) . 1 set of Energy Calalations for heated additions • 2 copies W plan showiig 6eam 8 windav sizes; paired found design, etc.) . t sile survey far e#eria additbns 8 decks • 1 set o( Eneryy Cale IaGons • 3 wpies of Tree Preservation Plan R bt plaqed atter 711193 . Rim Joist Defail Options selection sheet (bldgs wiN 3 or less unils) 17p.o0 Called 3-M-01 #Vi ' DATE 3'I 3 'o I VALUATION (EXCLUDING LAND) .,JB SITE ADDRESS Io?--7 0al?rdeke-- k'?kri ?e-- IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY TYPE OF WORK APPLICANT ACC)Zc? -5q04/_- PHONE # CP? ?- 3(c4 ?-?/ ADDRESS PAGER # CELL PH6NE #(c?a"3?' FAX # CODE 5_51c;'? NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNFSOTA RULES 7670 CATEGORY 1 (? -, (check one) - Residential Ventilation Category 1 Worksheet Subm ? l?7 - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 , i New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing S}•stem Includes: Mechanical Contractor: _ Dlechanical System Includes: Sewer/Water Contractor: _ Water Softener _ _ Water Hea[er _ No. of Baths Air Conditioning Heat Recovery System Phone # Phone # Fee: 590.00 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 ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appllcant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 1101 Phone #: I.a?im Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex E3 05 03-plex ? 06 04-plex ? 07 OS-plex ? 13 16-plex O 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex A 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool O 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Stortn Damage ? 25 Miscellaneous ? 30 Accessory Bldg O 31 Ext. Alt- MuIG ? 33 Ext. Alt - SF E3 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Ent(re Bidg only) - Give PCA handout to applicant Valuation 26OD Occupancy iP- 3 MC/ES System Census Code q3 ? Zoning ? City Watei SAC Units a_ Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const S? Width Footings (new bldg) Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation REQUIRED INSPECTIONS FinaVC.O. ? FinaUNo C.O. _ Plumbing IIVAC Other _ Pool _ Ftgs _ Air/Gaz Tesu _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved ByM_, Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanicai Permit License Search Copies Other Total , (?) L_ -!:> O ak,van-m ? `4'"? l-1' `1 H Lf L--4 ?f (? RESIDENTIAL BUILDINC PERMIT APPLICATION `t -1 CITY OF EAGAN CI0 i?;-O 91-{ H({ j 3830 PILOT KNOB RD - 55122 651-681-4,675 New Construction Reauirements c'"? RemodellReoair Reouiremenls • 3 registered site surveys showing sq. ft. of IoC sq ft of house, and all roofed areas • 2 copies of plan (20% maximum lot cooerage allowetl) . 7 set of Energy Calculations for heated addinons . 2 copies of plan shovnng beam & window s¢es; poured found desgn, etc.) . 1 site survey for extenor addillons & decks • 1 setotEnergy Calculapons • 3 copies of Tree Preserva6on Plan if lot platted after 711193 . Rim Joist Detail Options selechon sheet (bldgs with 3 or less units) DATE VALUATION (EXCLUDING LAND) 1?`?/ ??? JOB SITE ADDRESSIP-) 0 IF MULTI-FAMILY BUI PROPERTY OWNER i TYPE OP WORK ? APPLICANT PAGER # R FIREPLACE(S) " YES _ NO ?U ts u WCoi, k PHONE# CELL PHONE # ?? - 3b ? njl FAX # 16S_1' ?y9 `i2 1 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilatlon Category 1 Worksheet Submitted - Energy Envelope Calculatlons Su6mitted V MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor. VAl l?) ?l fL4V<'`Y c- Phone #: Plumbiag SysCem Includes: Water Softener Iawn Sprinkler Water Heater 1 No. of R.I. Iiaths ? No. oF 13aths Mechanical Contractor: b4echanical System Licludes: Aic Condilioning Hcat Recovery Syslem Sewer/Water Contractor: 8d(0 Gc,,n44pl1?-??1?c y ?ISZ-y-y2-Z)?1 Fee: $90.00 Phone # 5 Sgti V- Fce: $70.00 Phone # ? ( 1" ?2 4- )_y 3? All above information must be su6mitted 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. ?? ?ri? n MF? n Slgnafure of Appiicant Certificates of Survey Received ? u ) ?'k- _ HOW MANY UNITS? Tree Preservation Plan Received Updated i/Ot OFFICE USE ONLY .. , , -? ? ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ipl, 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-seaJ ? 31 Ext. Alt - Multi ? 03 0 1 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Muiti ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous r 31 New 0 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 Wintlows/Doors ? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation / a ,?? v ? Occupancy d-3 MC/ES System Census Code z? Zoning f-b City Water SAC Units D? Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nhr. of Bidgs ? Length Jr? Fire Sprinklered Type of Const ? Width ?Z 2_ REQUIRED I NSPECTIONS )0 Footings (new hldg) ?C FinaVC.O. _ Foorings (deck) FinaUNo C.O. Footings (addition) plumbing ? Foundation HVAC ? Drain Tile Roof _ Ice & Water _ Final Other ?G Framing _ Pool Ftgs Air/Gas Tests Final Fireplace _ RI. Air Test Final _ _ Siding Stucco Stone _ ? Insulation _ Windows (new/replacement) Approved Byt46, , Building Inspector Base Fee Surcharge Plan Review MGES SAC city sac Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Totdl C??l?klS ? I?SSG m° C[7oXS`?r fo3) /YG 0e a 21:0'L 6s 77a /-L ?.Z xl la = 7? 3?02 ?" a? Addtess1627 OAKBBOOKE DBIVE Zip 55122 Lot 6 Blk 3 5ub OAK&ROOKE 4TH THESE ITEMS WERE / WERE NOT COMPLETE AT TfE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Ft, Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify with the 6uilder the cemo al of roof test caps from [he plumbing system and the shut-off of water supply to the outside lawn faucet before freeze poten6at exists. Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy 4 -:-1z2lo 1 7? ?.?co% . ??w? ? PULTE HOMES OF MINNESOTA CHANGE ORDER DATE: 8/5/00 JOB NO: 0320-206-03 COMMUNITY: Oakbrooke SF BUILDING ADDRES 1627 Oakbrooke Drive MODEL NAME: Sterling MODEL#: 18232 abQ? Swa??- LOT: 6 BLOCK: 3 UNIT:O ADDITION: 2nd phase CITY: Eagen STATE: MN ZIP: 55122 ELEVATION 1 GARAGE: Left BUYERS NAME: Gary & Lori Swanson CURRENT ADDRES 5493 Franklin Ave CITY: white bear lake STATE: MN ZIP: 55110 HOME PHONE: 651407-1579 BUSINESS PHONE: 651-215-6804 BUSINESS PHONE: 651-635-1912 SALES REPRESENTATIVE: joy Alsides PHONE: 0 TOTAL FROM PREVIOUS JIO OR CHANGE ORDER $5,000 1 18232 Sterling m2-2.g CjCJ ####ht# 1 11012 FULL BASEMENT - WALK OUT $3,850 1 79021 Full ViewAluminum Door $150 1 25000 Dble. Interior poor $260 7 25014 Clnst. DRS. w. painted Trim $2,560 1 28046 Cabinets raised panel $1,015 1 14007 1 st carpet pad $215 1 14122 2nd carpet upgrade $1,875 1 40027 Laminate Foyer Area $1,025 1 40029 Laminate Hall $400 5 17024 Ceiling electric opening ali bedrooms,loft, family roo $500 1 23007 3 Ton A/c $2,350 3 32012 N Jack $150 3 32020 Phone Jack $150 1 10030 Upgrade Dishwasher $355 1 17083 R.I. microwave ouUet $100 1 36019 Waterline for icemaker $125 1 26040 Painted wood railing $150 1 26045 Painted wood railing $540 1 36039 Water Softernerloop $240 1 21008 Gas Fireplace w. BRIQUETTE 06L/Iv- fZ 4,250 TOTAL 55,250 THIS CONSTITUTES A CANTRACT BETWEEN THE SELLER AND THE PUCHASER (S) FOR THE ABO\ S5EMS. APPROVED B Y BUYER APPROVED B Y BUYER APPROVED B Y SUPERI APPROVED B Y SALES: Builders License # 0001371 SUL-27-2000 14:42 FULiE HCMES P.?"?'/,22 NNoheck CaMFZIAIVCE REPpRT MinnPepta Enezgy CodQ Mgaheck 8oftware version 3.0 CaUN'1'Y: Dakata STATE: Minneeota 7AA'P; : 2 C:ON3TRUCTION TYPE: Single Family aArE: 7-27-2000 bATE QF PLRNS: 7;'25/00 TITLL: oakbrooke Sterlirg with Lookout COYAPLiANCE; PASSE3 Required UA = 532 Yovr H4ttte - 963 24.2% Better Thar. Code Permit # Chec ced by Date Area ar Cavity Cont. (3lazing/Daor Perimecer R-Vaiue R-value U-value ----------- --------------------------------------------------------- ^-'---- CEI7,TNa9 1218 38.9 0.0 "r1A:,L9; Wood Frame, 16" O.C. 2673 194 2.0 1 BSMT: Cana. 9.0' ht/8.31 bg,•`9.0' inaul 1047 11.0 0.0 t3LAZINO: Wixioaws or poora, Above arade 402 0,350 1 I100R8 38 0.350 FLWRB: Over OutBide Air 49 38.0 0.0 FNAC E(Z*JTBMENP: FLrnace, 93.0 AFUS ---------------------------------------------------------- ----------------- COMPLIANCE aTATEh1RNT; 'I,'he propoaed building degign describsd here ig coneiater.,t with the building plan9, specificatians, and othar calculaCione submitted with the perrnit ap liear.icn. The propoaed building has been aeeigned to men'?innesota 3nergy ccde. Builder/Dea Date 7 'r/ TOTR! F.f32 , LOT SURVEY CHECKLIST FOR RESIDENTIAL , BUILDING PERMIT APPLICATION PROPERTY LEGAL: Lar G3 O,9,f'?3RaOKE? 412? ADDi%/ON DATE OF SURVEY. /- 30I ?J N LATESTREVISION: Z- -7'41 ? w ? n DOCUMENTSTANDARDS 0 ? 4 v ? n .a Ei ? • Registered Land Surveyorsignature and company 2' ? ? • Building Permi[Applicant t9K ? O • Legal description C ? ? • Address Vo ? • North arrow and scale Ca' 0 0 • House type (rambier, walkout, split w/o, spld entry, lookout, etc.) ?? ? • Directional drainage arrows wdh slope/gradient % ?Y ? ? • Proposedlexisting sewer and water services & invert elevation a7' o ? • Street name V? ? • Driveway 0' ? ? • Lot Square Footage d ? ? • Lot Coverage ELEVATIONS Existina a, ? ? • Sewer service (or Proposed) ?' ? ? • Property comers fY ?? • Top of curb at the driveway SY ?? • Elevations of any existing adjacent homes ? GY ? • Adequate footing depth of sUuctures due to adjacent utility trenches Prooosed Ef/ ? ? • Garage floor ? ? ? . Firstfloor iy ? ? • Lowest exposed elevation (walkouUwindow) /? ? • Property comers sK ?? • Front and rear of home at the foundation PONDING AREA (if aoolicable) ? ? ? • Easement line NWL ? ? ? • HWL ? ? ? • Pond # designation ? [i?/ o • Emergency Ovefiow Elevation y? ?? ? ? H.?o ? f8-'0 n 1] ?9/ ? DIMENSIONS • Lot lineslBearings & dimensions • Right-of-way and street width (to back of curb) • Proposed home dimensbns including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring pertnanent footings) • Show all easements of record and any City utilities wdhin those easements • Satbacks of proposed structure and sideyard seffiack of adjacent existing structures • Retaining wall requirements, if any , , Reviewed: Z-2Q-c?I / Date Merch 1999 r.aninmi nr.cwrar cM . r Surveyor's Certificate SURVEY FOR :PULrE DESCRIBED AS ; Lot 6, Block 3, OAKBROOKE 4TH ADDITION, City of Eaqan, Dakota County, Minnsota and reserving easements of record. ri? < ,- (7 De ' aa2s WETLAND NWL=926 0 HWL=9267 ? id V FOL \ ED ? • r s::'.GA:bi .9.2 `G ?"ivM; r, fiLNTG DEPT. I \\\? Ss e ?? ?sai \ \? S2F ? M ?? \\\ ZI ? I / .\ h \ \ oQo p?3\G a `S1?T ?NC? Exist. Home I? I_I TOB =990.0 -_ i r ? i ? ? f I ? -, ? ? ? / / /4 Exist. Home roe =997,1 ? ? \ i i ? LOT SQ. FOOTAGE = 13,186 HSE. SQ. FOOTAGE = 1)770 LOT C0VERAGE = 137o rDomi '?=QU0 ?° ED L Plan # 18232 PROPOSED ELEVATIONS Top of Foundotion = 943.5 Garage Floor = 4q3,I Bosement Floor =93q,5 Aprox. Sewer Service =929,5! Proposed Elev. = 0 Existing Elev. Drainage Directions =- Denotes Offset Stake = . SCALE: 1 inch = 30 teet I 14 ; BENCHMARK, TNH@ 14,1 5/5 Efc,) = 937.4Z MIN. SETBACK REQUIREMENTS Front -25 House Side - Rear -15 Garage Side- JOB N0: HEDL?lN? I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTAiION OOR-382 OF THE BOUNOARIES OF THE ABOVE OESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PA6E: PLANNlNC ENGINdBRlNC SURVEYINC SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS OWN. 2005 Pin Oak Drive Eagan, MN 55122 DATE Zi1?Q ?• CAD FILE: Phone: (651) 405-6600 ? o LINDGREN, I.AND VEYOR OAKBROOKE Fax: (651) 405-6606 I NES A LICENSE Nl1MBER 14376 Site address: ?6°`7 ? Lb/Z?Dkc- Li' '4ctot aM Block QL3 Subd. ?`'?tCb-aeZ--- 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 consGucted to meet minimum requirements of the Mn Energy Code, Chapter 7670 oa ?This structure: will be constructed to meel more resVicGve requirements of Ghapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL 8T0'S . VENTINGTYPE Water Heater /r wi 7rl 1?1157,1ty Furnace ?,/ r a. 350 N?Avo3roo'e2? Sf?6? ???'=t Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YESNO Kitchen kitchen Bathroom 1 * Bathroom 2 F ?/ ` a5 1?o 5a Bathroom 3 (fX.e N .5V ^ g a 60 Bathroom 4 Other fIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING OIRECT nih7o5 MAKE-UP AIR MODEL TYPE CFM's I hereby acknowledge that the above information is wrrect and agree to comply wifh the Minnesota Energy Code and City of Eagan requirements. Signature -v CompanyName Gll?// Date ' This form is the responsibility of the General Conlractor. Surtieyor's Certificate SURVEY FOR ;PULiE DE5CRIBED AS : Lot 6, Block 3, OAKBROOKE 4TH AODITION, Ci4y of Eogan, Dokota County,,Mlnnsoto ond reserving easementa of record. c?6 ? -? . (_ +. : h1 fYETLAND NN1,=928.0 n . N'ML=9287 ?\?? ,;• ?roI \?? `SR ?+I \? 3S• ? a? ??? F? I Exlft. Home I *Q31.1 TOB =940A / \\N, s, ?q 9 '`. s L__ r ft,?{, ?39.3 •0p 9 qd' . ? EKfet. Home POB -4q7.1 LOT SQ. FOOTAGE = 13,186 HSE. SQ. FOOTAGE = 1,770 LOT COVERAGE = 93% Plon 111 18232 PROPOSED ELEVAT(ONS Top of Foundotion = 943.5 Garage Floor = 443.1 8asement Floor =93q,5 Aprox. Sewer Service =929.61. Proposed Elev. = 0 Existing Elev, Droinage Oirections =- Denotes Offset Stake = . SCAIE: t tnch = 30 }aet ? T / i? BENCHMARK. rNH@ Iq,is?s Ele,)- 937.42 MtN. SETBACK REQUIREMENTS Front -25 House Side - Rear -15 Garage Side- . JOB N0: H?????? I HEREBY CERIIFY 7HAT 7HIS IS A RtUE AND CORRECT REPRESENTI171OIJ OOR-382 OF 1HE BOUNOARIES OF 7HE A80VE DESCRIBED PROPERT' AS SURVEYED BY ME IXt UNDER NY DIRECT SUPERNSION ANO DOES NOT PURPORT TO BOOK: PAGE: PLANNlNG 6NG1NSdRINC SURVdYING SHOW IMPROVEMENTS OR EN OACMMENTS, E%CEPT A5+? OWN. 2005 Pln Ook Orlve ?1 ?f Eegon, MN 55122 OAiE ..Y../_r.,/Q J CAD flLE Phona: (661) 406-6800 0 UNOIXtEF, uN0 `?'? OAKBROOKE Fax (651) 405-8808 _? Q? I E A uCENSE NUMBER 14376 ?, -qU, oc) Civ of Ealo 383p Pibt Knob Road Eagan MN 5512P Phone: (651) 675-6675 Fex: (651) 6155694 asz4i o ?------ --------? i Pannit 0, I C .lS./ ? I PwM Fec ' ? ? °eteaecec'e&- ? t ? ? Staff: ? ? -------------°-' 2008 RESIDENTIAL BUILDING PERMIT APPUCAI'ION ode; '0 31 I 8 site adaress:l kbrook Tenant: Phwo: fn? I -(?g?-`T38b address / Qay / zp: ,vWc=ls: _owrm TYPE OF WORK Description of wo& c,w?coet. OONTRAGTOR 1?Zl MuiaFsmilY &0.ft: Cyes -.i No )?_j AWt6SS: - ? + - • 5508Q - Phone: G61• ??il•?S_di? __ Cortact Person: COMPLETE TNIS AREA ONLY IF CONS'TRUCTING A PIW BUILDfNG 6!innewte Rules 7670 Cateaorv 1 , MinnASOM-S "Y Code • RoMMU VetN+CM" 1 WaW" • New 6reW Code Waksheot caw9ory &b'Ved 5ulxnil? (J submissfon type) • E^ew ?w oft? s&ww in m. msc 12 =nmo, has rno Citr of EMm+ ism" a v811111t sw a simimr vm^ bas?d on a mast« vian? _Yes _NO If yes, da0e end address of inester L,ieensed Plumber: Mewankal Cond'aotor: sewer & wsaer Contractor. ?. - i here0y adawwledga tlwt tluc bda'rtallon is canplete arod amura0e: tlo tfa vak wq{ bo Mmftmem whhl the adnerm m0 m0es oT 4r m start wltlaut a pann? tl?el tlie waAc wID 6e in ?I wim WWWOW me ?ro?ea ft v?+ ?? a? r feew ??? ? o? P? x CAMhu.c A x \1\ . ?L?-- ,opnW,rs arufta Nam apPli=+ra SionStUM Poe I a 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA120146 Date Issued:01/21/2014 Permit Category:ePermit Site Address: 1627 Oakbrooke Dr Lot:6 Block: 3 Addition: Oakbrooke 4th PID:10-53763-03-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . 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 - Gary L Swanson 1627 Oakbrooke Dr 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:EA122557 Date Issued:05/12/2014 Permit Category:ePermit Site Address: 1627 Oakbrooke Dr Lot:6 Block: 3 Addition: Oakbrooke 4th PID:10-53763-03-060 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 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 - Gary L Swanson 1627 Oakbrooke Dr 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:Mechanical Permit Number:EA143147 Date Issued:06/05/2017 Permit Category:ePermit Site Address: 1627 Oakbrooke Dr Lot:6 Block: 3 Addition: Oakbrooke 4th PID:10-53763-03-060 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Gary L Swanson 1627 Oakbrooke Dr 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