1644 Oakbrooke DrAddress 1644 Oakbrooke Dr Zlp $512 2
I.ot 3 Blk
Sub Oakbrooke
TfESE ITEMS WERE / WERE NOT COMPLE'TE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspedor:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway X
Permanent gas x
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish X
Deck
Please verify with the builder the removal of roof test caps from the plumbing sys[em and the shut-off of water supply to
the outside lawn faucet before freeze po[ential exists.
Contact engineeting division at 6814645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy w
2008 RESIDENTIAL BUIL
Date: ' ?' v Site Address: 1 ?
Tenant:
?-----------------
? Fo1rofhce_Use
; PeR„it # g3? 3 zi? ;
1 Pertnit Fee:
? I
? Date Received:
j Staff: ?b I
I ------------------
G PERMIT APPL CA ION
??oo? ?
Suite #:
RESIDENT! OWNER Name: Phonj,,nq5-j 'e0 33+77
Address / City / Zip
Applicant is: _ Owner 1- Contractor
TYPE OF WORK Description of work: K'F. q 0 d?
?y?^ OO
Construction Cost: ?[.J 0 Multi-Family Building: (Yes No
CONTRACTOR Name: License #. 7, 0 Z194 b b
Address: -Z.47q. m1t61bD Dr 1^
City?W ? ?N/ O OC? State:Zip:
Phone:(05-1 Z..-7 L4 l9i 43 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Categol'y Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting, documents that you,submif are,considered fo.6e public informafion. Portions of =
the informatfon may. be classified es nort public if yodproyide specif11c reasons that would pe,rmit the City, to
conclude thaf"ihe are t de.secrets.'
I hereby acknowledge that this infortnation is complete and accurate; that ihe work j%dwois nce with o n s and codes of theCity of
Eagan; that I understand this is not a permit, but only an application for a permito thout p it, that the work will be in
accordance with the approved plan in the case of work which requves a review and ?
X?o?•r??.??,rSb1'?
ApplicanYs Printed ame A pplicanYs Signature
Page 1 of 3
7 ? CITY USE ONLY
L ? L RECEIPT #:
SUBD. RECEIPT DATE:
PERMIT #
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN, tMI 55122
651-681-6675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
ee
FerW I1
TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Descrihe:
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurbished 'requires MPC Ilc. 75.00 X = $
Septic System abandonment 30.00 x = $
RpZ new insWllation/repairtrebuiW 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling undar consVUCtion 5.00 x =
= $
$ ?
Water softener if existing dwelling 30.00 X
Water tumaround 30.00 x $
State Surcharge .50 -> --> --> $ 50
rotai -> --> >
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby aGafowledge thet I heve read this application, slate ttNal lhe iMorrnation is correct, and agree to comply with all applica6le City of Eagan ordinences.
it is the applicanYs responsibility to notify the properry owner that the City of Eagan assumes no liability for any damages wused by the City during its
normal operational and maintenance activities to thg faYlities cogstructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY: ? -? STATE: W 1'\ ZIP-
,?'L?
SIGNATURE OF PERMITTEE
y'('ji& _ TELEPHONE#: l4Sl _
(AREA CODE)
Site address: f \N ,V t- Lot J Block ? Subd.
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 sWCture: is constructed to meet minimam requiremenGs of the Mn Energy Code, Chapter 7670
OR
?This structure: wlll be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE ? GAS ELEC MANUPACTURER MODEL BTU'S VENTING TYPE
Water Heater ? .f. '( ? ?.S e
Furnace i/ 3s0/+/A0036 0 60 9')00 Q'/I'e'-r
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
res r+o
Kitchen kitchen Sb ,1?,Ye Uhl?-4
Bathroom 1 9 /Q/OG n S8011
?
Bathroom2
Bathroom 3
Bathroom 4
Other
,
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
oinecr atn+os
??, ?i ?,t,?l Glow ? ?a o7 R- ? Joo
I hereby acknowledge that the above informatlon is correct and agree to comply with ihe Minnesota Energy Code and City of Eagan
requirements.
"\ J,? bZua"t.yl
Sigpatur?,
r1 ru 1 •t ?,L
Company Name
/?/?6
Date
This form is the responsibiliry of the General Contractor.
w +r 1-+ U 1? (o (
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
• crTr or EaeArr
3830 PILOT KNOB RD - 55122 ` i? ?
851-881-4875 C f1 (1 „ ?- ( S -? \ -
Naw cerum,onon Reaidre? ?•?ApJ ??_j
D 3 reofl6Nd tlt6 wrv6yf tlawlnp 841 Of bt t4 R. Of hanY 4 o0plas d Dlm
Cnd gi roOletl arow (1076 maximum lot coveraae albwedl 1 sOf of 6ner0Y cdadoXOru tor haated addlllom
D 4 coples d Pkus (show bean d wintlow alzes; poured fn0. dadgn; etc.) 1 ftte wneY tor axleAa adNtlarq ! decb
D 1 w10f anerpy capadatlOro D S copiet d hea prownalbn plan q bf plaMaG arm 7/1/93
unTE: ?? 10 ?Ob corisTR ucnoN cosr. 1X)?
DESCRIPTION OP WORK: -9ti 1_
SiREETADDRESS: I6W- OPrI CI3l2O-?iCr- DYiV-t-
LOT: 3 BLOCK: ? SUBD./P.I.D. t: 06IC9 720010F?
Name: Phone 0:
PROPERTY wd fliat
OWNER
Sheef Addreea:
CNy
Sfafe:
Zlp:
Co,,,pa„y; p1/N'e &Vhe s o7' iChl/ CuY?O Phone e: 0/
(area code)
coririu?croe sn«tnaarewi3ssi9Pnk?S dSts Mmtt.. JJ-a uo.nse r L3Exa• 3f 11?0??
C,ml /V1U11Ab41 llyts $1G}9' /VN jjp; V.S7C.t7
ARCHITECT/ S-r/ ?? ? ?T.S ?7?o0?L
ENGINEER Company: Name:
TelePhone C (
Sheet
Clly
State:
Zip:
Sewedwater licensed plumber (H installina aewarhvater): 4jImpUadUSfl1IG Phone #: 6, i? ,?9a-1? 21
I herebY acknowledpe ihaF I have read Ihis cPPlicalW, dale Mwt ihe 6Nortnation 4 carect, and ayree fo oumWY wHh al appBCable Sfate
of Minneaota Stafutea and CMy of Eapan Ordinancea.
S,gnaturaof A???nt.
Gs1-q?,?'-a?
OFFICE USE ONLY ? 0?
CBrdflCetes of Survey Received ? Yes _ No
Tree Preseroadon Plan Received Yes, No ,[11Y 1 Not Requtred ,\ n
Regiafmfbn #:
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? Ot
K FoundaUOn O 07 05-plex
02 SF Dwelling O OB O6-plex
O 03 01 of _ plex ? 09 07-piex
0 04 02-piex O 10 08-plex
O 05 03-plex p , 11 10-plex
0 os oaplax o 12 12-plax
WORK TYPE
ji( 31 New
O 32 Addition
El 33 Alteration
O 34 Repair
O 13 16-plex O 21 Porch (3-sea.) O 31 Ext Alt - Muitl
O 77 Garage O 22 Poroh/Addn. (4-sea.) O 33 Ezt. Ait - SP
O 18 Deck p 23 Porch (screened) p 36 MuIU
0 19 Lower Level O 24 Stortn Damage
Plbg Y or_ N d 25 Miscellaneous
0 20 Pool O' 30 Accessory Bldg. 0 36 Move Bldg. 0 43 Reroof
O 37 Demolish (Bidg)• p 44 Siding
E3 38 Demolish (Interior) O 45 Fire Repair
0 42 Demolish (Foundation) O 46 Windows/Doors
' Give PCA handout to applicant for demolition permk
GENERAL INFORMATION
SAC Code
No. of Units
No, of Buildings ?
Const. (Actual)
(Allowable) ??
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
.gwo s9. ft.
44A0*4Pq. ft.
MISCELLAN EOU3INSPECTIONS
0 Stucco/Stone
?
?,9 2
?
sq.ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
Clty Watef
Booster Pump
PRV
Fire Sprinklered
"
?
APPROVALS
Planning
Building 7-kEngineering
/
Variance
Pertnit Fee Valuation: $?' 3 C
/wso
Surcharge ,
Plan view
License ?
3
MC/ES SAC
City SAC
Water Conn.
0 /2'1 ?r 6"??
Water Meter f
Acct. Deposit
S/W Permit
S/W S
h
urc
arge
Treatment PI.
Tra s Ded ? ? ? ? 9,z
. ?
ather
Copies .?
rotal:
SAC Units
96 SAC
tMfcheck COMPLIANCE REPORT
Mirineaota Energy Code
MNcheck Softwara Vereion 3.0
COUNTY: DdkOtd
9TATE: Minneeota
ZONE: 2
CONSTRUCTION TYPEs Sing12 Family
DATE: 3-28-2000
DATE OF PLANB: 3/28/00
5 HEFFIELD 3BR W/0 BL. #]
TITLS: S
F COMPLIANCEs PAS6E8
P.Q3i03
Permit
C ecked by Date
, .;5tu?a;Y?'L "'a`"'?";?;:?"n; , i,?"- ,?;'. '`.-':•., , . , ?
s,}
`;0 "?k
Required VA - 557
Your Home - 422
25.5% Better Than Code
AYCa oY Cavity Cont. Glazing/Door
PeYimetar A-Value R-Value U-Value
------------- -----'-------- - -------___------- 1
CBILINC}6 1176 44.0 0.0
WALLB: Wood Prame, 16" C.C. 2772 19.0 2.0
WALLS: Wood Frame, 16" O.C. 290 10.0 2.0
B314T: Conc. 9.0' ht/8.3' bg/9.0' in8u1 736 11.0 0.0 o.35D 1
GLAZING: Windowe or poors, Above Grade 441
DOORB 38 0.350
pLOORS: Over Outside Air 84 38.0 2.0
HvAC EQUIPMENT: Flirnace, 92.0 AFUE
------------------------------------------- ------------------------- -----
j COMPLIANCE &TATBNBNT: The propoeed building design,described hera is
coneietent with the building p1ansspeaificatlone,'.and-other,calculations
:.••r submitted with the permit appliaaCioa: `;' The p3?bpaCnd;4bdilding? has been
meet t? requirements of.?-the Minneeota g3iergy Code'.
Date
?:n:l?rd?"r?Tneianer.".' Y?,,.?/W)
'r'.
,
rn.b o. ;
?
.?
d,
x
?f?
********??*****************************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 256
DATE: 08/08/00 TIME: 16:03:30
ID:
NAME: BOB SABLE SERVICES
3212 9001 1644 OAKBROOKE
2155 9001 1644 OAKBROOKE
3?0.00
0.50
Total Receipt Amount: 30.50
CR135577
USER ID: JAN
***?*****x**,r******,r***:r:r*xxx,r******,r*?
OB INITIATION ORDER
Pulte Homes of
Minnesota Corporation
1355 Mendota Heights Road, Suite 300
Mendola Heights, MN 55120-1112
Phone: (657) 452-5200 Faz: (651) 452-5727
JOB NO. O
COMIAUNfTY: .
BUILDINO ADd
MODEL NP7dE:
BUYER'S NAME;
CURRENTADDF
HOMEPHONE:
(5D
CONTf7ACTORlSUPPLIER:
2 O I o a ?! O? LEGAL DESCRIPTION: LOT J BLOCK :7_ UNR
' f1
v u
?
.
MOITION:
1
'
V` n
?.? CIN: ? STATE: 6w 2IP: ?7'Jt vZ
3 MODEL NUMBER +
: EUEVATION: 6ARAOE: LEFT R16FtT
r-]
DATEDFORDER:
qTY: STATE: ZIP:
BUSINESS PMONE: BUSINESS PHONE:
SALES REPRESENTATIVE ?
: x
` 1Q. ? r' .10 O
?'a ? ",?
0000 :n '1`Y•i?.?'.W???, + 9
?.? .
. ,^.? t''? ?Po'?? p:' S:.? ;??:?;.,fEy;;;aa>"ri:?;.?17,E8,4R1 !WI!?.Lr z€nn,?F ,F;?"?'u?i ?I '? `ri '`; r? i , ?; i i a?'„
BASE PRICE
?T+ :f ?
u„ N
99 p
? ---- LOTPREMIUM Q
I DZ ELEVATION # W300
I 21021 GctS Ft CDU--Q-- ? vJ 0 1'vl h 42-50
l 2150115 iC K-VAA 42G
t I oo i ;?-CD
I i?b C Ga R? D ?P?! ?n ?^N 02
I 4 O fcov a. (ZSo
1 f na55
LMA 57
I 2`d0y3 ?f2?? 21 A.M. -?
r 3tio d?
I 3" 0 1 (un. 2-
0
1 23007 "T )-350
I ?207z kAd,? QKM riLL CW2 50
TOTAL aas,sl
?
Builder's license N0001371
APPROVED BY BUYER (S): 1 l 7( APPROVED BY SALES: ?
RELEASED TO START CONST.: EounL HousiNc
OPPONTUNITY
This constitutes a contract between the Seller and the Purchaser(s) for the above items.
4
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
h PROPERTY LEGAL. Lo T?RLOL?C 7 D?if'h?/?i
DATE OF SURVEY S- q "'00
H
?y
LATEST REVISION.
(Y
C
0 DOCUMENTSTANDARDS
a' g Q
n
oy a
g?p a Registered Land Surveyor signature and company
? :
Building Permit Applicant
s? ? ? • legaldescription
? ?
? Address
a North artow and scale
? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
?,et o Duectional drainage artows with slope/gradient %
a1 C3 ? ?
Proposedlexisting sewer and water services 8 invert elevaEon
o p ? : Streetname
m//o ? Driveway
? •
Lot Square Footage
m/ ? o • Lot Coverage
ELEVATIONS
? Existinq
m? ? ? • Sewer service (or Proposed)
d ? ? • Property corners
m?p ? • Top of curb at the driveway
?? ? • Elevations of any ebsting adjacent hames
? q/ ? Adequate footing depTh of strucNres due to adjacent utiI'Ry Venches
Prooosed
v ? • Garegefloor
v? • Firstfloor
ga-'o ? • Lowest exposed elevation (walkouUwindow)
e"? ? • Properry comers
er? ?? • Front and rear of home at the foundation
PONDING AREA (R applicaWe
? m' o • Easementline
? o/o . N4VL
? ?? . HWL
? V ? • Pond # designation
o a-?o • Emergency Overflow Elevaton
?A ?
o/9 ?
m/o 0
m.,a ?
o--'? ?
? ??
DIMENSIONS
• Lot IineslBearings 8 dimensions
• Right-of-way and sUeet width (to 6ack of curb)
• Proposed home dimensions indudiny any proposed decks, overhangs greffier than 21, porches, etc.
(i.e. all sVuctures requinng permanent footings)
• Show all easements of record and any Cily utilities within those easements
• Setbacks of proposed sVUCture and sideyard setback of adjacent epsting shuctures
• Retaining wall requirements, if any -ev, "2?
Reviewed:
Mafeh 1989
cRAJG/8ocanWr FM
Surveyor's Certificate
SURVEY FOR :PULrE
DESCRIBED AS : Lot 3, Block 7, OAKBROOKE, City ot Eogon, Dokoto County, Minnsota nnd
reserving eosements af record.
Lo r sQ. Foo ra cE = 8,56
HSE. SQ. FOOTAGE = 1,8
LOT COVERAGE = 21y'c& ? 161
934A l;'8 ?
/k
?
? •)
.
?nV E: I
r.
4 9'_
S4
? q
as?
B
y
DaCe 5/1Z/GY5 ;
I ST LT FENCE
;
E-NG.Aad EI;G?Idu' EEINCr DEPT. 936.B I p
i
936
? I
Z
_
,
St? 21.00 1
1O,p 93.7
MAir1TA=N SWaL
k?
F2o r+1 z I I ti
? g ?orope ?
I q37, 7O.?f r _ _i
I ? ?
t ?
j
,
T c, o
'Qw'KyARD Ta S7rR 1935`1 i ?-----1_; ?
E
y /? E o
2O!O (MZPd ? L7CAvE TO
N zq
I 21.00 ?
? o I ?
1 i Exi?l Mom• ?
A
?
?V
N
1 ti Pro osed n,
O ?'
Slory
P
?
? TOB r 938.9
?
D
=O E
DRa "' ' B,p c :
.z
N4
GE• I I
, 42.00
?a------1---------- I
V
Rct Watl
. 1 la ,..
gl I
?-• I I .
li BE0.M q A •'{
,.. L ------------? .
,5?9'42'35"W 60.00
W''o?oVo 1?-11?QUERFED
DIiFLEY ROAD
Plon 111 18211
PROPOSED ELEVATIONS
Top of Foundution = 438,5
Garoge Fioor = qgs.l
Bosement Floor =q3o.5
Aprox. Sewer Service = q24,gt
Proposed Elev.
Existing Elev, _
Droinage Directions =
Denotes Offset Stake = .
SCALE: t inch - 70 fest
BENCHMARK, 7NH0 1/7
Eieu: 415,03
MIN. SETBACK REQUIREMENTS
Front-25 House Side -
Rear -i5 Goroge Side-
"r-LttVt:[J MAY 1 p 2p00 .we r+a.
HEDLUlllD I NEREBY CERTIfY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-OBl
OF THE BOUNOARIES OF THE ABOVE DESLRIBED PROPERTY AS SURVEYEO
BY ME OR UNOER MY OIRECT SUPERVISION ANO OOES NOT PURGORT T00 BOOK; PAGE:
PLANN/NO 6NC/NdA'RINC SURVBYlNC SHOw IMPROVEMENiS OR ENCROACNMENTS, EXCEPT 5 SMOwN.
2005 pln Oak Drive C?
Ecgon. MN 53722 DAiE S/1_/QQ • CAD FILE:
Phone: (657) 405-6600 WFftf D. LINOGREN, LA SURVEYOR
FGM: (551) 409-6608 ? C? -Cn ? MINNESOTA LICENSE NUMBER 11376 OAKBROOKE
CITY USE ONLY
LOT ? BL -7_ PERMIT k: 7 1
SUBD. DO. Y? VJYO o? e? RECEIPT #: C)
RECEIPT DATE: l9 ' I? - D u
. ,.?
2000 MECHANICAL PERMIT (RESIDENTIAL),
CSTY OF EAGAN
3830 PILOT I@708 RD
EAGAN 2Mt 55122
651-681-4675
Date:
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BN
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
3• O?
.50
Complete this section onlv if you are remodeline, addine to, or re airin 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 canditioning
Air exchanger _ Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS:
OWNER NAME: Y( J I-?G 4?t,YYLQ-S _ PHONE #:
? ? " (AREA CQ DE)
INSTALLER NAME:?I tf?Sn? 1o C?!"?'?4'PHONE #: (¢ - 4 2 -doC6
STREET ADDRESS: ???ZS (?Zl -?fl? CI SL IS LCti.(ICSL ?}? S ?A?A CODE)
cIrY: S Q.v a aSL srnTE: ziP: 5-,95 3-7k
$ 39.00
6.00
IGNEC'I'URE OF PERMITCEE
L BL
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
2000 MECHANICAL PERMIT (COIMRCIAI,)
CITY OF EAGAN
3830 PILOT RNOS RD
EAGAN, MN 55122
651-681-4675
Piease complete for: all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE
WORl{ TYPF: New r,oeonlction Install U.G. Taolc
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When insta!ling/removing underground tank, cal! 651-681-4675 jor inspection by fire marshal and
plumbing inspeclor.
Description of work:
Fees: 1% of conlract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNERNAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEfvIENTS ONL1):
WAS 7'HERE A PREVIOUS TENANT IN THIS SPACE7 Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PERMIT #:
RECEIPT#:
RECEIPT DATE:
PHONE #: -
(AREA CODE)
STATE: ZIP:
.
SIGNATURE OF PERMITTEE
L BL CITY USE ONLY
sUBO. natiraa ke?
RECEIPT#: r307aU
RECEIPT DATE:
s-d(O-oo
PERMIT# 409$7
8000 PLUbiaINfi PERbIIT (itE.SID£NTIAL)
CffY OF HAfiAP
3530 PILOT KA08 itD
BEkHAA, bIA 551 EE
631-661-4675
Please complete for: > single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x ? _ $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - t 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavato 3.00 x = $ ,
Se tic S stem newlrefurbfshed ' requires MPC lic. 75.00 x = $
Se tiC S Stem abandonment 30.00 X = $
RPZ new installation/repaidrebuild 30.00 x = $
Rou h o enin 1.50 x = $G/.
Shower 3.00 x = $
Undef f0und S ftnklef if dweliin is under consVuction 3.00 X = $
Under round s rinkler if ezisting dwelling 30.00 x = $
water closet 3.00 x 3 = $
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
Watersoftener ifexistingdwelling 3O.00 X = $
Waterturnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ .50
Total
--?
--?
---->
__.>
$
-
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-----------------------------------------------------------------•--------------------------------------------------------------------
I hereby acknowledge lliat I have read this application, state that the infortnation is correct, and agree W comply witli all applicabie City of Eagan ordinances.
I[ is the applicant's responsibiliry to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the Ciry during ifs nortnal
operatiunai and mamtenance activities to the far.ilities constructed under tnis permit within CA property/right-of-way/easement.
SITE ADDRESS:
OWNERNAME:: TELEPHONE#:
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
CITY: STATEl hZiP:
SIGNATURE OF PERMITTEE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116272
Date Issued:10/04/2013
Permit Category:ePermit
Site Address: 1644 Oakbrooke Dr
Lot:3 Block: 7 Addition: Oakbrooke
PID:10-53760-07-030
Use:
Description:
Sub Type:Reroof & Siding
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.
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: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Robert Moen
1644 Oakbrooke Dr
Eagan MN 55122
Connells Custom Exteriors Inc
1125 S Frontage Rd, Suite B
Hastings MN 55033
(651) 438-2973
Applicant/Permitee: Signature Issued By: Signature