1672 Oakbrooke CtPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128792
Date Issued:12/05/2014
Permit Category:ePermit
Site Address: 1672 Oakbrooke Ct
Lot:5 Block: 1 Addition: Oakbrooke 5th
PID:10-53764-01-050
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 -
Vincent Tstes Gossman
1672 Oakbrooke Ct
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
Address 1jp7A OUkbrooke C?- Zip 5512 02
r.oc 5 slk / sub Octkbrvoke 51-?
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: -. / _v2 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) x
Permanent steps (main entry)
Permanentdriveway ?
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the buIlder t6e removal of roof test caps from the plumbing system and the shuaoff of water suppty W
the outside lawn faucet before freeze potential exists.
Contad engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
LOT SURVEY CHECKUST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAL: Ldt 61o,K / S7G
DATE OF SURVEY: ".2
LATEST REVISION:
m
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DOCUMENT STANDARDS
Y a
O z °v
Q
0? u ? • Registered Land Surveyor signature and company
O//O ? • Building PertnitApplicant
o' ? ? • Legaldescription
Ca?/ ? ? • Address
0 0 • North arrow and scale
¢? ? • House type (rambler, walkout, splft w/o, splk entry, bokout, etc.)
4?/ ? ? • Directional dreinage arrows wRh sbpe/gradient %
[3 ? ? • Proposedlexissting sewer and water servioes 8 invert ekvation
? ? ? • Sveet name
? ? • Driveway
FS/ 0 0 • Lat Square Footage
?
? 0 • Lot Coverage
? ? • Benchmark
ELEVATIONS
Existina
? ? ? • Sewer service (or Proposed)
C3? O ? • Property Comers
E3'/ ?/? • Top of curb at the driveway and property tine extensions
?? • Elevations of any existing adjacent homes
?¢/ ? • Adequate footing depth of strucWres due to adjacent utility trenches
? Y ? • Waterways (pond, stream, etc.)
Prooosed
0/0 ? • Garage Baor
?? ? • Firstfloor
? ? ? . Lowest exposed elevation (walkouUwindow)
f? ? ? • Property comers
t? ?? • Front and rear of Aome at the foundation
PONDING AREA fif aoofx:able)
? d ? • Easement line
? e ? • NWL
? al/ ? • HWL
? Et?/ ? • Pond # designation
? d ? • EmergencyOverflowElevation
DIMENSIONS
?? ? • Lot lines/Bearings 8 dimensions
?0 ? • Right-of-way and street width (to badc of curb)
V ? ? • Proposed home dimensions including any proposed decks, averhangs greater than 2', porches, etc,
/ (i.e. all structures requiring pertnanent footlngs)
?? • Show all easements of record and any City utilifies within those easements
dI?? • Selbacks af proposed structure and sideyard setback of adjacent existing structures
?? • Retaining wail requirements, iF any
Reviewed: /--7"
Surveyor's Certificate
SURVEY FOR :PULTE HOMES
DESCRIE3ED AS : Lot 5, 81ock 1, OAKBROOKE 5TH ADDIION, City af Eagan, Minneaota and reaerving
easamanta ot record.
:.1 A IN', 0 ?, REC'D
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go ??
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GO ow
910
9 00? ?
an?? ?
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ma??
L 0 T SQ. F00 TA GE
HSE SQ. FO 0 TA GE
LOT COl/ERAGE _
# 17943
PROPOSED EL.EVATION5
Fop of Foundation = qgI,,o
Garage Floor =q34,9
Basement Floor =q2a.o
Aprox. Sewer Service =929A±
Proposed Elev. _ ?
Existing Elev. _
Drainage Directions =
Denotes Offset 5taka = .
= 3, 608
= 2,047
579
BENCHMARK,
MIN. SETBACK REQUIREMENTS
SCALE: 1 lnvh - 30 teet
Front - zs House Side -
Rear - Garage Side-
HEDLUND
I NEREBY CERIIPY 1HAT hIIS 15 A 1RUE AND WRRECT RBPRESENTATION
OP 77iE BOUNDARIES aF iHE ABOVE DE9CRIBEO PROPFRTY AS SURrEI'Ep JOB N0:
01R-615
BY ME OR UNDER MY DIRECT SUpERNS10N AND OOES NOT PVRppRT TO 11001C: PACE:
PLqNNlHC 6rvcf?vjrffRi.,yC SURYd'YING SHQW IMPROVEMENTS OR ENC ApiMENTS, E%CFPT AS 9110 .
2
S
Drivo
? 9
? OATE 19-/ZQ/Q CAD flLE:
Phone; (851) 405-6
800 Y DOREN .
,
-- Pax: (861) 405-6,606 17- -.ZO `.Cr/ ? VILIMSE NuMeqi 14376 Oakbrooke 5
v ?
Siteaddress: Block2l Subd. VaIL &Z
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.
_i
_ This sWclure: is consWcted to meet minimum requirements of the Mn Energy Code, Chapter 7670 "
OR
? This structure: will be consWCted M meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELE MANUFACTURER MODEL BTU'S VENTINGTYPE
WaterHeater ra r? MR,?a?5„g I
Fumace C a -a I Fc - ?COD "rec
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CPM's VENTED
YES No
Kilchen kitchen
Bathroom 1 /)?pin b[ril asiAmi2- F?-057 ?Q '9c:) ?
Bathroom 2 )( y I , _ os- VZ) $O f/
Bathroom 3
Bathroom 4 M Q
[ a V_9 a
?'j ?-9) 8 Q
,?C? ?
?
Other
FIREPLACES
IOCATION
GAS
WOOD
MANUFACTURER
MODEL
B:U'S VENTING
DIRECi ATN6S
6000 T - 7oan ?
I hereby acknowledge that the above informa6on is cortect and agree to cromply with the Minnesoia Energy Code and City of Eagan
requirements.
Signa?ure'? ??h
?'
Company Name
???/ °
??
Date
• This fortn is tlhe responsibility of ihe General ConVactor.
V& 45'
PLUMBING (RESCDENTIAL) ,r/? ?
Permit Appiication J `? ` S
City Of Eagan
3830 Pilot Kaob Road, Eagan Mn 55122
Tefephone # 651-675-3675 FAX # 651-675-5674
Pieasz complete for: Single Family t7wellings
Townhomes and Condos when permits are rcquired for each unit
? 3ite Address I ? _I ),
Unit tl
i - -- -
Pruperty Owner Telephone k (
Contractnr, (v b J" r-?u?c K, U ^n.??
Addresa S`70 pu?? /? n c
ieY !S?Vd_?L 4i.? City S_l - Q "+1G1 f----_.
State '( k/ Zip >SU 70 Telephune # 7S3_ ? ?73 _
The Appiicant is _ Owner ? Car.tractor Other
?$BpliC System N6W _ Refurbished Submit 2 seb of plang antl MPC license $ 100.00
Inciudes County Iee. AAdillonal coruultant ises maY aPplY-
h-
t
I
r -
Alteraliuns To Ezistlug DwellIng Unit, IncludFaQ b . _-----
? Addfng fixtures !o lowar levels or room addiUons, axcluding water softener and water Yeater $ 50'00
? Abandonment of septic system
i ?
i W. U4aler tumaround (+ 5!8" meter i( neaded -$121.(70)
Cther: (
?
V -_-_• ---- -
?
I _ 12P2 ? new Installation _ repair rebulid I
- $ 30.60 ?
?
Lawn frrigAtion system ?
- ? N
? W ^--'-
ater softener Wafer heater
? - - $ 15.00 I
_ replacement 8dditlonal ?
Stace 5urcharge ?$ .50 - I
I Total
? s ?/. 'j o
_----
I rnereby apply Tor a Residenfial Plumbing Penrut and acknowiedge tha[ the information is eomplete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan end with tiae Plumbing Codes; that I understand this is not a
pamtit, but only en applicadon for a permit, and work is not to start without a permit; that the work will be in accordance with [he
approved plan in the case of work winch reyuires a reF iew and approval of g:ans. ?
f .
I??A fli4Gn JCac:.l'` Lr?filc
ApplicanYs Prinled Name Appl" icant's Signahg?
----------
?
? PermitC/ 7, L' ?2 j
? Permit Fee:
?4 I
: C7
? Date Received /
V ?
I ?
? Staff:
L ------------?
2008 MECHANICAL PERMIT APPLICATION
Date: SiteAddress: 10; ? ?-
Tenant:
Suite #:
RESIDENT / OWNER Name: Phone:
Address / Cky / Zip:
?1 ir'
#
1
j Li
7
CONTRACTOR cense
:
Name: 1
vh
, I
4
Address: 6e?b'ti W",l]?`'???
city: lti(9 tk Parj state: h,,V- zip:3_5?73
Phone: 763- '(77 a$3 31 contact Person: &1L n1 5 pi ?Narqf-
TYPEOFWORK -New Replacement _Additional _Alteration _Demolition
Description of work: -?"''??? P?. kSP'"+^'-? ?` ?'" ??'4^"
!NOTE 8oth:roof mounted and grounal maunied inechenrcel epuip"nien# es required to .--
be?screenedcby Cjty Gode Please corifact fhe Mechanr?al ?Inspecior aCOne of fhe , ?!
Plannersforinlormafion'on ermittetlscreenin "meihvds,=. r`
RESIDENTIAt COMMERCIAL
PERMIT TYPE Interior Improvement
New Construdion
Fumace
` _
_
Air Conditioner _ Install Piping _ Processed .
Air Exchanger _ Gas _ Exterior HVAC Unit -
Heat Pump _ Under! Above ground Tank L InstalU_ Remove)
` " When installifglremoving tank(s), calf for inspec[ion by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FIB f8p81f (replace burned out appliances, ductwork, etc.) (includOS $.50 State Surcharge)
$ TOTAL FEE
COMMERGAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
_ $ Pertnit Fee
- If Pertnit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is >$1,000, surcharge increases by $.50 for each =$ State SufChaf90
$1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.D0 surcharge).
$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that
I understand lhis is not a permit, hut onty an application for a permit, and work is not to start without a perm', that the work will 6e in accorUance with the approved
plan in the rase of work which requires a review and approval of plans.
X =J?-1n HlF5-Cl "C ?.I'l?'} X
Applicant's Printed Name Applicant's Si ture
FOR OPFICE?USE
Reviewed By ? -- ?? Date
Require d 13ections: _Under Ground _ Rough In Test ' Gas Service Test 9n? floor Heat ' Final
? ?? 'ExteriorHVAC Screerimg Inspection
_? ?.:.. Clty of EaiaIl
3830 Pilot Knob Road
Eagan MN 55122
Phong: (651) 675-5675
Fax: (651) 675-5694
lz•o?
------------------
? For Office llse I
? I
I
Pertnlt #: V y/r1? /?
j ??1^ I
I -?- I
? Permit Fee: ?
? Date Received:
I Staft: ?r I
I I
2008 RESIDENTIAL BUiLDING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite #:
RESIDENT/OWNER Name: e4le,0,F
,V ?VA/ Phone: 4*(2- kVY 3V4+0
Address/City/Zip: /6,72 Oi4KIY99D/Ce e7- 4,4iTsrN ititN $TizZ-
Applicant is: _ Owner l` Contractor
TYPEOFWORK Descriptionofwork: ?3A5,fWCNi rI
Construction Cost: 301OD0 Mulfi-Family Building: (Yes_1 No
CONTRACTOR Name: V IQS $T?2 13 U( ?-??S License u: a0 0 3 6l ?`?
Address: 0 ? ?s^ v1?0elvGN i? j ?V
c;ty: (j-V_e21uFieL1) state: t'i,7 N zip: 6-5373
Phone: t0(2T F 22 Contact Person: /C u< -/ r'" i3R?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventllation Category 1 Waksheet • New Energy Code Worksheet
Category suemmed submined
SubmissiOn type) • Energy Envalope Calculations Submined
In the last 12 monihs, has the City of.Eagan issued a permit for a similar plan hased on amaster plan?
Yes _tJo If yes, date and address of master ptan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public in?ormation. Portions of
the information may be cfassefied as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets:
I hereby acknrnNedge that this iniormation is complete and aaurate; that the vrork will be in coniormance wilh the ordinances and codes of the City of
Eagan; ihat I understand this is not a perrnit, but only an application tor a permit,. and work is not to staA without a pertnR; that the work will be inaccordance vrith ihe approved plan in the case of work which requires a review and approval oi plans.
4R,3s X
?-
Applicant's Printed Name ApplicaM's Signaiure
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
5UB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06plex ? Fireplace ? Porch (3-season) ? Ext. Ak. - Multi
O 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi MiSC.
? 03-Plex ? 10.plex Lower Level ? Storm Damage
? 04-Plex ? 12-plax ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Buiiding'
? Addition ? Move.6uilding ? Reroof ? Demofish {nterior
10 Alteretion ? Fire Repair ? Windows ? Demolish Foundation
? Replacemeni ? Egress Window ? Water Damage
* Demolition (enfire building) -give PCA handout to applicant
DESCRIPTION:
Valuation , DaD ? Occupancy MCES System
Plan Review Code Edition oo -7 SAC Units
(25% 100% Zoning CRy Water
Census COde 93q Stories Boosber Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) FinaUC.Q.
Footings (addition) ? Final/NO C.O.
Foundation ?(J HVAC
Drain Tile O[her:
Roof: _Ice & Water _Final Pool: _Footings AidGas Tests Final
? Freming Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
Insulation _ Retaining Wall
Reviewed By: ?
--------------°---------------------------- Building Inspectar
-------------------------------------------------------------------------------------
RESIDENTIAL FEES:
Base Fee Fee
$urchargg
Plan Review
MC/ES SAC
City SAC
Utility Connectfon Charge
S&W Permit & Surcharge
Treetment Plant
Copies
Total
Page 2 of 3
C) ("o '6P ti ?571'w
, RESIDENTIAL M ?p ,
- OG(kblv?I?e BUILDING PERMIT APPLICATION ??5??
CITY OF EAGAN P? 1{,?5 r/U
3830 PILOT KNOB RD - 55122
651 •681 -4675
New Consiruction Reauirementa
• 3 regatered site surveys slawing sq. ft of IW, sq. il 01 house; arM all roofed areas
(20°,6 maxrtnum lot coverage allowed) /? ? n?' Iof -?' O
. 2 apies of plan showing 6eam 8 window s'¢es; poured found design, etc.} ?
. 7 set of Energy Calaeations 11
• 3 capies of Tree Preservation Plan tl lol platled after 7/7193 In?i X13
• Ran Joist Deta7 Options selection sheet (bldgs wilh 3 or less uniLS) ?-?
?
/alr /
DATE j /0/ VALUATION 000
JOBSITEADDRESS ???? (?tlLbfoOLQ ?D??
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF
APPLICA
REPLACE(S) _ 0 X 1 _ 2
PHONE#
ADDRESS 9? 15 /l;t r-ff,,,j fs-f- Mrkuia y, sv?"L /V0 ZIPCODE 5512-0
PAGER # CELL PHONE # FAX # ??1-99Y-L?4a7
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 ?
(check one) - Residenfial Ventflation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
7J'?
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. VU\\,e 'y TIv m6i Phone #:
Plumbing System Includes: _ Water Sofi ner _ Lawn Sprinl:ler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Conhactor: &fr15 vj?L ?6?1:3 iKI'1- _ Phone
Mechanical System Includes: _ Air C ditioning Fee: $70.00
_ Heat Recovery Sys[em
5ewer/Water contractor. 172ehn C?n??-v++* .'3e+'?,[C--s Phone }k -71,a 3- 5's7- I-008
All above information must be submitted prior to processing of application.
i hereby acknowtedge 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 ot Applicant
Certificates of Survey Received ? Tree Preservation Pian Received _ Not Required ?
Updated 1/01
41i,9oo,9i
7o..so
9L' ,50
----
RamodellReoair Reouirementa
. 2 copies ot qan
. 1 set o1 Energy Calwlatians for heated additions
• 1 sile survey far e#erior additions & decks
. IMica[e if trome sened by septlc system for add"itions ?? ??
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool
X 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 70 OB-plex ? 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Misceilaneous
IK 31 New ? 35
D 32 Addition ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
?
X
?.
?
? FinaUC.O.
_ Final/No C.O.
_ Plumbing
_ HVAC
Siding
Fire Repair
WindowslDoors
?
?
_ Other
_ Pool _ Ftgs _ A'u/Gas Tests _ Final
_ Siding Smcco Stone
_ Windows (new/replacement)
Approved By
Building inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
I Z?S, 200 1
y-N
?
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi
Int Improvement ? 38 Demolish (Interior) O 44
Move Bldg. ? 42 Demolish (Foundation) ? 45
Demolish (Bldg)• ? 43 Reroof ? 46
•Demolltlon (Entire 81dg only) - Give PCA handout to applicant
Occupancy MCIES System
Zoning I' Q City Water
Stories ? Booster Pump
Sq. Ft. ?7- 12 PRV
Length -D ?r Fire Sprinklered
widtn
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof ? Ice & Water Y Final
Framing
Fireplace ? R.I. X Air Test V, Final
Insulation
?i-?-
17 2-3 ;4 )C Ir,°° = ? Ssys?
'tb4 f,%.j L£Uf.(, INiC V SC4.fc--J
?-7 2- -1 ;2(?C `I36
57rio P
36 ? x 30 °`; I G?So
Gr,lg? 08?, ! 1 S 2
YYn ;6 X 16 _
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113528
Date Issued:09/05/2013
Permit Category:ePermit
Site Address: 1672 Oakbrooke Ct
Lot:5 Block: 1 Addition: Oakbrooke 5th
PID:10-53764-01-050
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Vincent Tstes Gossman
1672 Oakbrooke Ct
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
From: Mary Olson Fax: (763) 400-4503
City of Ea all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
To: Eagan Fax: +1 (651) 675-5694
Page 2 of 2 01/27/2014 2:50
Use BLUE or BLACK ink
For Office Use
Permit#: %%�
Permit Fee.: 'I.C� 1
Date Received:119:7 h
9/h
Staff:�
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with allcommercial) applications. N11124—
Tenant:
//�
Date: 1. 17.1+ vt.�I�SiteAddress:�A 1147Y__ OAKbi2'OV C �u U�
Tenant: V ill C j 4't 1 0g (v ti�ii' 1
......__ ._.................
ResidentlOwnis
Contractor
Type of Work
Address / City/ Zip: /KA IL
hoOMM
Suite #:
Phone:1�
Name: ,otn & riA1 PIVtV1 U1i� cense •
,,jfile0O'/1�-//�i�
Address: fi0 0 144Y- IOD d66V City, WB l/ Ings V V
MN Zip: _ l!_J Phone: --7-a"4120
``IW ?L-1
Contact: *At dvW\ Email: I\f Il kmit1)ttJk(TLl, . &I M
State:
New Replacement _Additional _Alteration Demolition
Description of work:
aV f-=� Ftn rn.g LQ
NOTE: Roof mounted and groun . mounted mechanical equipuired to be screen
Code. Please contact the Mechanical ° Inspector for Information cit per nitted Screening-1nE
RESIDENTIAL
Furnace `_ New Construction
Air-Conddioner , Install Piping
Air Exchanger Gas
Heat.f ip
Other
RESIDENTIAL FEES
$64.00 Minimum Add or alteration to an a fisting unit (includes $5.00 State Surcharge)
$100:00 Residential New (includes $5.00 State Surcharge)
COMMERCIAL
,— Interior Improvement
Processed
Exterior NVAC Unit
Under/Above ground Tank 1 Install/ _ Remove)
TOTAL FEE
COMMERCIAL FEES
$.55:00 Permit Fee Minimum
$70:00 Underground tank installation/removal
'If contract value is LESS than $10,010, Surcharge =$5.00
—If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
= $ TOTAL FEE
Contract Value $ x .01
=$
=$
Permit Fee
Surcharge`
I hereby .acknowledge :that .this irnformation is complete and accurate; that the work will :be in conformance with the ordinances and codes of the City of
Eagan; that t understand this is not a perinit, but only ah application fora permit, and work is not to start without a permit; that the work watt be in accordance
with the approved plan in the case of work wtech requires a review and approval of plans.
x /
Applicant's Printed
ars
ame
Applicant's Signature
FOR OFFICE USE_
Required Inspections:
Underground _ Rough`
ce Test .— h -floor Heat - Inal HVAC Screen
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127821
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1672 Oakbrooke Ct
Lot:5 Block: 1 Addition: Oakbrooke 5th
PID:10-53764-01-050
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
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 -
Vincent Tstes Gossman
1672 Oakbrooke Ct
Eagan MN 55122
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
___...
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154499
Date Issued:03/27/2019
Permit Category:ePermit
Site Address: 1672 Oakbrooke Ct
Lot:5 Block: 1 Addition: Oakbrooke 5th
PID:10-53764-01-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Amsb Revocable Living Trust
1672 Oakbrooke Ct
Eagan MN 55122
(952) 797-6015
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature