1678 Oakbrooke CtPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128791
Date Issued:12/05/2014
Permit Category:ePermit
Site Address: 1678 Oakbrooke Ct
Lot:8 Block: 1 Addition: Oakbrooke 5th
PID:10-53764-01-080
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 -
Leanne Adkins
2150 67th St E
Inver Grove Hts MN 55077
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
RESIDENrAL?
BUILDING PERMIT APPLICATION
CITY OF EAGAN ? yio-5 pP ?D. SO
3830 PILOT KNOB RD - 55122
651-681-4675 Id-- LlfrGl? RP ??.5D
New Construction Reauirements - RamodeUReoair Reoulremenla (_
• 3 registered sAe surveys showirg sq. R of bl, aq. R. o( house; and all rooted areas • 2 copies ot plan S? oo4• w5
(20% maximwn lot wverage allowed) • i set of Energy Celalalians for heated additions
• 2 copies ol plan shaving beam & window s¢es; poured found desgn, efc.) • 1 sde survey fir enterior addilions 8 decks l I I Sio ?
. lsetolEnergyCalculatio?u ?-I? )R3a? . Indicate'rflameservedbyseplicsyslemToradd'Aions
• 3 copes of 7ree Preservation Plan (( Iot ptatted after 717193 Ir?F?
. Rim Joist DeWil OpUons selecGon sheei (Wdgs with 3 or less units) 61?
DATE '10 1 1 S I(9 k VALUATION f f n.'oo 0
JOB SITE ADDRESS Itn '7SS alir-la / a14 L., ?
?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY
TYPE OF
FIREPLACE(S) _ 0 -'- 1 _ 2
APPLICANT ?v ?"?? ? 4" Y s£ASQ^? ?f'?C-H PHONE# G S'1 rf? z Sz o0
ADDRE55 W 45- 1Ja.'?_wes;t Ir k-c-- n zt 1`(0 _ZIPCODE 2E1?-f
,7
PAGER # CELL PHONE #(0l Z41 qa SFs 1/ FAX # b r/ Sy `/ (C8 2>
NEW RESIDENTfAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CA'1'EGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
? MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Corrtraetor. -P `v`'?? Phone #: 9S Z99, Z 21 7- 1
Plumbing System Includes: r Water 5oft n r Iawn Sprinkler Fee: $90.00
? Water Heater No. of R.I. Baths
1L- No. of Baths
Mechanical Contractor. ?' ?--? A-' (,J``? Phone # C5` ?
Mechanical System Inclu es: L Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor. ayo L??.. ( Phone #
All above information must be submitted prior to processing of application. I? Q
I hereby acknowledge that i have read this application, state th i rmati is orrect, and agr co ply
Ilu
with all applicable State of Minnesota Statutes and City of Eag n c
Stgnature of Applica
Certificates of Survey Received ? Tree Preservation Pian Received ` Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
x 02 SF Dwelling O 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ex[. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 38 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level 0 24 Stortn Damaga
? 06 04-Qlex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
X 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroaf ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appiicant
?
Valuation / 2 1. 0.
Occupancy
R'3 MC/ES System
Census Code ! G! Zoning PD City Water -Y-4±5
SAC Units c? Stories I Booster Pump
Nbr. of Units Sq. Ft. 21-70 PRV 4?
Nbr. of Bldgs Length 1649 Fire Sprinklered
Type of Const V- N Width 3 S,
REQUIRED INSPECTIONS
x Footings (new bldg) FinallC.O.
_ Footings (deck) _ Final/No C.O.
Footings (addition) _ Plumbing
Foundarion _ HVAC
Drain Tile
Roof ? Ice & Water ? Final Other
Framing Ftgs Air/Gas Tests
Pool Final
Fireplace ? R.I. )( A' u Test x _
Final _ _
Siding Stucco Stone
Z[ Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
BRSF Mr^-)? oY ^ a,, ?syS?°°?
1 -7 239 XIIS. -
M/q e pl (. t U!U(„? cu
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GA" I-F,
yLi -7 A x
D ?c-K
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211' 000
?27& 7SP-
Address ?b7? OC(k.6YUOk-e " Zip 5512-,?2
Lot Blk I Sub ep/ kGJYUd(e S/-A -
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON.
Date: ?3- Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) )(
Permanent steps (main entry) x
Permanent driveway X
Permanent gas
Sod/Seeded grass
TraiUwrb damage
Porch
Basement finish
Deck X
Please verify with the buildet the removal of roof test caps fmm the plumbing system and Ihe shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contaci engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
svRlvsvrLLE
Heating & Air Conditioning, L.L.C.
12481 Rhode IslandAve S, Savage, MN 55378 • 951-894-0005
Orstat Test Report for Job# °?-)39
Addf2SS?&-7& 04 Cil1y
OCCUpBflt L?, ? Yf
Date of Install / z z?/
Type of HT. HW Space HT Unit HT
Otlher
Malae LR
Model ° zGQ 3 -79-6
Serial 5901 L h`' o
Input `2,5 , aob -t5T,r/
Pilot Type HOT SURFACE /GNITOR
Pressure 3 ?
Input CFH
SiackTemp '7`?
Date Tested 2' 12- '0 Z
C02
02 a. z
CO D
Company BURNSVILLE HEAT/NG & AIR COIVDITIONING
Technician ??' ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConatruetion ReauiremeMa
. 3 rsgistered site surveys showing sq. ft. of lot sq. fi. ol house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing 6eam & windovr sizes; poured found design, etc.)
• 1 set of Energy Calculatbns
• 3 copies of Tree P2servation Plan'rf lot pladed after 7/1193
. Rim Joisl Detail Options seledion sheet (61dgs wNh 3 or less uniGs)
DATE
SITE ADC
TYPE OF WORK
APPLICANT s
STREEf ADDRESS
TELEPHONE #lSl?
?1 ?
PROPERTYOWNER???? _TELEPHONE# CQ S,C??$
.
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 n
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted •
• Energy Envelope Calculatlons Submitted
Plumbing Contractor: _
Plumbing systcm includes:
Mechanical Contractor:
Mechanicalsystem includes:
Sewer/Water Conhactor:
Air Conditioning
Heat Rccovery Systcm
I hereby acknowledge that I have read this application, state ihat
with all applicable State of Minnesota Statutes and City of Eagan
Signature of Applicant
A 11-7 o,6 ?
SEP 10 2002
Phone #
Fee: $70.00
Phone #
information is
OFFICE USE ONLY
_ Water Softcner
WaLer HeaCcr
No. of Baths
RemodeURenairReauiremente +-?? r'lJL?Y-???
• 2 copies of plan
• 7 set o( Energy CalcWatlons for heated addiUons 9-
. 1 site survey (orextenor additions 8 decks
• Indicate'rf home served 6y septic system for additions
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
ULTI-FAMILY BLDG _Y AN
FIREPLACE(S) X0 _ 1 _ 2
VALUATION
and agree to comply
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 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 ? 10 08-plex ? 18 Deck ? 23 Porch (screened)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 30 Accessory Bldg
? 31 EM. Alt - Multi
?. 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entlre Bldg only) - Give PCA handout to applicant
?v D
y3y
_ Footings (new bldg)
_ Footings(deck)
_ Footings (addirion)
Foundarion
Drain Tile
Roof Ice & Water Final
Frauung -
_ Fueplace _ R.I. _ Air Test _ Final
? Insulation
D INSPECTIONS
FinaUC.O.
!1 FinallNo C.O.
_ Plumbing
? HVAC
' Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
P,pproved By T Z , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Occupancy /C 3 "14 MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
?, L ?.?3 o-
?-
,?, pv o 7U
MNcheck COMPLIANCE REPORT
Minnesota Er.ergy Ccde
MNchec:l: Saftware Ver.sion 3.0
`COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Si.ngle Family
DATE: 6-7-2000
DATE OF PLANS: 3/28/00
TITLE: CRYSTAL WALKOUT ELEVATION '
COMPLIANCE: PASSES
Permit #
Checked by Date
Required L'A = 447
Your Home = 351
21.5e Setter Tnan Code
Area or
Cavity
Cont.
Glazing/Door
Perimeter R-Value
--
- R-Value
- U-Value
------- ----
----_.----_- -------------------
CEILINGS 1705 ------
44.0
0.0
1
WALLS: Wood Frame, 16" O.C. 2206
196
" 19.0
10.0 2.0
2.0
O.C.
WALLS: Wood Frame, 16
3' bg/9.0' insul 141
0' ht!8
9 11.0 0.0
.
.
BSMT: Conc.
BSMT: Conc. 3.5' ht/3.1' bg/3.5' insul 20 10.0 0.0 350 1
0
GLAZING: Windows or poors, Above Grade 405 .
350
0
DOORS 38 .
HVAC EQUIPMENT: Furnace, 92.0 AFUE
-
--------
----
COMPLIANCE STATEMENT: The proposed building design described
d other
i here is
calculations
consistent with the building plans, specific
The
i ons, an
at
ropoaed building has been
on.
submitted with the permit applicat p Cod e
designed to meet t e r q 'rements of the Minnesota En .
ergy
D ate f??
ner
lderjDesi
a
B
g
u
.
LOT SURVEY CHECKLIST FOR RESIDENTIAL
' BUILDING PERMIT APPLICATION
PROPERTYLEGAL: Lo'? ,Q BImcI< ? l?(ari.htnnKP sf?l
DATE OF SURVEY: I a- f b-o)
LATEST REVISION:
m
?
c
m
v
DOCUMENTSTANDARDS
Y a
O Z °a
Q
rS? ? ? • Registered Land Surveyorsgnature and company
? ? ? • Building PertnkAppiicant
W ' n ? • Legal description
Gl? ? ? • Address
t? ? a • North arrow and scale .
?? ? • House type (rambler, walkout, split w/o, split entry, bokout, etc.)
ri ? ? • Directional drainage arrows with sbpe/gradient %
Cd ? ? • Proposed/existing sewer and water services 8 invert eleva6on
Cv?C7 ? • Sheet name
C3' ?
e ? • Driveway
[
? ? • Lot Square Footage
r9/ / ? ? • Lot Caverage
B" " ? ? • Benchmark
ELEVATIONS
Exlstina
tr? ? ? • Sewer service (or Proposed)
0? ? ? • Properry comers
?? ? • Top of curb at the driveway and property line eMensans
?d ? • Elevations of any existing adjacent homes
? R? O • Adequate footing depth of structures due to adjacent utility trenches
? ? ? • Watenvays (pond, sUeam, etcJ
Prooosed
? ? • Garage Boor
L9 ? ? • Firstfloor
0??/ ? ? • Lowest exposed elevation (walkouUwindow)
t9' ' ? 0 • Propertycomers
V ? ? • Front and rear of home at ihe foundation
PONDING AREA ('rf aoolk:able)
? 6 ? • Easement line
? 0 • NWL
? 1?/ ? • HWL
? C? ? • Pond # desgoation
? [a? ? . Emergency Overflow Elevation
DIMENSIONS
L9 ?? • Lot Iines/Bearings 8 dimensions
d? ? • Right-af-way and sVeet width (to back of curb)
C? ? n • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sWdures requiring pertnanent footings)
f9? ?? • Show all easements af record and any City utildies within those easements
?? • Setbacks of proposed sWCture and sideyard setback of adjacent existing structures
L9' t7 ? • Retaining wall requirements, if any
Reviewed:
Surveyor's Certificate
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Lot a, Block 1, OAKBROOKE 5TH ADDIION, City of Eagon, Minnesota and reserving
easements of record.
U 6 r? 0 REC'D
?
F T. u
?,,. T'7 ? '"y •?
V i C, \\jl
- 7
. ,,
,
# 17944
PROPOSED ELEVATIONS
Top of Foundatian = a37.0
Garage Floor =935.9
Basement Floor =q2g,
Aprox. Sewer Service =q25.
Proposed Elev. _
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = •
?o Cl? u?? ?LJ
?LLo
?
B€NCHMARK, CP011
Elev : 435.'8
0
ot
? MIN. SETBACK REQUIREMENTS
Front - House Side -
SCALE: 1 inch = 30 feet Rear - Garage 5ide-
f HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
HEDLUND OF THE BOUNDARIES OF THE ABOVF DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
PL41NNlNCSNC77V6BRlNC SURV6YJNC SMOW IMPROVEMENTS OR ENCROACHMENTS, E%CEPT AS HOWN.
2005 Pin Ook Drive
1c) O
Eagan, MN 55122 DnTE
-
Phone; (651) 405-6600 RE P. IIND E LAND SURVEYOR
Fax: (651) 405-6606 NNE TA LICENSE NUMBER 14376
N0:
01 R-496
Ookbrooke 5
L U/ S U. I- UU 1,9 UL _.S, b Ue
HSE SQ. F00 TA GE = 2, 04 7
L 0 T CO l/ERA GE = 577
Site address: I b 7 S( QQ J6ok 6,w r Lot??F Block o'7 Subd. 4P 5'5`0
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 Gertificate of Occupancy.
_ This struciure: is consVucted to meet minimum requirements of the Mn Energy Code, Chapter 7670
? OR
This strucWre: will be consWcted to meet more restrictive requirements of Chaptecs 7672 or 7674
APPUANCE GAS ELEC MANUFACTURER MOUEL BTU'S VENTINGTYPE
Water Heater ? ?.{{,?,..,, M o S 3"
Fumace 493 -a , ec, F"
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
res xo
Kitchen kitchen
Bathroom 1 Au„- ? So ?• ` ? ? 5 ?d ?
Balhroom 2 Jl $p
8athroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DiRECT AiMOS
? ? HfN G?o - 13 0."
MAKE-UP AIR MODEL TYPE C(M's
3zli ?A
I hereby acknqwledge that the above information is correct and agree to compry with the Minnesota Energy Code anC''City of Eagan
Y ? ?-
Date
Company
This form is the responsibility of lhe General Contractor.
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
Date?/ z /
SyteAddress WU nG KhY7JA2 CA)'r? Unit #
z
Property Owner J6f \ V? ? ??CiV?PS'SG, y?1V1C h PZ' Telephone #
Contractor ? a. YYl
Address City
State Zip Telephone # ( )
The Applicant is ? Owner _ Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Additional eonsultant fees may apply.
Alterations To Existing Dwelling Unit, Including
t-? Adding fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will
be in conformauce with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an applicarion for a pem»t, and work is not to start without a permit; that the work will be in accordance with the
a proved plan in the case of work which requires a review and approval of pla .
apes?,c?rn.hP-,z)- ti
Applicant's Printed Name Apphcant's Sign e
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127410
Date Issued:10/01/2014
Permit Category:ePermit
Site Address: 1678 Oakbrooke Ct
Lot:8 Block: 1 Addition: Oakbrooke 5th
PID:10-53764-01-080
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 -
Leanne Adkins
2150 67th St E
Inver Grove Hts MN 55077
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:EA147423
Date Issued:01/08/2018
Permit Category:ePermit
Site Address: 1678 Oakbrooke Ct
Lot:8 Block: 1 Addition: Oakbrooke 5th
PID:10-53764-01-080
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Leanne Adkins
2150 67th St E
Inver Grove Hts MN 55077
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155717
Date Issued:05/30/2019
Permit Category:ePermit
Site Address: 1678 Oakbrooke Ct
Lot:8 Block: 1 Addition: Oakbrooke 5th
PID:10-53764-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Leanne Adkins
2150 67th St E
Inver Grove Hts MN 55077
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature