4119 Oakbrooke TrAddress 4 1i 9 O a k b r o o k e r r a il Zip 55122_
;, . .
Lot 4 Blk 4 Sub Oakbrooke 3rd Addition
TfESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: y Yes No Inspectot: Z
Final gtade (6" from siding)
Permanent steps (gatage)
Permanent steps (main entry)
Permanentdriveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Pleese verify with the builder the removal of roof tesi caps from the plumbing system and the shutoff of water supply b
t6e outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in tightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - ContracWr Copy
x x F ? * * * * * * ? * * * ? * * * * * * ? * * * * * ? ? * ? * * * * * * * *
CITY OF EAGAN
?4S ?AJ q o J I S
CASHIER .-
DATE: 04/04 /00 TIMEINAL N0
4:14a37
ID:
NAME: PULTE MASTER BUILDERS
2252 9220 4119 OAKBROOK T 30
00
3210 9001 4119 OAKBROOK T .
1
200
95
3866 9379 4119 OAKBROOK T ,
.
100
00
3422 9001 4119 OAKBROOK T .
780
62
2275 9220 4119 OAKBROOK T .
1
089
00
3446 9001 4119 OAKBROOK T 1
.
11
00
2155 9001 4119 OAKBROOK T .
50
?
3743 9220 4119 OAKBROOK T •
50
00
2155 9001 4119 OAKBROOK T .
68
50
3868 9220 4119 OAKBROOK T .
492.00
CR125572
USER ID: J
AN ** CONTINi7EL
** CONTINUEL
*?*+****?* ***** *+?****?****?* *??***?**?
*?r:r+?r**,r*?**********??,t*,t**** CONTINUEI
CITY OF EAGAN
CASHIER: SS TERMINAL N0: 014
DATE: 04/04/00 TIME: 14:14:38
ID:
NFME: PULTE MASTER BUILDERS
3716 9220 4119 OAKSROOK T 114.00
3713 9220 4119 OAKBROOK T
3865 9220 4119 OAKBROOK T 50.00
840.00
Total Receipt Amount: 4,826.57
? ?
1,?557),,
SifO 8ddf255: ? seiie ^"'MEIRd
Lot ? Block I Subd. Oakbrooke
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 6e constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater A& ? N 06G d s.. yf 13
Furnace
t?.
s M 4V D3 D U
eeo
D
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathroom1 4?? ?, y??OS- U(.Q f
Bathroom'2
Bathroom',3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DiRECr aiMOs
? Z B? ??
MAKE•l1P AIR MODEL TYPE CFM's
N
r
I hefeby a?nowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
reguireme ts.
/
Z ??
a re A, D te
WU
ompanyName
' This form is the responsibility of the General ConVactor.
2000 BUILDINC PERMIT APPLICATION (RESIOENTIAL)
• ' crrr oF eacRrr
3830 P1651-881-48 S. 53122 ?I
??..Q.?l-? 3-30-cl?
D 3 "tfaretl qf6 wn'ari Ywwin9 i41 W bt f4 h. O( houw
and 21 ro0led arem [20Y. mmdmum bt coveraoe nllowedf
? 2 eoplea of plans qhow beam 8 window Wse0. Pa+red (W. Wdgn; etc.)
D 1 set of aneryy calCtdG7lors
D J copiea ot he6 PreaervaHon plan H Id ploHad Mw 7/1/93
DATE: ---?r a. ?
0
DESCRIPiION OF WORK: _
SRtEET ADDRESS• 4?TV
4 caplea a( plmi
1 sAt of aneryy Cdadalians for heafed adt9tbro
1 ftte wneY 1or axteAa atlclHOm R decks
CONSiRUCT1ON COST:
Lor. ? sLxK: susu./P.i.D. 111: ' Oc?..?b
Name: Phone #:
PROPERTY tast Flnt
OWNER
Sipnalure of AppWcant
Sheet Addresa:
CMY
State:
c
Zip:
Company? J???N\VQ34? n\' \V`Ve Phone
(area code)
CONTRACTOR \\
street AddreaxS? ucense s\ .??\ Exp. 3\ ?
Dp:
ARCHIIECT/
ENGINEER Compamr: Name:
Telephone C: ( )
Sheef Address: RegishaMon 1:
CRY
Sewer/water licensed plumber
1 herebY aCknowledye t11at I hCVe recW thk appliccilion,
of %linneaota Stafutea and CNy W Eapan Ordinancea.
Certificates at Survey Received ?es
Tree Preservation Plan Received _, Yes
LP:
Phone #:
OFFICE USE ONLY
_ No
„ No ? Not Required
State:
apree b comply wiTh ae appicable sfale
, L J
_?
ys'
OFF{CE USE ONLY
BUILQING PERMIT SUBTYPES
0 Of Foundation ? 07 OS-plex O 13 16plex O 21
;!? 02 SF Dwelling p 08 O6-plex O 17 Garage p 22
O 03 01 of_ plex O 09 07-plex O 18 Decfc O 23
E3 04 02-plex p 10 08-plex O 19 Lower Level O 24
13 05 03-plex p 17 10-piex aibe vor_N O 25
0 OB 04-plex O 12 12-piex O 20 Pool O' 30
WORK TYPE
? 31 New O 38 Move Bldg. O 43
O 32 Addition 13 37 Demolish (Bidg)' O 44
13 33 Alteration 0 38 Demolish (Interior) O 45
O 34 Repair O 42 Demolisn (Foundation) 0 48
• Give PCA handout to appiicant for der
GENERAL INFORMATION ?
SAC Code # of Stories
No. af tlnits Length
No. of Buildings Width ?
Const. (Actual) ? Basement sq. ft.
(Ailowable) ?? Main level sq. ft. /
UBC Occupancy =4- g,
Zoning ?n ?q, g,
M SCELLANEOUS INSPECTIONS
Stucco/stone 61zPZ,(<.
APPROVALS
Planning _
Permit Fee
Surcharge
Pian Review
License
MC/ES SAC
ciri sac
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment Pi.
Park Ded.
Traiis Ded.
Other
Copies
Total:
Porch (3-sea•) L] 31 Fxt. Alt - MuMi
Poroh/Addn. (4-sea.) O 33 Ext Alt - SF
Porch (screened) p 36 Mutti
Storm Damage
MisceNaneous
Accessory Bldg. Reroof
Siding
Fire Repair
Windows/Doors
nolition permit
sq. ft.
sq. tt.
Footprint sq. ft. ?
Census Code
MC/ES System
City Water
Booster Pump
PRV ?
Fire Sprinklered
Building Engineering Variance
Valuation: $?3.
79 /t" is ,
m &.P? //,?? v k`
a . . ., , I ,
3 -A (, .5'I
a?, ?Yo
/VS/ ?
D
r . - +
SAC Units
% SAC
JOB INITIATION ORDER
I?
Pulte Homes of ?
Minnesota Corporation CONTRACTOP/SUPPLJER:
1355 Mendofa Heights Road, Suile 300
Mendota Heights, MN 55120-1112
Phone: (612) 452-5200 Fax: (612) 452-5727
JOBNOJ???'nEQj C> ?1-0-1 LE(iALDESCPoPfION:?WT? BLOCI( UNfT
cor.tiaNm ,?pH:
BUttAINO /1DDRE5S: '"A1 i l ?h^^''{{ GTY: STATE: ?
MODELWN7E'1?T/CT?? MDM NUMBER: ? ELEVATION: ? OARAOE: RIOHT
eurEas ontE oF ortart '7 ?
CURRENT ADDRESS: ?p??
HOME PFiONE: _ B? Q?SS PFIONE: BUSINESS PHONE:
SALES HEPRESENTA7IVFV.--S ? le
PRICE
b
cm
l 1 I?-c??a I h??s 1!? ?u?tzu ??7
I???vo 2, ??? Cj,u?cu,t?- ?t.?? i oz? C?? ? ? .,..:,.
eunaers License n0001371
'/"APPRO D BY BUYER (S):
APPROVED BY SALES: v ?
RELEASED TO START CONST.: eauaL HousiNc
OPPOHTUNITY
This constitutes a contrad beriveen the Selter and the PurchaseKs) for the above items.
WHITE • MASTER BLUE - SALES GREEN • SALES FiEP. YELLOW - ACCOUNTING PINK • BUYER GOLD • FIELD
? JOB INITIATION ORDER
Pulte Homes of
Minnesota Corporation CONTRACTOR/SUPPLIER:
1355 Mendota Heights Road, Suite 300
Mendota Heights, MN 55120-1112
Phone: (651) 452-5200 Fax: (651)452-5727
JOBNO.?=15 n,l??/ la?
CONMUNfTY:
BUILDRJG ADORESS:
M??
DDEL tJAAAE: -,I,EODEL NIJA
BIIYER'S NAME:
CURRENT ADDRE°w^:
HOAE PHONE' &15INESS PtiONE:
SALES REPRESENTATNE • ??tP??
'?? i s. :`+? '?i!:?A„ , ????r?.
0000 ai';i63r'??a?'?'?"r?i%;;?34??,?', ?MI,?+,; ? ??? ? . ??y`?:F,? ; %?J?"????8?s°?• ? , 1? e . d'? , "s' ? ' •s:?? • ??
BASE PRICE 4
---- LOTPREMIUM
E VATION #
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IZ TOTAL g q?
-?
wo ? APPRO D BY UYER (S):
APPROVED BY SALES: RELEASED TO START CONST.: eauni xousiec
OPPOflT11NITY
Bwlder's license tt0001377 This constitutes a contract between the Seller and the Purchaser(s) for the above items.
LEGAL DESCRIPTION:
ADOfiION:
1.0T BLOCK UNR ?
GTY: °T°TE:_ ZIP:
ELENATION: GARAGE: LXFT RIOHT
? 1-1
DATE OF ORDER: -I (:?$O
qN: STATE:_ LP:
? BUSINESS PNONE:
ities Di ig tal Quality Control
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
. BUILDING PERMIT APPLICATION
L PROPERTY LEGAL' l-oT 4 E/ Odee IL Or9X13ALi(2?
n DATE OF SURVEY: 3- ?? ? J U
?
LATEST REVISION:
W
?
C
0 DOCUMENT STANDARDS
Q
O?
? ? • Registered Land Surveyor signature and company
? ? • Building Permi[Applicant
? ? Legaldescnption
?o ? Address
? •
North arrow and scale
p o •
House rype (rembler, walkout, split w/o, sqit enUy, lookout, etc.)
8 ? .
Directional dreinage arrows wRh slope/gradient °k
? ? •
Proposed/exissting sewer and water services 8 invert elevation
o' ? ? • Streetname
o ? • Driveway
rdp o • Lot Square Footage
? ? ? • LotCoverage
ELEVATIONS
/ Ewstina
o'? ? ? Sewer service (or Proposed)
?p ? Property corners
e/ ?? • Top of curb at the driveway
iyl?? • Elevations of any eadstlng adjacent homes
? 8' ? Adequate footing depth of structures due ta adjacent utilHy trenches
Prooosed
OXE0 ? • Garage floor
tr-? o ? • Firstfloor
? Lowest exposed elevation (walkouVwindow)
f ?? : Property corners
a?? ? • Front and rear of home at the foundation
PONDING AREA (if aodiqWe)
o m?o • Easement line
? ?
' • NWL
HWL
a m
?
? r?? •
• Pond # designation
0 ccn" ? • Emergency Overflow Elevation
DIMENSIONS
?o • Lot Iines/Bearings 8 dimensions
?o ? • Right-of-way and street width (to back of curb)
?o o • Proposed home dimensions induding any proposed decks, ovefiangs greater than 2', porches, etc.
/ (i.e. all sVuctures requiring permanent footings)
? o ? • Show all easements of record and any Ciry uUlNes wiUiin those easements
rJ?? ,? • Setbacks of proposed structure and sideyard setback of adjacent existing strudures
'
a r? ? • Re[aining wall requirements,
rf any
Reviewed:
Date
Mareh 1999
CpAN'JBIDGPRNR.FM
Surveyor's Certificate
SURVEY FOR :PULre
DESCRIBED AS : Lot 4, Block 4, OAKBROOKE 3RD ADDITION, City of Eagon, Dakoto County, Minnsota and
reservinq easements of record.
LOT SQ. FOOTAGE = 3,168
HSE. SQ. F00TAGE = 2,259
LOT COVERAGE = 71%
Plan # 17954
PROPOSED ELEVATIONS
Top of Foundation = 533•0
Garage Floor = qs1.5
Basement Floor = 924.t?
Aprox. Sewer Service = qiq.o s
Proposed Elev. _ ?
Existing Elev. _
Drainoge Directions =
Denotes Offset Stake = •
t
?
0%
BENCHMARK,
SCALE: 1 Inch = 30 leel
?
?
1
MIN. SETBACK REQUIREMENTS
Front - House Side -
Reor - Garaqe Side-
JOB N0:
EDL?/ND I HEREBY CERTIfY THA7 THIS IS A TRUE ANO CORRECT REPRESENTATION OOR- 093
OF THE BOUNDARIES OF THE ABOVE OESCRIBED PROPERTY AS SURVEYED PAGE:
BY ME OR UNOER MV DIREC7 SUPERVISION AND DOE$ N0T PURPORT TO BOOK:
HPLANN/NC BNClNE6R/NC SURVEYINC SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS OwN.
2005 Pin Oak Drive w?n
Eogon, MN 55122 DATE (?/_L?! ' CAO FILE:
Phone: (651) 405-6600 *NEYS ELINDGRFox: (651) 405-6606 A LiCENSE NUMBER 14376 OAKBROOKE
RE IVED MbR 3P 2900
S,ZLT FENP.C
,
??. . ?
osed Home
P ?
torog ° 933 • `?
k6 0o ? <'.
'E;3.G AN R?TGIIqrza'R.?'?Ti L?DEPM
CITY USE ONLY
LOT U BL LI PERMIT #: NE Zy
suBD. 0 a Kb?'oo ke 3Yd RECE?PT ?: l a? 9 0
RECE[PT DA'I'E: -/ ?p (?' UU
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date: ?i'•o?c?'dd
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Totai
$ 30.00
6.00
3ao
.50
$ 39-5?)
Complete this section onlv if you are remodeline, addin?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 conditioning
_ Air exchanger _ Other
Reminder: Call for inspections
SITE ADDRESS: ?-y l l9 ?GC.K{'JYC? & ?
Fee $ 30.00
State Surchazge .50
Total $ 30.50
OWNERNAME: ?Iy-e 4JYXf S PHONE#: /067 P-ad
(AREA CODE)
INSTALLER NAME:?fA1.Y (15SU ?k,-j?172Y4 4L 4l (-' _ PHONE #: qS_-Z - y9ziF-0605-
(AREA CODE)
STREET ADDRESS: nve_ S.
CITY: STA1'E: _W rj ZIP:?56a
?
SIG TURE OF PERMI E
737
cxxx os EACr+rr
3830 PIIAT IINOH RD
EAGAN MIIi 55122
651-681-4675
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (CObMRCIAL)
CITY OE EAGAN
3830 PILOT FINOB RD
EAGAN, 1•IIi 55122
651-681-4675
Please wmplete for: all commerciaUindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction Install U.G. Tank
_ Incerior Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 651-681-4675 for inspection by jre marsha[ and
plumbing inspector.
Description of work:
Fees: 1% of conoract price OR $30.00 minimam fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 far each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONL1):
WAS THERE A PREV IOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
STATE:
ZIP:
arv use oNLY
PHONE#: -
(AREA CODE)
,
,
SIGNATURE OF PERMITTEE
'J L BL cirv use oNLv
"f
sueo. 0o.X'1bYGcA(, ?i?
RECEIPT#: 1;*(?'? z
RECEIPTDATE:
PERMIT# -GV?? (J {I
U
2000 PLUM$INfi PEiiMTP (RESIDEN'17AL)
crr7r oF EwsM
3$30 PILOT KNOB RD
EA6AN, MA 551 EE
651-a81-4675
Please compiete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
FIXTURES
EACH #
?l (
l
TOTAL
AI?erations to er.isting dwelling - n-iinimum fze
Describe:
$ 30.00
Bath tub $ 3.00 x $ ?
Floor drain 3.00 x = $
Gas i in outlet ' minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
S2 tiC S stem newlrefurh(shed ' re uires MPC lic. 75.00 X = $
Se tiC S Stem abandonment 30.00 X = $
RpZ new installatioNrepaidrebuild 30.00 X = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under rounds rinkler irdwauin isundercanstruction 3.00 x = $
Under rounds rinkler ifexistingdwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dweuin under constructian 5.00 x = $
Watersoftener Ifexistingdwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 -> ----> ----> $ .50
Tolal
--'
--?
----?
-°-?
$ -
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------------------------------------------------•-----•------------------•--------•-------------------------------------------
I hereby acknowledge that I hava read this application, stale that the informatlon is correct, and agree to comply with all applirable City of Eagan ordinances.
It is Ne applipnPS responsibility lo noti(y Me property owner ihat the City of Eagan aswmes no liability for any damages caused by the City during its nortnal
operational and maintenance activities to Ne facilities consVUCted under this permit within City propertylPght-of-wayleasement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
(AREA COOE)
STREET ADDRESS: 1//t:-
CITY: ? //?//Y7 STATE: &21) ZIP:
SIGNATURE OF PERMITTEE
??51 O 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
cinr oF eacaN
3830 PILOT KNOB RD - 55122
657 -687 -4675
,?t
Reauiremanh ?p/V
?„'PC2M /?T ?? OQ"ol
DATE: Sbp CONSTRUCTIONCOST:
DESCRIPTION OF WORK: "R"fft GOWl-42 /.ZVWC, H mulH•famlly bldg., how many uniFs?
IPfDICATE THE FOLLOWIPlG EQUIPPoIEfdT TO BE REPLACED AP1D BY WHOPoI:
_ Plumbing _ Homeowner or Contractor Name
Mechanical Homeowner or Coniractor Name
"Note: If somebody oiher }han the homeowner is performing plumbing or mechanical work, ihey must apply for appropriate
permit. Only hcensed plumbing coniractor or homeowner may complete plumbing work
STREET ADDRESS:
LOT: -?*- BLOCK: -*-- SUBD./P.I.D.#:
J
PROPERTY
OWNER
CONTRACTOR
Name: ??ucti'? /fOMW'S Phone
Last Firat
SheetAddresa: ::?vMlS .4S ?firtot'-i
Cily
Stafe:
Zip:
Company: -?Dv t- rs j;6Iy&S Phone #: S/ - 4'57--S ZCG
(areo code)
Sheef Address: MS-S- Mt"k-ib9_,4 ll6160s Rb License #137/ Exp. 3"Zm I
cny 1qemr7'a AwG rcrs state: M•g ZiP: ss- i za
RECEIVED
AUG 2 3 2000
BY:
I hereby acknowledge fhaF 1 hwe tead lhis applicallon, siate 1ha11he Informalfon is conecf, and agree fo comply wffh all
applicable State of Minnesota SfafiAes and CMy of Eagan Ordinancea.
Signalure of Applicar? ? .
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex
? 02 SF Dwelling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
O 04 02-plex ? 10 08-piex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 19 Lower Level ? 24 Storm Damage .
Plbg _Y or _ N ? 25 Miscellaneous
? 20 Pool ? 30 Accessary Bidg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)* 0 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation)• ? 46 Windows/Doors • .
* Demolition permit - Give PCA handout to applicant
GENERAL INFORMATION
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES 5ystem
City Water
Booster Pump
PRV
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127443
Date Issued:10/01/2014
Permit Category:ePermit
Site Address: 4119 Oakbrooke Tr
Lot:4 Block: 4 Addition: Oakbrooke 3rd
PID:10-53762-04-040
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 -
Arnold L Usem
4119 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:EA128247
Date Issued:10/31/2014
Permit Category:ePermit
Site Address: 4119 Oakbrooke Tr
Lot:4 Block: 4 Addition: Oakbrooke 3rd
PID:10-53762-04-040
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 -
Arnold L Usem
4119 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