1689 Oakbrooke Ct?
r
RESIDENTIALI
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
657.681 A675
New Construction Reaufremenb
• 3 regatered stte surveys showing sq. fl, of lot, sq. ft of house; and all roofed areas
(20%maxtrnum lot coverage allowed)
. 2 copies of pian showing 6eam 8 windmv srzes; poure0 (ound des'gn, etc.)
. 1 set of Eriergy CalcWatbns
• 3 copies of Tree PreservaUon Plan if lol plafled aNer 771/93
VIP- qb5b2 - 11043, b5
MP- ??503- 70.?0
?(166ellReoairReauiremente
. 2 copies M plan ?
- • 1 set of Energy Celculatbre for heated additions
. 1 site survey for exlerlor additions& dacks ?!
• Indicale if ho? served by septic syatem far addilionsW /6Lr
J %
. Rim Joist DelalOptions selection sheet (hldgs wilh 3 or less units) I 0 ?'37 I- ?' n b Q ?
l0 d g-7 0?
DATE 2I 5t/Ol ? VALUATION 20
JOB SITE ADDRESS Ib 6`l 0610eiob1CE Cn?,c?I ?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNE
TYPE OF WORK,/?
APPLICANT !
ADDRESS LE
PAGER #
Gd_1
FIREPLACE(S) _ 0 ±'I _ 2
PHONE#
ZIP CODE -Z_lZ/
CELLPHONE# 0d-30-I21J FAX#
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGOR ? ? ? ? ? ?
(check one) - Residential Ventilation Category 1 Worksheet itted
- Energy Envelope Calculations Su6mitted i
? MINNESOTA RULFS 7672 Z
- By
- New Energy Code Worksheet Submitted
Plumbing Contractor: ??fm? /-LU/M&jig Phone #: 9,0- ?'?°1 ^z?? ?
Plumbing System Includcs: Water Softener Lawn Sprinkler Fee: $90.00
Water Heater 1 No. of R.I. Baths
d No. of Baths
Mechanical Contractor. 411?15yil1e N'ti?a V/7'TR Phone # aT3?
Mechanical Syslem Includes: Air Conditioning Fcc: $70.00
_ Heat Recovery System
Sewer/Water Contractor. M./Y-o (?r¢..YI t fa ) ?vM ?R, S Phone #??3`?
All above infortnation must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is coRect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant /dftRAm[ S 6e1AR/ Ca ?O
Certificates of Survey Received t Tree Preservation Plan Received - Not Required ?X Updated 1101
OFFICE USE ONLY
O 01 Foundation ? 07 OS-plex
)<02 SF Dwelling ? 08 06-plex
? 03 07 of _ plex ? 09 07-plex
? 04 02-plex O 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
31 New ? 35
? 32 Addition ? 36
? 33 AltereGon ? 37
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
itod"T p
?
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
.. •?
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
O 33 Ext. Alt - SF
? 36 Multf
Int Improvement ? 38 Demolish (Interior) ? 44
Move Bldg. ? 42 Demolish (Foundation) ? 45
Demolish (Bldg)` ? 43 Raroof ? 46
"Demolition (EnUre Bldg only) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning ? City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
? Footings (new bldg)
_ FinaUC.O.
Footings (deck) Fina]/No C.O.
Footings (addiNon) Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
Framing
Fireplace ? R.I. ? Air Test ? Final
? Insulation
Approved By 7-4- , Buiiding Inspectar
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
i.reatment Plant
Plumbing Permit
Mechanical Permit
license Search
Copies
Other
Total
(
LIL1UX i?
_ Poal Ftgs Air/Gas Tests _
_ Siding Stucco Stone
_ Windows (new/replacement)
rr
l? 0,5 AL
Uav (-!,-l.rt: u 4
1''i KYl:h.p
°t,lq If /y
1 S?2 X S?`?
6-0-aq-6-IE
PUtn. Q4
Siding
Fire Repair
W indowslDoors
f? ? I 1?y
?j 04 CJ
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN ?(?
? 1 r ?J ? 3830 PILOT KNOB RD - 55'122 ?? U v
I ? 851-681-4675 (?
NewConstructionReaulremenb RemadaUReoairReauiremen?C-';" ?- - "z' I -
. 3 registered sRe wrveys showiig sq. fl. of lot, sq. ft of house; antl all raafed areas • 2 copies of plan Y M.tiA-A-??--e .
(20% marimum lot coverege allaxed) • t sei W Energy Cakulations for healed addiUons
• 2 coDies of plan showing beam & windaw sizes; poured faund design, etc.) • 1 sde suney for eMerior additlons & decks
• 1 sel of Energy Calcuiations • Indicate If home served by septic system for additions
• 3 copies of Tree Presena6on Plan i( IM platted after 711l93
• Rim Joisl Detail Options seledon sheet (61dgs with 3 or less units)
DATE 3'S- VALUATION ?35 .??? • ?G
JOB SITE ADDRES$ I&gR 61akb r Eo ?_e C4-
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
r0 t't V e
TYPE OF WORK RA-'S? L, U cr ev [e V e{ FIREPLACE(S) _ 0_ 1 ?
APPLICANT Tt 14 CohS+-v'tnc+i p r-, PHONE#76 3-'V ?3-0// Z
ADDRESS 1930 Blul Ij £ Ua,KLaka_plhct? ZIPCODE SS30 $?
PAGER # CELL PHONE # 763- q3$ -54/1 8 FAX #
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COM
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY AR 0 8.2002
(check one) - Residential Ventilation Category 1 Worksheet S i- Energy Envelope Calculations Submitted ;0
S
MINNESOTA RULES 7672 By---
New Energy Code Worksheet Submitted
Plumbing Conhactor: Phone #:
Plumbing System Includes: Water Softener Lawn Sprinkler Fee: $90.00
Waler Heater No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: _
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Hcat Recovery System
Phone #
Fee: $70.00
Phone #
All above infortnation must be submitted prior to processing of appiication.
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.
Signature of Applicant ??"-?
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 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 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ?< 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
)k 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolitfon (Entire Bidg only) - Give PCA handout to applicant
Valuation L,?C9?'(7 Occupancy 2 3_Y??- MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs ? Length Fire Sprinklered
Type of Const _ -1) Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) ? FinallNo C.O.
_ Footings (addition) Plumbing
_ Foundation ? HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing Siding Stucco Stone _
Fireplace R.L ?Air Test ?(Final 6)) _ Windows (new/replacement)
? Insularion _ Retaining Wall
Approved By T 2 , 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
,
(7770-
Total
:
DATE:
JOB NO:
COMMUNITY:
ADDRESS:
MODEL NAME:
BUYERS NAME:
ADDRESS:
HOME PHONE:
SALES REP.;
0550-318-01
Oakbrooke Infinity Homes
TBD
Crystal W.O. MODEL#: 17944
Katnee sneiaon
BUSINESS PHONE:
cov6?
LOT: 18 BLOCK: 1 UNIT:31801
ADDITION: 6 6- "?`
CIN: Eagan STATE: MN ZIP: 55122
ELEVATION: 1 GARAGEAjj6P LEFT
CITY:
STATE:
BUSINESS PHONE:
PHONE: 651-686-4643
THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER ANO THE PUCHASER (S) FOR THE A80VE ITEMS.
APPRaVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERENTIDENT:
APPROVED BY SALES:
5'- " 7it ti
A
Builders License # 0001371 _ `rA
?
?
6/2l01
PULTE HOMES OF MINNESOTA
JOB INITIATION ORDER
ZIP:
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 6-7-2000
DATE Or PLANS: 3/28/00
TITLE: CRYSTAL WALKOUT ELEVATION
COMPLIANCE: PASSES
Required UA = 447
Your Home = 351
21.5s Setter Than Code
Permit #?
Checked by/Date
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value
------------------------------------------------------------------=--------
CEILINGS 1705 44.0 0.0
WALLS: Wood Frame, 16" O.C. 2206 19.0 2.0 1
WALLS: Wood Frame, 16" O.C. 196 10.0 2.0
BSMT: Conc. 9.01 ht/8.3' bg/9.0' insul 141 11.0 0.0
BSMT: Conc. 3.5' ht/3.1' bg/3.5' insul 20 10.0 0.0
GLAZING: Windows or poors, Above Grade 405 0.350 1
DOORS 38 0.350
HVAC EQUIPMENT: Furnace, 92.0 AFUE
----------------- - ----------- ---------------- - ------------ - -------- ---
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Minnesota Energy Code.
Builder/Designer `?-(/)'YlA.t??&e ?.#?N;2S6???? G% Date ? a? b
? LOT SURVEY CHECKLIST FOR RESIDENTIAI
? BUILDING PERMIT APPLICATION
PROPERTY LEGAL: Lo? /g .P/oak r o?-2 S',
4) OATE OF SURVEY: 7r23-Ol
?
?
LATEST REVISION:
t
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DOCUMENTSTANDARDS
9/ R
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i
0 0 • eg
s
ere
and Surveyor s
gnature and wmpany
q/l? ? • Buikiing Pertni[Appl'icant
G1'/ ? ? • Legal descripdon
LV/ o ? • Address
[Y ? ? ? • North arrow and scale
v / ? ? • House type (rambter, wa0caut, splft w/o, split entry, lookaut, etc.)
?
V/ ? ?
? •
• Directional drainage arrows wilh sbpe/gradient %
i
P
d/
d
i
8 i
water serv
ropose
ex
stlng sewer an
ces
nvertelevadon
? • Street name
C? ?
? ? • Driveway
? l
' ? • Lot Square Footage
L
t C
9 ? • overage
o
EIEVATIONS
Ebstina
L? ?
? ? • Sewer senrice (or Proposed)
L
? ? • Property comers
??/
' ? • Top of curb at the dmveway and propeRy line extensions
? C4 ? • Elevations of any epsting adjacent homes
? ? • Adequate foofing depth of structures due to adjacent uWRy trenches
? E1' 0 • W aterways (pond, stream, etc.)
Prooosed
GY/ ? ? • Garage floor
[Y ? ? • First floor
[3? ?
? O • Lowest exposed elevation (walkouUwindow)
/ 0 ? • Property comers
t?' ? ? • Front and rear of home at Uhe faundafinn
PONDING AREA (if aooBcable)
? 0/ ? • Easement line
?
? ? 0
? • NWL
• HWL
? ?
?
? • Pond # designation
? ? • Emergency Overflow EkvaUOn
DIMENSIONS
1/ ? ? • Lot lineslBearNgs & d'enensions
w ?? • Right-of-way and street wklth (to back of curb)
2,0 ? • Praposed home d'enensions including any proposed dedcs, overhangs greater ihan 2', porches, etc.
(i.e. all sfructures requiring pertnaneM footings)
/?? • Show ail easements of record and any City utflidea within those easements
4Y/ 0? • Set6acks of proposed structure and sideyard setback of adjacent exlsUng structures
o' ' ?? • Retainingwa9requirements,ifany s?e-dl- e&?-f.'-??1 -9?
Revfewed:
? • Surveyor's Certificate
SURVEY FOR :PULTE HOMES AUG 0 6 REC'D
DESCRIBED AS :Lot ,a, Block 1, OAKBROOKE 5TH ADDIION, City of Eagan, Minnesota and reserving
easements of record.
r ????? ?Vi V E 3.
B
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f ??/Y?*? Ep'IC.S'li\YJ /??n?ER.11.tl?rvy? LnS?ylq?
? ,?.nLTt]1V ?p,?ia '.
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OURP? # 93=
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unp- aIR n1Jo ?????=21 [E D
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# 17944
PROPOSED ELEVATIONS
Top of Foundation = 941,0
Garage Floor =q3q,q
Basement Floor = 932.0
Aprox. Sewer Service = 928.5'-
Proposed Elev. _ (Z--D
Existing Elev.
Drainage Directions =-
Denotes Offset Stake = •
c
?
Q
? p o
c ? R$
100(
n t a ?
o ?
N ?, fi 92 ? 26 l'1
0
? 16g2
? $?v4'18?
cI
r._N
SCAIE: 1 inch - 30 feet
HEDLUND
PL1NNlNG dNC1NBdRlNG SURVEYlNC
2005 Pin Oak Drlve
Eagnn, MN 55722
Phone: (651) 405-6600
Fax: (651) 405-6606
= 3, 608
= 2,047
5 77
L 0 T SQ. F00 TA GE
HSE SQ. F00 TA GE
LOT CDI/ERAGE _
Rw?sed S3 t?
Rg?ay
x ry4?
? Q;
?
3 No
\ xqqt
32A Q
:P G3
' O x
iqz,.1
X °(?
x
BENCHMARK, C.P. ,Aqooq
Ele?= 935.i8
'
??s,??ir?'? S???J
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
I HEREBY CERTFY THAT 1HIS IS A TRUE AND CORRECT REPRESENTATION
OF 7HE BOUNDARIES OF THE ABOVE OESCRIBEO PROPERTY AS SURVEYED
BY ME OR UNOER MY DIRECi SUPERNSION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR CROACHMENTS, EXCEP AS SHDWN.
DATE . •
ReJ a.?_o, t F RE 0. LIND6REN, L SURVEYOR
I SOTA LICENSE NUM R 14376
N0:
01 R- 311
FILE:
Oakbrooke.5
Site address: A-99 Al 4212o0 tc- t"ou?t LWIS Block ? Subd.
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
_ This sW cture: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
? This struclure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE
Water Heater ? ? 05-2 g
Fumace L C nrnlp - a1 54 000
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CPM's VENTED
YES No
Kitchen kitchen
Bathroom 1 Md &A Pu
rl SO iL
fv -osVa
? 0
?
Bathroom2 q rV-OSI/D ?b
Bathroom 3 :W S O Q D ?
Bathroom 4
S ?/ -S?
,Sv
?
Other
I hereby acknowledge that the above information is correct and agree to comply with the'Minnesota Energy'Code anG City of Eagan
requirements. -
SignaWfi
TC C t°
CompanyName
Date
• This form is the responsibility of the General Contractor.
Address ? ?'frG oa!cbrooke Ct Zip 5512 2
Lot 1$ Blk I Sub Oakbroolce Sth
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector.
Final grade (6" from siding) x J
Pecmanent steps (gazage) }(
Permanent steps (main entry) \
Permanent driveway X
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage
Porch X
Basement finish x
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
ihe outside lawn faucet before freeze potential exists. '
Contact engineering division at 681-4645 before working in rightof-way or instalfing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
PERMIT # t? ?O RECEIPT DATE:
8008 RUIDg1VTIihL PLUM$IRfi PERM1T APPLICATION
cm(og EAem
3830 Pn.or [uuos Rn
E?sM, b,?v ssisa
681-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for ircigation system
SITE ADDRESS: C-2?,N 'a. /' Cf',
OWNER NAME: : ' )7zr }/ef?,7.s>i?r<,.oiTELEPHONE #: 7K3 %13 -011Z
(AREA CODE)
INSTALLERNAME: TELEPHONE#: 7?-3 -753
STREETADDRESS: Ar (AREA CODE)
CITY: r STATE: ZIP: SS.?
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100
00
includes $40.00 County fee .
Note: AddiGOnal consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5l8" meter if needed -$178)
_ Other. e4-
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heat rD $ 15.00
State Surcharge .50
Total
I herebyacknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable City of Eagan ordinances. It
is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no Ilability for any damages caused bythe City during its normal
opera0onal and maintenance activities to the hacilities consWCted under this pertnit within City propertylright-of-wa /easement.
SIGNATURE OF PERMITTEE 1102
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443 Lafayette Road N.
St. Paul,; Minnesota 55155
www.dli.mn.gov
2/28/2014
David Hofseth
1289 Oakbrookett
EAGAN,M?55122
RE:
Site:
MINNESOTA DEPARTMENT OF
LABOR & INDUSTRY
RES STAIR CHAIR LIFT
David Hofseth
1689 Oakbrooke Ct
55122
Dear Sir/Madam:
(651) 284-5005
1-800-342-5354
APPROVED FOR USE
Elevator ID# ELV-1018632
Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction
Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless
belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section
recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety
Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and
Escalators does not necessarily assure compliance with the Americans With Disabilities
Act of 1990.
Sincerely,
CO UCTION CODES & LICENSING
azad,,P
Brad Underdahl
State Elevator Inspector
c: City of Eagan Building Official
ARROW LIFT ACCESSIBILITY
EJFormCE2R
This information can be provided to you in alternative formats (Braille, large print or audio).
An Equal Opportunity Employer
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127421
Date Issued:10/01/2014
Permit Category:ePermit
Site Address: 1689 Oakbrooke Ct
Lot:18 Block: 1 Addition: Oakbrooke 5th
PID:10-53764-01-180
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 -
David Hofseth
1689 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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129082
Date Issued:01/07/2015
Permit Category:ePermit
Site Address: 1689 Oakbrooke Ct
Lot:18 Block: 1 Addition: Oakbrooke 5th
PID:10-53764-01-180
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 -
David Hofseth
1689 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