4099 Oakbrooke Curve?SID? TIAL l ?° q ?0 . o ?
BUILDING PERMIT APPLICATION
CITY OF EAGAN (y\ PLA??p q?
3830 PILOT KNOB RD • 55122
651-687-4675 e P -A g I O0
NewConstructtonReautrements RemodellReoairReavirements -
• 3 registered she suneys shaving sq. ft d iot sq. R of house; and all roofed areas • 2 copies of plan ?? I? 1 ?/
(20°k maximum bl wverage ailo? . 1 set of Energy Cslalations for heated additions ?
• 2 copies of qan showvg beam & window sizes; poured lound design, ek.) . 1 site survey for exterior addiGons 8 decks ?
• isetolEnergyCalculaoons
• 3 copies ot Tree Presenation Plan if bt platted after 711/93
. Rim Joist Oetail Opfions seleclion sheet (61dg5 with 3 or leas wtits)
DATE
VAIUATION (EXCLUDING LAND)
.iJB SITE ADDRESS l?0 109 0?_ kbroo,F_e_ C4 r v
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ?U?T_
PROPERTY OWNER P I&-
TYPEOFWORK /Uc,? Co•:s?n?u?-t?? FIREPLACE(S) _0 1C7 _2 _3
APPLICANT Ple',- ,? -•u s o+ D PHONE #1?l??
ADDRESS 91 5A)o t i't wcs t- P? r k c?,x S..' ke- IVU ZIP CODE SS' /?2 1
I
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code cate9ory _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
? MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. V GIle v P! u w y?Vtv Phone #: Co $ ?? ??.2 -a l? I _
Plumbing System Includes: ? VVater Softener Iawn Spiinkler ee: $90.00
LC Water Heater t No. of R.I. Baths
3 No. of Baths
Mechanical Contraetor: ??- ? n s v? ?1G tte4 E ??-
Alechanical S} stem Includes: Zc :Sir Condidonin
_ Heat Recovery System
Sewer/Water Contractor. G e?.rc 1 Inr-'t r o
All above information must be submitted prior to processing of application.
NOJ
i
I hereby acknowledge that I have read this application, state that the information is?sorrect, an __ to comply with
all applicpble State of MinnesoTa Statutes and City of Eagan Ordinances.
Signature ot Applicant
Certifcates of Survey Received ?91 . Tree Preservation Plan Received _ Not Required -P
Phone # qs?? / g gI/ - Do o S
Fee: $70.00
Phone
Updated 1/01
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
?02 SF Dwelling ? 08 06-plex O 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
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
O 05 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12•plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to appilcant
Valuation 3. CPf7D Occupancy IZ 3- 4- MC/ES System
Census Code Zoning City Watei ViT-!-?-,
SAC Units Stories ar'? Booster Pump
Nbr. of Units Sq. Ft. 1?iOLI PRV -YAL
Nbr. ot Bldgs ( Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
? Footings (new bldg) ? FinaUC.O.
_ Footings (deck) FinallNo C.O.
Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile _
Roof Ice & Water Final Other
? Framing Au/Gas Tests
Pool
Ftgs Final
Fireplace 4 R.I. 1C Air Test _ _
Final _
_
Siding Stucco _ Stone _
?
Insulation = Windows (new/replacement)
Approved By k7_ , Building inspector
Base Fee
Surcharge
Plan Review
MCiES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
" g9-o.c)t.
03"tt ?5t% x e? ?0, 3ao
?M w-.??.? ? 3,9 q x s-?r ?0I L-lj?
y ??-
U.,,?-
I LIZ? If ? 0
Addtess 40QQ Oakbrooke Curve Z1p 5512_2
LAC I Blk 4 Sub Oakbrooke Sth
THESE ITEMS WERE / WERE NOT COMPLET'E AT THE TIME OF THE FINAL INSPECITON.
Date: 3? cl Yes No Inspector: t?? C?e
Final grade (6" from siding)
Petmanent steps (gazage) ?
Petmanent steps (main entry)
Petmanentdriveway
Permanent gas .?
Sod/Seeded grass Vl.*'
TraiUcurb damage yO? see-
Porch
Basement finish ?
Deck ?
Please verify with the buildet the removal of roof test caps from the pWmbing system and the shut-off of water supply to
the oufside lawn faucet before fteeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracwr Copy
PERMIT# RECEIPTDATE:
2002 {t£SIDENTIAL PLUMB1Nfi PERMIT APPLICATlON
crrY oF EAs,e?x
S$SO PILOT KNOB RD
EAfiAN, b1N 55122
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: 'Z o IZ cz
OWNER NAME: : kl!??e41 h ;7-a ! Z TELEPHONE #: 6S
(AREA CODE)
INSTALLER NAME:
TELEPHONE#: 9r rs3
/J (AREA CODE)
STREETADDRESS: n/OO' f-7' ?f?t;? /"Odv??
CITY: /jQ /,I Ki7 i STATE: ZIP: ?,s(7?
-1
SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 518" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild JUN 1$ ZQQZ $ 30.00
?lawn irrigation system
? BY
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
Tot01 $ '? z, ?-
I hereby acknowledge that I have read this application, statethatthe information is correet, and agre apmplywith all applicable ' of Eagan ordinances. It
is the applicant's responsibility to notiy the property owner that the Ciry of Eagan assumes no li i 6r any damage us y he City, during its normal
operational and maintenance adivities to the §cilities constructed under this permit wthin ' perty/rig S?aFBuay! as nt
SI T RE OF PERMITT 1l02
NOU-20-2000 93:13 PULTE HOhES
MNcheck COMPLIANCE REPORT
Minneaota Energy Code
MNcheck Software Version 3.0
bt)l 45e Z>rGr r.UciGG
?
Permit #
Checked by Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 11-20-2000
DATE OF PLANS: 8/14/00
TITLE: T'YLER ELEVATION #4
PROJECT INFORMATION:
OAKHROOKE SINGLE FAMILY
COMPLIANCE: PASSES
Requirad UA = 520
Your Home = 442
15.0%- Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter
-----------
-- R-Value R-Vdlue U-Value
----
--------------------
CEILINGS 1656 -----------------
44.0 0.0 -------------
WALLS: Wood Frame, 1611 O.C. 2049 19.0 2.0 1
WALLS: Wood Frame, 16il O.C. 243 9.0 2.0
BSMT: Conc. 8_0' ht/7,3' bg/7.3' inaul 640 11.0 0.0
HBMT: Conc. 7.01 ht/7.01 bg/7.0' insul 224 11.0 0.0
GLAZING: windows oY Doors, Above Grade 378 0.350 1
DOORS 38 0.350
FLOORS: Over Unconditioned Space 352 38.0 0.0
SLAB FLOORS: Unheated, 42.0" insul. 72 5.0
HVAC EQUSPMENT: Furnace, 92.0 AFUE
---- -
------------------------- ----------
COMPLIANCE STATEMENT: The proposed building -----------------
dESign described -------------
here is
consistent with the building plans, specificationa, and other calculations
submitted with the permit application. The proposed building hae been
designed to meet the Oquirements_-cf, the Minnesota Energy Code.
Builder/Designer
Date ?? 7 B ?
TOTAL P.82
PULTE HOMES OF MINNESOTA
RECAP SHEET
DATE: 1118/01
JOB NO:
COMMUNITY:
ADDRESS:
MODEL :
BUYER:
SALES REP:
0320-307-04 LOT: 7 BLOCK:
Oakbrooke Single Family ADDITION: PHASE 2
4099 Oakbrooke Curve CITY: Eagan
TYLER MODEL#:18281 ELEVATION: 2
David & Raleigh Zatz PHONE #: 952-545-1821
Jolayne Moberg PHONE #: 651-686-2862
4 UNIT: 0
STATE: MN ZIP:55122
GARAGE: RIGHT
PHONE #: 0
? r. ?z
1 ??
18281 ,- ?`•
TYLER
1 00000 Lot Premium
1 16000 CONCRETE PATIO
1 18023 ELEVATION #2
1 20035 UPG. ROOF SHINGLES
1 19021 FULL VIEW ALUM COMB DOOR
1 19025 GARAGE SERVICE DOOR
1 25022 DBLE.FRENCH DOOR - MBR/DEN DEN
1 28046 CABINETS - RAISED PANEL
1 28057 42 UPPERS - SQ RAISED PANEL
1 31011 LAUNDRY TUB SNGL COMPRTMNT
1 14000 BASE CARPET ADJUSTMENT
1 14001 1 ST CARPET UPGRADE
1 14007 1 ST CARPET PAD UPGRADE
1 15087 CERAMIC TILE FOYER
1 15092 CERAMIC TILE BATH #2
1 15091 CERAMIC TILE BATH #1
3 17000 ADD'L ELECTRIC OUTLET BSMT
1 17002 FREEZER CIRCUIT
7 17024 CEILING ELECTRIC OPENING ALL BEDS, LOFT, DEN, FMRM
1 23007 3 TON AIR CONDITIONER
1 23012 HUMIDIFIER
1 23019 HONEYWELLT8600 SETBACKSTAT
4 32002 CAT 5 PHONE/CABLE/MEDIA OUTLET MSTR, LOFT, BED 2& 3, DEN
1 32023 SECURITY SYSTEM - BASMT
1 10001 PROFILE PKG. - GAS RANGE, DW & MW
1 10102 PROFILE REFRIG. SIDE BY SIDE
1 22042 4'ADD.GAR-EL#2
1 22015 INSULATE -4' ADD. GARAGE
1 22017 INSULATED GARAGE DOOR - 2 CAR
1 22025 GARAGE DR OPENER/2 CONTRLS
1 13077 WHIRLPOOL TUB
1 29006 CAST IRON KITCHEN SINK
1 30009 LAWN IRRIGATION
10119 IWASHER W/ GAS DRYER
, LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMITAPPLICATION
•PROFERTYLEGAL: LD+ 7 /s'(acK y' dc{k?.,rnoKr_ t5-
DATE OF SURVEY: i D- 2 9- o/
LATEST REVISION:
m
w
c
m
v DOCUMENTSTANDARDS
Y < v
O Z Q
M/. ? ? • Registered Land Surveyor signature and company
LY ?
? ? • Building PermitApplicant
q
? ? • Legaldescnption
?
/
' ? • Address
N
h
[a
?
F??[7 ?
? •
• ort
artow and scale
House type (rambler, walkout, splft w/o, split entry, lookout, etc.)
d? ? • Directional drainage arrows with slope/gradient %
t?? ? • Proposed/existlng sewer and water services & invert elevation
?? ? • Street name
? • Driveway
R? ? ? • Lot Square Footage
[/'0 ? • Lot Caverege
G?"o ? • Benchmark
ELEVATIONS
Existino
vv? • Sewer service (or Propased)
? ? • PrapeRy comers
[a? ?? • Top of curb at the driveway and property line extensions
? B' ? • Elevations of any existing adjacent homes
??? • Adequate footing depth of structures due to adjacent utility trenches
? La?? • Watenvays (pond, stream, etc.)
Prooosed
e'
o ? • Garage floor
?
[a??? ? ? • First floor
ra? p ? • Lowest exposed elevation (walkouUwindow)
o??
? ? • Propertycomers
G
? ? • Front and rear of home at the foundation
PONDING AREA ('daoolicable)
? 2'/ ? • Easement line
? n 0 • NWL
? B, ? • HWL
? ?X? • Pond # designation
? R? ? • Emergency Overflow Elevation
/ DIMENSIONS
l9" ?? ? • Lot lines/Bearings & dimensions
? • Right-0f-way and street width (to back of curb)
Ll ? • Proposed home dimensians including any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all structures requiring permanent footings)
U"/ a D • Show all easements of record and any City utilities within those easements
GY? • Setbacks of proposed sWCture and sideyard set6ack of adjacent existing sWCtures
G? ?? • Retaining wall requirements, if any
Reviewed:
Surveyor's Certificate
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Lot 7, 81ock 4, OAKBROOKE 5TH ADDIION, City of Eagan, Minnesota and reserving
easements of record.
NUV 0 8 REC'D
;
r
j
,,?:gaG C
51 1.T
81°51'34,'
? r
N ? - -? -
u 1 I ?
c
y
v.vcaNr-
/
Unez. I Caroge
orops 1
Proposed
z-Story
9'pcw
S85°28'28"E 1 2.88
L 0 T SQ. FO 0 TA GE
HSE SQ. F00 TA GE
L D T CO l/ERA GE _
?5.q ir
3./
/ O
?
ni /
J1_J ro
= 10, 766
= 1,877
17q
3?n
?oR1-oV,
r, u'? ?? LLY
# ,a2b,
PROPOSED ELEVATIONS
Top of Foundation = 99e.5
Gorage Floor =945,5
Basement Floor =9a-7.5
Aprox. Sewer Service =qsa.o!
Proposed Elev. _ C=>
Existing Elev.
Drainage Directions =-
Denotes Offset Stake = .
BENCHMARK,
SCALE: 1 Inch - 30 feet
MIN. SETBACK REQUIREMENTS
Front - House Side -
Rear - Garage Side-
HEDLUND I HEREBV CERTIFY THAT TNIS IS A TRl1E ANO CORRECT REPRESENTATION
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERV1510N AND OOES NOT PURPORT TO
PLANNING BNGJN66RlNC SURVEYlNG SHOW IMPROVEMENTS OR ENC ACHMENTS, EXCEPT AS OWN.
2005 Pin Oak Orlve
Eagan, MN 55122 DATE
PhOne: (651) 405-6600 R . LINDC , LAND 5 YOF
Fnx: (651) 405-6606 ??-2 0?• ? N S A LICENSE NUMBER 4376
N0:
01 R-501
Oakbrooke 5
YVLi
PERMIT# ?It I ? -7
RECEIPT DATE:
SOOE RU1DEPTIAL PLUM$INfi PE{iMIT APPI1ClETION
crrY oF KAsM
3$30 PILOT KAO$ i{D (? ?(7
SAHAA.Mft 8512E H?l gsr-sei-4s7s MAR 0 6 2002
Please complete for: single family dwellings, townhomes and condos when permits are required for
backflow preventer for irrigation system
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #:
CITY: STATE: ?
ZIP: ?6nLJ4-(--
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 Counry fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION 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 (+ 5/8" meter'rf needed -$118)
Other:
_ RPZ: new installation/repair/rebuiid $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
/
0
TOtal $ -0
I herebyacknowledge that I have read this appliption, sfate thatthe information is corted, and agree to complywith all applipble City of Eagan ordinances. I[
is the applipnYS responsi6ility lo notify the property owner that the City of Eagan assumes ?no;?,l,iabilityfor any damages caused by the City during its normal
operatlonal and maintenance activities to the facilities constructed under this permit wit?i??%' ? eA gFjK? way/easement.
?? i
SIGNATURE OF PERMITTEE 1l02
BURNSVILLE
Heating & Air Conditioning, L.I,.C.
12481 Rhode lsland Ave S, Savage, MN 55378 • 952-894-0005
Orstat Test Report for Job#
? --
Addf2SS i`P, L•-c Clly
OcCUpent?,,. i a }-c
Dabe of Install
Type of HT. F/A-= HW Space HT Unft HT
Other
Make
Model
y rt`iL t5
$efW " r
fnput 7 ,' i, c(,) 8, ;t ,:
Pilat Type HOT SURFACE lGNITOR
Pressure
`r ?-
input CFH %'-
StackTemp E?
Date Tested .?-12 ?-
C02 r' `
02.a•?
Co yCompany BURNSVILLE HEAT/NG & A1R CONDITION/NG
Technician • y? ?
Siteaddress "lqrt y d4 k6 rao 6- C-urv? Lot 307 Block °`r Subd. (f )?, t c t nno I, S. F"
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adoptetl. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certifcate of Occupancy.
_ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater ? 117. ?,e n 117 ys S
Furnace ? ?-e4 G X
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES NO
Kitchen kitchen
Bathroom 1 I? 1
l?•?"? V?'G?
H45tl/L?-
FV -D? V? ?
Bathroom2 3 0. o So?; .
Fv- 0.s U
so
Bathroom 3
Bathroom 4
Other
VENTING
FIREPLACE 5 LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT nTMOS
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements. -
31.2 6o Z
Sig}`treI Date
CompanyName
" This form is the responsibility of the General Contractor.
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105511
Date Issued: 07/18/2012
Permit Category: ePermit
Site Address: 4099 Oakbrooke Curve
Lot: 7 Block: 4 Addition: Oakbrooke 5th
PID: 10-53764-04-070
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Able Restoration Group Inc. David R Zatz
17316 Kenyon Avenue, Suite 103 4099 Oakbrooke Curve
Lakeville MN 55044 Eagan MN 55122
(952) 378-5000
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.
Applicant/Permitee: Signature Issued By: Signature
07/11/2013 THU 16: 27 FAX 612 a22 54013 Al' a Master Plumbimg Ig002/005
\04:kZ CQ -R -2°t ccs t O t5 5 til
Use BLUE or BLACK Ink
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
For Office Use �j
Permit $t: I I O3
Permit Fee;
(o0
Date Received; 1 J V
Staff
J
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 6 � Site Address: 40CM OC 00\rlotrod.te, Conked Otjani
Suite #;
Tenant:
lei!iiiI� ilii !q+�PPiq,� li, i�''Iil
fool it Ij!"ljyr.ly' ,ry+;,l1�iii •I�
1 it tyl, 0.w. 7�jit 1,
I;�Ir ;Il.ki ktl�liflill� �14", ` . .:1 iiYll;4
�fL 11 ^^'' `,, !. ` I /t y y r n(��j
Name: -ir 1 Phone: (61 D
Address / City / Zip: LACQ 1 $ C) ' 11 Q. 'Ga. Ull 1 Z-7--
Nash Acoulstlons. LLC'
Name: co L13�ro3
Name: Olw�Benjamin Franklin Numbing License $:
ryi}I"F!„"g gill!1111M; .
'l it!' 1,1 1 ��,,,P;t.,Pi •,;
• I9 i,
i,
i!r'is
Cantrat tO ,
.:• • ... -. . ,,flip
I1,II,
tit +jl� illi'ild:;tiii^! ,
ll,iYi;
; i;
( " +,
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,, :
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112595
Date Issued:08/20/2013
Permit Category:ePermit
Site Address: 4099 Oakbrooke Curve
Lot:7 Block: 4 Addition: Oakbrooke 5th
PID:10-53764-04-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Laura Gillespie
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 R Zatz
4099 Oakbrooke Curve
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118554
Date Issued:11/04/2013
Permit Category:ePermit
Site Address: 4099 Oakbrooke Curve
Lot:7 Block: 4 Addition: Oakbrooke 5th
PID:10-53764-04-070
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
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 -
David R Zatz
4099 Oakbrooke Curve
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature