4115 Oakbrooke CurveAddress Zip 5512 a
Lot 9 Blk a Sub na-kbrnr?ke-
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: m._ Lt_ d Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Pennanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps fmm the plumbing system and the shuFOff of water supply to
the outside lawn faucet before freeze 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 - Contractor Copy
V,0D71 I
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
.30 `a
:
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1? I 3l
t
Date
r?7
Site Street Address " i I? l (.?Ahci.C: (Lm- 1.ks? Unit #
1
Property Owner - ?t 2
j?) ;SL- I ")•?
Telephone# ((;
. . ,
5j 4C14'C
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#
Contractor
Address , \\ L\ City one
e
ep
q
A? State?.. Zip
The Applicant is: _ Owner ?Gontractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment FAUG2 D
_Water Turnaround (add $121.00 if a SIS" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ replacement _ additional,
?"Lawn Irrigation System RPZ_ new ?rp?air _rebuild $ 30.00
State Surcharge $ .50
Total $
.
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
plan in
permit, work is not to start without a permit and work will be in accorice with the L_pro?vecl
the event a plan is required to be reviewed and approved. ?
ApplicanYs rinted Name ApplicanYs Signatu C_??
PERMIT# ? 1a -1 D
RECEIPT DATE:
2002 $ESIDENTIAL i'LUMi3IN6 f'Eft41IT APPLJCA'A'[O1V
CI1'Y 01' £lkfiRN
SSSO PILOT KPOB $D
gAfi1kN, MN 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: kx 1]1Z Y-f- 1 J6 l Q a?_
OWNER NAME: v2 t Y?1 1 11q?1 I 1,a+' TELEPHONE #: J D?
(AREA CODE)
INSTALLER NAME
STREET ADDRESS:
CITY: yyuaan
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) g 100.00
includes $40.00 County fee
Note: Additional 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 (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ter_deater-' .
ReplacemenNadditional: ? watersoftener _ $ 15.00
`
i.
State Surcharge 50
Total $
I herehy acknovAedge that I have read this application, state lhatthe information is cortect, and agree to complywith all applicable City of Eagan ordinances. It
is the applicanYs responsibility to notify the property owner thatthe City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the UcilRies constructed under this permit w[hinl0i ; pe /ri t- f'way/easem?
A ? ?-?? f
SIGNAJtURE OF PERMITTEE 1/02
LEPHONE#:
._-, . (AREA COD
?}115 GAr-Pl,??t C?KV6" Lot 49 Biock °Z Subd. d?K
Site address:
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 conatructed to meet minimu?Rrequirements of the Mn Energy Code, Chapter 7870
? Triis structure: II constructed to mest mare restrictive requlrementa of Chapters 7672 or 7874
EEXHAUST SV5TEM LOCATION ?'E
IGtchen kkitohen ?
?
Bathroomt M?.? Q,,,ei,s?,.,;?
Bathroom 2
ll ` ? "
Bathroom 3 ??c, h
Bathroam 4 ; ? ? ?
Other
FIREPLAC S LOCATION GA5 WOOD MANUF
? e't
Company
This form is the responslbflity of the General Contractor.
I hereby admowledge that the above informatlon is correct and agree to comply wlth the Minnesoia Energy Goae ana uiry ul cQya,?
requfre ; ^ ?
/
?
Date
I6 :?)- -t- w S aa ? ? P ? ?--? 'l ?
Vcy-? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN fY)
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
?S- i93.1?
__? U -Z?D
40.sc?
New ConsWClion ReouiremeMS RemodeVReuair ReauiremeMS ?
• 3 registered site surveys showirg sq. ft. W tot, sq. R. of house; and all roofed areas • 2 copies of plan
(20% mazimum lot coverage allowed) . 1 set of Energy Calculations for heated addiliom
• 2 copies o( plan showing beam 8 window s¢es; poured found design, etc.) . 1 site survey for exterlor addi6ons & decks
• 1 set o( Energy Calculations . Indicate d Fwme served by septic system for additions
• 3 copies of Trea Preservation Plan if lot platted after 711/93
. Rim Joist Defail Options selec6on sheet (Ndgs xdth 3 or less unils) ,!U/ ^9 ???
?d
DATE ? VALUATION
SITE ADDRESS 42 15 Cco s6roo /ce? C.,..evc, MULTI-FAMILY BLDG _ Y XN
TYPE OF WORK j0t'? t? ?.?S ZR/? c?ir'`9n S. r FIREPLACE(S) _ 0-4 1 _ 2
APPLICANT R I -he- 96"rf o-f OW Car ;e
STREETADDRESS glS /iJpr*C, Si,:ae, CITY ?+ n STATE-/WZIP SS/?l
TELEPHONE #6W `/S2-.??oD CELL PHONE # /y? FAX # &s1?5+5? -5'7.27
PROPERTYOWNER AU Co,? TELEPHONE# 6S11?1s.J• ;;200
------------------------------------------------------------- ------------ °-------- -°------'
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category '4X- MINNESO'CA RULFS 7670 CA'1'EGORY 1 MINNESOTA RULI:S 7672
(Jsubmission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor. "111e P1U rll Phonc # _ 9S??g? -.2 Ja i
Plumbing syslem includes: _ Watcr Soft?r Lawn Sprinkler rce: $90.00
1 Watcr Heatcr ! No. of R.I. Baths
3N0, of Baths
Mechanical Contractor: !-?L, r h sv'. II ? t?C4bFK.v ? Phone # 95al 84q -OOOS_
Mechanical system includes: Air Conditioning P'ec: $70.00
Heat Rccovery System
Sewer/WaterConhactor. /c-11-o 644Kw..c. L Phone 4*-? $
JUN 1 3 200
-------------°°----------°°--------°----------°-----------°---------------------- .... -----°--
I hereby acknowledge that I have read this application, state that the inform on orrect, o omPIY
with all applicable State of Minnesota Statutes and City of Eagan Or ' s. B
Y
Signature of Applicant
? OrFICL USF. ONI,Y
Certificates of Survey Received _t?4ee Preservation Plan Received _ Not Required? ? Y
Updated 4102
OFFICE USE ONLY
? 01 Foundation
71?02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex PI6g_Y or _ N
" ? 1-170 Y / 5?=
w1??11 70X? ?
?tv 0 19, "' x sL/ -
? 20 Pool
O 21 Porch (3-sea.)
? 22 Porch/Addn. (4sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
x 31 New ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
0 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entlre Bidg only) - Give PCA handout to applicant
Lxlvoo 6 ; _Y?
Valuation Occupancy - MC/ESSystem
Census Code _?_ Zoning ?_ City Water
r -
SAC Units Stories ? Booster Pump
Nbr. of Units Sq. Ft. PRV PS5-
Nbr. of Bldgs Length ? Fire Sprinklered
Type of Const ? Width
REQUIRED INSPECTIONS
?C Footings (new bldg) ? FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
Footings (addition) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Fi nal _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing _ Siding _ Smcco _ Stone
?
Fireplace -K R.I. y Air Test Final Windows (new/replacement)
Insulation
i Retaining Wall
Approved By :E 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
? 30 Ace2ssory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
1°912,
3
J 5'7j?-ll ?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
' PROPERTYLEGAL: LGi ? (S?Di,K a OG,K?rpDkPi 6-N,
DATE OF SURVEY: G?`?'IJa
LATEST REVISION:
v
a
c
m
v DOCUMENTSTANDARDS
Y ? °v
O z ¢
Registered Land Surveyorsgnature and company
?f? ? ? • BuildingPertndApplicant
u'/C ? . Legaldescnption
L?t?/ n ? . Addre ss
n?/ ? ? • North arrow and scale
ii,f'? ? I ? • House type (rambler, walkout, splR wlo, splR entry, lookout, etc.)
Ci ? . Directional drainage arrows wdh slopelgradient %
? u • Proposed/existing sewer and water services & invert elevation
? ? • Street name
?Y ? ? • Driveway
? u • Lot Square Footage
? ? ? • Lot Coverage
? • Benchmark
ELEVATIONS
Existina
/
i ? • Sewer service (ar Proposed)
? • Property comers
T
f
V ? • op o
curb at the driveway and property line extensions
? ? • Elevations of any existing adjacent homes
? • Adequate footing depth of structu2s due to adjacent utilky trenches
? ii?( G . Watenvays (pond, stream, etc.)
Proposed
/ ? • Garage Floor
i _r!
? ? • First floor
n
? ? • Lowest exposed elevation (walkouUwindow)
iR//u ? • Property comers
t/ 7 ? • Front and rear af home at the foundation
PONDING AREA ('rfanulicable)
? te?/ n • Easement line
? ?'/ ? . NWL
? tF/ ? • HWL
fl ?t • Pond # desgnation
Ci [ i? . Emergency Overflow Elevation
/ DIMENSIONS
? • Lot lineslBearings & dimensions
?f? i? • Right-of-way and street width (to back of curb)
W' Cl ? • Proposed home dimensans including any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all structures requiring pertnanent footings)
t/ /i f.] . Show all easements of recoM and any City utilRies wAhin those easements
??'I? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
e? fi ? • Retaining wali requirements, if any
Reviewed: (/?'?.?
Name `"/ I ?ate
i i
MNr.her.k COMPLIANCE REPORT I
Minnasota Enerav CodP I Permit #
MNr.heck Snftware Versinn 3.0 I
I
I ChPr.kPd hv/DatP I" I
COUNTY: Daknta
STATE: Minnesota
7_ONE 2
CONSTRl1CTInN TYPE: Single Family
DATE- 1-11-2002
DATE OF PLANS: 7/25/00
TITLE: Oakbrooke Sterling with Lookout
COMPLIANCE: PASSES
Renuired UA = 532
Ynur Hnmp = 403
24.2%, BPttar Than Cocie
ArPa nr Cavitv Cnnt. Gl27ina/Donr
Perimeter R-Value R-Value U-Value UA
-------------------------------- --°----------------------------------------
CF_II_INGS 1218 38_0 0.0 37
WALI_5- Wond Frame. 16" O.C. 2873 19.0 20 150
BSMT-Cnna 9.(1' ht/8.3' hn/9.0' insul 1047 11.n OA 61
GLAZING: Window5 nr Donrs. Ahove GrarlP 402 0.350 141
DO()RS 38 0.350 13
FLOnRS: Over OutsidP Air 48 38.0 0.0 1
HVAC EOUIPMENT- Furnar.e. 920 AFl1E
COMPLIANCE STATEMENT: ThP nronosed huildinn desinn dascrihed het'e is
r.onSistent with the huildina olans_ snPr.ifications. and nther r.alr.ulatinns
suhmitted with the nermit nlication. The oronnsed huildina has heen
designed to meet the,reery*ts oL#eMlnhesotaWergy Code.
Date
Y// 5--cbc".I, 6,
???
Surv e y o r's
Cert2ficate
SURVEY FOR :PULTE HOMES JUN 13 REClD
DESCRIBED AS : Lot 9, 81ock 2, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving
easements of record.
° VHCpNr.
-"------------------- S85°28'28"E 267.58 a4ai
? __'_,------------------------
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' YACANi.
S7g?0j.s6„e
76.56 y;4
L D T SQ. F00 TA GE
' N HSE SQ. F00 TA GE
L Q T CO l/ERA GE _
se ?equ?red
pp'rC ' CO^tYQc'f0/ SlnQl/ VCr;Ty
J
J
UM SAeni?Cfy .rgr?1(?'?/^?
we?k
# 18232
PROPOSED ELEVATIONS
Top of f'oundation = qso,o
Garage Floor =94q.?,
Basement Floor =9a2.o
Aprox. Sewer Service =aai.3*-
Proposed Elev. _ C=:)
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = •
HEDLUND
? PLINNJNC ENGINI46RINC SURV6}7NC
2005 Pln Oak Drlve
? Eogon, MN 55122
Phone: (651) 405-6600
Fax : (651) 405-6606
BENCHMARK,
v
s
;
;
30 / i
7
MIN. SETBACK REQUIREMEN
SCALE: 1 Ineh - 30 feet
Front - House 5ide -
Rear - Garage Side -
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO
SHOW IMPROVEMENTS OR ENCR ACHMENTS, EXCEPT AS OWN.
DATE
J EY LINDGREN, LAN SURVEYOR
NES A LICENSE NUMBER 14376
l.r /
?
- .oo ? .?.
g .,.
u . ?
_ i
9 -00 ?N? ... 22.00 999,8 ? `
a ?
I ?
0
27.00 c
22.00
?
1q5z.i L
449,0
= 14, 422
= 1, 797
12%
.,'.,RE V/? 7L?lV ?. E
! sYa i:.? . _
71
u°' R° La13, T",V-W4x DFPT.
JOB N0:
02R-333
BOOK: PAGE:
CAD FILE:
Oakbrooke 5
Use BLUE or BLACK1nk
_ For Office Use 7
City of Ea Permit
all I Permit Fee: zo
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: y Phone:
RESIDENT /
i
OWNER Address / City / Zip:
J
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No )
Company:Z- f 7 lei z ;r Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License 'G & Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance. /
X x 7e-- Z
Appl;' nt's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA129036
Date Issued:12/31/2014
Permit Category:ePermit
Site Address: 4115 Oakbrooke Curve
Lot:9 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Stephanie Vought
3451 W Burnsville Parkway Suite 120
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Dirk A Jungquist
4115 Oakbrooke Curve
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150656
Date Issued:07/18/2018
Permit Category:ePermit
Site Address: 4115 Oakbrooke Curve
Lot:9 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-090
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 -
Dirk A Jungquist
4115 Oakbrooke Curve
Eagan MN 55122
(612) 554-5694
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151733
Date Issued:09/10/2018
Permit Category:ePermit
Site Address: 4115 Oakbrooke Curve
Lot:9 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Dirk A Jungquist
4115 Oakbrooke Curve
Eagan MN 55122
(651) 686-7132
Croix Crystal
3440 Yoerg Dr
Hudson WI 54016
(715) 386-8667
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161883
Date Issued:06/16/2020
Permit Category:ePermit
Site Address: 4115 Oakbrooke Curve
Lot:9 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-090
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
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 -
Linda J Jungquist
4115 Oakbrooke Curve
Eagan MN 55122
(651) 686-7132
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161883
Date Issued:06/16/2020
Permit Category:ePermit
Site Address: 4115 Oakbrooke Curve
Lot:9 Block: 2 Addition: Oakbrooke 6th
PID:10-53765-02-090
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 -
Linda J Jungquist
4115 Oakbrooke Curve
Eagan MN 55122
(651) 686-7132
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature