1710 Oakbrooke Way
Use BLUE or BLACK Ink
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ForOs~ia Use
j Permit _ j
l of Eapn A t
I Permit See. t/
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3630 Pilot Knob Road I
Eagan MN 55122 j Date Re ved: j
31-1
Phone: (651) 675-5675 1 I
Fax: (651) 675-5694 I Staff. I
----------J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6 ~ it Site Address: J t I A b 1-(Po1< t- L12cz-g
Tenant: Suite
ESiDENT !OWNER Name: -T p 5 Phone:
~"r7
Address / City / Zip: ! 7Z O 614 k D'-10 0, 1 c
Applicant is: Owner Contractor
TYPE OF WORK Description of work: t r1 x c'~60 IL -t° 4C `Gr0t -C,
E
Construction Cost: Multi-Family Building: (Yes No
-A7
CONTRACTOR Name: b>Ddf License#.
Address:, 3 3 t AdAgo '4, PLO city: -5,-/- Z cc(,, 3
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State: -r;l /V Zip: .S Phone:
Contact: Email:
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 nova-public if you provide specific reasons that would pennit Ue City
to
conclude that the 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.gol2herstateonecall.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 fora 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 fans.
X=k yo 4tcv't'; I-
Applicant's Printed Name A icant's Signature
Page 1 of 2
Address '// a k b roake ?Ajaq Z,P 5512a
Loc d 7 slk sub 6okbroote -f"?
THESE ITEMS WERE / WERE NOT COMPLE'TE AT TfE TIME OF THE F1NAL
Date: Yes No Inspector: ^ Z
Final gtade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry
)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please ve n'fy with the builder the removal of roof test caps from the plumbing system and the shuPoff of water supply W
the outside Iawn faucet before freeze potential e?cisfs.
Contac[ engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
W6ite - City Copy Yetlow - Resident Copy Pink - Contractor Copy
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rc;ft.ra?,q 1887 44.0. 0.6
Wood Frame16^ O.C. 1875 19.0 2.4 1
WindowaDoors: Abuva drade 279 0.350
38 0.350
Si,T:'? P?,pORS: LttiYteated, 43.0" znoul, 206 3,010
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HV; .(: EQUIPt+ENT i. Piirn8a@ , 92.0 AFIfi
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COr'pL;.11NC8 HTATEINENT: T,he proaoeed buildin3 deai ' escribed hesm is
conPigtent with "ke 1'cling:?plane,`epeoificatiane?ad otheY aalCUlations
submitted wSthj'C2i? '?°appl",?aatioh ?R,; The proposed.? bttilding has been
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PULTE HOMES OF MINNESOTA
JOB INITIATION ORDER
oaTe: ai22roi
JOB N0: 0550-227-01 LOT: 27
COMMUNITY: OAKBROOKE INFINITY HOMES ADDITION: 4th
ADDRESS: 1710 Oakbrooke Way CITY: EAGAN
MODEL NAME: Diamond MODEL#: 17951 ELEVATION: 2
BUYERS NAME: Spec
6ik
BLOCK: 1 UNIT:22701
STATE: MN ZIP:55122
GARAGE: RIGHT LEFT
ADDRESS: CITY: STATE: 21P:
HOME PHONE: BUSINeSS Pr+ONe: BUSINESS PHONE:
SALES REP.: KATHEE SHELDON PHONE: 651-686-4643
1 17951 DIAMOND-SLAB $ 203,990
1 18023 ELEVATION #2 $ 2,300
1 14000 BASE HOUSE CARPET ADJUSTMENT $ -
1 35039 4 SEASON PORCH $ 6,125
1 23005 2 TON AIR CONDITIONER $ 1,650
•tl wr?? $
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THIS CONSTITUTES A CONTRACT
APPROVED BY BUYER (S):
APPROVED BY BUYER (S):
APPROVED BY SUPERENTIDENT:
APPROVED BY SALES:
Builders License # 0001371
SELLER AND THE PUCHASER (S) FOR THE ABOVE ITEMS.
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: `eT ';27 oat"Z/?n 4e `H?' 1-14W,41
DATE OF SURVEY:
LATEST REVISION:
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9-?d ? • Registered Land Surveyor signature and company
GY? ? • Building PermitApplicant
? • Legaldescription
v ? • Address
e? ? ? • North arrow and scale
GY ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
V'? ? • Directional drainage arrows with slope/gradient %
L? ? ? • Proposedlexisting sewer and water services 8 invert elevation
p?? ? • Streetname
d ? ? • Driveway
q/cl ? . Lot Square Footage
e/ ? ? . Lot Coverage
ELEVATIONS
/ Existina
? ? . Sewer service (or Proposed)
C?/ ? ? • Property corners
fl' ?? • Top of curb at the driveway and property line eMensions
G? ?/? . Elevations of any existing adjacent homes
? 6Y ? • Adequate footing depth of structures due to adjacent utiliry Venches
Prooosed
L4? ? ? • Garage floor
? ? . First floor
0 ? • Lowest exposed elevation (walkouUwindow)
ra" ? ? • Property corners
C? ?? • Front and rear of home at the foundation
PONDING AREA (if auolicable)
? V' ? • Easement line
? FI ? • NWL
? L? ? • HWL
? f3? ? • Pond # designation
? f? ? • Emergency OverFlow Elevation
DIMENSIONS
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ose easemen
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easements of recor
G? ? ? • Setbacks of proposed structure antl sideyard setback of adjacent existing structures
Ca? ? ? • Retaining wall requirements, if any
Reviewed: ` '
Name / Date
Site address; ? 7 I O 110.l-P-- (-Lot?P2 Block S?-' Subd. L+SS"Z) - D46-*rake
On April 15, 2000 the Minnesota Energy Code, Category I Building Requlrements for insulation proteetion, air
tightness, and ventila#ion, was adopted. As a result, the City of Eagan is requinng that the#ollowing information be
subrnitted prior to issuance of a Certificate of Occupancy,
_ This sUucture: Is construcked to meet minimum requirements of the Mn Energy Gode, Chapter 7670
OR
? This stnacture: will be canshucted to meet more restricUve requiremenb of Chapters 7672 or 7874
APPLIANCE GAS ELEC MANUFACTURER MODEL 8TU'6 VENTIN(3TYPE
Water Heater
Fumace y 4y.? 3 So M 1/' 0 3• o o s vdo i>
Dryer
EICHAUST 3YSTEM
LOCATION
T'YPE
MODEL
CFM'6 VENTED
YES NO
Kitchen kitchan
Bathroom 1
Fl?,r
`U-....c?su_.?
FN-&S' UcA
? ,f
Bathroom 2 ?? , ? U ??? ? ,-? ?
Bathroom 3
Bathroom 4
Other
FIRBPLACE S
LOCATiON
OAS
WQOD
MANUFACTURER
MOOEL
BTU'3 VENTING
OIREGT ATMOS
??? /o i
ale
0 This form is ihs responsibility of the General Contraclor.
I herQby acknowledge that the above information is correct and agree to comply wifh the Mlnnesota 6nergy Code and City of Eagan
.,
" Surzeyor's Certificate .
SURVEY FOR :PULTE MAY 2 s REC°o,
DESCRIBED AS : reserving BeosemenOtsKOR?ecord4? ADDITION, City of Eagan, Dakota County, Minnsoto ond
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Plan # 17961
PROPOSED ELEVATIONS
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LOT SQ. FOOTAGE = 3,608
HSE. SQ. FOOTAGE = 2,367
LOT COVERAGE = 667a
Top of Foundation = q313
Garage Floor = qu,Z
Basement Fioor = r+/A
Aprox. Sewer Service = qi6.8
Proposed Elev. _?
Existing Elev. _
Drainage Directions =
Denotes Offset Stake = .
SCnLE: 7 Ineh - 70 leat
BENCHMARK, r-PitliSZ
EIeo: 9?.9. 11
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Rear - Garage Side-
NEDL(JHD 'HEREBY CERTFY iHAT 7MIS IS A TRUE AND CORRfCT REPRESENTAiION
OF THE BOUNDARIES OF THE nBOVE DESCRIBED PROPERIY AS SuRVErED
BY ME OR UNOER MY DiRECT 9UPERNSION AND DOES NOT PURPORT TO
PL1NN1,11FG 6NClN2FAV4VC SVRVd'YING SHOW IMPROVEMENTS OR ENCROACMMENTS, E%CEPT AS MOWN.
2005 Pln Oak Drlve
Eagan, MN 55122 OATE
Phone: (851) 405-6606 0. UNDCR , lANO SU YOR
Fox: (BSi) 405-6606 LICENSE NUMBER 1437e
n
N0:
O7R-204
OAKBROOKE
/'V6
?i
R SIDEIVTIAL ?3Y7;- ` g p_ yb 37.
BUILDING PERMIT APPLICATIONCITY OF EAGAN y5yq3 - M P,
?o. ?-o
3830 PILOT KNOB RD • 55122
651-681-4675 ?Z /J
New ConsWCtion ReauiremeMs
• 3 registered sile surveys sFwwing sq. ft, of lo?, aq. ft. of housa; and all roofed areas
(20%marMum lot coveiage allowed)
. 2 copies of plan showifg beam & window s¢es; poured found design, etc.)
• t set of Energy Calculations
. 3 copiesofTrea Preservation Plan itlot plaked after711 /93
K#
• Rim Joisl Detatl Oplions seled"an shaet (bldgs with 3 a less units)
DATE
JOB SITE
??
RemodeVReoalrReauiremenh? 1-1 + r I/+ it) - 5?
. 2 copies of plan
. 1 set of Energy Cakulations for healed atlditions ?
• 1 sfte wrvey fw exterior additlons& decks ???n/' "
• Indicate If hwne served by sepUc system for addi0o
Cu114;/?.q
VALUATION W.)???v
IF MULTI•FAMILY BUILDING, HOW MANY UNITS? -
PROPERTY OWNER
TYPE OF WORK FIREPLACE(5) _ 0_ 1_ 2
APPLICAN?,?NL-?.\ PHONE#
ADDRESS\???'?Rc??„o?la- ?22v?cS '? ZIP\CODE -ZZ-
PAGER# CELLPHONE#?? ?\c?- V?? ? FAX# ?O?\AO'qA-tn?'1
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
energy Code Cateyory _ MINNFSOTA RULFS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
..Ie?MINNESOTA RULF.S 7672
- New Energy Code Worksheet Submitted
Plumbing Conhactor: Phone #yv?l2'- .4c, Z'-
Plumbing System Includes: Watcr Softed1cr Lawn Sprinkler Fee: $90.00
Water Heater i No. of R.I. Baths
? No. oFBaths
MechanicalConfractor.?v?????N\e. +?4
Mechanical Sysfem Includes: _ Air Conditioning
_ Heat Recovery Systcm
Sewer/Water Coniractor. laE',r`2-P e.rd\
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state t at the inforAl tion is corr?Ct?and agreel"o compl
with all applicable State of Minnesota Statutes and City of Eag Ordinanc Ly
tgnature of Applicant
S
t
Certificates of Survey Received ?/ Tree Preservation Plan ReceivNot Required _
Updaletl 1lO7
Phone# ???- eR4-o_w5
Fee: $70.00
Phone#
Z1Z\
OFFICE USE ONLY •
,
? 01 Foundation
)d 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04plex
Er 37 New
O 32 Addition
? 33 Aiteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
? 22 PorohlAddn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. 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 Wlndows/Doors
"Demalition (Entire Bldg only) - Give PCA handout to applicant
Valuation O?
l0
Occupancy
?- ?
MC/ES System n _
Census Code l0 / Zoning City Water -?5
SAC Units Stories / Booster Pump
Nbr. of Units Sq. Ft. ?-/ PRV
Nbr. of Bldgs ?t Length 7%?
_ Fire Sprinklered
Type of Const ,S ?pv Width 2 <
REQUIRED INSPECTIONS
40 Footings (new bldg)
_ Footings (deck)
Footings (addition) Plumbing
? Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
?b Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
? InsulaGon _ Windows (new/replacement)
Approved By? , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Suppiy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanicai Permit
License Search
Copies
Other
Total
? 07 05-ptex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 71 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
!?i/??tU c_ uJl%.?c,f?`
' lf6 7 /tss? = ?O a?
S?
?y7K1,G Z 7,l
??'? = l? ?j ?7j
?7 FinaUC.O.
FinaUNo C.O.
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PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA101449
Date Issued: 10/10/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 1710 Oakbrooke Way
Lot: 27 Block: 1 Addition: Oakbrooke 4th
PID: 10-53763-01-270
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector Nva ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
hrech Exteriors Inc Arthur C Goess
5866 Blackshire Path 1710 Oakbrooke Wad
Inver Grove Heights NIN 55076 Eagan NIN 55122
(61)688-6368
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
E For Office Use
City of Eakan i Permit#: lb /7
Permit Fee: (f 1), I
I I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: - 1 f -
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 staff-
-
2012 MECHANICAL PERMIT APPLICATION
Date; Site Address: L a~
Tenant: Y L°E' S S Suite
RESIDENT I OWNER Name: :In-c S S Phone:U I A C~--(
Address / City / Zip: (1 I V i l l a-
Name: BURNSVILLE HEATING & A/C, INC.
License
Address: Jii if 120
CONTRACTOR City:
Burnsville, MN 55337
State: Zip: Phone: ~~SZ `\'qu-- CW J
Contact: C`-'SIVAG\ Email:
New Y Replacement Additional Alteration Demolition
TYPE OF WORK Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace _ New Construction _ Interior Improvement
PERMIT TYPE k Air Conditioner Install Piping _ Processed
_ Air Exchanger _ Gas _ Exterior HVAC Unit
_ Heat Pump Under / Above ground Tank Install Remove)
_ Other 'y`
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ _ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE
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.aooherstateonecall.ora
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.
'Lon~ - 61 1"; -.u
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed Sy: Date:
Underground Rough in Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126885
Date Issued:09/15/2014
Permit Category:ePermit
Site Address: 1710 Oakbrooke Way
Lot:27 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-270
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.
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 -
Arthur C Goess
1710 Oakbrooke Way
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:EA127815
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1710 Oakbrooke Way
Lot:27 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-270
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 -
Arthur C Goess
1710 Oakbrooke Way
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:EA130864
Date Issued:05/19/2015
Permit Category:ePermit
Site Address: 1710 Oakbrooke Way
Lot:27 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-270
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Arthur C Goess
1710 Oakbrooke Way
Eagan MN 55122
(651) 454-6425
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:Building
Permit Number:EA154335
Date Issued:03/13/2019
Permit Category:ePermit
Site Address: 1710 Oakbrooke Way
Lot:27 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-270
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 -
Arthur C Goess
1710 Oakbrooke Way
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature