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1712 Oakbrooke WayAddress 1712 Oakbrooke way Zip 55122 Lot 28 Blk 1 Suh Oakbrooke 4th Addition THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector. Fina] grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/wrb damage Porch Basement finish Deck Please verify with the builder the removal of r4of test caps from the plumbing system and the shu[-off of water supply to the outside lawn fauce[ before freeze potential exists. Contact engincering division at 6814645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow • Resident Copy Pink - Con[ractor Copy t9Rr--12-200j 74:03 ..-...--., MNcheck COMkLZ11NCE REPaRT Minr_esata En_rgy Code MNOheck 3oftwarc Ver.raion 3.0 COUNTY; Dakota 6'fATE: Minnesote ZONE: 2 CoNBTRUC'P=DN TYPE: $ii]glc? Pdmll.y DATE: 5-12-2006 DATE OF PLANS: 5/12/00 T'ITT?R: CRY$TAL 8LA8 W!PORCH EL.7. Fr"'.TFr"T I13FqRMATION: r +n FRPOO?'. "'7l?'!,Tn.uCB: PnsBEs ?^???>>Ad UA - 503 399 Rotter. Than Code Permit -g ' - - CheckDa±e Area or C,avity Cont. Glazinglboor PerimetPr R-Value R-Vaiue v-value --- - ---------------------------- - --------------°- - ----•-----^---- crI r•i.rtr;s 1913 44.0 U.a t-I nt' -c: Wood Frame, 16" O.C. 1784 19.0 2.0 1 r:;.nzL rr.;: windowe or poore, Above firade 299 0.350 t n-•P.a 38 0,350 RI-AR F'pORS: Vnheated, 42.0" inaul. 196 rtUAI' ?QUIPMENT: FurMace, 92,0 AF'LlE ------------------------------------------ ---_,_-----^---------_ - ('?)r4rj,r'AIdCE 9TATEMENT, The propoaed building deeign deacrihed hAre zs rr'f)r{„r.ont with tha building plans, apecifiCations, and ather calculations ?„?•mirro? with the permit epplicetion. T$e propoaed bulldina has been <7°q?an^d to meet the requirements of the Minneaotn Energy Code R•l; 1,e,r/Designer?v„?2_ \?1`P? - -- Date?-?? PULTE HOMES OF MINNESOTA (?uvj", JOB INITIATION ORDER DA7E: 4/22/01 JOB NO: COMMUNITY: ADORESS: MODEL NAME: BUYERS NAME: ADDRESS: HOME PHONE: SALES REP.: 0550-228-01 LOT: 28 BLOCK: 1 UNIT:22801 Oakbrooke Infinity Homes ADDITION: 4th 1712 0akbrooke Way CITY: Eagan STATE: MN ZIP: 55722 Crystal MODELA: 17941 ELEVATION: 2 GARAGE: RIGHT LEFT CITY: STATE: BUSINESS PHONE: BUSINESS PHONE: PHONE: 651 1 17941 CRYSTAL-SLAB $ 196,990 1 14000 BASE HOUSE CARPET ADJUSTMENT $ - 1 18023 ELEVATIONIP mk% $ 6,450 $ 1 23005 2 TON AIR CONDITIONER $ 1,650 $ - $ QoAla- $ _ $ ' $ ' ? C _ Y ' $ ' $ - $ ' $ ' $ ' C _ Y ' $ ' $210,915 THIS CONSTITUTES A CONTRACT BETWEEN THE SELLER AND THE PUCHASER (S) FOR THE ABOVE ITEMS. APPROVED BY BUYER (S): APPROVED BY BUYER (S): -'APPROVED BY SUPERENTIDENT: r? APPROVED BY SALES: ZIP: ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ?L C?^ 2 ? PROPERTYLEGAL: Lnf 2 Q ac„g i ?f'tL, 4.,?4? DATE OF SURVEY: S- A - O/ LATEST REVISION: v 0 2 e rd/o ? [? ? ? 6-/ ? ? LZK ? ? [i?/ ? ? fi? ? ? F,3? ? ? C?? ? Fd? ? 0 L?? ? L9?/ ? ? ? ? DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (ram6ler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposedlexisting sewer and water services 8 invert elevation • Street name • Driveway • Lot Square Footage • Lot Coverage ELEVATIONS Existina B-/ ? ? • Sewer service (or Proposed) ? • Property comers ?? ? • Top of curb at the driveway and property line extensions ??? . Elevations of any existing adjacent homes ? fa? ? . Adequate footing depth of sUUCtures due to adjacent utility trenches Proposed 8"'? ? . Garage floor [3' ? ? . First floor G? ? ? . Lowest exposed elevation (walkouUwindow) B" ? ? . Property comers kK ? ? . Front and rear of home at the foundation PONDING AREA frf aoolicablel ? lq/ ? • Easement line ? CD" ? • NWL ? 12' ? 9? • HWL P ? r ? • ond # designation ? U/ ? . Emergency Overflow Elevation / DIMENSIONS d a ? • Lot lines/Bearings & dimensions ? ? . Right-of-way and street width (to back of curb) vO ? . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. / (i.e. ail structures requiring pertnanent foo6ngs) 0'/ 0? • Show all easements of record and any City utilities within those easements t? ?? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures 19/0 ? . Retaining wali requirements, if any Reviewed: Site address: Lot? Block ? Subd. ???Ji ? ?-@-, I On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation piotection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the foilowing infbrmation 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 be constructed to meet more resUictive requirements of Chapters 7672 oc 7674 APPLIANCE GAS ELEC MANUFACTURER MOUEL 8TU'S VENTING T7PE Water Heater Fumace 4ZN? ?0 MA?I 03' O ?i t7J? ;• Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED res No Kitchen kitchen Bathroom 1 ?^ ? ? ? Bathroom 2 or?l vp ? Bathroom 3 : Bathroom 4 Other " VENTING FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S ' DIRECT ATMOS MAKE-UP AIR MODEL TYPE CFM's 4" -ko o'r ? I hereby acknowledge that the above informatlon is cortect and agree to comply with the Minnesota Energy Code and City of-Eagan requirements. Sig re Date Company Name ' This form is the responsibility of the General Contractor. t . Surve y o r's Certif?cate )" I?,! 0 5 RECT SURVEY FOR :PULTE DESGRIBED AS : fLe9KV8ing easemenOtsKOi?ecord tH nD01110N, City ot Ec9cn. Cak°t° Coun4y, Mlnnsota and Isi1-T FEN ?E ? en? L,j ? X O.O ' o ? N85 2 43"1N 4.00 C3 93? ? ! 0? 41 24 0 ? O . Q & ? 11.00 ? ? Propoc?d o ? ?o ' f? •- ? 9lob n . : 6nadc `? • L ? n ° ?o ? ? ? S m N ? I ? . ? ? 6 •. . ? ., O e?l. . .. - . . . . .._?,. 44.00 : .. o.4ZBRO?.?'.? 1 -jra Y ..... ... _ ...... .+r.. __ . _ .: ??. . ' +1..7f2 y LOT SQ. FOOTAGE HSE. SQ. FOOTAGE LOT COVERAGE _ Plan y 17941 PROPOSED ELEVATIONS Top of Foundotion = 9312,y Garege Floor ? q31,q Bosement Floor = N/A Aprox. Sewer SerVice = 41i2,,b Proposed Elev, Existing Elev. _ Drainage Directians = Denotes Offset Stake = . SCALE: t InM - JO test ef-?- ? ?n F., .,:. ?. M? ?-7 a LiS = 3,608 = 2,?96 66q' BENCHMARK, CP y,7sa Elea t 924,11 MIN. 5ETBACK REQUIREMENTS Front -28 Houae Sida - Rear - Garage Side- HEDL?/ND i HEa?er cennvr mAr n+Is Is n mue u+o conRECr n?vne^a?+rAnav oF me ea,r,o,wice oF ms Aeo? oMaaeEO ?mtiv As suA?sroo BY ME OR UNOER NY DIRECt SUPERVISION ANO OOES NDT PWMORT TO PLANN/IYG dNCJ1V,A'dRlNC SURV6YfNC SHOW IMPROV8M0+7S at ENCROAqiMENTS, T A SHOWN. 2005 Pin Oak Orlve Eagan. MN 55122 DniE ?Sw(/Q? u??, ? ?? Phone: (687) 405-8800 NUMB 4.776 4?ISE fcx; (681) 405-8608 A 01 R-205 OAKBROOKE '?--?- %- 6IocU '-45(,10 yso0.qy ?t-t- RESIDENTIAL vv-N P - '-l ? .-I o ? , BUILDING PERMIT APPLICATION ? ' CITY OF EAGAN QP - 3830 PILOT KNOB RD - 55122 r---- 651-681-4675 Naw ConaWCOon Reauiremenls RemodaVRenair ReauiremeMa O- ` I • 3 registared stte aurveys showing sq. R. of IoG sq. iL of house; and all roofed areas • 2 copies of plan f 4`'cj'e? ?- o- V ` (20% maximian bt cover?e allowed) ? I • 1 set of Energy Calculatlons for heated additions . 2 copies of plan ahowing beam & window sizes; poured found design, elc.) FW?1 I?7J . 1 sde surrey for exlarlor additions8 decks . 1 sel ol Energy Cakulalions • 7 Indicale N Iroma served by sepGc system for additiom DATE ? ? '? ? ? VALUATION JOBSITEADDRESS ???Z . 3 wpies olTree PreservaUon Plan If lat platled after 1f1/93 • Rint Joisl DeWI Optb? selection sheet (bldgs with 3 or less units) IF MULTI-FAMILY PROPERTY OWN TYPE OF HOW MANY UNITS? v, ?.? -?-, c.m. FIREPLACE(S) _ 0!C 1 _ 2 APPLICANT PHONE#??N-a54s-???I ADDRESSaM ZIPCODE 5SQ-2 PAGER # CELL PHONE FAX # \o? - C1r1.?-a?)?Fl NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 ???? (check one) - Residential Ventilation Category 1 Worksheet Submi @ I I I - Energy Envelope Calculations Submitted II ? ? MINNESOTA RULES 7672 luu ? L New Energy Code Worksheet Submitted Plumbing Contractor.?4?Phone #: ONFZ?a' Plumbing System Includes: Water Sof er _ Lawn Sprinkler Fee: $90.00 ? Watcr Heater No. of R.I. Baths Z No. of Baths Mechanical Contractor'\,??Y*l?l?? Mechanical System Includes: ? Air Conditioning _ Heat Rccovery System Sewer/Water Contractor. Phone # cI0 Fee: $70.00 Phone # \lo All above information must be su6mitted prior to processing of application. I hereby acknowledge that I have read this application, state that the inform 'on is c ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga rdinances. Signature of ApplicaM _ Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required x Updated 7/01 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex 09 02 SF Dwelling ? 09 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 OS-plex O 05 03-plex O 11 10-plex ? 06 04-plex ? 12 12-plex 31 New ? 35 ?0 32 Addition O 36 ? 33 Alteration ? 37 ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bidgs Type of Const o C? ? -?_ r? O 13 16-plex ? 16 Fireplace 0 17 Garaga ? 18 Deck ? 19 Lower Level Pibg_Y or _ N Siding Fire Repair Windows/Doors ' REQUIRED INSPECTIONS F? Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. Footings (addition) L Plwnbing ? Foundation ?i HVAC ? Drain Tile Roof - Ice & Water Final Other -7? Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace R.I. Air Test Final Siding Stucco Stone _ :10 Insulation _ _ Windows (new/replacement) Approved By at? , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Piumbing Permit Mechanical Pertnit License Search Copies Other Total ',-F S U 0 - ? ? mld/ ze?//&?L ? 30 Accessory Bidg ? 31 Ext. Alt - Multf ? 33 Ext. Alt - SF ? 36 Multi Int Improvement Q 38 Demolish (Interior) 13 44 Move Bldg. O 42 Demolish (FOUndatlon) ? 45 Demolish (Bidg)' O 43 Reroof ? 46 `Demolitlon (Entire Bldg only) - Give PCA handout to applicant Occupancy iC' J MC/ES System Zoning City Water 5tories ? Booster Pump Sq. Ft. 0?9 _:r_6 PRV Length Fire Sprinklered Width ?s 0 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous /6 16 xsv =IF7?a?? °a >?JyG m G PERMIT Permit Type: Building City of Eagan Permit Number: EA105473 Date Issued: 07/17/2012 Permit Category: ePermit Site Address: 1712 Oakbrooke Way Lot: 28 Block: 1 Addition: Oakbrooke 4th PID: 10-53763-01-280 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: 9,505.00 Total: $105.25 Contractor: Owner: - Applicant - Krech Exteriors Inc BARBARA LEVITAN 5866 Blackshire Path 1712 Oakbrooke Way Inver Grove Heights MN 55076 Eagan MN 55122 (651) 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 City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA126884 Date Issued:09/15/2014 Permit Category:ePermit Site Address: 1712 Oakbrooke Way Lot:28 Block: 1 Addition: Oakbrooke 4th PID:10-53763-01-280 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 - Barbara Levitan 1712 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:EA127816 Date Issued:10/15/2014 Permit Category:ePermit Site Address: 1712 Oakbrooke Way Lot:28 Block: 1 Addition: Oakbrooke 4th PID:10-53763-01-280 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 - Barbara Levitan 1712 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:EA143949 Date Issued:07/06/2017 Permit Category:ePermit Site Address: 1712 Oakbrooke Way Lot:28 Block: 1 Addition: Oakbrooke 4th PID:10-53763-01-280 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Barbara Levitan 1712 Oakbrooke Way Eagan MN 55122 Scc Custom Remodeling Inc P O Box 460 Rogers MN 55374 (763) 493-2230 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149828 Date Issued:06/12/2018 Permit Category:ePermit Site Address: 1712 Oakbrooke Way Lot:28 Block: 1 Addition: Oakbrooke 4th PID:10-53763-01-280 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 - Barbara Levitan 1712 Oakbrooke Way Eagan MN 55122 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature r For Office Use ri 11 i • , Permit#: EAGAN Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionst ,citvofeagan.com 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /-23— Z-6 Z Site Address: M t OcAICIO n)Ca Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor T e of Work Description of work: J+v�a� , Saigkt S t , Sc wa r, M cJ Cb.-N5 yp. Construction Cost: /''51av Multi-Family Building: (Yes /No ) Company:` G.(50✓1.S C avk S fru c,H o n , Contact: d Sfil✓i JAco,J Contractor Kra b {—JrU�j� 1 City: CD h C i *'•-( r State:61A) Zip: C Z / -cO Phone:lCf Z- )``)c-rj(-10 Email: JOS4-ilr, f a^S 1• C e_ License#: 13{. (f S 1 g Lead Certificate#: If the project is exempt from lead certification, please explain why: Z/4 ? — /c _? _ 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacian.com/subscribe. 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. 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.orq 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 accordince with the approved plan in the case of work which requires a review and approval of plans. x \)51'llil S1/1Gy x —.011111111111111". Applicant's Printed Name Appice PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA166891 Date Issued:02/10/2021 Permit Category:ePermit Site Address: 1712 Oakbrooke Way Lot:28 Block: 1 Addition: Oakbrooke 4th PID:10-53763-01-280 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Barbara & Lee Levitan 1712 Oakbrooke Way Eagan MN 55122 North State Mechanical 1444 14th Street W Hastings MN 55033 (612) 207-0345 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA170235 Date Issued:06/24/2021 Permit Category:ePermit Site Address: 1712 Oakbrooke Way Lot:28 Block: 1 Addition: Oakbrooke 4th PID:10-53763-01-280 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Barbara & Lee Levitan 1712 Oakbrooke Way Eagan MN 55122 (651) 247-1437 Southside Heating & Air Conditioning 10808 Normandale Blvd Bloomington MN 55437 (952) 884-2453 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176992 Date Issued:06/10/2022 Permit Category:ePermit Site Address: 1712 Oakbrooke Way Lot:28 Block: 1 Addition: Oakbrooke 4th PID:10-53763-01-280 Use: Description: Sub Type:Water Softener Work Type:Replace Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Barbara & Lee Levitan 1712 Oakbrooke Way Eagan MN 55122 (651) 247-1437 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature