1865 Oakhill CtINSPECTION RECORD
CkTY OF EAGAN PEanniT rMPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
. ?,,;; rs r ? t s? r
00 I'll Ird 11 ui f Aci!IN 1 57
PERMIT SUBTYPE:
APPLICANT:
,.. ,Ir; . i??.
j !ft#.' 1 .t3 4 --tiH;#d
TYPE OF WORK:
.
f;ii r I fIr "o
0 ; 1 N4'11
aF, tok /us1
INSPECTION .. . ..
?
IRFMMr.?:-;, ?; ri. ti ptatx ci.ifo fifI r:t t,
? 11 AM I+FVTFwEn Bv MTIrit-
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?. .
,
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l.i .. . ._. . . ? .. .. .
- - - - - - - - - - - - -
?
- - - -
.. ?
- -
Permit No. Permk Holder Dato Telephona S
ELECTRIC
PLUMBING
HVAC
inspection Date In p. Comments
FOOI'INGS
FOUND ?
FRAMING
ROOFING
C?
AOUGH
PLUMBING
PLBG
AIR TEST
ZZ '
ROUGH
HEATING
?
GA5 SVC
TEST
INSUL /1 c? LF
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
(
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL
a_
r--f, 4? t
W,?*ficate of cccupanc?
(fitv of Cfagan
Zorartateut of Zuilbing anaoection
This Cenificate issucd pursuant to the nequrremcnts of the Uniform Building Code
certifying that at the time of issuance ti?is structure was in cornpliance with the various
ordinances of the Ciry regulating building construction or use. For the following:
u.cuwr..".: SF qfG Bwg. Pcnrrk;, r,a. 31893
prcapancy Type R3/ w Zaning pjwia Ri Type Conu. VN
Owncr of Building OCP H[FM Dr- SM MME 671K-N
Buildins Addmas agamI+ om l,aolity j,17 B ? ?? OF EWAN I ST
, •_ t
i' flatc .
IN A CONSPtCUOUS PIACE
Address, _ taFS nauurr.T. m,mT Zip 55122
Lot 17 Blk i Sub nnucnTN-rp nF e.araN mr
THESE ITEMS WE?E / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
- -'
Date: Yes No Inspector:
7
Final gade (6" from siding) ?
Pettnanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish ?
Deck ?
Please ve ' with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply b
the outside wn faucet beforo fteeze potential euists.
Contad engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
r.;1TV r7r- r:::ArAra
cnSo-i:Lr.rc ,?S rc:E,MIN,^a_ NO:: 694
UAT'E; 05/05/98 7TPhl_:;: 0e^i1.0:
Ili:
T".fdttE_: Jp'.:;E.1=?i F VFif;L'ciV t:f]iV5'nRtJG7:r(:lt,;
2256 900{. 06:5 1:1AF:'tf.[I.._E_ CT 4,303,.96
:?
.1..OI:.7.L F:ncaipt, rimr:]tPtk,;; 4,303.96
f'pif :`71.!:)4 :i
LiSI_R 7:Da JAN
? CITY OF EAGAN
; 3830•Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT ?
PERMITTYPE:
BuzLozwG
Permit Number: 031893
Date Issued: 0 5/ 0 5/ 9 8
SITE ADDRESS:
1865 OAKHSLI. C7
LOT: 17 BLOCK: 1
OAKPOINTE OF EAGAN 15T
P.I.N.: 10-53775-170-01
DESCRIPTION:
ermit Type SF DWG
k??4t Type NEW
neyg R-3 U-1
V-N
R - 1
70
f=dt#? ' „,` 40
??1 1
?
? 1
921
Rffi+ ,
e 101 1- FAM. DETACH
AM 4 ?? ?
? ? ?? #C? ? ?
? 4 r °?? .
REMARKS:
S& W PLBR - BJM PLBG
PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
VALUA7ION
Base Fee
Plan Review
5urcharge
SFlC
sac ?
SAC Units
Lic. Search Fee
Subtotal
$997.25
$648.21
$61.00
$1,000.00
100
i
$5.00
$2,711.46
$122,000
MISCELLANEOUS $1,592.50
Total Fee $4,303.96
CONTRACTOR: - Applicant - s7. LIC.OWNER:
VARLEY CONST JOS 13346034 0003249 OCP HOMES INC
115800 SHIELO5VZLLE BLVO 8609 LYNDALE S
PRRIBAULT MN 55021 BLOOMINGTON MN 55420
(507) 334-6034 (612)881-0127
I £=
'I ye-
.irttu r?a?a.?a',
? ?tatu??s.f=ai
101-E
? G'%%,.
01 4v? A LICANT/PERMI EE SIGNATsU E
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?34? 0?. {1,,
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construction Reauirements
i
:?,f 3 registered site surveys
?v 2 copies of plans (include 6eam 8 window s¢es; poured fid. design; etc.)
? 1 energy calwlations
?r4 3 copies of tree preservation plan if lat platted after 711J93
required: 4 Yes _ No
D,arE: /,? r°.c i G a/ , i 9 9o
RemodeUReoair Reauirements
? 2 copies of plan
? 2 sRe surveys (exterior additions & dedcs)
? 1 energy calculations for heated additions
96
CONSTRUCTION COST; //-/d, D o O
DESCRIPTION OF WORK:
STREET ADDRESS: T
L p ?y
LOT: ? BLOCK: ? SUBD./P.I.D. #:
Name: e2<?i" Phone t!:
PROPERTY I.sst First
OWNER / Q
Stteet Address: ? ?o n/ ??ti QiQ L? f /
City State: Zip:
Company: ?.CG 7`?/-1 ?. U??L?? Phone #:
CONTRACTOR ?'r
Street Address: ??? d ,/?/?4-DS' (J l LL4? 4L?vALicense # p Uv 3? '74??
City FI+?'` (,J ,4UL---T- State: Zip:
ARCHITECT/
ENGINEER Company: Phone k:
Name: ?,?P6 Ll ?-? ?n..o /,i p Registration #:
Street Address: 2 ?? v u.e N?
City Sr 1?1 i_ State: qn e/ Zip:
Sewer & water licensed piumber (new construction onty): ad 1? d/ ?(? penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowletlge that I have read this application and state that the infortnation is cayrpcLand ag to Tpi th all ap licabl
State of Minnesota Statutes and City of Eagan Ordinances. ?t ???NC
?---- -- >
Signature of Applicant:
rn? d?n
oFFtce use o?
Certificates of Survey Received Yes _ No
Tree Preservation Plan Received ? Yes _ No ?Req
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16
?, 02 SF Dweiling ? 07 4-plex ? 12 Multi RepaiNRem. ? 17.
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21
? 05 SF Misc. ? 10 = plex ? 15 Deck ?
WORK TYPE
D 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
?
V nl
f1 - i
1-
4D ?
Basement sq. ft
Main level sq. ft
? sq. ft
sq. ft.
sq. ft.
sq. ft
Footprint sq. ft
Basement Finish
Swim Pool
Public Facility
Misceilaneous
i '-., zo MCM/S System ?
1/-1,91 City Water i ?
tigD Fire Sprinklered
PRV i
Booster Pump
Census Code j 10 t
tG 21 SAC Code ?L
I
; 1
Census Bldg
Census Unit
Engineering Variance
i
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Building
Valuation: _---
`1o x 30
ZoX?
S
zx g.s
n
.?.? '! 6r?-•i ?j? ?.',? C'io,.,.. e
TotaL _ . , . ;.„i
-;
--?- zz x zv
%o'5AC ' .
SAC;,U„ n?
$ i2'2? tx?0-'? I
?zoo Ii
?20
-
__---
i 3 ao q5 .? 2 S= 3 3 i
? ovo, -
?
?3zo
`7 li
+ 9 S I cU ? sy = -7`1, ?! 71??/. ?
:
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[9'O ?
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2-- ? E3
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
PROPERTYLEGAL:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legaldescription
• Address
• North arrow and scaie
• House rype (rambler, walkout, split w/o, splft entry, lookout, etc.)
• Directianal drainage arrows with slope/gradient %
• Proposed/exasfing sewer and water services 8 invert elevation
• SVeetname
• Driveway
ELEVATIONS
Ew'stina
• Sewer service (or Proposed)
• Property comers
• Top of curb at the driveway
• Elevations of any exassting adjacent homes
Prooosed
0---O ?
9-' ? ?
,0' ? ?
?
?
? ?
• Garage floor
• First floor
• Lowest exposed elevation (walkouVwindow)
• Properly corners
• Front and rear of home at the foundation
PONDING AREA Cf aoolicabl
? G3^ ?
? C? ?
? CI- ?
? r?jC7
? d ?
t3'/ ?/ ?
O C? ?
Ef ? ?
M-?' ? ?
? Cl ?
• Lot IinesBearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, ovefiangs greater than 2',
porches, etc. (i.e. all structures requiring permanent footings)
• Show all easements of record and any City utilifies within those easements
• Setbacks of praposed structure and sideyard setback of adjacent ebsting struclures
• Retaining wali requiremeniVanyA ?r .
Reviewed:
• Easement line
• NWL
• HWL
• Pond # designation
• Emergency Overtlow Elevation
January t996
CRA1G1 WGBIOGPRMI'.FM
LATEST RE1/ISION:
cm aF rAM
? IITEBIOR ENVELQPE ll/EHiGE IUV COMPUTATIOS
OWOMR: d C P H n M
siZE ennaess• ! ?' A K?i I LL G i L aT 17OA K Pa I?-
coxrUcsoas. Y?t?L.?`f C?b?iST paTEs 9l?•98 r?: SFl-Gt27
Deterzine searldng a4asre faotaBe Qt Osr.b:
1. ioial esposed ira13 sres ... a?? sQ• n• s.t1 e
2, Total roof/cetling area .. 1 ?? aq. ft. x.026 =
Total expoaed well area sbove llaor s
s. Total uall windox area ............................ '2179.6
b. Total daor sre: ................................... ?.O
c. Total a]idiag gEass erea .........................
d. Total fireplece i+all srea .......... ..............
e. Total xa1Z fraSfag area (aversge tOf) •••••••••-••
f. ?otal net ve3l area aDOVe f2oor ................... •
g. Tota2 rfm joist area .............................. __? f5o
Total exPnsed foundsLion area o 135
a
h. Total faundatScn vindo++ aree .......................
3. Total neL foundetion area sbovc grade .............. 13-5
Determine •[i' value ot eaah vall se6meat:
6. .42 S. 6.. x ' U s .?l?'L-.-.--
b. ? z ??'
z * U' _
c . CJ
d. x rUe
-??
e. 2a x' u'
'
f. x t`IJ'
B a
h. ..?" x 'p' ° -?----
i I ' U'
?.
3. ...................................... .-....... :... Total n a•J /1 6
If item 13 2a the same as or aess than item f1. Yau have ioeL ttx tntent of SBC
65D6(c)2. r
2ota1 e:pased roeflcellin8 area
' S. Total akyllBht erea ............................... ?
..... ?
k. Total roo!'/ceiliag framing ares (werage 10%)
1. Total net insuiatce rmf/oeiling erea ..............
41'E8
Dekrmine ¦U' Yaaye Tor eaoL tcoflcefling eeBeenL:
J. --- ?._... i Op. -- a .-
?. , I o,
i.1333 :.pl
6
4. ...................................................... TataY - 33.1
IT totei of #A is the ,asee sa or lesa than #2, yon hava oet Lbe inteat of SBC
60D6(c)t._
Alternate 8uiiding Enrelope yaaisn
To ntilize the Cota1 eove2oDe sysLem rethod, t3i,e valnea eatablfsbeQ by the sem.
of Items 63 and !4 slss3l swt be greater than the auv of Itema !1 and 12,
,. ?2
_74. 5, z. ? 8•-5' a313
3. . 4.
2
CITY
L ? BL USE ONLY
?
SUBD. C]f na?-44V?4-
1998 PLLTMSING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQKOB RD
EAC,AN, M4d 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
- - - - ----- - - - - --------- - -----------------------
FIXTURES -- - - - - -
EACH
#
Shower 100 x
Water Closet 3.00 x
Bath Tub 3.00 x =
Lavatory 3.OU x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x 1 =
Hot Tub/Spa 3.00 x
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Oudet " minimum - 7 3.00 x
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' Por existing tlwelling 20.00 x =
U.G.Spdnkl2r "fordwellingunderconst. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations ` to existing residence 20.00 =
Water Turn Around 20.00
=
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems `nbandonment 20.00 =
STATE SURCHARGE
TOTAL
TOTAL
ln•OD
al)-D
?a.uo
?.1X7
3.60
-;.00
3.co
--W,oa
50
------------------•-------------------------------------------- - - --------•------------------------------------- ------
1 hereby adcnowledge that I have read this application, state that the inPorrnstion is correct, and agrae to comply with all appliwble City of Eagan ordinances.
It is tha applicanYS responsibility to notify the property owner Mat the City of Eagan auumes no liability for any damages wusad by the City during its
nortnal operetional and maintenance aGivities to the facilities constructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS:
? I . ., OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
RECEIPT #: 9 ISV50
RECEIPT DATE: -I ? a I ` q b
TELEPHONE #: 7-)/ - S//? -7
e
CITY: ? _ Paa/ STATE: n/?j ZIP: S?5-/Ol
SIGNATURE OF PERMITTEE
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
? CITY USE ONLY
LOT BL ? RECEIPT #: / `(0
t 711919
SUBD. ? ? RECEIPT DATE: ?
? i
199$ MECHANICAL PEgM1T (R£SII3ENTIA1)
CITY Of EAfiAP
S$SO P1LOT KN08 RD
£A6RN 1HN 5518E
??2 (612) 6$1-4675
Date:
Complete this section only if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one re%*zA??@ $3.00 ea.)
t'
• State Surchazge: .50
?
pF-'
• TOTAL: ?
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not re uired for alteration/add-on to ductwork in
existing residenrial units; but is required for the following:
? Install furnace `/ Install air conditioning
Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS:
OWNERNAME: 1' Prg PHONE#:
INSTALLERNAME:?M4 L=?y PHONE#,-SZ 7-
STREETADDRESS:c3Lv'?S
CITY: niSTATE: ?? . ZIP: sy? 4(1
?
SIG ANRE OF P RM?????ITTEE ?
JS/FORMS BI,D/MECH PERMIT (RES) - 1998
L BL _
SUBD.
APPROVED BY:
CITY USE ONLY
INSPECTOR
RECEIPT #:
RECEIPT DATE:
1998 M£CfiRNICP4L PERMIT (COMbiERCIRL) !i
CITY Of EAfiAiN
S$SO PILOT KNOS iiD
EALHAN. MN 55122
(61E)681-4675
Please complete for: all commercial/industrial buildings ?
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater. I
Processed piping - $25.00 i
CONTRACT PRICE x 1% PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
($.50 per $1,000 of pCI1T11t fee due on all pertnits.)
I
PHONE #: I
PHONE #: .
CITY:
STATE:
ZIP:
SIGNATURE OF PERMITTEE
* PipNEkrz
? gngl??flg
4c * * *
sertificate af Survey for:
,aHO Mae+uCUS. ?wscw'G
OCF' HOMES
1665 OAKHILI. COURT
• ?L=,I?L?Ii'Cl
gy
DATE
BUILDING INSPECTIONS DEPT.
BENCH AAARIi
IBP OF PIPE
ELEV.=931.6D??? `
A
tA??'?
? 'LQ' 931 8
i?
I
931,7 '
26f r
Y
.
?Y
16
?'e?pJd1
2422 EntBrpri,e d7iv¢
Me[tdcfa H9tqh{R. MN 55120
(412) 881-791+ FAX:1381-948H
f.Z5 Hi911woy 10 N.E.
8laine, MN 55434
(612) 783-t$t90 PAX:M-1883
fNC.
?'r ? \
`•?A?>??
92y.s
923.7 $
?
934.1 ?
r?,yy ? r9?
?4> > 1 \
iL/10,
?, hk?6 326-e,
\
N y? V
Mw? ,
3?.55 ( S?
? ,
t• )'
g.?s?33
'I ~ VAAfIILl.. U4VF1
?
BENCH tiAARK
JdR 6F PiPE
LEV.=937.84
FuTURE
HOUSE
;?1?L31:T iGV z ?_.:':^.
pROP6SCl7 HQiISF ELEYATON
1lOTE: PROP65£0 VPWES 9«<1'N1J PEft 6RA4?wG PL+?N Bv: VIUNEEH
hNn ?nnCAl LGCAiKN
ONT
I fL00R ?LE?/AiION-
pyE5T -
I
A
.
NOTE; BUIIDI? UI??Q?S?UNS 9WOYM14 ARE FOR HOPoI
fyF jFRUCNRFS ONLY, qEE ARCRTEriUAL PLANS FVR 9UILIHNC AHD _
QP OF gLCCK ELEVA710N: -..-----
Fp?papdT7N ONEN51(1N9.
Y lilF I
?j
NOit' MO SPECIfIC S!MLS I?1vf911f;AqON NAS BFF.N IXYNli:l4l7 QN TYii4 IUT fl
Yi? tiOIIpFYUiY UF $?11L.Yi TCl SIIPPtX'.i 1Hk'. 2^fCIf1C NqClS?
?'? (?Af2AGF.. il A? EL?.VAT10F?:
A1AtN ri ?y ?L' eO
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.
PNOPOSED i5 NOl' 1Nf RCSPYY95tBNJSy [6 Ot£ 5URVEYOR. K 000.00 UQJpiES E%iSAwG i_l.EYAi1CW
NOSE. A1l5 C£RtiACAlt 6VE5 NDT FUR!`Ml TO 9tOw tAEntEarS 6ntER THAN
RECUi6EU PLAT
ri ( 000.00 S GI'NOiF5 PR(N'Cif?ro EI.EYAYlW
> D?WHACC Prd6 U7tU1'1' EASEMENT
7
.
iE
h{U3F r.A1Vy?N p" E
DtN0
NOZE: C(AiSRACt(N2 NUSS' V[RIFY DHn'CWAT IDE54+'N. ?- OENtl1E5 C1RJ?NACL flOW aRLGTtpr+
OENOTES MDM.IbENY
IJUTE' bE/.RjNCS SNOAN AkE SASEU ON Ali ASSUµED DA" pfNd1F.3 OFPSE7 HUA
Wr HEREBY CERTIFY YO OGN N4MES, 1MC. THnT THIF 13 A 1RUL ANp CORREGT REPRESLMTAiION DF A
SURVE'f OF 1HE F3OUhiaARIES 6F=
LQT 17, BLOCK 1. OAKPOIN1E OF EAGAN 15T ADpI"flaN
DAKOTl+ COuNN, MINNESQTA
1T DOC5 NOT PURPDRT TD aIOW IMPRQvFMEI1TS bk ENGHftOACHFAENTS, EXCEPT AS Sk-IOWIJ. AS SURvFrEO OY ME O
UNbER MY OIRECT 5UPCRV15i01`I TtliS 167H DAY Ot liPRIL, 1998. / -1 ?NEER ENG?N1aK'NP.A.
c?nnicn•
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178492
Date Issued:08/22/2022
Permit Category:ePermit
Site Address: 1865 Oakhill Ct
Lot:17 Block: 1 Addition: Oakpointe Of Eagan 1st
PID:10-53775-01-170
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Debra Marie Mueller
1865 Oakhill Ct
Eagan MN 55122
(715) 821-1621
Joe Nance Plumbing & Water Conditioning Sys Llc
W12738 705th Ave
River Falls WI 54022
(715) 821-1621
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179182
Date Issued:09/22/2022
Permit Category:ePermit
Site Address: 1865 Oakhill Ct
Lot:17 Block: 1 Addition: Oakpointe Of Eagan 1st
PID:10-53775-01-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Debra Marie Mueller
1865 Oakhill Ct
Eagan MN 55122
(651) 802-1606
Clear Choice Restoration
2722 Hwy. 694, Suite 100
St. Paul MN 55112
(612) 259-7177
Applicant/Permitee: Signature Issued By: Signature