1662 Oakbrooke WayAddress 1662 oakhrooke w3y Z1p 55122_
LAt 3 Blk 1 Sub Oakbrooke 4th Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: ??-aSA-Q J Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
?
Sod/Seeded grass
TraiVcurb damage ?
Porch
Basement finish x
Deck xl?
Please verify with the builder the removal of roof test caps from the plum6ing system and the shut-off 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 - Contracwr Copy
Siteaddress: laI- l.J LotZ BIocIP? Subd. CLA??0°te G JS-C
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 Ciry of Eagan is requiring that the following information 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 restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater PVyk+ju,, 14 1 0 a,f "IS
Fumace pA AUU 3 6dGC? 5"20 ,
Dryer G " jjr3&,A-
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
ves No
ktchen kitchen
Bathroom 1 &
? ? ? ? _ v ?? ?
Bathroom 2
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
OOD
MANUFACTURER
MODEL
BTU'S VENTING
DINECT ATMOS
? N610 '?
MAKE-UP AIR MODEL TYPE CFM's
I hereby acknowled that the above informa6on is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
, ?z
12 4
V re a
Co pany Na e
' This torm is the responsibility of the General Contractor.
CITY USE ONLY
LOT BL CY l PERMIT #:
SUBD. RECEIPT #:
Q?Af/ r00? L??
?
RECEIPT DATE: ezz'00901 '7'0(
2000 MECAANICAL PERMIT (RESIDENTIAL)
Date: (p`aoi -o o
Complete this section anlv if you aze installing HVAC in a single famify dwelling, townhome or condo under
conswction and not owner/occuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BN
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
S.co
State Surchazge .50
Total $ 396D
Complete this section onlv if you are remodelinQ, adding to, or reoairine an existing single-family dwe(ling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration
Furnace
_ Air exchanger
Reminder: Call for inspections
SITE ADDRESS:
Repair _ Other
_ Air conditioning
Other
Fee $ 30.00
State Surchazge .50
Total $ 30.50
OWNERNAME: e-pu W0y`VLQ.'Zj ? rHOrre a: lasl - Uba-saoo
(AREA CODE)
INSTALLER NAME: 00fY1SV i 1(sz '4- P1 C PHONE #: 95a - 89q'000S
(STREETADDRESS: I`r?i?-VR i ?-?/LnC[ 0 ?A CODE)
Ca Yl C"?- ?S
CITY: STA7'E: PK) ZIP:'SS3
r -
SIGNATCRE OF PERMITI'EE
CITY OF EAGAN
3830 PILOT IINOH RD
£AGAN bN 55122
651-681-4675
L BL
SUBD.
APPROVED BY:
cirv use oNLY
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (CODMERCIAL)
CITY OF EAGAN
3830 PILOT RNOB RD
EAGAN, PIIJ 55122
651-681-4675
Please complete for. all commerciaUindustrial buildings
multi-family buildings when separate pertnits are not required for each dwelling unit
DATE:
WORK 1'YPE: New construction Iastall U.G. Tank
_ Interior Iatptovement _ Remove U.G. Tank
_ Processed Piping
When installing/removing undergrotutd tank, call 651-681-4675 for inspection by fire marshal and
p[umbing inspector.
Description of wotk:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
Contract price: $ x 1%_$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (QvfPROVEMENTS ONLl):
WAS THERE A PREVIOUS TENANT IN TH1S SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 514• U I
cmr of eacarr
3830 PILOT IQYOB RD - 33122
CO 851-881-4875
1 ?181 ?
w -ia-0 o
> a reosarod wa wners uwwmy n n a W. w. n. a naua
ana gll rooled arem C1076 maximimi lot coveraae Wiowedl
D 3 toples of Dians (ttww beam & wintlow aizes: Poured fnd. tleYyn; afc.)
D 1 wt of anerpy edqAatlOrp
D 3 copies d hea presenallon plan M Id plolpd allw 7/1/93
DAiE:
DESCRIPIION OP WORK:
STREET ADDRESS: \\.ok
LOT: 3 BLOCK:
\10
S,BD.,P.,.p. #: ???- Hkb 10 5376 3 o3D a f
Name: Phone 11:
PROPERTY LCU flnf
OWNER
Sheef Addreaa:
citY
State:
Zip:
Company,\ Phone
(area code)
CONTRACTOR
streetnadreaa:,'?)S5 * 30+' ucerme# \3?1\ Exp.33\ oz
cirylV?e+??y.o'?Q? ?'e're?S Sfate:?+v? Lp: ?5\Z?
ARCHIiECT/
ENGINEER Company: Name:
Telephone #: (
Sheet Addresa: Reglahaffon C:
citY
s oooie, a wan
1 set of enerpy cdadatlau for healed addtlorn
1 tlte wney for e)derlor addlMOns Q tlaeb
CONSTRUCTION C05f: kU? I C)c?v
.\ V
Stafe:
Ilp:
Sewerlwater lieensed plumber (H Irntellina sawer/water): \ ?\,-,, Phone #: \Z- `lC\
1 hereby xkrawledye Mwt I have read thk applicalbn, *te ihat Ihe trBoqZaMOn 18 and aQr?s,b compy wilh al appic?le State
of Minneaotu Stalulea and CNy ot Eapan Ordlnaneea. ?? ??
Siqrwlure of App6canfi
OFPICE USE ONLY
Certiflqtes of Survey Received ? Yes _ No MAY 2 3'
Tree Proservation Pian Received _ Yes ,_ No ?Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundatlon O 07 05-plex
)K 02 SF Dwelling ? 09 06-ptex
O 03 01 of _ plex p 09 07-plex
O 04 02-plex O 10 08-plex
O 05 03-plex 0 .11 laplex
O 06 04-Piex O 12 12-piex
WORK TYPE
31 New
32 AddiUon
O 33 Alteration
0 34 Repair
O 13 16plax O 21 Porch (3-sea.) O 31 Ext Alt - Muld
0 17 Garage p 22 Potch/Addn. (4-sea.) 0 33 Ext. Alt - SF
O 18 Deck p 23 Porch(screened) O 36 Muki
O 18 Lower Level O 24 Stortn Damage
Pmp Y a_ N O 25 Miscellaneous
O 20 Pool ?' 30 Acxessory Bldg. O 36 Move Bldg. p 43 Reroof
O 37 Demolish (Bldg)' p 44 Siding
0 38 Demolish (Interior) p 45 Fire Repair
O 42 Demolish (Foundation) O 46 Windows/Doors
• Give PCA handout to applicant for demolitlon permit
GENERAL INFORMA710N
SAC Code
No. of Units
No. of Buildings ?
Const. (Actual)
(Allowable)
UBC Occupancy 8-!?
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
E3 Stucco/Stone
APPROVALS
?
114,
?
sq.ft.
sq.ft.
FootpriM sq. ft.
Census Code
MClES System
City Water
Booster Pump
PRV
Fire Sprinklered
?
?
?
Planning Building Engineering Variance
Permit Fee Valuation:
Surcharge
Plan Review
}? ?? ??
? J
J ) ? ? `p ?? ,? -- 3 D ? v
/ 7• ?
License
MC/ES SAC
City SAC
i ? :'„J
Water Conn.
Water Meter
Acct. Deposit /
?
(r?fi'i . t?
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded. ( ?i L? 4° wO
Traiis Ded.
Other
Copies
Total:
SAC Units
% SAC
Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS ; Lot 3, Block t, OAKBROOKE 4TH ADDITION, City of Eagon, Dokoto County, Minnsota and
reserving easements of record.
??,
?r
1;q D1G?i?.:V Ju1r'"'i!'uf??1VGDEPT.
? (ft0?
° OAKBR00i
1 93i?. o
Y
55
ei
?
3
?
i
?
.
Fa-f4c?
t•.r>? ? '?T I ???b ,
?• WES" T 4.9UU 7-
? q390. 0 20.67 9- 24J3 f-""---'
942 '
$ i
1
H ? Garoga 7.83
? ? ? 34 I
°
?O za41. >a.s ? 939,7 I
L ? - . o
?
Proposed Home
L? ^ m RamElerd °o ? 70B = 939.5
9'ptw tl/I i
NJ n = '
i
i
17.29 0 0 10.J8 i
tu-'--I.0 °i ° 43h ? '
??• 2129 203
i
L
?c ss.oi
?a
0
T
Q¢
LOT SQ. FQOTAGE = 3,608
HSE. SQ. FOOTAGE = 1, 727
LOT COVERAGE = 48%
Plan // 17921
PROPOSED ELEVATIONS
BENCHMARK,
Top of Foundotion =q4.2.5 7?i
Goroge Floor =q4I,3 N,v^;1? (?'?YY'?i?.? ki W.ul
Basement Floor =933•5 tltv - 94.13 ?
Aprox. Sewer Service = 927•8±
Proposed Elev. MIN. SETBACK REQUIREMENTS
Existing Elev. _
Droinage Directions = Front -25 House Side -
Denotes Offset Stake =. scnLE: I i„on . 30 leet Rear - Garoge Side-
JOB N0:
HEDL(JND ' MEREBY CERTIFY THAT THIS IS A TRIIE AND CORRECT REPRESEN7A7ION OOR-240
OF THE BOUNOARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PACE:
PLANN/NG 6NC/NSBR/NC SURY6Y/NC SHOW IMPROVEMENTS OR ENCROALHMENTS, E%CEPT AS SHOWN.
2005 Pin Ook Drive
Eagun, MN 55122 DATE ?/C? ?•vsC 10• CAO FILE:
Phone: (651) 405-6600 EF R Y D. Li CREN, L SURVEYOF
Fox: (651) 405-6606 MI SOTA UCENSE NUMBER 14376 OAKBROOKE
rctLt?vED JUN 0 V xw?,t
I I
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
i
PROPERTYLEGAL ?nT 3 bpLOCX ) OR??,PC,Y?XE? Y"T#
H DATE OF SURVEY: s-?(
IATEST REVISION:
?
p DOCUMENTSTANDARDS
og O
a
?
o • Registered Land Surveyor signature and company
0 ? • 8uilding Permd Applicant
?o o • Legal description
g?o
? ? ?
? • Address
• North arrow and scale
p? ? ? • House type (rambler, walkout, spift wlo, spld entry, lookout, etc.)
?o o Directional drainage arrows with slopelgradient °h
o ? :
Proposedlexisting sewer and water services 8 invert elevation
?
,o ? •
SYreet name
m? o ? • Drrveway
?p ? • Lot Square Foatage
ca/
?
?
• LotCoverage
ELEVATIONS
Ew'stinu
m?p ? • Sewer service (or Proposed)
? o • PropeAy comers
b-,o ? • Top of curb at the driveway
D-? o o • Elevations af any exissting adjaceM homes
o6?'o Adequate foo6ng depth of shuctures due to adjacent utiliry trenches
. Prooose
d
p ? Garage floor
¢?/ o ? • First floor
p? ? ? ? • Lowest exposed elevation (walkouUwindow)
?? o • Property corners
cc?o ? • FroM and rear oi home at the foundation
? PONDWG AREA (if aoolicaWe)
? p • Easementfine
0 0? • NWL
? / • HWL
? a" • Pond # designation
? 0 • Emergency Overflow ElevaUOn
?
?
a/? ?
41 ? ?
?
? ; ?
DIMENSIONS
• Lot lineslBearings & dimensions
• Rightof-way and street width (to back ot curb)
• Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sVuctures requiring permanent footings)
• Show aU easements of record and any City utiliUes within those easements
• Setbacks of proposed sVucture and sideyard setback of adjacent existing structures
• Retaining wall ri
Reviewed:
March t9B9
cw.roreLoavn?rr.FM
JOB INITIATION ORDER oc?
Pulte Homes of
Minnesota CorporaEion CONTRACTOWSUPPIJER
1355 Mendota Heiqhts Road. Suite 300
Mendota Heights, MN 551 20-1 7 12
Phone: (651) 452-5200 Fax: (657) 452-5727
ice mo. (D 55c) LEGAL DESCRF„oN: LoT aD_ BLOCK I uwr b 3 c
ccuwwry: ? ADDITION: ?
eunrnrx3 A0ORfSS: \1t1. L ?or:vltv-.V3 t< arr&'? sraTe: ??
NIDOEL NN?IE: ? O MODEL NIAdBER: ?? ELEVATION: ? OARACiE: IEFT RIOFfT
BUYER'SNN+E: DA7EOFORDER: W im
q1RRENT ADORESS: CITY: STA7E: _
HOMEPHONE:
BUSMESSPHONE
BVSINESS PHONE:
SALES
#
r
I , I _ I•?-•N?1? s? Q:J\ ?r'?.wQ/ ?Q?P?\ I ?
TOTAL
EE
Buildet's License #0001377
APPROVED BY BUYER (S):
APPROVED BY SALES: ?
RELEASED TO START CONST.: enunL Housixc
OPPOflTUNITY
This constitutes a cordract between the Seller and the Purohaser(s) for the almve items.
'DATE: J?Z-?-vc-> rnvwc: %1?- '_---
CDNTMCTOR: /L ,-t
1 [IETERNINE NOfiK1NG SO,OARE FOOTAGe OF EALH:
1. TOTAL EXPOScD NALL AR&1,,,..... sq ft x"U"
2, TOTAI ROOF/CEILING AREA,,,,,... sq ft x"U"
3. TOTAL EXPaSED uALL AREA CALCllLAT10N5:
Total exposed wall ,+ .
area a6ove fioor,,,,,,.. )-sq ft
c
a) Total wa11 xindo++ area: •
Z7aj sq
OOUSLE glazad ft x ??U,?
......
` sq
H_giazed ft x !'U"
,,,,,
5 r7 sq ft x "U"'
b} Tocal door area ,,,,.,,..
c) Total slidlhg giass door area: ' " ' • .
?- sq
d
l ft z „U" e ?J'? - •° ? .
......
g
aze
.
sq
d
i
P .
1= ft x ??U"
.....
g
aze
r .
sq
l fLx "U" ° -
d) area
Total fireplaca wal
e) Total wall framing area Sq ft x "U" •?9Z °?--y
(Average 10°:) ... ....
f) Total net Hall area above •
0 - ='`?-"`
..?
- -:
?.,.
j?7Z4 sq
d ft x •
).......
E]oor (Insulate
1-00 sq ft X "U" •??'? °??
g} 7ota1 rim joist area......
Total foimdation I l ?
ft
area (Exposed) .......... sq
h) Tota3 Faundatian ' ft x "U"
Sy
windori area.............. ? - -
t) Total net fouadation ?( I ft x"U" •?/N? '
?
Sq
area abave grade........ -
TOTAL a) [firu I} ' v
3
I` ltem ,33 ?s the same as, or less [han item ?i, you have met the fn[ent of
2 t1C.1R 1.16008 A and 0. •
Pago 1
? e='R?f •.? .. ?i:e".i??•S!>=.n ._ - _ , . " 'y'q>.'
• ':ui?,LSy?'???i iY?.r`G'?'aiP? - •- • . - . - . i
P'v?'.:"'al ?.ia'rs? _? - ? . ? • . ? .??r.
?' ? J .:.?yeYy: ?='?=•'._ ?;?.'??:?y?,er?+,.;.:i:-"'-?.'?' " _ _ " - . . • - -
k.? }TOTAL EXPOSED p00F/CEIUtlG CALLllLATIOllS: j'"
• . ,.:?
Total exposed -
roaP/ceiling area........ _17, Afj? s4 ft . .
i .
J) Totai skylTa6t area....... Sq fC X li(jtl s
k) Total roof/callinq framing
area (Averaqe 104,)...... %54 ft x "U" . QZ ?
1) '7etai net insuiated O? Zq,?'le
roof/cetltnq area....... ?y sq ft x"ll" . °
??_, . - -. - - - - TOTAL j ) thrv .1) ?? •... : - -
If total oF 44 Is the same as, ar less than.P2, you have met the intent aF
2 HG1R 1.16008 A and 0. _
I
, ' ?:'?•
pLTERNATE 8U1LDItIG ENVELOPE DESIGN
Ta uttlize the total envelope system method, the vaIues established by the sum
of items ;3 and 94 shail,not be greacer than the sum of izems 91 and !F2.
. ?_ + 2. °
3. + 4. °
=5RT1 F1=ATIOti
I hereby eartffy that ! have calcuTated the "U" faciors and "R"
vaiues herein and that [he bulldinn here descri6ed meets or excaeds tfie Sta[e
of Hinnesata Eneray Conservation Ac:.
/ - -- -
SlqTature)
!/l / j /?
(Da2e)
Fag?? 2
? X u =
A
IY? x? ivitiv?
R_V/
,
1Iw• ,' N.SY:
P?ILi FO
'i
U -I,R
NALL ScCTiON (INSULATED)
?
A1H JQtST SECT10tl:
C
I01
?
u=tiaa? _
• i Interfor aTr fiim A.68
z 9-19 iu:nQ LA-nnQ _-
3 14,74 .4 rxNl?: r? 1
6t)1t. -fi2CT'E • ' 7.p? .:.,.-;-;.
5 At??,t ?ID ? ?.lP? .Cv l °:
• TOTAL !t= ° ;-
FflUN0ATI0N INSULATIOt7 REQUIRED. ` ' - ? -
`
Min. R-5 on entire wall OR U? 1/R ° ?(
'_ :
Q.;.,e Min. R-10 dawn to frast.depth - _
Q
,- ~ ? FOUNDATION SECTION: -
1 Interior air film -I1.6R-
••s+: ?• • 2 TZ II RdTT !l?'[Y- L ,D' ., ::
'? 6., ?:• 3 IT ('n1 fC PL?C I? LZS
-• -- •+? 4 Exterfor ai r f i Im -?.17 =-
A
q
?%???? (6
,
d• ,
,0• "`?/ TQTAL R a 1'3,t3
?
U - 1/R
. T T SLR9 ON GPAOE
•.' a.`u : -- .:a.a /J A Fi ?
? ?[I .?.'a• ,a+?. r '?.?/ ? ?;:.
:?? . .3 Q o• u, i??? /1::,,
Heated Slabs:
Minimiun R = 8.5
•'a? ' ?Q' .
Uhheated S1a6s:
' •a . Mtnimum R = 6.2
a??4?1'6,4'G?•q,,-? ? q?4
,--,=_.ti??-? :•4•, .?i,-.a
.
? lfct , 1'-? _
' ?'a??•?
.. ^ q ? •.
. •..a
?
` ?•
? ?..
,?
' G
?'
4, 1
_,.'Q
..
: ? ?
•
Q'j9•
aq
- Q
,
.
?'• : a•,
.?
. .
_
Page :
• - .- _ - ?.swiE - a " -
?
. .
?
.J';?r..?•
n
?
h
.?
%
-_y
i - _..T
`..:$?
?
:
CONSTRUCTfON ` ;
i
'R VAIUC
[EILING SEL710N (IHSULATED):
1 laterfor
' 2 51sS' St.l'F='s*. ?n['.fC
3 :r-?'?: I iIL.AUL 4nD"
, 4 Exierior air film stili) q,/,I
• , TDTAI R
U- 1/R=?Z
CEiL(NG FBAHIH6 5'cCT10N:
T interior air f.TTm A.(}
2
s/e' hFfEZ
?.K s
.??
3 Q_ 11 i t.Lt i[ ni,t
4 Interior ai r fi 1m ' sti 11 (1 .fil•
5 _3 /Z inct+es soft waod Q? --
re-raL a m z-r
' U - 1/R ° uV
CEILIHG SEGTI4N (lTlSUI.ATED) :
1• intertor air fiim n.61 -
Z
- g . . - -:
4 Exterior air fi)m stil1 D. 1-
70TA1 R =
U7 T/Ra
VENTED
CEILINr, FRAHlHG SECTIUt7:
1• Interior ai r fi im
2 .
3
4 Extertor air fiim stili n- i
5 inches soFt wood
TOTAL R
U= i/R
?
Inside air fiTm n.F,i
2
3 •4
S Outside air film ^•17
TOTAL fi
Us 1/R°,_-
Page 4
CITY USE ONLY
sus ? _Og?6rD?. w4
RECEIPT #:
/3a9(a g_
RECEIPT DATE: 6 -d 3 - 00
PERMIT #
2000 PLUMSING PERMIT (RESIDENTIAL)??
CITY OF EA6AN ?
3830 PILOT I¢NOB RD
EAGA17, DN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required far each unit
? backflow preventer for underground sprinkler system
FIXTt1RES '
EACH N
TOTAL
Alterations to existing dwelling - minimum fee
Describe: p. $ 30.00
Bath tub $ 3.00 x = $ -
Floor drain 3.00 x 1 = $ -
Gas piping outlet ' minimum -1 3.00 X = $ -
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x I _ $ -
Laundry tray 3.00 x = $
Lavato 3.00 x = $
Septic System newrrerurbisned ' requlres MPC lic. 75.00 x = $
Se iIC SyStem abandonment 30.00 X = $
RPZ new InstellatioNrepairlrebuild 30.00 X = $
Rou h o ening 1.50 x = $
Shower 3.00 x 1 = $
Underground s rinkler if dwelling is under construGion 3.00 x = $
Undergroundsprinkler rfexistingdwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ -
Water softener if dwelling under construetlon 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Waterturnaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
TOtel _> a
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby adcnowledge that I hsve resd this epplication, state that the inforrnetion is correct, end agree to comply with all applicable C@y of Eagan oNinenoes
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operetional and maintenance activi6es to the facilities construGed under this permil within City propertylright-af-wayleasement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS: 1J10l>'"
?TELEPHONE #:
CITY:
(AREA CODE)
- 49?;)--,a f?--I
STA E/ ZIP: i5,??3C45F
SIGNATURE OF PERMITTEE
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1662 Oakbrooke Way
Lot: 3 Block: 1 Addition: Oakbrooke 4th
PID:10- 53763- 030 -01
Use:
Description:
Sub Type: e - Fixtures
Work Type: Replace
Description: More Than One Floor
Meter Size Meter Type Manufacturer
Comments:
Fee Summary:
Contractor:
Matthew Daniels
15230 Carousel Way
Rosemount MN 55068
(651) 423 -3730
matthew huntington
15230 carrousel way
rosemount, mn 55068
651- 423 -3730
PL - Permit Fee (miscellaneous)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Cathleen Z Johnson
1662 Oakbrooke Way
Eagan MN 55122
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA081317
12/03/2007
ePermit
Line Size
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105488
Date Issued: 07/17/2012
Permit Category: ePermit
Site Address: 1662 Oakbrooke Way
Lot: 3 Block: 1 Addition: Oakbrooke 4th
PID: 10-53763-01-030
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: 7,700.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Krech Exteriors Inc Daniel C Smith Tste
5866 Blackshire Path 1662 Oakbrooke Way
Inver Grove Heights MN 55076 Eagan MN 55122--420
(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:EA126156
Date Issued:08/15/2014
Permit Category:ePermit
Site Address: 1662 Oakbrooke Way
Lot:3 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-030
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.
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 -
Cathleen Z Smith
1662 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:EA128009
Date Issued:10/22/2014
Permit Category:ePermit
Site Address: 1662 Oakbrooke Way
Lot:3 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-030
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 -
Cathleen Z Smith
1662 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:Mechanical
Permit Number:EA156249
Date Issued:06/21/2019
Permit Category:ePermit
Site Address: 1662 Oakbrooke Way
Lot:3 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Cathleen Z Smith
1662 Oakbrooke Way
Eagan MN 55122
(651) 403-3066
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature