1669 Oakbrooke WayAddress 1669 Oakbrooke WAy Zip 5512 2
Lot " Blk z Sub
Oakbrooke 4th Addition
THESE ITEMS WERE / WERE NOT COMPLETE AT TI-IE TIME OF THE FINAL INSPECI'fON.
Date: I_ -od Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage) ?
Pertnanent steps (main entry) ?
Permanent driveway X
Permanent gas ?
Sod/Seeded grass k
TraiUcurb damage X
Porch
Basement finish x
Deck x
Please verifv with the builder the rerooval of roof test caps from the plumbing system and the shutoff of wacer supply a
the outside Iawn faucet before freeze potential exisu.
Contad engineering division at 6814645 before working in rightof-way or installing undergraund sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink • Contractor Copy
Site address: 14 0 LJAkoE?C?0*-YLot Y Block a Subd. 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 City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
This sWcture is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: will be consUucted to meet more resVicdve requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE „
Water Heater ? ? ? QSa s ?r
Fumace aKf'
gL 3S? V 03(00C20 5 030 Q,t'C
Dryer
VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's Yes No
Kitchen kitchen
Bathroom t
Bathroom 2 ?i If t OS ?O
Bathroom 3 Sk/ p g O
Bathroom4
Other
fiREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECi ATrnos
? ??o T k - a7coa
I hereby adcnowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requiremenLS.
sigM rk, ,
a
CompanyName
/// /z/?
Date
' This form is the responsibility of the General Contraclor.
*************************?????******?**
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 767
DATE: 08/18/00 TIME: 10:26:16
ID:
NAME: VALLEY PLUMBING COMPANY, INC
3212 9001 1669 OKBROOKE W 40.50
2155 9001 1669 OKBROOKE W ? 0.50
Total Receipt Amount: 41.00
CR136070
USER ID: JAN
? CITY USE ONLY
L" /? B,L?? I-
SUBD. ?Yl Y11?C)CA ?
RECEIPT #.
RECEIPT DATE:
PERMR# i/) ---, fnn
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGax, Ma7 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G3S piping outlet * minimum- t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic S stem new/refurbished `requires MPC lic. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new Installationlrepaidrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Undefground sprinkler rf dwetling is under construction 3.00 x = $
Unde round sprinkler If existing dwelling 30.00 x = $ •
Water closet 3.00 x = $
Water heater 3.00 x = $ -
Water softener if dwelling under eonstructlon 5.00 x = $
Water softener ff existing dxrelling 30.00 x = $
Water tumaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
Total ->
Reminder. Cafl for inspections of atterations, i.e. water heaters, water softeners, etc.
-------------------- that 1 ----------read --------•-----------•--•--------------? ------------------ity o----fEaga----nord----in---•---.
ances-
1 hereby adcnowledge have this application, state that the iniortnation is cortec[, and agree W eompty wifh all applicable C
It is the applicanYs responsibility to notiFy the property owner that ihe City of Eagan assumes no liability for any damages caused by the City during its
normal operk4onal and maintenanca adivRies to the faalities constructed under this pertnit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREETADDRESS:
oIZTEL
cirr:
, . ?ppli
I: , x':
(AREA GODE)
TELEPHONE #:
, (AREA CODE)
ZIP: ???
OF PERMITTEE
?/11 l ov
****************************t*********?
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 010
DATE: 08/25/00 TIME: 14:19:00
ID:
NAME: BURNSVILLE HTG & AIR
3213 9001 1669 OKBROKE WY 39.0(
2155 9001 1669 OKBROKE WY 0.5(
Total Receipt Amount: 39.5(
CR136509
LTRRR TT) • JAN
CI'I'Y USE ONLY
LOT ? BL ? PERMIT #:
SUBD. 04r/4Ok 4fh RECEIPT #:
RECEIPT DATE:
2000 MECiiMICAL PEitMTT (RESILIENTIAL)
C1TY OF EAfiRN
S$SO PILOT KNOB RD
gASAN MN 551E8
Date:
Complete this section oi:Iv if you are installmg HVAC in a single-family dwelltng, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U $ 30.00
ADDTTIONAL 50 M BTU 6.00
• Gas outlets (minimum of one requued @$3.00 ea.) 3'do
State Surcharge .50
Total $ 3? ,6-b
Complete this section ontv if you are re?nodelinn, adding to, or replacinp an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or replacement.
r1 _ New _ Replacement _ Other
Furnace _ Air conditioning
_ Air exchanger _ Other
Fee $ 30.00
5tate Surcharge .50
Total $ 30.50
Reminder.• Call forfenal inspection.
SITEADDRESS: (CDCILC( f?C?"` ?ILD ( Q[?,L"
OWNER NAME: PMy,y, Akn s rxorrE n: 60S1 - y5? ? aad
(AREA CODE)
INSTALLER NAME: PHONE #: ? 'P_ -
r/ ?`?_ (AREA CODE)
STREET ADDRESS: ?'1{] ej? 'i ?I(?A.(<:9-- 1?.) S"
CITY: SOC.L2C STATE: ZIP:
IVED ,
AUG ) 5 ?000
IGNATURE OF PERMITTEE
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 M£CHih1V1CiRL PE{tMIT (COMM£RCL4L)
C1TY OF £A&iR1V
3$30 PILOT KNQB RD
EAfiAN, MN 551E2
651-681-4675
e
Please complete for: all commercial/industrial buildings
muiti-family bUildings when separate permits are not required for each dwelling unit
DATE
WORK TYPE: New construction Install U.G. Tank
? Intenor Improvement , Remove U.G. Tank
_ Processed Piping
When it:stalltng/removing underground tank, call 651-681-4675 for inspection by ftre marshal mid
plumbieig iuspector.
Description of work:
Fees. I% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minunum fee
Conuact price: $ x 1°/a =$ (Base Fee)
SCate surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
OWNER NAME: PHONE #:
(AREA CODS)
TENANT NAME (IMPRO V EMENTS ONL1)
ADDRESS:
CITY:
PHONE#: -
(ARBA CODG)
STATE: 21P:
CITY USE ONLY
?
•?
?
SIGNATURE OF PERMITTEE
?--? ? 41- `4 (9 a- ?--
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
ctrr or eacwr I 9
?I I C I? 3830 PILOT KNOB RD - 54122
t l O 857•881-4875 pC)
ca?.e? ---i. av •c1 C?
D J ra0sfarod sile sunayt shovArp tq. R W bt 94 R. of houw s caoas a rlan
and go roo}ed arem (4016 mmdrtwm bt coveraae allowedf 1 fet ol energy CNaAoBOns for hanlaA addllbro
a 4 copie: a Wans (eiow bean 3 wintbw tlxea: Pa+retl hW. tledOn, etc.)
D 1 tet of anarfly caICWaMqq
D S copiet of Iree Prewnalbn plan N lof plotlad afWr 7/1/93
DATE:
DESCRIPTION OF WORK:
SiREET ADDRESS:
LGT: -A
1 Yb wrveY fOr exteilor addlMOm & dacb
CON5IRUCTION COST:
BLOCK: ;?),, SUBD./P.I.D. t: C?G&?fU0V,2.
Name: Phone i:
PROPERTY I.CsI Flre
OWNER
5heet Address:
CitY
State:
Lp:
Compa&r?\? Phone M: 1?_\_1y
(area eode)
coHreacroR
Sfreef Addresx Lleense M
CHy v?c \C??i State: np:
ARCHRECT/
ENGINEER Company: Name:
Telephone #: (
Sheef Address: Regbhatlon #:
aN
State:
Zip:
Sewerlwater licereed plumber (N Ir?llina sewerhvalarL' PFane #:(
1 hereby acknowledpe Mwt I have read ihh applieaHon, dafe
of Minneaofa Stahitaa and CHy of Eayan OMinancea
Sipnalure of ApPficant
Certificates of Survey Received -SDYes
Tree Preservation Plan Received - Yes
OFFICE USE ONLY
_ No ?
_ No -??ot Requ(red
apree b comply wiM al appiccble Sfote
JUL I 8
??
OFFICE USE ONLY
BUILDING PERMIT 3UBTYPES
O 01 Foundation O 07 OSplex
?02 SF Dwelling p 08 06-plex
O
03 01 of _ plax O 09 07-plex
0 04 02-plex O 10 08-plex
O 05 03-plex p 11 10-plex
O 06 04-Plex 13 12 12-plex
ORK TYPE
?
31 New
O 32 Addition
O 33 Alteration
D 34 Repair
O 13 16-plex p 21 Porch (3-sea.) 0 31 Ext. AIt - Multl
O 17 Garage O 22 PordUAddn. (4sea.) O 33 Ext. Alt - SF
0 18 Deck O 23 Porch (screened) p 36 Muttl
0 19 Lower Level p 24 Stortn Damage
Pinp V w_ N O 25 Misc:ellaneous
O 20 Pool O 30 Accessory Bldg. '
O 36 Move Bidg. O 43 Reroof
O 37 Demolish (Bldg)' p 44 Siding
O 38 Demolish (Interior) O 45 Fire Repair
? 42 Demolish (Foundation) O 46 Windows/Doors
` Give PCA handout to applicant for demolltion permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual) ?
(Allowable)
UBC Occupancy VW
,?.
Zoning ?
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
0 Stucco/Stone
APPROVALS
Pfanning _
Pertnit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
?
S C,
?
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Weter
Booster Pump
PRV
Fire Sprinklered
7zz
Building ? ?vnYL? Engineering Variance
valuation: s 10, Z { ?,&? 3 v 7 5-0
/p
k
lay
'qzz? I L4- 'O
SAC Units
% SAC
JUN-07-2000 13:53
M1Vc?^eck C4MPLI,ANCE REPpRT
Minnysnta Energy Code
MSTcheck software Versian 3.0
CoL'N??Y: Dakotd
3T'A2'E: Minr.escta
ZONE; 2
CAIVSTI2UGTION TYPE: Single Family
DAxL; 6-7-200o
DATE i;F PLA2J8; 3/28/00
TITLfi! p,1tS135R WALKOUT ELEVF,TION 41
CrJMPLIP,nTCS: PASSFS
Required UA m 393
Y'our Home = 294
25.1% BetteY Than Code
P.E2i?,'
Permit
C: ecka y DatE
Araa or Cavity Cont. GlazingfDooz
Perimater R-Value R-Value U-value
-°° - ----------------------°--
------ -----------------------
cEr?,rrres izza 94.e 0.0
VIALLS: Waod ?'rame, 16" O.C. 2038 19.0 2.0 i
Wf+Z+LS: wOOCl rrame, 16° O.C. 199 10.C 2.0
$SNT: Cvnc;. 9.0' ht/8.3' bg/9.01 insui 47 12.0 0.0
B5MT: Conc. 3.5? htJ3.1' bg/3.51 islsui 20 14.0 0.0
GLAZING; Yairdows or boors, Above GYade 334 r?.350 1
D?'JOkS 38 0.350
ItVAC EQGYPMENT: Furr.aae, 92.0 AEZ7E
--`--------------°----------`-----
-----___- - ----------------.,,.-----'-
CflMnLIANCE STATEMENT_ ''he propoead building dasigsy describeci her,« is _'rM
can,is=ent with Che building plans, spacifications, and otnar calculations
aubmitted with the permit application. TY:e proposed building has been
desigaed tn meet tht re 'rerg?ts of the Minnesota Er.ergy Code.
BU31c?lerlDeSigner`?'?\?`?
Oakbrooke Infinity
Eagan
Date: 6/16/00
Address: 1669 Oakbrooke Way
LotBlock: Lot 4 Block 2/ 4th Addition Phase 2
Plan: Amber Walkout
Options: Description:
18023 za=$i
11012 Basement Walkout
23005 2 Ton A/C
36019 Waterline Future Icemaker
31011 Laundry Tub Single Compartment
18023 Delete Elevation #2
18015 ?:Elevatio4 #1- =
11029 Finish BasementJ 6 Panel Hemlock Doors,
25016 Hemlock Doors/ P.F. Birch/Maple
28044 Upgrade Cabinets-Maple
28056 42" Uppers-Maple
14007 Carpet Pad Upgrade
14160 3r" Carpet Upgrade
17000 Add'1 Electric Outlet (lower level den)
17024 3 Ceiling Elec. Openings- MBR, L.L. Den, BR #2
23012 Humidifier
32012 Add'1 Cablc-L.L. BR#2
32021 Phone Jack Separate Line-L.L. Den
10055 Spacemaker Microwave ?
10087 Upgr. Range Smooth Top
21021 Gas Fireplace/_Wood Mantel !
22005 Insulate Garage
13077 Whirlpool Tub
35027 S.R. Opening L.L. Den
i
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMITAPPLICATION
h PROPERTY LEGAL LoT 4 b6oC?' Z?yKn,?'?,??
DATE OF SURVEY: 7- f l- O6
u
>
W
LATEST REVISION:
?
C
0 DOCUMENTSTANDARDS
g 0
O
/ ¢
0 • Registered Land Surveyor signature and company
a o • Building PermR Applicant
Yy- ? • Legaldescnption
0?p- ? • Address
? ? • North arrow and scale
? ? House type (rambter, walkout, splitwlo, split enVy, lookout, etc.)
d? ? Directional drainage arrows with slope/gradient %
Yp? ? • Proposed/epsting sewer and water services & invert elevation
m? ? a • Street name
? ?
?a ?
? ? Driveway
Lot Square Footage
m' ? ? • Lot Coverage
ELEVATIONS
Ewsdna
? ? ? • Sewer service (or Proposed)
q? o ? • Property corners
?? ? • Top of curb atthe driveway
? p?? • Elevations of any exdsling adjacent homes
?¢? ? Adequate fooGng depth of sWctures due W adjacent utiliry Venches
Prooosed
lip/ ? ? • Garage tloor
q? ? ? • Firstfloor
da ? ? • Lowest exposed elevation (waikout/window)
? ? ? • Property corners
u2? ?? • Front and rear of home at the foundation
PONDING AREA fif aooiicablel
? ? ?
? • Easement Ilne
NWL
?
o •
? d/ ? • HWL
o ? • Pond # designaGon
? ? Emergency Overflow Elevation
?
' DIMENSIONS
& di
ions
lB
ri
m
? ? mena
ngs
- Lat Iines
ea
12/0 ? • Right-of-way and street width (to back of curb)
CP/ c ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
? o ? (i.e. ali structures requinng permanent footings)
• Show all easements of record and any City utilNes within those easements
g?o /o • Setbacks of proposed struMUre and sideyard setback ot adjacent e»assUng structures
?? o • Retaining wall requiremenis, if any
Reviewed: ????.????
March 1899
CRAKrIBIDOPRNr.FM
Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 4, Bfock 2, OAKBROOKE 4TH ADOITION, City oi Eagon, Dukoto County, Minnsota ond
reserving eosements ot record.
?
:,..
.? RE', p
V
? Ddt2_Z?? ..
? E-AGAP7 FNGINEEFING DEF`i'.
4.?k:?.
VroDosed
a,mei.r
9?pcw r/p
Corapa
? 45.7?, ! '
I? ? ; 6,-- Nc?
T
g .....
.t?-- •--....?._..._.
OAKBR00E ceaaQ_aaz.co?rRU.c WA
?. _ -__.. s..._.._ . _..._?? ?.
>669
L 0 T SQ. F00 TA GE = 3, 6 08
HSE. SQ. F00 TAGE = 1, 727 LOT COVERAGE = 487o Plan # 77921 ,
PROPOSED ELEVATIONS ?.?
Sst?Z
Top of Foundotion =9as.o BENCHMARK, TwNtr
Goroqe FIOOr =943.6 Peu,qqle,13
Basement Floor -93Up
Aprox. Sewer Service =931.41
Proposed Elev. = 0 MIN. SETBACK REQUIREMENTS
Existing Elev. -
Oroinoge Directions = Front -25 House Side -
Denotes OfTset Stake =. SCRLE: 1 incn - 30 teei Rear - Goroge Side-
RECEIVED au1t I Joe Ha
HEDLU/VD IHEREBY CERTIFY TNAT 7H15 I5 A TRUE ANO CORRECT REPRESENTATION OOR-335
OF TME BOUNDARIES Of THE A80VE DESCRIBED PROPERTY AS SURvEYEO
BY IAE OR UNOEH MY CIRECT SUPERVISION AND OOES N0T PUttPORT TO BOOK: PAGE:
PLANN/NC 6NC/NSdR/NC SVRVBYINC SHOW IMPROVEMENTS Op ENCROACNIAENTS, EXCEPT AS 5110WN.
2005 Pin OOk D/IV¢ -y
Eaqon, MN 55122 DnTE _`_/I-L/?M
QI Za, CAO FILE:
Phone: (651) 405-6600 J RE . UNDG N, lAN SUFVFYOR
Fax: (651) 405-6606 NiNNE 7A UCENSE NUM R 14378 OAKBROOKE
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105959
Date Issued: 08/06/2012
Permit Category: ePermit
Site Address: 1669 Oakbrooke Way
Lot: 4 Block: 2 Addition: Oakbrooke 4th
PID: 10-53763-02-040
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: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Krech Exteriors Inc %Donald B Fuller Tst Trust Number 111
5866 Blackshire Path 8400 Normandale Lake Blvd Ste 920
Inver Grove Heights MN 55076 Bloomington MN 55437
(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:EA125372
Date Issued:07/22/2014
Permit Category:ePermit
Site Address: 1669 Oakbrooke Way
Lot:4 Block: 2 Addition: Oakbrooke 4th
PID:10-53763-02-040
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 -
%donald B Fuller Tst Trust Number 111
8400 Normandale Lake Blvd Ste 920
Bloomington MN 55437
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:EA128016
Date Issued:10/22/2014
Permit Category:ePermit
Site Address: 1669 Oakbrooke Way
Lot:4 Block: 2 Addition: Oakbrooke 4th
PID:10-53763-02-040
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 -
%donald B Fuller Tst Trust Number 111
8400 Normandale Lake Blvd Ste 920
Bloomington MN 55437
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-56751 TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinginspections aC�,cityofeagan.com
RECEIVED
SEP 23 2019
For Office Use
Permit it: /5rb O 3
Permit Fee: (PO
Date Received:
Staff:
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ✓`� Site Address:
Tenant:
Ty.p:e=;of V.V�:olik
Name: A)QAA___
!4L, gilt ' rail - _
Address / City / Zip:
Suite #:
Name: MILBERT COMPANY dba CULLIGAN WATER License i/:
Address: 1801 50TH STREET EAST
WC641376
City: INVER GROVE HEIGHTS
Slate: MN Zip: 55077 Phone: 651-451-2241
Contact: BILL MILBERT
Email:
gloria.abas@culligan4water.com
New ^_ Replacement Repair Rebuild _ Modify Space Work in12.0.W.
Description of work:
Water Healer
x Water Softener
Septic System
New
Abandonment
RESIDENTIAL FEES •
Lawn Irrigation ( RPZ / PVB)
Add Plumbing Fixtures (^ Main / _Lower Level)
Description:
Connection to City Water from Well
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60,00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* + $290 for Meter and $190 for Radio Read = $540
*Sewer & Water Permit also required for connection charges
TOTAL FEES $ 60.00
CALL BEFORE YOU DIG. Call Gophor Stato Ono Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours befoto you
nlend to dig to receive locates of underground utilities. vwwv,gopherslateonecall.orq
You may subscribe to rocotve an electronic notification from tho City of proposed ordinances by signing up for an omall update on the City's
wobsito at www.cilyofoagan.com/subscribe.
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 tJe work will be in
accordance with t le approved plan In the,case of work vhich requires a review and approval of plans.
•
Applicant's Printed Name
Page 1 of -2•