1678 Oakbrooke WayAddress 1678 OAKBROOKE WAY
Zip 5512 ?
LOt I I Blk I SUb OAKbROQKE 4TH
THESE I'TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: ,
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish x
Deck
Please verify wi[h the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freete potential exists. Contac[ engineering division at 681-4645 before wotking in righ[of-way or installing underground sprinkler system. ?
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
Siteaddress: Lot? Block \ Subd.
w?y
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, tfie City of Eagan is requiring that the following iaformation 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
WaterHeater %
Furnace
r/
?C P.N`.
?5a MA? 03 eo?o
?d?c?.
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTEO
YES NO
Kitchen kitchen
Bathroom 1 T-\3 - ? v O
Bathroom 2 5o L/
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DiaECT nTM05
? ? ? C, ?
MAKE•UP AIR MODEL TYPE CFM's
?"IL vukor
I hereby acknowledge that the above information
requirement .
Y
Si t e??
CompanyName
is crorrect and agree to comply with the Minnesota Energy Code and City of Eagan
\-x\Z O\
Date
' This form is the responsibility of the General Contractor.
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 679
DATE: 08/30/00 TIME: 13:45:21
ID:
NAME: PULTE MASTER BUILDER
3210 9001
3866 9379
3422 9001
2275 9220
3446 9001
2155 9001
3743 9220
2155 9001
3868 9220
3713 9220
1E84
1684
1684
1684
1684
1684
1684
1684
1684
1684
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
853.75
100.00
554.94
1,089.00
11.00
0.50
50.00
40.00
492.00
50.00
CR136657
USER ID: SAN
** CONTINUEI
** CONTINUEI
*?**x**:r**?******************** CONTINUEI
CITY OF EAGAN
CASHIEFc: JS TERMINAL N0: 679
DATE: 08/30/00 TIME: 13:45:18
ID:
NAME: PULTE MASTER BUILDER
2275 9220 1678 OKBRKE WAY
3446 9001 1678 OKBRKE WAY
2155 9001 1678 OKBRKE WAY
3743 9220 1678 OKBRKE WAY
2155 9001 1678 OKBRKE WAY
3868 9220 1678 OKBRKE WAY
3716 9220 1678 OKBRKE WAY
3713 9220 1678 OKBRKE WAY
3855 9220 1578 OKBRKE WAY
2252 9220 1684 OKBRKE WAY
CR136657
USER ID: JAN
1,089.00
11.00
0.50
50.00
50.50
492.00
114.00
50.00
840.00
30.00
** CONTINUED
** CONTINUED
.._.xx?x?**txtt*t**xxxW?x*?***** CONTINUE
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 679
DATE: 08/30/00 TIME: 13:45:16
ID:
NAME: PUI:TE MASTER BUILDER
3743 9220 1680 OKBRKE WAY 50.00
2155 9001 1680 OKBRKE WAY 54.00
3868 9220 1680 OKBRKE WAY 492.00
3716 9220 1680 OKBRKE WAY 114.00
3713 9220 1680 OKBRKE WAY 50.00
3865 9220 1680 OKBRKE WAY 840.00
2252 9220 1678 OKBRKE WAY 30.00
3210 9001 1678 OKBRKE WAY 999.35
3866 9379 1678 OKBRKE WAY 100.00
3422 9001 1678 OKBRKE WAY 649.58
CR136657 ** CONTINUE
USER ID: JAN ** CONTINL7E
C'UNTINi
CTTY OF EAGAN
CASHIER: JS TERMINAL NO: 679
DATE: 08/30/00 TIME: 13:45:14
ID:
NAME: PULTE MASTER BUILDER
3716 9220 1682 OKBRKE WAY 114.OC
3713 9220 1682 OKBRKE WAY SO.OC
3865 9220 1682 OKBRKE WAY 840.00
2252 9220 1680 OKBRKE WAY 30.00
3210 9001 1680 OKBRKE WAY 1,038.55
3866 9379 1680 OKBRKE WAY 100.00
3422 9001 1680 OKBRKE WAY 675.06
2275 9220 1680 OKBRKE WAY 1,089.00
3446 9001 1680 OKBRKE WAY 11.00
2155 9001 1680 OKBRKE WAY 0.50
CR136657 ** CONTINUI
USER ID: JAN ** CONTINU]
xx*?****x*********x*x*****t**** CONTINUED
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 679
DATE: 08/30/00 TIME: 13:45:23
ID:
NAME: PUL,TE MASTER BUILDER
3865 9220 1684 OKBRKE WAY
3716 9220 1684 OKBRKE WAY
Total Receipt Amount
840.00
114.00
17,789.34
*********?*******:r*****:?:r*****:r**:r***?*
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 679
DATE: 08/30/00 TIME: 13:45:12
ID:
NAME: PULTE MASTER BUILDER
2252 9220 1682 OKSRKE WAY 30.00
3210 9001 1682 OKBRKE WAY 1,038.55
3866 9379 1682 OKBRKE WAY 100.00
3422 9001 1682 OKBRKE WAY 675.06
2275 9220 1682 OKBRKE WAY 1,089.00
3446 9001 1682 OKBRKE WAY 11.00
2155 9001 1682 OKBRKE WAY 0.50
3743 9220 1682 OKBRKE WAY 50.00
2155 9001 1682 OKBRKE WAY 54.00
3868 9220 1682 OKBRKE WAY 492.00
CR136657 ** CONTINUf
USER ID: JAN ** CONTINUI
?-7? 0()
y2,gg 2000 BUILDINC
6A?d
? Y
Naw ContlnicMan Reauiremenh
PERMIT APPLICATION (RESIDENTIAL)
cfTr or eacAr
3830 PILOT KNOB RD - 56122
651-881-4875
D J ro"retl tlfe arvays tlqwinp $4 R of lot, 84 R d haua
antl al roofetl Gram ClM6 mmdmum bt coveroae cllowetlf
D 2 Coplef of plau (daw bean 3 wintlow sitet; poured trW. dealgn; eK.)
D 1 set of eneryy edeulCMan
D J coplas of tree Prewnalbn Plan H lot Wo1Fad dWr 7/1/93
DAiE: S??3.lOo
DESCRIPTION OF WORK:
,
Calle? ??2?? )o(
Z eovies W Pim
1 saT of enerpy eWeWOtioru for haateC addllaiu
1 qfa wrvey for eider{or admMOns t Oeeb
CON5IRUCTION C05F.
STREET ADDRESS: 16;r Dr L??rDO?- Ll1?/ / U
Lor: /? BLOCK: ? SUBD./P.I.D. t: /?Fl ?r?.C?'-? y fh
Name: Phone M:
PROPER7Y last Flef
OWNER
1„'
Sheet Addreaa:
citY
SFate:
aP:
Company: Y!/!`Tv A2?S Phone o: laST
(area code)
COMRACTOR rn«r Aaaress:1??l?u?o ?2rcenae 11 Z-L7/ ExP• ??!
CMy A&il?tJ7' //G?"?./i7' State: Lp:
ARCHITECT/
ENGINEER Company: Ncme:
Telephone !i: (
Sheet Addteas: ReglshaNon #:
CNY
Sfafe:
ZiP:
SeweHwater Ifeensed plumber (N fnntailira aevrer/weter): ? ??U a? ? Phone #: ?r I?? Y9a a r a i
1 herebY acknowledpe Mwt I have read thk appibatbn, dote fhaf fhe i?tortn n b cortect, and agrea to compy wilh al app6cable Stafe
of Minneaota Slahifes and Cily of Eapan OMinancea
• Slprwture of Applieant
?
OFFICE USE ONLY
. , .'2
CeRificates of Survey Received *Y)lYes _ No A"u 2 c
Tree Preservatlon Plan Received _ Yes _ No Not Required F_ ?
OFFlCE USE ONLY
BUILDING PERMIT SUBTYPES
0 01 Foundatlon 0 07 05-plex
IW 02 SF Dwelling O 08 06-plex
0 03 01of_plex O 09 07-plex
O 04 02-plex p 10 08-piex
O 05 03-plex O 11 10-plex
O 06 04-plex O 12 12-plex
WORK TYPE
P 31 New
O 32 Addition
O 33 Alteration
0 34 Repair
0 13 16-plex O 21 Porch (3sea.)
O 17 Garege O 22 PoroNAddn. (4-sea.)
E3 18 Dedc O 23 Porch (screened)
O 19 Lovuer Level O 24 Storm Damage
Plbg Ya_N 0 25 Miscellaneous
O 20 Pool p' 30 Ac:cessory BkJg.
0 36 Move Bidg. O 43 Reroof
O 37 Demolish (Bldg)' p 44 Siding
O 38 Demolish (Interior) O 45 Fire Repair
O 42 Demolish (Foundation) O 46 Windows/Doors
' Give PCA handout to applicant for demotition pertnit
GENERAL INFORMATION
SAC Code 0(
No. of Units _L
No. of Buiidings /
Const. (Actuat)
(Allowable) ,5? ?
UBC Occupancy if - 3
Zoning ?- ?
# of Stories
Length
Width
Basement sq. it.
Main level sq. ft.
Po IF-c.Fe- sq. ft.
Gat-ac?e. sq. ft.
MISCELLANEOUS INSPECTIONS
0 Stucco/Stone
APPROVALS
Planning Building U-46
?
sq.ft.
?- C, sq.ft.
3 S Footprint sq. ft.
Census Code
(o MC/ES System
l.L
- City Water
4 70 Booster Pump
PRV
Fire Sprinklered
Engineering Variance
O 31 Ext. Alt - Multl
O 33 Ext. Aft - SF
0 36 MuMI
t c? r
Permit Fee
Valuation: u?-
$
Surcharge r
Ieview
Lt?l
DA G
?
Lcense "
CC/
AC ?. xsY a? ?
SAC
?
Water Conn.
?oFr? l LO?
x S?/ ^- S
?t 4; U
Water Meter ?
-
Acct. Deposit ?f 3
S/W Permit
SNV Surcharge
Treatment 4k0?-ua - ?G'
Trails Ded.
Other
Copies
Totel:
SAC Units
% SAC
- JOB INITIATION ORDER
Pulte Homes of
Minnesota Corporation
? 1355 Mendota Heights Road, Suite 300
Mendota Heights, MN 55720-1112
Phone: (651) 452-5200 Faz(651)452-5727
DATE OF ORDER:
JOB NO. 0550 / 211 1 01 LEGAL DESCRIPTION: LOT 11 BLOCK 1
connnnuNiTV: Qakbrooke Infinity ADDITION: 4th
BUILDINGADDRESS: 167$ Qdkbr00k0 Wdy CITY: Eagan STATE:
MODEL NAME: Cry5Y21 Sldb MODEL NUMBER: 17941 ELEVATION. ? GARAGE:
BUYER'S NAME: Spe4
CURRENTAODRESS:
HOME PHONE:
SAIES REPRESENTATIVE
BUSINESS PHONE:
Kathee Sheldon
-- -
190990
1 --
18015 LOT PREMIUM
ELEVATION # I Q
p
1 35039 FourSeason Sunroom 5825
1 23005 2 Ton AIC 1650
1 36019 Water Line Future Icemaker 4 lir
TOTAL
1
3uilder's License 0000 1371
CITY
00
CONTRACTORlSUPPLIER
198,590
APPROVED BY BUYER(S):
APPROVED BY SALES:
RELEASED TO START CONST.: EQUnL HoUSING
OPPORTUNITY
This constitutes a contract between the Seller and the Purchaser(s) for the above items
UNIT 21101
MN zIP: 55122
LEFT RIGNT
E] X-1
7/30/00
STATE: ZIp:
BUSINESS PHONE:
' f10,?-12-2090 14'03
--?--_-
riPi?r,eck cOMPLIANCE REPORT
Minr.PSCta Energy Code
M?a^heck Software Veroion 3.0
COlR7TX: Dakota
STA'LE: Minnesota
Z:)ntc; : 2
Corrg7RUCT=ON TYPE; 8ingle Family
DArF, 5-12-2000
DATF bF PLANS: 5/12/00
TITLRr CRYSTAL 9LA8 iV/PORCH EL.1
FRC7ECT INFORMATION:
()r.KaR.ooxs
("IraFLtlSNCE: PAS6E8
R°Ttired UA m 503
Y^I)r' Riome - 394
?1 F?? Aetter Than Code
r.ue.n3
Permit
Checke by/Da*_e
Area or Cavity Cont. alazing/Door
Perimeter R-Value R-Value U-Valua
_....._---------------------------- --------------- - -------°-----
-----?------
!:Rtr,IpIGS 1713 44.0 0.0
WA7•LS2: Wood Frame, 16" O.C. 1784 19.0 2.0 1
crn?zNC: Windowe or poore, Above 6rade 299 0.350 1
38 0.350
SLA@ FLOORS: Vnheated, 42.0" insul, 196 10.p 1
E41. A(,' BQVIPMFNT: Furnace, 92.4 AFO$
__ - --`--- - -•_-------`------------^...-------`-------`- --- " ----- - -- - -
COf4PL7ANCE 9TATEMPaNT: The propoeed building deeign deecribed hare ie
conFietent with the building plana, epeciffcatione, and other calculations
snbmltted with the permit application. The proposed building has been
dAeigned to meet the requiramenta oE the Minnesota Energy Code.
Btxilder/Designer _ ?l???ra?? DBte ?ZWZZ
r
'
n'
H
?
W
?
N
0
O
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?? ?
ne ? ?
tg/ ? ?
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p/ ? ?
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p' ? o
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• BuildingPermitApplicant
• Legal descriptlon
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, spld entry, lookout, etc.)
• Directional dreinage arrows wi[h slope/gradient °r6
• Praposed/exdsting sewer and wafer services 8 invert elevation
• Streetname
. Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Ew'sena
V? ? • Sewer service (or Proposed)
V/ ? ? • Property corners
V?? • Top of curb at the driveway
ED Z'10 • Elevations of any exacsCng adjacent homes
?cw'a Adequate footing depth of structures due to adjacent uGiity trenches
Praposed
W/o ? • Garage floor
M" o ? • Firstfloor
g? ? ? • Lowest exposed elevation (walkoutlwindow)
? ?
t? • Property comers
? o o • Front and rear of home at the foundation
PONDING AREA (iF aooGcade)
? 0?/ ? • Easement line
? V ? • NWL
? q/ ? • HUVL
? G? ?
? r? ? • Pond # designa6on
• Emer
enc
Overflow Eleva6on
g
y
DIMENSIONS
? ? ? Lot GnesBearings & dimensions
P ?
? Rightof-way and street width (to back of curb)
etc
porches
reater than 2'
s
fi
d
?? .
,
,
g
ang
? Propased home dimensions induding any proposed decks, ove
V (i.e. alI structures requiring permanent footings)
those easements
ithi
Cit
Gliti
d
? ?
C es w
n
any
y u
• Show all easements of record an
V ? ? • Setbacks of proposed structure and sideyard setback of adjacent eps6ng structures
??/ ? • Retaining wall requirements, if any
Reviewed:
Mareh 7999
CRAIGrBLOGPRMT.FM
il Surzeyor's Certificate
8URVEY FOR :PULTE
DESCRIBED AS : Lot >>, Block 1, OAKBROOKE 4TH ADDITION, City of Eagon, Dakotn County, Minnsota ond
. reserving easements of record.
RE 0 ED .. ?
r
? Fate - '
? EAGAN ENGINEERING DEFT.
99a.1
z
> 78 ?
..?.?.\ OAKBR OKE A Y
?.
?Sr LT
?,1 0o Corp9e
0
0 3
?
I ai o° Sl?mblard
Gr°oda°^
? i)
4.0 g POfch
8-
S a • ,"e 44 ;.
3.
1
"9so,c
Plan 111 17941
PROPOSED ELEVATIONS
Top of Foundation = qqq,o
Garage Floor = 947.8
Basement Floor = yIa
Aprox. Sewer 5ervice = 934:8 *
Proposed Elev. _ ?
Existing Elev. _
Droinage Directions =
Denotes Offset Stake = •
?qak, t.e
? 44.00 9jrj
24,
12.67
2.5 ? Aq ?
'0?0
4.50 N
? O ?4
r ?.
?<O
?
O T SQ. FOO TA GE
HSE. SQ. FOOTAGE
LOT COVERAGE _
SCALE: 7 inch . 30 faet
= 3, 080
= 2,196
71%
BFIVCHMARK, TWx@ 51,
Eleu s 44b. 13
MX SETBACK REQUIREMENTS
Front -25 House Side -
Rear - Gorage Side-
JOB N0:
, HEREBY CERTFY 1MAT 7HI5 IS A 7RUE AND CORRECT REPRESENTATON OOR-385
N?DL?/ND OF TME BWNDARIES OF TME ABOVE DESCRIBEO PROPERTY AS SURVEYED
BY NE ai UNDER MY DIRECT SUPERNSION AND DOES NOT PURPORT TO BOOK: PACE:
PLANNlN'C BNClNdBRlNC SURY6YING SHOW IMPROVEMENTS OR ENCROACMMENTS, EXCEPT AS SHOKN.
2
5
PIn
a
D
c
E 9
?
MN
551
22 DAIE Z? OQ v`
CAD FlLE:
Phone: (651) 405-6600 0. LINDGREN, lAN SURVEYOR
Faz: (651) 405-6606 MINN SOTA LICENSE NUMBER 14376 OAKBROOKE
AUG 2 3 ?GQo
*****************************?*?***?***
CITY OF EAGAN
CASHIER: JS ' TERMINAL NO: 010
DATE: 08/25/00 TIME: 14:07:42
ID: "
NAME: VALLEY PLUMBING COMPANY, INC
3212 9001 1684 OKBRKE WAY 36.00
2155 9001 1684 OKBRKE WAY 0.50
3212 9001 1682 OKBRKE WAY 36.00
2155 9001 1682 OKBRKE WAY a.50
3212 9001 1678 OKBRKE WAY 36.00
2155 9001 1678 OKBRKE WAY 0.50
3212 9001 1672 OKBRKE WAY 36.00
2155 9001 1672 OKBRKE WAY 0.50
3212 9001 1680 OKBRKE WAY 36.00
2155 9001 1680 OKBRKE WAY 0.50
Total Rec eipt Amount: 182.50
CR136 505
USER ID: JAN
L, . 1 11 BL I CITY USE ONLY
sUao. (lak6rooke, 446
RECEIPT #:
RECEIPT DATE:
PERMIT# 42S9-19
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 P2LOT IINOB RD
EAGAN, f4d 55122
651-681-6675
Please complete for: ? single family dwellings
? townhomes and condos when pertnits are required for each unit
? 6ackflow preventer for underground sprinkler system
FiYnIQFs
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $ -
Floor drain 3.00 x = $ 3-
Gas iping outlet ' minimum -1 3.00 x $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $ ?
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished • requires MPC lic. 75.00 X = $
Septic S stem abandonment
RPZ new installation/rapairlrebuild 30.00
30.00 x
X =
= $
$
Rough opening
Shower 1.50
3.00 x
x =
= $
$
v? -
Underground sprinkler if dwelling is under construction 3.00 x = $
Under round sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x $ -
Water heater 3.00 x = $
Water softener if dwelling under consWCdon 5.00 x = $
Water softener if exisdng dwelling 30.00 x = $
Water tumaround 30.00 x $
State Surcharge
TOt81 .50 --> ---> --->
50
$
S
Reminder: Call fRr inspections of alterations, i.e. water heaters, water softeners, etc.
---------------------••••-•------------------------------------------••------------- - - ------------------------------------
I hereby adcnowledge lhat I have read this application, state that the infortnation is corred, and agree to compy vrith all applicable City--of Eagan-ordinances.
It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this pertnit within City propertylright-of-way/easement.
SITE ADDRESS:
OWNER NAME: : ??(f,?eJ ?
INSTALLER NAME:
STREET ADDRESS:
cirv:
uUL ? C "CGO5
TELEPHONE #:
(AREA CODE)
TELEPHONE #:
( REA CODE)
ZIP: Sei %
OF PERMITTEE
City a± E3gan
Ca=h RFf?ip3
Reteivt 6ate 1015/00
Time Frinted _3.03:22
RecLipt NcoGer li4i
r
BURkiUILLE HEA7ING "s FtIi'
1678 dBY,BROOY,E Wi:Y
4001. 2145
MP 4315d "
9081.4988 3Y.bt?
MP 43154
Total keceipt tlaaunt -14.50
User HifC6kNbl
" I LOT 11 BL 1
C[TY USE ONLY
suao. {1 IIG?r o? ?c, ?'?,
i ?
PERMIT #:
RECEIPT #:
? 315?
1
RECEIPT DATE:
2000 MECHANICAL PERMI1' (RUIDENTLAL)
crrY oF EAs,vu
3$30 PILOT KNOB i{D
f.A6AN MA 8512E
651-681-4675
Date: ? QJ 3??d
Complete this secrion onlv if you are installing HVAC in a single-family dwelling, townhome or condo under
construction and not ownerloccupied.
• HVAC: 6-100 M B'F U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ 30.00
6.00
.50 $ 31?
Complete this section anlv if you are remodelinF, addinp tn, or reDlacinp an exisring single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alterarion, or replacement.
I _ New _ Replacement _ Other
Fumace Air conditioning
Air exchanger _ Other
Fee $ 30.00
State Snrchazge .50
Total $ 30.50
Reminder: Call for final inspection.
SITE ADDRESS: j(a-Lg
OWNERNAME: PHONE#: /o `j C - L6'9-S
(AREA CODE)
INSTALLERNAME:--&f (lS-6 I (? ?tk(,L T?Vtc, ?" *LG PHONE #: q?a - S9
STREETADDRESS: / `UBI 2110C-(Q_, S (AREACODE)
CITY: ??-- STATE: ZIP: J? 53 -z ?
SIGNA
BY:
CITY USE ONLY
L BL
SUBD.
APPROVED BY: , INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECiiANICAL fEfiMlT (CO1KMEiCIAL)
CITY OF EPE6AtN
3830 PILOT KNOB fiiD
EAfiAN, b1N 55122
651-6$1-4675
Piease complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: _ New coacRuction _ install U.G. Tank
_ Interiorlmprovement _ Remove U.G.Tank
_ Processed Piping
. fVhen instal[Ing/removing underground tank, cadl 651-681-4675 for inspection by f:re marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minnnum fee
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE #: -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLS):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CIT'Y:
PHONE#:
(AREA CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105471
Date Issued: 07/17/2012
Permit Category: ePermit
Site Address: 1678 Oakbrooke Way
Lot: 11 Block: 1 Addition: Oakbrooke 4th
PID: 10-53763-01-110
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 Pamela J Cooper
5866 Blackshire Path 1678 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:EA126033
Date Issued:08/12/2014
Permit Category:ePermit
Site Address: 1678 Oakbrooke Way
Lot:11 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-110
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 -
Pamela J Cooper
1678 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:EA127796
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1678 Oakbrooke Way
Lot:11 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-110
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 -
Pamela J Cooper
1678 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
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147050
Date Issued:12/05/2017
Permit Category:ePermit
Site Address: 1678 Oakbrooke Way
Lot:11 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 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 -
Pamela J Cooper
1678 Oakbrooke Way
Eagan MN 55122
Lake Region Exteriors Inc. DBA Lake Region Home
551 11th Ave NW
New Brighton MN 55112
(612) 242-6622
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167808
Date Issued:03/30/2021
Permit Category:ePermit
Site Address: 1678 Oakbrooke Way
Lot:11 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
John P & Penny L Blomquist
1678 Oakbrooke Way
Eagan MN 55122
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature