1680 Oakbrooke WayAddress i fian naxsaonxF waY Zip 5512 2
LAt 12 Blk I SUb OAKBROOKE 4TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: 3_a!;e- Yes No Inspector: ,
Final grade (6" from siding)
Petmanent steps (garage) ?
Permanent steps (main entry) k'
Permanent driveway k
Permanent gas X
Sod/Seeded grass k
TraiUcorb damage k
Porch k
Basement finish j?
Deck >t
Please verify with the builder the removal of roof cest caps from the plumbing system and the shuboff of wacer supply to
the outside lawn faucet before freeze potential exists.
ContaM engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
;YW W WY::t'K'KX'irxxx-w w n n.." ........................ I?VLV111VUL'
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 679
DATE: 08/30/00 TIME: 13:45:41
ID:
NAME: PULTE MASTER SUILDER
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 OKERKE 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
IISER ID: JAN ** CONTINUE
??x:r??xzxx****xx**t*****,t,t*?e,r** CONTINU
CITY OF EAGAN
CASHIER: SS TERMINAL NO: 679
DATE: 08/30/00 TIME: 13:45:43
ID:
NAME: PULTE MASTER BUILDER
2275 9220 1678 OKBRKE WAY 1,089. 00
3446 9001 1678 OKHRKE WAY 11. 00
2155 9001 1678 OKBRKE WAY 0. 50
3743 9220 1678 OKBRKE WAY 50. 00
2155 9001 1678 OKBRKE WAY 50. 50
3868 9220 1678 OKBRKE WAY 492. 00
3716 9220 1678 OKBRKE WAY 114. 00
3713 9220 1678 OKBRKE WAY 50. 00
3865 9220 1678 OKBRKE WAY 840. 00
2252 9220 1684 OKBRKE WAY 30. 00
CR136657 ** CONTINUE
USER ID: JAN ** CONTINUE
?**?*******?******?*?******************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 679
DATE : 08/30 /00 TIME: 13:45:37
ID:
NAME : PULTE MASTER BUILDER
2252 9220 1682 OKBRKE 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
CR136 657 ** CONTINUEI
USER ID: SAN ** CONTINUEI
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 679
?ATE: 08/30/00 TIME: 13:45:39
ID:
NAME: PULTE MASTER BUIL?ER
3716 9220
3713 9220
3865 9220
2252 9220
3210 9001
3866 9373
3422 9001
2275 9220
3446 9001
2155 9001
1682
1682
1682
1680
1680
1680
1680
1680
1680
1680
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
OKBRKE WAY
114.00
50.00
840.00
30.00
1,038.55
100.00
675.06
1,089.00
11.00
0.50
CR136657 ** CONTINUEI
USER ID: JAN ** CONTINUEL
t*z*:*tt**ttt**t****t*?******** CONTINU]
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 679
DATE: 08/30/()0 TIME: 13:45:49
ID:
NAME: PULTE MASTER BUILDER
3865 9220 1684 OKBRKE WAY 840.00
3716 9220 1684 OKBRKE WAY 114.00
Total Receipt Amount: 17,789.34
tt****:t?:r?xxx? ............... . . ............ ?-VLV'1'1NU
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 679
DATE: 08/30/00 TIME: 13:45:46
ID:
NAME: PULTE MASTER BUILDER
3210 9001 1684 OKBRKE WAY 853.75
3866 9379 1684 OKBRKE WAY 100.00
3422 9001 1684 OKBRKE WAY 554.94
2275 9220 1684 OKBRKE WAY 1,089.00
3446 9001 1684 OKBRKE WAY 11.00
2155 9001 1684 OKBRKE WAY 0.50
3743 9220 1684 OKBRKE WAY 50.00
2155 9001 1684 OKBRKE WAY 40.00
3868 9220 1684 OKBRKE WAY 492.00
3713 9220 1684 OKBRKE WAY 50.00
CR136657 ** CONTINUE
USER ID: JAN ** CONTINUE
. ' S'-t- w -°# 1+7?- L 95
+' , • 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
• ' crTr or eacnir
3830 PILOT KNOB RD - 55122
851-881-4675
v
11 5?q, I I
CAllfLI N)floo
D Jlegiaferod sBe wneYS ?WkV s4 (L o1 bT. W. R. W haxa 4 coqaa d Plan
anC 5l rooied arew (20;6 mmdmum lot coveraae allowedf 1 sOt of aneryy CadeWollons for haal6d addMari
D 2 capkt of Plaa fthow beam R window d:es; Pw+retl fitl. tleNOR etC.) 1 tMe wneY tor exlaAa atlc9HOna & tleeks
> 1 wt of anarfly catcWaMOru D 3 coPies d hea DreservaMon plm If Id pWlqd adfu 7/1/93
DATE: Bl? 3C?i CONSTRUCTION C05f:
. .. . . _ ,. i
DESCRIPTION OF WORK:
SiREETADDRESS: AySO l5atbfinnin2- dkv v /
r
LoT: r2 BLOCK: SUBD./P.I.D. t: Q? tfb(nfl ?e- 4?Vi
I IVy 1
P,on..:
PROPERTY last FlRI
OWNER
Sheef Addresa:
CitY
State:
Lp:
Company: Phone Y: ? &222av_
(area code)
COMRACTOR
ucenae r
Sheef Addresx /35s A9Z5;riA5)x A69t? &
dy Aw?i ,,,,? state: nP: ?JB0-IIla-
ARCHITECT/
EN6INEER Company: Name:
Telephone #: (
Street
Cliy Stafe:
nP:
3ewer/water licensed plumber (H insfallino sewarhvater): Y? 0??- Phona M. c b t? ?qq 2- a+ ?- \
v
1 hereby ackrawledpe lhat 1 nave read Ihb applicaAion,
dcft that 1he htfomwlion b careef, and agree b car+PN wilh ae appecable S1ate
of Minneaota Staiutea and Cily of Eapan Ordhwncea
Sfpnalure of MPtlcanfi
OFFICE USE ONLY
Certiflcates of Survey Received ?es _ No rQ T?
Tree Preservation Plan Received - Yes No ?hVot Required Auc 2
? zQ?O
Reglsfraflon i:
BUILDING PERMIT SUBTYPES
O 01 Foundatlon p 07 OSplex
10 02 SF Dwelling O 08 06-piex
O 03 01 of _ plex ? 09 07-plex
O 04 02-pleu O 10 08-plex
O 05 03-plex O 11 10-pleu
O 06 04-plex O 12 12-piex
WORK TYPE
$3 31 New
C3 32 Addition
C3 33 Alteration
O 34 Repair
. , Y
OFFICE USE ONLY ' . _ .
? 13 16-plex p 21 Porch (3-sea.) O 31 Ezt Alt - Muitl
O 17 Garage p 22 Poroh/Addn. (4-sea.) O 33 Ext. Alt - SF
0 18 Dedc O 23 Porch (screened) O 36 Multl
0 19 Lower Level O 24 Stortn Damage
PIDg Ya_N O 25 Miscellaneous
0 20 Pool O' 30 Accessory Bldg. 0 36 Move Bldg. 0 43 Reroof
O 37 Demolish (Bidg)' p 44 Siding
O 38 Demolish (Interior) O 45 Fire Repair
E3 42 Demolish (Foundation) O 46 Windows/Doors
' Give PCA handout to applicant for demolition permtt
GENERAL INFORMATION
SAC Coae 19L
No. of Units
No. of Buildings
Const. (Actuat) -
(Allowable)
UBC Occupancy -
Zoning
# of Stories
length
Width
8asement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
0 Stucco/Stone
APPROVALS
Planning Building I"ef
sq.ft.
sq. ft.
? Footprfnt sq. ft.
- Census Code /0/
MC/ES System ?
City Water
Booster Pump
PRV ?
Fire Sprinklered
Engineering Variance
Pertnit Fee
Valuation: d ?
$ l 0 Ow ?-
Sttroharge ?2?,L ed?L UJ?PaF- ?f2
Plan Review
License
j??? -°?'
MC/ES SAC 62 ra e
City SAC 4'4 7 1c16 = '7 tS o1 _
Water Conn.
Water Meter ?
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Treils Ded.
Other
Copies
Total:
SAC Units
% SAC
Y'
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPIICATIDN
lJ
n
H
1
tu
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C
0
0
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?
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0
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DA7E OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• Building Permd Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, spld w/o, split entry, loakout, etc.)
• Directional drainage arrows with slope/gradent %
• Proposedleps6ng sewer and water services 8 invert Nevation
• Streetname
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Ew'stina
ry?o ? • Sewer service (or Proposed)
vo ? • PropeRycomers
q/ o?o : Top of curb at the driveway
c ?'q Elevations of any exassting adjacent homes
? w?o Adequate footing depth of structures due to adjacent utilily trenches
Proposed
d// ? ? • Garage floor
p? ? ? • Firstfloor
? ? ? • Lowest exposed elevaEOn (walkouUwindow)
911 ? • Property corners
?? • Front and rear af home at the foundation
/ PONDING AREA Crf aoolicablel
? d o • Easement Iine
? ? • NWL
? ? ? . HWL
? ? • Pond # designation
a ;/o • Emergency OveAlow Eleva6on
DIMENSIONS
r? ?? • Lot Iinesl8earings 8 dimensions
r?? ?? • 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)
p? ?? • Show all easements of record and any City utilites within those easements
?? J? • Setbacks of proposed sVucture and sideyard setback of adjacent exis6ng structures
??? • Retaining wall requirements, if any
Reviewed:
Date
PROPERTY LEGAL:
Mamh 1999
CMIGJBLDGPtiMT.FM
14:kZq.. ..... . _?.
".r
COMPLTATVCt P.NpbR'C .
soCtwara,;vez'siori: 3 ? 0
Dskota "
7, r ` _ . ... , ,
r?'?.+',^.?r.rt7CTTON:T7fPE:`?? Single Pamdly
1;T"',.r,; 5-12-200?.:',,• ?-; ? ? ; ,,
..;°,.
5J/PORCH m.z .
Y1,7cQRM11TSON:,., „ .
.. •t??,; ,?.,,3 UA . 526
609
%? `ter Than Coda
s
' .3.
P.P3.`R3
-----?--_._ .
Fermit #
Checke by]Dp?w
-----------------
:"_
:;?:,??,?3;?,,:??.?',. .
?
„
Area or Cavity Cant. C3laezing/Docr
Perime;i:e_.- i2-stalue R-Valixe V-Valu?
- ------------------------- °---
???r,';.,,? ----------- ---------------------------------
1887 44.0 0.0
?Ti?•4: 'aoo3 Frame;''16" O.C. 1675 19.0 2,0 1
tqindowa,'o'r'.Doors; Abovs drafle 279 0.350
38 0. 350
FI.'" t"T?pORS: LhnillASted, 42.0" i.z1gt;1,
206 10.0
l_
FiV" r' T;QUI aMENT :. Furnace, 92. 0 Ar U-v
--•...----- " ---- " ------'-------'---_'
C0r4rT,F7PMC gTATBMExT: -.The pro:posod°building design;?described here ie
con.qist-nt with"t'1lplbuilding nlane,`6peoifiCatione,''«arid other calculaticne
amr..ni r_ted with thb`ipeYiAi appli catioh>:' The proppsed' building has been
dep-icmed to mae,sMt'? Mt'equ• men Of.?ttie:Minneaota,?isei?" ' ?
?.i`. "•Y?lk.,,v'.'"`''I' ?J^??'. ,_?pyG,.:I _ _?,??,:?.'OC?6.,.
.,o-. ? ? :ii?'. ?i'?', .:h.L?C,.dvi•o..::uv.i.., , .
8ui 1dEr/De,e`i?rn
? rrN
S'
j+
r:H
' ; i?l
?
S4
?pt,.(r?::; . P<
•
i
? i
p?y?r 't,•i'???'. ?J`.it?E;??f.?Gjni::?.
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.?
•
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,,
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i
i
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,'"FNi L?ef ?? ?y ' •.• ?r
i , ?:.
. r
' ?
. •
JOB INITIATION ORDER 00
PuUe Homes of
Minnesota Corporation
1355 Mendota Heights Road, SuRe 300
Mendota Heights, MN 55120-1112
Phone: (651) 452-5200 Fax: (651) 452-5727
CONTRACTOR/SUP PLIER:
JOBNO. 0550 1 212 / 01 LEGALDESCRIPTION: LOT 12 BLOCK I UNIT 21201
connMUNiTr: pakbrooke Infinity ADDITION: 4lh
BUILDING ADDRESS: 1680 OdKbr00IC0 W2)/ CIn': Eagan STATE: MN Z'P: 55722
MODEL NAME: DI8f1lOt1CI Sleb MODEL NUMBER: 17951 ELEVATION:
Spec I GARAGE:
- LEFT
a RIGHT
a
BUYER'S NAME: DATE OF ORDER. 7130/00
CURRENT ADDRESS: CITY: STATE: ZIP:
HOME PHONE: BVSINESS PHONE: BUSINESS PHONE:
SALES REPRESENTATIVE Kathee Sheldon
APPROVED BY BUYER(S): 2
? APPROVED BY SALES:
EQUAI HOUSING
RELEASED TO START CONST.: oPPORrUNirr
This constitutes a contract between the Seller and the Purchaser(s) for the above items
Builder's License #0001371
? Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 12, Block 1, OAKBROOKE 4TH ADDITION, Clty of Eagan, Dakota County, Minnsota and
reserving easements of record.
F
?• ry? ?7 ? .
-iA
?W
50 l
1`F' ?i
n
\ 99q.1
// '*
8 0\
L
' 7.7
s?6 o9s , O ?
s T
LT
A ^
FeqV?
9`1
R00
24
?
?
LOT SQ. FOOTAGE = 3,608
NSE. SQ. FOOTAGE = 2,367
LOT COVERAGE = 661'o
?
po ° mMa REQ
Plan # 17951
PROPOSED ELEVATIONS
Top of Foundation = 9491z
Garage Floor =qqg,p
Basement Fioor = N/A
Aprox. Sewer Service = q35.01-
Proposed Elev.
Existing Elev. - -
Drainage Directions = -
Denotes Offset Stake = •
HEADLvNAD
PWNN/NC 6NG1NddRlNC SURY6YlNG
2005 Pin Oak Drive
Eogan, NN 55122
Phone: (651) 405-6600
Fax: (657) 405-6606
BENCHMARK, TNH(P 5/F
Eleu: 94t0. 13
MIN. SETBACK REQUIREMENTS
SCALE: 1 fnch - 30 feat
Front -25 House Side -
Rear - Garage Side-
I HEREBY CERTIFY THAT iHIS IS A TRUE AND CORRECT REPRESENTATION
OF TNE BOUNDARIES OF 7HE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNOER MY DIRECT SUPERVISION AND DOES NOT PURPORT 70
SHOW IAIPROVEMEN75 OR ENCROACHMENTS, EXCEPT AS SF10NN.
DATE Q -
EY . LINDGREN, LAND RVEYOP
INNESOU LICENSE NUMBER 14376
JOB N0:
OOR-386
OAKBROOKE
RECEIVED AUG 2 8 200
ib.
Siteaddress: tG7o L;a 4? CJ?w Lot"7-1.,z Block o( Subd. 05.7"0
On April 15, 2000 the Minnesota Energy Code, Category i Building Requirements for insula6on protecfion, air
tightoess, 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 structure: is consWcted to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
This structure: will be consUucted to meet more restricfive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTORER MODEL BTU'S VENTING TYPE
water Heater
Fumace ?
?
so 04 *"V-o 3` o (.-
s ?
..
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
vES NO
Kitchen kitchen w'
Bathroom 1 ? ?
...?..s-_?- ?? ? U ?
Bathroom 2 EQ-01 O
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
oIRECT nTMOS
?- W 4 lo ' ?
MAKE-UP AIR MODEL TYPE CFM's
v[
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
reguirements.
?g &,, _b
S"n D e ?-
-92
Com anyName
' This form is the resPonsibility of the General Contractor.
******?*********?*?********************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 010
DATE: 08/25 /00 TIME: 14:0 7:26
ID: .
NAME: VALLE Y 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 0.50
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 ? BL ?
SUBO. ()q.k ronke ?,?-y,
CITY USE ONLY
RECEIPT #:
RECEIPT DATE:
PERMIT# U25> N
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EA6AN
3830 PILOT IINOB RD
EAGAN, DS1 55122
651-691-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
??vrm?e
eee-u it
TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Floor drain 3.00 x / _ $
Gas piping Outlet ` minimum - 1 3.00 x $ ?
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $ ?
Laundry tray 3.00 x = $
Lavato 3.00 x = $ ?
Septic System new/refur6ished • 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 = $
Under round sprinkler if dwelling is under construction 3.00 X = $
Underground sprinkler ifexisting dwelling 30.00 x = $
Water closet 3.00 x = $ ?
Water heater 3.00 x = $ -
Water softener if dwelling under constructlon 5.00 x = $
Water softener If existing dwelling 30.00 X = $
Waterturnaround 30.00 x $
State Surcharge ,50 -> -> --> $ .50
Total -> --> --? --? S
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
L_______________'.._'__.____.____...____..__._'.____.._...___._____.______..__.._.._'.__.__.._
I hereby adcnowledge that I have read this applicaGon, state that the infortnation is correct, and agree to comply wRh all applicable City of Eagan ordinances.
It is the applicanPs responsibiliry to notify the property owner that the City of Eagan assumes no liability for any damages eaused by the Ciry during its
normal operational aad maintenance aGivities to the facilities constructed under this pertnit within City propeftylright-of-wayleasement.
SITE AODRESS: /
OWNER NAME: : TELEPHONE #:
(AREA CODE)
INSTALLER NAME: ? TELEPHONE #:
(AREA CODE)
STREET ADDRESS:
REG'°..I1 ,JED STATE: ZIP-
cirY:
AUG z ._ ?OOC
AY? SIGNATURE OF PERMITTEE
City of Eaqari
Cash Re_?ipt
Receipt Date , jatMg
Tiae Frinted 13:06:40
Receipt NuAber ' 1143
6URNSVILLE HEATIRG & RIE:
1680 OtIKBRUOKE klfiY
9081.2195 .50
MP 43152 '
9081.4088 35,06
!iP 43152
Total F'eceipt Hmourt 3±`.SG
Usee HMCGRAN
• ` CITY USE ONLY
y LOT ? BL I PERMIT k:
SU130. 06hkbfQokt "(V'+ RECEIPT
?315Z
RECEIPT DATE:
?l
2000 MECf"ICAL PEiMIT (RESIDENTlAL)
C1TY OF f.AfiRN
3$30 f'1LOT KNOB {iD
gaGnx Ux ssi zE
{ 651-8$1-4695
Date: oc:'
Complete this section onlv if you aze instalhng HVAC in a single-family dwelling, townhome or condo uader
construction and not owner/occupied.
• HVAC: 0-100MBTU
ADDITIONAL 50 M BN
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ 30.00
6.00
30O
.50
$ 3q so
Complete this section onlv if you are remodefine, adding ta, or Mplttcinp an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new ttem, alteration, or replacement.
New _ Replacement
Furnace
Air exchanger
_ Other
Air conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for ftna! inspection.
SITE ADDRESS:
OWNERNAME: PVVe- ?fj,?ILS ? PHONE#:ta5_1_- ?fSa-Sa?
INSTALLERNAME: t mL_ kUtLl?ilrlCa g- PrLC. PHONE#:( ?sa - gc/? V`12)DS
1... - i _ r . ( _ 1 - _ r . _ ? (AREA CODE)
STREET ADDRESS:
CITY
sC2-L)a G? STATE: ? ZIP: ?553 _? 9'
CITY USE ONLY
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #: _
RECEIPT#: _
RECEIPT DATE:
2000 btECHAN1CAL PERm1T (COINMERCIAL)
CITY OF EA6AN
S$SO P1LOT KNOB tiD
EACx41v,Mrt 55122
651-6$1-4675
t
Piease complete for: all commercial/indusVial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE
WORK T'YPE: New conshvcrion ` Install U.G. Tanic
_ Interior Improvement _ Remove U.G. Tank
_ Ptocessed Piping
tiVken instal[ing/removing underground tank, calf 651-681-4675 for inspection by fire marshal and
plumbing inspector.
Descriprion of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaUinsra(lation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
TENANTNAME (IMPROVEMENTS ONLY).
WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME:
INSTALLER:
OWNERNAME: PHONE#: -
(aREa cooE)
ADDRESS:
CITY:
PHONE#: -
(nREA CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126031
Date Issued:08/12/2014
Permit Category:ePermit
Site Address: 1680 Oakbrooke Way
Lot:12 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-120
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 -
Debra A Skidmore
1680 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:EA127797
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1680 Oakbrooke Way
Lot:12 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-120
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 -
Debra A Skidmore
1680 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:EA129514
Date Issued:02/17/2015
Permit Category:ePermit
Site Address: 1680 Oakbrooke Way
Lot:12 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-120
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.
Applicant: Andrea Preusse
4145 Sibley Memorial Hwy
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 A Skidmore
1680 Oakbrooke Way
Eagan MN 55122
(651) 452-7303
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA129514
Date Issued:02/17/2015
Permit Category:ePermit
Site Address: 1680 Oakbrooke Way
Lot:12 Block: 1 Addition: Oakbrooke 4th
PID:10-53763-01-120
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.
Applicant: Andrea Preusse
4145 Sibley Memorial Hwy
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 A Skidmore
1680 Oakbrooke Way
Eagan MN 55122
(651) 452-7303
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature