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1684 Oakbrooke Way Address 1684 OARIIROOKE WAY , ts,., ' "Zip 5512? Lot 14 Blk I Sub OARBROOKE 4TH TfESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: •?j • 0? 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 ftnish , Deck Please verify with 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 freeze poten[ial exists. Contad engineering division at 6814645 before working in rightof-way or installing undetground sprinkler system. ? . . , White - Ciry Copy Yellow - Resident Copy _ Pink - Coptractor Copy, . . , . , Address 1684 OAKBROOKE WAY I.ot 14 Blk Zlp 5512 ` THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) Pertnanent steps (garage) Petmanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish ? Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucM befote freeze potential exists. Contact engineering division at 681-4645 before working in righ[-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy Sub OAKBROOKE 4TH ¢1?? CITY USE ONLY •L 1 0L RECEIPT#: SUBD. r Ci RECEIPT DATE: PERMIT# 'li'ru-b_ 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAC.AN 3830 PILOT KNOB RD EAGAN, bST 55122 651-681-4675 Please complete for: ? single family dwellings ? fownhomes and condos when pennits are required for each unit ? backflow preventer for underground spnnkler system z11?a1nce xeCu !t TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 8ath tub $ 3.00 x = $ Floor drain 3.D0 x 1 = $ Gas piping oUtlet ' minimum -1 Hot tub/spa Kitchen sink 3.00 3.00 3.00 x x x = = $ $ Laundry tray 3.00 x = $ Lavatory Septic System newrrefurnisned ' requires MPC lic. 3.00 75.00 x x = = S - , $ Septic System abandonment RpZ new installation/repairlrebuild 30.00 30.00 x x = = $ $ ' Rough openin Shower 1.50 3.00 x x = = $ $ Underground sprinkler if dwelling is undei construction Undergroundsprinkler ifezistingdwelling 3.00 30.00 x x = = $ $ Water closet 3.00 x = $ Water heater ` 3.00 x = $ Water softener IT dwelling under constructlon 5.00 x = $ Water softener if existing dwelling 30.00 X = $ Water tumaround 30.00 x $ State Surcharge TOt31 50 --' --> -' --> ---' --> ---> $ .50 $ .50 Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. -------------- -------------------------------..-------------?------------•----------------------•----------------------- 1 here6y acknowledge that 1 have read fhis applicatlon, state thaf the irtfurtnaGan is mrrect, and agree te compry wi[h all applicable City of Eagan ortlinances. It is the applicanPs responsibiliry to notiTy the property owner tha[ the City of Eagan assumes no liability for any damages wused by the CityAuring ks normal operational antl maintenance activities to the facilities eonstruded under this permit within City propertylright-of-way/easement. SITE ADDRESS' OWNER NAME; : INSTALLER NAME: STREET ADDRE$: CITY: ?/m AUG z r 2U00 TELEPHONE #: (AREA CODE) TELEPHONE #: ??A _DE) STATE: ZIP ?SL`-^-'st TURE OF PERMITTEE Lt7T- ? BL I ? - - PERMITIF: suaD. 04 6roo ttECEirr a: Y5377 RECEIPT DATE: 2000 hIEGHmIGAI. P£itMTf (R£SIDENTIAL) crrYoF Ensr?iu ssso Pu.or xrroe sn E46AN MR SSl EY Date: O(N) 651-681-?1675 Complete this secrion onlv if you aze installing HVAC in a single-family dwelling, townhome or condo under construction and not owner/occuaied. • HVAC: 0-100 M B T U $ 30.00 ADDITIOrIA? 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) () State Surcharge •50 Total $ ?R • 6Z? Complete this section onl if you aze remodelin2, addtng toor renlacinQ an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or replacement. _ New _ Replacement _ Other Air conditioning Other - _ Furnace _ Air exchanger Fee $ . 30.00 State Surchazge .50 Toial , $ 30.50 Reminder: Call for ftnal inspection. SIT'E ADDRESS: ? ug (-'I ( J/? ? OWNER NAME: INSTALLER NAME. !?t lY r'l?Vl I.I STREET ADDRESS: ,9, PHONE #: I_- uSa-u?o1UCJ (pREA CODE) i4 pxorrB a: sa (ARFACODE) . CITY: ? - STATE: ZIP: 5S 3-7 9? ?SIGNATURE OF PERMITTEE - ?'i 7REBY: CITY USE ONLY L _ BL _ SUBD. APPROVED BY: INSPECTOR PERMIT #: _ RECEIPT#: _ RECEIPT DATE: ` EOOO 1H£CH"ICAL fERMIT (COEIMERCIAL) CTfY OF EA6M 3$30 PILOT KNOS ftD EMfiN, MN 55122 651-691-4675 Please complete for: all commercialrndustrial buiidings mulG-family buildings when separate permits are not required for each dwelling unit DATE WORK T'YPE: New conshucrion • _ Install U.G. Tank _ Interior Improvomient _ Remove U.G. Tank _ Processed Piping When installing/removing underground tank, call 651-681-4675 for inspectiore by fire marshal and plumbing inspector. Description of work: Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater. Underground tank removaVinstallation = minimum.fee , Contract price: $ x 1% _$ (Bue Fee) ' State surcharge calculau at $.50 for each $1,000 Base Fee TOTAL $ SITE ADDRESS: OWNERNAME: FF:O?E #: - (AREA CODE) TENANT NAME (IIvIPROVEMENTS ONL1): WAS THERE A PREVIOUS TENANT IN TIIIS SPACE? _ Y_ N. NAME: INSTALLER: ADDRESS: PHONE #: - . . . . . . . (nREACODE) C1TY: STATE: ZIP: SIGNANRE OF PERMITTEE ************************************?** CITY OF EAGAN CASHIER: JS TERMINAL NO: 010 DATE: 08/25/00 TIME: 14:07:55 ID: NAME: VALLPY PLUMBING COMPANY, INC 3212 9001 1684 2155 9001 1684 3212 9001 1682 2155 9001 1682 3212 9001 1678 2155 9001 1678 3212 9001 1672 2155 9001 1672 3212 9001 1680 2155 9001 1680 Total Receipt CR136505 USER ID: JAN OKBRKE OKBRKE OKBRKE OKBRKE OKBRKE OKBRKE OKBRKE OKBRKE OKBRKE OKBRKE kmount : WAY .36.00 WAY 0.50 WAY 36.00 WAY 0.50 WAY 36.00 WAY 0.50 WAY 36.00 WAY 0.50 WAY 36.00 WAY 0.50 182.50 CASHIER: JS TERMINAL N0: 679 ?ATE: 08/30/00 TIME: 13:45:02 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 1684 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: JAN ** CONTINUEI ** CONTINUE' =F==:?xxxv?x**,t,t:rx?*?x*?*;tx*t***:r CONTINU CITY OF EAGAN CASHIER: JS TERMINAL NO: 679 DATE: 08/30 /00 TIME: 13:44:59 ID: NAME: PULTE MASTER BUILDER 2275 9220 1678 OKBRKE WAY 1,089.00 3446 9001 1678 OKBRKE WAY 11.00 2155 9001 1678 OKSRKE 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 CR136 657 ** CONTINUE USER ID: JAN ** CONTINUE CITY OF EAGAN CASH IER: JS TERMINAL NO: 679 DATE : 08/30/00 TIME: 13 :44:57 ID: NAME : PULTE 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 CR136 657 ** CONTINUEI USER ID: JAN ** CONTINUE] ...?xx**?????*x*t?*x*?t*?**?t CONTINUE CITY OF EAGAN CASHIER: JS TERMINAL N0: 679 DATE : 08/30 /00 TIME: 13:44:54 ID: NAME : PULTE MASTER BUILDER 3716 9220 1682 OKBRKE WAY 114.00 3713 9220 1682 OKBRKE WAY 50.00 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 CR136 657 ** CONTINUEI USER ID: JAN ** CONTINUEI ?***********************???*?*********? CITY OF EAGAN CASHIER: JS TERMINAL NO: 679 DATE: 08/30/00 TIME: 13:44:52 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 OKBP,KE 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 ** CONTINUEI USER ID: JAN ** CONTINUEI CITY OF EAGAN CASHIER: JS TERMINAL N0: 679 DATE: 08/30/00 TIME: 13:45:04 ID: NAME: PIJLTE MASTER BUILDER 3865 9220 1684 OKBRKE WAY 3716 9220 1684 OKBRKE WAY 840•00 114.00 Total Receipt Amount: 17,789.34 2000 auaoiNc r, `Wd 1V4q r-i T-1 S -i- W ---* 14 ?---2 o a- PERMIT APPLICATION (RESIQENTIAL) crnr or Eacm Q, 3830 PILOT KNOB RD • 35122 851•881-4675 ' a a regi+erea rro wnar qwwinp Sa. n d W. za rt. d nouw 2 coWes w Wae Cnd 90 rooled arom (2076 mmdmum bf coveraae Wlowem 1 f'st ot enerQy CdCWaflOna fa heated addMarr Y 2 coples of plant (tlww beam R window sites; Pared tr?d tleslom etcJ 1 slla wrvey for axteAw addMau a dacks D 1 wf o1 aneryy CdctdaAlarn . D 3 coPiet of 1rea Wesarvalbn PEan H Id Pkrftd a(qr 7/1/93 DATE: FJ?'7?IAP coNSTRucrIoN cosr: II?? Q Od DESCRIPiION OF WORK: SIREETADDRES3: ZCO& !hC'bez>oCe w4f' tOT: -/?/- BLOCK: Z SUBD./P.I.D. t: Name: Phone PROPERiY Letit Fliat OWNER Sfreei Address: ciN Stafe: Zip: Company: Phone Y: A551 190-5--oV'1 (area code) CONiRACTOR Sheet Adctreaxs?".? W?? 1424- 'nenae N??f Exp. ciA' -? ? stare: ztp: ?/a0 ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Sheef Address: Regfsfrafbn M: CRY Sfcte: Zqr Sewedwater licer*ed plumber (H tnstallina sewerhvacer):_ _ YAltY 7 L&6?.-3- Phone #: ?r 1a- ??9a-?/a/ I hereby ackrawledpe Mwt I have read Ihis applioalion, stafe ilwf ihe in}ortnaNOn is correeF? and ayree to comply wilh aA appBCtPbIe Stote of Minnesota Stohites and CHy of Eapan Ordinancea Siynafure of Appqcant _ . [RF, ?` ??$ ?-D OFFICE USE ONLY ? ? y ? ?? AU? w .. 2,"? Certiftcates of Survey Received Yes _ No : Tree Preservation Plan Received ,_ Yes _ No ot Required OFF{CE USE ONLY . ? BUILDING PERMIT SUBTYPES E3 Ot Foundation p 07 05-plex O 13 16-plex O 21 Poroh (3-sea.) 0 31 Ext Alt - Multl O 02 SF Dwelling O 08 06-plex O 17 Garage p 22 Poroh/Addn. (4-sea.) O 33 ExL Alt - SF ? 03 01 W_ plex 0 09 07-piex O 18 Dedc O 23 Porch (screened) O 36 Multl E3 04 02-piex p 10 OS-piex O 19 Lower Level O 24 Storm Damage 0 05 03-plex 0 ,11 10-plex PI6g Yor_N O 25 Miscellaneous O OB 04-plex O 12 12-plex O 20 Pool 0 30 Accessory Bldg. woRK rrPe 0 31 New 0 36 Move Bidg. D 43 Reroof 0 32 Addition p 37 Demolish (Bldg)` p 44 Siding 0 33 Alteration E3 38 Demolish (Interior) O 45 Fire Repair 0 34 Repair O 42 Demolish (FoundaGon) O 46 Windows/Doors ' Give PCA handout to applicant for demoliHon permit GENERAL INFORMATION SAC Code ? # of Stories ? sq. ft. No. of Units _L Length gq, ft. No. of Buildings ? Width ? Footprint sq. ft. Jo?q Const. (Actual) Basement sq. ft. -- Census Code Ld r (Allowabie) Main levei sq, ft. ? MC/ES System UBC Occupancy A-,? Gesq, ft. ? City Water Zonin9 PIO. sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS 0 Stucco/Stone APPROVALS Pianning Buiiding Engineering Variance Permit Fee Valuation: $ b30 OO%) ? Surcharge T Plan Review License MC/ES SAC / o G Y X Sy = S? yS? ,?? ? CitySAC Water Conn z70 k Sy < tu Sb'v, -" . Water Meter b 3c., ? Acct. Deposit S/W Permit ? SNUSurcharge '2-c-0<?m , Treatment PI. 2 ' Park Ded. Trails Ded. 1,17- ?71-? Other Copies 7otal: '? ?? • 1 `? - 5AC Units % SAC MPlcl, - 'i('OMPLIANCE REPORT Mirn, ^i -i Energy Code MPI-I1- , l- ?r)Etware Version 3 . 0 COIl[ II Palcota STI,'i ? tJ i tinesota ZOtli' ? '' COII' ii iIP'1'LON TYPE: Single Family DA'1'r r? -1-2000 DT,'I'I' ' PLRDIS: 8/3/00 TT'fil' PPSSTAL SLAS EL_2 PP'111 1CIFORMATION: 0A1 : ' ' I I? COP1T I PASSES Permit # Checked by/Date RA,i" . ,1 UA = 421 yn',. .,, - 318 211. ' ' I,tter. Than Code Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value , -- ----------------------------------------------------------- CE] "" `, 1342 44.0 0.0 WAI t11-?od Frame, 16" O.C. 1538 19.0 2.0 GLT' '?. Windows or poors, Above Grade 188 0.350 DOOI" 38 0 . 350 SI,i T' I I/!V)P.S: Unheated, 42.0" insul. 170 10.0 1 HVI,,' ')UfpMENT: Furnace, 92.0 AFUE -- - --------------- ------------------- -- ..?_ ----------- CoMPt,inNCE STAT'EM9NT :i T14e groposed buildino deai'Yls?,?eb+i"Yfbb4lrliex`e is scon?, ?;tent with?''the buildin4?, plane; apecif?'?ati3?otY?i??'. ?; ?'??1`?ulatione suhrni tted with: th6 pei`mit applicatiion. TheR:pYcipdi?ed'?bti:}i?e=been desi,i?-? to me?t the requirements of tihe? Mi?sne?ota???ti?ed?,? Bui I-'-,,!Designer ?i,rz,/? ?-i/J Date ? ?r?4 JOB INITIATION ORDER 00 Pulte HQmes uf Minnesota Corporation 1355 Mendota Heights Road, Suite 300 Mendota Heights, MN 55120-1112 Phone: (651) 452-5200 Fax (651)452-5727 CONTRACTOR/SU PPLI ER: YWI&xk JOB NO. 0550 1 214 1 01 LEGAL DESCRIPTION: LOT 14 BLOCK 1 UNIT 21401 connnnuNiTr: ' Oakbrooke infinity ADDITION: 4Yh BUILDING ADDRESS: 1684 08kbr00k0 W2y CITY= Eagan STATE, MN ZIP: 55722 MODEL NAME: Bry5t01 Sldb MODEL NUMBER: 17931 ELEVATION: 2 GARAGE: LEFT RIGHT BUYER'S NAME: g CURftENT ADDRESS: ciTr: HOME PHONE: BUSINESS PHONE. SALES REPRESENTATIVE Kath¢¢ Sh01dOn a a DATE OF ORDER: 7/30100 STATE: ZIP. BUSINESS PHONE: 0000 BASE PRICE 177990 ---- LOT PREMIUM 0 1 18023 ELEVATION # 2 1575 1 23005 2 Ton AIC 1650 1 36019 Waterline Future icemaker 125 1 31011 Laund Tub Sin le Com artment 275 TOTAL 181,615 APPROVED BY BUYER(S): ? ? ? ? APPROVED BY SALES: e4uAL HoUSiNc i RELEASED TO START CONST.: oaaoRruNiTv ^^ This constituies a contract between the Seller and the Purchaser(s) for the above items Builder's L icense #0001371 > ? n H ? w a C 0 0 Q? Q ? 0 0 ? ?' ? ? ? ? ? r/1? ? ? ? ? ? ? ? ?? ? ? ? ? ?? ? tv/ ? ? DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legaldescrip4an • Address • North artow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slopelgradient % • Proposed/ebsUng sewer and water services & invert elevation • Streetname • Driveway • Lot Square Footage • Lot Coverage ELEVATIONS Existing ? ? ? • Sewer service (or Proposed) ? ? • Property corners p?? o • Top of curb atthe driveway ?v? • Elevations of any ebsfing adjacent homes cv ? Adequate footing depth of shuctures due ta adjacent udliry ffenches Prooosed ? ? o • Garage floor ? ? ? • First fioor V/ ? ? • Lowest exposed elevation (walkouUwindow) ? ? ? • Propertycorners rj? ? o • Front and rear of home at the foundation PONDWG AREA (if ap 'ca61e ? m// o • Easement line ? m' ? • NWL ? ? ? • HWL ? t? ? • Pond # designafion 0 ? ? • Emergency Ovefiow Elevation tr o ? vo 0 gi/ ? ? e/ ? ? • Iy ? . o ? • DIMENSIONS Lot GneslBearings & dimensions Rightaf-way and street width (to back of curb) Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) Show aA easements of record and any Ciry utilities within those easements Setbacks of proposed structure and sideyard setback of adjacent ewsting strudures Retaining wali requirements, ` ' -- Reviewed: LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTYLEGAL. DATE OF SURVEY: LATEST REVISION: March 1998 CRAIG'BIIXiPRMf.FM , . • Surveyor's Certificate SURVEY FOR :PULTE DESCRIBED AS : Lot 14, 81ock 1, OAKBROOKE 4TH ADDITION, City of Eagon, Dakota County, Minnsota and reserving easements of record. ? ? ? .. ?; ? ?' DatB '? EN?r'nqFMUN?r' D?.''PL: iJ Pro M glo6mbl°?.d ?ada ? 94b.9 j/9. E c ry ? C hs ?N? p 3 tt.l7 44b cOrO9e M OAKBR00. LOT SQ. FOOTAGE HSE. SQ. FOOTAGE LOT COVERAGE _ Plan # 17933 PROPOSED ELEVATIONS Top of Foundation = q48.5 Garage Floor =qq'7,3 Bosement Floor = We, Aprox. Sewer Service = 133?91 Proposed Elev. _ <=> Existing Elev. _ Drainage Directions = Denotes Offset Stake = . = 3, 080 = 1,806 58% r ? ILT 12._2 168 '? 949, I WA Y ?oG?oyo H.u OF-2F D SCALE: 1 inch - 30 taet BeNCHMARK, .rNH(P -5/1 Elev: 94b. 13 9 ah MIN. SETBACK REQUIREMENTS Front -25 House Side - Rear - Garage Side- JOB N0: HEDL?/ND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OOR-392 OF 1NE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND OOES NOT PURPORT TD BOOK: PACE: PLANNING SNGlN6dR/NC SURV6YINC SHOW IMPROVEMENTS OR EN OACMMENTS, EXCEPT AS SHOVM. 2005 Pin Oak Drive ' Eagan, MN 55122 DATE -U?f-/22 CAD flLE: Phone: (651) 405-6600 FFl D. LINDGREN, L D SURVEYOR Fax: (651) 405-6606 MI?I SOTA LICENSE NUMBER 14378 OAKBROOKE RECEIVED 4UG 2 8 1000 Site address [(90T._, 02"&- [_}n... Lot gl Block ? Subd. «7? On April 15, 2000 the Minnesota Energy Code, Category I Builtling 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 sUucture: 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 , `? ?X 2 Le 5- 8 Fumace Dryer El(HAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES x0 Kitchen kitchen Bathroom 1 LA O Bathroom 2 ? 8athroom 3 Bathroom 4 Other FIREPLACE 5 LOCATION GAS W000 MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS MAKE-UP AIR MODEL TYPE CFM's " ?;R U ,-,- I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. ign Company ame e3zP:1 Date ' This fortn is the responsibility of the General Contractor. PERMIT Permit Type: Building City of Eagan Permit Number: EA105954 Date Issued: 08/06/2012 Permit Category: ePermit Site Address: 1684 Oakbrooke Way Lot: 14 Block: 1 Addition: Oakbrooke 4th PID: 10-53763-01-140 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 Susan K Hawes 5866 Blackshire Path 1684 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:EA126157 Date Issued:08/15/2014 Permit Category:ePermit Site Address: 1684 Oakbrooke Way Lot:14 Block: 1 Addition: Oakbrooke 4th PID:10-53763-01-140 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 - Susan K Hawes 1684 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:EA127799 Date Issued:10/15/2014 Permit Category:ePermit Site Address: 1684 Oakbrooke Way Lot:14 Block: 1 Addition: Oakbrooke 4th PID:10-53763-01-140 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 - Susan K Hawes 1684 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:EA154571 Date Issued:04/02/2019 Permit Category:ePermit Site Address: 1684 Oakbrooke Way Lot:14 Block: 1 Addition: Oakbrooke 4th PID:10-53763-01-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Susan K Hawes 1684 Oakbrooke Way Eagan MN 55122 Centraire Heating & Air Conditioning 7402 Washington Ave Eden Prairie MN 55344 (952) 941-1044 Applicant/Permitee: Signature Issued By: Signature