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4538 Birchcrest Cir ðÿô þýýüûúøú ÿ ùüüýýôðëí ý úóò ã þý ÿþýüû ù ùýüûø÷ ûù ò Úòýüûòÿåÿ øÿõþêõøÿõþ Ú ý âä áã ê õ õëñù ßàùïé è í èî íã öù ÿó ëçé è ð èð õôóô òñ ûû úóõû ÿõþòâÿ áã êèÛ îíóú òøòø ñáïá î óþü÷ó óæóûûóóåõõûü÷óûûþ åò ÿúüåäè ûûà õ ÿ ÿü ÿ CITY OF EAGAN Remarks Addition CHES MAR EAST FIRST ADDN. Lot 3 Owner `??? 7 Street 4538 Birchcrest 10 17150 030 02 State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date I sTREETSURF. ? 182 2622.14 524.43 1573.30 A012385 6-27-83 STREET RESTOR. GRADING SAN SEW TRUNK 112.00 AQ] 23$rj 6-27-83 *SEWER LATERAL 135$.09 WATERMAIN *WATERLATERAL WATER AREA t/C 112.00 Pi012385 6-27-83 STORMSEWTRK 240.44 A012385 6-27-83 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET UGHT R4 250.00 35149 4-6-$ WATER CONN. 45o.o4 BUILDING PER. SAC n u PARK Circle Far fJffice Use Only CITY OF EAGAN FERMiT # d C4NTRACT 3830 PfLOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # PRICE Y ,PHONE 454$100 DATE: 5_ )10 Site Address45?1t2 0xf ?Kc"??SL L"" c'%c""" Lot lock -9-- Sec/Sub .. IVame MA+2 i2 a.JG 44e- ? Address = City Name? +t3 Q ,E??r? G,?°? 2 Address 8 CRy Pho4A'$? l FEES COMM.tIND. FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - CQMM.IND./FEE $20.00 STATE SURCHARGE PER PEAMIT .50 (ADD $.50 SJC PER EACH $1,000 OF PERMIT FEE) - -- FOR: CITY OF EAGANY T BLDG. TYPE Res. Mult. Comm. Qther WORK DESCRIPTION New Add-on Repair RES. PLBG. ONLY - COMPL.ETE THE FOLLOWING: NO. FIXTURES TOTAL Water Cfoset - $3.00 $ Bam funs - $3.00 Lavatory - $3.44 Shower - $3.00 Kitchen Sink - $3A0 UrinaVBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whiripooi - $3.00 Gas Piping OuUets - $1.50 (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 ? U. G. Sprinkler System - $12.00 ? PERMIT FEE: ?? _ j?. STATES S1C: • -50 GRAND TOTAL.; 422• Permit No. Psrmit F{oider M+sc. psrmit No. Holder ??y ?a?-3 {n GCt` ??. 5-(O^`O -?+ H.V.A.C. r S ? Cco -4ra1 tt-L ?S- n . Electric wG ?" Inspection Date I?sp. Other Footings Foundation Freming Rough Ptbg. Rou? HVAC Inwlation Finai Pibg. . ly? aJ 14 Fina! HVAC . ,y? Finats Water Dewibe Location: Weli Sewer Pr. Uisp. ' Citp af Cagan ?r?ttr#m?ent ,a.f ?uilditt? ?n?rrr#tnn Thit Cnti ficatc istued pursuant ta the rrqreiremcnu a f SECtion 306 a f the Uni form Building Ceda trrti f ying that at the time o f issuance tbis strruture wat in eom pliunu uath tht variou.t ordrnanas o f the City rrgulating bttilding tontttuction os ure. For the f ollowing : a.e cbAd&.uw SF DWG/ GAR $iag. eeriMc Na. 7 8 9 9 00-ea-7 rrre R3 iy,? emsuwtkm VFile zona NA zoNns Medcc Rl ,o, .,ofaAaj,8_Joseptt M. Milier Am. 18133 Cedar Ave. So. Far, bWdW.Ad&-,,4538 Birchcrest Cirz.,aiLot 3,Black 2,Ches Mar E. 1st o? DatQ: June 17, 1983 " - . - IW{t tN w COl/p?ICUpUS fWAt[ . . LITnOi. U.S.A, ?. ? Receipt 3 1--, ? --Z:? PLUMBING PERM17 CfTY OF EAGARi fitl in numbered spaces Type or Prini legib/y 1. Date 5/9/c33 2. Installation Cost 3. Job Address 4!?3q RrHr^? ;L.ot3?Btk. .?.r- p..?,,... ,?n• 4. Owner '1? LI„?t ?; ..:? :':-tixC ..?u,. ,.-- ? 2 Tract ' 5. Contractor: ;0 '-v1'? ":X:1:,`!1'11.t:C?! ? Phone 11-69?9,98 6. Ad@ress 208`:0 :ICUP A',i t; 7. City State Zip 550,44 s 8. Building Type: Residentiai Commercial C] Institutional ? 9. Work Deseription: New ?* Add ? Aiter ? Repair 0 10. Describe 11. No. Fixtures Water Ctoset No. Fixtures CesspoollDrainfield ? Bath tubs Septic Tank Lavatory Saftner Shower Wel1 ? Kifchen Sink Urinal/Bidet LaundryTray< V,{:?< i i 4 Floor Drains , _ Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above in rmation is true and correct, and 1 agree to comply d?r-al{ or "n,ps'go?+ng this type of work, Signed : ? , for Rough Final Inspections: Date Insp. Date _ Insp. 7his is your\permit:when numbsred and approved. , Rpproved "C,s'?jz `ICITY OF EAGAN 454-8100 •`-"'? "?'. _.?__„ Permit Wo. 3. Z„ 3 Fee 20.0a SJC • gf) 7ot. 20•56 Receip ? ? ? -/ C, MECHANICAL PERIi?") C{TY OF EAGAN?:, ,, ? Fill in numbered s,naoes ? Type or Prini l?ibly- Permit No. Z ?? -7 ' Fee -- S!C 'Fot. . . ?? t, Date.? "?-? ? 2. Instatlation Cost ? ] 3. Job Addrets 'l.ot ?_Bik. ? Tract?..-' ---?-- _.-- ?, 4. Owner i r 5, Contractor Phone 6. Address ' ,, 7. City Stafe 8. Building Type: Residential Commercial b institutionaf ? 9. Work Deseription: New 0 Add 0 Atter ? Repair ? 10. Describe 11. Fuel Type N_o?, ? Equipment 9TU - M. Ea. Forced Air No. Equipment CFM Ri H dli r- ' Mfg. r an ng: Boilers Mfg, Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. t hereby certify that the above information is true'and correct, and 1 agree to comply witfn alt ordinances and codes governir}g this type.of wvrk. ? t Signed :"--` ;, *? ._h •Z : `-:'?.-- ? r'4 , _ ?f! i . i `` ?'."...... ? Rough Final tnspections: Date _ tnsp. Date insp. 1`his is ycrurrp,er t whe7j nur,ribered and approved. ` Appraved ("'C'-,-.; _.CITY OF EAGAN 464-8100 ? CITY QF EACAN ` ??`?'O ? ? 5 ? 3830 Pi{ot Knob Road, P.Q. Box 21-199, Eagan, MN 55121 PHONE: 681-4675 BUILDING PERMfT Receipt # To be used for RADDTTTON EMODEb & Est. Value $21, 000 Date FEB 19 , 19 g2 Site Address 4538 BIRCHCREST CIR Lot 3 Bfock 2 SeclSubCHES MAR EAST 1ST OFFICE USE ONLY FEES Parcel No. ocouPar,cy R-? 0 Bldg. Pemitt 216.0 Zoning Napg MARK & BETTY KRUGER (Actuaq Gonst V---N 0. Surcharge 10.5 Z AddreSS 4538 BIRCHCREST CIR (Aliowable) (). Plan Review 140.0 i ? ? EAGAN MN 2'jp 55123 htories L 1 , u? 5.00 eng PhOng Depth 26' 5AC, City a Name JOE MILLER CONST S.F. Total - SAC, Mcwec S.F. Footprinis ? ACIdC2SS 1$133 CEDAR AVE S Sit e S O Water Conn ewag n e - City FARMII3GTON MN Zip 55024 On Site Weil Water Meter ? Phone 431-3322 MWCC System ? Acct De osit Q Water City , . p v (}C2t1Se # 0002431 PRV Required - SM/ Permit I hereby acknowiege that l have read this application and state that the Booster Pump - S/W Surcharge information is correct and agree to comply with ail licable State of Minnesota $tatutes and Ciry agan O in e Treatment Pt Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: OE MT T I,ER?pNgT P1enner Park Ded. on the express condition that all work shall be done in acCOrdance with all Council appiicable State of Minnesota Statutes and City of Eagan Ordinances. Btdg. Off. ? Copies , 8uilding Official Q ?,.Qd(? 7 ' ? Wariance TQTAL 371.50 f ,. ;,. y _ arx x ..,y ciTV aF EAGaN 0 1 3830 Pilot Knob Road, P.O. Bok 2 1-19 , Eagan, MN 155 21 PHONE; 681-4675 SUILDINC k M e s ceipt R - d ? & To be used for j Est. Value 42$ oOOO Date 19 , 19.."- ` a Site Address '???? ????MST CIR Lot 3 Block- 2 Sec/Su . 93 ?UST I OFFICE USE dNLY FF-Es Parcel No. ocouPar,cy PI-13 216,40 Bid P i Zoning etm t g. NdlT12 ? & U? IMUM (Actuai) Canst V--R 5urcharge 1 so.. ? W Addr(As 4-538 NI*'" RM CIR (Aliowable) ? Plan Review 140.00 ? ? Chy zl? m Zp SS123 # of Sfories h UCense 5.00 lengt php? Depth «?. SAC, City ? ? ??? ? N?fle S.F. Total - SAC, MCWCC 0 Addres5 19133 C? A? 6 S.F. footprints pn Site Sewage ` waterConn Zlp 3$024 Ctht ??INGIM M On Site Wett - water Meter ? Rhone 43t""3322 MWCC System --- Acct. Deposit ?.? v IC2t1S2 # ?i?';31 ? City Water , .. PRV Required SMi Permit i hereby acknowiege that 1 have read this appljcation and state that the Booster Pump - StW Surcharge intormation is correct and agree to compiy with all licable State of Minnesota Statutes and City ppEagan QtdinA , Treatment PI 5ignature of PermiteQe??,;,,„,u? APPROYALS Road Unit F' ? A Building Permit is issued to: ???R CMOT P1enner '-'"- Park Ded. on the express condition that aN work shall be done in aecordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. ? Copies 8uilding Official Variance TOTAI. l L Permit No. Pe+mit Holder OaYe Tetephane # SvN PLUMEPNG . HVAC a.EcrR?c 3/ 9?2 ?O °? aEcrRr- qApmwn Date Msp. Comments Foodngs 1 Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Firep(aCe Final Htq. Orsat Test Fktd! PNbg. Plbg. inspectar- Notify Plumber Const. AAeter Engr.lPian G ? Eildg. Firtai Dedc Ftg. ) 2. Z " z-2 Deck Finai Wait Pr. Disp. . ?, ?` - DATE. Eogcn, MN 55122PI ?•!o 04 Units: Zoning: ; osep t M !t- t16f Co Owner: Addres?: ?irc cr?s C r L ,ast sice Addcess: Mc(7ui,re Me?chanicgl Piumber: J. • p ' Meter No.: Connectia'? Char96. Size: Accownt Deposit: ?,fl,C)0 No.: Permit Fee: ___-.----:? pd Reader 1 ogroe #o camPlY with the CitY af Ea9on Surcharge: ?t IDaeT Ordinoaem Wisc. Chorses: ? Total: Qate P+aid: $Y - - . ? • .-W" ? ?,? - - - - ?- ?> ?.....?..?.?_- ? ?; . 3795 Pilot Knob Aoad PER/v11T NQ.: 5786 ?n, MN 55122 ? QATE: Zoning: No. of jlnits: 08&`ja Bx ri8t t:v Owner: Address: rC CYP.St T B CB 2ii1'L' 8C I , ! Site Address: 7if E Plumber: ?MCOtti.24t MesCh9rii,CalZ. p ; _ 42s.oo Qa !- t agrea ta eomptg with tNe CCitY of Ea9an Connection Char9e: ...?------ Account Deposit: R 4rdiaonses. 10 ,+Q p ? Perrr?it Fee: p ' Surcharge: ? Misa. Char9es: ? gY , pote af 'insp.: Totol: , Dote Paid: ? Insp _ _,_;_,-- f .. , ,.. _?..J.._...-- ??.? REPE?` -CASH ? CITY OF EAGAN ? 3795 PILOT KNOB` ROAD ? EAGAN, MINNESOTA 55122 ? DATE 19 ? RECEIVED FROM " AMOUNT 4 { ± ??? ?'? : 3 . a DOLLARS ,I ?oo ? CASH CNECK ! _ F? ? 1 ! ? 1 { ? ; ? This request void 1? nt? , frC40776 L-3 l U' ' Mt4 S1*01 L qs, oo request Date ? Fire No. Rough-in Inspectian Reqyjred? ?Ready Now Wi IF NotifY. ?nspec- ? ?Yes ? No for When Ready M:Licensed Electrical Contractor 1 hereby request inspection of above Q Owner electrical work installed at: Street Address, Box or Route No. //T ? /? ? A City - i 7 Q 1` G ection o. Township Name or No. Range No. Counry ? d Oecupant (PRINT) ? /? 1 ?1 Phone No. ,?, r?e , -A 0-- ,l ( 0 ? - Powe uPPl ? ? A/ Address ? C.6 /! O T ?C jt,t,?,` ?lL? Cp 7? CE/ Electrical Contrac or (Company Name) e`l Contractor's License No. 1//6 /o - ? ? : Mailing Address (Contractor or Owner Making Instailation) Authorize S' (Cpntracto_r4oowner wner Makin nstallation) Phone Numbe?r ? MINNESOTA STATE BOARD Of €LECTRlCITY THIS INSPEC710N REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED 9Y THE STATE BOARD 1821 University Qve., St. Paul, MN 55104 UNLESS RROPER INSPECTION fEE IS Pt,.,.,o (6121 297.2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ' See instructions for completing this form on back af yeliow copy. V`a707?6 "X" Below Work Covered by Thrs Request 0 E 6-00001-04 395 $ ?? Now Rdd Rep. Type of Building Appliances Wired - Equipmeot Wired Home Range Temporary Ser\tiee Duplex Water Heater Lightin,y Fixtures Apt. Building Dryer Hectric Heatin Commercial Bldg. Furnace S+lo Unioader: industrial Bidg. Air Conditioner Buik Milk Tank Farm Oiher pecify Other (Suecify) t er SpECify Other Other Compute lnspection Fee Below # Fee ServiceEntrenceSize # Fee Feeders/Subfeeders # Fee Circuits fQ, 0to200Am s 0to30Am s I 0 to30Am Above 200 Amps 31 to 100 Amps , 31 to 100 Amps Swimmin Pool Above 100- Am s Above 100_AmPs Transformers Irrigation Booms + Sa Partial-'Oiher Fee Signs Special Inspection. Remarks A iV E.? Rough-in 'J ? ? Dat j/? ? `a- - ' 1. rical 11\ j " ? ? / Inspector, hereby -' certify that the above Pinal r)1 Date inspection has been made. This reauest void 18 months from 3 314 9 ( C w & cvlo ? 3 ta,t?_ Rt Date ? Fire N`. R in Inspection Re u ? Q ? Ready Now ill Notify Inspector R Wh d ? ' es ? No en ea y I icensed contractor p owner hereby request inspection of above electrical work at: .) • City ? No. = Range No. County /v?C/? // ? </ ne o. v ower Supplier ? Address ?s Electric I Contractor (C y Name) an I Contractor Licen e o. Mailin Atldress (Contractor Owner Making Installatio I 5 Author-zed Signature (Contractor/ wner Making allation? Phon NumberrjU^ 5b 32 MINNESbTII STATE BOAHO OF ELE TFt CITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? J , No. See Instructions tor complefing this form on back of yellow copy. `X" Below-W%rkZ,bvered by This Request ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: /2o_? # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps SignS inspector's Use Only: TOTAL Irrigation Booms ,C• ?? ? 3 Special Inspection V Alarm/Communication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO THS. I, the Electrical Inspector, hereby Rou9n-in ' ; oate, ??vY certify that the above inspection has been made. F?nai ?;•,?,?,? ?:.„ _- " ,;0) a??? OfFICE USE ONLY This request void 18 months from ? 43455 E-, Request Date ` Fire No. R -in Insp tion Required? ? Ready Now ?A`Will Notify Inspector Wh R d ? Yes ? No en ea y I` licensed contractor ? owner hereby request inspection of above electrical work at: Job Ad ress (Street. Box or R te No.) S 3 5-r City f- pt Section No. Township Name or No. Range No. County D k a7-io- Occupant(PRINT) Phone No. c. G. ?? Pawer Supplier Address ElecVical Contractor (Company Namej Contractor's License No. /l`141:16r?) Afl- oWNG Mading Address (Contractor or Owner Making Installation) '5 0.me- Authorized SignaYure (o!titractor/Ow r Making Installafion) Phone Number MINNESOTA STATE BOARD OF ELEC7RIt'7TY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 -- BE ACCEPTED BY THE STATE BOARD 7821 University Ave., St. Paul, MN 55704 - UNLESS PRQPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 3??j /(??,, REQUEST FOR ELECTRICAL lNSPECTION ee-ooooi-os ? °?l to, See insr - tions for completing this form on back oi yellow copy. ? ?? A 5 5 ? "X" Below Work Covered by This Requesf ? ? ew Add Rep. Type of Building App esWired EquipmentWired Home Temporary Service Duplex * Electric Heating Apt. Building Other (Specify) Comm./Industrial Farm Air Conditioner Other (specify) Compute Inspection Fee Below: Contractor's Remarks. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Abo 00 Amps Si911S Inspector's Use Only'. T TAL Irrigation Booms ?a ? v, S U %3 Special inspection Alarm/Communication THIS INSTALLATION MAY BE ORD CONNECTED IF NOT Other Fee COMPLETED WITHIN 1 TH t i, the Electrical tnspector, hereby Rough-in / f Dat7 certify that the above inspection has been made. Finai ate OFFICE USE ONLY This request void 18 monihs from vy? e_ ?r j D ?? CiTY OF EAGAN 3795 Pllot Knob Rood Eogoa, MN SSi?l N.? 7899 S PHOh1E: 454-8100 ?5/ BUILDING PERMIT ReceiPt * __ - To bs used for SF DWGjGAR Est Value $78,000 Dote April 6 19 83 Site Address 4538 Birchcrest Circle Erect U OccuPancy R-3 Lot 3 Block 2 SeclSub. Ches Mar E. lst Alter p Zoning R-1 Parcel # 10 17150 030 02 Repoir p Fire 2one NA V ac Nome Joseph M. MiYler, ConSt. Co, - Enlcrge p Type of Const. MOVe L7 # Stor?es ? Addreu 18133 Cedar Ave. So. = Uemolish ? Length 54 ci Farmington ?? 454-4753 Grode ? Depth 48 Sq. Ft. p Name OwneT Approralt Fees ?? ?? Address _ Phone F ?W Name ?Z Address <z W Ci Phone i hereby acknowledge that 1 hove read this oppiication ond state that the information is correct ond agree to comply with oll appiicable State of Minnesoto Stotutes ond City of Eqgan Ordinonces. Signature of Permittee Joseph M. Miller N Building Permit is issued to: cli work shali be done in accordance with ol( nnnlieabie Sterp Assessment Water & Sew. Police Fire Eng. Picnner Council Bldg. Off. APC t. Co. Permit 30/•VU 5urcharge 39.00 Plon check 183.50 SAC 525.00 Wnter Conn4,5,0, 00 Water Merer 60. 00 Rood Unit 250.00 Toto1 $1874.50 on the express condition thas Statutes cnd City of Eogan Ordinances. 8uiiding Official / L/ ?' -?'?' ???? • To Be For_-A6 ----? _ , v .4 A , * (?? i??, . • . / ; . / C?TSt 4F ??N_ . Tncluds Z sr?' of P]?ae?s, i .it. pLn w/?l cns aot ce HUIIDIAIC P'?T ? ? ?jM • L ValuaT. /? Sits A?? ? ?SW _ Ivt `.? 910* sec•loub' Parml IO O "?? t ?_ .?. ; City/Zip Oo Phcrw #• ? Co1'1f1'aCbOrti . AddresS' ' city/zip code' Fhd'fL #S prch./pM. : Address: r City/ZiP aoc3e: s ` 1hom # * J ? _ , . . . , .. ... .?.-`•'-?t?: ? ..r:y ;?,.- {? }? , \J } ?? . _ '? ' ??? ? ? ? ? -,.,? ?, ?? ?? I? ?? ? ? ? ?`?,? ? ?? ? ? Joe Mi11er Construction Tnc. P?? 6-3 0.7 9 •18133 Cedar Avenue South . Farmington, Minnesata 55n24 - DELMAR H. SCHWANZ LANDSURVEVORIJ Inc. Registersd Under Laws of The State of Minnesota 2978 - 145TH S7REET W. - BOX M RQSEiNOUNT, MINNESOTA 56068 PHONE 612 423-1769 URVEYOR'S GERTIFICATE 30 e? ? ?? fw /Q? A., o u ti .'? 0p /_1__N Nl q?? " ,p p?P \0 o r `J9.. ??, ?? ?, ?\ ? • ?? `P` ? ? ? 9 417too Proposed garage floor elevation Denotes iron pipe monument Proposed top oP block elevation p I?enotes setback monument Proposed lowest basement elevation Denotes proposed Finish Denotes direction of surface drainage Z? grade elevation I hereby certify that this is a true and correct representation of asurvey of the boundaries of Lot 3, Block 2, CHES MAR EAST FIRST ADPITION, as on f ile and of record in the ogfice of the County Recorder, Dalcota GountY„ Minneeota. ' Rlao showing the proposed location of a house not staked thereon. As surveyed by me this 10 day of N[arch, 1983. ?J ; ???J,I ;??"????r'? f? ? ???•a 'f'9 ? ..-j ? ? MINNESOTA REGlSTRATiON NO. $ ? j ? , . ?. 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(?. ?,,?..?1 •.?.; ?l ' ? .i: . . . . . . . . . . . . . . . . . . . . . . . a rim jo i L; ?: . . . . . c:,, s• ..A.1. '"'e1?- a.?? l ai •.? .;. ,5.?; ? . ?l . . . . . . . . .?, . . .. .. . . . . 4. ' • . - . . . . . . . . , . . , . . . . . . - . . „ ..,..r ?1• ..... . . Il.l......., ...«i.x.. ...... • ? W , ?` . . . . . . . , . . . • , . • ? ? . . ? . ? ? ? . . . F.."'..""f.?" a, oftim ? ? - • ',`ot tl. expM:;«i ioutttlal3on .?i,?%,1 r `??•'Jr? ' .... ? . 'i l)t.el? f O`1) ?t?? 1 ?: 1 l`?:l t•.' i Il'??W FIX?`?? .. . • . . . . . .. . .... .... .. .. . . r'• - l. TOW) !?l!t i.(w11d+1Ht)li a1K:a1 OWW 91-ad1: • . ? ? • s ? ? ? ? ? e • • ? • • ? ??--• ' N?t.?? "l;" valuc of each W1.I Reqment Ator., citch separttr,e wall ,ecrinn) -•u,. a , . . .. .,.... . ?• .____.??..9 X „O„ x ??. .,__ ?,b.?, _. " " ..._ ?? -'? : ??.•..1..._ x dk .... ?l. ? .. ? . . .. . .., .. .044 . . ? .. /?2.• "00 ? ? • . 1(?1.?2 .. , ,,.. . 047 _ „ .. 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' ;'/l NN, ,• '?? , ? . . . f?l ?& . ?• ; ; ?? ( ?;, ?? ? ? . ; ?c lrr ?• r. fIc:. 04 ?4T 03 t !?. ? _ _ •. ' ....._.?JZ. ? ? NOTP... IrditlltC tynQ, v?a lu-, dt*tatll sltxd ° ' v ? • • ? , ` « ; ': , ?? V J1 ?h, . . ` ? • .. . ? ,?y?, ? r a,; ? . ra?, ? . . t . I • ? . i . boOr . ?' ?'• '. ' ??L2?tC y ' • " .' ` . „ . . , .. ,• ' R-- Val4 ,?. ....?,»,..?..,.. • ,J?'*""" . . , . . ? , . .; „ . ? • ,-- 3 c rt",r n ?t = e ci m 0.61 ?.?_.?...,.._:...._..---.- • s. ? * '' 1, c• '"` _..._......._.?.. _._......?.. .?° ,?.• ??, ,?„? r."" • ? ? ? '??? ?? ??? • ?• ?? ?q ?? ? ? ? . ? w ? H,?, .r . • ?• ? • + ?! Lj O??V • ', ? 0 ? ? 7•i'? 1 • ? ? -/M 4 !R? . ?• . . •. . • .. ' • .. ' . - • • .. • ! • ' ?,,y ? ? ? ' ? ??fT?"?7 '? , . , • , ? I.• intlRrior Ai.i' ?il1#1 ??? ??F??' -.....,._.... ,... ? ?IR?? • 3'? ?.`",?.'?' ' ? A., , 3 i } • ?+t . ' - • * • , 4 TofNPIl ? ? • ? . . ? • r ? _ - ? • ? ?? • ? * ? . . lt4. i3 • ? ' ? ' • (,.i «'? ???? • ,? - ' • '? ' i A ? II ? • e_ ? - ? t ?` ? ? . ' ? • ? ', • . ? - ? • '. • ' ? ' • • ? . f . . . . • . • . ' • ?? 1? ?f? ??? . _ • • • C?*A. ?'I!'?. ? 0.6? ?'. ' . . 3. ' ?-----?--?--*..*,'.............-..?----• 40 ? . 6 - ?*?.. . ... ???:? ???? . ? . . Y• ?, ? • ?• . ... . .. . . . . .. . ?? . - ' . . . , . ? " e " ? ? • s r • s • • r • ' . • ? • * .?'.t??+?' ? Q.61 Ft1«? ' • . 1. 49 ,?'L?r • ,.?.. ? _,, ? . . '?3. ,. ? . ., ?p ' •? ; :, . . - a . i ' , • • S. Qu?dtt ? r.?...t itn ; •• ' . • • . . : Tozk • ? . .??. 06' . . • • . . ' * -•• ?' ? ? ? ' ' '• , • .' ' • . ? ?• .r • ? 1??r'?+w????..w? ? ? ww • .?'?'• ' . • • ? ? -. °? • . • V? • ? ? ' v . 1. t lil?n O+ ' • . ' ???? ?? . .. . . .y - - . . ? .- • 3. ? .?w?:,?.=?----•- ' '*, ?: ?M•?MRt ? A ?•R - ? ?... . ?' ;. °;.;•.,?'`3?±? :: '''; , 4, f 17 ? • • s s,ircls s i1m .....?.. ?s. fz:'0`•. •.. • ; . • To,Esl : ••; ; ?••. ?. . •' • •. . . • ,?,' , . , . • ... . . • • ? + ?' ? . . ., . . ' • • ,? : •, •. .+• • ' ? ' • , • ? ? ? ` ?P??? ?" •' •• ;• • ???? p?a nck?itional sheets iE mo?'e • ?t-Vrt.'t'3? • • • '^"" VwdeJ fos Jet;1i.1f And c,1cuZatlons. ?. • . . '•• • • • •• ' • • . • ' ? A . . • ? . ? • ? ? { •? . * s • • . Clow up ' • . • ? ? ?, • ?. • . • . .? i? ?• ' ' tIf;. !7 • . • kroigi C{TY OF EAGAN 1992 BUILDING PERMIT APPLICATI4N C81-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month i whi h re uest is made or lot chan e is re uested once ermit is issued. { av Date / / Valuation of wor kcf0 Site catio : `? ??? y . Gv"?iC,t?_ - , STREET STE # Tenant Name• LOT ? BLOCK SECT kUJD. t'i?' - P.I.U. # Descri tion of work: The appl i cant i s: O Owner Contractor E3 Other (DesCribe) Name pkA ?-c L e_ Phone Property n r O LAST FIRST ` t? ` w e Address ff -"` ? ? STREET STE # 03 Zi ? p City State Company Q, Phone 3v) Contractor Address o License # City State Zip Company Phone Architecti Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. 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. Si t f A li gna ure o pp can ? ? -, OFFICE USE ONLY BUILDING PERMIT TYPE 01 Re side ' arages D 03 Two-family 0 04 Townhouses 0 05 Multi. Dwellings WORK TYPE -EL90 New i io tera ions TYPE OF STRUCTURE 0 06 Commercial 0 07 Industrial 0 08 Public Works 0 09 Utility 0 10 School .._.? V3 RemodelJ 0 94 Repair 0 95 Tenant Finish ? 1% 0 11 Other Structure 0 12 Demolish 0 13 Firepiace 0 99 Undefined Q 96 Move Q 99 Undefined 0 101-01/20 1 Family Res. 0 214-30 Other Shelter/Board ? 324-30 Office/8ank Q 437 Alt./Add. Non res. " 0 102-03/22 1 Family attached ? 318-30 Amusement/Rec. 0 325-30 Util'aties Garage ? 438 Alt./Add. Res. D 103-02/21 2 Family (duplex) 0 319-30 Place of Worship ? 326-30 Schools/Ed. 0 645-50 Demo 1-fam. 0 104-10/23 3& 4 Family ? 320-40 Industrial 0 327-30 Retail/Rest./Whse. 0 646-50 Demo 2-Fam. ? 105-10/23 5 or more Family 0 321-30 Non-Res. Pk. Gar. 0 328-30 Other Nonres./ Sheds 0 647-50 Dema 3& 4 fam. 11 213-30 Hotel/Motel 0 322-30 Service Station 29 N ure 0 648-50 Demo 5 or more ? 323-30 Hosp./Institution ? ... ? 649-50 Demo Other - GENERAL lNFORMATION Length f0? MWCC System Occupancy R- 3 Depth 21.67 ? City Water Zoning Sq. Ft. PRV Required Const. (Actual) Y-N On-site sewage Booster Pump (Allowable) V?? On-site well Sprinklers # of Stories APPROVALS Planning Building f.' Assessments Engineering Variance REQUlRED INSPECTIONS . 0 Site ? Footing ? Framin ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace SAC Description SAC X X SAC Units catculat;ons: 0100W1MMQiM%+ft'•• '? FeM ' r 5t? i%,i:3,oNG? Pt""emiT; 5 44 RGfiA 4ts'i"' * eu) i S Hert't,.p t,IC , €t,6Z.17e V.,AL H v A-c kFtNtSH ryla&+w09K'C.4A')Vr ,8y p w NiM a 1G.. 0o 10.50 ) yD?oo ? ?? () e Attention: Certp'--onstruction ?r ? - ? Pua?? ?8o-1g DELMAR H. SCHWANZ l.ANO SURVEYOFi$ InC. ? Registered Under Laws o/ The State o/ Minnesota 2978 - 145TH STREET W. - BOX M RUSEMOUNT, MINNES07A 55068 PHONE 612 423-1769 - ? rTSURVEYOR'SCERTIFICATE N. .> - ?00 i W QV o . ?U 130.6C? ?344 ., ? O ? aa ,?• ?.?zr \? Q o 67 o ; \ , % Z.o tib1 9' 2f ?r•. ,.,???j3ZZ ? \ O . N N ??p ' /o ^i? °?'? ?D `?? ? , ?? , a,n.SF /- . , r ? /? ? j ?? ? , ? ? ? ,, ??? ?- Q?) ,, ?^ ? ? ? • 'h? It-5 &` lev,? , \a 5z.? ? ql?t-? ? ?g . 9 '-?ti.?. LJ Proposed garage floor elevation 4 Denotes iron pipe monument 936.38 Propoaed top of block eleva,tion 0 Denotea aetback monument 2.75' Proposed lowest basement el.evation penotes proposed £inish Denoties direc;tion of surface drainaKe ?'?z? grade elevation I hereby certify that this ia a true and co;rrect re,presentation of a survey of the bmundaries of Lot 3, Block 2, C1;E0-, MaP EAST I'MIST ADnITI:ON, as on Pile and of record in the office of the Cou?:? ty Recorder, Dakota County, Minnesota. Alao showing the proposed location of a house not ataked thereon. As surveyed by me this 10 day of March, 19£33. Field check house location and riew elevations 02-12-92 ' I 1- E xisting elevations: 02-12_92„ ? . r -'1 ;.- . MINNESOTA REGISTRATION N0.8925 ? , ..._ { r ._., RESIDENTIAL BUILDtNG PERM{T APPL{CATION CfTY OP EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 Naw Conatruction Reauiremsnta • 3 rpistered sfte suroeys showing sq, ft, of lot, sq. ft. of house; and all roofed areas (2096 maximum lot coverage allowed) • Z copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculatrons • 3 copie,s ot Tree Preservation pfan if Iot platted after 711193 • Rim Joist Oetal Options selection sfieet (btdgs with 3 or tess units) DATE Z? Z2 2- ? ? RemodellReuair Rgquirements ? ? • 2 copies of plan • 1 set ofi Energy Gafculations for heated additions • 1 site survey for exterior addiGons & decks • Indicate if fmme served by septic system for additions YALUA?'ION ?(.' 7??. ?? SfTE ADDRESS yv?? ?`?cf? ? r?s/ Cl(,^G le- MULTI-FAMILY BLDG TYPE OF WORK. Veqr- ezf??- PIREPLACE(S) APPLICANT ? 1 A ) I !Y _N 0 1 ,_ 2 STREET ADDRESS j:kt,?2 J3 7J' S&:?;S'??6-! ?CITYZZSTATE wAOiP ?S -3y3 TELEPHONE # -?15.1 "53fv:3?.S3-CE4L PHONE # llz 221-03 S'? FAX # PROPERTY OWNER , TElEPHONE# ??g/ al- r.r........w.....a.........s.. .`m ..s.........r....................r......r..... m w...w..r...a..r.. CQMP4ETE THiS SECTi4N POR "NEW" RESiDENTfAI BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 7ny (d submission type) . Residendal Ventilation Category 1 Worksheet Submitted ` • Energy Envelope Cai culations Submitked Piumbing Contractor: Phone # Plumbing system includes: Water Softener Lawn Sprinkle' Water Heater No. of R.I. Baths r No. of Baths ? Mechanical Con#ractor. Mechanical system includes: Sewer/Water Contractor: _ A.ir Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 ----------------------------•-------------•---------------------------...--------------._._.------------------.._.._...._. I hereby acknowledge that I hqve read this appiica#ian, state that the information is correct, pnd agree to compfy with all applicabfe State of Minnesota Statutes and C+ty of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Tree Preservation P1an Received Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi Cl 03 01 of ` pJex ? 09 07-piex ? 17 Garage 0 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF CI 04 02-ptex ? 10 08-ptex O 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex O 11 10-plex 0 19 Lower Level CJ 24 Storm Damage ? 06 04-plex O 12 12-plex PIbg__Y or - N 0 25 Miscellaneous ? 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. 0 42 Demolish (Foundation) 0 45 Fire Repair ? 33 Alteration 0 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Repiacement •Demotition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Cade Zoning City Water SAC Units Stories Booster Pump Nbr, of Units Sq. Ft. PRV Nbr, of Bidgs LengtM Fire Sprinkiered Type of Const Width REQUtRED iNSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Final/No C.O. _ Footings (aadirion) _ Plumbing Foundarion HVAC Drain Tile Other Roof , Ice & W ater _ Final - Pool _ Ftgs _ Air/Gas Tests _ Finai _ Frarning _ Siding Stucco Stone _ Firepiace ^ R.I. ^ Air Test _ Pinal _ Windows (new/replacement) _ Insulation _ Retaining Wa11 Approved By , Building lnspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & 3urcharge Treatment Ptant Plumbing Permit Mechanical Permit License Search Copies Other Total Use BLUE or BLACK Ink r I I For Office Use I 1 Permit 1 City of Ea an 1 I Permit Fee: 1 3830 Pilot Knob Road q I Eagan MN 55122 I Date Received: -7' 3 I Phone: (651) 675-5675 I ~ I Fax: (651) 675-5694 I Staff: T_ L -----------------I INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: f~f4~0/ J Site Address: Tenant: Suite Resident/Owner Name: Phone: c~ Address / City / Zip: O ✓ G✓~4- Name: /74' License Contractor Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) Type of Work Sump Pump Repair Repair Other: Other: Description of work: ~~1~ ~✓IrIF' /~c~ a c=f2lc f i✓ Description FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org 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 the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x flr U c__ x / Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final Use BLUE or BLACK Ink For Office Use 1 I~ Permit City O Ea ACIR I Permit Fee: 3830 Pilot Knob Road 1 I j Eagan MN 55122 Date Received: 113 I I Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: I I 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~A!' Site Address: Cale- Unit Name: G~/^ Phone: Resident/ II Owner Address /City /Zip: 4~53 /C Code. Applicant is: Owner X_ Contractor Type of Work Description of work: 4/ZZ _ r Construction Cost: ! a Multi-Family Building: (Yes, No L) Company: e_ Contact: / Contractor Address: Lru~-ILl~-- City: /12111c~ 41 R~ e State: Zip: SSIZO Phone. Z~ Zi;~' ~Sl License* Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) M COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE;' Plans and s upporting docum eats that you submit are considered to;be publtc info 'a fon .r io` the information may be `classified as non public ~ffyou provide sp ecrfic reasons th7a wou d~ ermi c0rl Jude that they are"trade secrets CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.oro 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 the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State B ¢ must be completed within 180 days of permit issuance. r x Applicant's Printed Name Appli s ure Page 1 of 3 Use BLUE or BLACK Ink I For Office Use I I j Permit 4!1b~ I l City of Eap Permit Fee: I 3830 Pilot Knob Road j I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: V 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10/10/13 Site Address: 4538 Birch Crest C. 1'r Unit Name: Mark Krugger Phone: 651-470-6056 Residents 4538 Birch Crest Way, Eagan, MN Owner ` Address / City / Zip: Applicant is: Owner X Contractor Description of work: Re-Roof s Type' of Work a Construction Cost: $9,200.00 Multi-Family Building: (Yes _ i No X ) CompanY: Select Evergreen Contact: Jim Address: 1200 Centre Point Curve STE 200 City: Mendota Heights Contractor State: MN Zip: 55120 Phone: 612-290-5230 BC20547260 22743-1 g License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) The renovation will not disrupt 6 square feet or more of painted surface per room for interior activities, or 20 square feet or more of painted surface for exterior activities, and does not involve windows. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: . _e..... , - m, 9 ~~w Aw,': T.. . m_- . , _ NOTE. Plans and supporting documents that you submit are considered to be public information Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.por)herstateonecall.org 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 the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota ilding Code must be completed within 180 days of perimit W* x Applicant's Printed Name Appli s Signature Page 1 of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c))"F;G"'#,4%/%401'.,4 53C3-'2Z'';;!)G53C3-'2Z'';;!)G S\[;!T'F(;9G";GS\[;!T'\[""9":"! 7'/040?A'3%&-N$0+C0'/3'7'/3L0'403+'/,1'3BB$,%3,-'3-+'130'/3'/0',-M4P3,-',1'%440%'3-+'3C400''%PB$A'N,/'3$$'3BB$,%3?$0'=30' M'2,--013'=3>01'3-+'.,A'M'53C3-'K4+,-3-%01O *BB$,%3-\]604P,00 '=,C-3>40711>0+'#A '=,C-3>40 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA167037 Date Issued:02/19/2021 Permit Category:ePermit Site Address: 4538 Birchcrest Cir Lot:3 Block: 2 Addition: Ches Mar East 1st PID:10-17150-02-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Stove Comments:Please call for a Rough In and Air Test, prior to the Final Inspection. Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Mark L & Betty M Krueger 4538 Birchcrest Saint Paul MN 55123--190 Flare Heating & Air Conditioning 9303 Plymouth Ave N, Suite 104 Golden Valley MN 55427 (763) 542-1166 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167118 Date Issued:02/24/2021 Permit Category:ePermit Site Address: 4538 Birchcrest Cir Lot:3 Block: 2 Addition: Ches Mar East 1st PID:10-17150-02-030 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Mark L & Betty M Krueger 4538 Birchcrest Saint Paul MN 55123--190 (952) 513-7706 Glowing Hearth And Home Llc 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature