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1315 Deerwood DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1315 Deerwood Dr Lot: 2 Block: 0 Addition: Skovdale PID:10- 68700 - 020 -00 Use: Description: Sub Type: e- Windows/Doors Work Type: Windows/Doors - New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 Owner: Patrick F Jungmann 1315 Deerwood Dr Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Building EA087853 12/23/2008 ePermit CITY OF FAGAN Remarks Addition SKOVDALE ADDITION Lot ?? Blk 1 Parcel 10 687oo o20 00 streat 1315 Deerwood Drive stats Eagan , M 55122 NonBa- Improvement Date Amount Annual Years Payment Receipt Date r?STREETSURF. . •', 4,'4 STREET RESTOR. GRADING SAN SEW TRUNK 1 iF SEWER LATERAL 2211 1 4 WATERMAIN * WATER LATERAL & g?b9 1 ?} 20 WATER AREA ? STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 28 BUILOING PER. SAC 240 OO PARK CITY OF.EAGAN RemarkslAc• Charge additional sewer trunk when lat is connected. Addition SKOVDALE ADDITION Lot EA 2 RIk 1 Parcel lo 68700 020 00 oW'ner? ?'t JZIXn'f-?Ho• screec 1315 Deerwood Drive State EaSan. MN 55122 f-?o n5ct. Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING ilF SAN SEW TRUNK 3@@ IIOt SEWERLATERAL WATERMAIN WATER LATERAL ' WATER AREA / / STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ? ' _ CITY of EAGAN : BUILDING PERMIT Owee: ._11.?........ /?-1"""?' ." ........................................ Address (Precen!) ..? :....... ..<? ........................................ Builder ....of:.S:?i::......._ ............... ........ . .. .................. p- ....:.J..?... Addreu ...... 40..,G7..?.?...^..??.? ............:...?:?":•.?........?.T r. is N2 3348 3795 Piloi Knob Aoad Eagan, Micnesota 55124 454-8100 • a.:e .._7-? 3.- ?.??............. Stosieo To Be Ueed For Fron! Deplh Heigh! Eel. Coe! Permi! Fea Aema:ks 0.-'CY- -?, LOCATION / ?P-3 '_So 131s' A4,t,?? A9't-, I :) I b-c> This permit does aot authorise the use of sfreeffi, roads, alleys or oidewalka nor does if glve the owees o: his agen! !6e righ2 !o ereaie any cituation which is a nuisance or which preaenis a hazasd !o the heelfh, eafelp, eoavanieaae and geaeral weliare !a aayoae in ffie aommunilp. THIS PERMIT MUST BE EPT QN THE PAF.?MISE WHILE THE WOAK IS IN PROGRESS. This is !o cerlifY. !hal._...... .............. permission 3o ezee! ....`.?.. ......?..... 6 ....Q ....?..... _ ?pea .. ----' .... . ... . . the above described premise subjeci fo !h provisions of all applicable Ordinanaes for the Ciip of Eagan . ... ...................... .? .°-.? ....... y ?- ?......................... . par ................ ......................................... Ma or Huildinp Impaclos -6 ,;)- .Sk-odiJk?, TOtvN OF EAGAN 3795 Pilot KnoD Road St. Paul, Minn. 55111 PEEMT NO.: 52 The Board of Slipervisors hereby grants to Genz`Ryan Plumbing o£ RosemountiMinaesota 55068 a Plumbing (installing bathroom Permit for: (Owner) tir. Bigelow at Deerwood Drive _ pureuant to application dated August 26, 1970 Fee Paid: $5.00 Dated thia 26th day of August ? 1971. Building Inspector TOWN OF EAGAN 3795 Pilot Knob Rcad 21 St. Pault Minn. 55111 We?ffk'f T?Snching & Excavating Rosemount, Mi n. 55Q68 Ceptic TBnk The Board oP ervisors hereby grants to cf ' -? Bigelow - a _ _Deerwood_Drive Permit for: (Owner) at September 110j1970 $10.00 llth September 0 purauant to application dated Fee Paid: Dated this day cY ----•-------__._ -- ------ Btzilding Inapector EAGAN TOWNSHIP BUILDING PERMIT Owne: .................................. U ,n Addreu (Preseni) Huilder ....ktl.x°"" ................-?--°°.....-°'°---l-...... - --'- . . ..... Address ......c.?...lo...?.,?...?-'°,---V .i.Y.e..... b'..lt.?:-.?'.?.-....................... N° 2298 Eagan Township Town Hall Date ..... .......... ..'........ _. _.................. SSaries To Be Used For Fronf Depth 8eighf Esi. Cos! ' Permi! Fee Remarke I ;- "5? 1 /O. `v TION This permit does aot au2horize the use of sireels, roeds, alleys or sidewalks nor does it g3ve the owner or hif agent the righ! 2o eseate anp siluation whieh is s nuisance or which presenis a hasard 2o the healih, safetp, canvenieaae and general melfare to anpoae in the communifp. THIS PERMIT MUST SE`p KEPT ON THE PR MISE WHILE THE WORK IS IN PROGRESS. This is !o cerrifp. Shal.:?r:.:...?....^.:.'.:?_-'.........---'--_ .La.---.haspermission !o eree!-a---- ..........._"_"'-".._upoa !he above described premice subjeei !o the prov' iona of the Suflding Ordinance for Eagan Township adopled April 11, 1955. ............. T airman t nwn Soard . ................................. --lf ? ?p.? LO .• J Pez ................."'---.-'-'- /.!!?.^.:4r.C "... ........?.:...:'_'-' ........ ......... Building Impecior ,? i? &pGG S'f a ?c4, /6 / s>yr ('I`I'i Or^ FACAN 3795 Filot ?u.ob P,cad Eagw:,,, .4inne3ota 55122 PERRJi Iv'0.: 603 The City of Eagan hereby grants to Neil & Iiubbard 8eating & R/C Co. of 99 No. Snelling a IEATING ?ermit for: (o-,aner) Tuminelly, Inc. ai 1315 Deerwood Drine , pursu2nt to application dated 11/1$/74 , Fee Paia: S20•00 dated this 19th day of Nov. , 19 74 .5o s/c Building Inspector 29echanical Permits: Bid Total: .) - Jkovi?"9'2-e czTr oF KAcAN 3795 pilot Knob Road Eagan, blinnesota 55122 FERNIIT NOo: 507 The City of Eagan hereby grants to Doody, Inc. oi 1775 Selby Ave, St. Paul 55104 a vrxTt+hstxG _ Permit £or: (Cwr.er) R. Honsa at 1315 nnPinmod nrive ? pursuant to apFlication dated 9/10/74 Fee Paid: S5.00 dai;ed this 13th daf of Sept. , 1974 .50 s/c Building Inspzetor n.ecY:arical Permits: Bid Totals ? " VILLAGE OF EACAq WATER SERboCE PEl@RAEY ' - 3795 Pilot Knob Road PI(H111'IN(> - 1333 . Eagon, MN 55122 IMF 10/22/73 R-1 ' 0"IRIE. Burt Bigelow - , :1i1<Irc.ti r;ii<nddn:,.: 1315 Deezwood Drive PIu?nL? r: ROn Kissling Jt-yri Nu.: 22882154 l'onn("tio1i Cnarar.280.00 pd tim,5/8 ROCkWell A, count Deputilt 1$•00 pd N" 475509 Nermit Pe, 10.00 pd I agree 1o comply wirh the Vltloge ol Eoyon tiur hargi•, _ .50 pd Ordi.anees. Misc.l'hnrge.. 8•50 Pd lut.d: (iy D.ueNaid Unrro(Insp: In.p.- _ ... . __ _ bILLAGE OF EAGAFI SEW[Et3 yLRb061E pI?[qRql?' 3795 Pilot Knob Rood 2?01 Eagan, MN 55124 PER.MIT Np.: 10J?773-- , .IuninK: R-1 U.4"1'E: .. . _ i . _ . . O,vner - -- - - E. Burt Blqelow NO, °f Units? . -- - - Addman: - -.. - - ' _ _ 5;f,. :addi.,.y,: 1315 Deerwood Dzive ? - -- - -- - - - - - Ron Kisslin I'IumLer. _ 4 -?- I ogr¢¢ fo compl r with the Village of Eagan Connec[ion Char e. 240.00 pd o.a,nonce, R _ _ - . Account Deposi[?. is.oo a P Permit F'ee: 10.00 pd Surch.irRe: - 5 ? Pa IIy: _ -- -- _ _ _ _ _ Daie of lnsp.: _ Misc, Charges: _ -- -?---- --.. Ibtal: Insp.: --? -? --?--- - -- - - -- _ - Dx[e Paid: ? I ? .\ i ? ? OCT-16-2008(THU) 10:50 Dakota County PDD (fRH)9528917000 P.002/002 -C5, ? C O U N ,,? WATER RF_SOURCES OFFICE GROUNDWATER PROTEC710N SECTION 14955 Galaxte Avenue • Appln Valiey, MN 55124 952.891.T557 • Fax 952.891.7588 • www.co.dakoCa-mn.u5 MUNICIPAL NOTICE UF WELL SEALING PERMIT DATE: October 15, 2008 TO: Tom Colbert/Wayne Schwanz (EM) RE: Wcll Ycrmit #: 08-II275305 MuniCipalt[y: Eagan Tax #: (651) 675-5694 ,??.LJ f APPLICATION Wcll Type: DomesEic Wuter Re.cources Spccialist: 03sCn The Dakota County Water Resources OCflce has received the following pernut applicalion for the well described. If you rcquire furrlier revicw of the application or i F you have nny qucsqons or concerns about it, oonl:tCt the Water Resource Spccialist listed above or our office at (952) 891-7557. If there is no Ycspons'd Gom your office witiun ?A IIp[JRS (excluding wcckends and holidays), we will assume fliat you have no objections to the issuancz of the permit. Plcasc note that permit issuance is always canditioned on the permit upplieant's observance of and compliance with all applicabie st3te, county, and municipal laws and codes. Wcll ContracEor: Datc AppliCation Reccivcd: Anticipated Drilling Date: Anticipatcd GrouHng Datcc Yropcrty Owner: Wc0 Owner: WELL LOCATTON: E.H. Renner & Sons 10/15/2008 Rober[ Honsa Robert FIonsa Timc: 'fime: PLS Coordinates: 1/4, SE I/4, SW 1/4, NW 1/4, Scc Town Rnnge Strcct AdJress: 1315 Dettwood DR P1N Numt>er. 106870002000 WELL !N'FORMATiON: Diametcr: Casing AePth: Total Depth: Smtic Water Levcl: Aquifer: COMMENTS: Property Owner Assessing Sales . PIN: 306870002000 PID: 106870002000 Year Built: 1970 Sale Year: 0 House#: 1315 WII Name: ROBEkT &]EANEfTE HONSA Land Value: 121900 Shce MonM; 0 Screet: DEERWOOD DR ALtlress 1: 1315 DEERWOOD DR Buil4ing Value: 216900 Sale Value: 0 Apt: PdAress 2: To21 Value: 338800 Sale Taz: 0 Zi0 Gode: 551230000 Ctty ST: SAINT PAUL MN 55123-1927 Net Tax: 3394,56 Lot: Z 7otal7az: 3344.56 Plat: SKOVDALE ADDITION Zoning Lsgal: qLL OF LOT 1& E 112 OF 2oneCatle R-1 [sa?] Zme DesC Resitlential5in91e LantlUSe Cotle: LD LantlUSe cesc La" censRy (04 unlts/acre) (35?? 711 C I T Y O F E A G A N CERTIFIED LISTING OF POSTPONED SPECIAL ASSESSMENTS LEGAL DESCRIPTION: ? Skovdale Addition All of Lot 1& E? of 2 COUNTY IDENTIFICATION NUMBER: 10 68700 020 00 POSTPONED SPECIAL ASSESSMENT: Water Area Assessment Pursuant to M.S.A. 429.061, Subd. 2, as amended by the 1980 Session Laws, Chapter 560, Section 5, I hereby certify that the City o£ Eagan has approved the postponement of the special assessments as set forth above on the:property described. Dated this e? D ,'E} day of Zy,yt e _ 1984 .. EXEMPT FROM STATE DEED TAX STAMPS This Document Drafted By: City of Eagan 3830 Pilot Knob Road Eagan, MN 55122 •• --?w Exempt State Deed Tax ? ?akota CounTy reasurer 2A E.J nOverbeke Cit lerk/Finance Director Certificate :E.,J. 4anOverbeke, City Clerk of the City of Eagan, do Hereby certify;tliat':the foregoing is a true cooopy. ?. . - City C erk , : .... _ 3? 4 65?3'711 STATE OF MINNESO-W County oi Dakota ss. Office of Cou+iry Record2r Th15 IS tJ Cofti'fy li?@4 i.l';e vvii:hin IfISIfUfI'7Ht WaS'il1AU fUr C@;GYli i71 thi5 0`:'3 E` N^S '? s, ril day f ;;.'J. i9 a 'clock- "A., and : ;.?t the same was ?uiv recr,rdeci i,i Dakota County r"-cords. JAMES N. DOLAN _ Cou kec•?rder j By r '-02J Deputy `?. ?zi_ 'I'le L/-,-, ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN ' 3830 PILOT KNOB RD, EAGAN MN 55122 651•881-4875 New Conatructlon Beaulramenm pemoAeVNaoalr Feaulrements • 3 regisleretl site surveys ahawing sq. iL of bt, sq. fl. of house; and gll roofed areas • 2 copies ot pian (20% maximum bt coverage albwed) . t set of Energy Cakulations tor heated addRlons • 2 copies of plan showing heem & window sizes; poured found design, etc.) . 1 stte survey for etlerior add'Alons & decks • 1 sat of Energy Cakulathns . Indkate il home served by septic system for addttions • 3 copies of Tree Preservatbn Plen 0 1of ptatted aRer 717199 . Rhn ,bist Detall Optbns selecNpn Sheet (bidgs wilh 3 or less unfts) ? DATE ' 8 u ` ?- ?o c' ? VALUATION WLi9c, O SITE ADDRESS MULTI-FAMILY BLDG _ Y ?N ? NPE OF APPLICANT o (? S FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS 13(6 2CITY C2 qVf STATE AN ZIP TELEPHONE # 7,-3 hil& CELL PHONE # ? -FAX # - PROPERTYOWNER l\aC??„yT ?, ?C,?? TELEPHONE#? --°°------------------ ° °------------------------°------------------------°-----------°° COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNFSOTA RULES 7672 (4 submisaion type) . Residenfial VentilaNOn Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calwlations Submitted Plumbing Conhactor: Plumbing system includes: Mechanlcal Conhactor: Mechanical system includes: Sewer/Water Conhactor: -- Air Conditioning ? Heat Recovery System I hereby acknowledge that I have read thls applicatlon, state that Is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan 1 rain ces. Sigrwture of Appllcant OFFICE USE ONLY _ Water Softener ? _ Water Heater _ _ No. of Baths _ Phone # I,awn Sprinkler No. of R.I. Baths Phone # Phone # Fee: $90.00 Fee: $70.00 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 ? //0 O o ASSGSSMENT llGFGRRAL ACREEMENT This Assessment Deferral Agreement ("Agreement") is made this (8 -rN day of APRri- , 2000, by and between EVAN CIIRISTIANSEN aud RU[3Y CI IRIS"C1.4NSGN. husband and wife. (hereinafrer "Landowners"), and the CI'I'Y OF EAG.AN, a Minnesota mwnicipat corporntion (hereinafter "Citv") (hereinntter collectively mferred to as the "Parties"). WHERGAS. Landowners are the fee o"ners of unimproved property located in dle City of Eagan, County of Dakota. Staze of Miniiesota and legall?described as: Lot 2 of Skovdale Second Addition (hereinafter thc 'Prupcrt)'"). WHEREAS, as part of Public lmprovement Project No. 738 (hereinatter tite "Pruject"), d1e Property Nvas asscssed furthe follo\cin-: Improvement Amoimt Water Lateral (hereinafter the "Water Lateral Assessment") $1,85596 Street (hereinafter tlie "S[reet Assessment") =4.000.00 WHEREAS, the Landowners request that the Cit} defer the W1ter Lateral Assessment witil the Property is developed and connected to Ciry sewer and water services; and 4VHEREAS. the City is willing to dz(er the Water Lateral r\ssessntent as requcsied b} Landowners all upon the terms and conditions contained herein. NOW, THEREFORE, in consideration of the mutull promises contained herein and odier good and vnluable consideration, the receipC and sufficiency of which are hereby acknowledged. the Parties do hereb}' agree as £ollows: 1. The Street Assessment shall be immediately levied and shlll be payable in equal installments over a 15-year term at the rate of 6 Y% per annum. First installment payable with 2000 propeRy taxes. } The Water Lateral Assessment shall be deferred with interest at the rate of six percen[ (6%) per annum and said defernteut shall end iY the Property is developed and connects to city sewer and/or water services or until llecember 31, 2029, whichever occurs first. Then Che Water Lateral Assessment, or the then prevaiting rate for wa[er connection charges, whichever amount is less, shall be immediately payable. 3. The Landowners hereby waive thcir right to object or nppeal the Water Lateral Assessment and tha Street Assessnrent pursuant to Minn. Stm. §429.081 and fmther waive notice of hearing on dlis Agreement. This Agreement shall be bindin?, unon and inure to the benetit of tlle Parties' heirs, successors and assi,,ns and shall nm with the Innd. (O Evan Chrishansen Rubv .hnstianse? C[Tl' Or E.\G:?N: 6y: ?- /'? ? ? ?, Patricia E. Awada?- [t?: Ala?vr By: E. anOverbeke I[s: 'lerk STATE OF MINNESOTA) )ss. COUNTY OF DAKOTA ) The foregoing instrwnent was acknowledged before me this /6fLday of [? •d?, 2000 by Evan Christiansen and Ruby Christiansen, Inisband and wife. -"?? . JUDY M JENKINS # ?, a;0ia,rc? Ruc-ht?;a^??soTn 200 ?? ?,?y Comrtduion FxpiRS Jan.31.2W5 V ? ? STATE OF MINNESOTA) )ss. COUNTY OF DAKOTA ) The foregoing instniment was acknowleciged before me this / Nl..day of '-t? , 2000 by Patricia E. Awada and E. J. VanOverbeke, the Mayor and Clerk of the City of Eaean, a Minnesota municipal corporation, on behalf of the municipal corporation. ?. ' Nntar}? lic APPROVED AS r0 FORM: ? v -1 - City Attorney's ffice ,,.Dated: '{-15'e.`0 APPROVED AS TO CONTENT: f? a. v1)99i?b Public Works Departinent Dated: ¢-(0 -00 THIS INSTRUMENT WAS DRAFTED BY: SEVERSON,SHELDON,DOUGHERTY'& MOLENDA, P.A. 7300 West 147th Street. Suite 600 Apple Valley MIV 55124 (612) 432-3136 (RBBlkmw 9206-1 5857) Project #738 411? Clty 0? ?apll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ----------, ? ------ ? ForOFlic?sU , I I Permit #: Of 07q r ? I ? Permit Fee: I ? ? I Date Received: ? I n? ? ? Statt -----------------I 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 10.1 Pj /? p£ Site Address: T7,r TenaM: Suite #: RESIDENT / OWNER Name: -Rn)?ae?('?- ?OnS tL. Phone: Address / City / Zip: 131'rJ 17-P PV ?? L7Y. CONTRACTOR Name: K•A • K License Address: 1-?!)o I JT- City: SOL>W1 !5+ . p? i) i State: M .? Zip: 5 SD `jS Phone: (45I?4C7-I--3jnC` ContaclPerson: ne.{-46 k6YY'115? TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESIDENTIAL Water Heater _ Water Softener Lawn Irrigation Add Plumbing FixRUres (_ RPZ /_ PVB) (_ Main _ Lower Leveq ? Septic System _ Water Turnaround New -KAbandonment RESIDENT(AL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 58ptic Sy5t2m New ($10.00 per as built) (includes Coun[y fee and $.50 State Surcharge) $90.50 Fire Repair (replace 6urned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ ? I hereby acknovAedge that this information is complete and accurate; lhat the work will be in corrtormance with the ordinances and codes ot the Ciry of Eagan; that I understand this is not a permit, 6ut only an applicalion for a permit, and work i not to sta wilhoui a permit; that the work will be in accordance with the appioved plan in the case of work which requires a review and approvo lans. i X iGei-?h Kamish x ApplicanYs Printed Name ApplicanYs ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground _Rough-ln _Air Test _Gas Test _Final 777' City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(651)6T5-5694 ?----------------- ? 'EorOffic'e`se . __..:. __...._.. .v ?^?-' ? Permit #: eU?--? ^' _ ? I pertnii Fee: I I ? Date Received: ? I I ? Staff: I i 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: f 1? Suite #: RESIDENT / OWNER Name: Phone: Address I City I Zip: ?? (?D Applicant is: _ Owner K_ Contractor TYPEOFWORK Description of work: Construction Cost: Multi-Family Building: (Yes No CONTRACTOR Name: License#: Address: 2- o?c j- - City: Rasf (L,&S State: Zip: S Jd > 75 Phone: Contact Person: `YpZ) :?eyo_l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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 Contrector: Phone: NOTE; Plans and supporting documents ihat y'ou submiE areconsidered to be public information. Portions of the information may be classifieii as non-pu6lic if you provide `specific reasons thaf would permit the City, to - ?? conclude: fhat the are trade secrets. I hereby acknowledge that this infortnation is complete and accurate; that the work will be in confortnance 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 antl approval of plans. x 1z??V-, x ApplicanYs Printed Name ApplicanYs Si ture ? (A( i??- L Page 1 of 3 iqa i c? ??. w p-1eL Clty Of EBlaIl 3830 Pilot Knab Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675fi694 '6D ? 1?` ? Forotficeuse - -/-?------- - I / j Permil#: ` V?J?T j V_ ? Pennit Fee: ?3 ? Date Received: ? I I I StaN: I i 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7'-/O ^0/ SiteAddress: ??/5- Dee'?-L(Joocg L/F/. TenaM: Sui6e #: RESIDENT I OWNER Name: GU7/7 Phone: bSI 4.1-a 07? Address I CityI Zip: ??J? 4/??Y! P?GYJCL E,r ApplicaM is: _ Ovmer ?/Contractor TYPE OF WORK Description otwork: Agaku ?j?-? ? Co s?frGction CosT. e: -,S , Mu1G-Family Building: (Yes _! No V-?) CON7RACTOR Name: License #: u ois esign 'C, ri?;!no e mg, nc. naaress: R i l E ! B i,^ °^..•` e n :i,, , as r ati: Hastings, N1N 55033-9146 State: Zip: Phone: b.J 14 Contad Aerson: Jt°?' E v/ak, - 7 « 33 V J3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Venlila(ion Categay i Worksheet • New Errergy Code Woilcsheet CatCyOry Submifled Submitted (4 Submission type) • Energy Envelape Calcula[ions Submiried In the last 12 morMhs, 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: Licensetl Plumber: Phone: MechanicalConVactor: Phone: 5ewer 8 Water Contractor: Phone: NOTE: Pfans and supporting documents that you submii are considered to 6e publlc informaHon. Portioiu.of, ; the intormation may be classiSed as non-public # you provrde specik r8asons that would pemrit fhe City to ' conclude that the are bade secmts. I hereby acknowledge iha[ this iMOmation is oomplele arrcl accurate; that the xurk will be in ooMormance wifh the oNinances and codes M the Cily of Eagan; ihat I understarM tliis is rwt a pemid, buf oMy an applicafion for a peimit, and arork is not to slart without a pentiit; that lhe work will be in accorclance with the approved plan in the case of work which requires a review anUApp*aFMWs plaris. xJC?Y?C\\t?U?aS ApplicaM's PriMed Idame Signah+re Cl I Page 1 of 3 8,700 oaa oo -? skovda,,le. .¢dd n MASTER CARD STRUCTURE AND LAND USED AS Qd?y? Permit No. Issued Issued To Contracto I Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK ' p ?f -.-?- _ f ?O ciy . ?.-- VJELL ELECTRICAL HEATING GAS INS7ALlING SANITARY SEWER OTHER OTHER I Items Approved (Initial) Date Remarks Distance From Well FOOTING ? SEPTIC FOUNDATION FRAMING ?--? ?-? 1-. _-?.i ? -?F 1= CESSPOOI TILE FIELD fT. FINAL ELECTRICAL - - - HEATING - ? DEPTH OF WELL GAS INSTALLATION ' SEPTIC TANK CESSPOOL DRAINFIELD ? PLUMBING WELI SANITARY SEWER Vio!ations Noted on Back COMMENTS: /D 6iI700 oso aa s ko ? d?l e. ?i?dd? MASTER CARD ? OWNER ?e e r u) o otD AS STRUCTURE AND LAND USED AS i- Lw ?? lo • 10 Permit No. Issued Issued To Coniractor Owner BUILDING PLUMBING ??? ??- /3 7 a A CESSPOOL - SEPTIC TANK ? WELL ELECTRICAL I HEATING GAS INSTALLWG 417 I q,}6-fp e. ?,?? SANITARY SEWER OTHER I OTHER I Items Approved (Initial) Dafe Remarks Distance From Well 'OOTING TI c 0 FOUNDATION ? CESSPOOL FqAMING TILE FIELD FT. FINAL ELECTRICAL HEATWG _ GAS INSTALLATION ? ? 1YI?U DEPTH OP WELL • SEPTIC TANK CESSPOOI ? ? DRAINFIELD PWMBING WELL / ZS I 3 SANITARY SEWER , l ,p DD Violations Noted on Back COMMENTS: J For Office Use I U ::::eeof Ea au : 3830 Pilot Knob Road Eagan MN 65122 Date Received: Phone: (661) 675-5675 Staff: l Fax: (651) 675-5694 i 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: /31f 1 A-ajdd~-~e.- L) Tenant: Suite d 7 RESIDENT I OWNER Name: ~ ~ JGl/7 A.1a1 /?Phone: 4621 51 4_43a Address/ City/ Zip: 13i6 00Ce Or Applicant is: Owner ?Contractor TYPE OF WORK Description of work: e "dooc an Cofts ruction Cost: 5 022 Multi-Family Building: (Yes /No W"') CONTRACTOR Name: 1-iSo LW Bois Design & „ modeling, Inc. License Address: 1vzv1805 Point i e South -r--vrr~-~... ~ ; City: Hastings, N1N 55033-9146 State: Zip: Phone: 160 0944 Contact Person: JF'k 6 lo1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category I Worksheet • New Energy Code Worksheet Category Submitted Submitted ('1 submission type) • Energy Envelope Calculations Submitted 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 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. 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 appro f plans. r I.N x Jar Applicants Printed Name ~nt's Signature Page 1 of 3 r - - - - - - - - - - - - - - - For Office Use I • Permit 1~~ City of Ea a~ 1 I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Z L CJ~ Site Address: Ill J ~J~ ~-t w' Tenant: Suite RESIDENT / OWNER Name: Phone: Address/City/Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: 4 License Address: U/ x. City: ~fasf ( State: t VI Zip: _5S03 Phone: `LLB _SF 2 I Contact Person: PVC ~I~l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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 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. 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~t~ I~_~w1 x Applicant's Printed Name Applicant's Si ture Page 1 of 3 Pc, 1~~ L Jae For Office Use I Permit City of Eaall Permit Fee: 7 1r,--7 l 3830 Pilot Knob Road Eagan MN 55122 Date Received: L j Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: L 2009 RESIDENTIAL BUILDING PERMIT APPLICATION C/l Date: Site Address: IS I Jrworx& F -q-oq ET E. Tenant: i C_ (-t fl Vv~ CA- Suite RESIDENT I OWNER Name: O. In vi Phone: (P5(-Y5~ p?S , Address / City / Zip: I 15 'e IWOO Applicant is: Owner Contractor TYPE OF WORK Description of work: R p laGellM-PVd 1 I X C l0 rC k (3scacoi ) Construction Cost: Z0,5(.e I Multi-Family Building: (Yes / No ) CONTRACTOR Name: gds LhSe(Aor" e S License 2O 0- ©tf S (n Address:? ~e2 7 (~4uc1~Q 1 City: 4a State: W k) Zip: Phone:L (`32-q- (QZ~ Contact Person: bC[ CIVI-Q Na~O COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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 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. 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. XbMIA'e Dugn,~ Applicant's Printed Name C )l ~}yg7ph cpMfs Signature u I~ Page 1 of 3 JUN 3 200 . `T DO NOT WRITE BELOW THIS LINE SUB TYPES - Foundation Fireplace j Porch (3-Season) - Storm Damage Single Family Garage - Porch (4-Season) - Exterior Alteration (Single Family) - Multi - Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) - 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New - Interior Improvement Siding - Demolish Building* - Addition - Move Building _ Reroof Demolish Interior Alteration Fire Repair _ Windows Demolish Foundation - Replace - Repair _ Egress Window - Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 0200o'-, Occupancy . t C`1 MCES System Plan Review Code Edition yPVl Zoe 1 SAC Units (25%_ 100%_) Zoning City Water Census Code t' 3 Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water _Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath Stone Lath -Brick Fireplace: _Rough In Air Test -Final Windows Insulation Retaining Wall Meter Size: Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee X lS ~?f3 ~9 FT Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 TUN1-5-2009 12:23P FROM:DUBOIS 16514803062 70:6755694 P.2'2 t? (`j (eerw oocL r"i / j w a apt, M~J S5iZ2, ;r t 0 o~~Z ~acc~n 1 c EAGAN REVIEWED BY: DATE: S G-!+; on P & JtcJ4 BUILDING INSPECTIONS DIVI ION Dcerwoodt, br;Ve i t iri. r-o O V?A t ?a P~-~ 1 1 0c)+ T d W `4 Permit Page G-3 Sun Room Concepts 2x6 & 2x8 THERMA DECK FLOOR PANEL SINGLE & DOUBLE SPAN TABLE STANDARD SIZES 4'X8' 4'X10' 4'X12' 4'X16' SRC 6 1/2" THERMA DECK Panel Configuration Top Facing 1/2" Plywood Core 5.5" Polystyrene Bottom Facing 1/2" Plywood t~ Live Load on Panel - 40psf 4§ Panel Single S pan Double Span Deflection L/240 12.2 27 L/360 9.7 19.4 (L/360 RECOMMENDED FOR 11LE FLOOR) Span Length in feet governed by LL+DL deflection Material Properties Polystyrene Core Density 1.0 Ibs/ft^3 Plywood Shear 20 psi Modulus of Elasticity 1,300,000 psi Shear Modulus 620 psi Tensile Strength 1,200 psi IVl'odulus of Elasticity 200 psi Compressive Strength 1,100 psi SRC 8 1/4" THERMA DECK Panel Configuration c o Top Facing 1/2" Plywood Core 7.25" Polystyrene c J 2 m Bottom Facing 1/2" Plywood ~o•n~ Live Load on Panel - 40psf a a) co td 49 } EG C c: Panel Single Span Double Span co _ Deflection C l L/240 18.5 49.4 ovcp1° L/360 15.2 40.6 (L1360 RECOMMENDED FOR 11LE FLOOR) cv c cd .0 E SQ as Z a7 i? a) Span Length in feet governed by deflection O Y a?a) 0) CL 0 v,d(n a Cl) o Material Properties Polystyrene Core Density 1.0 lbs/ft^3 Plywood Shear 20 psi Modulus of Elasticity 1,300,000 psi Shear Modulus 620 psi Tensile Strength 1,200 psi Modulus of Elasticity 200 psi Compressive Strength 1,100 psi 10/18/05 O f m ROOF PROJECTION 2'-0° CLOSURE PROJECTI0 O.H. 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O r -n CD q V\j C~ C~ :v X70 700 ;0 f*t U) M NAM ' N ° N c 0 _0 n ~ n .P n ~ M M 0n r0 0 0 M ZM KO ZM D O WO z o WO l+J W O^ N'~ C7 '1 N -ice ~fANO X1 wD YO ZO M OO~OZZF O p M N 'p Z Z N M x . r D Dr O O N LO- )Yr -ar ~1 MD II O°CKKZ D M _ N O D W O z ;0 \ \ D C D n pOpp tv ACS TZ Z 0 $mD 'n jo -n M -n M 3: n~ r > LA 0) CO ;0 E: 0 n (no0myz pm M \M Z me Or-O 0 *i ~N p -nM>0D N OW Cn 0 N N 0000 0 V rn -i N-I If 0 if D D 11 O _ CO 1 7-1 o w OOOoG -0 M 0 N N O O X70 N -n M -n LA M r- r- LA ~1 0 M 11 TI II Z X' Z x II 00 fTl -rl O O C t0 O > -i CO N O 0 II N N 1'j l-' C W r °i CO D © p o _I \ VI 4 CO rn "0 Z 0 Z 0 0 r- I O K U) z m c-'n crn M> z z R1ZOC) n =mm MDO00 / m 0 0 ;0 - z U) > C) LO z 0 MO QOM O rr-ZCO I hereby certify theft this plan, specification, or report was prepared by me or under my direct supervision and that I am a duly Registered Professional Engt +iT.WprVN3i c>f tip Sf L 29/09 FILE SRC-AJ-JUNGMAN DATE: 05/29/09 4qB A. W alz DEALER: SUN ROOM CONCEPTS a S46t1 JUNGMAN ENGINEERING Da lV WALZ ENGINEERING LLC 11111 HALL RD., SUITE 110 ER A. WALZ P.E. DRAWN BY: JON GURA SCALE: NONE UTICA, MI 48317 PHONE: FAX: (586) 323-1645 vV -0 U) Cn CIO r-- Z -I (Tl 0~-i~ : ` >00 C 0 -1 z c D N CD ;U N O CD X O m o = DXP 0co D0-P D 0 v P N n -P O Z C/-)rN X TTHE~ 0 ~U M ---I .00 I -;S7 y 0> 00~ X CCDD~ n 0 m -P x 0 IT 0 DOD X70 m~ 0 -P10 C/) r- m a 0 Cn 00 C N CO M zC') CN x x -0 Cn> M7,- M =nom 0 0 O N x y m 0@P =-P =n ~ m ---j C-) N ° _H -T M 0 C) 0 I hereby certify that this plan, specification, or report was prepared by me or under my direct superon and that I am a duty Registered Professional rT er~iQNFaWs Af'e d 9/09 FILE SRC-AJ-JUNGMAN DATE: 05/29/09 R rtA. Wa~z 1 t=j JDEALER: SUN ROOM CONCEPTS 4- - - - Cj 1 UNGMAN ENGINEERING 3 (Sr^ pdP PA WALZ ENGINEERING LLC - 3 11111 HALL RD., SUITE 110 RT A. WALZ P.E. DRAWN BY: JON GURA SCALE: NONE UTICA, MI 48317 PHONE: (888 26 - FAX: (586) 323 1645 PERMIT Permit Type: Mechanical City of Eagan Permit Number: EA105802 Date Issued: 07/31/2012 Permit Category: ePermit Site Address: 1315 Deerwood Dr Lot: 2 Block: 0 Addition: Skovdale PID: 10-68700-00-020 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) Comments: 445-2840 Ashley Orman 130 Plymouth Ave N ME - Permit Fee (Replacements) $55.00 0801.4088 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Standard Heating & Air Conditioning Patrick F Jungmann 130 Plymouth Ave. N 1315 Deerwood Dr Minneapolis MN 55411 Eagan MN 55123 (612) 824-2656 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:EA114098 Date Issued:09/11/2013 Permit Category:ePermit Site Address: 1315 Deerwood Dr Lot:2 Block: 0 Addition: Skovdale PID:10-68700-00-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . William Krech 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 - Patrick F Jungmann 1315 Deerwood Dr Eagan MN 55123 (651) 452-0756 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature av \ _ i� Li • 1 `_ ��� Waglluml ��■■■■� ioT�" IIMINIMIIM MIMI MINIMIllriiiiiiMadMMWK. M■■ ■■■■■■■ MIMI NIMMOI 1111.11.11 ■■■■H Elm InurammommummumminroliMEW momm..:■■�■■■■H■� IIIIIIMMINIMMIOMO MEM 10711111�T ■ e■■�■■■�■■■�■IIIMMIMINNIMMIMMMONIMINN- mowimommomnommon isumniumwommommume:asamarare WinONIMENINOMMOIMI1O1 II MOpaimummusi NE IMOMMOMMIMIM IN MII II, , ! , , AIIF r, NI Lidimplumg,„„:„„,!! 4_,' • ' ' • • El AVIllitinr 4_14_4_1_4_1_1_ i MEM- MINMENVIUMMLIIMMINIMMMIMMIMINNOMIPP"- _■■s■■■■■■■ ��' IIII■■■�■■■■■■■ /l�uJooD �L ,� 1, EAGAN i r e For Office Use % t •• :::: /5-..J 0. _ �``. 6 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: 5'ar5 -17 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Email:buildinginspectionstacitvofe an.com Staff: Commercial Plan Submittal:eplans�('a citvofeaoan.com L ___J 2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: -`' b-- VISite Address: ' �� b.' ,!`\.(\f Q. e-\ vs..„ Tenant: Suite#: Resident/Owner Name: 0,„,\-- - h("i cr,Y"1 f. \,,. Phone: ( 5\) Lk(; ..--- Address/City/Zip: \1) 1 :-- . r) el, • Name: ,...:-,--..5 ` Y\i` t i t `' f License#: i M 1" '�)C "" Address: ' 7 s� 1�tY ' '_ j4 "' „ 1 � f t Contractor5 , -t city: ` . Stater Zip: J - Phone: I 1 Contact: V\ `'‘A\ 'v Email: y.t \ \ h RESIDENTIAL ®_ (i t1-,\ . C .- _Furnace Air Conditioner Permit Type —Air Exchanger _Heat Pump 91(Other ' Gr+ S1 .... V\--.�r ^, \ .0:\-C----(....,' New Replacement Additional Alteration Demolition Type of Work ,' Description of work: 1 , i,. C �c.� �-K RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge ( (^� $100.00 Residential New,includes State Surcharge =$ h ,t . `1 TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeactan.com/subscribe. I hereby acknowledge that this information Is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permitd work is of to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a r vie 'and a r val of plans. --77., --- ,, x -..\CA\ '.b (.1\ --(7 Applicant's rin Name 7x Applicant's Signature -. FOR OFFICE USE Required inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final PERMIT City of Eagan Permit Type:Building Permit Number:EA157194 Date Issued:08/08/2019 Permit Category:ePermit Site Address: 1315 Deerwood Dr Lot:2 Block: 0 Addition: Skovdale PID:10-68700-00-020 Use: Description: Sub Type:Fireplace Work Type:Gas Insert 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 - Patrick Tstes F Jungmann 1315 Deerwood Dr Eagan MN 55123 Pixley Sweeps, Jack 8201 Central Ave NE, Suite H Fridley MN 55432 (763) 422-0481 Applicant/Permitee: Signature Issued By: Signature