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4536 Lake Park Dr f k Use BLUE or BLACK Ink Flo r Office Use I • I _ I I G C Permit qe~ I City of Eapn 1 J~ I Permit Fee: 3830 Pilot Knob Road -,~5 l!i Eagan IVI N 55122 X11 Date Received: ~ I Phone: (651) 675-5675 Staff: I Fax: (651) 675-5694 I - - - - INFLOW & INFILTRATION PERMIT APPLICATION Plumbing I Sewer & Water Date: t( Site Address: 3 <o Tenant: Suite # /0 Phone: 44 7~ 7 O Name: --r-0 Cla, RESIDENT/OWNER Address/City/Zip: S3 G .tom A~j 9~ , laa Name: / f ~.S,C IQ-1j,' / <LSM d License el . / 5-l 5- Address: City: 4~E4 ~sC7y CONTRACTOR State: ~ Zip: Phone: Contact: 0V.1 ' e- Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK ~ Sump Pump Repair Repair Other: Other: i Description of work: 4DESCRIPTION A FEES $55.00 / 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.cityofeaaan.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.gopherstateonecall.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 / d` tom. V t u, x Applicant's Printed Name App rcant's Signa re FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final 3830 Pibt K ! 1 Z O R G A ' 1? ? nob oad P.O. Box 2 - 1 9, Eagan, M N 55121 . PHONE: 454-8100 - ? BUILDING PERMIT Receipt# 7o be urpd ror Si DWr./GAR Est value $A? ,000 Date JULY 1 , 1g 86 SiteAddress 4536 LAKE PARK DR Erect Occupancy R3 sub. LAKE PARK SHORE)'emodel O Lot 9 slock 2 sec Zoning R1 ? Parcel No. Repair ? Type of Const 3.9F} Addition ? No. Stories W Name BLILIE CONSTRUCTION CO N?ove ? Demolish ? Length 47 Depth dq ? Address 644 SUPFRIOR CT o Int. Impr. ? Sq. Ft . city EAGAIV phone 454-1438 Install ? o Name `?'`? Approva la Fees ? oQ Address Assessment ? Ci Wat r & S w Permit $ 394 . 00 e 43.50 Surch r . e e ry Phone li P g a 0197.00 Pl R i ¢ o ce ? W Name Fire an ev ew SAC 575.00 FC 3 Address Eng. Water Conn. 500.00 g W Ciry Phone Planner Water Meter 63.50 Council I hereby acknowledge that I have read this application and state that the Bldg, Off. Road Unit 290.00 Tr. PI. 156.00 information is correct and agree to comply with all applicable State ot Minnesota Statutes and City. Eagan Ordinances. . APC ? ' ParkS " ii ;- / ? ? Signature of Permittee ?' ?Var. Date ` ?- Copies $ QQ , . Total A Building Permit is issued to: BLILIE CONSTRUCTION CO on the express condition that all work shall be done in accordance with all applicgble State of Minnesota` S3Atu3es and Ciiy of Eagan Ordinances. I I IPermN No. I PermH HoWer I Date I TNsphaw K I r r Dne Plbq. Nty. Nty. Plby. FMaI Dtsp. . . .- .; . . ' " _ . , PERMIT # __7 MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ? Site Phone ? Name 3 Addre¢s ? ?l ' p City' .-? ?+---- Phone TYPE OF WORK ? Forced Air M BTU Boller M BTU Unlt Heater M BTU Air Cond. M BTU Vent 'CFM Gas Piping Outiets # ? Other FEE S/C: TOTAL: BLDG. TYPE WORK DESCRIPTION 'Res. New M ult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M 8TU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $:60 S/C IF PERMIT PRICE GOES BEY6ND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN • PLUMBING PERMIT RECEIPT # , dTY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _ fIJTQAt T DRIf_F• ounetc- er,a_ainn ? Name m m Address ` . '?•'. ? .. c Ciry Phone • ' ?' ? Name c Address ?' -; i . ? . • . , i , , , . - . i p City Phone FEES COMM/IND FEE - 1%OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000•00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Muit Add-on _ Comm. Repeir _ NO. FIXTURE3 TOTAL e Water Closet - $3.00 $ ..1__Bath Tubs - $3.00 ?Lavatory - $3.00 2 Shower - $3.00 ?Kitchen Sink - $3.00 ' Urinal/Bidet - $3.00 TI aundry Tray - $3.00 Floor Drains - $1.50 ?Water Heater - $1.50 Whirlpool - $3.00 / Gas Piping Outlets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE STATE S/C: ? GRAND TOTAL: INSPECTION RECQRD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ?r %'a (612) 681-4675 SITE ADDRESS: APPLICANT: 1 „r 1- I'nRk I)H t I faAF+f `AltiFcl:'. (612) 7 "3.1 -- ; n 4H PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. . D. 1 ! rlt K.i: '.I 1'AI,* H11 1`i {-f .. ft1R FIll IFiiCAt 1.10 v kN G ??? Permit No. Permit Holder Date Telephons # ELECTRIC PLUMBING HVAC Inapection Dete Insp. Comments FOO7INGS FOUND FRAMING I ROOFING • ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD r? ? llo q ?sr Cj.fft4t, S FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL u-? eoL P? - ? ? ? a'?[ oL f?EA %/7? • ? 61 N.Sp CITY OF EAGAN 3830 Prbt Knob Road P. O. Box 21199 i Eagan, MN 55121 Zonfrq: Owrwr: Hlilie Const WATER SERVICE PERMR PERMIT D/ITE: . NO.: No. of Unlts: Addrosw $Hr Addlem •r?? ? ?Y}i :'T1? i j ? r Plumber. L ? . . . . _. : Mftr No.: / on Choryr. : . SIZl: 10CA t: . ? i? h .omvti wft 69 Mw of I nap.: Id -f4- $(v CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21195 Eagan, MN 55121`? i Zoror+o: oot+. P4aW: Intp.: SEWER SERVlCE PERMR PERMIT NO.: ? ?- DATE: ? - No, of Units: r, '':lilie Tarist /?ddness: ?l? ^?fQf3:- .f;p }?i.,?,., 7 i?' I,•?a `•o-, ')+ni •?: ?lMflbRf: IlU. i I seON t0 Nsoph wbb !`/ City of sq"¦ COrIrMCt10f1 QfOfoK . adi mOM. ALOOuf1f Dlpowf: f PeRIIit FM: E SiJflilO ' ? By Dote of Irup.: , Irop.: I CITY OF EAGAN 3830 Pilot Knob Road P. O. Bax 21198L Esgsn, MN 55121 Zonirq: fw' __ Mlsc. Clwroes: Totoi; Dah PbW: WATER SERVICE PERMIT PERMIT NO.: DATE: ' No. of Unlts: Qwrwr; i?i1l1C COTiSt Address: Sh AwfJrow. I .?, k P Plunber. "-t.tc r ?n! ± ? P1' AAeftr No.: Connectian Chans: Size: ACCOUr,t Depostt: i ' 5- Reo&r No.: Pertnit Fee: 1 ym M sewply wilb Nw Ckr *i lppn Surchorye: "Mnea. NUsc. Chorpes: •`;' , Total: =; ?ter Dote Pnid: CITY OF EAGAN Remarks Addition t.AKF PARK rAtliIITION ) Sh-ores -Lot-_9 Bik- .,2 Parcel #?n 44900 090 02 Owner street 4536 Lake Park DRive State Eagan, IMN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? '5 STREET RESTOR. GRADING / SAN SEW TRUNK 1976 a sessed und r Rasmussen * SEWEFi LATERAL ? WATERMAIN * WATER LATERAL 3981 WATER AREA L? STORM SEW TRK STORM 5EW LAT 1991 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ?UILDING PER. SAC PARK CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 N2 12220 ,(7I BUILDING PERMIT PHONE:454-8100 Receiptp &Y 7obeusedtbr SF DWG/GAR Est.value $87.000 Date .TUL•Y 1 ,19 86 SiteAddress 4536 LAKE PARK DR Erect m Occupancy R3 Lot 9" 61ock z sec/sub. LAKE PARK SHORFTOmoael ? zoning Rl Parcel No. ' Repair ? Type of ConsL ? Addition ? No. Staries ?? Name BLILIE CONSTRUCTION CO Move ? Length 47 ? 644 SUPERIOR CT oemolish ? Depth aa o Address Int. Impr. ? Sq. FI ciry EAGAN phone 454-1438 Install ? a o $jM$ -? ? Name APProvals i 0 u i Address Assessment a ? Ciry Phone Water R Sew. ? Q Police F w Name FifO ? a Adtlress = Eng. c a W City Phone Planner Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe 6/30/86 Bld Off information is correct and agree to comply with all applicabFa8late of g. . Minnesota Siatutes and G5y;VhEagan Ordinance,S_. - ? APC Signature of A Bwlding Permit is issued to: all work shall be done in acca Building Official with E Date Qu Feea Permit r -' ? ? • "" Surcharge 43.50 Plan Review 197. 00 SAC 575.00 water Conn. 5 0 0. 0 0 WaterMeter 63.50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies 7otal S2.219.00 on the express condition that Ciry of Eagan Ordinances. lhls repuest void -7'? ?(n 18 months Irom ?[..? ( 7 ? 0821 4R LCj -6--) Yn,r-J?'-??? Rnqueet Oair Fira No. - Rouph-un Inspertwn `?? , Repw ed? ?fleady Now Will NntitY - 17 es ?No r When Reutly Licensed Eleclncal Contractor I I1efBy y request inspection of abova ? Owner electncal work msialled ac Sveet? ss, Bo. or Ro re No. L Gt ecvon o. Towns up Nam ? or No. Hanpc No. Coumy Occu rit IP I ) V?\ 12 Phono No, r pyli ? Address Elec nr. I Var.tbr4E'rnnVany amel d?l?? ? Contr: tor?s License N. Maili AdJress (COn [or or Owner Makinp Insail ion) Author ejgt.relil ConUact ? kunp Ins[211ation) t, Phonn Number - F,o 3? sr MIryNE STqTE 90AH? OF ELEC ITV THIS INSVECTION NEQVEST WILL NOT Gnggs-MidwaV BIdB. - Room N-191 BE ACCEPTED 6V THE STATE BOARD 1821 University Ava., St. Peul, MN 55104 UNLESS PXOPEfl INSPECTION FEE IS Phone IB1zI 297-2171 ENCLOSED. Ma?_ - EQUEST FOR ELECTRICAL INSPECTION EB-UUUVI-uq See inslructions lor completing this torm on back ot vellow copy. ? -aa s` ?'' ? 5??3 ? p? X" Be/ow Work Covered by This Request Add HeD. TYPe ot Bml[ling Apphancee WvBd?- Equipm6nt Wved H¢me ? Range Temporary Service ;flupl?x Water Heater Lightiny fiztures Apt. BwiAing Dryer Electric Heaun Commercial Bldy. - umace Silo Unloader Industrial Bidg. Air Conditionec ?7uik Milk Tenk Farm Other peci y 77thei ISt???nilvl t e Spocify Other Oth., on fee Below 1 N 1 Fae I ServiceEn[renceS,ze I tt I Fee I Feeders/SUbfeedere 1 il 1 Pee I Cnrcunts I t0 Y Rough-in DaiP l i" I, the Electrical 7,22 Inspector, hereb y ? cerlily lhat the bova f?nal ???°' ' mspection hes Deen ? j T- ? mxAe. Thia repuesl voltl 18 monlhs irom ? y-,? ro.i.eu cinw??ei ..ununa.m? I hareby requesl inspection ot ebove Lj Owner ele Uwel work mstalled at: Shee ???x ar ute N CiF ectmn o. Township Name or o. ? Flanpe N. ' Coi Y Occupan RI 1 ? Phon N . 7 er upp er Atldress Ele'CtrraaLContr mr IC^^=^° Name) C?^?n acmr's Licms? . Maihng AdJress IContracto r Owner MakinP Insta'Ja_ uynl , Author ed gna[ure ractor/Own ak B InstallaLOnl il? Phune Number ""' n ,3 '21- v- THIS INSPECTION REQUEST WILL NOT MINNESOTq STpTE eOP.PD OF EIECTRICITY -y eldg. - Noom N-197 BE ACCEPTED BV THE STATE BOANO UNLESS PXOPEfl INSPECTION FEE IS A ve.. St. St. Paul, MN 55104 ENCLOSED. Thisre,pues[vmd/ ??0 19 months fmm l0 O l ? REQUEST FOR ELECTRICAL INSPECTION ea-ouooi.oa (n ? 30 4-0 ' Sea inshoetwns for complatug this torm on back of Yellow copy. r°,s 082, -IT•41 "X" Below Work Covered by This Request Adtl Rep. Tv e of BuiICing Appliances WireA Equipment Wired Home Runye Temporary Service Duplex Water Heater Lightinq FixNres Apt. Bwldmg Dryer Electric Heabn Commercial Bldg. Furnar,e Silo Unloader Industrial 81dg. Air Condrtioner Bulk Milk Tank Fafm Other Veciiv O*her ISOecifyl t 9r IlCC1Iy C1 C! Olh(?f Compute lnspectron Fee Below --- M Fea ServiceEntraneeSixe k Fee eders k Fee Qrcuits 0 to 200 Am s 0 to 30 Am s Above 200 q?» py s 31 to 100 Am s Swimming Pool Amps =16o--- Above 100_Amps nrmer5 ?s Partial-bther Pee 5' ns cuon $ iA E ? Remarks L E Roueh-m inal ? DnIe ? ? I, the Elecenc n Inspector, he 'eby i c rlity Ihe the above ection has been TM1is requast volE 18 monlhe irom O Oa?L V 2 6 REQUEST FOR ELECTRICAL INSPECTION op- SeyineWSO,Og lor mmpletlnp this fortn on beck M yellow copy "X" Below Woik Covered by This Request ee-00001-09 7? Ip? y, Ne Add Rep. Type of Bullding Appliances Wired Equipment Wired Home Range Tamporary Service Du lex Water Heater Electric Heatin Apt. Buildin Dryer oad Management Comm./Industrial Fumace Other (Specify) Farm ir Conditioner Other (apecity) Contrecrore Remerks: Compute Inspectian Fae Belaw: # Othar Fee # Service Entrance Size Fea # Circuits/Feeders Fee Swimmin Pool 0 to 200 Am s 0 to 100 Amps Transfortnere Above 200_Amps Above 100 -Am s Si ns Inspeaors Use Oniy TOTAL 6? O IrrigaNon Booms !P ? S ecial Ins ection Alarm/Communication 7HI5 INSTALLATION MAV 8E OHDERED DISCONNECTED IF NOT Other Fee COMPLETED WRHIN 18 MONTHS. I, the Electriral Inspector, hereby R°ugh-in Date certify that the above inspection has been made. F?ne1 oa / OFFICE USE ONLV ? TNa requesl voltl 18 months Imm 133 ii ! 226? 26? 2 ? 0 Re uest Date 4 Fire No I ough-ln Inspection Requlretl Ins ec' Olher Than Rough-ln (VOU must cell mspector,? e9i?atly) eatly No (D WAI N-tii ns etor ? Yes ?'Flo Date Rea I I!d'ffcensed contrector ? owner hereby request inspection of a6ove electrical work at, Job Atltlress (Sirael, Box ar Route No.) Clry S/ ` E.? Secilon No Township Neme or No. Range No County 4 Ko`-A OCCUpent RINT) Phone No ? Power Supplier - ' AOdrass - 7 ?o r? ? clricel Contrador (COmpeny Name) ConVactor's License No. C , 7? F M ng Atltlress (COntroctor or Ow er Me ' g Insfallatlon) .? T Aulhor z e ure (COnirector w r MeWng Installa on) Phane Number -?. ' FS ?a a v NESOTA STAT 6rlgga E OAR O LECT CRY THIS INSPECTION FEQUEST WILL NOT ?Mltlway Bltl .- Room 3-128 O? BE ACCEPTED BV THE STATE BOARO 1821 Unlverelty Ava., SI. Peul, MN 55100 UNLE55 PROPER INSPECTION FEE IS Phone (812) 642-0800 ENCLOSED. C?--Y REQUEST FOR ELECTRICAL INSPECTION EB-ooo91-'s, , See inslructions for completing this fortn on back of yellow capy ? ` „X" Below Work Covered by This Request ,?. Ne Add i,ep. Type of Bwlding Appliances Wired Equipment Wved Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bwlding d Dryer Loatl Management Comm.llndustrial Furnace Other (Specify) Farm Air Contlitioner Other (specify) Convactofs Remarks, Campute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee wimmin Pool 0 to 200 Amps 0 to 100 Amps Transformers Above200_Amps 100-Amps SIgfIS Inspecmr's use Omy TOTAL Irrigation Booms 0 Speaal Inspection Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH I, the Electncal Inspector, hereby Rough.m ze?l fiJ ? certify that the above inspection has been made. Finai Date r DFFICE USE ONLV This request vaitl 18 monlhs irom - - O 5 5 0 ?? 9.? ?. Feques Date - / Fre N. Ro gh-I nspn?t n Feqwred Inspec0an p[hcrTh n Roughln 7'7 ? (YOU m ll inspedor when ready) usly a ? ? Ready Now ily Inspector ? ? ? No Date Rea 1 0 hcensed contractor ?owner hereby request inspeaion of above electric work at: Job Atldress (Slree[, Bax or Rome S 3(,, No ?Ce. At? CM1 y Secnon No Township Name or No Range No Coun cupanl(PRINT) Oc Phone No T C ?h? Power Supplier Adtlress Eie ncai Co hactor (Company Name) Convactors License No n? rl-'? &Ie. i ? `"[J c4L-? /?F Mail g Atldress ( nlractorpr Owner Making Installalion) ? 7 /// C ?'L A zetl S ature ( onVact rlOw aW Ilalion) ?? Phqne Number- MINNESOTA STATE BOAflO OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT Griggs-Mitlwey Bltlg. - Room 5-128 BE ACCEPTED BY THE STATE BOHRD 1821 1lnlverslty Ave., 5[. Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS Phone161216420800 ENCLOSED ` c?G ?• 7 7 ? ? c l +X 0 ,.o Lo-V l?? Oe----?' ' Eagan Township Dakola Coun3y, MinnesoYa Applacatiaa Eor Building Perenit Type of building or wozk coniemplaied. Circle eorreaY descriplions. Residenfial Commereial IndusSrial ? Suil Enlarge AlYer Repair Insiall Move Wreck lI , 1 D'vnensions....,3.7...X.. ................... Cosi..S._a . DeYails os remarks ............... ..°------- - - .._...._...........-------- Locafion s-- 1a a? O2her.... .----- - PERMIT NO. 'pa=e .:?...i_a?l....z.l.."_. Number SYreef Beiween what eross sireeis Siao Esi. Valuaiion Lo! Bloclc Addif?on RanrrangemenY os Trac! ?a Owner .....P.o'._G.r.aa1? ...:.. .. . - __"""" Coniracfar Address ....l.?s?:s------? ------------- "._...'-.' ?i Addxess --------- ..................."--------------"_""'-'.._'-"-............_...."--°-- The undersigned hexe6y makes apnlication for a permi! !o $ do work as herein specif'sed, agreeing Yo do all work in sirio! Toial fee collecied. accordaxce wifh Yhe building ordinanee adapled April 11, 1955 by !he Eagan To ahip Boazd rvisors. PermiY fees are nof refundable. ........ ------ ............... Signed CITY OF r;AGAN PERMIT 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 CROW PERMIT TYPE: Permit Number: B u z ? o z rv s 026031 Date Issued: 0 7 j 2 q/ 9 5 SITE ADDRESS: 4536 LAKE PARK DR IOT: 9 6LOCKo 2 LAKE PARK SHORES P.I.N.: 10-44200-090-02 DESCRIPTION: ? .d B,ofa?.ldinq4,Q,ermit Type SWIM POOL Buald:'.ng W&rk Type NEW • v? Qa f ..n- `a?4?3? ??'"?m? ?'? ' °` . . • ? ?v .*j`„ i"sLn6' 'i 0?c s a O M z€ ?Q ? ? I?" <?'? i? a' c?' " 3+ s? 2? d7;,,, ? - ?k , ?" k ? t 40? 0 i REMARKS: SEPflRflTE PERMIT REQUIRED FOR ELECTRICAL WORK FEE SUMMARY: VALUATION Base Fee Surcharge Tntal Fee $162.25 ?5.00 $167.25 $10,089 CONTRACTOR: - Applicant - OWNER: PERFOftMANCE POOL & SPA 17313440 KLUGE l]EB 1740 WEIR DR 4536 LAKE PARK DR EA6AN MN 55126 EAGAN MN (612) 731-3440 (612)687-0070 i I?er.ehy-;AckntaWl-etlge _t ha t_T_H,ave- read• thi•s apj plicatiun=ii nd state th'at the _ , infarmati`on is c o•rr`ec t,_ anc!' 'agroee t a comply ..w axh ol3, 'ap{slic-a b}.e _$t-a te ts'f : Statutes and City-_oF Eag6_n-.Ordinances. ARTLE)E___' ?R.a?"?? 1 lC?.? - C SIGNATURE I ISSU D SIGFJMfUHEIk 1NSYl;(,'1'1ON KECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: p. x. N. : 1e-4420e-09e-e2 APPLICANT: LOT: 9 BLOCK: 2 4536 LAKE PARK DR PERFORMANCE POOL & SPA LAKE PARK SHORES (612) 731-3440 PERMIT SUBTYPE: SWIM POOL IFOOTINGS TYPE OF WORK: FINAL REMARKSc SEPARATE PERMIT REQUIRED FOR ELECTRICA(. WORK NEW BUILDING 026031 07(24(95 , ? _.. , . ? ? - • ?? . ? . ? _,.., . ?...? ' ; ? ?o cinr oF EAcAN ? A0 7 a ?' " 3830 PILOT KNOB RD - 55122 ?7??I95 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construetion Reauirements gematleVRenair Reauirements ? S reproterad site surveys ? 2 copies oi Plan ? 2 copies ot ptans ('vndude beam & window aizes; powed fid, design; etc.) ? 2 site aurveys (exterbr additlons & dedcs) ? 7 snergy ealalations ? 1 energy celculetions for heated addkions ? 3 wpbs M tree praservation plan 'rf lot pletted after 7ft/93 required: _ Yes _ No DATE: CONSTRUCTION C05T: IU JY)OD °o DESCRIPTION OF WORK: ?jW??utu?wG STREET ADDRESS: ?>eo L? IL? 1" A?? LOT --3 BLOCK ? SUBDJP.I.D. #: PROPERTY Name: .D f-TS OWNER ?T susr Street Address- 4S 30 CONTRACTOR ARCHITECTI ENGINEER Phone#: ?o87-4d'Z?? K- U k- C ity: ? A ZAO State: P v Zip: Company: ??e.?a ? ?u ?? ?ucti ???,4? Phone #: 13l- 31L/71 Street Addres 7?/0 li(?tir ? Q? License #: g? City: D 6111 _ State: P K) Zip• 5S" fz? Company: Name: Phone #- Registration Street Address- City: State: Zip: Sewer & water licensed plumber. . Penally applies when address change and lot change are requested once permit is issued. comply with all ree to 1 hereby acknowledge that I have read this application and state that the information is correct 70? appllcable State of Minnesota 5tatutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ,1111_ 13 1995 Tree Preservation Plan Received Yes Ma OFFICE USE ONLY y. BUILD[NG PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling o 07 4plex ? 12 ,ii?- 17 MuRi Repair/Rem. Swim Pool 0 03 SF Addition o 08 8-plex ? 13 , Garage/Accessory ? 20 Public Facility a 04 SF Porch ? 09 12-plex o 14 Fireplace o 21 Miscellaneous n 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE ? 31 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered 2oning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. s? Depth Footprint sq. ft. 5AC Code o/ Census Bldg i Census Unit D APPROVALS Planning Building Engineering Variance - , - Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment PI. Road Unk Park Ded. Trails Ded. Other Copies Total: Valuation: $ ?????0??, % SAC SAC Units ? .? _-jM-POOL ._IlVSTACLATION EAGAN RtVlEWED ?r )ATE CONTR.ACTOR: PERFORMANCE POOL & SYA 1740-4 WEIIt DRIVE WOODBURY, MN 55125 (612) 731-3440 (JERRY T.) NAME OF HOMEOWNER: p 4,8 IG??G?L anDxESS: '-Is 3 4 C-w ve- PA ?? Dj_ lp W6 i9A-J . PAtlt. bK' PHONE: Q91-6010 ? . . ?? v0. : CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION N(YPF': PAYMF:TTP' OF FEE AT TIIyE pF APPLICAMON DOES NOT OOIJS"i'I7TJPE APPROVAL OF PEE2DIIT. _..________......__ __________________ P ease Print 1) pROPERTY ADDRESS: LEGAL DESCRIPTION: IF E7QSTSNG STRCCZSJRE, DATE OF ORIGINAL BL'ILDING PERMIT ISSC'ANCE: . ' PRFSENt ZONING/PROPOSID C'SE: (Nbn Yearl . ? CO`RMERCIAL/REPAIL/OFFICE Ez R-1 SINGLE FAMILY Q IAIDL'STRIAL ? R-2 DUPLEX (1Wo C'nits) n INSTI'IVTIONAL/GOVERNvMu ? R-3 TOWNiO0SE (Three + Units) ( Units) ? R-4 APARTMENT/CONIDOMIDIILTI ( Units) NAME:?/?//.? AooxESS: czTr, sraxE, zzP: PHorE: -?- 3) For City Ose_. Plimibers License: AoDRESS:? Active ? CITY, STATE, 2IP: flotlrrecorded PHoNE:_t/5 7- iSYz MAszEx LicENss# _? 7 3 G St Initial 4) ?-?-w ?•:,??..?! ,'?s_?;? NAME: ADDRESS: . CITY, STATE, ZIP: PHONE: . 'S) '' a' ' ?• : D • oO - ?? CONDIFX..TION TO CITY SEMR ? CpNpg][,'TION TO CITY WATER Q p2'EER '. . 6) ?? ' • i• E3 PLEASE IiOLD ApPROVFD PEF2MIT EY)R PICK-OP BY ONE OF AHOVE ? PI,EASE MAIL APPROVID PERMIT TO 1, 2,?3?4. AH0?7E (Circ?e one) nusPncriotv oF SEWmt AND/at vAIM TnSr,nT.ramrONS WII,L NOT BE SQED- UIE9 UNTII, PIItNIIT AAS BEEN APPROVID. FOR CITY USE ONLY ' PERMIT # ISSDED e?- Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRLNK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL ;Zr ? RECEIPT RECEIPT # DOES LTILITY CO[VNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? r__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSLED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY; i TITLE: DATE: ?-?-?? 1986 BOILDING PERIiIT APPLICATION - CI1R OF EAGAN AOTE: ALL CANTRACTOES MOST BE LICENSED iiITE THE CITY OF EAGAN SffiGLE FAMILY DiIEI.LI6GS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 5ET OE ENERGY CALCULATIONS MOLTIPLS DWELLIIZGS - RSSIDENTIAL R6NT9L DNITS FOB SALE ONITS s COPIlyEBCrer" INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND•1 SET OF ENERGY CALCULATIqNS, $2,000 LANDSCAPE BOND Y /f 6 To Be Used For: FL( hQJ,tNC.._ Valuation: A70f)0 Date: Site Address Lot y Block ? T Parcel/Sub j 14cc Owner Address City/Zip Code Erect ? Occupancy X3 Remodel Zoning /_ - Repair Type of Const ? Addition # of Stories Move Length !/Z - Demolish Depth Int.Impr. _ Sq Ft Install Phone Contraetor Address City/Zip Code C Phone L'F'? Arch./Engr. Address City/Zip Code Phone # TbTAL ? F APPROVAI.S FSES Assessments Permit y Water/Sewer Surcharge ? Police Plan Review Fire SAC Engr Water Conn ? Planner Water Meter Council ? Road Unit Bldg Off b' Treatment Pl APC Parks Varianee Copies ? NOTE: ADDRESSSS FOR CORNER LOTS - CONTRACTOR/HOM?QiiAiES MUST DESIGNATBiiSICH ADDRESS IS DESIRBD. NO CH9NGSS WILL BE ALLOflED OACfi BQILDING PERMIT IS ISSDED. z ;7,x ?? - 0/0&r?? /< 5? - 600,16 25"x /G " ?Z? z3 ` ?X l2 " ???Z 0//2 0 00 Y ,?or 9 ?UC. Z ?? F G,?K ? ?°i4-lL?? ?:?.??'?d , E/e ,a ?p0 e? yp , ? ?03 D io3 ? F ?a3 . . G i?3 PLOT PLAN M. Scale -1 inch -20 fee Tz • J? ' i-n `.? i..?? . J. ?F? ??4T ` ' - t? ?-rv .YU ij 1. h? ? -- ? :t_ - - :: ? - - z -- - - -:? . ? - - - r #I t ' - ? . R ?. ; =? r_ V . t-- :? ? ? V ?- ? •i_+ ~ T ' - „ L I • J • y a • ?... ? a .N ?L - ~:_ ?..a .? _` i` ,i? - ' " +- _ ?.. ? ? ? • trif .- J ? " N ?'T' {-F? ? • I.?J?-? r ' ? =1 " •- •-- . ? - - --- ?_ -- - ' T.? J ? _ ? . .I ?r?l a 1 ?- .N •Y ? - ?? ?? Y -?+• ? ? • TI i ? k? - __ Must show location ot streets, lo[ and proposed buildings, give iot dimensions. (Lot corners and building site are to be staked before appreisal is requested.) • nrf?I? ..r ? . 1 >. - rt . otrNE% . ? . . - ` _ ' .. . .. . , ,*,?? , , . .ti.:r.•: . .a«e: Q ?. .,.n: r: - ?: -.. , ._ ? ' . .; . .a. . . '.•}??1- , ?? ? ? (?? ? EXTEQNR ft7VELOPt 1lV£P.AGE "IC COMPUTATION ?`" `- • • ' • ti_. >7 . . • ?.., " t-: - SITE ADDRESS CONTRl1C1'OR - E&JT DATE PHONE 4W ?Oetermi'qe rrorhing.square footaqe of each. ?e }. Total expo ed T-uli arRa ..... t2252.33 sq. ft. x.?M _ S? 2. Tq.tal roof/cei}in? areasq. ft, x.96._ > . , ? . TQtal expcised walT araa aboye floor =?3,Z . a. Total wall rrindow area .............................. *??.24 b. Total door area .,. ,,,,,,, ,,,,,,,,,,,, ?- • • • c. Total sliding glass?door ?rea ........ ......... -?- ' d. Total fireplace.l+al1 area:....... ....... ...... ' .2-0 , e. Totat wal] framing area:(average l0A).:.:........ .703,z - f. TotaT net;vrall area abovg flaor ................. / - ? g. TotaT rim 3oist areai .....:. ? O? . .................... . 7otaT exposed foundat;on area = 90,33 h. Total foundation window area ..................... -' i. ToaT net foundation area abeve grade ............ , 3 . Deternine "U" value of each wall segment. a. .22(e g 1.U11 .?/! = 93,S-c; ` b. ' 37,77 x ??U"_ , /.23 C: ya x uU.- , d. a? X „u„ , ?z = /4-' y? e. z Stu., i o 9 = !f?-29 f. iSOS.a3 z „u° ou = Go?.zB , 9• /30 x „U„ •sy = s.29 ? n. - X „u,; x „U„ 3. .......:.......................Total = ? 7 3 If item 0 is the same as, or less than item ri, you have me[ the intent of SDC 6006(c)2. ? f ' . . : ' ' . • . "r ' ' ":f?? "? • • 'I ! 9\ ? . ? i .. ' . . . . •-, .. Q Tw Total exposed roof/ce-ilino area = /304.-*' ? j. Total sky]ight area ............. .:.... - k. Total roof/ceiling framing area (average 10:)... /?p, y 1. Total net insulated roof/ceiling area........... , Determine "U" value for each roof/ceiling segment. • J. , - x „u,i _ - k. ?,3o.,y x°u'l . o2G = 3 39 .? X „ull 4.................................. Total = ?-;7J If total ofi 914 is the same as, or less than ,'.2, you have met the ?intent of 56C 6006(c)l. ' Alternate Building Emvclop2 Design ;= = ? ic utilize the total envelooe syst=n re:hod, th= values=established by the surn of ;tzms ';3 and -7"4 shall not be gr°ater than the sum of items ;i and r2. + 2. 3390 = , .Gd s. a27, ? + a. 321 7-3 = a ofi , , _'L-o . 'rA.7 1-e ?'? ?fi ? / { 1 t .r I-r _.. .. . . ,. ? - +. , ' ,..:T i ?M•.wx ?'?y'S' _ 5.1-- ? "? .i?r?•... -::w': . . ' ? ? ?? _....?. ... . <, . _. . .. ? _. : - - .. .. . • _: . v" ?5 oi £ (Vm,RUc?vetl 4`' lramc aonstsuct4on > `Conat? 4?n_ R-valoc iifij4 : ? ; ? __-0 ' ?•, ' ?• 'Q'2__._? _. •??py a. 1.C!!l•5 Sqf< W'1_^ia rIN BASIC ? 6. Extvri:•r a:r film ' C.77 , W:,LL ?' ---? ------ i???l •???9?- ? . FIG. 81 'SnPV:Etq OF' FRL,tE wALL Intcrior air filrt. 2, f * ?y9 ? telcr *9l _ Z. GG Extcrior iz filra _ 4•11 ';. ezc. kz ? zocai 23,03 ' oy 1. Interior air film 0.68 : •' •`i ?L ? ? 2. G ° / IQ 017 .1 a S?[L ?SrRL .FA? 17ial'/L ??Q?iDiNG ,G? ?C?1???C?aS •? .• 1 n * r^? 8xterfor air film o.17 ?1 `? 1'_ ?.?.? ?•------?---? ?. Tota2 ?y ?? ? ;? ?? . V?_? p ? . . • ? . Q' • Q ? ;? •?,' ? ? 1. Interior air film 0.68 ., ? . . o •• 2. /` ?'f•P#?j+' S, 16 L,2' - ?:ALS. " . ?? • . 'Q ? • 4. Li 5. 4\ ? 6. Exterior air film 0.17 ., Total ? 39 SLAS ON GR7%DE , ? ??..? . y `' • !/J R , n ? t? • d,? ? "' s iIC. ti3 ?i. . . ? . " • ° ' .• ` ?? • : P ?/ b ? .,? ? . V TIG. i4 • d k ??Inr ur . NM: Indicate tyoa. "^" value, depth and•: , placcnent of iasul3tian. : •-t ? `. . ? I ?. ?. ? t ? ? vi ; ? Vcnced ? } r ' v f? I 1 . • i'. i ;. ! ? • i _ . ? .., •.?;. ROOP/CEZLING , . Conmtruction ? R-Vn1uc 0.61 3. .(Ot fLL!/Lllf j8•?O 1 /????I'II ? t`•???'il'???(?? 4. £,xtr.:ior .tir tilm (ntill) U.?G Tow1 39? ;i??.. .. ? ' Y Haac floa ' up - FIG. NS • (/ \J ? Y.ect floti up . ; ven[ed FIG. 06 . ? 1. Inierior ai film 0.61 2. 3. 4. Er.terior air lm sti F?- ?•G! ? Total 1. Insidc air [ilm / 0.61 f 2. 3. 4. S. outsid . ir. film o. 17 ' Tota . !b tc: Uso additional shects if more spacc . - {?V?{?i4i??YY • ? . • ?? aeociea for uetails and calculal ons. ' mnOt • • • • • [lOV Yp ' . • ' ' .. * . . . . vr.n. !7 ? (?b-? Z 2006 RESIDENTIAL BUILDING rERnuT nrrLicaTrorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requiremenls 3 regisfered sde surveys shauing sq. R, of lot, sq. ft ot house; and all roofed areas (20% mazimum bt coverage allowed) 1 Soils Report if pmposed building is to be placed on disturhed soil 2 copies of plan showing beam & window sizes; poured found design, etc 1 sel of Eneqy Cakulafions 3 copies oiTree Preservation Plan'rf bt platled after7/1l93 Rim Joist Detaif Options seledion sheet (buildings with 3 orless units) Minnegasco mechanical ventilation form RemodellReoair Reauiremenis 2 copies of plan showing footings, beams, joists 1 set of Energy Calculahons for heated addi6ons 1 si[e survey foradditions & decks Adddion - indirafe Hon-sife septic sysfem $ 7-LO . O-V orfbausccmw Cerfof Soils,Report-,_?= N Tree Pres Plan Recd..=:;`- . ' - --- V _ N- ` . -- -- - _ TreePres Required ,?; ;i::: ?Y_,?_N N Date I? / ( / o ? Construction Cost - Site Address ?.S ? Cp L A 11 c- P4 IInit/Ste # Description of Work / vec'i / Rd p? Multi-Family Sldg _ Y ? Fireplace(s) _ 0 f/ 1 _ 2 Property Owner / Q/? PoLf !f 'Q Telephone #(&5'l ? S 7 d Q7 6 C'ontractor ? Address ? State Zip p ? ''fe}qBJ?one . ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - M'mnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet ? New Energy Code Worksheet (J submission type) Submitted Submitted • 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? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Teiephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the woxk will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a permit; that the wark will be in accordance with the approved plan ine case of work which requires a review and ? . approval of plans. Appli?cant's Printed N? e e Applican 't s t,1 : m 0 Z j' 60CdSC064iP?C? (m(?DmfCfFW$. I NEqEBY GEHTIFY TNAT TNIS PLNN WA9 -- VREPAREO BY tAE OP UNDER Pfr OIRECT - - y?O y?? P6f?R1?G15 ond LWR7D 'U{??IEVOAS SUVERV?SIOMD- a o r?r.*,.' nra n oULv - V \ ?? ?E615T ENE -? UqDEN THE ?ApS OP T ??PNE STNTE VAR??l6FS.rfi_ ??C1LY.I.ED?-?J ? I OF 141p14ESOTA.f? ? ?j C?na;p;ii'26:1d1 l111tl?i{ry?Jqpaep?? ???.ye mYO REr.,4FN9 •. -- _ I^u00 ZAST.:4Z:" STRZCT. H::7:l5VILC[. ":tXS.r50'iA 558Z7 GM, 4::2-:1CCO S , •3c> ? I Sa?E . ;• _ ;?' ? LEuAL DESCRIPTION LOT /G LAKe' PAKK. . ? E(E?. :7:l,.Fd s_ f^= } ?A,\ s5?z ?-- ? ? ? .. . ?? ; ? 'r ?r . ?.? • `?? >?? ?%?.: i ° ! r' csr 6E ' ?n6_a ? t ? ? '?F4•? ?i'n?E. I ?y? ?? eS EY/_T//J.=? CccVk7/=? 1 u` rx« y? ? ??? ? I ?? ??; ," i 7 ? s• ° r. 'i F,,cE Guc.;?..;3= l?: i/ `g y Lt ` a? n e?` I? ? yi ?+-_? //,ii;...d:C: G:r;E?7/G.^: ?'•_- S?R - .i -_ ? ?.?(r?e•- . i ,? , "I -_ ._ - - . .. C.Z?'.V.-Ic' ati'O '' Y_'_ .. - " 39]_ k ?e--?L?•? -= ? I ? 1 <., . - F/.4C'dr.'c':' E4/l?c.c FL;;?r'.' c.?._ :h"i ?/' ,.lTi<_iT?' -- x _ ? PERMIT City of Eagan Permit Type:Building Permit Number:EA114121 Date Issued:09/11/2013 Permit Category:ePermit Site Address: 4536 Lake Park Dr Lot:9 Block: 2 Addition: Lake Park Shores PID:10-44200-02-090 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 . Luanne Yang 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 - Thomas J Kluge 4536 Lake Park Dr Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119826 Date Issued:12/20/2013 Permit Category:ePermit Site Address: 4536 Lake Park Dr Lot:9 Block: 2 Addition: Lake Park Shores PID:10-44200-02-090 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 - Thomas J Kluge 4536 Lake Park Dr Eagan MN 55122 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 224-3442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA143120 Date Issued:06/02/2017 Permit Category:ePermit Site Address: 4536 Lake Park Dr Lot:9 Block: 2 Addition: Lake Park Shores PID:10-44200-02-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Thomas J Kluge 4536 Lake Park Dr Eagan MN 55122 (651) 687-0070 Home Depot At Home Services 2455 Paces Ferry Rd Atlanta GA 30339 (952) 345-6057 Applicant/Permitee: Signature Issued By: Signature