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4023 Johnny Cake Ridge RdPERMIT# S ? Is 0 ( RECEIPT DATE: t O 8008 MIDHRTIlEL PLUM$INfi PFIiMiT APP11Ci4T10R crrY og EAsnx 3$30 P1LOT KNOB RD E4fiRA, MF 851 E2 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for inigation system SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: ?;? & 14Q ///- (AREA CODE) CITY: STATE:-,)? ZIP: ? _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) includes $40.00 County fee $ 100.00 Note: AddiTional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ing fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118) _ Other: _ RPZ: newinstallationlrepaidrebuild ?i ?uT 2 5 2??Z $ 30.00 _ lawn irrigation system „ _ '? ?- Replacemen addition : water softener _ water heater $ 15.00 State Surcharge $ .50 rotal $ S I hereby acknovAedge that I have read ihis application, state ihat the information is correct, and agree to complywith all applipble City of Eagan ordinances. It is the applicanPS responsibilily W notly the properly owner that the City of Eagan assumes no liabiliry for any damages caused by the City during its normal operational and maintenance activities to the Nacilities constructed under this permit within Ciry prope 6 ign?? ay??? e?? ? h SIGNATURE OF PERMITTEE 1l02 ! ? Z_f?? 'FL?j k v Siteaddresx C4t Lot'?1? Blockb Subd. ?, ? On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy, This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR Y This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANl1FACTURER MODEL BTU'S VENTING TYPE Water Heater k ,?a S ( Fumace .SX ?°' ?,,•r? Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED Yes No Kitchen kitchen Bathroom 1 (AM v?4 ow+ v ? f Bathroom 2 4?? ? y µ -a SI! p 5? ? Bathroom 3 Bafhroom 4 Other FIREPLACE S LOCATION GAS WOOD MANl1FACTURER MODEL 8TU'S veNriNc DIRECT ATMOS t C'F N G-ID (¢ -(3 MAKE-UP AIR MODEL TYPE CFM's 47 I hereby acknowledge that the above informaGon is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. / Date Name * This form is the responsi6ility of fhe General Contractor. f3 P 53a-7/ P?J ?a?3 of s 3a-H SW 53a.7S' 's*'-RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-881-4675 NewConstructfonReauiremeMs RemodellReuairReaulrements '?/OG ) • 3 registered site surveys showing sq. R. of bt, sq. ft of house; anll roo(ed areas • 2 copies of plan (20% maximum lot coverage al6wed) . 7 set of Energy Calculations for heated additions • 2 copies of plan showing beam & w(indow sizes; poured found design, etc.) . 7 sile survey for exlenor additions & decks • 1 setof Energy Calalations . Indicate if home served by septic system foradd'Aions . 3 copies oi Tree Preservation Plan if lot platted after 711/93 ?(J? r? • Rim Jost Detail Options selection sheet (bldgs with 3 or less uniLs) ? DATE T.&Z VALUQION %to "OL JOB SITE ADDRESS Y? z3 JeG._ ?,._. / ,P.,? . V_? - IF MULTI-FAMILY BUILDING, HOW MANY UNITS? / PROPERTY OWNER -1?, TYPEOFWORK FIREPLACE(S) _0 z- 1_ 2 APPLICANT !B. (?--c PHONE# Grl `7`>Z 3^t°° ADDRESS PAGER # CELL PHONE # l0(2 ' -(ya rfy4 FAX # CODE -TS/2t q gg8, S7 70. so s7 IW 1Y1.Bo NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RUL,ES 7670 CATEGORY 1 (check one) - ResidenUal Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted / MINNF.SOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbtng Confractor: TIV,--1 -? Phone #: ?g ?J-t 21 2-1 Plumbing System Includes:-Water Softener Lawn Sprinkler Fec: $90.00 Water Hcater No. of R.I. Baths No. of Baths MechanicalContractor. ivrnI v,lit 4_? /4/ Mechanical System Includes: Air Condihoning HeaC Recovery System Sewer/WaterContractor. ???0 "/-Cl All above information must be submitted prior to processing of application. I hereby acknowiedge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eagan Signafure of Applicant Phone # y SI- ?( (Y? 5 Pee: $70.00 ? (??_OWF )5 to comply Certificates of Survey Received _ Tree Preservation Plan Re ei d_ Not Required _ Updated 2002 OFFICE USE ONLY 1._ ? 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 ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 AddiUon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant 047? V i L&Z /1 g E aluat on - Occupancy , S System _MC/ Census Code 0? Zoning 40 City Water ? SAC Units C2? Stories Booster Pump Nbr. of Units Sq. Ft. ? Ib / PRV Nbr. of Bldgs Length :2p r Fire Sprinklered Type of Const Vt-) Width 3,!;?, REQUIRED INSPECTIONS Footings (new bldg) Y-- FinaUC.O. ? Footings (deck) _ FinallNo C.O. Footings (addifion) Plumbing ? Foundarion _ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final ? Framing _ Siding Stucco _ Stone ? Fireplace ? R.I. t Air Test * Final _ Windows (newheplacement) ? Insulation Retaiuing Wall ? Approved ByI_ Base Fee Surcharge Plan Review MC/ES SAC city snc Water Suppiy & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total &5k 7 X / rM &?rw 1 V? 7r s'y 1:_ Building Inspector ?? cx-2 6' ? o?1 tl ?( (rfMA(-c I ?/ ? 2 X lcp = 7,, 3-71 ? ? 3 ?121s' I , 7LJL-27-2060 15'33 PULTE HOMES NINcheck COMPLLANCE REPORT Minneaota Enesgy Code MNcheck Software Version ?.0 COUNTY: Dakvta STATB: Minnesota 20NE: 2 CON92RVCTICN TYPE: 9Sngle Family DATE: 7-2'.-2000 PATE DF PI,ANB: 7/27/00 TITLE: DIIiMOND WALKOUT SLSVATION #2 COMPLIANCE: PA99E5 P. e72;'02 Ferm.it C eCked by Oate RAquired VA - 473 Your Home a 371 21.64 85tter Than Code 11rea or Cavity Cont. Glazing/Door Perimeter R-Va1ue - R-Value --------- U-Value ------------- --------------------------------- - --------- CEILINC3S 1887 ------ -- 44.0 0.0 WALLS: Wood Frame, 16" O.C. 2297 19.0 2.0 t WALLB: Vixd Fzame, 16" O.C. 297 10.0 2.0 ASMT: Canc. 9.01 ht/8.3' bg/9.01 ineul 152 11.0 0.0 BSMT: Conc. 3.51 btJ3.1' bg/3.5' insul 20 10.0 0.0 GLAZING: SQindowe or poors, Above Orade 406 0.160 1 pppgg 38 0.360 HVAC EQUIPMEtJT: ftirnace, 92.0 AFVE - - ' -------- __-•----'-`--- -----'--------------------" ---------------- COMPLIANCE BTATH!'ENT: The proposed building ------ - deeign deecsibed here ie cor.aiateni with the building plana, apeci£ic atioas, and other calculatione eubmitted with the permit application. The proposed building haa been Beeignnd to meet„ybaxagtxlreme?nke-vl-trk?'nneeota Energy Code. Builder.;Deaignex`?uC]????!.-{? Date 7ZZ. 7 rG'faL a.n_ , LOT SURVEYCHECKUST FOR RESIDENTIAL ? BUILDING PERMITAPPLICATION PROPERTYLEGAI: DATE OF SURVEY: 2 m LATEST REVISION: co c ? c c? DOCUMENTSTANDARDS Y a o z ? a ' 1a /o ? . Registered Land Surveyor signature and company ? ? • Building PertnitApplicant u7/11 ? • legal description v /0 ? • Address IA?/ ? ? • North arrow and scale r/? 0 • House type (rambler, wafkout, split w/o, spld entry, bokout, etc.) E? ? ? • Directional drainage arrows wRh slopelgradient % ?? ? ? • Proposedlexisting sewer and water services & invert elevation ? ? • Street name ? ? • Driveway / ? ? • LotSquareFOOtage frf/ ? ? • Lot Coverage ?[d ? ? • Benchmark ELEVATIONS Existinq ?/ ? ? • Sewer service (or Proposed) [?/ i7 ? • Property comers CsY ?? • Top of curb at the drveway and property line extensions ?? • Elevations of any existing adjacent homes ? Q/? • Adequate footing depth of structures due to adjacent utilRy trenches ? q' ? • Watervvays (pond, stream, etc.) Prooosed o ? • Garage floor ?/a ? • First floor m/ ? ? • Lowest exposed elevation (walkouVwindow) r5/11 ri • Propertycorners d? ? • Front and rear of home at the toundation ? ?1? ? !Z ? ? ?U ? rFl??o ? L9? ? V V/1-1 u ? ? ?? n Mf ? ? ?/0 ? LY ? I.:I PONDING AREA (if aonlicable) • Easement line • NWL • HWL • Pond # designation • Emergency0verflowEL-vation . DIMENSIONS Lot lineslBearings 8 dimensions Right-of-way and sVeet width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring pertnanent footings) Show all easements of record and any City utilities wdhin thase easements Setbacks of proposed structure and sideyard setback of adjacent existing sWCtures Retaining wall requirements, ff . Reviewed: Surveyor's Certificate SURVEY FOR ;auL,TE MoMEs DESCRIBED AS :Loc 12, Block 2, OAKBROOKE STH AODITION, City of Eaqon, Minnesolo ond reserving tosCments of roCOrd. ,UL 12 REC'D ?;rS 3 ?o J'D o V o L? v U ? ? V k 5 ? S'? q91.6 , g 3•E 8 ot ?,?> dra? qzs.a N? 5° 56 `f'„ t° 0 931.7 4023, - o JOHIVNY C,9 KE `B N _."RIDGE ROAD p o'?a ? ..... ... 1e( ? .Pl-'? 931.i > Romb ??o a 90?" ! O i ll? r6.65J? 1850 ? O t100 43q' ? V ? D N .? Po??h o 27.5? ; ? n °1 i ?r q3? . ? o 5'15° 56 ?Zb $1,,,?, ???? L 0 T SQ. F00 rA GE of powining HSE SQ. F00 TA GE ?seq"ired L 0 T CO l/ERA GE _ .? .. /??? _....,??.. # 17954 . ._ .... ....?.44G??:?'. PROPOSED ELEVnTiOriS Top o( Foundotion = ass.o Goroge Floor = a2,3.9 Basement Floor -92b0 Aprox. Sewer Service =qz3o- Proposed Elev. Existing Elev, _ Drainoge Directions = Denotes Offset Stoke = • scAie: i i?cm _3o t„i = 3,608 = 2,367 66% BENCHMARK, c9az Elro - 931. "4 MIN. SETBACK REOUIREMENTS Front - House Side - Reor - Goroge Side- JOB N0: ?ED?u?D I HEREBr CERnFr THnT iHIS IS n iRUE AND CORqECT RECRESEN7A7i0N 02R-05l OP 7NE BOVNOARiES OF THE ABOVE DESCRiBEO PROPERtt a5 SURVErEO BY ME OA UNOER M7 DIRECT SUPERNSION AND DOES NOi PURPORT TO BOOK: PAGE: PLINN/NC 6NCINE£RJNC SURV6Y/NC SHOw IMPROVEMENTS OR ENCPOaCNUENTS. ExCEPT x5 St'OVrta. 2005 Pin Ook Drive [ Eogon, uN ssiu DATE _Q_/ -a/ p Z Q. cAO FILE: Phonc. (651) 405-6600 R r , LINDCREN. LaN URVErOR Fo,: (651) 405-6606 TA LIC[NSE NUMBER 14376 Oakbrooke S lu' r-l's?3a-- 2oos RESIDENTIAL PLUMBING PeRMiT aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ??.? Date ?_ I Site Street Address Unit # Property Owner 777,?' Telephone # ((CI Contractor. ??C r?4.yr?i •?1.? Telephone# .SZ j 29'2- 76 q'2 Address n '? <? City State?" Zip S? The Applicant is: _ Owner _Nctontractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 ? Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing ortlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _ Water Tumaround (add $130.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is requirgdsa.be ieviewed and approved. ApplicanYs Printed Name A icanYs Sig e .??q(/ 3 2006 RESIDENTIAL SUILDING rERMiT nrrracaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New CansWction Reouiremenis 3 registered site surveys shaving sq. ft. of lot, sq. ff. of house; and all roofed areas (20% maximum lot coverege allowed) 7 Soils Report if proposed 6uilding is to be placed en disWrhed soil 2 copies of plan showing beam 8window sizes; poured found design, etc. i set of Energy Calculations 3 copies of Tree Preserva6on Plan if lot platted after 711/93 Rim Joist Detail Options selection shcet (buildings with 3 or less unfls) Minnegasco mechanical ventilalion fortn tIo oo Office Use'OnN Cerfa6SuNe?GRedl ?A*?1 , SoilsRepofi?='+'` Y 'N 7reePres?'kvlReM' ? ?? ` 1? iraePresReqnired Inl?-A Date 16 / a R / 06 SiteAddress `}0Z'3 Ce.ke. Construction Cost 7?5 ooa R;cl? Rc)., UnitlSte # Description of Work LL-. Multi-Family Bldg _ Y N Fireplace(s) _ 0 1 _ 2 PropertyOwner i. ba+`a Ne .twallj _ Telephone#((j 6S?.o6Go Contractor So?"tL rrqce $? ?,arr5 Address 1-4 53a P',n o 2d . tJW= City Pr. o r Loke. State YWti} Zip Telephone #(q$Z) Zto , I`)OS COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submissionlype) Submitted Submitted • Energy Envelope Calculations Submitted , L? n I?V/? f?lS? 1l/7 f? D I I II C/ LS I ?.t In the last 12 months, has the City of Eagan issued a permit for d similar plan based on a master pl?!? _ Y _ N If yes, date and address of master plan: ? T 9 20D6 Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Tetephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work 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 permit, and work is not to start without a perrnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Akr ?"..?w ApplicanYs Printed Name ApplicanYs 517gnature RemodeVReoair Reauirements 2 wpies of plan showing footings, beams, joists 1 set of Energy Cakulations for heated additions 1 site survey for additions & decks Addifion - indica[e don-sfte septic sysfem DO NOT WRITE BELOW THIS LINE Su6 Tvpes ? 01 Foundation ? 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex q 04 02-plex ? 10 OS-plex ? OS 03-plex ? 11 10-piex ? 06 04-plex ? 12 12-plex Work Tvpes ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck A 19 Lower Level ? 20 Pool ? ? 21 Porch (3-sea.) ? ? 22 PorchlAddn. (4-sea.) ? ? 23 Porch (screen/gazebo/perola) ? ? 24 Storm Damage ? 25 Miscellaneous 30 Accessory Bldg 31 EM. Alt - Multi 33 EM. Alt • SF 36 Multi Misc. ? 31 New 0 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36' Move Building ? 42 Demolish Foundation ? 45 . Fire Repair, 33 Alteration ? 37 Demolish Building' ? 43 , Reroof 0 46 WindowslDoors ? 34 ReplaCement 'Demolition (Entire Bldg) •Give PCA'handout to applicsnt Q@SCI'IptiOn: Water Damage _ Yes 4w Valuation Plan Review -1?100% or _ 25% Census Code '-._ SAC Units # of Units -' # of Bldgs '- Type of C6nst ?_ Occupancy R- ?5 MCES System ". .,, Zoning JDO' City Water: Stories - Booster Pump Sq. Ft. Length ^ Fire,Sprinklered Width ;.. - _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Iee & Water Final Framing Fireplace 4 R.I. -f Air Test *Final ? Insulation Approved By: _ Base Fee J?// Y Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. FinaUNo C.O. ? HVAC Other _ Pool Ftgs Au/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Building Inspector Copies Other Total City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4023 Johnny Cake Ridge Rd Lot: 12 Block: 2 Addition: Oakbrooke 5th PID:10- 53764- 120 -02 Use: Description: Sub Type: Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 2,000.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985 -6675 e- Fireplace Construction Type: Chimney /flue must be inspected prior to concealing. Smoke detectors are requ ired in all sleeping rooms prior to final inspection. When wall studs or ce iling joists are exposed, hard -wired detectors are required. Battery operate d types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.Brenda Huston 2700 N. Fairview Avenue Roseville, MN 55113 651- 633 -2561 hustonb@hearthnhome.com Surcharge - Based on Valuation $2K BL - Base Fee $2K Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $1.00 $69.00 $70.00 Owner: David W Hegewald 4023 Johnny Cake Ridge Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 Issued By: Signature Building EA075880 11/14/2006 ePermit PERMIT Permit Type: Building City of Eagan Permit Number: EA105967 Date Issued: 08/06/2012 Permit Category: ePermit Site Address: 4023 Johnny Cake Ridge Rd Lot: 12 Block: 2 Addition: Oakbrooke 5th PID: 10-53764-02-120 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are Comments: not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Krech Exteriors Inc David W Hegewald 5866 Blackshire Path 4023 Johnny Cake Ridge Rd Inver Grove Heights MN 55076 Eagan MN 55122 (651) 688-6368 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA127062 Date Issued:09/19/2014 Permit Category:ePermit Site Address: 4023 Johnny Cake Ridge Rd Lot:12 Block: 2 Addition: Oakbrooke 5th PID:10-53764-02-120 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David W Hegewald 4023 Johnny Cake Ridge Rd Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA128100 Date Issued:10/27/2014 Permit Category:ePermit Site Address: 4023 Johnny Cake Ridge Rd Lot:12 Block: 2 Addition: Oakbrooke 5th PID:10-53764-02-120 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Lisa Nyberg Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David W Hegewald 4023 Johnny Cake Ridge Rd Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173099 Date Issued:10/27/2021 Permit Category:ePermit Site Address: 4023 Johnny Cake Ridge Rd Lot:12 Block: 2 Addition: Oakbrooke 5th PID:10-53764-02-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - David W & Barbara J Hegewald 4023 Johnny Cake Ridge Rd Eagan MN 55122 (651) 252-8966 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature