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1569 Johnny Cake AlcoveAddress c? V\ " Y\ W C&?- ?2 \"A1 C.O Vt- Zip 5512 2= Lot aBlk -' 3ub 00-1-6-0 dC -C 5? THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: ? Final grade (6" fro siding) Pennanent steps (gazage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement 5nish Deck Please verify with the builder the removal of roottest caps from the plumbing system and the shutoff of water supply to the oufside lawn faucet before freeze potential exists. Contact engineertng division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? W6ite - City Copy Yeliow - Resident Copy Pink - Coniractor Copy Site address: ?S?a ? JOhNNN ?/l/GOVC Lot ?L Block 3 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 v This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFA TURER MODEL BTU'S VENTING TYPE Water Heater ? ow og-2'S Fumace v e?uxjo-k- t0o Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES No Kitchen kitchen Bathroom 1 a..w.s.?,z_ .. E30 ? Bathroom 2 a f? ?ty? ?c -?? Sd ? Bathroom 3 ?a?{ ??? , ? ? p ? Bathroom 4 ` f Other Q?o?,/ _S-d ?(, ? FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S YENTING UIttECf A7M05 R ? e?.?6l? 7000 ? I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. ure Date CompanyName " This form is the responsibility of the General Contractor. y?- aa B I ci ck 3 ?? LI 9?? ? S ao a.? 5` _ RESIDENTIAL ' ? ?b ',? BUILDING PERMIT ?A NPLICATI` ? H ol 3830 PILOT KNOB RD, EAGAN MN 55122 ?? 651-881-4675 p ,? 4 q1 al 6- rs (-? a NewConstructionReauirements RemodellReoairReaulremenls , • 3 registered sHe surveys showirg sq. fl. of lo[, sq. N. of housa; and all roofed areas • 2 copies of plan q? J (20% mazimum lol coverage allowed) . 1 set of Emrgy Calculaiions for heated additions?" j?t, '3 • 2 copies of plan showirg beam & windrnv saes; poured found design, etc.) • 1 sde survey for exterior additlons & decks • 1 sel of Energy Calculalions . Indicale if home served by septic syslem for addkions • 3 copies of Tree Preservation Plan if lot platted after 717193 _, o o • Rim Joisl Detail Optioire seleclion sheel (bldgs vrith 3 or less units) DATE SITE ADDRESS TYPE OP WOR APPLICANT MULTI-FAMILYBLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 STREETADDRESS CITY STATE_ZIP TELEPHONE # PROPERTY OWNER FAX # TELEPHONE # -------------------------------------------------°-------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'1'A RiJLI;S 7670 CATEGORY 1 MINNL;SOTA R111,P;S 767`l (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contraetor: Phone # Yluinbing systcm includes: _ Watcr Softener _ Iawn Sprinkler Fce: $90.00 Watcr Heatcr No. of R.I. Batlis No. of Batlis Mechanical Contractor: Phone # Mcchanical systcm includes: _ Air Condiuoning rcc: $70.00 _ Heal Recovcry SysLem Sewer/Water Contractor: Phone # --------------------------------------------------------------------------------------------------------------------------- I hereby ackn this application, state that the information is correct, and agree to comply with all applic rAtP 1f?1 ? tatutes and City of Eagan Ordinances. ' ? 3 a0z SignatureotApplicant - -- B ------------------------°°-----------°---------------'------------ -- -------- --- y OrFICE iJSF. ONLY ? Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required Updated 4l02 VALUATION CELL PHONE # OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg X 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex 1:1 09 07-plex ? 77 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02•plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi ? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous y 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` 0 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant Valuation ?Q( 9a Occupancy dZ3 -4?t MGES System Census Code 1 D/ Zoning City Water ? SAC Units _121, Stories Boaster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ?b Width T REQUIRED INSPECTIONS ? Footings(new bldg) V ? FinaVC.O. _ Footings (deck) FinaVNo C.O. Footings (addition) _ Plumbing ? Foundation _ HVAC Drain Tile O[her Roof Ice & Water Final Pool Ftgs AidGas Tests _ Final Framing _ Siding Stucco Stone Fireplace \/R.L ?AirTest -(Final ? Windows(new/replacement) _ Insulation ? Retaining Wall Approved By ? Z , Building inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total v??.-,.)/092? Sy 2.?c? I 3q0 X 6 L/ 3 6,A24& 7 0-v x / 4, / ??3Yo 6`? 9 G Y 7Z,3?o I r?2?y M£iR-16-2060 10 !2B b'1bTChaek COMPLrIANCE REPOsZT minnesata Snergy Code tRlcheck Softwars version 3.0 COUNTY: Dakota BTAT&: Mi,ririeapta LONE; 2 CONBTRUCTION TYBE: Si.ngle Family DATE: 3-16-2000 DATE OF PLAN5: 3/16/00 TITLE: FALKIRK W/0 EL. 42 COMPLIANCE: EA9SE6 Requix'ed UA = 508 Your Home = 407 19.94 Hetter Than Code P. 02ie2 Per t # C ocke y/DACe Arsa or Cavity Cont. Glazing/Door Perimeter R-Value R-va:ue J-Value --^------------------------------------------^ -------------------------- CEILINGS 1444 44.0 0.0 WAT,LSe Waod Frame, 161, O.C. 2327 14.0 2.0 z WALLS: Wnod Frame, 15^ O.C. 283 10.0 'e.0 BSMT; CprtC. 9.0' ht/8.31 bg/9.01 iasul 402 11.0 0.0 GLAZING: Windowe or poora, Above drade 485 0.330 1 DOQRS 38 0.350 FI,OOR6: Qver Unconditioned space 352 38.0 0.0 HVAC EQVIPMENT: F'urnace, 92.0 AFCTE -------------------------------------------------------------- `----"------- COMPLIANCE 3TATEnENT: The propoeed building design desaribed hera ie coneiatent with the building plana, epecificatians, and other calculationa submittied with the permit applicacioa. The proposed building hae been designed to me , e M?ota Eaergy Code. Suilder/De Date?? TOTfk- P.02 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION i PROPERTY LEGAL: aa 13 1 uc K 2 OGi KL-nol« DATE OF SURVEY: 4f -l & -o a m LATEST REVISION: ? c m L c? DOCUMENTSTANDARDS Y < O Z o ¢ / /o ? • Registered Land Surveyorsignature and company 21 ? • 8uilding Pertnit Applicant /? ? • Legal description ?j ? ? • Address d/0 ? • North arrow and scale ? ? • House type (rambler, walkout, splft w/o, split entry, lookout, etc.) d/? 0 • Directional drainage arrows wfth slope/gradient % ? ? • Proposed/existing sewer and water services 8 invert elevation ? 0 • SVeet name [d ? ? ? ? . Driveway L • ot Square Footage ?'/ ? ? • Lot Coverege L9? ? ? • Benchmark ELEVATIONS ? Existina 4'? ? ? • Sewer service (or Proposed) / ? ? • Property comers C??? • Top of cur6 at the driveway and property Ilne extensions [Y ??? • Elevations of any existing adjacent homes ? Cd/ ? • Adequate footing depth of sWctures due to adjacent utility Venches ? d ? • Waterways (pond, stream, etc.) / Proposed tl/? ? • Garage floor I5? ? ? • First Floor e/? ? • Lowest exposed elevatlon (walkouUwindow) ? 0 • PropeRy comers ? 0 • Front and rear oF home at the foundation PONDING AREA (N aoolicable) ? v/ ? • Easement line ? O' ? • NWL ? ?/? • HWL ? O' ? • Pond # desgnation o ? • Emergency Overflow Elevation / DIMENSIONS Q'/ EO ? • Lot Iines/Beartngs & dimensions GY/ ? o • Rightof-way and street width (to back ot curb) [9' ?? . Proposed home dimensions including any propoud decks, overhangs greater than 2', porches, etc. / (i.e. all slructures requiring pertnanent footings) 6?it1 ? • Show all easements ot record and any City utilities within those easements 0 • Setbacks of proposed structure and sideyard setback of adjacent existlng structures [4? O? • Retaining wall requirements, itany Reviewed: rl,_ ?-// '5--1- D . Surv e y o r's Cert2ficate SURVEY FOR : PULTE HOMES DESCRIBED AS : Lac 22, Block 3, OAKBROOKE STH ADDITION, City of Eagan, Minnesota and reserving easements of record. L O T SQ. FOO TA GE = 24,739 HSE SQ. F00TAGE = 11 795 L O T CO l/ERA GE = 77o ? Zq= 2 L_y Erist. Hame TOB = 930.2 --- 9`Z i i ? S(?? ooe / ? i ? 5 ` • / / 5' / MO ? •<u OC) CV N II /? O ? =N w i I X qZ? ?? ?- ? ? 4Z?/ 923` ? a23? ? I °2.Op 92? o° ?0 ? i q21 ? I ? '? lIr l71 1 ? Ezist. Home o )O.Op lOp 93 .9 TOB = 935.1 N C y orQ9e 7Og ? rv ? o i31,0 3 2.p0 N v3 .0 431 ?6. 93211, ^?' • 5 ? J i 0091, 'S30 p0 9303 8.89 43o.'L /5?9? ?/ 18052 PROPOSED ELEVATIONS Top of Foundation = q32.5 Garage Floor - q32,? BOSef1'leY1t FIOOf = q23.5 Aprox. Sewer Service =9zo,st Proposed Elev. _ ? Existing Elev. _ Droinage Directions = Denotes Offset Stake = . BENCHMARK, CP ?eRO12 EleJ= 931.'9 MIN. SETBACK REQUIREMENTS SCALE: i inch = 30 feet I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTA710N OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY OIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. /1 - ? . _ DATE A/,J4/OZ Front - House Side - Rear - Garage Side - D. LINDGREN, LAIQfY SVRVEYOR iTA LICENSE NUMBER 14376 N0: 02R-058 Oakbrooke 5 HEDLUND PLANNINC 6NGJNB6RINC SURVB'YINC 2005 Pin Oak Drive Eagan, MN 55122 Phone: (651) 405-6600 Fax : (651) 405-6606 ! N z?°cos', - y 9, Stary o ? xq2S,9 PcW o ? 20.00 W/o l h i? ? ?4?C?v?, RESIDENTIAL BUILDING I „?0¢?? Permit Application l.C City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Al0 0" .. C,d4 g(is1C6 New Construction Reauirements RemodeVReoair Reauriremenis Office Use Onlv 3 registered site surveys showiig sq. fL of l04 sq, ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20°h maximum bt coverage aliaxed) 1 set of Energy Calculatlons for heated additbns _ Tree Pres Plan Recd 2 copies of plan showing beam 8 windaw sizes; poured found desgn, etc, t site survey for add'Aioas 8 decks _ Tree Pres Not Reqd lsetofEneryyCalculations Add'dron-indicateilmsifesepticsystem _Oo-siteSeptlcSystem 3 copies of Tree PreservaUan Plan'rf lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less uniLs Date 3? / 12- / 2003 Construction Cost SiteAddress 1569 J_-,An!y (4L A lCo?e UniUSte # z EQ Q^, /11,A/ .sr/ 22 Description of Work l/QCt Multi-Family Bldg _ Y4N Fireplace(s) _ 0_ 1 _ 2 Property Owner 1,E75/k ...??f11 Telephone # ( 6SI Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Wwksheet (Jsubmissiontype) Submitted • Energy Envelope Calculation4ubmitted Licensed Plumber Mechanical Contractor n11f, t 3 2G03 Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Su6mitted Telephone # ( Telephone # ( Telephone # ( 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 permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. Ins, k i , h ApplicanYs Printed Name A ' anYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex pibg_Y w_ N ? 25 Miscellaneous Work Types .. . ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi Misc. A 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additan ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant Valuation ? Occupancy R MGES System Census Code Zoning City Water SAC Units - Stories Booster Pump - Nbr. of Units - Sq. Ft. §j, PRV - Nbr. of Bldgs - Length Fire Sprinklered `- Type of Const Width 16_ REQUIRED INSPECTIONS Footings (new bldg) FinallC.O. Footings (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundauon HVAC Drain Tile Other • Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final . je Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review ' MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? Surv e y o r's Certif2cate SURVEY FOR :PULTE HOMES DESCRIBED AS : Lac 22, Block 3, OAKBROOKE STH ADDITION, City of Eagan. Minnesota and reserving easements of record. L 0 T SQ. F00 TA GE = 24,739 HSE SQ. FOO TA GE = 1,795 LOT COVERAGE = 77o Exist. Home TOB = 930.2 --- 2r2 i O ? ,g0?'? i? ?-- a? ? & S6? E- e I / .? i ? ? =N i ? I ?I 2f? . ? ? oo / // 23. 9n _ ? ? I q3?.4 ?0? i 3 9 ?S?o ytl acµ w /o Caro4e ? qzs,9 / ExisL Home ?l931RTOB - 935.1 / o ?2r a• 89 ?Q30.2 lZ??ji \ COV 156q??-..,? ?- # 18052 PROPOSED ELEVATIONS Top of Foundation = 932.5 Garage Floor - q3211 Basement FlOOf = q23.5 Aprox. Sewer Service =920.g« Proposed Elev. - ? Existing Elev. _ Drainage Directions = Denotes Offset Stake = . HEDLUND PL,lNNING 6NGJNBh'RING SURPEY/NC 2005 Pin Ook Orive Eagan, MN 55122 Phone: (651) 405-6600 Fax : (657) 405-6606 BENCHMARK, CP #QO12 Elco: 9 31. ' 9 I5. b MIN. SETBACK REQUIREMENTS SCALE: 1 inch = 30 feet I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF THE A80VE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. DATE A/16/OZ ????"'?'?' ;5?tn 0. LINDGREN, LAtV SURVEYOR ?TA LICENSE NUMBER 14376 Front - House Side - Rear - Garage Side - JOB N0: . 02R-058 BOOK: PAGE:• - CAD FILE: Oakbrooke 5 Use BLUE or BLACK Ink I For Office Use t C p City Ol oPermit#: it+J.lAl EALL lll I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION I:. - Date: / Site Address: _~ti~t Unit M F. Name: IT h~! k ,I'o Phone: ~ ~ I Z RESIDENT OWNER Address/ City/Zip: Ja i7l n Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No Company: i7 t r~ Contact: /4? CONTRACTOR J Address: City: C f y \ Stater>f Zip: Phone: 60-S 3 2 -2 License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and 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 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.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name App ' nt's Signatur Page 1 of 3 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use Permit t 1 ,ilk nQ I 1 City of Ea Rd~ I a I Permit Fee: 3830 Pilot Knob Road I l Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: D Z Site Address: IS 1 q ~c A w&_ Unit Name: Z') St y Phone: ~S I ' Zg C~ L Resident/ 1 Owner Address / City / Zip: ~S J-b/hnn~ ~ (c.e„,L L aT S$ 2 z Applicant is: Owner V Contractor Description of work: _ l cotes -014 s ' r a a ~ f e L,- G ~ z- 5 p(r5'i g Type of Work Construction Cost: O Multi-Family Building: (Yes / No { Company: ~y a, [ tom r o S Contact: b We y Contractor Address: 171 D 0e~d~~~ lU City: (20144 State: Al Zip: SS y 2 Z Phone: ~SZ - o 10 License (/L r!o g~ [O Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING I 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 6 the information may be classified as non-public if you provide specific reasons that would permit the City to i conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of p mit issuance. X_ x Ap licant's Pr rated Name Applicant' gnature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177207 Date Issued:06/21/2022 Permit Category:ePermit Site Address: 1569 Johnny Cake Alcove Lot:22 Block: 3 Addition: Oakbrooke 5th PID:10-53764-03-220 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Insik Jin 19181 Saffron Dr Morgan Hill CA 95037 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature