4521 Oak Chase LaneCITY OF EAGAN Remarks
Addition OAK CHASE ADDITION #2 Lot 9 Bik 2 Parcel 10 53501 090 02
Owner/Lii; ? i":, y /<is /'?- t°iLAm street 4522 Oak Chase Lane Scate Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFF.
STREET RESTOR.
GRADING
SAN SEW TFiUNK
* SEWER LATERAL l,
WA7ERRAAIN
* WATER LATERAL
• WATER AREA 1975
STORM SEW TRK 1 ' g8 ?46,96 ?}-.80 15 02 y• Q
1115
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sAC 500.00 9030 2-9-78
PAR K
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECHI V EO
FROM
AMOUNT Is I
E] CASH ? CHECK
FOR
DOLLARS
ioo
f
° BY
?? .
?.,: ?. ..
NUMERICAL FILE COPY
cinr oF EAcnN
3795 Pilot Knob Rood Eegon, MN 55122 N2 4653
. PHONE: 454-8100
•?:
BUI4DING PERMIT Receipt # _
Feb. ° }
?_ . . ._ _. _ . _ .. ? . .. . .._. ,
Site 6ddress 47L1
Lot Block 2
Porcel # !t; _;30
oe Nome Ken YetChffia
? Addre? 1456 Yankee Doodle Rd.
aean 454-6981
o Narne Hemen, Inc_
i
Uo < Address - 1480 Xankee Doodle Rd.
I w r;,,, Ip,,,,,1e 452-4440
I hereby acknowledge that I have read this upplication ond staYe that
the information is correct and agree to comply with all opplicable
State of Minnesoto 5totutes and City of Eagan Ordinnnces.
Erect g] Occuponty 1
Alter ? Zoning E
Repair ? Fire Zone 3
Enlarge 0 Type of Const.
Move ? # Stories ?
Demolish ? Front ft.
Grode ? Depth ft.
Aoarovals Fees
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. -
APC
Signoture of Permittee '
?- ?
A Building Permit is issued to:
all work shall be done in accordance with all
Building Officiul
Inc.
Permit 1 lrt.Ini
Surchqrga 20,50
Plan check
SAC 300.l1()
Wnter Conn. 730-r '?'
Water Meter E>f) • 0(-
Tota! .
on the express condition that
Statutes ond City of Eagan Ordinonces.
remk # Oeft la?wd ??ewIFM? '
Plumbing ?o G 8 ag
Mechonical -a9- >g'
iNSPEGTIONS DATE INSP. RaqMln Find
Footings - 1 Date Inip. Oots Irap.
Foundotion Plumbing ,-
Frame/ins. MecFwnicol -/
Final
?
Remarks: q - If -7 f y r d 0/? I
7-1l- 79' •
,MI/el 7'? { t rrT joypjio
f, h if k f r^ d e
,T,h TerIvr D ec ,s•7"m?i r
4L
CITY OF EAGAN
3795 Pllot Knob Rood
Eogan, Minnesota 55122
Phonro: 494-6100
PERMIT No. ! 149
• HF;?`?'?i`i?
Date: ' '.ta rr-h 99_ 1973 Receipt No.:
Single
Site Address: 4511 O.ak (;i:t,ap- I?;}r - Residentiol
Lot Block + 5ub/Sec.
Name `,"en'leth Retchari New/Alter./Repair. ?1eW
;^ddress 1-45 r 1'ankee uoc dhZci . Cost of Insraltarion _-
O
City an ?12 - - Phone: Permit Fee ?0,?'1
` r' ?
Name Surcharye
?
? Address
e
V
City Phone: Total
This Permit is issued on the express condition that oil work shall be done in accordonce wfth all applicable Stcte of
Mintpeafa-Stotutes ond City of Eagan Ordinances.
f1qd
Building Official
PPP'
cinr oF E?GAN
3795 Pllot Keob Road
? Eagon, Mlnnesota 55122
Plwne: 434-8100
PERMIT
.
'
Date: i• 13
Site Address: R .5 2 1 k ? i -
Lot Block ? Sub/Sec. nc T I
Nome
.
; Address -r •,'a'rl'r'E?F' D00d1-
O
City Phone:
Nome
?
?
? Address
e
0
V
City Phone: _
This Permit is issued on the express condirion thot all work sholl be
. Minnesota Statutes and City of Eagan Ordinances.
?
No
Receipt No.: 14 2 h
Single I
Residential ?
Multi Res., Comm./Ind. I
New /Alter. /Repair
Cost of Instollation
Pertnit Fee 7 P• 00
Surcharge
Total -
done in xcordarxe with oll cpplicuble Stote of
Buildinp Official
PERMIT #
? MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: p0, PHONE: 454-8100
Site Address y"- ? r BLDG. TYPE WORK DESCRIPTION
Lot _L_ Bloc
k ?- Sec/Su b
,
?,- ry--- Res. New
'
'=
?
' Mult Add-on k
? •
?.
i
Name .-?T. j? ,?
-°1
?
Address Comm. Repair
c City Phone Other ?
? tVame ? f"?'"? ? C ? FEES
RES. HVAC 0-100 M BTU -$24.00
c Address ? 41? ADDITIONAL 50 M 8TU - 6.00
O City ?`^'??'? Phone yTZ ??r (RES. HVAC INCLUDES A/C ON NEW
CONSTRUGTION) ?-
GAS OUTLETS
MINIMUM
1 PER PEk
/ll
:
-
v
(
n - 1
50 EA,
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU
$ TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-QN &
Unit Heater M BTU $ REMODELS - 12.00
Air Cond. d4`3 M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM (ADD $.50 S!C IF PERMIT PRICE GOES
Gas Piping Outlets # $ BEYOND $1,000)
Other $
FEE: X.oo ? ef .
!
` S/C: ITTE
TOTAL• ? ? •?Q
FOR: CITY OF EAGAN
INSPECTIDN REC4RD
CITY OF EAGAN PERMIT TYPE: 14" << r" NO
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
, ,,;,.? ? iar? .k 1 f,?a; , . , . E,? ?,??•.
11?'?; 1 l:i5'.? . P?il : ?• i . ? •i'..- ???? ? F -1
L - I
PERMIT SUBTYPE: TYPE OF WORK:
I rFRAti(IN
i t f'kAMF '-:KYI. llill I
Permit No. Permit Holder Date Talephone #
ELECTRIC
PLUMBING
HVAC
Inapectlon Dab Insp. Commenb
FOOTINGS
FOUND
FRAMING ?
!0 , /fY
?? s
ROOFING
ROUQH
PLUMBING
PLB(3
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FlREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
..?,?
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
cirtir oF e,aGaH SEWER SERVICE PERMIT
3745 Pilot Kno6 Road PERMIT NQ.:
Eagan, MN 55122 DATE:
Zoning: _ No. of Units:
Owner:
Address:
agree to complr with the City of Eagon
of Insp.:
i,
Connection Charge:, ?
Account Deposit;
Permit Fee:
Surcharge:
Misc. Charges:
Totol:
Date Paid:
)F EAQAN WATER SERVICE PERMIT
'ilof Knob Road PERMIT NO.:
MN 55122 DATE: _
No. of Units:
No..
to eomplr with the City of Eagan
?
Connection CMarge: ?
Account Qeposit: ?
Permit Fee:
$urtharge:
Misc. Charge5:
Total:
Date Pnid:
InsD.: -
CiTY OF EAGAN
3795 Pilot Kno6 Road Fagan, MN 35122 N2 4653
PHONE: 454-8700
9030
BUILDING PERMIT APPLICATION $41
000 Receipt #
,
,
Feb . 9,
8
To be wed for R F ihu7 Y_ d Aaro_ Est. Value Dote _-, 19
Site Address 4521 Oak Chase Ln Erect f] Occuvancy I
Lot 9 Block 2 Sec/Sub. 08k ChBSE II qlter ? Zoning
Parcel # 10 53501 090 02 Repair ? Fire Zone
E
l f C
t
T
arge ?
n ype o
ons
.
s Nome Ken Ktchem Move ? # Stories
z 1
Address 456 Yankee Doodle Rd.
Demolish ?
Front _ ft.
? Ci Eagan phone 454-6981 Grade ? Depth ft.
? N I D l H
I APProvale _Feet
O
p ame ,3ep ge ID25 p IIC
?? qddrew 1480 Yankee Doodle Rd.
r- r:... EaKan ow,,,,e 452-4440
Name
Addrea
I here6y acknowledge that I have reud this application and state thot
the information is correct and agree M wmply with all applicable
State of Minnewto Stotutes and Ciry,mf Eaqon Ordinances.
Signature of Permittee?,'
A Building Permit is issued to:
ull work sholl be done in acco
Assessment _
Woter $ Sew.
Police -
Fire
Eng.
Planner _
Countil -
Bldg. Off. _
APC
, Inc.
Permit 17R-00 _
Surcharge 70 !S?
Plan check
SAC 500_00
Water Conn. 7 10-
WoterMeter 60_00
Total on the exvrea condition that
Statutes and City of Eogon Ordirwntes.
Butlding Officiul
,nis request void'18 months from
32835
Date of this Request ? " - y y
?
I, as O Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or
Section
?!S a i
.?. O <
CountyA. z?"-...i
Which is occupied
Is a roughin inspection required on this job? No D Yes
Ready Now ? Will Call W
Power Supplier?J??JG? Ae:k Addre
/
Electrical Contractor ?- ?/ Contractor's License No. _
"pany Name)
MailingAddcess3?o?Co.39.??i"ee",?f?Yj?/.a-?S.a?o ?
Authorized Signature _ q1n,.,,J-)N ''", Kct?.,?_o.?'`?? Phone No.
(Eixtrical Contractor or Ownar Making This Instaltatlon)
ST TE BOARD C4PY
, Minnesota State Board of Electricity
54 UniJersity Ave., St. Daul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
iWHECK gELOW WORK COVERED BY TH1S REQUEST
32835
Type oY Building New dd. Rep. Check Appliancea Wired Foc Check uipment Wired For
Home ? ? Range ? Temporaiy W'ving ?
Duplex ? ? ? Water Heater ? Lighting Fiacwres ?
Apt. Bldg. ? ? ? Dryer ?. ElecVic Heating ?
Commercial Btdg. ? ? ? Fuma ? Silo Unloader ?
Industrial Bldg. ? ? ? Air C. er
P Bulk Milk Tank ?
pList
ei
I pList
ers#
eh
O he ? ? ? ---?
H
e e
A COMPUTE INSPECTION FEE BELOW --
Secvice Ent[anee Size: # Fee Feedecs&Subfeedeis: # Fee C¢cuits # Fce
0 to 100 Am s. 0 to 30 Am exes 0 to 30 Am eies
101 to 200 Am s. 31 to 100 Am eres 31 to 100 Am etes
Above 200 Amps. 5; Above 100 Amps. Above lO?Am s.
Tiansfovners RemoteControlCuc. Paztialototherfee
S' ns S ecial Ins ection Minimum fee $5.0 6--d
Remarks TOTAL FEE
? .? G
I, the Electrical Inspector, hereby ce rti at th b e i6spec 'on has been made.
(Rough-in) Date ?1.77' 7 ?
(Final) ?L Date?{- ?? ?
This request void 18 months from
I1f-?i?:3F' i:GJi' `:. i?Fi:RM:[NAf_ NO^ 33
i.'3;A c.'.cC?Ri.
_..:,.
^41Mlii::: R*IOJJMfV A Nli-',!7:I..I...li-.
(.1Flf.i
1,
3'"i.,2'5
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
028970
10/03/96
SITE ADDRESS:
4521 OAK CHASE LANE
LOT» 9 BLOCK: . 2
OAK CHASE 2N0
P.I.N.: 10-53561-090-02
DESCRIPTION:
REFRAME SKYLIGHT
Bo?l.d-?jng?6,permit Type SF (MISC.)
E?u?1d-h.ng;W`2??k 7ype AL7ERATION
434 ALT. RE5IDENTIAL
.... ._ .. .. . ?
REMARKS
°°S S?(?' g? E ? '? ?"? ?`??r?? «: ?
? i Y# G? ?y ?? St 3(? ? ?
Al Wi.?e. (:,. ?v
?°?' is +tn w?° ?P .. ` vV,
FEE SUMMARY:
VALUflTION 1 $1,000
Base Fee $34.75
Surcharge $.50
Total Fee $35.25
COQITRACTOR: - Applicant - S7. I.xC. OWNER:
AFFORDABLE BLDRS 14520662 0005424 SCHAFFENBURGER JOHN
3607 SUNWOOtl 7R 4521 OAK CHRSE LANE
EAGflN MN 55123 EAGAN MN
(612) 452-0662
. -.. ., , ., . . ?. . ., a' ' - -
T herqby aeR nsatj ledge "ChA t 'T vm`r'-datf t;h3s ap????????? hat ?fiie E
in-Fvrma!tkoa'a.is cQrree? an,d;k ?gre'";?to` cam?'7,Y,w?•_th ?;a?Z3?, S??t?:
Statut?s a?i¢F Cx`t`.y o? ?aga,n?frc?rn.n??s
,?` _
A I?.lI,JmL issueo e si aruA?-
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
LO `L
? 3 regislered site surveys ? 2 copies of plan
? 2 copias of plans (include beam & window sizes; poured fid. design; ete.) ? 2 ske surveys (exterlor addRions & decks)
? t energy calculationa ? 7 energy calwlalions tor heated additions
? 3 eopies af tree presarvation plan N IW plaUed eRet 717193
required: _ Yes No
DATE: XD- /- GI 4 CONSTRUCTION COST: ?SOC7 ?? O
DESCRIPTION OF WORK: r
STREET ADDRESS: `? Sa I D /?ii.ro 4a?
BLOCK SUBD./P.I.D. #: Z
O
PROPERTY Name: Phone #:
er FMST
OWNER u
Street Address• ?S? / d? `?
?ba}--,--
City: .?Lw,State: ?
11 Zip: 2-,
Ss«
Ift
CoNTttacroR Gompany:
Phone #: `fsa "?6? 2
Street Address: 3/ 07 License #:
City: ? State:./Vv Zip: S
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
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 o( Eagan Ordinances.
Signature ot Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes
_ No
OCT Ui1996
Tree Preservation Plan Received Yes No
OFFICE USE ONL'Y
BUILDING PERMIT TYPE
r
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dweliing o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex o 14 Fireplace p' 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex o 15 Deck
WORK TYPE
? 31 New 13'?33 Aiterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
0 36 Move ,
? 37 Demolition
_ Basement sq. ft. MCNVS System ;
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinkiered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code. K3'4
_ Footprint sq. ft. SAC Code .?t
Census Bldg ?
Census Unit o
Building 03 Engineering Variance
Vatuation: $ 1 ; ooo. -
°k SAC
SAC Units
3 ? ?1 ?SS
1? (? C) .?v
ll-(S 9 1
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: /f ( ? "
Q ood? bk.& Y
Description of Work: x Construct new fireplace _Gas _Masonr Alteradons to existing
Install eas insert ontv Instal] eas line onlv
?Other jeowf/?
Job address: `rv a? DPK CAAAS IE Uv
?OJ
Lot: q Block: ^?-- Subdivision/P.I.D. #: 00.1. l ?-
Applicant (circle one only): Owner Contractor
Pers:it Fee: $60.50
Name??C?tQ(??Q.? C?e.r OkN Phone #: 4,)tf? ??-7 9
PROPERTY Last First
C'C11?? L, /
OWNER Street Address; ??` QA'`/? ? ??
City ? G C( n State: Zip:
Company: LAM'-E W10OD _1-?`CZ77_1 Of(,_ Phone #:bi2 -
(azea code)
FIREPLACE INSTALLER Street Address: ?'ST S'r
City ?CK state: VVl N zip: S? o b' Z
Company: Phone #:
? (area code)
GAS LINE
INSTALLER Sneet Address:
City State: Zip:
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 Statutnand City of Eagan Ordii a?ces.
r
Sign re
ir
i?!C?? ?
OFFICE USE ONLY
BLIILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 32 Addition ? 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
BUILDING PERMIT APPLICATION
nAxE / - 3 - -78
Znclude 2 sets of plans, 1 eite plan w/elevations and 1 set of energy calculations,
2b be used for ??LL. F4MjzV /NIF Valuation 6/?i°-' _
site Acldresc: 0 A) Qp,l- y6a.[..
Lot Block Sec. Sub,
Ommer ??E:N ILrTGIJ Ah4
Address 14 5'! ANk?cp?apLl?' A
5A!'? ? I/Jhl. ?j
Lbntractor Lw /_T?A.i.dZ HOM? i Nc.
Addresa IL+u? ?'.ni?Kt??vnD1.y- 2t5
?.uc-d*1 N? i nN •
Parcel Number /1
Teiephone 454 - (?'A'% I
Telephone '+ 5'z-- 4U'-Fb
Arch./Eng.
Addzess
Erect SiNc„tw- 'Fwhit?
Alter
Repair
Enlarge
Nova
ner,GOlish
Grade
OFFICE USE
Occupancy T
Zoning
Fire Zone 3
Type of Const.
# of Stories
Front ? S
Depth
OFFICE USE
Date of a roval & Initial
Assessment AbO17 n U l?l N)ater/Sewer
Police
Fire
Eng.
Planner
Council
Rldq, Off.
A.P.C.
FEES
ee
Permit
Surcharge &O
Plan Check
SAC ?
Gtater Cbnn. '2RO•
Water Meter 40. or?
Telephone
:. . ? '
'47
.n
?.
?
CEB '
L `
( A. _
N 80?035+3
? 93? ?0000
? ? -
t? ?/ :•
? .
/
lv?
c?
- i, •0
1 4 ?'
? Wo
i ?p, ?? ia?S'1••
q ?
s-ig° ?' W, "
44-1o ?
o?
M
i Aorsr aesRnorr Frvnr rrws xopwr, At,uv av mravr
+rRS PmAdao or rwrr av uvaew rr AweL^r swrRwsiow
Aw rmar tAur A aucr q[wsrtivit» t,wo srarvtrar
aMV rnr tArs ar n,r srMl ar ruMicsoM
cw .G
anr 1?3
I5501 elirsr avsevs oevlh,
?amivl11e, wiussie!• s5331
°VIIFR*ny
o.
I N
e
?
?
??TT1
y?? So~
? ALL oEApNc-(-2
,-- ,
0 DF=NoTES i" MoNUMYNT
Lc7 9, BL&K L
aa.k c.HAsE ?CcNiD Ak6ITiorl,
D#,KoTA c?NTY M Nnr=s?
brandt enqincsrin9 compaoy
(612) 600•1!N
L3-f-z "le
?
le 7ti3q
2007 RESIDENTIAL NIECI3ANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675
Please complete for: single Farnily dwellings & townhomes/condos when permiu are required for each unit
Date C )' ?-_) / ? 5 / C'j 7
Site Address 4.? t(T?Y:I, (?? Uott #
Property Owner (jk C'flvzt_f1 Tetephone #(?A 51) 7 1-4G- 7Cn;_5 Z--
Contractor Dan Wohlers Southside Htg. & A/C
6950 W. 146t' St., #106
5treet Address Apple Valley, MN 55124 - CiTy
State (952) 431-7099 Telephonett ( )
Bond#: ??- -?- 0?J?--7 C} E1_7 Expires:
The Applicant is Owner X Contractor Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when eutensive mechanical repairs are made to a building.
Add-on or alteraHon to exis[ing dwelling unit $ 50.00
_ furnace _ Additional _,n4aeplacement _ New
air exchanger
? air conditioner
heat pump
otNer
StateSurcharge JUN 0 4 2007 $ .so
Tocal $?• to
I hereby apply for a Residential Mechanical Peimit and acimowledge that the infomiation is complete and accurate; that the work will
he in conformance with the ordinances and codes oFthe CiTy of Eagan and with [he Mechanical Codes; thal 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. _ ., .
C'_,-bUc&. I?Kc4?cLr
Applicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157020
Date Issued:07/31/2019
Permit Category:ePermit
Site Address: 4521 Oak Chase Lane
Lot:9 Block: 2 Addition: Oak Chase 2nd
PID:10-53501-02-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Steven R Olmen
4521 Oak Chase Lane
Eagan MN 55123
(651) 769-7632
Trinity Exteriors Inc
10179 Crosstown Circle
Eden Prairie MN 55344
(952) 920-9520
Applicant/Permitee: Signature Issued By: Signature