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4525 Oak Chase WayCITYOFEAGAN Remarks?!Lc? ????? n 0?e ?Dk uXlt/'I' ?in'Fri ?'?'?.?Ob.:?' ,-?i•f7')? Addition Oak Cha se Addition l!3 Loc 3 aik 1 Parcel 10 53502 030 Ol ownerRh,ll?,- ? ?T ? 30f)P _?s F_yRE -s«eet 4525 Oak Chase Way State Eagan, MN 55123 ? Improvemen[ Date Amount Annual Years Payment Receipt Date STR E ET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK 211 197 -' 386.07 ' 19.30 20 PAID ;p SEWER LATERAL 149.8 15 PAID WATERMAIN * WATER LATERAL 1975 jS • WATER AREA 1975 15 STORM SEW TRK 15' 1983 h46; 96 _.2.q.80 11 .: f f s`- STORM SEW LAT _ CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 260.00 10971 7-1-74 6UILDING PER. #3297 snc 10480 4-26-74 PARK MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN - Name - ?6 Address c City Phone BLDG.TYPE Res. Mult Comm. Other RECEIPT # DATE: J For Office Use Onlv: New - Add-on _ Repair _ FEES ? Name RES HVAC 0-100 M BTU -$24 04 c Addres5 . AODITIONAL 50 M BTU . - 6.00 p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEHMIT) - 1 50 EA TYPE Of WORK COMM/INQ FEE - 196 OF CONTRACT FEE . . Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHaUSE 8 CQNOaS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.04 Air Cond. M BTU • ' MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent. CFM ? (ADD $.50 S/C IF PERMI7 PRICE GOES Gas Piping Outlets # 9EYOND $1,000) Other $ FEE: SIG?r ATU OF ITT E S/C: l/ ? €? TOTAL• f= ? FOR: CITY OF EAGAN -, VILLAOE OF EAOAN SEWER SERVICE PERMIT 3795 P?lot Kno6 Road PERM IT NO.: 2204 Eugon, MN 55122 DATE: 7/1774 ZoninB: R-1 No. of Units: 1 Owner: Philip W Gievf Address: Sice Addmss: 4525 Oak Chase Wav Plumber: I oqree to comply wkh the Villoge ef Eogan Connection Chazge 400.00 pd Ordinancas. Accoun[ Deposit: Permit Fee: 10-00 i2d 7/l/74 Surcharge: `O -Pd gy; Misc Charges: Da[e of Insp.: To[al: __ ]nsp.: Date Paid: .3 / o e ,S VILI,AGE 01' LAGA1V 3795 Pilot Kncb N.oad Eagan, Ntinnesota 55122 PERI4IT N0._ 450 The Village o£ Eagan hereby grants to Genz xvan Plumbinq & xeating 2nc. of Rosemount, MI 550E£3 a rr.nrmBrNr. Permit for: (Owner) Phil Gjevie at 45ase way , pursuant to application dated 5/8/74 Fee Paid: $20.00 dated this 15th day o£ May , 19 74 .5o s/c Building Inspector Niechanical Permits: Bid Total: _ , - CITY of EAGAN BUILDING PERMIT D£SCRIPTION ? N2 3257 3795 Piloi Rnob Roed Eagam Minaesofa 55122 454-8100 ......................... T.......... Dals ? ?? 6fosies To Be Used For Fron! Depfh HeighS Eel. Coc! Pesmi! Fee Aemuks - ?p 'F,r'`_"'7 ``"'_ ?/ 5-I a/ 4 ' /3 S'.°v ay •:?u !o e ? ?, ? ,?x.«-f ..?-z`-e. -u'C? 54-/ ?? 4 2-5' LOCATION /GZ„i? or -q'5-zs 0?? &?? ,? I 1 62,1- 14....`c. rt 3 This permit does not aufhorise the use of slreels, roads, allepa os sidewalka nos doea ii give the ownBS or h[s agenf the righf !o creafe any ei3uation which is a nuisanee or whieh preseaic a hasard !o the heelih, safefq, conveaianes aad general welfare !o anpoae in the communify. THIS PERMIT MUST SE KEPT ON THE PREMiSE WHILE TFIE WOAK IS IN PROG SS. This is !o aerlify, lhai....??.... .-_------------ --- - -------------_.haspermissioa !o erect a.. .?'?upoa the a6ove described premise sub ecf fo the pxovisions ot all applicable O:dinances for the C p of Eagl'an. -.' _--......---.._--.. Yer ..............._6^.-'Q:P...._Y..._..s-`.`..'..?"?..--°°----°°°--....••-------- ----.? :....... _••-°---'-"-° ---`....... ........ . .'- Mayor BviidinSIaapector ? 3J/ O.G.3 VILLAGE QF' FAGAN 3795 Pilot Knob itoad Eagan, Nlinnesota 55122 PEMT N0. sni The Village of Eagan hereby granta GO ;r?n2-RVan rraar; nQ & pI ing of - Rosemouryt. MN.55065 a urn,mrNG Permit forz (OwneT) Phil Gievie at 4525 Oak Chase Fdav ? pursnant to appliCation dated 5/8/74 Fee Paid: St20.00 dated this iSth day of rkay ; 19 74 . .50 s/c Buii ng Inspector Niechanical Permits: Bid Total: -2160 31S 0 M-141251 0 33385 ?^d ReQUast Date Fire No. RougM1-in Inspaction Rapuiretl? Reetly Now ? Will Nanly InspMOr R tl ? ' `Nh + (J ? Yes No en ea y I licensed contractor ? owner hereby request inspection of above electrical work at: Jo0 Atltlress (Slreel. 8ox or Rou1e No.) Ci1y Section No. TownshiD Name or No. qange No. County Ocapant (PRWT) Phone Na. Lf SL - q PowerSupplier Ntldress Elecmcal ConVaaor COmpany Name? ConVaclor's License Na. Mal g Adtlress fCOnVector or Owner Maktng Ins[ellation) ? .? . Aumonzed Signeture (ConUacmrlOwnerMaking Ins[allation) Phone Number . • ? ? ? . / ? l T I MINNESOTA STATE BOARD OF ELECTqICITY THIS INSPECTION REOUEST WILL NOT Griggc-MlEway BICg. - Room S-173 8E ACCEPTED BV THE STAtE BOARD 1821 Ilnlversiry Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-O800 ENCLOSED. ;7/,A 3/F0 @ 33385 REOUEST FOR ELECTRICAL INSPECTION ? See instmqilLns for completing this form on Dack of yellow copy, "X" Be/ow Work Covered by This Request 9 00?, g 4?oa ?.?.. e Add Rep. TypeofBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt Building Dryer Other (Specify) Comm./Industrial Fumace Farm Air Conditioner Olher(specity) Contractor§ Remarks: ? @-?`?' Cor?f9lt'tDh?.4?$ Compute Inspection Fee Below: N Other Fee # ServiceEnirenceSize Fee # Cimuits/Feeders Fae Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ AmpS Above 100 _ Amps SigOS Inspecmr§ Use Only. TOTAL Irrigation Booms (Y-_ o S• S Special Inspection Aiarm/Communication THIS INSTALLATION MAY BE ORDERED UISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, ihe Electrical Inspector, hereby Rough-in ? oa?e certity ihat the above inspection has been made. Flnai ,.,(?y / OFFICE USE ONLY This request voi0 18 months fmm nuace ov EncaN WATER SERVICE PERMIT 3795 2ilot Knay Road PF.RM11' NO.: 1505 Eagon,MN 55122 UATE: 711/74 'Loning: R-1 No. of Units: 1 Owner: Phillp W. Gievfe Address: sice ndaress: 4525 Oak Chase wa Plumber: self _ Meter 32? 7 1 7, Connectlon Ch rg ?e: Size: ti?fv Account Deposia Reader No. ?`??/ ?? Permit Fee: 10.00 pd 7/1 1 oqree to comply with the Village ol Eagan Surcharge: .50 pd Ordinancn. Misc Charges: To[al: [? ? Date Paid: Dateolinsp? Insp.: 2oo7 RESIDENTIAL BUILDING rExMiT arpLtcaTiorr City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 I,.,w Conshuction Reauirements 3 registered site surveys showing sq. h. of lot, sq, fl. of house; and all roofetl areas (20%maximum lot coverege allowed) 1 Soiis Report if proposed building is to be placed on disturbed soil 2 copies of plan showing heam 8 window sizes; pouretl found desgn, etc. 7 set of Energy Cakulations 3 copies of Tree Preservation Plan if IotplaHed after 7/1193 Rim Joist Detail Options selecfion sheet (6uildings wilh 3 or less unils) Minnegasco mechanical ventllatlon form RemodeilReoair Reouirements 2 copies of pfan showing footlngs, beams, joisfs 1 set of Energy Calculatlons for heated addrtions 1 si[e survey for addiFons & decks Addifion - indicafe if on-sife septic sysfem ce TfSe On C`yelk¢9tr?.4dvey eof ?pN ??? I 4 y.? i Y,+_?N tee Pres R?Q4ired ? Y N 1' pn-sdese'pucsvstemd?, N Date /) / S / 07 C o n s truction Cost 9 ? ? ? Site Address q?j p? 0AI-4 i ? UniUSte #_ ` Description of Work GC-S 9'('f_,Q1Cc [_¢ - Mu1N-Family Bldg _ YX N Fireplace(s) _ 0 41 _ 2 Property Owner SOLPIC XR..{ ?J.Q.,i,U' lKQf- Telephone #(t?5;t) }- ? Contractor `/'1. ?q.y^4-V? •y- F'4? r-y?_ aaare55 I S)c) Fl m6-Z br c;ry c"QC, r-i State (`1 (U Zip 55.? 5 :2-, Telephone # ( '?S?) ?f S a - 9 1-7 Qo COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota R_ules 7670 Cateeorv 1 . Residential Ventilation Category 1 Worksheet (Jsubmissionlype) Submitted . Energy Envelope Calculations Su6mitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has The City of Eagan issued a permit for a similar plan based on a masier plan8 _ Y _ N If yes, daYe and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor 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 permiY, but only an application for a permit, and work is not to hout a permit; that the work will be in accordance with the approved plan in the case of c?h"tohfx?c?i?s ?r?w and approval of plans. ? J U L5 u I II II 0171 Sh,,"-r e-11L Applicant's Printed Name Signature 0 5 2001 2007 RESIDENTIAL BUII.DING PERMIT APPLICATION ? City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodellReoair Reoutremenis Office Use?OoN 3 registered site surveys showing sq. ft. of IoL sq. k. of house; and all roofed areas 2 copies of plan showing foatlngs, beams, joisis Ceft of Survey ReCtl _Y -N (20 % maximum lot coverage allowed) 1 set of Energy Cakulations for heated addihons Soils Repat _Y _ N 1 Soils Report if proposed building is to 6e placed on disWrbed soil 1 site survey for additions & tlecks Tree Pres Plan Recd _Y _ N. 2 copies of plan showing 6eam & window sizes; poured found design, eic. AddiM1on - iiroSCafe Aon-srfe sepAC sysfem Tree Pres Reqmretlt _Y _ N 1 setof Energy Calwlations On-site Septic Syslem Y_N 3 wpies of Tree Preservatlon Plan if IM plafled aher 7f1/93 , Rim Jaist Detail Options selecM1On sheet (bulldings with 3 or less unifs) Minneqasco mechaniwl ventilaEon form Plans arP r.nnsidered nuhlir infnrmatinn unlecc vnu state thev are trade SeCi'et and thB reas011. Date 1__?_ l 2 Z/_.C) -7, Construcfion Cost 10, OcG Site Address z( 'S' 7 r 0, F ( (? e j<- ?v y Unit/Ste # Descriptlon of Work r?rn -5 t, /?? S t•''?• ? Multi-Family Bldg _ Yk-N Fireplace(s) _ 0 ? 1 _ 2 Property Owner /?f t c. &c c? l.v-c : ?1ln r.? Telephoue #(?d 5?)4FB5 Contrac[or Address City State Zip Tetephone # ( ) COMPLETE THIS AREA ONLY IF A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (V submission type) Submitted Submitted • Energy Ernelope Calculations Submitted thelast 12 months, has the-CiTy of Eagan issued a permit for a similar plan based on a master plan2-- ---- _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor 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 wo 'ch ' and approval of plans. p R 9 ? 0 ;? ?? /? IJ V `?CGG?( ?. ?2:???' ?G?``?iG,ud% zG'/ Applicant's Printed Name Applicant's SiVature DO NOT WRITE BELOW TffiS LINE Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 Ot of_plex ? 04 02-plex ? 05 03-p1ex ? 06 04-plex Work Tvpes ? 31 New ? 32 Addition A- 33 Alteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garege ? 18 Deck '-?( 19 Lower Level ? 20 Pool ? 30 Accessary Bldg ? 21 Porch(3-sea.) ? 31 Eut.Alt-Multi ? 22 Porch/Addn.(4-sea.) ? 33 Eut.Att - SF ? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bldg) - Give PCA handout to applieant D2SGrIptlOtl: Water Damage `Yes Valuation 0170 Occupancy MCES System Plan Review ? 100% or _ 25% Census Code 3?1!4_ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck). Final/C.O. - Footings (addition) ? Final/No C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final Framing Siding _ Stucco Lath Stone Lath Brick ? Fireplace R.I. 4AirTest .[ Final - Windows Insulation ? ?` Retaining Wall Approved By: 1 V , Building Inspector -i- Base Fee Surcharge Plan Review MC/ES SAC aty snc Utility Connection Charge S&W Permit & Surcharge Trealment Plant Licepse Search ; ?..., Copies , Othd[ : Tota'7 ? 07 05-plex ? 08 O6-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex ???? ? ?(qxox?. I L?OD b s G 3o 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 76 = Nevr Construclion Reauirements RemodeVReoair Reauiremenls Office Use Onlv 3 registered sfte surveys showing sq. ft. of lot, sq. ft. of houu; and all roofed areas 2 copies af plan Cert of Survey Recd _Y _ N (20% maximum lot coverage allowed) t set of Energy CalculeEons for hea[ed addl0ons Tree Pres Plan Recd _Y _ N. 2 wpies of plan showing beam 8 vrifMOw s¢es; poured found desgn, etc. t ske survey For additions & decks Tree P2s Required _ Y_ N lselofEnergyCalculations Addftion-irMicateifon-s8esepticsystem On-sHeSepticSystein _Y _N 3 copies of Tree Preservation Plan rf lot platted after 711193 Rim Jo'st DetaY Oplions selecGon sheet (bulldings w'Ah 3 or less uni45) Date?/? ?/ Construction Cost q,71i!/ i? '/ Site Address UniUSte # Description of Work - Multi-Family Bldg _ Y)?IJN Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone #Ar/ )!?? ?d O 6 Contractor Address 3w d C City ?T D V r State / // Zip _?ss/a 9 Telephone # (f,561 ) 907 ? COMPLETE TFIIS 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 Worksheel submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor 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 an e f the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an a tion a permit, and work is not to start without a permit; that the work will be in accordance with the r ed ' the case of work which requires a review and approval of plans. _ "-"I Printed Name Signature 0 i1 •• ADD . ° ? oS?IU ??o(o 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to exisUng residential dwellings. Date Z / O ? OS WEIDNER, MICHAEL 4525 OAK CHASE WAY SItB StfBBt ACJfJYESS . EAGAN, MN 55123 . Ufllt # (651)405-1888 Property Owner - - - ?Telephone # ( ) NORBLOM PLUMBING CO. contractor Telephone #( ) Address City State Zip MINNEAPOUS, M?NP540 The Applicant is: Owner ontrac or Other _ Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heater--complete next section if instaliing these appliances). _Septic System Abandonment _WaterTurnaround (add $125.00 if a 5/8".meteris required) Other. Water Softener X Water Heater $ 15.00 _ new replacement, Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ IS. SO 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 star4 without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. J.P-4 ?)OTWM Applicant's Printed Name s Signature 9 m ? T ? FEB 1 1 2005 MASTER CARD j 6A? Permi} No. Issued Issued To Conirattor Owner BUILDING ?z57 q• ?6-7 .,,??? ,???..; PLUMBING QSD ? CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER I rA. Items Approved (Initial) Date Remarks Disrance From Well FOOTING igQ FOUNDATION SEPTIC CESSPOOL FqAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBWG :x WELL SANITARY SEWER Violetions Noted on Back COMMENTS: -?? -'-, - - ? - _ -- , ? - ?? ? .. .. _' Y •_ ' ? . .. . ? . . .. . . _? . ..... .. .... ..r 1-....._ . -r . ' . ? ? , - __ ? _ . ; 1 • ` + '/ . -- _ T? - - . .? i i _ - - ---- -- - - -- - _ - -- - ?-?- - - _ - --, - - - - - . ., _ . - , -_ - = .- - - -- - - _ _? _ L? - . --- _-; - i = -- -- --- ... - , - - . - - - - - -•-'-- -'- - f- - - - - - - - - T._ - ,- -, ..1 - ----- - ?-:-?- 1 ' -r : - - ?---?-- -- --r-- ??a -i--?-- - - . . i ? ? ? .. ..__ _.:.. i LLB z w - ,LL1 LL1 - 77- -- 7 0 CC 0 27 417) 0 -L-L" LL a: (.6 0 UJ Z 0 < < GO CL LL 0 r ....- 0 a ow cip e = ,.. ...J ,.... 0 cn 0 1.... ha 0- a CC ci I I— 0 u.. --- fr, H_ C: • B-- uJ ...1 im ....1 Cg 1.6 1._ ,J.Jci 02 CD a A cc 0 -- 54'<., .2 W 283 'Zit El "_, E5 1: Zu... t; 'R' =.1 a; sw 1,-7,cl -jd) ;* ..., ul 0 r.i. 0 c) GT 1 x 0 = tn 4 L- C) •7- 0 ' • 0 4 ) \I- o 4i\-) 0 9 Nov 16 07 09:54a • Tammi Heraly Product Description Integra Seal 1.9 dosed -cell spray polyurethane closed - cell foam insulation is a two component, HFC -2451a blown, low-density system designed for commercial and residential insulation. Closed -cell polyurethane foam yields a high R -value and minmizes air and moisture infiltration. Integra Seal 1.9 increases structural integrity, thereby extending the life of a structure. This product also comributes to a healthier indoor environment by controlling problems associated with vapor drive, such as inner wall condensation, mold. and mildew development. Integra Seal expands during application to provide increased performance values by sealing the building envelope. Unique Properties 1131 Distribution, Inc.'s "Ae component is a polymeric isocyanate containing reactive isocyanate groups. The 'T component is a combination of polyols, catalytic agents and non -ozone depleating HFC-245fa blowing agent. Recommended Uses -Walls •Unvented Attics -Ceilings -Floors • Foundations -Piping -Unvented Crawl Spaces Environmental Consideration and Substrate Temperatures Applicators must recognize and anticipate climatic conditions prior to application to ensure highest quality foam and to maximize yield. Ambient air and substrate temperatures, moisture, and wind velocity are all critical determinants of foam quality. Variations in ambient air and substrate temperature will influence the chemical reaction of the two components, directly affecting the 1-320-558-9917 p2 s Integra SealTm 1.9 7 -Polyurethane Spray Foam Closed -Cell Insulation Technical Datasheet: 6112/06 expansion rate, amount of rise. yield. adhesion and the resultant physical propeties of the foam insulation. To obtain optimum results, Integra Seal should be spray - applied to substrates ween ambient air and surface temperatures fall within a range of 55°F to 110°F. All substrates to be sprayec must be dry at the time of application. Moisture in the form of rain, fog, frost, dew, or high humidity (>85% R.H.) will react chemically with the mixed components, adversely affecting the polyurethane foam formation, dimens onal stability and physical properties of the finished product. Wind velocities in excess of 12 miles per P our may result in excessive loss of the sprrmay and interfere with the texture, cure. mixing efficiency of the spray g pray. Precautions must be tical akentoto prevent damage trties and twill cause o adjacent areas from fugitive overspray. Processing Equipment Material in containers she said be maned in the 65°F to 90°F range. Heated trailers, hotboxes, or heated tank storage may be necessary. serial temperature should be smarmed with a thermometer or IR gun. Do not configure equipment to recirculate integre Seal from proportioner back into drum. Do not recirculate or mix other suppliers' W a-'8' component intc Integra Seal containers. 2:1 transfer pumps are recommended for material transfer from container to the proporticiner. The plural component p-oportioner must be capable of supplying each component within ± 2% of the desired 1:1 mixing ratio by volume. Hose heaters should be set to deliver 125'F to 130 °F -materials to the spray gun. These settings will ensure thorough mixing in the spray gun mix chamber in typical appli:ations. Optimum hose pressure and temperature may vary as a function of the type of equipment, ambient anc substrate conditions, and the specific application. Typical Physical Properties Properties Test Method h Place Density: ASTM 0-1622 Conpressives: ASTM 0-1621 Parallel to Rise Perpaidiadarto Rise Te sileStretgth: Parallel to ase ASTM D-1623 Shear ivengtht AS1M C-273 Adhesion: AS1M D-1623 WaterAbsorptiere ASi I0-2842 Closed Cxil Content ASTM D-2856 Dimensional SI ty: 'SIM D-2126 95%Rl0 %of that. Change K-Fxtor tinktaI) ASO! C-518 R Value ASTM C S18 Perimeter. ASTM -E96 Test wives may wiry depending w type of equipment. equipment settings MOO en'stonentntal conditions. Value i91bs.,nt.3 15-20 poi 7-9 psi 20 psi 15-20 psi Equal to Tensile 094% ta 96 lours >92% (28 [lays at 158'1. <1900 Aduai 8.896 0.14 7.14 .95 2 inches .88 41, 3 inches .s6194 inches Properties Noise Reduction C_aefhdent Sound Transm'ssian Class: Furgus Test Processing Paramett Pre -heater Temperature: Hose Temperature Mot Radio Parts Viscosity @ 77'F: Cole Denny Test Method Value AS114 C423 0.2 ll1RQ ASTM E90-84/6313 43 tSTQ .116111 G21 Zero Rating rs & Physical Characteristics A 125-130f. 'B 125-i30F 125-13 F A' met, 1200-2000 pst (sinu) 1 to 1 brtdtm1e A to -sr 4otl-500 cps 1r Component 1.90-2.10 +Adhesmn should not be ter ed within one hour of am:Scatan Product Reactivity Surface Temperature SS -110°F Crean Time, sec. 2-3 Tack FreeTime. sec. 7-8 Cute Time, le. 4 Nov 16 07 09:54a Tammi Heraly Processing Equipment (continued) it is the responsibilityd the applicator to properly interpret equipment technical literature, particularly information that relates acceptable combinattons of gun chamber size, propo<itioner output, and material pressures. The relationship between proper chamber size and the capacity of the praportiatrer's pre -header is critical. Mechanical purge spray guns (specifically direct impingement or DI type) are recommended over air purge guns for highest foam qua l y. Contact your oral DI Distribution. Inc. representative for specific recommendations, pricing. and awiiabirity of spray and awciliary equipment. CAUTION'. Exweme cane must be taken when renovate and remstafling deem transfer purges so as NOrto reverse the A" and '9' cormione ts. Thermal Barrier NIC and IBC codes require that SPF be separated from the interior of a braiding by a thermal barrier. which is applied over SPF to slow thermal rise during a fire. and delay its involvement in a fire. A branding code definition of as approved thermal barrier is one that is equal in fire resistance to 112 inch gypsum board. Thermal barriers IIn* the temperature rise of the underlying SPF to nes more than 121'C (250F) after 15 reloutes of We exposure in compliance with ASTM -E119 (Test Methods for Fire Tests of Building Construction Maters). Thermal banters meeting this criterion are termed a '15 minute thermal barrier` or classified as having an "index of 15". 1D1 Distribution, Inc. recommends that an approved thermal barrier separate Integra Seal from the bullring interior unless waived by a local building code official. Tnere are exceptions to the thermal barrier requirement (1) Code authorities may approve coverings based on fire tests specific to the SPF nphcation. For example, coves systems that successfully pass large scale tests may be approved by code authorities in Ilona of a thermal barrier, (2) SPF protected by 1" *Ids masonry does not need a thermal barrier. Certain matte that offer protection four ignition. called "ignition barriers.' may not be consideeed as thermal barrier alternatives unless they comply with ASTM E-119. just because a material Is advertised as a 'thermal barrier or "ignkion barrier does not mean that k has been tested in corljumcdon rddh SPF and approved by a code agency or a local code official. Applicators should request test data and code body approvals or other written indicates of aatptabRity under the code to be sure that the product selected offers code -con planta peon. Vapor Retarder Intra Seal is a vapor retarder vel en appfed at 2" thickness er Beater. Below 2". It is not a vapor retarder and coir allow some diffusion of moisose through the irsuladon, and the following considerations are needed (1) A vapor retarder needs to be considered in the design of the building envelope in cold climates. such as zones 6 and higher in the ILS.. as defined it 2004 Supplement to the IRC. Table N1101.2. (2) A vapor retarder also needs to be considered where high interior humidity conditions exist. (31 When applying Integra Seal in crawl spaces under faring space, the u deskie of floor system may require the application of vapor retarder primer to prevent moisture diffusion into the flooring system. This is a concent when applying it warm, humid counties as defined in 2004 Supplement to the SIC. Table N1101.2.1. (4) The applicator should consider a vapor retarder in creed space applications nth hardwood floors, which may be damaged by mobaure intrusion. Crate) space aippiation s may require a thermal barrier between the foam and wood flooring. de pending upon local codes. Where exposed em joist applications are approved, vapor retarder criteria must be strictly adhered to for stccessfud application. Refer to local codes and n nufauune's written specifications to ensure compliance. Exotherm Caution Spray foam squid to eeiular plastic transition depends upon an etothermic (heat -producing) reaction between the "A' and %" components. Applicators should limit Integra Seal thickness to 3' to 4" per pass to amid fee hazards resuelMg from excessive heat generation. If subsequent passes are needed, applicators should wait 10 minutes between passes to allow reaction heat to dissipate. The exothermic reaction can cause ten orary substrate thermal rises in excess of 150'F. which may result in substrate thermal expansion. lithe substrate then contracts when the reaction heat dissipates. substrate deformation can occur. General Safety. Toxicity and Health Data Material Safety Data Them are avelabie on this polyurethane foam material. Any individual who may come in tartact with these products should read a'd understand the MSDS. Handling and Safety Respiratory protection is MANDATORY! Contact 1010istribraion. Inc. for a copy of the Modal Respiratory Pram Program developed by API or rise their website at wnww.polytaethane.org. Persons with h known respiratory allergies should dlfoid exposure to the 'A' component The `A" component ID) Distributors, Inc. 7667 Equitable Drive Suite 201 Eden Prairie. MN 55344 te 2006101 Discr/butler& lee. All rights reserved. 1-320-558-9917 p.3 s a0t3 Credentials/Certifications Integra Setdisavailable Ina Class ifoonsdation. as set forth under Midweek= iaboraamtesM.723,ASTME-d4), liedpossesstheflammability charact istics Wore Undtrttdeers Laboratories UL Taal xface Buraing Claradwiedo Maaeapread Smoke Development contains reactive isocyan=e groups wide the -Jr component contains amine and/or organometallic catalysts reit, blowing agents. Bode materials must be bandied and used with adequate ventileion. The vapors must not exceed the TLV (0.02parts per anion) for isocyanates. Await breathing vapors. Wear • apemen respirator. area d admin a oxygen ifbrething remove victim from contaminated ais cOflicuk. Cat a physidan immediately. Avoid cotactwith skin. eyes, and doting. Open containers carefully, allowing any p ssstre to be relieved slowly and safely. Wear chemical safety goggles and caber gloves when handing or worldng with these materials. In cased eye cxurtact. ironer sly flush with Inge amounts of venter for at Inst fifteen minutes Consult a physician lariediely. In case of solo contact. wash area with soap aid water. Wash defies before reuse. F re Hazard Fires Involving either of these components may be extinguished with carbon doxide, dry chemical, or inert gas. Appioarion of age quantities of water spray s reasornended for spill fires. Personnel fighting the fire nest be equipped with NIOSH approved self -corned breathing apparatus. Cleaning d Spiis or Leakage Cover the area watt ar inert absorbed "newel such as clay or vermiculite and transfer to metal waste Sattvrae with water but do not seal the container with are bocyars aid water mixture. The area should then be gashed viral large entrants of water, len the ase adze 'B' component, or a Se aqueous conaria, in the case of the "A' component Dispose of these :serials in compiace welll federal. state and loaf regulations. Caution_ Isocyanates will react with water and generate carbon dioxide. This could result in rupture of dosed car miners. Disclaimer The data presented herein is not intended for use by nix xdessiona appficatars, or those persons who da not purchase or utilize this product in the nomad course of their bnakne ss. The potential user must perform any pertinent tests in order to determine the prod ct's performance and suitability in the intended appfcatfon, since final detu minim d fiotess of the product for any particular use is the responsibility ut the buyer. An guarantees and warranties as to products supplied by 101 DastrIbutlott, Inc. shall have only those guarantee! and warranties expressed by the raanufactraw. 'Fite buyer's sole remedy as to any material dams will be against the manufacturer of the product. The aforementioned data on this product is to be used as a guide artc is subject to change without notice. The information herrin u believed Lobe -citable. but unknown risks mer be present NO WARRANTIES. ECPRE55® OR IMPLIED, MCLUOI G PATENT WARRANTIES 0R iNARRANTIES OF MERCHANTABILTY OR FITNESS FOR ISE. ARE MADE By 101 Distribution, Inc. MOH RESPECT -10 PRODUCTS OR INFORMATION SET FORTH HEREIN. Nothing contained 14reir shall connate a penmisskxn or recommendation to practice any invention covered by a patent without a license from the owner of the patent. Accoraingle. buyer assigns aft risks whatsoever as to the use of these maenads and awe's etduslve remedy as to any breach ofwarranty, negligence, or other clean shall be limited to the purchase price of rhe Vis. Faker 10 adhere to any recommended procedures shall relieve IDi Distribution, Inc. and the manufacturer of aft liability with respect to the materials and their use a ercof. 800,678-6868 toll-free 952-937-9809 fax www ldlmn.com ,� vvv vrvas v� wrrav��n r....�.�r��.��.��.��.�.�. � For OMce Uss � ��` f �i j Pem�it#: I �� (�J 1 ra t �1 lI� �� ! • �j '�. L� � � 'x Pem�it Fee. � / C,.� 383�D Pilot Knob Road � . � - i I Eagan MN 56122 . ,,.., ;- j Date Received: � Phbne:(651}875-5675 �s_;� �. ,°-�.�� ax:(65ij 675-5694 1 S#afi: 1 I i ►�r�.�w�a.��.��....�.��..�.s�.rJ 20i5 RESI[3ENTIAL BUIL.DING P�R�lT APPLICATION DBte: t Z'-( j � Site Addr�as: '�` Z '� �ip-r � l.� UNt�: Name: /'�/G�r t�.�+/,_C;�"�N`�,`G� it1�!' Phane: �3'�Z-�}d��?�/52 ��'�' '� Address/City 1 Zip: 'S�.�n �- � Applicant is: Qwner �Contractor ��"�� Qescription of work:�s (1-t/`.�� ;... ��'.�'�Ti� G�iJ.r-�Gj� /GG°'ye.�ore ! ConstnJdion Cast: `�� '`�' Muki-Family Building:{Yes /No� ,/J _`� ��l Company:/7�ler+•'r..�•� tT'�r��OF.`.+,�a�T�r.vs�. Contact: •/�i O�G�`Sa.� ��ct�r � � Aaar�ss:.�s"��?'�� Sss� l�°��- � c�ry: E-�s.�.�✓ State:�/,�,st�,Zip:�r� Phvne:�+I 2..��I��.Email:/%r—��e�x�,-+f 1��r91/�C.� Ucenee#:��'�f�� Lead CertifiCate#: � �� l t�S If the�oje�t is exempt from i�d certitication, pfease explain why: � COMPLETE THlS AREA C1NLY IF CONSTRUCTiNG A N�W BU_Id.�?I,NG In the last 12 months,has itie City ot Esgan�issued a pe�rrtit to�a simNar pian�on a mast�pian? Yes No If yes,date and address of master ptan: Licensed Piumber: phcyne: MecF�aMt�i Contractor. Phc►ne: Se�rer&Water Co�tor; y��; Fire Suppressian Cont�tor. p�p�: �?'��:�t�;�d 3��'��'dih�1�1�l�.�"��f��f��t��ti�li �1��►�� +�;t� :. �a�`�P�t�lI��+E��,4��tt+��li�.�j�fj��'�'� � ,:. �'��i��;��i � ,— " �, ; _ �. ` � � � � ,�'�� , �_ � ,� �: . � . C�BEFQ�,� OU Q�i. Gail GopNer StaR�e Ona GaN at{�i)45�1-0002 for protedion against unde.�ound utility damage. Cali 48 hours before you inbend ta c�g to receNe iocates of under�ound utiiitiees. www+,,;,�g, h�c�t�teonec�ll.nra i h�eby acknrnWedge that this in�rmation is complete and�rafe;that the work wii!be in conformance wift►the urdinane�,s and r,adee of the Clty of Eagan;that i understand this i�not a permit, but oniy an �lica�lon for a permit,and work is not to stait without a permit;that the work will be in accordance witl►the�roved pian in the c�e of wnrk which requires�review and approval of pi8ns. Exter�br wo►It authoNzed by a t�ulklin�penMt Issued Nt accordant�wlth the AAinnesota Build Code must he carrp�teted wi�in 18Q days ot p�amit issuan+oe. �, � � �/`S-�--✓ Appiicant's PriMed Name A IcBrrt's Signature Page 1 of 3 �� c� ,,� ��I��}�C " D�O NOT WRITE BELOW THIS LINE / -��'I SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) �(; Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) � Multi _ Deck _ Porch(ScreeNGazebolPergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior �Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION � Valuation � Occupancy ��a� MCES System Plan Review Code Edition ;� ��'` SAC Units (25% 100%�) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final I No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath Brick � Insulation Windows " ` � ��n��`� ��3��. �� Sheathing Retaining Wall: _Footing� Back I_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: ��' , Building Inspector ��v,�. RESIDENTIAL FEES ��,�"�'�j � Base Fee � ��;�,-B � �� r.� Surcharge ��, �,�- � ,� ° � Plan Review �`�� .,�� MCES SAC i��.,��,�„��''.� � �j./ ��y � �� City SAC � Utility Connection Charge ,� - 1 S8�W Permit&Surcharge �� j'��" ��`"�� '�,�„� � '� � ` �-�� .�'� Treatment Plant � � �i. �. '� �, �,w �� utt��,:�� Copies TOTAL � �� l�'� � Page 2 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use � I � � � Permit#: �� Clty of �� a� � �— ; � � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 � � Fax: (651) 675-5694 I Staff: � �-----------------� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: � �� Site Address:__ _/�v`� �Gt� C--��S� �� Tenant• IM��c.,e ��C 1� V�e� Suite#: �. � � > � ., Name: �";°�.� �� 12eSid�ettt��wller �Gf IC �-�.tGt �. L(/� • '� Phone: Address/City/Zip: � � Name: ��d �� Iv"��5, �� l�T"�- License#: �/�'�b �� ontr�ctor. Add�ess: ,.�.d 7� 6�� :.5�' �� c�ry: .Zh�'.- G�� /-��,�� State: �✓ti Zip:_.��7 � Phone: ra S_� _`1{�U_ ��y� Contact: �-�� Email: ��h��K � a LU��+-�C�S?�• V�c.`i' ��,�,��r� ry= _New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. Description of work: ��vtiC JL( V }��,rS b��"� RESIDENTIAL Water Heater � �� Water Softener Lawn Irrigation(_RPZ/_PVB) /� � �� `�Add Plumbing Fi�ures( IC Main/_Lower Level) Septic System _New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround*(includes State Surcharge) '"Water Turnaround(add$210.00 if a 5/8"meter is required) $115.00 SeptiC Svstem New(includes County fee and State Surcharge) TOTAL FEES$ 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.qopherstateonecall.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 ��v1�CitM(v1 1�"vGN� X C�� ApplicanYs Printed Name ApplicanYs Signature F�R OFFICE USE :Re�aewed 8y: Date: Required Inspections: Under Ground Rough-!n Air Tes# Gas Test Final Meter Related ltems: Meter Size Radio Read Manomefer 5taffi PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147082 Date Issued:12/07/2017 Permit Category:ePermit Site Address: 4525 Oak Chase Way Lot:3 Block: 1 Addition: Oak Chase 3rd PID:10-53502-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Michael Weidner 4525 Oak Chase Way Eagan MN 55123 (952) 484-7451 Ron's Mechanical 2026 Colburn Dr Shakopee MN 55379 (952) 445-8585 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA158891 Date Issued:11/07/2019 Permit Category:ePermit Site Address: 4525 Oak Chase Way Lot:3 Block: 1 Addition: Oak Chase 3rd PID:10-53502-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Michael Weidner 4525 Oak Chase Way Eagan MN 55123 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162513 Date Issued:07/16/2020 Permit Category:ePermit Site Address: 4525 Oak Chase Way Lot:3 Block: 1 Addition: Oak Chase 3rd PID:10-53502-01-030 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 - Michael Weidner 4525 Oak Chase Way Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165595 Date Issued:11/09/2020 Permit Category:ePermit Site Address: 4525 Oak Chase Way Lot:3 Block: 1 Addition: Oak Chase 3rd PID:10-53502-01-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Michael & Sandi Weidner 4525 Oak Chase Way Saint Paul MN 55123--182 Brikk Mechanical Llc 6835 160th Street East Hastings MN 55033 (651) 755-4331 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165654 Date Issued:11/12/2020 Permit Category:ePermit Site Address: 4525 Oak Chase Way Lot:3 Block: 1 Addition: Oak Chase 3rd PID:10-53502-01-030 Use: Description: Sub Type:Residential Work Type:Alteration Description:Gas line for stove & relocating supplies & returns Comments:Please call for a Rough In and Air Test, prior to the Final Inspection. Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Michael & Sandi Weidner 4525 Oak Chase Way Saint Paul MN 55123--182 Ron's Mechanical 2026 Colburn Dr Shakopee MN 55379 (952) 445-8585 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165702 Date Issued:11/16/2020 Permit Category:ePermit Site Address: 4525 Oak Chase Way Lot:3 Block: 1 Addition: Oak Chase 3rd PID:10-53502-01-030 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael & Sandi Weidner 4525 Oak Chase Way Saint Paul MN 55123--182 (952) 513-7706 Glowing Hearth and Home LLC 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature