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4099 Oakbrooke Curve?SID? TIAL l ?° q ?0 . o ? BUILDING PERMIT APPLICATION CITY OF EAGAN (y\ PLA??p q? 3830 PILOT KNOB RD • 55122 651-687-4675 e P -A g I O0 NewConstructtonReautrements RemodellReoairReavirements - • 3 registered she suneys shaving sq. ft d iot sq. R of house; and all roofed areas • 2 copies of plan ?? I? 1 ?/ (20°k maximum bl wverage ailo? . 1 set of Energy Cslalations for heated additions ? • 2 copies of qan showvg beam & window sizes; poured lound design, ek.) . 1 site survey for exterior addiGons 8 decks ? • isetolEnergyCalculaoons • 3 copies ot Tree Presenation Plan if bt platted after 711/93 . Rim Joist Oetail Opfions seleclion sheet (61dg5 with 3 or leas wtits) DATE VAIUATION (EXCLUDING LAND) .iJB SITE ADDRESS l?0 109 0?_ kbroo,F_e_ C4 r v IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ?U?T_ PROPERTY OWNER P I&- TYPEOFWORK /Uc,? Co•:s?n?u?-t?? FIREPLACE(S) _0 1C7 _2 _3 APPLICANT Ple',- ,? -•u s o+ D PHONE #1?l?? ADDRESS 91 5A)o t i't wcs t- P? r k c?,x S..' ke- IVU ZIP CODE SS' /?2 1 I PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code cate9ory _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted ? MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. V GIle v P! u w y?Vtv Phone #: Co $ ?? ??.2 -a l? I _ Plumbing System Includes: ? VVater Softener Iawn Spiinkler ee: $90.00 LC Water Heater t No. of R.I. Baths 3 No. of Baths Mechanical Contraetor: ??- ? n s v? ?1G tte4 E ??- Alechanical S} stem Includes: Zc :Sir Condidonin _ Heat Recovery System Sewer/Water Contractor. G e?.rc 1 Inr-'t r o All above information must be submitted prior to processing of application. NOJ i I hereby acknowledge that I have read this application, state that the information is?sorrect, an __ to comply with all applicpble State of MinnesoTa Statutes and City of Eagan Ordinances. Signature ot Applicant Certifcates of Survey Received ?91 . Tree Preservation Plan Received _ Not Required -P Phone # qs?? / g gI/ - Do o S Fee: $70.00 Phone Updated 1/01 OFFICE USE ONLY ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ?02 SF Dwelling ? 08 06-plex O 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 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi O 05 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12•plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaGon) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to appilcant Valuation 3. CPf7D Occupancy IZ 3- 4- MC/ES System Census Code Zoning City Watei ViT-!-?-, SAC Units Stories ar'? Booster Pump Nbr. of Units Sq. Ft. 1?iOLI PRV -YAL Nbr. ot Bldgs ( Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS ? Footings (new bldg) ? FinaUC.O. _ Footings (deck) FinallNo C.O. Footings (addition) _ Plumbing Foundation HVAC Drain Tile _ Roof Ice & Water Final Other ? Framing Au/Gas Tests Pool Ftgs Final Fireplace 4 R.I. 1C Air Test _ _ Final _ _ Siding Stucco _ Stone _ ? Insulation = Windows (new/replacement) Approved By k7_ , Building inspector Base Fee Surcharge Plan Review MCiES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total " g9-o.c)t. 03"tt ?5t% x e? ?0, 3ao ?M w-.??.? ? 3,9 q x s-?r ?0I L-lj? y ??- U.,,?- I LIZ? If ? 0 Addtess 40QQ Oakbrooke Curve Z1p 5512_2 LAC I Blk 4 Sub Oakbrooke Sth THESE ITEMS WERE / WERE NOT COMPLET'E AT THE TIME OF THE FINAL INSPECITON. Date: 3? cl Yes No Inspector: t?? C?e Final grade (6" from siding) Petmanent steps (gazage) ? Petmanent steps (main entry) Petmanentdriveway Permanent gas .? Sod/Seeded grass Vl.*' TraiUcurb damage yO? see- Porch Basement finish ? Deck ? Please verify with the buildet the removal of roof test caps from the pWmbing system and the shut-off of water supply to the oufside lawn faucet before fteeze potential exists. Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contracwr Copy PERMIT# RECEIPTDATE: 2002 {t£SIDENTIAL PLUMB1Nfi PERMIT APPLICATlON crrY oF EAs,e?x S$SO PILOT KNOB RD EAfiAN, b1N 55122 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: 'Z o IZ cz OWNER NAME: : kl!??e41 h ;7-a ! Z TELEPHONE #: 6S (AREA CODE) INSTALLER NAME: TELEPHONE#: 9r rs3 /J (AREA CODE) STREETADDRESS: n/OO' f-7' ?f?t;? /"Odv?? CITY: /jQ /,I Ki7 i STATE: ZIP: ?,s(7? -1 SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 518" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild JUN 1$ ZQQZ $ 30.00 ?lawn irrigation system ? BY ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 Tot01 $ '? z, ?- I hereby acknowledge that I have read this application, statethatthe information is correet, and agre apmplywith all applicable ' of Eagan ordinances. It is the applicant's responsibility to notiy the property owner that the Ciry of Eagan assumes no li i 6r any damage us y he City, during its normal operational and maintenance adivities to the §cilities constructed under this permit wthin ' perty/rig S?aFBuay! as nt SI T RE OF PERMITT 1l02 NOU-20-2000 93:13 PULTE HOhES MNcheck COMPLIANCE REPORT Minneaota Energy Code MNcheck Software Version 3.0 bt)l 45e Z>rGr r.UciGG ? Permit # Checked by Date COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 11-20-2000 DATE OF PLANS: 8/14/00 TITLE: T'YLER ELEVATION #4 PROJECT INFORMATION: OAKHROOKE SINGLE FAMILY COMPLIANCE: PASSES Requirad UA = 520 Your Home = 442 15.0%- Better Than Code Area or Cavity Cont. Glazing/Door Perimeter ----------- -- R-Value R-Vdlue U-Value ---- -------------------- CEILINGS 1656 ----------------- 44.0 0.0 ------------- WALLS: Wood Frame, 1611 O.C. 2049 19.0 2.0 1 WALLS: Wood Frame, 16il O.C. 243 9.0 2.0 BSMT: Conc. 8_0' ht/7,3' bg/7.3' inaul 640 11.0 0.0 HBMT: Conc. 7.01 ht/7.01 bg/7.0' insul 224 11.0 0.0 GLAZING: windows oY Doors, Above Grade 378 0.350 1 DOORS 38 0.350 FLOORS: Over Unconditioned Space 352 38.0 0.0 SLAB FLOORS: Unheated, 42.0" insul. 72 5.0 HVAC EQUSPMENT: Furnace, 92.0 AFUE ---- - ------------------------- ---------- COMPLIANCE STATEMENT: The proposed building ----------------- dESign described ------------- here is consistent with the building plans, specificationa, and other calculations submitted with the permit application. The proposed building hae been designed to meet the Oquirements_-cf, the Minnesota Energy Code. Builder/Designer Date ?? 7 B ? TOTAL P.82 PULTE HOMES OF MINNESOTA RECAP SHEET DATE: 1118/01 JOB NO: COMMUNITY: ADDRESS: MODEL : BUYER: SALES REP: 0320-307-04 LOT: 7 BLOCK: Oakbrooke Single Family ADDITION: PHASE 2 4099 Oakbrooke Curve CITY: Eagan TYLER MODEL#:18281 ELEVATION: 2 David & Raleigh Zatz PHONE #: 952-545-1821 Jolayne Moberg PHONE #: 651-686-2862 4 UNIT: 0 STATE: MN ZIP:55122 GARAGE: RIGHT PHONE #: 0 ? r. ?z 1 ?? 18281 ,- ?`• TYLER 1 00000 Lot Premium 1 16000 CONCRETE PATIO 1 18023 ELEVATION #2 1 20035 UPG. ROOF SHINGLES 1 19021 FULL VIEW ALUM COMB DOOR 1 19025 GARAGE SERVICE DOOR 1 25022 DBLE.FRENCH DOOR - MBR/DEN DEN 1 28046 CABINETS - RAISED PANEL 1 28057 42 UPPERS - SQ RAISED PANEL 1 31011 LAUNDRY TUB SNGL COMPRTMNT 1 14000 BASE CARPET ADJUSTMENT 1 14001 1 ST CARPET UPGRADE 1 14007 1 ST CARPET PAD UPGRADE 1 15087 CERAMIC TILE FOYER 1 15092 CERAMIC TILE BATH #2 1 15091 CERAMIC TILE BATH #1 3 17000 ADD'L ELECTRIC OUTLET BSMT 1 17002 FREEZER CIRCUIT 7 17024 CEILING ELECTRIC OPENING ALL BEDS, LOFT, DEN, FMRM 1 23007 3 TON AIR CONDITIONER 1 23012 HUMIDIFIER 1 23019 HONEYWELLT8600 SETBACKSTAT 4 32002 CAT 5 PHONE/CABLE/MEDIA OUTLET MSTR, LOFT, BED 2& 3, DEN 1 32023 SECURITY SYSTEM - BASMT 1 10001 PROFILE PKG. - GAS RANGE, DW & MW 1 10102 PROFILE REFRIG. SIDE BY SIDE 1 22042 4'ADD.GAR-EL#2 1 22015 INSULATE -4' ADD. GARAGE 1 22017 INSULATED GARAGE DOOR - 2 CAR 1 22025 GARAGE DR OPENER/2 CONTRLS 1 13077 WHIRLPOOL TUB 1 29006 CAST IRON KITCHEN SINK 1 30009 LAWN IRRIGATION 10119 IWASHER W/ GAS DRYER , LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMITAPPLICATION •PROFERTYLEGAL: LD+ 7 /s'(acK y' dc{k?.,rnoKr_ t5- DATE OF SURVEY: i D- 2 9- o/ LATEST REVISION: m w c m v DOCUMENTSTANDARDS Y < v O Z Q M/. ? ? • Registered Land Surveyor signature and company LY ? ? ? • Building PermitApplicant q ? ? • Legaldescnption ? / ' ? • Address N h [a ? F??[7 ? ? • • ort artow and scale House type (rambler, walkout, splft w/o, split entry, lookout, etc.) d? ? • Directional drainage arrows with slope/gradient % t?? ? • Proposed/existlng sewer and water services & invert elevation ?? ? • Street name ? • Driveway R? ? ? • Lot Square Footage [/'0 ? • Lot Caverege G?"o ? • Benchmark ELEVATIONS Existino vv? • Sewer service (or Propased) ? ? • PrapeRy comers [a? ?? • Top of curb at the driveway and property line extensions ? B' ? • Elevations of any existing adjacent homes ??? • Adequate footing depth of structures due to adjacent utility trenches ? La?? • Watenvays (pond, stream, etc.) Prooosed e' o ? • Garage floor ? [a??? ? ? • First floor ra? p ? • Lowest exposed elevation (walkouUwindow) o?? ? ? • Propertycomers G ? ? • Front and rear of home at the foundation PONDING AREA ('daoolicable) ? 2'/ ? • Easement line ? n 0 • NWL ? B, ? • HWL ? ?X? • Pond # designation ? R? ? • Emergency Overflow Elevation / DIMENSIONS l9" ?? ? • Lot lines/Bearings & dimensions ? • Right-0f-way and street width (to back of curb) Ll ? • Proposed home dimensians including any proposed decks, overhangs greater than 2', porches, etc. / (i.e. all structures requiring permanent footings) U"/ a D • Show all easements of record and any City utilities within those easements GY? • Setbacks of proposed sWCture and sideyard set6ack of adjacent existing sWCtures G? ?? • Retaining wall requirements, if any Reviewed: Surveyor's Certificate SURVEY FOR :PULTE HOMES DESCRIBED AS :Lot 7, 81ock 4, OAKBROOKE 5TH ADDIION, City of Eagan, Minnesota and reserving easements of record. NUV 0 8 REC'D ; r j ,,?:gaG C 51 1.T 81°51'34,' ? r N ? - -? - u 1 I ? c y v.vcaNr- / Unez. I Caroge orops 1 Proposed z-Story 9'pcw S85°28'28"E 1 2.88 L 0 T SQ. FO 0 TA GE HSE SQ. F00 TA GE L D T CO l/ERA GE _ ?5.q ir 3./ / O ? ni / J1_J ro = 10, 766 = 1,877 17q 3?n ?oR1-oV, r, u'? ?? LLY # ,a2b, PROPOSED ELEVATIONS Top of Foundation = 99e.5 Gorage Floor =945,5 Basement Floor =9a-7.5 Aprox. Sewer Service =qsa.o! Proposed Elev. _ C=> Existing Elev. Drainage Directions =- Denotes Offset Stake = . BENCHMARK, SCALE: 1 Inch - 30 feet MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side- HEDLUND I HEREBV CERTIFY THAT TNIS IS A TRl1E ANO CORRECT REPRESENTATION OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT SUPERV1510N AND OOES NOT PURPORT TO PLANNING BNGJN66RlNC SURVEYlNG SHOW IMPROVEMENTS OR ENC ACHMENTS, EXCEPT AS OWN. 2005 Pin Oak Orlve Eagan, MN 55122 DATE PhOne: (651) 405-6600 R . LINDC , LAND 5 YOF Fnx: (651) 405-6606 ??-2 0?• ? N S A LICENSE NUMBER 4376 N0: 01 R-501 Oakbrooke 5 YVLi PERMIT# ?It I ? -7 RECEIPT DATE: SOOE RU1DEPTIAL PLUM$INfi PE{iMIT APPI1ClETION crrY oF KAsM 3$30 PILOT KAO$ i{D (? ?(7 SAHAA.Mft 8512E H?l gsr-sei-4s7s MAR 0 6 2002 Please complete for: single family dwellings, townhomes and condos when permits are required for backflow preventer for irrigation system SITE ADDRESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: TELEPHONE #: CITY: STATE: ? ZIP: ?6nLJ4-(-- _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 Counry fee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter'rf needed -$118) Other: _ RPZ: new installation/repair/rebuiid $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 / 0 TOtal $ -0 I herebyacknowledge that I have read this appliption, sfate thatthe information is corted, and agree to complywith all applipble City of Eagan ordinances. I[ is the applipnYS responsi6ility lo notify the property owner that the City of Eagan assumes ?no;?,l,iabilityfor any damages caused by the City during its normal operatlonal and maintenance activities to the facilities constructed under this permit wit?i??%' ? eA gFjK? way/easement. ?? i SIGNATURE OF PERMITTEE 1l02 BURNSVILLE Heating & Air Conditioning, L.I,.C. 12481 Rhode lsland Ave S, Savage, MN 55378 • 952-894-0005 Orstat Test Report for Job# ? -- Addf2SS i`P, L•-c Clly OcCUpent?,,. i a }-c Dabe of Install Type of HT. F/A-= HW Space HT Unft HT Other Make Model y rt`iL t5 $efW " r fnput 7 ,' i, c(,) 8, ;t ,: Pilat Type HOT SURFACE lGNITOR Pressure `r ?- input CFH %'- StackTemp E? Date Tested .?-12 ?- C02 r' ` 02.a•? Co yCompany BURNSVILLE HEAT/NG & A1R CONDITION/NG Technician • y? ? Siteaddress "lqrt y d4 k6 rao 6- C-urv? Lot 307 Block °`r Subd. (f )?, t c t nno I, S. F" On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adoptetl. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certifcate of Occupancy. _ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR _ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE Water Heater ? 117. ?,e n 117 ys S Furnace ? ?-e4 G X Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES NO Kitchen kitchen Bathroom 1 I? 1 l?•?"? V?'G? H45tl/L?- FV -D? V? ? Bathroom2 3 0. o So?; . Fv- 0.s U so Bathroom 3 Bathroom 4 Other VENTING FIREPLACE 5 LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT nTMOS I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. - 31.2 6o Z Sig}`treI Date CompanyName " This form is the responsibility of the General Contractor. PERMIT Permit Type: Building City of Eagan Permit Number: EA105511 Date Issued: 07/18/2012 Permit Category: ePermit Site Address: 4099 Oakbrooke Curve Lot: 7 Block: 4 Addition: Oakbrooke 5th PID: 10-53764-04-070 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 - Able Restoration Group Inc. David R Zatz 17316 Kenyon Avenue, Suite 103 4099 Oakbrooke Curve Lakeville MN 55044 Eagan MN 55122 (952) 378-5000 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 07/11/2013 THU 16: 27 FAX 612 a22 54013 Al' a Master Plumbimg Ig002/005 \04:kZ CQ -R -2°t ccs t O t5 5 til Use BLUE or BLACK Ink City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For Office Use �j Permit $t: I I O3 Permit Fee; (o0 Date Received; 1 J V Staff J 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6 � Site Address: 40CM OC 00\rlotrod.te, Conked Otjani Suite #; Tenant: lei!iiiI� ilii !q+�PPiq,� li, i�''Iil fool it Ij!"ljyr.ly' ,ry+;,l1�iii •I� 1 it tyl, 0.w. 7�jit 1, I;�Ir ;Il.ki ktl�liflill� �14", ` . .:1 iiYll;4 �fL 11 ^^'' `,, !. ` I /t y y r n(��j Name: -ir 1 Phone: (61 D Address / City / Zip: LACQ 1 $ C) ' 11 Q. 'Ga. Ull 1 Z-7-- Nash Acoulstlons. LLC' Name: co L13�ro3 Name: Olw�Benjamin Franklin Numbing License $: ryi}I"F!„"g gill!1111M; . 'l it!' 1,1 1 ��,,,P;t.,Pi •,; • I9 i, i, i!r'is Cantrat tO , .:• • ... -. . ,,flip I1,II, tit +jl� illi'ild:;tiii^! , ll,iYi; ; i; ( " +, �! ,, : PERMIT City of Eagan Permit Type:Building Permit Number:EA112595 Date Issued:08/20/2013 Permit Category:ePermit Site Address: 4099 Oakbrooke Curve Lot:7 Block: 4 Addition: Oakbrooke 5th PID:10-53764-04-070 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Laura Gillespie 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 R Zatz 4099 Oakbrooke Curve Eagan MN 55122 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118554 Date Issued:11/04/2013 Permit Category:ePermit Site Address: 4099 Oakbrooke Curve Lot:7 Block: 4 Addition: Oakbrooke 5th PID:10-53764-04-070 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. Carbon monoxide detectors are required by law in ALL single family homes . 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 R Zatz 4099 Oakbrooke Curve Eagan MN 55122 Able Restoration Group Inc. 17316 Kenyon Avenue, Suite 103 Lakeville MN 55044 (952) 378-5000 Applicant/Permitee: Signature Issued By: Signature