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680 Shelerud Dr 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN ~0 3~ 3 3830 PILOT KNOB ROAD, EAGAN MN 55122 ~ ~ 651-675-5675 ~ Please compiete for modifications to existing residential dwellings. Date 0`1 / ~a / o~Q~y`_-1,.,,' I h~_ Site Street Address S` YL~~X ll~ . Unit # C~a~1o~~. ~ . Property Owner ~ S ~mmo~s Telephone # ( ) Contractor 5~~~ Q~Umb~ Telephone# (}52) yy1-~~3~-I Address y~00 c,c ~ac~ Ctrc,~¢. ~ city ~ ~r L.4ke st~te nlt~ z~p SS 3~ Z The Applicant is: _ Owner Contrector _Other Alterations to existing dwelling $ 50.00 ~Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharg~ ~ ~ v ~ ~ ~ ~ ~ .5`~ APR 0 5 ` d Total $ ~jQ , 50 Y I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and ap ved. ~~cPa.t . cjC~`Q,~PJ( ApplicanYs P nted Name pli ' nYs Si nature 1'-~' , P S g l~ S~' ~,S /%5 . 57 ~p .,"'P~~°~" m~~ s~ ~ s~g ~ o•s~ , RESIDENTIAL BUILDING ~a P S 8 G 6 v C~~ ~ n(a~,~~s PermitApplication u ~ City Of Eagan 9 6• 5 ~ 3830 Pilot Knob Road, Eagan Mn 55122 S(.~ Sg~~D ~ Telephone # 651-675-5675 FAX # 651-675-5674 P~ t!,v~"`" ~I ~ i NewConstnicfionReauiremenfs RemodeUFteoairReauiremenls OfficeUseOnlv 3 registered site surveys shaxing sq. N. al lot sq. R of house; and all roofed areas 2 mpies of p~an ,~ert of Survey Recd (20% maximum bt coverage allo+~ed) 1 set of Ene~gy Cakulations far heated additions _ Tree Pres Plan Recd 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additlons 8 decks ~ Tree Pres Not Reqd 1 set o~ Ene~gy Caiculations Add'fion - i/Mitate ilon-site septk system _ On•site Septlc Syskm 3 copies af Tree Preservatlon Plan if lot platted after 7l1/93 ~ Rim Joist DeTail Optlons selecGon sheet (bl~s with 3 or less units L~ ~ Z S~ ~ 1'~Z3~~'~ Date ~ l Z'~ l~ 3 Construction Cost 7~ ~ U00 ~ 0~ Site Address _ _ ~Q (~L i ~j' Ll~ ) UniUSte # Description of Work L~ ~ ~l~ 5~ Property Owner ~~~1 l_~~~5 Telephone )~-J y/' Y`t J~~_ Contractor ~ ~ ~ Address ~ ~ ~ City (~t~T 1 {~y~ 2 State ? ~ 1(~` Zip . Telephone # ( ) ~ J~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ~ ~J ~ ',-;1 ~ r Minnesota Rules 7670 Cateeorv 1 ~ r M 1 som Rules 7672 Energy Code Category ^ - ~ • Residential Ventilatlon Category 1 W~ heet ~ Ne Energy Code Worlcsheet (Jsubmissionrype) Submitted II~~. ~A~ ~ 5 $umitted • Energy Envelope Calculations Submittetl~ U Licensed Plumber Sch~~ f~ ~ By Mechanical Contractor U Telephone ~-f~~~~ Sewer/Water Contractor 1' Telephone ~"~T~ ~C~ /~i 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 appmved plan in the case of work which requires a review and approval of plans. /t-~lCt~-l~f~ ,~-'R~1 ~l~--~~~ ,titlG( ~ Applicant's Printed Name App- li an's Signature OFFICE USE ONLY ' ' Sub Types ? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg 5E 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 1D 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower ~evel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ~ 31 New ? 35 Int Improvement ? 38 ~emolish (Interior) ? 44 Siding 0 32 Addition O 36 Move Bldg. ? 42 Demo~ish (FOUndation) ? 45 Fire Repair ? 33 AReretion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors O 34 ReplaCement •Demoli8on (Endre 81dg) - Give PCA handout to applicant Valuation ~ 3~ ~ J o~ pccupancy R~ MC/ES System Census Code ~ ~ ~ Zoning r~ 17 • City Water SAC Units I Stories ~ Booster Pump Nbr. of Units ~ Sq. Ft. 7~ PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const U?'~ Width REQUIRED INSPECTIONS Z( Footings (new bldg) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing ~ Foundation _ HVAC ~ Drain Tile Other Roof ~ Ice & Water X Final _ Pool _ Ftgs Air/Gas Tesu Final ~ F~awinB _ Siding Stucco Stone ~ Fireplace ~ R.I. ~ Air Test ~ Final _ Windows (new/replacement) Z( Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge ~3/?S euv~ ev~ I~ 4~ X/~, a o - Plan Review ~ p Z x J~O, p p ~ (z-~I R~l C~i= MC/ES SAC CitysAC l'{°`'s~' n)ia~n I`~N~~ X 5~"! n~ " Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies ~ o ~s w~ Other Total . s Permit Number REScheck Compliance Certi~cate Chccked By/Date 2000 Minnesota Energy Code REScheckSoftware Version 3.5 Release 16 Data filename: C:~Pmgiam Files~Check~k2EScheck1mb0000.rck COLINIY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION 7YPE: Sin~le Family DATE: 03/24/03 DATE OF PLANS: 10/20l02 PR07ECT INFORMATION: Simon Residence COMPANY 1NFORMATION: Manley Bros. Construction COMPLIANCE: Passes Msximum UA = 553 Your Home C7A = 398 28.0°/a Better Than Code (UA) Gross Crlazing Area or Cavity Cont or poor Perimeter R-Value R-Value U-Factor UA Ceiling 1: Raised or Energy Truss 1880 44.0 0.0 4] Wall I: Wood Fcame, 16" o.c. 2172 19.0 0.0 I]2 Window 2: pbov~Grade:Vinyl Frame:Double Pane with Low-E 218 0.330 72 Window 4: Above-Grade:glass block 16 0350 5 Door 2: Sotid 41 0.350 14 Wa112: WoodFrame, 16" o.c. I l'78 19.0 0.0 63 Window 3: Abovo-Grade:Vinyl Frame:Aouble Pane with Low-E 109 0.330 36 Basement Wall 1: Solid Concrete or Masonry 292 11.0 0.0 15 Wall height: 8.8' Depth below grade: 82' Insulation depth: 8.8' Window 4: Basement> S_G fi2:Viny1 Frame:Double Pane with Low-E 20 0.350 7 Basement Wa112: Solid Concrete or Masonry 459 11.0 0.0 33 Wall height: 3.5' Depth below grade: 3.0' Insulation depth: 3.5' Pumace 1: Forced Hot Air, 90 AFUE Proposed and Maximum U-Factor averages Proposed Maximum Averave U-Factor Allowed U-1'ac~or Zd Wd7L~Z1 £00Z VZ 'a'~W 9T00768 LS9 :'ON 3NOHd `JNIl~dJQ-Z-XO~ ~ WOa~ AbovaGrade Windows and Glass Doors 0332 0.370 tncludes Foundstion Windows > 5.6 ft2 COMPLTANCL• STATEMEN'!': Th~ proposed building desigo described here is consisteut with the building plans, specifications, and other calculauons submittcd with the pennit applicarion. The proposed building has been designed to meac th~ 2000 Mimesota Energy Coda roquircments in REScheckVersion 3.5 Release Ib (formerly MECchecl~ end to comply with the mandatory requiremenu listed in the RES checklnspection Checklist. Builder/DesiFater 1~-'~-~9 k~}~~ Date £d Wd4S:ZT ~06Z 7Z 'a~W 91~0G68 TS9 ~'ON 3NOHd `JNIl~d21Q-S-XO~ : W021~ ~Scheck Inspect~on Checklist 2000 Minnesota Energy Code REScheckSoftwaze Version 3.5 Release Ib DATE: 03/24/03 PLAN REVIEW AND INSPECTION ISSUES This list of items may be helpful for Plan Reviewers and Building Inspeciors to use as a guide for enforcing Uae Minncsota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family resid~ntial dwellings. The items marked with * apply only to detached one- and two-family residential dwellings. PY.AIV REVTEW ISSUES FOUNDATION INSPECTTON foundation wall insulation R-5 minimum foundation insulation extends firom top of wall down to top of the footing exterior foundation insulation is covercd by a protective coating fmish CONCRETE SI.AB 012 CJNDER-SLAB INSPEC'I'TO1V slab on grade perimeter insulation R-5 minimum slab insulation extends from top of slxb to design frost line or top oY' footing floors over unheated space R-30 minimum WINDOWS / DOORS / SKYI,IG~TTS avcragc U-value is 037 maximum for windows and glass doors (excludes foundation windows) window U-values consistent with buildin~ plan and REScheck Certificate window and door areas consi~tent with building plan and RES check Cer~ificate MECAATiiCAL VENTILATIbN ISSUES residential mechanical ventilation 5ystem provides adequate ventilation per code requiremeixts* [ J furnace e~ciency is consistent with RES check CeRifieate or building plan protection against excessive depressurization is installed per code requirements* ENVELOPE INSULATIOIV FOR PLAN REVIEW inuxior basemeut insulation A-5 minimu~n (if no exterior insulation) ceilings with attics R-38 minimum or consistent with building plau and RES check Certificate wall framing and insulation level is consistent with building design and RES check Certificate INSPECTION ISSUES CONCEALED INSULATIOI~i Framing and Sheathing [ J wind wash bamer installed at attic edge extarior wall com~.xs framed so that insulatlon can be installed after exterior shesthing is installed intersections of interior partition walls and exterior walls framed so d~at insulation can be fnstalled between [he partition and exterior sheathing afrer exterior sheathing is installed gaps bctwecn framing ?ess than one-half inch are eliminxted by securing fraroing together or are insulated at the time of assembly * all penetrations between conditioned and unconditioned spaces made prior to framin6 inspection are sealed ~ 4d WdST:ZT ~00Z DZ '1pW 9S00b68 TS9 :'ON ~NOHd ~JNIl~Fi?JQ-S-XO~ : WO?J~ Fnterior Air Bm~rier all fire stops are air sealed [ j pipes, ducts, wires, equzpment and flues and chinmeys through tha interior air barcier are sealed a sealed continuous interior air barrier is installed on the wazm side of the building envelope at ceilings, walls, and floor rim joist azeas * air bacrier behind tub and shower is sealed and protected recessed light fixtures aze sealed Envedope Insudatian [ ] basement insulation R-5 minimum ( 7 wind wash barrier on wall sepazaring Louse and garage is sealed loose fil] insuIation is preventui (rom entering the caves insulation on skylight shafts and walls exposed in attics is suppurted on the uncondirioned side Altic Insulation attic access panel i[~sula[ed to R-38 for ceiling panel8nd R-19 for wall panel attic card attached to framing neax access opening notification of attic R-value and date of installation pos~ed ntar builJing permit inspection card 'f'his is a summary only. Other reqvirements may apply. Sae tht Minnesota Energy Code. Questions? CaU the Departmant ofYublic Service InformaYion Center at 651-296-5175 or 1-800-657-3710. Sd WdST:ZL £00Z GZ 'a~'W 9500468 TS9 :'ON 3NDHd ~JNIl~Fi?JQ-S-XO~ : WOb~ • LOT SURVEY CHECKLt3T FOR RESIDENTIAL BUILDING PERMfT APPUCATION PROPERTY IEGAL: ~-b~ I D Q I c~ I /~4r'r~,~ S ~ctiiP. DATE OF SURVEY: 2-/a - D3 LATEST REVISION: m ~ c m L V ~ a O ~e < DOCUMENT STANDARDS r~['~[7 ? • Registered Land Surveyor sfgnature and comparry ? • Building Pertnit Applicant W~,E7 ? • Legal descripdon ? • Address ~'p 0 • North artaw and scale Y~ ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0'/ • Directional drainage arrows wifh slape/gradient % 7? ? • Proposed/existing sewer and water services & imert elevatbn ? • Sheet name ? . Driveway GY O? • Lot Square Footage ~0 ? • Lot Coverage ELEVATIONS Existin ~~7 ? • Sewer service (or Proposed) 0 • Property comers ~ a ? • Top of curb at the driveway and property line extensions • Elevations of any existing adjacent tromes ?_/~Y 0 • Adequate fooNng depth of structures due to adjacent utility trenches Yx ? ? • Watenvays (pond, stream, etc.) Proaosed p~/~ ? • Garage floor J7 ? • Basement floor FY ? ? • Lowest exposed elevation (walkouUwindow) Fd~ 0 ? • Property comers ? • Front and rear of home at the foundatlon PONdING AREA (if aoolicable) ~0 ? • Easement line ? q/ ? • NWL 0 [s? ? • HWL ? G?0 • Pond # designation 0 ,~Y ? • Emergency Overflow Elevation ~O ? • PondNYedandbufferdelineation DIMENSIONS G? ? ? • Lot IineslBearings & dimensfons ~f~ 0 • Right-of-way and street width (to back of curb) 6' • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all swctures requiring pertnanent footings) 9~? ? • Show all easements of record and any Cily ulilides within those easements e~p ? • Setbacks of proposed shucture and sideyard setback of adjacent existing sWctures [=Y • Retaining wall requirements, ff any Reviewed: ~3' Name ~ate G:lFORMSBuilding Permit ApplfpUon ~ ; ( t.. . . : ~t * ~F ~ 2422 Enterprise Orive * Mendota Heighte, MN 55120 * PIONOep ~u+o wn~xns • aH~ rncoams ~~i) ~I-1914 Fl1~h~1-9~ * eng near ne uxo rw+r+ws' u1+nsc~rE u~wrzcrs 625 Highway 10 N.E. * * * 8laine, MN 55434 ~ * (70.~ 783-iBBO FA%:7&7-1883 Certificate of Survey for: MANLEY BROTH RS CON TR 1(`~ON LaT AR~A = 23,834 54 FT 680 SHELRUD DRIVE BUYER- SIMON ~ HOUSE/GARAGE AREA = 2,568 SQ FT EAGAN, MINNESO?A DRIVEWAY AREA = 730 SQ FT IMPERVIOUS COVERAGE = 14.4% )(e~a.~ PORCH= 139 SQ FT i HOUSE TYPE - WALKOUT ~jAR 2 g REC D 938 ~ ~ SERVICE INVERT ELEVATION = 926.5 PER PLAN LOw£ST mp6o,vv ~ ~ = a'iZ,D ~ ~ \ pRl , SHE~RV~ ~ ~ ~.a. s35.a ~ 1 - g6 ~ ~ N 935.5 ~ - ~ 934.8 34. ~M~~'. 1 ~nl,{~1~ R~358 w (~i~i. 3~ 934.6 _ p • 935.9 ~ ~61 r,~IOL~. ` ~ 934.4 N ~ c.e. \ ~,~G ( s a'~i (3 : b `c9 957.5 ~ ~ BENCH MARK 93 ~ g36.s ~ i 1 ~0 TOP OF SPIKE 9 .5 ~ ~ ~ ~ y ELEV.= 936.21 ~ ~ ~ ~~J ~ mN o ` o l~~ ~ i \ 1 6~~~ ~ ~'~r.,, ~ ~ ~ o - " O o ~ ~ DR~VEWA~ \ ~ ~ M I ° . ~ p34~.11 ~s \ . 1 15.Q0 ~"pU938.2~ ~ . Q 1 ol ' AAo,~ g3~.,____ a ~ ~ . (G~ ~ " ~ O , ~ ~~935.8 5 9J8.8 - ~ '*938.5 ~ ~ OO \ ZO.fi7 ~ BENCH MARK ~ r a i,, m.~267 ~ ,a TOP OF SPIKE' 7.7~9 ~~.67 0 \o PORCH o ~ ~ OQ y EIEV.= 937:59 I \ o \N i1 p0• ~ ~ ~O ~ GARAGE 19.67 ~ ~ \ `TCA' 9O \ Rd~l,o~ n ~ b M I o ~ I W ~ 5.00 cV ~ 00 I P HOUSE ~ \ \ • ~ w ~ a ~ N \ \ ~ . 7 0 ~ o ' v ~ i s.s (XA'42•~ q9_36_---_ i-. I ~ ~ c'' -----~~Y-- ~ 15.00 e33.e ' ~ o0 19-00 00 42.00 a'SI~S 933.5 \ l 932.5 ~ VH~~~T/ ~ ~~1y._~-~- 2.$_"_ '~~~5 `I ~ ~ 933.8 C83.2 \ 831.8 9J1.4 ~ ~ BS4.S \ ~4.22 r \ Q42.o~ ~~1~~ ~ w ~.~`~'.l"'~' .`Q'hA'~ ` ~ o Xeai.~ \ I ~ \ 5 ~ ~i ~ ~ ~ L~~r~~~300 g3.72~ \ ~ 3 N'18'5720°E \ \ ~-T \ ~ ~ N ~ ~~NG~ ~ c~ ~i',~~ o ~ EDGE OF WE7LAND ~ ~ ~ '~~ad ,s1~~~°1 3 )(eze.~ ~ PER PLAT ~ ~ ~ taM~n9~~~ Ss6y4 ~ \ N i ~ \ ~ Required os e ~ \ ~ ~ . ~ '`I ~ ~ O , ~ ~ ~ ~ I( \ \ ~ ~\~~4 ,D~ m ~ ~ J~ \ \ Y ~ . ~ ~ ~ ~ ~ WETLAI~D ~ ~ ~ i ~ F""'~ ~ ~ ~t~ 'lJ ~~i~~ ~ss ~ ~ o i \ L-'a o~° t; 1 ` ~ ~ 92~~ ~ E~AS MENT PERnPLAT ~ ~ ~ ~ 92e.e ~ ~ ~ t,~.V ' 932J NOIE: Pf10P05Ep pqMES SNONN PER GRAOING PUN BW. PIONEER JV~J•T:J,48pE , (~e(~A(~ 174.09 ~ , NOIE BURDINp pYEN$IpNS SNONN ARE FOR HOPoZONTAL PN~ KJt71Gt lOCA710N FWNUAT ' OWFNOly0.~S E MG77ECNILL PLANS ~dt BUILOblO u1D '1 ~1 ~ . I L NOIE: NO SPEqFN7 SpLS IN~ES710A710N HAS BEEN CpAPlE7ED ON 1N~5 LOT BY TIE 1 L 4~. 1 SURYEYDX. 7XE SVITABRIT' OF $qL3 i0 $UPPqtT iHE y+[dFlC MWSE a ' PRdPOSFD 9 NOT 1NE RE~IX19B0.1T! Of 7XE SURVEI'(IR. . 7 LOWEST FLOOR ELEVA710N; 1~~ NOIE: iX15 CERI1FlCAtE OOES NOT PURPORT TO SHOW EASEMENIS OMER 1H/J1 ~y r ' 3~~ TOP OF BLOCK EIEVAl10N: ~ n~osE sxoMr+ ax n~¢ rtE~o rur. ' , _ ~ ,1 < ~ ~ !i J ~ ~ _a.r~' ~ ~ ~ " ° '1' `GARAGE SLAB ELEVAiION: NOTE: CON7RACTQR NUST YERIFY OPoKWAY OEApl. ~ 1 NOIE: BENtINO$ SHOMN ME BASED p! AN ASSUMED DAIUM ' . p !7 .i WE HEREBY CER7IFY TO MANLEY BROTHERS CONSTRUCiION ~ ~ }_"26 ~ J "'n k ooo.oo odotES aasnNC ¢~vnnox ' THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A i a"?;<~~Y~ J~~!;~°, ` (°°o~°° 1~+ohs rpoposcv Ei[v~non SURVEY OF iHE BOUNDARIES OF: ~ - - ~ ~ ~ ~ ~ - ~ ' - - - oaohs onew~ce uro urnin e~sceecNr - oEwohs onuN~ce now oirs~cnaw LOT 10~ BLOCK 1, NATURES EDGE ~ ~,o,~ ~ ~AKOTA COUNN, MINNESOTA ~ -a- oaores a~t Hue IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, E%CEPT AS SHOWN, AS SURVEYEO BY ME OR REVISm 3-03-03 STAKE HOUSE UNDER MY DIRECT SUPERNSION THIS t2 DAY OF FEBRUARY, ~ SI ED: ~ PIONEER EN INE ING, P.A. , 2003. SCALE : 1 INCH = 20 FEET BY: 4~ ~ 3200 102048.08 PDS Dan R. Westergren Reg. No. 19 0 _ ~F~~C~ ~Fi~~ ~oP~' `~-~`f 7RE~ PRE~ERVATION; PLAN S.U11~~, CIT`l OF EAG/iN FORESTI?Y,aIVISIQN - ` ~ 651 fi75-530~ ~ ~'~=';=ti . (SEE ATTACHMENTS) Development N ~~0~ Lot Number I~ Biock Number ~ Address 6~0 SI~-~~~t2.U,(~ (~Rl1j~i Builder 1`Yl+'~I~st,GY 6R6S. C~nNS1 ~ CoNTr~~T = Dl9t~ 6IZ~~t~U ~ 3S3/ Tree Protection Reauirements: Tree Fencing Oak Tree Pruning (Immediately seal wounds during Aprll 7 to July 31) . Therapeutic Pruning Retaining Wall Other: Replacement Trees: Not Required As Follows: Attachments: ~ ~c~'~ ~~SO~~ Yes ~ NO ~3~98~~ Additional Notes: ~ ~}~Q , -J ' ~A~ H:~ghove12002fiielheepres\Tree Preservation Plan Summary-2002 . Address: 68Q Shelerud Dr Zip: 55123 Lot: 10 Block: 1 Subdivision: Natures Edge THE FOLLQW [NG ITEMS WERElWERF, NO'P COMPLETE AT FINAL INSPECTION ON ~ Yes No Comments Final grade - 6" from siding Permanent ste s - garage Permanent steps - main entry Permanent driveway Permanent gas SodlSeeded lawn Trail/curb damage Porch LoweT level finish Deck Fireplace • Vexify with yoor builder that roof test caps from the plumbing system haue been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists. • Call the City's Engineering DepaKment at 651-675-5646 prior to working in right-of-way or installing irrigation system. V BUII,DING INSPECTOR: I C~ CONTRACTOR: Manley Brothers 646 Lexie Ct Eagan, MN 55123 s~a~ ~~~.~i~'nvc~.~d~____ ~ , ~ A~r+i ~5 ~ ~ k ~ ~'~~~~e ~ ~~~,~~cY ' ~ #~a ~ ~rs~~~,~'+~~~,~~~~~~~~ ~ ~ ~ ~ ~ a ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ therefiY.sc~wl6d9 ~'~~~~~'E~~~!'~YY~h~~+sl~~~ti~m~tlt~Y4f~t+. ~ ~ ~+r~ ~fitt+l+s~~'a~`~1~ RESIDENTIAL BUILDING . • ~ ( _i~ ~3 PermitApplication ~~~.~b l~Jf City Of Eagan C~~ ~~O /b~ 3830 Pilot Knob Road, Eagau MN 55122 LI Telep6one # 651-675-5675 FAX # 651-675-5694 New Construction ReauiremenLS RemodeVR~air Reauirements Offce Use OnN 3 regisfered site suneys shaxing sq. R of lot, sq. tt. W house; and ~II roofed areas 2 wpies ol plan Cert W Survey Recd _ Y_ N (20°k maximum bt coverege allowed) 1 set ol Energy CaIcuW6ons for heated addNons Tree Pres Plan Reod _ Y_ N 2 copies of plan showing beam 8 window sizes; poured found design, etc. t site survey for add'NOns 8 decks Tree Pres Nol Reqd _Y _N t setof Enert~y Cakufations Add'N~on -indicste ilon-sRe sepfic system On-Sife Septic System _ Y_ N 3 o~pies M Tree Preservalion Plao if lot pletted aker 711/93 Rim Joist Defail Options selection sheet (bldgs with 3 or less units p Date ~ / ~ / D 3 [ ~ ~ n ConstructionCost ~O Site Address r0 6 d ~~l.Q_/ 2 W~( ~ h~~ w-~ UniUSte # .v /~ti SS / Z 3 Description of Work ~G~ Multi-Family Bldg _ Y~ Fireplace(s) _ 0 2 i --~-y~ Property Owner . U N ~ ~ ~~-0 /U Telephone # ( ~ ~ ) G f. ' 4~ - (k. ~ JYLJ- G~ 1 - 30 ~ - 1 "~'i ~ Contractor S l T' i Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Ener9Y Code Worksheet (~submissiontypa) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan~ _ Y s~,~2~0 ~pl I review feeapplies. ll qUG 0 7 2003 ~ Il Licensed Plumber Telephone ) Mechanical Contractor Telephone ,'~y-~ Sewer/Water Contractor 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 azi 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. e~C ~ /v ~ I (Ol~-~yl-~ ApplicanYs Printed Name ApplicanY S~ ature OFFICE USE ONLY Sub Types ~ ' ? 01 Foundation ? 07 OS-plex ? 13 16-plex O 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ~ 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex p 71 10-plex O 19 LowerLevel ? 24 Storm Damage ? D6 04plex ? 12 12-plex Plbg_v ar _ N ? 25 Miscellaneous Work Types ? 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)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolitlon (Entire Bidg) - Give PCA handout to applicant Valuation t7 Occupancy ~L- MClES System Census Code g- Zoning City Water SAC Units Stories 6oaster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const ~ Width REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ~C Footings (deck) ~C FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final _ Framing _ Siding Srucco Stone _ Fireplace _ R.I. Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By ~Z , Building inspector Base Fee Surcharge Plan Review fi ~ f (,,~1~ MC/ES SAC ~ ~c { City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies 1.~1( j.t)~ Other Total . ,i V E`ERUp pR1VE ~ ~ SH f , ' C.B. 9J5.0 \ > _ 1 N 9J5.5 ~ 926' ~ / 934.8 34. R~J~~ „ (~?i~i. ' 934.6 \ ~ 935.9 ~ \ N 934.4 \ 937.5 ~ C.B. 9 938.8 J ~ ,~0 ~ ^ 9 .5 ~ ~ ~ O ~ ~ CD~ 1 o ~ oo _ ~ a , y ~ ~r, , ~ o n ~ o pROPOSED 0 I DRIVEWAY ~ ~ O~ ~ ~ 4.1L ~ I 1 937.1 _ ~5.4~4Q~938.2~ ~ ~39,0~ (AAo.3 - ---~~-o) ~ \ 93 .8 838.8 BENCH MARK ~ 5'~ N z0•67 '~938.5 ~ TOP OF SPIKE' 7.,'~g » g~ °o \o pORCN •°''126~ i E~EV.= 937.59 I ° ~ ~N s-_" aoa° ~ q ~ ~ ~ Q~I,o~ ^ i o o GARAGE 19.67 ~ \ M \ \ ~ N ~ w 5.00 W O o ~ ~ ~ I p{20POSED ~ ~ ~ HOUSE N \ ~ ~ ~ ~ • 7 ~n u " \ ~ ° o ~ ~ ~ .e , ~xA'~2~ 49.36 ' ~ ~ o W -------~'c----~-° ~ / 19.00 0 ~ 42.00 _ _ ~ O 5 _ o , . lQ'~iL$ 1 ~J.OQ 933.8 ~ . n 932.5 urt~t~T ~ ~ ~ e G~ ~+~,5 , ~ ~ 93tl. B~ ~ ~4.22 ^ i / '9R2, ~ 1~1,0~ ~ ~ 2 7 ~ ~ ~ p, ~G"hlsr•~ ~ ~ I Xeai.~ ` rn ~ ~ 5 _ - ~~o.o ~ - 3 L--~l s3.~z~ ~ \ 20"E _ \ . _ a K~a•5z' ~ sl ~ ~ o ; ---__°_~e ` Fcti~~ : Euc~ oF s?~'~' ~ Xose.b i PER PY~~ETTL.AN~ ` 1~~~mutt? ~Wyl~,ss \ . r,.,~ ~ ; N ' , pf ~~~VifO W~ S ~ 0 ~ \ .4.. ~n. i ~ SF ~ ~ i ~ ~ ~ ~ ~ \ ° ~ \ ~ ~ ~ ~ ~ i ~ ~ WETLAIVD ~ ~ i , , ~ r-~ , ~ , 1 ~r J 3S ~ ~ `~ut1l+~` 6+ 928~1 L..~ 'u .!~~`I~n ~ ...~..~`.-v ~ e2e.e ~s ~ EASEMENT P ':a ZF,•V N01E: PpOPOSED CRAOES SHONN PER GRMINC PLM! B1': PIONEEII S0~7~4~7'4S~E - ~ NOIE: BUKDINO U~YFNgqlS SNOMN ME Fql HOltl20NTAl U1D VERTCAI IOCAl10N ~ 74.0~7 . n~~~~+ ~Y~gE MCHIIECN~L Plµs fOR Buuniur. .un 1p31~t~ ~1 b~' 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION z J~Ia~ City Of Eagan 6~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 i New Construcllon Reauiremenb RemodeUReoair Reauiremenls Off~ce Use Oniv 3 registered site surveya showing sq. N. ot lot, sq. fl. of house: and all mofed areas 2 copies of plan Cert (ir5urvBp ReW; '~~=Y =t~ (20% m~imum lot coverage allowed) 1 set ot Energy Calculations for heatad additions Tree Pres Pian Rea1 ` Y N 2 copies of plan showing beam & window sizes; poured fiund desi9n, afc. 7 site survey for addNOns 8 decks Tree,Ptes~~Requlred, Y?_N 15etofEneryyCakulations Add~L'on-indicate8a~-sitesepticsystem Orrsi(e:SepncSystEm Y~-~=N 3 copies of Tree Preservation Plan'rf bt platled after 7Itf93 Rim Joisl ~eiail Opfions selection sheet ~bldgs with 3 or less un'M1s Da~ 2 / ( 1 / O~ I n Coastruction Cost Dy O O O Site Address ~p c5 K.2/'Q-~`~-[_y ~ 12, • UniUSte # ~ .v f ~-v ' Description of Work ~-OLV-~--~` "-r-~i--~ T lN' `J Multi-Family Bldg _ Y~, N Fireplace(s) _ 0 ~ 1 _ 2 Property Owner b/ ~Nn/ J~'u~d ~tJ Telephone #(6S~ ) lo gL ' 6 y~ . Conhactor ~i ! J Address ~ rSD 5~ ~Q- 2. C~t3' ~ State ~ /l/ Zip j Z 3Telephooe # ((~~'~j ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate~orv 1 _ Minnesota Rules 7672 Ene~gy CAde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet wbmission type) 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 Telephone ~ Mechanical Contractor Telephone ) 1 s Sewer/Water Contractor Telephone ) f CD ~uu4 J, I hereby apply for a Residential Building Permit and aclmowledge that the information is" c91~p1~Te_and_accurat ~ 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 pernut, 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. ~-o ~ti s~,~o,, ApplicanYs Printed Name Applic ' Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 O5-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Ait - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 17 10-plex ~ 19 LowerLevel ? 24 StormDamage ? O6 04-pleX O 12 12-plex Plbg_Y or _ N ? 25 MiSCellaneOUs Work Types ? 37 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation C7VV Occupancy MCESSystem Census Code ~ Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ~ Width REQITIRED INSPECTIONS _ Footings (new b(dg) FinaUC.O. _ Footings (deck) ~ FinaUNo C.O. _ Footings (addi[ion) _ Plum6ing Foundadon HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final ~ Framing _ Siding _ Stucco _ Stone _ Brick ~ Fireplace ~(R.I. ,~AirTest Final = Windows Insuladoa Retaining Wall Approved By: Building Inspector Base Fee i ^ Surcharge LG,. J ~ ~ ~ Pian Review MC/ES SAC ~ ~ ~,,.,e- City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total Use BLUE or BLACK Ink r For Office Use 1 l Cl j Permit 1),40 2o-z- j ty o Ea Ed~ Permit Fee: 1 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I ~y~ I Fax: (651) 675-5694 1 Staff: i 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: b `do C J n '_I Ectu"1 Unit Name: - 3-OA , Mo vl Phone: f ~1~8 6 ' ~ ti 7 Resident/ ry 6O Skol fjj of Gaya,., 11A ~ sS-)Z3 Owner Address / City / Zip: V Applicant is: Owner Z~Eontractor Type of Work Description of work: CC rO& l` 1 D J $ ~ Construction Cost: H4 coo Multi-Family Building: (Yes No/ ) Company: d X C x T'Q6 9 D C ,5 + L Contact: 1: ; n Zc Q City: ftL upJ~V sa : n Pav Contractor Address: State: Zip: J 7 Phone: ( J 1 ` -30 -3-Li ( t70- License loaf { 6 1 L 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: MOTE: 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 I 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.clopherstateonecall.orq 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. x ~UU tCl x % k~ Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink 4AW r - - - - - - - - - - - - - - - - - I For Office Use n I Permit City-of Ea~a I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received:O Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: I ~a S P J C _ Unit Name: tlOiU , il'1,t Phone: Resident/ Or Owner Address / City / Zip: 033) steel f, Az Or ~~jj- t,~cL5, r, 1 fz, Applicant is: Owner Contractor Type of Work Description of work: to A- icl~►'f vac l` i't~+•v"'~.~ Construction Cost: 7 ~ Multi-Family Building: (Yes / No } I Company: N~ U X'i-~ s Contact: tc,G~l V'1 Contractor Address: City: Tgk State: Zip: S 50 ~S Phone: ~'7 r ~ -3 q-0 qt - License C'b` t Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) B 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: LSewer & Water Contractor: Phone: F 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 (r conclude that the 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 permit issuance. X_ IC-LA x Applicant' Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA146933 Date Issued:11/27/2017 Permit Category:ePermit Site Address: 680 Shelerud Dr Lot:10 Block: 1 Addition: Natures Edge PID:10-49950-01-100 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David J Kracht 680 Shelerud Dr Eagan MN 55123 Incline Enterprises Inc 750 Pleasant St Excelsior MN 55331 (952) 471-9065 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA148391 Date Issued:03/26/2018 Permit Category:ePermit Site Address: 680 Shelerud Dr Lot:10 Block: 1 Addition: Natures Edge PID:10-49950-01-100 Use: Description: Sub Type:Residential Work Type:Alteration Description:Stove Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - David J Kracht 680 Shelerud Dr Eagan MN 55123 Peine Plumbing & Heating P.O. Box 66 Vermillion MN 55085 (651) 463-0155 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA148422 Date Issued:03/27/2018 Permit Category:ePermit Site Address: 680 Shelerud Dr Lot:10 Block: 1 Addition: Natures Edge PID:10-49950-01-100 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 - David J Kracht 680 Shelerud Dr Eagan MN 55123 Peine Plumbing & Heating P.O. Box 66 Vermillion MN 55085 (651) 463-0155 Applicant/Permitee: Signature Issued By: Signature 1Vmsealt Mobile Safes/Service Billing 651/248-3406 651/463-8750 I?0. Box 66 y Fax 651/460-8433 Vermiffion, MN 55085 Plumbing 651/463-0155 Heating, Inc. Fax 651/463-0156 Licensed * Bonded' • Insured RECEIVED JUL 0 3 2018 Jeffrey Wheeler Building Inspector 3830 Pilot Knob Rd I Eagan,MN 55122 Office:651-675-5680 https://wvvw.eityofeacian.com In regards to,the gas lines 680 Shelerud Dr, permit# 1483911 have sized the gas lines in accordance to table 402.4(12) showing we can run 3/8 id semi ridgd copper up to 150'with 117 cuft of nat. gas. Out total load is 1 dryer(future)35,000, 1 cook top 40,000, 1 bbq 40,000 with a total of 115,000 btu on 2psi, our total length of piping is well under the 150'allowable. Regards Wayne Peine The only website you wiff ever need to keg,you and your home comfortable and healthy aes wwwyeineinc.com PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA159547 Date Issued:12/30/2019 Permit Category:ePermit Site Address: 680 Shelerud Dr Lot:10 Block: 1 Addition: Natures Edge PID:10-49950-01-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner 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 - David J Kracht 680 Shelerud Dr Eagan MN 55123 (651) 699-0492 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA160203 Date Issued:02/24/2020 Permit Category:ePermit Site Address: 680 Shelerud Dr Lot:10 Block: 1 Addition: Natures Edge PID:10-49950-01-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David J Kracht 680 Shelerud Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature