4545 Johnny Cake Ridge Rd- "W - w?CUR
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. `' ; 3%' ? 1
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
"nn:t P11161 i<n
. f•111
'F
L '
?
?
PEFtMIT SUBTYPE: TYPE OF WORK: 10 ? I t?
I;; .; ?. ; I - I:' ? 0. &
ttErra??f-
PermR Holdef Date Telephone It
PLUMBING
HVAC
Inspectlon Oate Insp. Commenta
FDOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PIBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIFIEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METEF
IRRIGATION
METER
FLUSH
MAINS
CONDUC7IVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
I DECK FINAL
CITY OF EAGAN
Addition WOOd Lot 17 Blk a Parcel
Owner -? ' ? ? •? '? ? < ? ?? f ?t-? ` reet 4 5d5 Jnhnny ? Ca3ce ?? State Er3?+
an , MI+I 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. ^ ti.• 1976 .75
344.92
GRADING
saN sew rRuntK I974 9 .42 6 P'
* SEWER LATERAL 197 8
WATERMAIN
* WATER LATERAL 9176
+k WATER AREA 1976
* STORM SEW TRK 1976 3
* STORM SEW LAT 1976 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WArER CONN. 140.00 12109 11-8-74
PER.
SAC 400-00 112117119
PARK
?
. T
CONTRACT PRI,
Site Address ?
Lot - , ? E
Name ?
? Address -
c Ciry
? Name ?
(D
Address
O Cit]+
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
... MECHANICALPERMIT RECEIPT#
CITY OF EAGAN !
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
?
PHONE: 454-8100
-bLDG. TYPE WORK DESCRIPTION
;k _ Sec/Sub ?
Res. New
Mult Add-on ?
/ Comm. Repair
a4 4?&,Phone r' Other
M BTU
M B7U
M BTII
M B7U
CFM
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(fiES. NVAC ENCLtJDES A/C ON NEW
CONSTRUCTION)
GAS OUTLE7S (MINIMUM - 1 PER PERMIT) - 1.50 EA.
CdMM/IND FEE - 1% QF CONTRACT FEE
APT BLDGS. - CaMM. RATE APPLIES
TOWNHOUSE & CONDaS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - - 12A0
MININIUM COMMERCIAL FEE _ 20,00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FEE:
S/C; SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
y?<l f
REQUEST FOR ELECTRICAL INSPECTION
Z. 5 3? See inshuctlons for completing Ihis form on Oack of yellow copy. "
° "X" 8elow Work Covered by This Request ???
.,?. = !
e Add p. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heatin
Apt. Building Dryer ad Management
Comm.llndustrial Fumace Other (Specify)
Farm Air Conditioner
Other (apecity) Contador's Remarks:
Compute Mspection Fee 8e/ow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps ? AboVe 100 -Am s
SIJf1S Inspecmr's llse Only: ???? TOTAL ??
Irrigation Booms
Special Inspection i
Alarm/Communication THIS INSTALLA710N MAY BE OR?RED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Eiecirical inspector, hereby Date
`
cerlity that the above inspection has
been made. F??ai oa? .
?y
OFFICE IISE ONLY
This request voitl 1 8 manths irom
760 ?q
5 3/
?
Repuest Date Fire No, Rough-In Insp clion Requiretl Ins ec her Than Roughdn
(YOU must call inspecror ?w,hen ? tly)
' eady N Will o i1y I pecMOr
IQO
? Yes ?(,{ Date Rea
I E"licensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlress (Street, Box or FaNe No.) City
?
S a .?•'? ?
Setllon No. Township Name or No. Ranqe Na Co
unt
y
/
?
?
V 0' NVC_rl
Occupant PRINT) Phone No.
i z,4 2
Power Supplier AOtlress
lectrical ConVaclor (COmpany Name) Contractor's License No.
a? 'c ?•a- ?, .? A. ?. 2
Mailing Atltlress (COmract? Qwner aking Instellanon)
21 /1 L° /1'Ca. 6Jc?7
Authorized Si Wre (COnirector r Making Installa ) Phona Number
??`? $S?l? • ? o a ?
M?NNL?OTA STAT OAFlO F E CT ICRY THIS INSPECTION REOUEST WILL NOT
Or ggrMiOway BI Noom 571 BE ACCEPTEO BY THE STATE BOARD
1821 Unlversity Ave., SL Paul, MN 5104 UNLESS PROPER INSPECTION FEE IS
Phona(612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-05
' See Instrvetions for campleting thie torm on baek n1 yellaw coOV.
?'?r 7 y d "X" Below Wak Covered by lhis Request
C] 1 ?
AAd NepT Tvoe o1 8ui1aina . Aoo?iancea Wired Equiument Wirea '
ex
on
p Fee SarvieeEntrenee5ize tl iae ) Fexdees/5ubfeetlers N iee Circuits
Uto200qms 0 to30Ams 0 tn30Am
Above 200 qmps 37 to 100 Amps 37 to 100 Arritm;
Swimmin Pool Above 700_Am s Above 100_P.m s
Transrormers Irrigation Booms Partial-"Other Fee
Signs I I - ?]SUecialinspection 1S
Final
.1 t /0'!?w
1. +ne elecvfoel
InsPectar, heraby
certilv thet tha abova
Inspection hae baen
itft roauest •oia
This request void 7?41
18 momhs (rom
C. 967 14 1:7-0
Heque t ?at? Fire No. Re poipughrt ed-in? Insuection
5 Neady Nuw ?Will Notifv ??sPec-
?Yes Na tor When Heady
Licensed Electrical Contractor 1 hereby repuest inspection of ebova
? Ow^er electric I work inslelleA at:
Sireet Address, Box or Route N !
5'
v City
'
?
U
inn 0 cu
1
C--!
ectwn o. Townsniv Name or No. anBe No. , wity
Occupant PqINTI
?
-H one No.
?
er
c ,? -
Pow¢r Supplier Address
Elecvical Cont actor (Companv Name)
E
E
- ConVector's Lic¢nse No.
-
X «.
c7
/- a
4
1
Mailinp Address (Contr ctor or Owner MakinB Installation)
AuNorized ig^ ture niractor Owner Making Insiallationl Phone Numbe
r
/
'7 o
? '? (
/ IJP
?
MINNESOTA STATE BOARD OF ELECTRICpp THIS INSPECTION NEUUEST WILL NOT
Gripps-MiAwey 81CB• - Room N•191 BE ACCEPTED BY THE STATE BOAflD
1821 Univeraitv Avs.. Sf. Veul. MN 55704 UNLESS VPOPEN INSPECTION FEE IS
Phane(612)fi42080a ENCLOSED.
YILLA6E Of EAIiAN
3795 Pilot 1(nob Road
Eagon, MN 55122
Zoning:
Owner:
Address
Site Add
WATER SERVICE PERMIT
PERMI7' NO.: 1628
DATE: 11/15/74
Plumber: 9'1'+_rmm?g '
Meter No.v??a Connection Chazge: 00 qG
Size: ? •? ( Account Deposit
Reader No.: Permit Fee: 10.00 Pd
I ogrea to co ply with the V/il e of Eogan Surcharge: • 0 d ?
Ordinan r j?/ - p Misc. Charg :
s
t/ ? • Total:
By 614 4 Date Paid:
Da[e o1'Insp.: Insp.:
PI1D No. of Units:
YILLAOE,OF EAOAN
3795 ploeKnobRoad
Eognn, MN 55122 SEWER SERVICE PERMIT
PERMIT NO.: 238:1
DATE: 11/15/74
Zoning: npn No. of Units:
Owner: ti F'nr' v H m a WnoAaata TT
Address:
Site Address: nrnc 1nh y C?fkF Ridae
Plumber: Th n on Pl i mh' nci C'o
1 agres to eemply wiffi fhs Vilkga of Eogon Connection Charge:AZV-V-?
Ordinonees. Account Deposir.
Permit Fee: 10.00 pd
Surcharge: .50 pd
By; Misa Chazges:
Date of Insp.: Total:
Insp.: Date Paid:
CITY of EAGAN
BUILDING PERMIT
Owne: .... ./..!?.^..:!'.- .... .......... .?..... ...... l ..... .......................
Address (Presea!) .....
Suilder ..................................................................."-----......................
Addreu ......
DESCAIPTIOIQ
tl-?
. ,.
N2 3458
3795 PiloS Knob Road
Eagaa Minaesofa 55122
454-8100
Dala ..&..-. AR.-...7..C..._ ...............
Stosiee To Ba Used For Fzon! Depih Heighf Esl. Coe! Permi! Fea Remarlcs
??c-?.C- ?? I
(/ LOCATION v /•?
or
?..y, c+'?.,L? ?-"`?.? / 7 ?- ?
A U
This permit does not aulhorize the use of sfreels, soade, alleps os sidewalks aor doas it give the owner or his agan!
the sigh! !o creale any situafion whie6 is a nuisance or which presenfa a hezard fo the heal2h, safelp, eoavenieaes end
general welfare !o enpone in the eommunilp.
THIS PERMIT MUST BE? 1K.??EPT ON THE PAEMISE WHILE THE WORK IS IN PROGR SS.
This ia !o ceriifp. !hal---_l..?.C::??... .°..*? .......... ..._-----han permiesion !o erect a............ ?...'.:?"`.?. ?J upon
ihe above desaribed premise subjeat !o the provisions of all applicable Ordinanees for i6e Ci of Eagan.
......................... .?°-."""Q--?'L`?'t"......... '---_' .............. Per ....-'------- (T'.[ ??/-c-aet?
1fv'.................. `'.............""..._.......................................
Ma or Bvildiny Iaapeetor
16
`LLJ/? u? ?e. /?_ ?
CITY OF EAGAN
3795 Pilot Knob Roed
Eagan, Niinnesota 55122
PERNLi'P NO, : 601
The City of Eagan hereby grants to Geo. Sedgwick Heating & A/C Oo.
0 1
1001 Xenia Ave. 50., Mpls. 55416
a TING Permit ior: (Owner) Nea HOrizon - Woodgate ZI
54 ohnny Cake, 1706 & 1728 Walnut Circle and
a 1724-26-28-30 8ickorY Hil pursuant to application dated 10/31/74
Fee Paid: $140.00 dal;ed this 19th
3.50 s/c
day of Nov. ? 19 74 ,
Building Inspectcr
P^acY:snical Permits:
Bid Total:
?
HOUSE HEATING TEST RECORD D-21443 4545 Johnny Cake Ridge agan
ADDRESS APT. FLOQ R4-CITY SUBUR
OCCUPANT None nWmc?2w HOT1zOII9 -
HEAT LOSS
SOLD BY
Elachieal Work By -
TYPE OF HEAT GA
DATE HTG. INST
ALLED BY S gwiC g.
? n
Gas Lins By
FA X HW -STEAM SPACE HTR.-
? GAS DESIGN
MAKE Wi1liSmeOII MAKE OF
Model 1117-10-5 Model _
5erial 7437286 Max. B7U
INPUT 100,000 Btu AT, MAKE OF
Model
UNIT HTR. -OTHER
CONYERSION
BURNER
Rating -
FURNACE
CONTROLS
THERMOSTAT m 260 Heat Plu Vent Size 5"
Valve M.H. VAOOc
KIND OF LINER Alum, 8"
SIZE NONE
Limft Robahaw RE'L 750n Drok Hood VeTt1C8l Regularor
Limit $etting 2000f Filtsrs Size 16" a 25" Num6er 1
Fan Setting 90 f& 1200P Qhimney Location Inside Ye9 Ouraide
Pilot Type CORp16 Chimnay Constructi on Metalbestoe
Pilot Make
Pilm Modal Smoke Bomb _
Pilot Timing 63 Seconde Draf}
L.W. Cut Off Door Pressure
Wiring
Tezr 7as Ye8
Lighting Inat. Ye9
Preszure 4,1°W,C. psresntCO2 7•5% Date Tested 148475
Input CFH 100 Percent OZ 7 8 Company TesTin9
r??»1 .' ?-+
Stack Temp. f Perune CO 0• 0 Name of Tester
OK
Fwm 235
PERMIT RECEIPT DATE:
2002 RESIDENTIAL PLUMBINfi PEftMIT i4 FP1_,IC??ON
CITY OF £AfiAN
3$30 PILOT KNOS RD
BA6AN, MN 55122
651-681-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, /?
backflow preventer for irrigation system (? y ??
,( J?.p
SITE ADDRESS
5-1?A ? Tl Ll1?'1 TELEPHONE#:
OWNERNAME:: I
r? ??- (AREA CODE)
INSTALLER NAME: A. P. YI I? f, W'UY K.S TELEPHONE #: IA I--3 &Cs B40
STREET ADDRE55: Jlp-I U LD ?? PT) (AREA CoDE)
CITX: ?6 STATE: M IAJ ZIP.
_ SEPTIC 5YSTEM, new/refurhished (requires two sets of plans and MPC license) ? 100.00
includes $40.00 County fee
Note: Additional consuttant fees may apply
. MODIFICATION/ALTERATION 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 if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener ? water heater $ 15.00
---------; =??.
5tate 5urcharge r?
??i
1,?,1,'
50
SEP 1 3 2??7_ I 1 ?
?
Tatal $ .
?
I hereby acknowledge that I have read this applicetion, statethat the information is corred, and egreeto complywith all applicable City of Eagan ordinances. It
is the applicanYs responsibilityto nolify the property owner that the City of Eagan assum s n0liabilityfor a y amages caused by the City during ils normal
operational and maintenance activities to the §cilities constructed under this pertnit in it property/ri, t of- leasement.
vCt 17-k)CUA
Tlj E OF PERMITTEE 1/02
FERMIT
GITY OF EAGAN
° ,3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Perm+i Number:
Date Issued:
aur.LozNc
033221
09/10/98
SITE ADDRESS:
4545 JOMNNY CAKF RIQCE RD
LQT: 17 BLOCKa 2
WOOOGATE 2ND
P.I.N.: 10-84601-170-02
DESCRIPTION:
T.O. & C2EROOF
Permit Type STORM DAMAGE
Aprk T,yps REPHIR
de,&._ 434 ALT. RE5TDENTIRL
? t
-zl 1-4 x
N ?L3k &
A?
? .I?
^3
tv? SIG
?t &.jfr g?§bT
?4RN9 tFSI S wP6 ?ii?,. ?? ?@&vim
fr ? p4 W ?
1
?44"gc?`t t3Er ?? ?
Iu "
REMARKS:
FEE SUMMARY:
CONTRACTOR: - wpplicant -
CENTURY ROOFING 18695133
6336 LYNDALE AVENUE S
RICHFIELD MN 55423
(612) 869-5133
;I;hereay.adhh'awledge th at
iarmataAn j, s. o tzrr er t ,a ntl';
? . ,., .';.
OWNER:
SLATTERY KATHY
4545 JOHNNY CAKE ROIGE RD
EAGAN MN 55122
(651)452-1937
y,wa Ch a11 _t?pplie'abl? Stat?` ?f Mna`'
APPLICANT/PERMITEE SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? I CITY OF EAGAN Q? - jo -
3830 PII.OT KNOB RD - 55122
681-4675
New Construdion Reauirements RemodeURepair Reauirements ? ?( ??'? ??? 3 registered site surveys ' ? 2 copies ot plan
? 2 copies ot plans (inUUde beam 8 window sizes; pouretl fid. design; etc.) ? 2 ske surveys (exterior addkions 8 decks)
? 7 eneigy ralwlations ? 1 ene1gy calculations for heatad addkions
? 3 copies of tree preservation plan 'rf lot platted after 7/7193
required: _ Ves _ No
DATE: /C- e-1l CONSTRUCTION COST; `DESCRIPTI OF WORK: ?' _ : `- ? ? .' .; ' ? ` •. _? r_.
STREE DDRESS:
LOT: i ? BLOCK: SUBD./P.I.D. #:
C?J
Name: `? /., +! ?<H * !, , r P6one #:
PROPERTY Lazt Fiac
OWNER
Street Address: 14; -? ? Tc ?. /I,_+ k a v"c+c s r?• I
City State: Zip: '> > ! ? -
Company: :' Phone #:
CONTRACTOR ?
Street Address: ' -? - L ., I; =\. u - 1 License #
Ciry
ARCHITECT/
ENGINEER Company:
Name:
Street
City
Sewer 8 water iicensed piumber (new construction ony):
and lot change is requested once permit is issued.
State: Zip:
Phone i!:
Regimtion #: _
Sta[e: Zip:
I hereby acknowledge that I have read this application and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
N ot
Penalty applies when address charsg
is conect and agree to comply with all appkr,ab9
- ")
j'. i 1
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA090513
Eagan, MN 55122 . Date Issued: 08/05/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4545 Johnny Cake Ridge Rd
Lot: 017 Block: 002 Addition: Woodgate 2nd
PID 10-84601-170-02
Use
Description:
Sub Type: e-Siding Construction Type:
Work Type: Siding
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
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 $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Sandau Construction J Timothy Slattery
12605 Creek View Avenue 4545 Johnny Cake Ridge Rd
Savage MN 55378 Eagan MN 55122
(952) 403-9100
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
Use BLUE or BLACK Ink
For Office Use
City of Eap I Permit
Permit Fee: _ I
3830 Pilot Knob Road i a q-'
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694
2011 RESIDENTIAL PLUMBG PE MI AP LI TIO
Date: ~~IN
c
Ri ~Z O
Site Address
Tenant: Suite
RESIDENT/ OWNER Name: Phone:
Address/ City/ Zip: r~
CONTRACTOR Name: f License !P ~C
Address: /d/ 10' 5 City:
State: Zip: l Phone:
os~
Contact: Email: e55 l
d S (
TYPE OF WORK New Re la me Repair Rebuild Modify S ace Work i O.W.
p - pace
Description of work: /g /f U~tJ Cif I~
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground tility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or
I hereby acknowledge that this information is complete and accurate; that the work will be in confo an ith the or i n and codes of the City of
Eagan; that I understand this is of a permit, but only an application for a permit, and work i of art with mitf'that the work will be in
accordance with the ap ved n in the case of work which requires a review and approval of an /
x% x
Applicant rinted Name icant Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA100051
Date Issued: 07/12/2011
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 4545 Johnny Cake Ridge Rd
Lot: 017 Block: 002 Addition: Woodaate 2nd
PID: 10-84601-02-170
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Janet Mason
122 West - 3rd St
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Haled Comfort Systems J Timothy SlatterN
122 West 3rd St 4545 Johnn Cake Ridge Rd
Hastings MN 55033 Eagan MN 55122
(651) 437-0338
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use Permit
City of Ea~a~ I
I ~~as
I Permit Fee: I
I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I Ul Site Address: ~S S ROC 55" Unit
Name: Ti ~ kG-~,4y Bleed; _ Phone:
Resident/
Owner Address/ City/Zip: y 5r /e~in~s~ C At- x al(
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: 3-6D. 0v Multi-Family Building: (Yes / No
Company: cc Our C"nsa- Contact: ~/CcSC)
Contractor Address: 3X Z City: dXZ&
State: 11fd Zip: f-!1_ t Phone: Cef 2- 7&0 3 8 3
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets '
_ - - _ _W...._
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 Minne 'ding Code must be completed within 180
days of permit issuance.
X_ -sow
Applicant's Printed Name Applicant's Sigfi re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113627
Date Issued:09/05/2013
Permit Category:ePermit
Site Address: 4545 Johnny Cake Ridge Rd
Lot:017 Block: 002 Addition: Woodgate 2nd
PID:10-84601-02-170
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 .
Kevin Sandau
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 -
J Timothy Slattery
4545 Johnny Cake Ridge Rd
Eagan MN 55122
(651) 452-1937
Sandau Construction
9925 Lyndale Avenue South
Bloomington MN 55420
(952) 403-9100
Applicant/Permitee: Signature Issued By: Signature
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AG N �e=j r For Office Use
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Date Received: IF�,��`
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 I
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694
Staff:
buildindinspections(a citvofeagan.com
2020 RESIDENTIAL BUILDING PERMIT APPLICATIO
Date: T.–A/ po Site Address: - rl[i i�� �., i= rto nit#:
Name:
11/4 /`` t / Phone: — �31 Af2c2
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Resident/ �VS Y- da,/d-
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W�1� � � Address/City/Zip: �Applicant s: Owner 4 Contractor
Type of Work Description of work: //a/G/Ra4O6,600e
Construction Cost: I re Multi-Family Building: (Yes /No4/ )
Company: Pritgi yt/� J.s L Contact: /CU/6 �/1/ `G:.
Contractor: Address: .71?3 Learn! ✓- City: Z.:di� M1'0142
State:/#19!--r-3-3 ‘ Phone:/o/,90-7/7'Email:er-flll/ ✓, /0<4,'SZhedalA'114 c. ' 2j,
License#: ?G 099333 Lead Certificate#: 5-1 7tFP
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets,
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances -•. 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 pe , that the will be in
accordance with the approved plan in the case of work which requires a review and approval of. -ns.
x t -f/7 x _
Applicant's Printed Name .- I'/
Applicant's Sig -ture
DO NOT WRITE BELOW THIS LINE L-/ 1/ I o k) rl cl ( j ' rg 4 / /z_7/5
SUB TYPES Rd.
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex 3i 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 o�f 000 Occupancy 12-( MCES System
Plan Review Code Edition ( lie 2614 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 +j 3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) r Final/No C.O. Required
Foundation Foundation Before Backfill k`"HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool: Footings Air/Gas Tests _Final
41/ Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS
je Insulation Windows
Sheathing Retaining Wall:_Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
v Shower Pan Other:
Reviewed By: 4 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
SSW Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA161535
Date Issued:06/01/2020
Permit Category:ePermit
Site Address: 4545 Johnny Cake Ridge Rd
Lot:017 Block: 002 Addition: Woodgate 2nd
PID:10-84601-02-170
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Air Exchanger
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 -
J Timothy Slattery
4545 Johnny Cake Ridge Rd
Eagan MN 55122
Centraire Heating & Air Conditioning
7402 Washington Ave
Eden Prairie MN 55344
(952) 941-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161536
Date Issued:06/01/2020
Permit Category:ePermit
Site Address: 4545 Johnny Cake Ridge Rd
Lot:017 Block: 002 Addition: Woodgate 2nd
PID:10-84601-02-170
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement 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 -
J Timothy Slattery
4545 Johnny Cake Ridge Rd
Eagan MN 55122
(651) 231-2830
Piperight Plumbing Inc
3920 Foss Rd
Minneapolis MN 55421
(612) 598-8106
Applicant/Permitee: Signature Issued By: Signature