4465 Slater RdCITY OF EAGAN Remarks
addition CINNAMON RIDGE 3RD ADDN Lot 2 Blk
Dwner street 4465 SLATER ROAD
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. Q 1 1012.20
STREET RESTOR.
GRADING
SAN SEW TRUNK
1
1973
102.22
6.81
15
27.31
A01267
-2 - 3
SEWER LATERAL. K 724.53 447 --84
WATERMAIN
WATERLATERAL x 1985 617.30 123, 617.30 C009447 9-7-84
WATER AREA 1973 131.44 5.76 15 35.08 A012670 8-29-93
Services x 1985
STORM SEW TRK qpl 1979 381.69 19.08 20 286.29 A012670 5-29-83
STORMSEWLAT x 1985 1098.83 214.77 5 1098.83 C009447 -7-84
CURB & GUTTER
SIDEWALK
STREET LIGHT
RQAD L1NIT 250.00 36242 6-7-83
WATER CdNN. 450.00
BUILDING PER. 8108
sc,c 525.00
PARK
GITY OF EAGAN
3795 Pllot Kno? Rood Ea9an, MN SSIZ!
PHONEs 454-8100
BUILDING PERMIT
Receipt # c i '
Siro Addrcss -4465 SlAter RnAd Erect R-3
O
A ccupancy
Lot -'- Block_2 $ec/SubCfn amon R3du e 3Td 141ter Q Zoning (P12) R-1
Pcrcal .?t 110 1.7402 Q2Q 02 Repair ? Fire Zone NA
E v
nlcrpe p Type of Const.
W Nonw 7ar}nman 14nmP4y Tne, _ Mpve Stories
; Addross 7760 MiCchell Road Demolish ? Length 43_?
b
Ci t?rlen Prairie phone 437-g524
Grode
?
Depth 32-Sq. Ft.
o Iie
men ronatrLCtion
N
Inc AoprO`'Ols Fees
?
?
y
.
?? Addreu _ 5952 Wondland Circle Assessment
Ci t•4tkg. 55343 phone 934-1218 Wcter & Sew.
?°C Police
? W Nnma
Fire
?? Addross Eny.
i W Ci Pho?s Planner
I hereby ackrwwledfle that 1 have read this application and state that Countil
Bldp. Off.
fhe information is corrett ond ogree to comply with oll oppiitobl?
State of Minnesota Statutgs and City of Eogan Ordinances. APC
Siqnaturc of Pertniitee T
eyu?e?z Coue ructio
A Building Permif is issued to:
oll worlc sholl be done in accordonca with oll opplicable,State of
Building Officiat
M 8 1??
C.
PermiL 201,00
Surche?pe 28.00
Plan check 150 _ i0
5/1C S'' S _ bQ
Water Conn4_%Q_JDQ-
Woter Meter 60. 00
Rood Unit 2-52•00
Totcl $1764.50
on the express tondition thnt
Statutes and City of Eagon Ordinonces.
Psrmit No. Permit HoltMr Miec. Psrmit No. Holder
Plumbinq 3'70 Az $q&
H.V.A.C. ?j7-T
We11
Waur
D'ap.
Sorwr
EkCtric W0(I'4%/b r-"11E
InsFwction Dste Insp. Other
Footinpt ? A?l
Foundation
Freminp ? g
Rouph Plby. ?
Rouyh HVAC
Inwlation
Final Pibp. •7 J*
Final HVAC
Final ` ?.
Wa"r Deeeriha Location: i '
?..,.
WWII ?
t
SevNr .
Pr. Disp.
0?e?ftftra#t of (Orrupttnry
Citp of (Eagan
Mrvttrtmnf u# Builhing 3»s.ppriimr
Tbis Certr firatc i.csxal partxant w the rcqxirrnirnu o f Sution 306 o f the Unifona Building
Codc urtiMng that ut thc tiru of ittuanct sbu ltrwtu?c waj in cmriPtiana witb the variovu
o?dinuucu o f the Cit7 rcgHlating bxilding corutruction or use. For thc f o!lowing:
w.c.dfi.uw SF nwr;/r_au Ma..P.,.U No. 8108
poapeqryv. - R3_lyF• coeurefion_VL F,,, 7o. NA zm;es Disviei R 1-PD
PO?i IM A
By:
o,a: Au gust 26, 1983
MCUOYf ?Ct
Oepf ?!1 ? ? LITMOIN U.S.P..
Receipt ??? ?
MECHANICAL PERM17 Permit No. 7
CITY OF EAGAN
Fee c. ?
Fill in numbered spaces S/C
Type or Princ legib/y , .
T
ot
1. Date '- ? ?2. Installation Cost ?
/
3. Job Address
•• ??.
`
Bik. Tract ' I_
fVot
Z
__,
i
_
.z?,wz?_ _
?--?
'??
4. Owner •.:?-s ,
-
??.z.-
?
5. Contractor i
Phone
6. Address ' `°'
;
;
•,' S --? / :^.--1`L'-?-? `2-{? ?
?
7. City ??'.? _=•?,--?-?• :
? State Zip
i
8. Building Type: Residential E'" Commercial ? Institutional O
9. Work Description: New 2' Add 0 Alter ? Repair ?
10. Describe
11.
TYPe
No. EquipmP,nL 8TU - M. Ea.
Forced Air ? Z No. EQUigment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond. i
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and wrrect, and I agree to
comply with all ordinances and codes g?verning this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?
.y
R.oe;p:
k'lv
PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Prrnc /egib/y
Permit No. ?? C?
Fee ? -
S/C
Tot
1. Date 2. Installation Cost
` ??J ? ?' 1 •l ? • /,: y 1 .
3. Job Address Lot ? Blk. ? Tract c -i C
4. Owner ?i 4?4 ._/ C-)
-T
4 Cf
5. Contractor Phone? • ' ?
6. Address
7. City State 2ip
?
8. Building Type: Residential 'O Commercial ? Institutional ?
9. Wark Description: New C'l Add ? Alter ? Repair 0
1 10. Describe
1 11•
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
5igned: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
? CASH RECEIPT •
CITY aF EAGAN
3795 PILOT ICNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RECEI V ED
FROM
19
AMOUNT_ $ (
8 DOLLARS
ioo
? CASN ? CHECK
FOR
14 -I.
FUNO CODE AMDUNT
T You
? , - B "r
White-Payers Copy
Yeliow-Posting Copy
? Pink-File Copy
CITY OF EAGAN
e ;1:•
3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121
PHONE: 454-8100 i. •? ,;, ? ?
BUILDING PERMIT Receipt #
To be used for - Est. Value $1 ?000, Date "%, ? ,19 f
SiteAddress 4465 RD
Lot 2 Block 2 Sec/Sub, CYNNA" AIW:
-
31W
Parcel No.
a Name
W
3 Addre;
0 ritv
a
o Name
•. ,
? ? Address
P City Phone
Address
City _
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 StaWtes and City of Eagan Ordinances. .
Signature of Permittee
A Building Permit is issued to:_ GOR'?? UJHL!L61MG
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
On Sfte Sewage
MWCC System
On Site Welt
City Wate?
PRV Required
Booster Pump
APPROYALS
Engc/Assess. _
Planner _
Council _
BIdg.Off. _
Variance _
OcCUpancy
Zon ing
(Actual) Const
(Allowable}
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Waler Meter
Road Unit
Treatment P1
TOTAL
24.00
.5c
•5Q ?
y?.00
?
?
Permit No. Pormit Holder Dats Telephone it
Plumbing
H.V.A.C.
Electric
Softener
Inspsction oate Insp. Comments
Footings I
Footings 11
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg. ` ?.:?;: ?c: ?c.5 -? ? c?i=
Deck Ffnal
Well
Pc Disp.
CITY OF EAGAN
3830 Pilot Krab Rosd, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt # ?
Te b, wW Mr FINISH BASEM EI'?, Vnlue 700.00 pare J ULY 20 , lq 84
Site Address 4465 SLATER ROAD Erect ? Occupen cy R 3
Lot 02 Biock 02Sec/Sub. CINN RIDGE 3RD Remodel 12 Zoning R 1
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Sturies
W Name DOUG & DAI3A VA RNER Move ? Len9tn
? Address 4465 SLATER R OAD Demolish ? Depth
City E-AGA`1 Phone 8 94 5 3 6 9 (H ) Grede ? Sy. Ft.
SELF
Approvob
F.es
,o
u Name /\ssessment Permit 13- nU
u A???
City Phone Water b Sew. Surchar9e `+n
Police Plan check
W C
W
W Name Fin SA
G
?? Address Enp. Woter Conn.
?W City Phone Planner Woter Meter
Councll Road Unit
I hereby ncknowledge thot I have reod this application ond stote thaf gldg. Off.
the inlormnfion is correct ond ogree to wmply with oll applicoble aPC
Stote of Minnesota Stotutes and City of Eayon Ordinances.
Var.Oate _
Perks
Total 13.50
Sipnaturo of Permitfee I
A Buildinp Permit Is issued to: DOUG & B4B1iM DAI9A VARN LR on the express conditlon tha}
oll work sholl be dons- in accordorxe with oll applicoble Stete of Minnesota Statutes ond Ciry of Eopan Ordinonces.
Buildlnq Officiol
Permit No. Psrmit Holder Dtte
Plumbinp
H.V.A,C.
El.ct.ic 155 ow e,`r
soften..
Irnpaetion Date (nsp. Other
Footings
Foundation
Framing
Rough Plbq.
Rouyh HVAC
Inwlstion
Final Plbg.
Final HVAC
Final
Cert/Ox.
Water Describe Location: "A
YYsll
J
sew.. f??
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
P. 0. Box 21199
Eagan, MN 55121
Zoninp: R1
Owner: - +evmen (`onSt
A+ddress:
Site Address; 4465 Slat r Rd I
Plumber: _ HESt=ks S & W
Meter No.:
Sixe:
Reoder No.:
1 prse to oomply witle !lro Citq of Eayan
0*dineneu.
By
Date of irisp.;
WATER SERVICE PERMIT
PERMIT NO.: j? 7 r) ?
DATE: 6- 1(,_ n a
- No. of Unlts: I
B2 Cinnnzaan R132e 3rd
- Connection Chorge: 450.00 pd
- Aooount Deposit;
- Permit Fee: 10.00 pd
Surchorge: .50 pd
Misc. Choryes: 60.00 vd meter
Totnl:
- Dote Pcid:
- Insp.:
CITY OF EAGAN SEWER SERVICE P ERMIT
37715 Wlof Knob Roed PERMIT NO.:
Eayan, MN 55122 DATE: '
Zontnp: - No. of Units:
Owner.
/lddreu:
Site Address: ' 7 S1ater Rd Lc 3- ?:21f7 v 3rr
Plumber: -- r.nir -A ? F. -
-.- '; -- ? -
i agroe to eomoly wifh 1M Ciryr ef Eoyos Connectton Cho?ge: ?5.oG
Ordinanoss. Accourkt De
posit:
PermR Fee:
Surcharge:
BY Mi
Ch
sc.
arfles:
Dute of Insp.: Totol:
Insp.: Dote Pcid:
6 ' CITY OF EAGAN
3830 Pilot Knob Road P O Box 21•199 Ea an MN rG19+
9 .
PHONE: 4548100
8111EDING PERMIT
„ Receipt # '?y`76 `TlS
- ,
Te M wad 1or FINISH BASEMEW. Value 700.00 Date S ULY 20 1984
,
SiteAddress 44h5 ST.ATF.R RnAi] Erect ? Occupancy R 3
Lot0 ZBlock 02 Sec/Su6. rTNN RTn GF. 3R? Remodel 12 Zoning R 1.
Parcel No. Repair ? Type of Const. V
Enlarqe ? No, Stories
Is Name nnrrr. R T1ANA VARUF.R Move ? Length
; Address d4(+5 ST.ATFR RnATI Demolish ? Depth
b Grade ? ' Sq. Ft.
City $A(_AN Phone AQd 5if9 !H1
p SELF 121 '
N ''vvrovab Fees
O ame
?t Address
? City Phone
Name
City
Phone
I hereby acknowled9e thot I have read ihis application ond state that
the information is correct and a9ree to wmply with oll opplicable
State of Minnewto $tatutes and City of Eagan Ordirwncet.
Assessmenr
Woter & Sew.
Police
Fire
Enp.
Plonner
Councfl
Bldg. Off.
APC
Var. Date
Pertnit-P3 nn
Surcfwrge _,.Fn
Plon check
SAC
Woter Conn.
Woter Meter
Road Uni1
Parks
Total 13.50
Sipnoture of Permittea I
A Building Pertnit Is issued to: DOUG &BONN DANA VARNER on tha express conditlon that
nll work shall.6e do- ir's,q,, n accordanceIC w"i,t?h?all? ap"pl?? e Stote of Minnewta Statutea and City oi Eapan Ordinances.
Bulldinq Offlcfol ???/ /
nc u e sets of p].ans,
CITY OF EAGAN 3 Certificate of Survey &
? BUILDING P=T APPLICATION 1 set of energy calculations.
To Be Used For M?i = 5fi 13.45 b A4rn;, Valuation ?700 Date 2 - /7-,f V
Site Address: z/?/lS SLAr,544 Y=??'?AkJ- OFFICE USE ONLY
Lot 6 'a Bloclc ? Sec./Sub. raErect Occu1ancI' R'3
Parcel #: " Alter ?C zoning R- I
Repair
oc,mer:
Dot.+E !J N nJ A
d- b14" 64 Enlarqe - TYIe of Const. ?
[?ve # stories
Address: y?/?S Sc.4rf,2i ?. 'AR&AV Deimlish Front ft.
Cit
/Zi
d
C r/{
' Grade Depth ft.
y
p
o
e: (-,AA, /.tz
N
Phone #:
99 y - S3 e 'I APPRDVAI.S FEFS
Contractor: S Gc F
Address:
City/Zip Code:
Phone #:
Arch./IIzg.:
Arldress:
City/Zip Code:
Phone #:
Oo
Assessments Perntit J3 . -
Water/Sewer Surcharge
Police Plan Check -
Fire SAC
Eng. Water Conn. _
Planner Water Meter
Council Road Unit ?
Bldg. Off.
APC
TOTAL /.3 5 °
. -W.
A n7555i 'L6;?- j 0a
?(Za18?F
cr,. A•dA.
Peques[ Date F,e No. Raugh-m InsPecbon
fle'uired7
ReaAy Now W?II Nouty InsVec-
' ?Yes ?NO «+r Wht>n Reatly
?! roensed Elec[ncai Conhactor I hereby repuast insDectron oi above
?Owner elechrcal work installetl aT.
St eel Atldress, Boa or Route No. Gty
4y S Sc? ?o. Ea-6?t,v
ecuon o. TownshiD Name or No. Range No. County
DAKoTA4
Occupant IPqINTI Phnn o
'K
u, ??
D?
?
w
Power Supoher
E
T
A Atldress
e
ssoe.
e-eeTR?
KarA
Electncal CoMracmr ICOmpanY Name) Conhactor's Lfcense No.
S'felF
Mailinq Atltlress (Contractor or Owner Makinu Instaila[ion)
turR (ConbactodOwner MakinB Installabon)
Aut
hg?¢etl ?B^a
? Ph one Number "
rJV
ii
U
?
MINNESOTA STATE BOAPD OF EIECTflICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-197 BE ACCEPTED BY THE STATE BOAflO
1821 Univers,ty Ava., St. Paul, MN 55106 UNLESS PROPEN INSPECTION FEE IS
ah....e I8121297.2111 ENCLOSED.
?y
ntQUEST FOR ELECTRICAL INSPECTION EB-00001-04
?`b? See ?n?nucoons for wmpletiT&AWWW" on 6ack ot ysilow copy.
"X" Below Work Covered by 7his Request
A n7??11 '
AAq Rep. Tyon of Bwltlins . Aoobancwa Waed EquipmeN Wired
XSUfQS
Air Cond
N Fee ServieeEntrence5iza Fexders?5uhieeders N Fon Crtmics
U to 200 qm ?s 30 qm ?s
Oto 0 tn 3Q Am
Above 200_qmps E [
7 So 700 Amps 31 to 100 qm s
Swimmin Pool bove 100_Amps Ahove 100_AmPs
Transtormers rrigation Booms Partial.'Other Fee
Signs SpeciallnspecLOn $ ?-
Rerrerks
1 OT F E
b
Nough-in ?e
the ct
?sae?,?.. ha.BbY
(
h
Final ? ??,// c rh
y i
at the abova
soecUOn has been
„reae.
Thiarepuestvoitll8montlntram V "'
This request void -7
78 months fmm
W 064860
L?j 13 ?? Qcnn?c?q.3P?
U
??311
Request Oate
lS ? Fire No. Pouph-in Inspectmn
Peqwred?
?Feady Now?Will Nmrty Inspec-
I
Wh
?
``/ AYes ?NU or
en R¢ady
A Licensed Electrical ConVactm ? I hereby request inspacbon of above
? Owner alectrical wark inslalletl at'
Street Addr.
or Aoute No.
Box
C
iry
?
` /
ecuon o. Township Name or No. flange No. County
DAY?? ?
O c nnt (PHINT)
?i
<Cl Phone No.
?
P?er Sup0lier Atldress
L
Ele Incal Conhactor ICompany Name) /C?ontractor's Lne No.
"- dl
Mailin0 E+ddress (COnVactnr or Owner Ma ing Ins
U ? 'lavo
?9
3 -2
L? -
Aut ed Signature (c
ac wner MakinO hsta IaUOn Phone Number
r /
? MINNESOTA STA gOAHD OF ELECTNICITV THIS INSPECTION NEaUEST WILL NOT
Griggs-Mitlwey Bldg. - Room N-197 BE ACCEPTED BY THE STATE BOAAD
1821 UniversitY Ave., St. PaUI, MN 55104 UNLESS PPOPEN INSPECTION FEE IS
- . ....... ...... ..... E NC LOSED.
..,n EI.ECTRICAI INSPECTION f EB-00001-04
IP See instruchons for comoletmg this form on ba<k of Vellow coVV. N:
' X1?'"•?°(o?UgUd by This Request
Add Rao. Type of Bwltlmg Appliancns Wired EquipmeN Wired
Home flange Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Bwldmg Dryer Electric Heaun
Cominernai Bldy. Fumace Silo Unloader
Industnal Bldg. Air Condrtioner Bulk Mrlk Tank
FBrm Other pecifv 71 er ?Spemfyl
t A! pCC?(y t C! O1FIC,
ComputelnspecUOn Fee Below
N Fea ServiceEnh¢nceSize b Fea Fee.de?s/Subfneders N Fea Crtcurts
0 to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 qm>s 31 to 100 Amps ? 31 to 100 Am s
Swimming Pool A6ove 100__Amps Above 100_Amps
Transrormers Irrigation Booms P-rual-' er Fee
Signs Speciallnspecnon g Llh nrn
namrirks
, rvwW._.l?'?"8U?
flough-in ?he wal
sPectoq heroby
f
I
Final
s Dxte p
3- carti
y thet [he above
mins atlection hes baen i
rnin .muwar mid IN mnNM1a Irom
CITY USE ONLY
LOT 002 I BL o? RECEIPT #: lle? ?I.F /
SUBD. RECEIPT DATE:
MECHANICAL PERMIT #
1999 bi£CHAx1CAL PERMIT (ftEs[DE1vT1AL)
CiTY Of £AfiAN
S$SO P1LOT KNOB RD
£Afi14N MN 55122
(651) 6$1-4675
Date:
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 eaJ
$ 30.00
6.00
State Surchazge .50
Total $
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
? New Alteration Repair _ Other
Reminder: Ca11681-4675 for inspections.
_ Furnace ? Air conditioning
,
_ Air exchanger _ Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS: Zl, LI G' S S141 -k-
OWNERNAME: 1-Z' i c L I I tsi i/1 PHONE #: 6S
/_? I I (naen cone)
C
INSTALLER NAME: vL' rC'1 P) m, '1k PHONE #: - J ?
? ? ? -? (AREA CODE)
STREET ADDRESS: J (-'/ ?7
? m?t1
CITY: STATE: ?n
5 S-I 2 2_
L1l/ ` ?1
SIGNATU OF PE ITTEE
CITY USE ONLY
L BL
SUBD.
APPROVED BY: , INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 MECHikNICAL PERMlT (COMM£itC1iRL)
C1TY Of F-AfilkN
S$SO i'ILOT KftOB RD
EAsAiv,M1v 55122
(651) 6$1-4675
Please complete for: ali commerciallindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE:
DESCRIPTION OF WORK:
NEW CONSTRUCTION INTERIORIMPROVEMENT
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMEN'fS ONL1):
INSTALLER:
ADDRESS:
CITY:
ZIP:
($.50 per $1,000 of rmit fee due on all permiu.)
PHONE #:
(AREA CODE)
PHONE #: -
(AREA CODE)
STATE:
SIGNA7'URE OF PERMTTTEE
CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 N? 15664
PHONE:454-8100 ? 77 ? ?v
BUILDING PERMIT Receiptx _
To be used tor DECK Est. Value $1,000
Site Address 4465 SLATER RD
Lot 2 elock 2 Sec/Sub. CINNAMON RIDGE
3RD
Parcel No.
a Name GO12DON H.IELI.MING
W
z Address 4465 SLATER RD
0
City EAGAN Phane 894-5766
,o Name
?a Address
? City Phone
W w Name
w
z
i
. Address
aW Ciry Phone
I here6y ackoowledge that I ave read this applicaUOn and state that the
informafion is correci and ee to comply wit all apphcable State of
Minnesota5tatutesandC olE a Ordin n es `
SignaWre of Permittee
A Bwlding Permit is issued to _ GORDQN_ EI.LMIN
on the express condihon that all work shall be tlone in accordance wdh all
applicable State of Minnesota Statutes and City of Eagan Ortlinances.
Bwlding Ofhcial- taixA:WL?__ _
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ (ACtuap Const
City Water _ (Allowable)
PqV Reqwred _ # of Stones
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEE5
Engr./ASSess. Permit 24.00
Planner Surcharge • $0
CouncJ Plan Review
Bldg. Off. SAC, City
Vanance SAC,MWCC
Water Conn.
Water Meter
Road Unit
Treatment P t
"xaccopy .50
TOTAL _ ZS.00
,
. 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 0
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY? 1 SET OF ENERGY C9LCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESZGNATE WfiICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS li OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF SNERGY CALCULATIONS
CONII•1ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: QF-Lg, Valuation:
Site Address 1/c/(Ds? 5C-147rfe- 40 OFFI
Lot Z- Block Z+ On site sewage
Pareel/Sub CiNmunnoN llz6c 3rzp ,QvuN.
Owner Aaajw ?%OP-04!-A/ 'tL-k-isa'
Address .40 S ( 4TF-e Aq
City/Zip Code ??vyT/V ss??'
Phone _nTn
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Date: "3y -88'
MWCC system _
On site well _
City water _
VM required _
Booster Pump _
9PPR00ALS
Engr/Assess
Planner
Counc3l
Bldg. Off.
Variance
Oecupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOT9L
a ,oo
.SD
Phone 1i
- `;fewa .. 'fitle Ffle No. aq03 , ,
"Iloo
Grodon and Sheryl L. Hjellming
4465 Slater Road, Eagan, MN:
Lot 2, Block 2, Cinnamon Ridge 3rd Addition.
?.
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r-SZoF??.?z;
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Y
---- UTILITY AND DRAINAGE EASEMENTS.
- ti.--The location-of-the improvements shown on this drawing are approximate-and are based on a
.-.visual inspection of the premises. The lot dimensions are taken from the recorded plat or
--,... tounty records. This drawing is for informa N onal purposes and should not be used as a
= survey.-- It does not-constitute a liability of the company and is intended fur-moct9age _
nM AP II?1?•
FROM : KOMW
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K??cH,
6 1 1 5? C a h i I I
651.?151 4605
6514510917 ?? a 1 ?? , a G; ? n? ?QY? ???{,Q -? Y?
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FAX N0. ? 6514510917 Flpr. 05 2000 10:38RM PlJ
O?BRI EN, MU ELLER & WASS, jNC. :
Avenue-•
? taz 65t Invc? Grov
.a,1-o917 • e Iicigl-its •
kor?w??komw. Minnesdt8 5507?6 .
com • www.komw com
Ivtarch 31, 2000
Cerny Conshuaion
501 2°d Aycnue So.
South St.Paul. MN 55075-2811
RC: Gord3n R Steecyt Hjellming Residcnce,s'4465 Statcr R"oad. ?5,??
Addi6on over ?rage ?
Dear Ray Cemy.
This o?eC reviewed threE items regarding the above projcce. lnformation is based oa Ihe sketches
providcd by you
GARAGE DOOii H£ADER
TLe existing 7ac4 truss header is sufficienl to carry 11ie new Sloor load and U?e dead load of the waB
above. 'Ilds loading is less ttian 11tc curren! roof load?ng it is supportinS• 'I'ha sse?x' r°of ?`''ll require
two 1-3/4" x 14" T-VI.'s abovc Ihe gacage door at raof truss bearin8 with threc 2x6 studs cach end
for bearing. Addiuonaf studs shovld be added in the fust story be[ow lhese 2x6 studs. Afte? tt«
c?cis[uss roof is removcd 1he eusGng 2x4 uuzs header Shoiild be Sflored at the midspan unlil the new
roof is iustallcd aad shinglcd. 'I'h?s will ensure proper distribution of loads to each hcader.
FLOOR BEAM 22' SPAN '
'?hC y?alp W yuppart tht tloor joist necds m be Qvee 1-3/4" x I6" L.VL's with four 2x4 fiui5 C2ch
end. ? ?,2 ZI-O u ?/?'NT e?,.
i? - ?
?.oo?ro?sT .
?boc joist s bC 2x12's at 1G" o¢ ttnter th sotid blocking at suPP??• ?P SPlice joist 4 feet at
the center and mil togcther a'ith ows 12d nails at 6" o.c. Cantilcvemd je'st sliall be.
anchored ta wifh S' 9 twist straps to resist uP? Joist st?a11 be SPF No. 2 or bettcr.
T6e inforn?atiaa and opinions contained hcrein are basect upon the limited invesdSation described at
?he y?ginnss?g of'this report. No warranties are exP=?sud or implied regarding tlie e?cistence of othcr
?mknown condi0ons not speciflca7ly addressed. Our work is in aooordance with Saneral?Y a?P?
ec?i?eecing sqndards and is uot intcnded to be relicd upon or tansfecrad to individuals oUu.r eban
the addressee. Shoutd information or cunditions become known which differ from the diswssion
h?eie? ?h?y may altar tLe opinions or conetusious of the undecsigned. '
If you should Ua?e any questions or require fuill?er infocmatioq please call. -- -- - -- --
Sincx?ety,( /
?'?? S?P??Jf/ ?
;fi, P.E
ICrcct? O'Briec? Mueller & Wa55,1nc
: Tx r
? ' ? -:?., , . ,, .
'Arcfi?tecture • Struciural Engineering • ?nterior.'Des?g?
CITY OF EAGAN
? 9795 Pllof Knob Rood Eogan, MN 55I33
• PHONEs 454-8100
BUILDIN6 PERMIT
T. e. u..e fa. SF DWG/GAR
000
Receipi #
N° 8108
.l fOa 7`eG
7 ?0 83
Sih Address 4403 btacer ttoaa
Lot Z BI«k z Sec/Sub.Cinnamon Ridge 3rd
Parcal # 10 17402 020 02
rc Nome pQ61°141L RVLlCS, auc
? Address 7760 Mitchell Road
g Name Keymen Construction, Inc.
? Address 5952 Woodland'Circle
§
I- r;.,, Mtka. 55343 934-1218
Nome _
Address
1 hereby acknowladge thot I have reod this application and stote that
1he informotion is correct and agree fo comply with oll opplicobl
State of Minnewta $tatutss and Ciy'of Eagon Ordinances.
/. . , _n J nn a , /
Siynafure of PertniMee.:rM.__fJ&
R4
A Building Permil Is luued to: _
oll work sholl be done in ocmrdonca
E.ect g][ Occupanq R-3
Alter ? Zoning (PD) R-1
Repatr ? Fire Zone NA
Enlorya ? Type af Const. V
Mova ? # Stories
Demolish ? Length 49-8
Grade ? Depth 38 Sq. Ft.-
Avorovals Fees
Assessment _
Water & Sew.
Police -
Fire
Enp.
Planner -
Council _
Bldp. Off. _
APC
Permit du1.VV
$urtharge 28 • 00
Plon check 150.50
SAC 525.00
Woler Conn4.3r0. 00
Water Meter 60.00
Road Unit 250.00
Totol $1764.50
,.. ? ?..., .
on the express conditlon thni
of Minne:oto Statutes ond Cfty of Eoyan Ordirwnces.
Buildinp OfHcial
Tb-B6-Used For S in/vct rhtA «
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Date C / /A 16 ?
Site Address "(ola;? 5 LrtTC IZ i->b_
Iot 'Z Block 2 Sec./Sub.Nhh' VAP?-"3?
Parcel #: (D 1-7q0p O20 o-Z
auner: 2 A cr1 r,1 r1 N it c? t?yt & 5
Acklress: -7-700 M eT G t-il E ?? ??
City/Zip Code: EDEN PP /1P, t=
Phone #: q 3°7 - q?Z. O
Contractor: 1tiS YMrNi C0 t-'Si . .FN, C
Pddress: S952-City/Zip Cocie: MT«A? l?'?w.s S5?`l-?i
Phorve-
Arch./E7ig. :
Address:
City/Zip Cocle:
Phane #:
czTY eF' EAcAN
BUILDING PERMIT APPLICATION
-k-Go--'C1
y Valuation
OFFICE USE ONLY
Esect X Occupancy
Alter Zonixig
Repair Fire Zone l?
Enlarge _ Type of Const.
A'bve # Stories
Detmlish Front y9 - $ ft.
Grade ? Depth 38 ft.
apPFZOVAI-s FEEs
Assessnients Perntit 30z?
?4ater/Se,aer Surcharge ??-?-
Police Plan Check
-
Fire SAC S
a
En4 -
Water Conn. d-d -?
Planner Water Meter /_d `-'
?
Council Road Unit ?.SV
Bldg. Off.
APC
TC7PAL ,-ilD 4 5
:. w i ?
+CALVIN H. NEDLUND 7726 MORGAN AVE. so.
MINNEAPOLIS, MINN. 55423
Land Surwyer Clvll Eealneet ? PHONE NO. .866-2523
sur?ver?or. ?s eert?j"?cate
J08 N0. 451
SuRVEY FOR; ZBchman Homea Inc.
UESGRIBED AS: Lot 2, Block 2, CINNAMON RIDGE 3RD ADDITION, City of Eagan,
Dakota County, Minneaota, and reserving easements of record.
_ //5.00 N41°27'25"W I ?
4Z3.C'. ?--------- -- .-?_? \2.
1 ?- - - - - -? /
\ \? zr8 25. I/
w -4
c'e 0 'Q ,o
o?>O p;o
v?200
?^?
- ?- 7
RNE
923.? ?4S 1° 7'25 R 7
93 9z?
-rop of Fo,nde+,on = v2s.75
924 05 asemen+ Floor = 422• SS
/ " ? i - -- - -
\ ',Garoye F(oor • 925.35
Praposed Elevef;ons ?
_ SI.ATER 20AD + + I ExlaNng Elevaltons _
D?ai.+age D7rec1lon -?
II Denofes Lal Corner O
I ?
CEBTIFIGATE OF SURVEY
S hereby certify that on 3-16-83 I wtveyed tht propony descri0ed oeove and thot
tne above plot is o wrreat npresentotion of sold survhr.
Colvin M. Fltdlund. Minn. Rep. No. $942
L U a I gL a CITY USE ONLY
suao. C.;v'kv\1r&vv\oa. 3r
RECEIPT # (a S40 3
RECEIPT DATE: 14 -? - O
PERMIT# ? b D- 2? `"C
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3630 PILOT ISNOB RD
EAGAN, 2Ml 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinklersystem
i1X7'llRES
EA[N ?
TATAI
Alterationstq existing dwell' gn- minimum fee I
Describe: _'1Cn0 v?n 0?..,f O h czX)U ?( R $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - i 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished ` requlres MPC lic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/repair/rebuild 30.00 x = $
Rou h opening 1.50 x = $
Shower 3.00 x = $
Underground s rinkler rf dweliing is under construction 3.00 x = $
Underground sprinkler rf existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water tumaround 30.00 x $
Sfate Surohar e .50
rotal -> -> -> ? , ?
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------------hat replication, - I ---- have -----ad -----this a--p---------s-tate ....that ..--th infortnation --e ------------is--co--rt-- eel, - ----to•comp-----tywit----h-•all---applicabla-----•- C--il-y--of--Eagan-----•--ordinances------•- .-
I hereby adcnowledge t and egree
tt is the apDliwnPs responsibility to notiry the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
nortnal operetional and maintenance activities ta the facildies constructed under this pertnit within City propertyfright-of-wey/easement.
SITE ADDRESS: `7 /1? 5 S I ti`f-C/ ?? ?C-? J
OWNER NAME: :Cb?,Ar^
INSTALLER NAME:
STREETADDRESS:
ciTV:
TELEPHONE#: b('?- I `WSLJ - S7?n C
(AREA CODE)
TELEPHONE #: _?z /?-
(AREA CODE)
STATE: ZIP:
? iT, 'YU-'vye`
SIGNATURE OF PERMITTEE
CITY USE ONLY
LQTU; BL iSUBD. ?l?h, h/IVI? (? ti I<?r/UP OrJ
T
V30 ? SU
PERMIT #:
RECEIPT #:
RECEIPT DATE: 00
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PZLOT KNOB RD
EAGAN M 55122
651-681-4675
Date:
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not ownedoccuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Total $
Complete this section on1 if you aze remodeline, addine to, or re?airine an eatisting single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _X Alteration _ Repair
A Fumace - ek?pv-?..x?t`7- _
_ Air exchanger _
Other
Air conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Cal! for inspections
SITE ADDRESS: t4`'LoS S? Pc l?? C-L
OWNER NAIvIE: (? 4\2 Q Qmv-? \ I?? PHONE #: togb?_-
n (AREA CODE)
INSTALLER NAME: PHONE #: t a?_-
(AREA CODE)
STREET ADDRESS: I?-I ?I ? S ?? cv0? i I Y2 L
C[TY:
_ STATE: kkK)_ ZIP:
"-Id )'?
SIGNAN OF PE 0 ITTEE
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (C0MMERCIAL)
CZTY OF EAGAN
3830 PII,OT RNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: all commerciaUndustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK T'YPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 651-681-4675 jor inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of conhact price OR $30.00 minimum fee, whichever is greater.
Undergound tank removaVinstallarion = minimum fee
Contract price: $ x 1%= $ (Base Fee)
Sqte surchazge calculaze at $.50 for each $1,000 Base Fee
TOTAL $
SI1'E ADDRESS:
OWNERNAME: PHONE#: -
(AREA CODE)
TENANT NAME (IIvfPROVEMENTS ONLl7:
WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME:
INSTALLER:
ADDRESS:
CIT'Y:
CITY USE ONLY
PHONE #: -
(AREA CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
....?xxx**#*****************i#**
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 794
DATE: 04/06/00 TIME: 10:24:17
ID:
NAME: GORDON OR SHERY,L HJELLMING
3210 9001 4465 SLATER RD 492.75
3430 9001 4465 SLATER RD 1.25
3422 9001 4465 SLATER RD 320.29
2155 9001 4465 SLATER RD 17.50
3430 9001 4465 SLATER RD 1.00
Total Receipt Amount: 832,79
CR125641
USER ID: JAN
*?**?**?+*******?**********************
2000 BUILDING PERMIT APPLICATIO (RESIDENTIAL)
CITY OF EACAN
t1 I 3830 PILOT KNOB RD - 55
651-681-4875
New CoruhucHon Reaulremenh I C' - k4 `?_0 C)
-
Remodel/
n 3 reglatered sIte wrvays ahowlny sq. fl ol lot, tq lt. 01 house 2 cop(es of plan
and go roofed areoa C1076 maximum lof covemoo allowed) i sel of energy calculallons for healetl adtlNloru
> 2 coplea ol plana (show beom d wlndow sizas; poured hid. design; efc.) i sife wrvey fa eztedor addiHau d decW
> 1 sef W energy calculaMOns
> J coples of hee preaervatlon plan if IW plaRed afler 7/1/93
D
DATE: V CONSTRUCTION COST:
(3 0,000
DESCRIPTION OF WORK: X a7' 04 C(0{% 1-? un (:' 1kjGl7P QT?i34? qS_ ci(Ci?Q
STREET ADDRESS: 0l75 S)°JPr Rac,i
?
LOT: iZ(?DBLOCK: 6;?
PROPERT1f
OWNER
COMRACTOR
ARCHtTECT/
EN6INEER
SUBD./P.I.D. C ?-?nn?mon (Z i CA2? 'r-d
Name: )4,?eo Yhinq?4rdwalSh Rr?,) Phone#: ?S1--F's5y-S76(?
?i Firsr
She9t AddrASS: q9(O s S(c?t+v Roq d
ciy Eq5 ov?, state:'MN Zlp; SS ??a
Company: Phone #:
(area code)
Sheet Address: License M ExP.
Ciy
State:
Company: Name:
Telephone M: ( )
Sheet Address: Regisfration Y:
Cify
Sewedwater licensed plumber
I hereby acknowledye lhat I have read this applicahon, state fhaf the
of Minnesota Stalutes and CNy o( Ecgan Ordinances.
Signature o(
OFFICE USE ONLY
Certificates of Survey Received _ Yes
_ No
Tree Preservation Plan Received _ Yes - No
State:
Phone #:
Zip:
Zip:
and agree fo comply wNh a0 app6eable StatE
; RPR 3
Not Required
q??`
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened)
? 04 02-plex O 10 OS-plex ? 19 Lower Level ? 24 Stortn Damage
? OS 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory BkJg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
32 Addition
? ? 37 Demolish (Bidg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length SG• ft•
No. of Buildings Width Footprint sq. ft.
Const. (Actual) ? Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
uBC Occupancy p,?. ft. j ? Ciry Water
Zoning ? sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ?( Engineering
.. ? Variance
X ---
? 31 Ext. Alt - Mutti
? 33 Ext. Att - SF
? 36 Muki
Permit Fee Valuation: $ ?_g?yi r?
Surcharge
Plan Review C) ? ???
7 ?
License
MC/ES SAC '
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies AiS /• Zs
Total: 1 ? q
SAC Units
% SAC
15073547950
00W-@f.?-00 07:19 RM RANDALLS 15073547950 P.01
KRECN, O'BR}IEN,_MUELLER $c WASS, (NC.
`
; ?;115 CBhill Avenue!. nver Gra e ileiqhts • Minneso[8 55076
? ", ?F 451.4805 • fax 6 4h5 U4)1 I¦ karriwGP kUmw.c m¦ www komw.com
Marth 31. 2000 (555,0774-2811 ? ?N T? L 1 /(/?
Ccmy Consinu[ion ??/j/A Cy ? jJ ?J E N?,
SOl 2a° Avenuc So.
South St. Paul, MN n n 1-
j - /-t C.
Rc: Gordan dt She tiitg Rcsidcnce, 44G5 $IaterRoa4 ??n
Addilion o^U?? / U? G ?
f?
; Dcar R(
y Cemy, ? li
This ofCicc revicwed three it?nu rcgarding thc
prwided by you
ect Information Is based on tlic sketches
CARAGF, DOOR HEAllE
The cuSUng 2x4 uuss hpde is suS'icient to caery
above. Tlus laading ic lCSS l4in the current roof 1
rivo 1-3/4" x 14" LVL'S Sbo e tM1e garage door at
for bcaring. Additiaial $tu ti should be added 'ui
existing roof is remwed the xisling 2x4 Iniss Ae:
roof is installcd and shingle 'F7us will cnsurc pn
FLOOR IiEA;1i 22 SPAN
The beam to suppon the 110i jois[ needs to kx tlu
cnd.
FLOOR JOIST
F7oor Joist shaII be 2x12'S al ? 16" on center wiUi u
Uic antcr beam and naif tog?tbcr with 3 rows 12d
anchorcd ro bcam with Sim s0ti TS9 Iwiyt straps
The infwiuaUon aju! opiruon containcd hcrcin arc
thc begiivwgof Utis rcport, o warraiuies arc cxE
unknown condilions not bcally addressed O
engiixxring standards atid is bt fntcnded to be ml:
[hc addressce. Shoutd into ,1iion or wnditioiu b
hercin, gicy ma} alter the op Sons or conclusions
x tloor load and tJ ic dcad load of thc waSl
it is supporting. h'hc ncw roof will requirz
ss bcanng widi d ec 2x6 studs eadt enQ
: story beloW flie 2x6 slud.. ARer ihe
?u1d bc 51ior6d at ffi e nud5pa» tuttit 1FIC nCw
u•ibutian of io,lds, to ulch licadcr.
I-3/4" x iG" LVL's wlth four Zr4 sluds each
I i
blocking al sup?oAs. ? I.ap spticc joist 4 feei at
ils at G" O.C. Cafitile red joisl sltall bc
resist up1iA. Joist stu be SPF No. 2 or bctter.
upon tlic lin ital vcsfig:uion descrilxA at
I or implied ?g3r ng IhC e:cistence of other
k is in accoricc witlt gcncnlly acoCptCd
an or Vansfc cd l mdividiiats other ttian
known whicli di r Gom thc discussion
undcrsiyied. If you shoulQ havc any quesous or rcqufrc fiirtiiei
1 _ , Sincerely.
i anacs H. Ihr ti P.E
i Krec;lti O'Briett, Muellcr & t}'ass. Inc.
,
f
i '
i Architiecture . Stritc?ural
? I
r
a
i I
?
4
Fngine?ring
pleas?
• I?te ior Design
. `.•-?-------- . - - -- ___ .. . - --
? .. ; ..ry, .. . . , ?
f,Titte Fite No. a9 a •
.,
,;rodon and Sheryl L. Ajellming ,
4465 Slater Road, Eagan, MN:
Lot 2, Block 2, Cinnamon Ridge 3rd Addition.
?
?
?
?
i
?
i\
\ d,
h
/Q a ?
-?--!UTILITY AND DRAINAGE EASEMENTS.
\ v I
-- The location of the improvements shown on this drawing are approximate-and are 6ased on s
visual inspection of the premises. The lot dimensions are taken from the recarded plat or
county records. This drawing is for informational purposes and should not be used as a
survey: It does not constitute a liability of the campany and 1s intended for-mortgage
,..,?....?.. ,...?,?.
?oo? ,?is. so
--2995 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 I
Please complete for modifications to existing residential dwellings.
Date ?_ I ? ?'} I ? ` I p
Site Street Address I ?
Unit #
Property Owner L 2. ? 1 I Telephone #( )
t '
Contractor { Telephone # (q,CjZ) $oQ4a01qo1
Address li City ik . State?? ZipjIM4
i
The Applicant is: _ Owner ? Contractor _Other
i
Alterations to existing dwelling
_ Add plumbing fixtures (excludes water softener andlor water heater--complete next
section if installing these appliances).
_Septic System Abandonment
Water Turnaround (add $125.00 if a 5/8" meter is required) ' Z 6
Other:
$ 50.00
Water Softener 1? Water Heater ?
_ new ? replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge ? $ .50
Total $ ? ?•?
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 w t approved plan in
the event a plan is required to be reviewed and approved.
?W
ApplicanYs P inted ame ApplicanYs S' re
? ?
? -7 S/61
2owRESIDENTIAL BUILDINGPERMiTAPPLicArioN
City Of Eagan
3830 Pilot Knab Road, Eagan M N 55172
Telephone#651-675-5675 FAX #651-675-5694
rawoormudion Rancarets
3 reg.4aed siEesuveyssloeir9 4 ft d bf, s4 ft. d Inft ad all mded aets
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2 acpies af plai shwiig 6ean &wrtiavslass: Poued fand deign, 6tc
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1 sNCfErec,b(`alalstiasforY?fr.datl6ti?s
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Sulspapn[ _Y _N
TteeR[sPlaiRBod _Y _N.
TieeRcqibµiRA _Y _N
Cha'peSZp Uc9y9an _Y _N
Plans are considered public information unless you state they are trade secret and the reason.
Date U 4 ISo IC->--7 Construdion Cost ?7C>0 ?J
SteAddress NN4,5- t- UniUSe #'
Description of Work Y7w Sr.l, XH ol hGMr
Multi-Family Bldg _ Y Y N Fireplaoe(s) _ 0 _ 1 _ 2
RopatyOwna 6?0 -1on u?c llw?? .c. TeJephane#(GSi )353-? ?G6
Contractor
Addres ;Si H la•rt, du e iL/c City
State 10..?cd-s, lc Zip 55vy6 Telephme#(4;42 )?(?i"3•73G(?-f
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - MinnesotaRules7670Caeoorvl _ MinresotaRules7672
(J submission type) • Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Su6mitted
In the last 12 months, hasthe CRy of Eagan isaied a pertnd fora smilarplan based on a master plan?
_ Y _ N If ye$ date and addressof ma3erplan:
Licensed Plumber
Mechanical Contractor
Sewer/WaterContractor
a
Telephone #(
Telephone #(
)
)
m IS WIT1pl2t2 and aoCUfate;
Telephone #(
PeITCIIt 2nd 2[kIl0ANi8dg2 tM th2
thd the work will be in confomwce with the ordinaroes and oodes of the City of EaW and the Stite of MN
Statutes 1 underdand this is not a pertrrit, but only an application for a permit, and work is not to start without a
permit; that theworic will be in aooordance with the approved plan in the case of work which requires a review and
approval of plans
Appl icaYs Prirrted Nane Applicart's Signature
Mike Maguire
January 29, 2008
MpYOq
Paul Bakken
Peggy Carison Adar11 Kfukow
Cyndee Fields A Seamless Solution Inc.
Meg Tilley 514 12'" Avenue NE
Lonsdale, MN 55046
COUNCIL MEMeERS
RE: PERMIT #: 77514:
Thomas Hedges ISSUED FOR: SIDING ON APRIL 30, 2007
CITY AOMINISTiIATOR SITE ADDRESS: 4465 SLATER ROAD
Dear Adam:
Our records indicate that required inspections have not been completed on the permit
listed above. Inspections are necessary to ensure that the work for which the permit
was issued meets all life safety requirements of state and local codes.
MUNICIPAL CENTEfi
Please call 651-675-5675 within 30 days of this notice to schedule an inspection. Be
3830 Pilot Knob Road sure to provide the permit number at the time of scheduling. If your records indicate that
Eagan, MN 55122-1810 inspections have been completed and approved, please supply us the date of the
651.675.5000 phone inspection, as well as the initials of the inspector who approved the inspection.
651.675.5012fax
651.454.8535 TDD
Thank you for your cooperation in this matter. If you have any questions, please contact
us at 651-675-5675.
Sincerely,
MAINTENANCE FApLI7Y
3501 Coachman Point I
, // „ ¢/-n??` V/ ?
'??
Eagan, MN 55122 a
?
651.675.5300 phone Scott Peterson
Inspections Department
651.675.5360 fax
651.454.8535TDD cc: Gordon Hjeilming, 4465 Slater Rd., Eagan, MN 55122
www.cityofeagan.com
THE LONE OAK TREE
The symbol of
strength and growth
in our community.
City Lf EaEnaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008
Date: ?I7,9-1 b"
Tenant:
?----------------i
I Fo?„Dffcg:USe
Permit #: ? f5;6 / ?
I Permk Fee.
I ?
? Date Received. ?
I ?
I Staff: I
i ?i
RESIDENTIAL BUILDING PERMIT APPLICATION ?71'91'117P
Site Address:
s` Sra,f-eA- I24Q G?At
Suite #:
S•
RESIDENT / OWNER ' -s"7GG
Name: Phone: &S7- 89q
Address/CityJZip: 14X
Applicant is: ? Owner _ Contractor ?
TYPE OF WORK Description of work:
Construdion Cost: Multi-Family 8uilding: (Yes No ?
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Su6mitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit far a similar plan based on a master plan?
_Yes X-No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer.& Water Contractor: Phone:
NOTE• Plans and supportirig;documeots that you submit are considered to be public information.? Portio`ns'ofE
the rnformabon-may be.ola"ss??ed as non public ?f yop provrde sp@`¢rfrc reasons that would permif the City to
? .:
, , ;i.
n ; . . .,
concl due`fhaf ihe-'are"trade.'s'e"crets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conf ance 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 i ot to staR without a pertni[; that the work will be in
accordance with the approved plan in the case of work which requires a review and approvalo s. n ?
/] { .
X_ ?V `?_"'?" /T/Y/l/l/l'?//1-G? x
ApplicanYs Printed Namg Applic t's Signature Page 1 of 3
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date
Tenant:
i31
Suite #:
RESIDENT /OWNER Name: /11i 001141 Phone: ?/-$' 5 7t 4
Address / City / Zip:: f T ? w1?y /'V///? S/
Applicant is: Owner Contractor
TYPE OF WORK Description of work: W - iU t_
Construction Cost: °'? (!) / Multi-Family Building: (Yes / No /\)
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Category 1
_
Energy Code • Residential Ventilation Category I Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(I submission type) • Energy Envelope Calculations Submitted
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 maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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 w 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 % f plans. p
Applicant's Printed Nan-A D f LI \ 7 j ` ?{ ant's Signature /``
Page 1 of 3
----------------
For Office Use
Permit #:
Permit Fee:
Date Received: I Staff: ----------------
2009 RESIDENTIAL BUILDING PERMIT APPLICATION --- f-V-G
Site Address:'°T U?.r ?( l `
JUL 2 2 2009
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Valuation
Plan Review
(25%_ 100%___)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace Porch (3-Season) Storm Damage
Garage _ Porch (4-Season) Exterior Alteration (Single Family)
}( Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
Lower Level Pool Miscellaneous
Interior Improvement Siding Demolish Building*
Move Building Reroof Demolish Interior
Fire Repair Windows Demolish Foundation
Repair Egress Window _ Water Damage
*Demolition of entire building - give PCA handout to applicant
wr
3v
4 3'!
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: -Ice & Water -Final
Framing
Fireplace: _Rough In Air Test -Final
Insulation
Meter Size:
Reviewed By: _
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
<Z'Ic 2
z0a7
"p
jav
in
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final I No C.O. Required
HVAC
Other:
Pool: -Footings -Air/Gas Tests -Final
Siding: _Stucco Lath -Stone Lath -Brick
Windows
Retaining Wall
Erosion Control
Building Inspector
cgqc
h
/3eF-
Page 2 of 3
Pam Dudziak L4 q43 S\-k -?J .
From: Pam Dudziak
Sent: Monday, July 27, 2009 9:48 AM
To: Jeffrey Wheeler
Subject: FW: 4465 Slater Road
0-340,
Jeff,
I discussed this with Mike and Sarah and the determination is that the deck is subject to accessory structure setbacks,
not principal structure setbacks. Therefore, the applicable rear yard setback is 5 feet, not 15 feet. So, the permit can be
approved.
However, if a roof or walls are added, then it would have to meet principal structure setbacks. So, if at some future date
'. they want to add a roof or enclose this deck, that would not comply with setback requirements.
Pam Dudziak
Pamela Dudziak I Planner I City of Eagan
City Hall 13830 Pilot Knob Road I Eagan, MN 55122 1651-675-56911651-675-5694 (Fax) pdudziaki icityofeagan.com city of E r is
THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient.
If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers.
From: Pam Dudziak
Sent: Thursday, July 23, 2009 10:58 AM
To: Jeffrey Wheeler
Subject: 4465 Slater Road
Jeff,
I cannot approve this deck addition. The development contracts from the first Cinnamon Ridge subdivision, and from
the 3rd Addition state "No variances shall be granted for setbacks ... unless it relates to topographical conditions." Also,
the "single-family and cluster homes are subject to all R-1 standards unless otherwise specifically waived." So, I say the
deck has to meet R-1 setbacks, which is 15' from the rear lot line.
The house was built in 1983, and the existing deck was added in 1988. The site plan (note it is not a survey) submitted
for the deck permit did not provide a measurement of the rear setback, but scales at approximately 17' from the deck to
the rear property line. The front yard setback is shown at only 8'. However, the 1983 Certificate of Survey shows the
house is set back 17' from the rear property line and 15' from the front property line, which means that the 10' deck
addition is set back only about 7' from the rear property line.
Pam
f T ?S
Pamela Dudziak I Planner I City of Eagan
City Hall 13830 Pilot Knob Road I Eagan, MN 55122 1651-675-5691 1651-675-5694 (Fax) I pdudziakCcDcityofeagan.com City of a aji
THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient.
If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers.
From: Jeffrey Wheeler
Sent: Thursday, July 23, 2009 10:27 AM
To: Pam Dudziak
Subject: parcel file for slater Rd
City Of D CI.
Jeffrey T Wheeler I Building Inspector I City of Eagan L k
City Hall 13830 Pilot Knob Road I Eagan, MN 55122 1 651-675-56801 651-675-5694 (Fax) I jwheeler(a)cityofeaoan.com
THIS COMMUNICATION MAY CONTAIN CONFIDENTIAL AND/OR OTHERWISE PROPRIETARY MATERIAL and is thus for use only by the intended recipient.
If you received this in error, please contact the sender and delete the e-mail and its attachments from all computers.
1
t`
CALVIN H. HEDLUND
Land Surveyor Civil Engineer
oe'
SURVEY FOR; Zachman Homes Inc.
DESCRIBED AS' Lot 2, Block 2, CINNAMON RIDGE 3
Dakota County, Minnesota, and re
Nt?3?
P .?
W Q
m
t f
ADDITION, City of Eagan,
ving easements of record.
409 NO. 451
nr
N41 °27"25"W
924.o
SLATER ROAD + +
7726 MORGAN AVE. SO.
MINNEAPOLIS, MINN. 55423
PHONE NO. .866-2523
Top of Foundefion : 925.75
Saserneni Floors 922.55
•,Gare?e Floor a 925.35
Proposed Elev4fions
Exiat;ng Elevation*
Drainage t irectlon -;
Denotes Lol Corner 0
CERIIFICAIL 2F SURVEY
I hereby certify that on 3-16-83 I surveyed the property described above and that
the above plot is a correct representation of sold survey.
Calvin N. Hedlund. Minn. Req. No. 5942
1
City ofEaan.
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
dao'
no
lam"
Use BLUE or BLACK Ink
1
For Office Use
-�
Permit #: i'}( Jrrf��� 6c
Permit Fee: CJD '��
Date Received:1 _ 2$3-1
Staff:
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications. / i
Date: / "� a.9—/ 3 Site Address: 14.6 .5"14 I ` io�04c / O1, / , qc24, 2a 6"
Tenant: Suite #:
Resident/Owner
Name: Phone:
Address / City / Zip:
Contractor
,,��.,,. te )) J ,,,,
Name: Anot/ SA*V Aye' J - License #:
i r
Address: " VA L l `'t f ` AY I'/ Rd City: tiq 05 0 Ile
State: fil l4 J Zip: 575- 3 3 7 Phone: 9 sf2 - F941-7 9'39
Contact: CPB. 44pEye...sood Email: andu t Y 1(i 0 CCM CAS "to net-
1e:t-New
Type of Work
NewX Replacement Additional Alteration Demolition
r s
Description of work: R/O k ce JD�iAAJ IAMi2 C I 1 1404-,S
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
Permit Type
RESIDENTIAL
— Fumace
COMMERCIAL
New Construction Interior Improvement
—Air Conditioner
Install Piping Processed
—Air Exchanger
Gas Exterior HVAC Unit
— Heat Pump
Under / Above ground Tank ( Install / Remove)
Other
—
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State
burned out appliances, ductwork, etc) (includes
Surcharge)
$5.00 State Surcharge) _ $ TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$60.00 Minimum (indudes State
(includes $5.00 State Surcharge)
Surcharge)
$1 million, please call for Surcharge
OR Contract Value $ 7 coo, to x 1%
= $ 7 ► 00 Permit Fee
*If the project valuation is over
= $ 5.00 Surcharge*
_ $ QD► 6 0 TOTAL FEE
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.aooherstateonecall.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.
A 11'cant's Si nat
PP 9 ure
x -Doh 14 114E'11,S bn
Applicant's Printed Name
x
Use BLUE or BLACK Ink
r————————————————�
I For Office Use � �,
.
� Permit#: � �
Clty of����� � Permit Fee: •c�7 �
� ��� �
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 I I
Fax: (651)675-5694 I Staff: �
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 G ��I Z�1 � Site Address: `T ��-t� � �` G�'�"' � '�` Unit#:
�� / ^�
��'� Name: ���� Phone: ��( 'g��"�S�! �
�����'�'/ y G%�.%��-/�
���� Address/City/Zip:
�, �� , § _ �� Applicant is: � Owner Contractor
3 Description of work: �� � � � �
T�ij�+� c�f�'#fQ�'k� ��
; �, � �
: Construction Cost: 2 Multi-Family Building: (Yes /No� �
� � �
� � �` � Company: Contact:
f������
�
��������� � Address � City: �
�
° State: Zip: Phone: Email:
�
� �:��
` ' License#: Lead Certi�cate#:
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 perrnit for a simitar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer S Water Contractor: Phone:
Fire Suppression Contractor: Phone: I,
� '�������.���������'i����Z/i�'7�����r�`�ii�i����4i1'���d,wY'w���?14.� ,����k i,���� ; II
: ���r����r�r���s;s��►�s�r�-����"�'������e ���s�� �f,��������
: �, , � �� j� �i� ``
q �£is Y $ s�' . ���'�'� 3 ��
'�i 5�. �, ,„y "` �. ��` s y� l,i�� 11NrTYi ��iiY �''
�.,:
„'
. . . ;: ,. �tis .��.a.�-e. .._�. f� ✓. '
..� �-,_, �!, �:�. .fE.v � ,3 .�n��
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.aopherstateonecall.or4
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 apprpval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota S te Building Code must be completed within 180
days of ermit issuance. '
X ���l�'J ��J X I
Applicant's Printed Name Ap li nt's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173727
Date Issued:11/30/2021
Permit Category:ePermit
Site Address: 4465 Slater Rd
Lot:021 Block: 2 Addition: Cinnamon Ridge 3rd
PID:10-17402-02-021
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Michal Ward
4465 Slater Rd
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173771
Date Issued:12/02/2021
Permit Category:ePermit
Site Address: 4465 Slater Rd
Lot:021 Block: 2 Addition: Cinnamon Ridge 3rd
PID:10-17402-02-021
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Tankless Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Michal Ward
4465 Slater Rd
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature