4924 Slater RdINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road ?? ?' r
Permit Number:
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
? i is;?i ?. i ,ii # . ? i:,, 1 , ? H!y9-•li ,
PERMIT SUBTYPE:
TYPE OF WORK:
rtt:t4
INSPECTION
, ? . . .. .
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- - - - - - - - - - - - -
-I
Permit No. - Permit Holder Date Telephone #
ELECTRIC lOSp°
PLUMBING 3? J/e/
HVAC
Inspection D I sp. Comments
FOOTINGS ?^d?J ?G??"` ? ?-'??
FOUND
;N
FRAMING
/
ROOFING '
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GA5 SV'C
7EST
^pr
INSUL ???Q
7 1
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
!
FINAL HTG
/
ORSAT
TEST
BLDG FINAL ?bv ?•
BSMT R.I.
BSMT FINAL
DECK FfG
DECK F:NAL
, . . . _. _ . , .
+W-114
WCL'fifiCQte df CCCliPQ1iC4
Grit? of Cfaqan
Zepartmettt of Znilbittg 3nbpection
This Certificate issued pursuant to the requirements of the Uniform Bui[ding Code
certifying that at the ti?ne of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Classifipaon: .4' DWs Bldg. Permit No. 29367
Occupancy Type R1,m I Zoning Disuict R1 Type Consc VN
Owner af Buildin8 EM?M HM?'J . Address 9M 1F_7A'??, MR -q
Building Address 4424 Sf A1IIt %]AD I . iry T.7. B' ??'.Fl?1R HFT($J.'$
i
,( f ? 9 "/!7
Darr
!BuildiogOfficiil i .
POST IN A CONSPICUOUS PLACE
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? I??) II II) I) II? ?) III ?I III II II) I? III ???I ???I?.a? ?, ?? ? ?
0 4 1 8 7 3 0 8* PLEASE PRINT OR TYPE
Requeif te ^ Rough-in inspecfion required? s ? No Inspeclion O?er Than RougMn: ? Ready Now II
j
z
(You must call ihe inspecfor whe ready)
te Ready:
I, licensed contractor ? owner hereby request inspection a ov?Wca worb h 6 ?
Jo Address (Sheet, Box, or Route o.?
a ?l S? cQ Ciiy,
-
?
Secfion No. Township Name or No. Range No. Fire No. Cou '
Occup /?
tJ'L/ Ph?'fdq. f
Pow Supplier Addr
echi al actor (Co ny Name)?,j
( Vi•???f T7 ?
?-- Conhad License No. Masfer Lic. No. (Plani Elect. Only)
Mr ddress (ConhacTOr?o?,r Performing In fallafion)
rtoriz g e onh or or PerFormin sTallafionJ P??S?' `v - J,
\./
FB-00W1 A-t 1 6/96 ---w0w0"-QrerF anean cnvv - svF: wcrcucnnus nu werr nF vFi i nw cnav
?a/9 7
418 730
REQUEST FOR ELECTRICAL INSPECTION &- ? .? °? ?...
Minnesota State Board of Electricity
? 1821 University Ave., Rm. S-128, St. Paul, MN 55104 -
? Phone (612) 642-0800
ome Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Re air
' Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other.
Dryer Range Elec. Heat Temp. Service
"X" above the work covered by this request. Enter remarks in this space and on ihe back of the white copy only.
??... ? + _-
??
Calculate Inspection Fee - This Inspection Request will noi be accepted without the correct fee:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Traffic Sig. Above 200 Amps A o e 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY
,f5s7
.
? T L?
Sign/Outline Ltg. Xfmr. ??
?
V
Alarm/Remote Control
Swimming Pool
I h
h
d
b
'
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d
h
d
Irrigation Boom ere
certi that I ins th
el i Ila
erein on
n
es
RougMn t
e
ates s te
Date °Zf j`
Special Inspection l
Irnestigative Fee
Final
/ Daie-
THIS iNSTALLATION MAY EsE ORDERED DISItONNtCltb IE•N ED WITHIN 18 MONTHS.
4
806
0 0 ' ?
7
7
` a
f?
Reque Dat
?
? Fire No. Ro gh-In Inspection Requi ed
(You'must call ii95'pector when re Inspection Other Than Rough-
? Ready Now ' Notify Inspector
? Yes Date Ready
I ALaficensed contractor ? owner hereby request inspection of above electrical work at:
?Job Address (Street, Box o Route No.).
? ?? Cit
Section No.
? Township Name or No. Range No. Coun
??tiCi
Occupan INT)
? P e N?-°o?.
Power Su lipr • Address '
Electrical tractor (Com
Name) `ont ctor's License No.
E
? a r ?- Afssn c.
-
-? z.
Mailing Address (Contractor or Owner Making Installation) •'
_
MN
I 1
I
7'?KS ?
e
Authorize ignature (Contrac Owner Making Installation) ? Phone Number
ECTRICITY
s
TA I? I (' I II ? I ?II I ??I ? I III I I T EWILL
T
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dgBoom S?yg
Gr ggs
dwa
1821 U versiy Ave., St. Paul, MN 55104 I IIII ( I?II II II I IIII III I I?I I I III? I? ?II I?? gE
BY H STATE BOA D
ACCEPTED
OPER INSPECTION FEE IS
L?
Phone (612) 642-0800 l ?I ?ENdFi?.nSED
?? ??....
REQUEST FOR ELECTRICAL INSPECTION /ENB-00001-09
8 110- See instructions for compieting this form on back of yellow copy.
V? ? 6
"X" Below Wark "Covered by This Request
Ne Add Rep. Type of Building "Appfiant$s Wired ired
? Home Range Temporary Service
Duplex Water Heater Electric ea ing
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
` Far Air Conditioner
Other (specify) Contr tor' marks - ?`
tompute Inspection Fee Below.• .
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps .
Transformers Above 200 Amps 0 ` Am
SigllS Inspector's use Only:
Irrigation Booms '
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electricai Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final ° Dat {-
''' ?
OFFICE USE ONLY
This request void 18 months from
Address. 4924 SrA-M Rc1A Zip 55122_
Lot 2 Blk 2 Sub r"EDA.R HEI(?iTS
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: - COY ) Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway
Permanent gas - 1/
Sod/Seeded grass ?
TraiUcurb damage t/
Porch Lll
Basement finish v'
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy 0
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C'T? OF EAGA,\
- 3830 Pifot Knob Road PERMlT TYPE: g?ILDING
Eagan, Minnesota 55122-1897 Permit Number: 029367
(612) 681-4675 Date Issued: 0? ?? ? ? ? /97
SITE ADDRESS:
4924 SLATER F2[7
L.nTe 2 BLOCK:
CEpAR HEI6NT5
P e T e N. s 10-16725-020--02
2
DESCRIPT90N:
f' e r m.i t T y p e S F p W G
,Ouil'dinc?-°149 rk Type NEW
?a 0.up,a rt;c?z:F2-3 U-1
c ca f'? st..r uc=-t,`i:Q, n.: e V- N
, .... . :. .
. ?Zo-ft?ing. - R-1
B U;A:.1.d i n e Ct g`t 64
? B tt;'?, ,?,di :h:? ? :.631 ?.;d''? ?' 3 ?i
2
•?3?i?,?`:?:d'?"i?'?;:??'C,wel;?:? ?
1 , 8 5 0
101 1- FAM> DETACH
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?EMTY .KV •
5& W PLBR - S1`flR PL.BG
FEE $UMMQRY:
BaSE.' FE'.2
Pldl"1 RBV,LeW
Surcharge
5AC
SAC %
5AC Un.its
Subtotal
V Y'f LUt'1 1 ItJN
$.L p 21 ! e G5
$791e21
$83.00
$950.00
1@0
1
$J 9'tJ"i1e °t V
$16V y YJ00
h1ISCELI.ANEQUS 1 979e50
TQ ta.L FP.. p.. `p iJ 90G YJ e J6
CON / RAV I OFt. ?
F2YLANCI HOMES
900 E 79TH ST
BLCIqMINGTQN MN
(612) 854-6363
AppJ.icant -- STa LIC
18546363 2003544
101
55420
oyYeYCR.
RYLAND HOMES
900 E 79TH 5T
MINNEAPqLI5 Mtd
(612)854-6363
5a420
101
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AAPPLICANT/PERMITEE SIGNATURE ??nBY:'31?NA?l7RH
,. , • , CITY OF EAGAN
3830 PILOT KN4B RD - 55122 ' ' ? • ? ?'
4"6'BUILDING PERMIT APPLICATION (RESIDENTIAL)
6814675 ?6 YL,??-'? • {-? ?
New `
n Rgmodel/Renair Reauiremgnts
? 3 registered site surveys
? 2 copies of pians (inciude beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot plakted after 7/1/93
required: _ Yes _ No
DATE: la. A.L - 9(.p_ CC
DESCRIPTION OF WORK:
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
COST: I W,??0 - O
_
STREET ADDRESS:
LOT ? BLOCK SUBDJP.I.D. #:
PROPERTY Name: S Phone #:
OWNER ? uqVIJ E. ? h IIRS?
Street Address:
CitY• State: -1.? Zip: jAQL9-
CONTRACTOR Company: Phone #:
Street Address: License #:
City: State: ' Zip:
ARCHITECT/ Company: smy ? L•? Phone #:
ENGINEER
Name: Registration #:
Street Address*
City: State: Zip:
Sewer & wafer licensed plumber: LS IV- . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the info?tion is correct and agree to comply with atl
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
? Yes No
Yes ? No
ra-zo) "
DEG 2 4 1996
OFFICE USE ONLY
BUILDING PERMIT TYPE
o 01 Foundation o 06 Duplex
e' 02 SF Owelling ? 07 4-plex
? 03 SF Addition a 08 8-plex
? 04 SF Porch o 09 12-plex
n 05 SF Misc. ? 10 ` plex
WORK TYPE
,e" 31 New ? 33 Alterations
? - 32 Addition ? 34 Repair
GENERAL tNFORMATtON
Const. (Actual) Jd
(AAowable) V A/
UBC Occupancy 12-3. 0-?
Zoning Z-I
# of Stories Z
Length
Depth 3a
APPROVALS
0 11 Apt./Lodging ?
? 12 Mui#i Repair/Rem. o
a 13 Garage/Accessory ?
0 14 Fireplace ?
0 15 Deck
? 36 Move
0 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
1''')-5"3
t 3 7D
i f s7
1470
i'T f"o
Planning Building dkAg Engineering
Variance
--% -- -
!DI
?i
i
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water AAefier
Acct. Deposit
SIW Perrnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Valuation: $ ??-?. ??- 'f
yy, x ?o
?y,oQx Z _zg. ?ta
u 3s3 r? ? is =
?--
2v-d
? Ar
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- ?Y,? ?y
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io X z--!
Total:
°k SAC
SAC Units
an. a9S
1 ?s3
11( . 5(
?y
?3?7,5?? s?! _ -7 3,qs3
1353
_._---------
_ ? ? Sy rt 10 s4 = G z, " -7?
tisa lb? !? _ ?, ?80
1, aoo
...
.
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16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Mt;/WS 5ystem"
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
12/20I1996 12:23
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? DRAINAGE ? UTILITY EASEMNTS
o S 00°30'43"E 85,00
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7887602
SLATER ROAD
(70' R/W)
?
KURTH SURVEYING INC
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LOT SURVEY CHECKUST FOR RESIDENTIAL
BUIL pING PERMIT APPLICATION _
DATE OF SURVEY:
LATEST RE1/ISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Buiiding Permit Applicant
• Legal description
• Address
e North aROw and scale
• House iype (rambler, walkout, split wlo, split entry, lookout, etc.)
• Directionai drainage arrows with slope/gradient % • Proposed/exissting sewer and water services & invert elevation
• Street name
• Driveway
ELEVATIONS
Existina
o Sewer service (or Proposed)
• Property corners
• Top of curb at the driveway
• Efevations of any exissting adjacent homes
PfODOS?
:?o
o 0 Garage floor
? • First floor
i:?o ? • Lowest exposed elevation (walkout/window)
/? ?
? a ? • Property corners
• Front and rear of home at the foundafion
PONDING AREA if a licable
?
?
? • Easement line
O ?_/ 0 • NWL
0 RY ? • HWL
? o • Pond # designation
? o • Emergency Overflow Elevation
DIMENSIONS
?i.
? • Lot IinesBearings & dimensions
? ?
? • Right-of-way and street width (to back of curb)
'
? ? • ,
Proposed home dimensions including arry proposed decks, ovefiangs greater than 2
porches, etc. (i.e. all structures requiring permanent footings)
0 ? • Show all easements of record and any City utilfies within those easements
? o ?
e",
0 • Setbacks of proposed structure and sideyard setback of adjacent exissting structures
'
Gi
0 • Retaining wail requiremeni
any _
Reviewed: ?( "7 ? /Z
ifVame D?
PROPERTY LEGAL:
January 1996
CRAIG1988I3LDGPRMT. FM
Cities Digital Oualitv Control
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* CABO MEC 92 COMDLIAIVCE *
P ? der RYLA,'?iD HOMES Submitt?d BSr R. H. TR.ACEY
M%--el HAMZLTON Date 5%I/95
Lct/Plan/Address w/295 FT]I,L B5MT. Degree Day Base 8400 Minneapclia
Type House Volume 0
Filename'________IlA;*?tILTONr`_--___!w^___Centr4l No. 4688
UQ Tatals I Froposed ( RequirPd
----------------------------------------
Compor.snt Area Uc Total Uo Total
Walls 3005 .108 325 .110 328
Ceilings 1930 .026 34 .026 35
k'lOUrs 0 .047 0 .040 0 ------------------
---------------
E'loors (4pen) 12 .035 0 .026 0
Bamt Wa11;U) 1195,,080
I 96 .092 109
Total - w' -'--' Thi$ 'House Qualifies Witr Total
------ ------^--------.-- I -45?-?----?_472w U-Value Ca].c::lations
Specifications Uo Calculations
Walls Size O C,^'Inqul. S'.eat ^Component !^?Axea U-val Total
A Frame "5.5 15 19 2.06 Frame h'all A 19171 ,052 100.
B Frame 5.5 16 ? 19 2.06 Frame Wall 3 '
w Frame-Gar. 3.5 16 ? 1.3
.45 Frame-Gar.C 198 .0$2 16.2
D Masonary 8 N/A I 12 N/A Mascnary D +? Ogp
E Masonary N?A T
i A/A Masonar?: E . *
Ring Jaist 15 24 13 ? 4,0 Ring Joist 382 .056 21.4
-----------------------•--------- Window A I 455 .39
Daors Panel Glass ? S.C. ? 172.
'Window B j
A P?etal .19 .62 ? .88 'inciow C ?
B Wood
C Other .46 .62 .68 Dpor A-Panel i 46 .19 8.74
poor A-Glass 7 .62 4.34
rr (Door 8-Panel
Ceilin1s O.C. Insul. Sheat! IDoor B-Glass
A W/Attic 24 38 lDovx C-Pane?
B No Attic 16 I9 N53 ILocr r_ i
.
C Other i • Glass
?'Qtals 3b?JS 324
.
----------------
-----------------
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.108
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' A Non CQnd. 3.6 19 1.23 Ceii.irlg-A-----?--13301 --.J25---33.9I
B Overhang 16 30 1.23 Ceiling H
C Other N/A 5 Ce
------------------ . ilirg C
Wirdows U-Val?S.C. ^ Skyight A
A Alum T.B. ,38 ,88 Skylight B ?
B Wood ,52 Skylight c: ?
C ?Vinyl/FG .88 Tor.alb ?330
1 1 33.9
---------------------------- Uo=Ut,/At 1 1 .026
Skylights U-Val S. C. * Baser.*.ent walls > SC°s i?elow grade
X? Star_aard i. 60 .88
B High Ferf.? NOTICE: Users cf this software are reMponsible
C OthQr I for the specificatione and dimensional data
.:?VAC Equip?Rat?n us?d to generatQ this report. The developers of
g the software are in no way respcnsibie for the
Gas A-FUE . 78 misrepesentation of any building duP ta erzpre,
HP HSPF 6.8 omissioas, or any other misuse of *he softwarz.
IAC/.HP SEERI 1C ?
--- ------------------------
Tj%3:'?00 'rJ NNII-J Ol hCI03cd 1S3MQIW (TNH?k;W (411N-4 1 1^•rT •_-.?T_?r_ ..,.
. ? .
J
Suilder
RYLAND HOMES
Submitted 8y Page 2 af 3
R.H. TRACEY
H,AMkILTON Date 5j2/95
Y,wc/Plan/Addresc W, 295 FULL HSMT. Degre2 Day flase 80C0 Minn-eapol:.s
Type House Volume o
Filename HA241LTQ11 Control No. 4688
___= --==-=--------= _= _= m _= = ==_=====_= -
_
Dimensic;rs --- - -
___=__= _-?_,__??
;_
??alls ! Fra?ne.A, ( Frane - B - I---------?Gar.?om-,.? -w------ j-Masan.D! Mason E
aspment I ----------------B?mt---------------?Above^?r----508-----------
B1st Floorl 1170 Ist Fleor? 216 ISeiaw Gr 608
2nd F1oarl 1216 fCra•Nl.
3rd F1oo-I ? misc.
'Misc. ? misc.
misc. I ? misc.
Ring Areal 382
W'indows ---------------------------- -----------------------------------------
Aluminum 434 21
Wocd
,'Jinyl/FG
--------------------_---------------
----i' (?=G1.as? Area - - 0=0p?que ?rea)
Doors Meta1 G ? 7
0 .- ? 28 ` 18
)a G ?
o I
Other G 1
o 1 i ?
------------------------------- -- O?her
Ceilings ? h'ith Attie N 1330
------------------------------
---------___.._____..___-..--------
S.-iPtd.Skylites
Skylites ?
Gther
----------------------------------------------------
Flvor:s i Non Cond. ? pver::ang I Slab
? 12
Windows Qty. Deacr-iption Qty.E Description
2 12840 4 iktY. Description
262 M-4sc.(Enter Area) 9 12820
325p
? 1 3030
I
Cocrs Qty. Pescr_ptior. IQt,y. IENTRY L?escription jQt??. Description
GR... WALL DOOR W/Dk SDLITEI (
T10.-S:?C?'d h•;0I99?4 ...-i. ;c;7'-?,T
CITV t:iF EAt:,Ata
c;ASiA:r.L?.:Ru S TERM.r.NAL Nia: 766
DATE ,", 06/28/`.:?9 7:[MI:. v M-(]:i. °>38
Iti u
NAME n RAQLlEL L IAa^,AG
32:1.0 9001 4.924 SLATER RD 6awo0
2155 9001. a???? SLATEr, rZD 0p 50
x
TQtal F{G'C:'{:}.Lpt AETIC)uY'9tu E'a0a 50
CF4U.2:1.38
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?K??X??%?''r??X?y????:3'o%??'F>Y?m:k'??t'?3kgk>P?r?%k?%YYFYd?:skiX?•?`??k
, 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements Remodel/Reoair Reauirements ?
? 3 registered sffe surveys showing sq. ft. of lot, sq. ff. of house
ond cll roofed areas (20% maximum lot coveraae cllowed)
? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.)
? 1 set of energy calculations
? 3 coples of tree preservation plan if lot platted affer 7/1/93
DATE: (CJ " `
DESCRIPTION OF WORK: -94kc P\
STREET ADDRESS: q \Z'Jt ,-
LOT: C7?- BLOCK: ? SUBD.JP.I.D. #: C454
?J
- ??,0 Co 4??° 1,`5?
P\?Z> rr\-Q--
S5-/ a a--,
W
Name: Phone #: 37/
PROPERtY t st First ;
OWNER
Street
F
CONTRACTOR
CompanY: Phone
(area code)
i .
City State• Zip:
Street
City
ARCHITECT/
ENGINEER Compa
Telephone\#: area code
Streefi
City
Sewer 8 woter licensed plumber (re(iuired for new construction oniv):
licens '
' Zip:
Name:
Registrotion
Zip: _
Penalty applies when address change and lot change is requested once permit is issued.
1/
i hereby acknowledge that I have read this apptication, state that the informati. rre4
State of Minnesota Statutes and City of Eagan Ordinances.
t
Signature of
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
2 copies of plan
1 set of energy cafculations for heated additions
i sNe survey for exterior additions & decks
CONSTRUCTION COST: `
`\ )e G(Z- C-?' n tD
and agree to compl all
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex
? 02 SF Dwelling ? 07 5-piex
? 03 1 of _ plex ? 08 6-piex
? 04 2-plex ? 09 7-plex
? 05 3-plex ? 10 8-plex
? 11 9 0-plex
? 12 12-plex
? 13 16-plex
? 14 Apartments
? 15 Lodging
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool
It 4 ?-,6
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4sea.
0 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Qnly ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration - ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair 0 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. . No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
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
Total:
SAC Units
% SAC
?
?_ _.. .._
?
F L 0it P L A N AROPOSED ?asX ?
F O R R Y L A N D H O MFS • nHIs 1 s MT n e o u M, t a r s u a v F r - onrE ?L C+9 t 9?
' cRnoEs
i remw cerriFr IPAT mis A.ar RAN vtis vMPu+ED er WE
ow umr mr oimrr aoansia , nuT TMis euw caaaEmT
1NC.
KUR7Ff SURVEYING o- 1 RON MOP7L,BUF7Y
f
BEAR INGS ARE PER PIAT
onRAoe stAe • 99? 5
2"s nE aLuaert oF A vaaos ?oir?s a?t+e 4?rc
H?N ?upI ?t ?? ? ?,,yp ,
4007 JEfFERSON ST. N.E. •- SP I KE SET
?? ' EXI STING ELEVATICN 99 ?• 8
T6P OF BLOQC -
q} S OF T£ STAT ?i sarA. COL:?BIA HEIGtiiS. IN. 55421 cI = PROPOSED EI.EV. ansa+e?rc r?.ooR .990 .1
(612) 786-8769 FAX 1012) 78E-7602 E-- = DRA I NAGE ARROU e.aorarr wNout 993• l.o
0` 20 AbP?U'c9S;49?-? ???L?'Rb
UINNESOTA LI N0. 1(ot1? ? DRJ?tL- ?1tt?. A.. gHOW1.1'. 1 OrcO 55? •
SCALE lh FEET ?Ko W?:
y
SOS? 3 8?40 Sre •
<?? ? yds
LOT 2. BLOCK 2. _y--/`
CEDAR HE I GHTS .
DAKOTA C 0 . , MN.
eq -,
N 89,29,17"E
188 .61
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Cities Dijzital
ity Control
The following image represents the best
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L a2 s d2.
SUBD
NEW BECEIPT
RECEIPT DATE /O &
._---.._ •-? .,
ro ?? C-?=-?4 ?_. ?._.%`.--- ? ?? •
JOB c
OWNER
? v-
PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE
ELECTBICAL INSTALLATION IN THE AMOUNT OF $ L--
SHORTAGE MUST BE PAID WITHIN 14 DAYS.
REMARKS
0 - 30 AMP CIRCUITS
? 31 - 100 AMP CIBCUITS
0 - 100 AMP SERVICE _
? 101 - 200 AMP SERVICE _ ?--?--°
_ TOTAL FEE DUE
?
LESS FEE RECEIVED
?
TOTAL FEE SHORTAGE DUE
PERMIT
ORIG RECEIPT #
RECEIPT DATE
r
PLEASE RETURN A COPY OF THIS FOBM WITH YOUR REMITTANCE.
THANK YOU!
L4-7- gL CITY USE ONLY RECEIPT#:
`V
SUBD. RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
" EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweilings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH ;NO. TOTAL
Shower 3.00 x
Water Closet 3.dn x
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hot Tu6/Spa 3.00 x =
Water Heater 3.00 x ? - ?
Floor Drain 3.00 x
Gas Piping Outlet * minimum - 7 3.00 x =
Rough Openings - - - - -1.50 x
Water Softener " for dwellings under construction 5.00 X =
Water Softener ' for existing dwelling 20:00 X
U.G. Sprinkler * for dwelling under const. 3.00
U.G. Sprinkler * for existing dwelling 20:00 =
Alterations " to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System * Dak Cty lic. 65.00 =
(new and refurbished systems)
Private Disposal Systems "Abandonment 20.00
STATE SURCHARGE
TOTAL
.150 •
.
I hereby adcnowledge that I have read this application, state thatthe infortnation is correct, and agree to aornply with all applicable City
of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City, of Eagan a$sumes no liability for any
damages caused by the City during its noRnal operational and maintenance activRies to the facilities construded under#his psrmit.within
City property/right-of-wayleasement.
SITE AD.DRESS: 4924 Slater Rd
OWNER'NAME: Rvl.Arid Homes
WSTALLER NAME: Genz-Ryan Plwnbing TELEPHONE #: 423:4144
STREET ADDRESS: 14745 South Robert Trl
CITY: Rosemount STATE: MN ZIP: 55068
GNAT . E OF PERMITTEE
OFFICE USE ONLY
LZ $L CITY USE ONLY RECEIPT #:
SUBD. 044,1t_ ? RECEiPTDATE:??l?7 -
1997 MECHANICAL PERMtT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55123
(612)6814675
Please compiete for. ? single family dwellings
+ townhomes and c:ondos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i,e. Vanee system, etc.
Date: 1 k/
FEE..$
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL l:?%? ?To
.
SITE ADDRESS: 4924 Slater Rd
OWNER NAME: lyland Homes PHONE#: 454-5971
INSTALLER NAME: Genz-Ryan Heating PHONE #: 423-1144
STREET ADDRESS: 14745 South Robert Trl
CITY: Rosemount
STATE: MN
ZIP: ,55068
?J
NAT E OF PERMITTEE
CITY USE ONLY
L BL SUBD. •
RECEIPT#:
RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -4675
Piease complete for. ? all commeroiaUndustriai buildings.
? muiti-family buildings when separate pertnits are no required for each dweiling
unit.
nOTG? r+n?.t?rpYA?r+-r
' Vai1???v?
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minirrium fee pyr 1°k of cantract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of gg?.it fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
StTE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (iMPROVEnnErvrs oNLY)
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE: ZIP: ?
SIGNATURE:
SIGNATURE OF PERMITTEE C1TY iNSPECTOR
2007 1ZESIDENTIAL BUII.DINGPERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ail roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Galculations
3 copies of Tree Preservation Pian if lot platted after 7/1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
?C_ co
Remodel/Reaair Requirements Office Use Onlv
2 copies of plan showing foo6ngs, beams, joists Cert of Survey Recd _ Y_ N
1 set of Energy Calculations for heated additions Soils Report _ Y ?_N
t site survey for addi6ons & decks Tree Pres Plan Recd _ Y_ N.
Addition - indicate if on-site sepfic system Tree Pres Required ` Y_ N
On-site Septic,System _Y _ N
Plans are considered aublic information unless vou sfiate they are trade secret and the reason.
Date
Site Address 72 A d Construction Cost
, Unit/Ste #
Description of Work 4& Q', y? ieC° aLoaAl_
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner 'O/f 1441I ? Pz & 04y?'.?//i Telephone # V-51
Contractor 1
44,L5 7UljU
,
Address jZQp 41
State?jl? City C-,
Zip?7?y?? Telephone #
COMPLETE 7°HIS AItEA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateporv i _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submitted
• 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?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not.to start without a
pertnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
D@SCI'ipti011: Water Damage
Valuation
Plan Review 100% or.
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 23 Porch (screenlgazebo/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bidg) - Give PCA handout to applicant
Yes
25%
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width -
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTTONS
_ Sheetrock
, Final/C.O.
, Final/No C.O.
HVAC
? Other
_ Pool Ftgs
_ Siding _ Stucco Lath
_ Windows
_ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Air/Gas Tests Final
_ Stone Lath _Brick
JUL.29.2009 8:59AM Thiele Technologies NO.2393 P. 2/4
10
M Permit:
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received;
Phone: (651) 675-5675
Fax: (651) 675-5694
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~ Site Address: yq~ Datx
Tenant: Suits
RESIDENT I OWNER Name: o \c, } ~i > 1 ~OC2 Phone: ~
$ (c~
Address I City / Zip: S\a ( ~"'U r ~A 1 MA
L~j
Applicant is: X Owner Contractor
TYPE OF WORK Description of work: AALf-A o' o'4a +6 :~+k'+ng? cteak_
%J _j
Construction Cost 000 Multi-Family Building: (Yes / No j
CONTRACTOR Name: We Oft __,4 *t \'~V_ t O j S License
Address
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category I Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 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 suppotf?ng documy nts that you submit are consideradf to bo prWic information. Portions of
the information may be Classified as no'[l poblic if you provide specific reasonns that would permit the City to
conclude that the are trade secxets,
I hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances anti coxes 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 lose of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signatu
Page 1 of 3
JUL.29.2009 8:59AM Thiele Technologies NO.2393 P. 3/4
L4 q ~;iq
DO NOT WRITE BELOW THIS LINE V Z ~tC~
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Muni _ Deck Porch (Screen/G=0 ergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level Pool _ Miscellaneous
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 OOO . - OccupancyL MCES System
Plan Review Code Edition 7,007 SAC Units
(25%_ 100%) Zoning City Water
Census Code L(3 Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: Ice a Water -Final Pool: _Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath _Stone Lath Brick
Fireplace: Rough In Air Test ,Final - Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2of3
EAGAN
REVIEWED
BY:
~ o
DATE: _ '7130.
BUILDING INSPECTIONS DMSION
P L 0,1 PLAN PROPOSED ~asz~5
FOR R YI AND HOMES 19 ,9t. GRADES
MIS IS PA7T A BouJDARY slxtvsT DATE
0 • IRON RE PER 99 t 5
I ~t C91i1Cf nui not RtR nu+ rtit w e°>R® er rF KURTH SURVEYING. INC. BEARINGS ARE PER PLAT GARAGE SLAB
a I rr AMN aretnaa . nat lNIs 04 E Lka lr • SP I SET TOP OF BLOCK
997
DWI aert a c at"{ TM w° 4007 JEFFERSON IT. N.E. c~ . EX ST
I STI NO ELEVATION
• MESCR aF ni¢in n A p COL'AIA HEIGMS. 194. 93~7I l I PROPOSED ELEV. aASEIENr FLOOR .990 •I
19111 796-4799 FAX 1917) 761.7901 DRAINAGE ARROW 1.OOCG~1TwwaW 993•(e
0' 20 AoC~ESS:49tt{ suZLttko•
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157315
Date Issued:08/14/2019
Permit Category:ePermit
Site Address: 4924 Slater Rd
Lot:2 Block: 2 Addition: Cedar Heights
PID:10-16725-02-020
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: 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 -
Pablo A Borean
4924 Slater Rd
Eagan MN 55122
Mayday Restoration
18062 Judicial Way N
Lakeville MN 55044
(651) 253-4085
Applicant/Permitee: Signature Issued By: Signature