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4446 Slater Rd
Date: City of Eatall 3830 Pilot Knob Road Eagan MN 55122 , < Phone: (651) 675-5675 Fax: (651) 675-5694 r ,Date ReceiveAl G 4 V 2009 Staff: VU I- Q 2008 RESIDENTIAL PLUMBING ,�) PERMIT APPLICATION I O ' Site Address: "l�"`JqL (a -Cf7fet Tenant: Suite #: RESIDENT / OWNER Name: WI �(. i 1)' 1 Phone: Loi •9 �O • Ce©gQ Address / City / Zip: C( In (� CONTRACTOR Name: License #: Appliance Connections Inc Address: 1313 Danita Cr City: Shakopee, MN State: Zip: ((55379 Phone: 952 4451 '?person: TYPE OF WORK _ New Replacement Repair Rebuild Modify Space Work in R.O.W. _ — Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Plumbing Fixtures Main Lower Level) Lawn IrrigationAdd -B) ( RPZ / PV ( _ Septic System -.Water Turnaround New , Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) $.50 State Surcharge) $.50 State Surcharge) TOTAL FEES $ (add $136.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and burned out appliances, ductwork, etc.) (includes 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 fos�-a permit, and work is not to start without a rmit; that the work will be in accordance with the approved plan in the case of work which requires a feviewand approval of pans. n ^ x Ee Applicant's Printed Name FOR OFFICE USE Required Inspections: Under Ground Rough -In Air Test Gas Test Final Reviewed By: ' Date: 440/11° City of Eag,aii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Q Permit #: 3/1 Permit Fee: 1 Date Received:2.-11 2 - Staff: L ) 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: o� 1- IL. Site Address: 4/W( SLATE ( +2a Unit #: Name: Address / City / Zip: Applicant is: Description of work: Phone: % -30.3 "qt p%S 6:4/46 Sr"- r �.4 �+4..L Owner J( Contractor Construction Cost. t../...C.0a Multi -Family Building: (Yes / No ) Company: ;c. PELT' P 0 2Ty7U. Contact: yr_- Gi P.,4.17 Ca 4�, Address: fis'S t 2_t S State: 460 e Ter- !0"7-/2 i Zip: ..S_S'3R 'i Phone: City: /5vt4) J ✓i '-1 ( = 02--3g4-ZC(v License #: .80— 04.3) 8 Lead Certificate #: h3 AT - / � % 97 - / 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: 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.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. _1 Applicant's Printed Name Applicant's Signature Page 1 of 3 t �.� -_ _ . PERMIT NO.' 4883 it - .12'ty- DATE: - 7 I3/83 it <' i�to. of Units: ' °' f' 3.e. T a iddnssa: Ine k 44 81a er R , � � . i , , l er: � qr rs,1ra M er No.: fur on Char ge: ' : 3d lze: Account Deposit: M No Permit Fee: ZQ . 5 "pc# ,. l } to Y LL whl, the City sf Eagos Surcharge •.5Q 'ad o gr esas. Misc. Ch ` • 4Q gc 3 meter g 'Total: ® �/ Dote Poid flute of lnsp.: ° d Insp.: 4 13` � GAN AVER SERVICE It 37 ! G ob Rood ---- -�'- _' - i .. f PERMIT Q :_ _ __ . ., 59 _ . 41:4 i22 AT : 7/13 : t z Owner: t “__Y $1 „@ . ilk Address: Site Ad d r ess : 444. a . ,a•tn . -. , i7l , ' 1 1! l±M± 1 Ti , _ r . Plumber: .,, , , _.1_ 3.y ►. 0 .0# p • 1 agree to comply with tic n Connect!. • . arge: 425 pd Ordinances. `� - , WA' Deposit - Petrnit Fee: i [ 'id 00 pd Surcharge: ”- ,50 pd By Misc. Charges: Date of nsp.: -__ Total: Insp.. Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA124146 Date Issued:06/24/2014 Permit Category:ePermit Site Address: 4446 Slater Rd Lot:061 Block: 03 Addition: Cinnamon Ridge 3rd PID:10-17402-03-061 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Jessica Ortega Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jessica M Ibarra Ortega 4446 Slater Rd Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA147352 Date Issued:01/02/2018 Permit Category:ePermit Site Address: 4446 Slater Rd Lot:061 Block: 03 Addition: Cinnamon Ridge 3rd PID:10-17402-03-061 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jessica M Ibarra Ortega 4446 Slater Rd Eagan MN 55122 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature