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4561 Slater Rd06/11/2010 FRI 11:56 FAX liti002/005 JUN 11 RECDI City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink MAWR Permit #: Permit Fee: /0c=7• Date Received: Staff: 2010 COMMERCIAL BUILDING PERMIT APPLICATION &-/f,' Date: "' 1 Site Address: Tenant Name: (Tenant is: New / — Existing) Suite #: Former Tenant: PROPERTY OWNER Name: `.rNANO..MON R:48Q LI -P Phone; Address / City / Zip: Applicant is: Owner ,,Contractor T TYPE OF WORK Description of work: DecV. FNy, (wA Co �N- Construction Cost: f/ t' 3 - `4,0 CONTRACTOR Name: • 1ej, jcs 'eMAense #: )'74 13• - Address: 33 ��, /ot.-- /IAl City: 1.. 6k `k ' j ,/ r_, State: V Zip: li i Phone: L76,3) -Y�7 rr /3�} O ��i Contact: C3+ - Email: eI W 1 S [ t • ARCHITECT / ENGINEER Name: n_ AQ. cS s -W f .J , I`- C`• rkr Re istration #: rjDO Wthikyl ., - P V e_, $ Ot p /VI") S AddressMw` n 1 Stale: 1 r �G , Zip: ii 15 Phone; /]� ( , E -1-t, Contact Person: ea r-. U 1\2-t1 Email: lan . Jl eAze. e. s 9 atd.. Li'l Licensed plumber installing new sewer/water service: Phone #: L?;i,r'Piff #fs:,00`' iia ditirrg:for0.0`f?�^(4,:Subma}raefileµc#0s�:1�6�*ftibe011.0 fo:, ' *:04007,402s °L.: 1 0 itfip."� 4064: sifiet�,pribiic if yoi p *14e,rjp ii:,e8,soifthattIrrfixit,4 /to; `i',,rd•,t;;U„„R,i• . _. ,vfhco1, udfX�tthe,'ad��S� `. „ ,-', v `�5'p1R„t t.'etlr1w0<,” CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage, Gall 45 hours before you intend to dig to receive locates of underground utilities. www,stooherstateonecall.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 requir a review and approval ofplans_ Applicant's Printed Name Applicant's Signature Page 1 of 3 M LISA/ q- 5(,9-46-2c(. DO NOT WRITE BELOW THIS LINE qt(q69 SUB TYPES Foundation jSingle Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall _ Fireplace Garage Deck Lower Level pv4&; j -c _ Porch (3 -Season) _ Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair _ Repair DESCRIPTION Valuation Plan Review (25%_ 100%_1) Census Code # of Units # of Buildings Type of Construction Wf3 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Occupancy Code Edition Zoning Stories Square Feet Length Width Nz Framing 1 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 Siding Reroof Windows Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant )441-; 620-2 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings _Air/Gas Tests Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector 4/1-010-1 0 tip Page 2 of 2 *' City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit#: - l sa Ao tete Date Received: Staff: Permit Fee: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: —7410 10 Site Address: Tenant: 5(4 $l =ter Poi z/_ti las Suite #: RESIDENT / OWNER Name: C tnfl(M'AO.r, e, co P d11JJJ`10Phone: ,e,.) Address / City / Zip: 11 -Set ? s/ („Ari- Gi, (c'I Applicant is: Owner . Contractor TYPE OF WORK Description of work: ►V I I\(�, ip)A ii (nt d- j- C iJii A) dee ;t rte01- ,o Construction Cost: $ 4 ODD Multi -Family Building: (Yes X / No ) CONTRACTOR Name: CD \ YASEn LE 10 1iA/ License #: 77f0 Address: ( YS J D J /1/- - City: 0 icel A lk/ State: f r I 6\( Zip: aS7/c)--7 Phone: (7b?) -c-V8- /2 OD Contact: S J L'-.SrILM/( Email: ,cfL Lp G 1 i' marl. 0- cor COMPLETE In the last 12 months, has No if yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the Cityto conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.clopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Wil\`. 1 L Sc, r Applicant's Printed Name Applicant's Signature 12-42-krok Page 1 of 2 C~~- -~~1 d~ott CITY OF EAGAN , ~1 ~ b 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 1.:. ~ ° ` ` PHONE: 454-8100 $UICDING PERMIT S~F~ Bp Receipt # To be used tor 12 UN I'1' M. D. Est. Value 11325 Date idOVEMBER 21 ,19 85 5ite Address 4565 SLATER RD Erect C~ Occupancy S~E BP 1132 S Lot 4 Block 1 secisub. CINNAMON RIDGE Remodel ? Zoning Parcel No. 7TA AT~DITION Repair ? Type o( Const Addition ? No. Stories W Na~ CINNAMON RIDGE L'~'D PARTNERSH~41e ~ Length 1 MARQUETTE AVE. ~ STE 200Demolish O Depth o Address Int Impr. ? Sq. Ft c~~ MPLSphone 332-5544 ~nsta~~ ~ o Name FRANA 6 50NS INC AP~°Yab ~ Address ~490 I~IARKET PL DR Assessment Permit ` ~ F EDEN P~~2IE 941-0282 Water & Sew. Surcharge ~,a WI~7DSOR FARICY ARCflITFCTS Police Plan Review F Z Name W TH ST. - STE Fire SAC Addr~ A~ Eng. Water Gonn. W ~ City one Planner Water Meter Council 5Road Unit I hereby acknowledge that I have read this application and state that the gldg. Off. -TI'. PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Pa~ks Va~. Date Co ies Signature of Permittee-: J• ~J`"~-~_~ Total FItANA 8 SONS INC A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable Sta~te ot Minnesota Statutes ~~,~ty of Eagan Ordinances. ~ Building Official ~ ' ~ ~ P~rmN Na P~rnMt Flolder D~b TM~phon~ N Plumbinq ~ ~ r ~ . , ~ - i ~ H.v.~:c. ~2.% 7 L~ U. ~ ~~/9 / E~.~ I L 3 ' N ~ ~ 6 ~'~d ~ , s.~.~,.r- ~ 5 (n / ~ s ~ c.." C ~ 5 i~ S :~t`~ I: ~ PQ~ 5~ ~ b C 5 c. Insp~ctlon Dste Insp. `ry"1 ° ~y m~nt~ q C Footiny~ 1 ~~;/l~ /S ~ G~ ~ FooHnye II ~O ~ Foundatbn Framing Roolln~ Nouyh Plb~. ~ . - - Rouyh H1q. 77~~(v - O.? In~ul. Q tG ~~J f~r O I' ? Flnplece LQ'~.H Fl~al Htg. Final Plbq. ~ G &dp. Final Cart.Oca 'j~~ ~ .t ,-i~ G~-~tvLrl,- Dtck Fly. D~ck Fmp. D~scrl6e Locatlon: W~11 Pr. DbP• 9 l~ dY.vl ~~+J C~ CITY OF EAGAN ~ 830 Pilot Knob Rcad, P.O. Box 21-199, Eagan, MN 55121 ~ , Y - ~ PHONE 454-8100 BUILDING PERMIT S~E B~ Receipt# 7o be used tor 12 UN I T ~i . D. Est Value 113 2 5 Date ~OVEr~iBER 2 I ~ 9 8 5 SiteAddress 9561 SLATt:i2 RD Erect Occupancy "k'4' BP 11325 Lot 4 Block 1 Sec/Sub. CINNAAION RID(~F. Remodel ? Zoning Parcel No. 7TH ADDITION Repair ? Type ot Const Addition ? No. Stories Q CT?v;•IA:SON RIDGE LTD PARTAlF,RSH~P~P'e ? ~ength W Name ~ 217 MAR(3Uf;TTE AVE STE 200 Demolish ? Depth o Address int Impr. ? Sq. Ft Ciry ~'PLS Phone 332-5544 ~nstau ? ¢ ~~A~JA & SONS INC APPr~als Feei o Name Address O f~ARKET PL DR Assessment Permit ~ U~ City ~'$f~,e`~IE 441-0282 Water & Sew. Surcharge ~i¢ :•;i'~nSOR FAR~CY ARCHITECTS Police PlanReview W W Name ~ tt t•t 5TH ST - STE 7 5 Fire SAC Address~T PAi~~ 227-0655 Eng. WaterConn. < W City ne Planner Water Meter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 11~21/ STr. PI. information is correct and agree to comply with all appticable State of Minnesota Statutes and City of Eagan Ordinances. APC Perks ~;,,Y ~ Var. Date Copies Signature of Permittee , - Total FRANA & S~NS INC A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statut~s and City of Eagan Ordinances. Building Ofticial , 'f • P~rmk Na Wrmlt Hold~r Dab T~NphoM N Plumbinfl i I..'.,`.; ~f H.V.A.C_ ~ ~j ~ C I~ 3/~'ti r~ k~ ~ c C.rr„~.c,L..~ " ~zL cu~.c~-~ son«~« S (o / ~ S~ ..~C . .L Imp~cfion D~b Insp. Comments FooNnqs I ~~y ~ ~ 6 Foodnq~ ll 6~ ~ Foundatlon Framinq Roollny Rouyh Plbp. g J /~-~'G ,e. • Rouph Htp. ~ ~ _ Insui. ~ Ffnplac~ _ Finsl Hty. _ Final Plbp. T~s ~ LQ D' G!/+'( GP~t~7 Bldy. Find Cert.Occ. `~i ;"'l ~r/ ~ D~ck Fty. C~ck Frmq. D~~e?Ibe LoeaUan: W~Y n.. nap. 9/f lE G 4.u ~,~.d INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ~ ~ ~ ~ ~ ~ 3830 Pilot Knob Road Permit Number. °y ~f Eagan, Minnesota 55122-1897 Date Issued: , ~ ; ~ ' ~ ~ (612) 681-4675 SITE ADDRESS: ~ ~ n ~ ~ 4} + 4y ' APPLICANT: t 1 t;t ; ~ ~ ~ ! A1'FR !iU , ~ ~I~. I ~ rd~ ! rar . i jyF.l~.1r-li~ir I ~ II~,I " S il i~~ . PERMIT SUBTYPE: TYPE OF WORK: , . ,.i i , , ~ , , ~ , , ~i~ , ~ . • • I ~ r;i°~ ~ t~+~. i t~ ~!t ~ I~~,; 1 1 N (i l , f,~~~.frl•~ . r~l' f ~t~ I I ~ ~ J Parmk No. PsrmR Hoidsr Dete Telephon~ M ELECTRIC PLUMBING HVAC Inapectlon Dab Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP80ARD FIREPIACE FlREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST l6o~I BLDG FINAL ~ BSMT R.I. rY~ TT'~9'+T Nb Wl~OQN! S BSMT FINAL ~ECK FTG DECK FINAL INSPECTION RE~aRD C1TY ~F EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ 1,~ h'' Eagan, Minnesota 55122-1897 Date Issued: {612) 681-4675 ~ . , SITE ADDRESS: ~ f f; i~„ F. , APPL{CANT: ~ , , , , ~ ~ ~ ~ ~ ;~,.i '.i ~ , . . , PERNIIT SUBTYPE: TYPE OF 1NORK: t:,, , • . , . . , ~ , ~ , , , ; ~ (e 1;'i' t'S 1 4• ~ i;,',~ i , F I 4~ t i~ t. F° R i t~ t A# f! Ai t I : 0 is , . ~ ~ ~ _ ~ ~ ~ ~ ~ ~ ~ Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROQFING ADUGH PLUMBING P~aG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PIBG FINAL HTG ORSAT TEST BLDG FINAL (~~5~~ _ + ~ ~ V DOMESTIC METER IRRIGATION - METER ~ FLUSH MAINS CONOUCTIVITY TEST HYOROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF FAGAN SEWER SERVICE PERMR 383G rilot Knob P,oad ~ P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 Na of Units: Zaninp: . V~Ifl~r. ~.~Y^-.1 i ' ' ~}r rKl~7Kr~. Site Addross: 4`~ 61 4 5 6 5;; 3~ t~~- ' r ~ Plunbur. 1J~;~a e i t S.ech.~r i__, ~ 5 . t z . ~ , ; ; ; ~ . i ~ y~w h eaw~y w116 fM CNf ~f yM¦ Conn~etion Chaye: -~r-4' 4L- I OrJiM~as. ~ ~~t' ~ P~m~lt F~s: _ Surdw~: gy Misc. Cho~ Date of Imp.: Totol: ~ Dob Paid: , CITY ' EAGAN WATER SE~E PERMtT 383C 3'ikit kaob Road _ ~ P. O. Box 21199 PERMIT NO.: ' Eagan, MN 55121 DATE: - ~ Z0^~^~~ ` No. of Units: r`` ' p,,,~~: F~-sna & Sons ~ I llddrs~x ~ ~ ~ S~ 4561J4565 Slater R.oad T,4 R1 Cinrtr~->»*~ ?'.d~ , ~ ~ p~~~~ ~lenael t4echanical ~ M~t~r No.• CJ?arQs: . 'li~ , ~)~lF. I Sise: IPeclL / ~f~ ~~-posit: ' I Recdn No.: a 5N J S. . i)~~ F~! ' ~..N. [o e...b wN~ li~. ~icc:Peu~l es . 5 0~a o.~.~... ~ E • E ~ . ~ f~~;~. ' ' ~ ~ eY REQI1fREf~ ' , Data ot ~ns~.: ,r„a: I ~ ~ L/--5~ CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 N~ 113 2 9 ~ PHONE: 454-8100 r~ BUILDING PERMIT Receiptp SEE BP NOVEMBER 21 85 7obeusedfor 12 UNIT M.D. EstValue 77375 Date ,19- SiteAddress 4561 SLATER RD Erect OX Occupancy SEE BP 11325 Lot 4 elock 1 Sec/Sub. CINNAMON RIDGE Remodel ? Zoning ParcelNO. 7TH ADDITION Repair ? TypeofConst. Addition ? No. Sfories W Name CINNAMON RIDGE LTD PARTNERSHl~°"e ? Length 3 Address 1117 MARQUETTE AVE.. STE 200 Demolish ? Depth ° MPLS 332-5544 Int.lmpr. ? Sq. F~ City Phone Install ? Q FRANA & SONS INC Approvals Fees o Name Address ~490 MARKET PL DR Assessment Permit SEE BP. ~ city EDEN PR~,~IE 941-0282 WaterBSew. Surcharge 11325 ~a WINDSOR FARICY ARCHITECTS Police PlanReview F w Name Fire SAC nddress z8 W STH ST - STE 375 Eng. WaterConn. ~W ~;ry ST PA[~one Z2~-0655 planner WaterMeter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.OH. 11/21/8 Tr.PI. information is correcl antl agree to comply with all applicable State of Minnesota Statutes and ~ f Eaga~ rp dinanCes. APC ~ ParkS ~ Var. Date Copies Signature of Permittee~ Totel A Building Permit is issued to: FRANA & SONS INC on the express condition that all work shall be done in accordance with all ap icab State of Min esota S t es.and Ciry of Eagan Ordinances. Building Ofticial ~e CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ 113 3 0 PHONE: 454-8100 ~~,7 'BUILDING PERMIT SEE BP Receipt# 7obeuaedtor 12 UNIT M.D. EstValue 11325 Date NOVEMBER 21 ,ig85 SiteAddress 4565 SLATER RD Erect C~} Occupancy SEE BP 11325 Lot 4 Block 1 Sec/Sub. CINNAMON RIDGE Remodel ? Zoning . Parcel No. 7TH ADDITION Repair ? Type o~ Const. Addition ? No. Stories w Name CINNAMON RIDGE LTD PARTNERSHi"p~e ? Length z 1117 MARQUETTE AVE. ~ STE 200 Demolish ? Depth o Address Int. Impr. ? Sq. Ft ; Ciry ~I'S Phone 332-5544 ~nstau ? ¢ FRANA & SONS INC Approvals Fees o Name SEE BP $i nddress ~490 MARKET PL DR Assessment Permit ~ qry EDEN PI~~IE 941-0282 Water & Sew. Surcharge~~ F W WINDSOR FARICY ARCHITECTS FieCe SAC Review w W Name nddress 28 W STH ST. - STE 375 Eng. WaterConn. aw Ciry ST PAOIphone z2~-0655 Planner WaterMeter Council Road Unit Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe B~dg.Off. 11 Z1 8 Tr.PI. information is correct and agree to comply with all applicable State of Minnesota Statutes and Cjty Eag Ordinances. APC Parks ~ ~ Var. Date Copies 5i9nature of Permittee r Total A Building~Permit is issued to: FRANA & SONS INC on the express condition that all work shall be done in accordance with all applic~ S of Minnesota tatutes ' of Eagan Ordinances. Building OHicial ' ~ . . . . . . . . . . ' PERMIT Cfzo ~a-9~ CITY OF EAGAN 3830PilotKnobRoad PERMITTYPE: Buz~ozH~ Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 0 5 2 (612) 681-4675 Date Issued: @z J09 J96 SITE ADDRESS: 4561 SLATER RD LOT: 4 9LOCK: 1 CINNAMON RSDGE 7TH P.I.N.e 10-17406-040-01 DESCRIPTION: (REPLACE WIN~OWS} 8'a3~;dih~„~Rermit Type MULTI. (MSSC.) x§ul2ding t;~r,„,k Type ALTERATION ;~Can~us Go~f~~'~~~ 434 ALT. RESIDENTIAL a.~ ~ j~ . ~ ~ . ;t;=~„~: ~r.. ~ 4 ~ :?R . d.=> . ~F+.t~ d~ ~ _ny. . ',.i". 2..`-j Satt~ F,w. ~ 2 u.»"'~'ri .v n..~14 a~#!~~ ~ lw ~ ~RHI,F~~ f~ c .r` m p e t,., ~ C 5,9 „f''~~ ~ 3' ~ ik; x. t,:t j Ht ~ 3.:• ~p,,. ~ t~'~` ~ ~ -x-' a., ss z ~ r € ~ ``,J x a ~ : n s"'.~ ' . ~ ".c^ `~a~,, j~ a.~o-= . { -.tcr-° `°a"vFa^~"..; REMARKS: APT 301 FEE SUMMARY: VALUATION $4,000 Base Fee $87.25 Surcharge $2.00 Totel Fee $89.25 CONTRACTOR: - Applicant - ST. I~xC.OWNER: AMERICAN REMODELING INC 15530020 0002406 CINNAMON RIOGE LT~ PTNRSHP 3700 ANNAPOIIS LN 4598 SLATER RD PLYMOUTN MN 55447 EAGAN MN 55122 {612) 553-0020 (612)895-5973 ~ irsreby acknowled'ge th,at I tieve.,read th3s apPlication ans1- s~ate Gha~ ~he atnfiarmat3on .i,s corrsct- aiid egre~' ~~s campl~y v:Sth a~.~ app~.i~ab~~ :St~t~. r~f FI`n, ° 5tatu~s a~~ Ci~y~ ~f ~ag~;~ 4rdit~a~aes~~ ' ~ . ~ , ~ a< _ . . r , . _ ~'~o~ ~~.I 171-,~ APPLICANT/PERMITEE SIGNATURE ISSUED e :51(~NTiTI1RT~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: a u i ~ o x N ~ 3830 Pilot Knob Road Permit Number: 0 2 7 0 5 2 Eagan, Minnesota 55122-1897 Date Issued: 0 2/ 0 9/ 9 6 (612)681-4675 SITEADDRESS: P•I•N.: le-1~4e6-e4e-01 APPLICANT: LOT: 4 BLOCK: 1 4561 SI.ATER R? AMERICAN REMODEIING INC CINNAMON RIDGE 7TH (612) 553-0020 PERMIT SUBTYPE: TYPE OF WORK: MULTI. (MISC.) ALTERATION DESCRIPTION (REPLACE WINDOWS) . . FRAMIN6 INSULA7ION FINAL REMARKS: APT 301 ~ _ ~ _ _ _ _ ~ CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 ~1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conahudion Reeuiremants RemodeUReoair Reouirements ? 8 repbMred site eurveys ? 2 eopiea ot plan ? 2 copias of plens (i~lude beam & window saes; poured tnd. design; etc.) ? 2 aite surveys (exterior edditions 8 decks) ? 7 errorpy celalations ? 1 energy calculetiona far heated adtlitlons ? 3 wpias M hee preaervation plen ff lot plat[ed after 7/1/93 required: _ Yes _ Na DATE: ~ A- ~6 CONSTRUCTION COST: ~ ~ DESCRIPTION OF WORK: ~~n ` ~-~~G~.~ 11y~~tclC~ca.1~ lA9i~~ VY1 u,e~ ~y he:~"~ STREET ADDRESS: LOT ~ BLOCK SUBDJP.I.D. - ~ G.xtX~6~A~1P1'`~l.f~-p- CQ~~~tA~U~I PROPERTY Nam Phone#:~~~~ S`~~~ OWNER ` ' q Street Address• ~ • Ciry: State: Yh yv • Zip:SS i.~ ~ CONTRACTOR Company: . r Phone ~53 - Q C~,~ G Street Address: v r License #~Q~ City: `r~Y~l~~'t State:L l J Zipss ~ l ry ~,L_ ARCHITECTI Company: Phone ENGINEER ~ Name: Registration .Aai~c~i ntJiuPE3S' City: State: Zip: Sewer & water licensed plumber: .~'enaity uppl~es wher~ €3ddres~ change and lot change are requested once permit is issued. I hereby acknowiedge 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. Signature of Applicant: 1-~-~!~!~~ ,C~11-/~ /~-r~/Tn OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No OFFICE USE ONLY ,;R ~ r , <s ~ ~ a. BUILDING PERMIT TYPE m° • ' 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? ~9 12-plex ? 14 Fireplace o 21 Miscellaneous ~ 05 5F Misc. 0 10 = plex o 15 Deck WORK TYPE 0 31 Nsw ~3 A!ter~tior,s ~ 36 !d!9ve 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowabie) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire 5prinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~ Depth Footprint sq. ft. SAC Code ei Census Bldg ~ Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ e =~-~CYJO ~ Surcharge Plan Review License MCNVS 5AC City SAC Water Conn. Water Meter Acct. Deposft S/W Permit S/W Sureharge Treatmerd PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ~ • °k 5AC SAC Units Cities Di ig tal _Qualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. M«::: ~~n rat:~.~':~'..r.'^'::: ~c:•:::;v:•.~~~X;.z:twr,:kr^x: .r ~*.r. a~ ;^n~ C~5HIER; S T~RMx~'AL A~: F163 i"T~3 7:,/?[./~A -r.e-: al.:Z~•.i.L' ~~7 ~~Q~•e~ g'T,y5 r. .-rc•{~R 'd2i0 9001 45fi3 S! 4TE4 17Ty gg,-~'S 2:55 :"J0~ 4~a5 :'.~T^.: Ri! ?,5C ~ t ~ '~7''- :iF~••!,~' M..1 "1".' '!12~ ~ !e ~R¢!'+F ~i''i rT!C *'Q!~P~/ ~n'~-' ~t4~~~~~yw~A~... . ~4 Y~~,:4... r..~~~ . i~nM FERMIT ~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: g u I L o I N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 3 5 2 (612) 681-4675 Date Issued: 0 6 J 2 4/ 9 8 SITE ADDRESS: 4565 SLATER R~ L07: 1 BLOCK: 1 CINNAMON RIDGE 7TH p.I.N.: 10-17906-040-01 DESCRIPTION: FIRE REPATR Bu~ilding,Permit Type MISC. ~~uz,lding GJork Type REPAIR -`Census Code 437 ALT. NONRES. ' _ ; ~ a~ ~ i . ! ~ ~ d l . „ < i . ~~';'J„ `j ;f. tf ~ y''r~ _ c., .,e. ' ~ _ _ ` . REMA~I~S~: REVIEWED BY MIKE BARCK FIRE REPAIR IN UNIT 206 FEESUMMARY: vA~uATioN $5,0@0 Base Fee $99.75 Surchargs $2.50 Total Fee $102.25 ' CONTRACTOR: - Applicant - OWNER: ,,~IERSTEN 25461300 CINNAMON RIDGE LT~ PRTNER ; 60 DECATEUR 4565 SLA7ER R~ GOLDEN VALLEY MN 55427 EAGAN MN 55122 .(612) 546-1300 (612)890-0240 , I hereby acknowledge that I have read this applScation and state that Che information ~s correct and agree to complX with all appiicahle State of Mn. Statutes and City o~ Eagan Ordinances. L ~ ~ NT/PEFMITEE SIGNATURE - I SUED B: SIGNA U ~ ~~~~998 BUILDING PECRMITO ~G~ION (CONlMERCLAL) D Y 681-4675 Submit followin to obtain necessa permit Foundation Onl New Construction Interior Im rovement structurel plans (2 sets) archdecturel plans (2 sets) arohReGUral plans (2 sets) pvil plans (2 sets) structurel plans (2 aMS) eode anarysis (1) ^ code analysis (1) w dvil plans (2 sets) project specs (1 set) soils report - (1) landawping plans (2 setsJ Key Plan Projed specs (t) code anarysis (1j " energy celculetiona (t)notaAveys " Special Inspections 8 Teating Schedule ° sofls report (1) EleMric Power 8 L'ghting Fortn (1) not always " SAC detertnination letter from MCIWS - SAC determinatlon letter from MCtWS - SAC tletermination letter hom MCNJS - call 602-7000 csll 602•1000 call 6D2-7000 Special Inapeetions & Testing Schedule (t) " project spees (1) energycaleulations (t) " Electric Power 8 Li Min Form t ° " Contact Building Inspedions for sample Food 8 Bevera e or Lodging facilities: Plan must be suhmitted to Minnesota Department of Health. Call 2150700 for details. OATE: ~L`f/9~ WORK TYPE: _ NEW ~ REMODEL DESCRIPTION OF WORK: ~~O-~ ~u KCZcat4~.1 w?~~~ #7A6 CONSTRUCTION COST: = TENANT NAME: C~uN~'^oN~~'~~ SITE ADDRESS: ~6S 5t.~Qtt~- ~'~o - ~2C)6 SUITE LOT BLOCK SUBD. ~~„r~~~~ I~~~ ~f, L V P.I.D. # Name: C~NN~''~o`~ `~OSt- Phone#:Sf(0-6L~F0 PROPERTY ~ Last Fint OWNER Street Address: ~ s~~'2- City ~~0~"`~ State: Zip: ~f 2L Company: C-~" ~~-~~L"~ Phone '~300 CONTRACTOR Street Address: d ~ License # ~'796 City ~ •v - State: Zip: ~~7 ARCHITECT/ ENGINEER Company: ~ Phone Name: Registration Street Address: Ciry State: Zip: Sewer 8 water licensed plumber (only H installing sewer 8 water): I hereby acknowledge that I have read this application and state that the infortnation is eorred and agree to wmply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ` ~ ` ~ a'. ' # OFFICE USE ONLY ' ' a~ ~ . BUILDING PERMIT TYPE ? D1 Foundation ~I, 19 Comm./lnd. Misc. ? 21 Miscellaneous ? 18 Comm./ind. ? 20 Public Facility WORK TYPE ~ Q~,~ ~ ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ~ 34 Repair ? 37 Demolition GENERAL ~NFORMATION Const. (Actuai) Basement sq. ft. MCiWS System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinktered Zoning sq. ft. Census Code < z # of Stories / sq. ft. SAC Code i c~ Length / sq. ft. Census Bidg. o i Depth Footprint sq. ft. Census Unit O APPROVALS Planning Building M~~ Engineering Variance Permit Fee Valuation: $ ~I 5_~ Surcharge Plan Review MCNVS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Totai: % SAC SAC Units Meter Size City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: 99679a - Permit Fee: Date Received: ,_ �J Staff: (� 2010 MECHANICAL PERMIT APPLICATION Date: /d Site Address: -156 I 1a-±tc4 q Tenant: I V� CC (dc A 1p -I s Vlvr‘©Yl.- Suite #: 1 J RESIDENT / OWNER Name:6"Pleb€( GOCF Phone: f 5 5 �/ Address / City / Zip: 9D0 cin. bAve S, v1 r c p x'7 CONTRACTOR Name: ,'C.t( /002-" ') eC/'/ License#: 7QQ 790 Wild Address: X4 • City: -Cfn li/ 7k / La /' (fE State: i r)N Zip: (5533 7 Phone: 95a — ?9/-12a Contact: Email: TYPE OF WORK New replacement Additional Alteration Demolition , , Description of work: &f C e- 9- a -c , NOTE Roof mounted and ground mounted mechanical equipment isrequired to be screened by GIty Code Please contactthe Mechanical inspector for information on permitted screening methods sem, PERMIT TYPEFumace RESIDENTIAL COMMERCIAL _ New Constructionterior Improvement Air Conditioner Install Piping _ Processed Air Exchanger _ Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank ( Install / _ Remove) Other ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) y $.50 State Surcharge) $ /0j 000 TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ 7t 0 # 00 x 1% = $ Permit Fee - If Permit Fee is Tess than $1,000, = $ / 0--"D v Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 =$ P%0• 60 TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One CaII 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.gooherstateonecall.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 x v kA Ih ,523 xen Applicant's Printed Name FOR OFFICE'USE'�3 Required Inspections x Applican igna ur Reviewed'y Date In r� __ATService Testis floor )•lean Final error HVACir SestcreeningGas lnspection City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Us Permit #: (J (2s Permit Fee: Date Received: Staff: 2010 COMMERCIAL PLUMBING PERMITAPPLICATION Date: 3123/10 Site Address: `T .6 I S ik -bec {� ppc a Tenant: Suite #: J PROPERTY OWNER Name: s�e 1 �'�-� 2r Co�o r a -;OrN Phone: 65-) 5 y� ©Z'/O CONTRACTOR Name: 4clUO.nce(+ 1 c) an �co..J , LL.L License #: Address: )(7 /Z 61: tT ect,-ci t City: 3c�rr(\Sv'i )e State: nyN Zip: 5-5737 Phone: 952.- g�°S - /40 Email: 6110 -ore- r, acf o "cec nn.eci‘an.t c4 1 1 GC1W1 TYPE OF WORK _ New X Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ Description of work: f &jO lo_ce po Iv (,..).,+h e �xC p ;per PERMIT TYPE COMMERCIAL New Construction Modify Space Irrigation System ( yes /,. no) ( RPZ / PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter. Domestic: Size & Type Fire: 1 Avg. GPM High demand devices? Yes _No Flushometers Yes _No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Contract value $ e..5 -73e,110 x 1% Required - If Permit Fee is less than =$ 5S 5. 73PermitFee on ALL new buildings and boulevard irrigation systems -› _ $ Radio Meter Read $1,000, surcharge is $.50 = $ Meter(s) - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 j-� a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ ' -' State Surcharge $1,000 Permit Fee (i.e. Following fees apply Call the City's Engineering when installing a new lawn irrigation system. $ Water Permit Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge TOTAL FEES $_ __ gb..2' s 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.orq 1 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 with permit; that theyoork y II be in accordance with the approved plan in the case of work which requires a review and approval of plans. X / �C%r!Z'n gArI/— Applicant's Printed Name X Applicant's Signatur FOR OFFICE USE Approved By: Required Inspections: _Under Ground Rough -in :. _ Air Test Gas Test ,Final ; PRV Required Page 1 of 3 City of Eapt 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 1 Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: & 0 370 zig 2010 COMMERCIAL BUILDING PERMIT APPLICATION Site Address: Date: 4J71 G160 --e � 9"4-0 `jam / � �- tog (Tenant is: New / Existing) Suite #: Tenant Name: Former Tenant: PROPERTY OWNER Name: 45.‘ Phone: Address / City / Zip: ligg -54,,+er OC c FoL9 fC A, /71N Cs -42.2 Applicant is: Owner x Contractor TYPE OF WORK Description of work: Ke -P-004 -104", &t,, ; ld;V .r d- Gt - e Sl�Rat, 1 ODD Construction Cost: 30, D CONTRACTOR Name: G;ea-1 e4'\ Co,l/JtA`J (.4 , l'lC License ##: / 79/ M� Address: 1) ?S- / Oil\ AA- City: (3 /cye V& /k State: J i l (V Zip: SS -14,27 Phone: (7&) c`./6 - /30 c Contact: ---114.1i ..S70115/4 Email: ,flAS(( GI'C� �A C O - CO r ARCHITECT / ENGINEER Name: Registration #: Address: City: State: Zip: Phone: Contact Person: Email: Licensed plumber installing new sewer/water service: Phone #: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of ,. the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.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. x,S1)"uckR- spronk Applicant's Printed Name x Applicant's Signature Page 1 of 3 €!ty 0[Eaiau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink. Permit#: gigot/ Permit Fee: C9—.2 Date Received: Staff: J 2010 RESIDENTIAL BUILDING PERMIT APPLICATION CO �( �U /2 / d 4..�(0 / - 4f S"(S S/� 12, /..7 1 Date: Site Address: Tenant: RESIDENT / OWNER TYPE OF WORK CONTRACTOR Name: / /1 C.� Address / City / Zip: ! fl O f' a E „s ' a a d ,yl • ;fat 1'•p�.f + . Applicant is: Owner Contractor tie,_ Phone: 9 "3- - cr. 2. Description of work: pa./litt Construction onst ruc ion Cost lg../ : 0 0 Multi -Family Building: (Yes ' / No )' Name: /n t i AA. 4 ret W J'(-1- & o t i'e:-1 License #: Address: CP f 4 6/ �-' L'/ 1• F- Ci s a //�� -- // City: [/ 1 / State: Y l Zip: S 3 % Phone: (2 �/ ^ 7 g3 e,---- 7(€ 4, Contact: �G� Email: J b G it. a._ r a • ffrcri al- . ,J • La I! 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: Ilttr -?� 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.orcl I hereby acknowledge that this information is complete and accurate; that the work will be in co Eagan; that I understand this is not a permit, but only an application for a permit, and wo accordance ' /approved platin the case of work which requires a review and approv xJG -Q /V 1 E iCl d ilt t'rk Applicant's Printed Name x Appli ance with the ordinances and codes of the City of of to start without a permit; that the work will be in s. nt's Signature uu rry 1 VYNI 1 t 13ILUW THIS LINE SUB TYPES _‘r• Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation i1 0 0 TO Occupancy Plan Review Code Edition (25% 100% )() Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction Width Fireplace _ Garage "Ic Deck Lower Level Pool 146-//q-6165sk gct. Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Interior Improvement Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: Rough In Air Test Insulation Meter Size: Reviewed By: _ Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation — Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests __Final Siding: _Stucco Lath Stone Lath _Brick Final Windows Retaining Wall: _ Footings Backfill Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL (16( UAL Oia 1 1 1,c C,4 ‹.2 0 Page 2 of 2 Use BLUE or BLACK Ink .Ahma I For Office Use I 1 Permit I _.7 O City of Eq(l ,ilk d b I Permit Fee: AC 14 • L✓~ I 3830 Pilot Knob Road I Eagan MN 55122 I t?j Phone: (651) 675-5675 i Date Received: Fax: (651) 675-5694 j Staff: G/~F+ L-----------------I ,,PERMIT APPLICATION 0413 2013 COMMERCIAL u BUILDING Date: Site Address: 6T7 S~~ ~ kr 0 A Tenant Name: ),jApMi)n (Tenant is: New Existing) Suite Former Tenant: F_ Name: he / 1 f' Phone: -5 IM Property Owner Address/ City /Zip: 400 &P/c/lis 61-0 ~ s ro0 ~ Applicant is: Owner Contractor Type of Work Description of work: ► U~1 l I y Construction Cost: j 3 S'D 4,01 Name: License V Contractor Address: D035 /l Uv City: 6,r)1u 10-, b~`le`-, I State: Zip: Phone: 763 Contact: Lo. 6,9 Name: Registration I Architect/Engineer Address: City: State: Zip: Phone: Contact Person: Email L censed plumber installing new sewer/water service: _ _ _ Phone _ _ NOTE: Plans and supporting documents that you submit are considered to be public informati__on. Portions of _f I the information may be classified as non-public if you provide specific reasons that would permit the City to t e conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X 1>~ A~IQ►~ x L7a Applicant's Printed Name Applicant's Signature Page 1 of 3