4447 Slater Rd
CITY OF EAGAN Remarks
Addition CINNAMON RIDGE 3RD ADUN ~ot 9 B~k 2 Parcel 10-17402-Q90-02 ~
Owner St~eet 4447 SLATER ROAD 5tate EAGAN NIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ~ 19H 1 1
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL ~ X 1 HS 24 1
WATERMAIN
WATER LATERAL x 1985 61~.3~ 1 ~F
WATER AREA
Services x 1985 393.87
STORM SEW TRK 1979 381.69 19. 08 20
STORM SEW LAT x 1985 1098. 83 219.77 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
~UILDING PER.
SAC
PARK
. , . _ _ . . ~ . . ~f
~ . . a
~ ~~r#i#ir~~~ uf C~rru~~~tr~
~Citp o~ ~agan
~r}~ttrtm~ttf a# ~u~l~ing ,~na~~rtinn
This Cern'ftcale issued pursuant ro the requrrements of Section 306 of the Unrjorm Building
Code certifying that at rhe time of rssuance this strucrure was in corapliance with the various
ordiirances of lite City regulating buildrng construction or use. Fo~ the following.•
u~ c~rnuoo ~ rsar_~r~?u ma& e~~ No. lSFiS~
OccuPanc7 7}'Pe ~E~- Zooin6 Di+vict ~ TYpe Conat. ~
Owoer o[ Building~~i .~r Addre~a ~1~?~ {rl. 7~
~ Bui{ding Address Laali[p ~~~F ~ RTm. 3~
. ~ oau: HY1~1Rf~:R 21 ~ 19A9
B ~ ' g O&d
POST IN A CONSPICUOUS PLACE
• ' PERMIT # '
' ~ PLUMBING PERMIT
CITY OF EAGAN RECEIPT # ~y'~ ` '
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~
CONTRACT PRICE PHONE: 451-8100
Site Address y ~ BLDG. TYPE WORK DESCRIPTION
Lot ~ Block SeciSub Res. ~ New
, ~ • _
' - Mult. Add-on
~ Name ~ n~~ ' f Comm. Repair
m Address Z~~ ^1 N- Other
c Ciry ~1 r~'~ Phoneb ti~ u RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
Nt~. FIXTURES TOTAI
Name r * ~y'`1':, k'`._~ u,~. ~.T, ~ Water Closet - ~3.00 S s , ~
~ . ~ fJ f~, ~ 7T -~Bath Tubs - $3.00 '
3 Address ~~avatory - $3.00 " ~
p City ~ " Phone~`~ ~ 7
~ ~ Shower - $3.00
~Ki?chen Sink - $3.00 ~ ~
FEES Urin~I/Bidet - ~3.00
COMM/IND FEE - 1°~6 OF CONTRACT FEE ~Laundry Tray -$3.00 _
APT BLDGS - COMM RATE APPLIES Floor Drains -$1.50 '
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50 -
MINIMUM - RESIDENTIAL FEE - $12.00 Wh~rlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 ~Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MiNIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES SoRener -$5.00
BEYOND $1,000.00) Well - ~10.00
r • - Private Oisp. - $10.00
` ~ ~Rough Openings - $1.50 ~ ~ `
. d~"" ` L.~ f r'.. ; L!_ -
/
SIGNATURE:OF PERMITTEE ' FEE: ' '
.
STATE S/C: ' '
FOR CITY OF EAGAN GRAND TOTAL:
, . PERMIT # ~ ~
, ~ , MECHANICAL PERMfT RECEIPT # /
CITY OF EAGAN n 4 ~
363D PILOT KN08 ROAD, EAGAN, MN 55122 DATE: NOV~i@T ~~~i , 1.,
CONTRACT PRICE ~SO~. OU PHONE: 454-8100 ~j
Site Address ~ ~r ~af gLpG, TypE WORK DESCRIPTION
Lot T_ Block Sec~~~b Res. ~ New x
~
:~Tx'ri C 8:.Iag eri Mult Add-on
m Name
Address 619 COO!!'~ .~Ap S B vci, Comm. Repair
c City ~ld-g Phone ~5~-504U Other
FEES
Name Z~~~~ RES. HVAC 0-100 M BTU -$24.00
c Address 4620 I~. 77t}1 St. ~1~4 ADDITIONAL 50 M BTU - 6.00
p City ~~~~a Phone ~~~'O~SS {RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEF1M1~ - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air ~S , t~`~~1 M BTU ~4 APT. BIDGS. - COMM_ RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLJES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
~ - STATE SURCHARGE PER PERMIT - .50
Vent A iY~'r CFM
III~tEI' t0 '~'t 1P1aC~ 1 ~'°`DD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # • BEYOND $1,000)
Other . .
25. S~ `
/ ,
FEE: + ~ 1 ~ y ~ .
S/C: • ~U SIGNATURE OF PERMITTEE
TOTAL: ~ ~ . V O
9 FOR: CITY OF EAGAN
_ ,
;~'T..~..i
CITY OF EAGAN
~ ~3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~ ~ ~N' .r9~ri~; ,
PH ON E: 454-8100 !
BUILDING PERMIT Receipt # ' : ~ /
To be used for ~t ~~f Est. Value ~65 r~ Date S~k'~~M'~R 2; ,1 g E8
Site Address k4bT SI.ATF.l: F~.U OFFICE USE ONLY
Lot ~ Block K Sec/Sub. CI~NA~SCyiE ~;p~E 3 On Site Sewage Occupancy a-•3
MWCC System ~ Zoning *D
Parcel No.
On Site Well (Actual) Const ~-N
Z. •.t,t."•_iA~`.' i3~0aNEitb CCIASTSii~.'Y'20l! City Water ~Allowable) V-~
Q Name r
W . ~ PRV Required # of Stories
; Address ~ 77~• .+T St11TR 104 .
~ City PhOne ~43-G7SS Booster Pump Length ~+a ~
Depth 18 ~
o Wame ' S.F.Total
~ ~ Address Footprint S.F.
~ City Phone APPROVALS FEES
~ ~ Engr./Assess. Permit ~gt~• ~
Name
~ = Planner SurCharge ~A
Address ZZj~pp
~ Z City Phone Council Plan Review
a°' Bldg. Off. SAC. City ta• ~
1 hereby acknowledge that I have read this application and state that the Variance SAC, M WCC 3su• ~0
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee - _ _ - - Road Unit ~ ~
~~,~~'I:~~1?r~ nRDT~i~k6 CON~'T 2Q4.C()
A Building Permit is issued to:-"- Treatment P1
on the express condition that al I work shal I be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks ry
TOTAL ~
8uilding Official------
. _ . _ . _ . _ _ . . _ ~
Permit No. Permlt Hold~r Dats el~phone it
Plumbing i ~ 7` '
~i j 'C ~.t,~, ~ ` E ~rv l ~ d~/
H.V.A.C. ~ y., ~ ~ ~ /
i t` ~ ~ .J ~ O
Electric ~ / Q ~ ~
Softener
Inspection Date Insp. COmm811ts
Footings I ~ : ,s
Footings II
Foundation
Framing
.t~
Roofing
Rough Plbg. _ /~l~ a3-~~ .~1 . ~/lS. ~ "v
Rough Htg. ~~s
Isul. , -
.
Fireplace
Final Htg.
Final Pibg. . _
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
.
PHONE: 454-8100 f . . ~
BUILDING PERMIT Receipt # ~ i
To be used tor ~r Est. Value $6~r~4 Date 5~~~~~~k ~7 ~g a'.'
Site Address ~a7 $~.,A'fER I~tD OFFICE USE ONLY
~ CYtQ;3A~`:OI! RTACE 3L On Site Sewage Occupancy h'' ~L' ~
Lot ' Block Sec/Sub. MWCC System ~ Zoning PD
Parcel No. On Site Well (Actual) Const v"~r
City Water {Allowable)
~ Name ~AC~HIIl1 B1IOT:i~+:S C:~N~~ItliC7I91M
z Address a6~0 N 77~'~i ST &UIXB 104 PAV Required ~ # of Storfes
3 Booster Pump Length 4F~ ~
° City 4T~~~[A Phone $'~~3-07~SS
Depth
, a Nafine S.F.Total
O~ A-~tGress FootprlntS.F.
U<
~ City Phone APPROVALS FEES
v ~ Engr./Assess. . Permit a~Q • ~
W Name 34.SO
WW
r Planner Surcharge
_ = Address
a Z Cit Phone Council Plan Review z2s•OO
<W y 100.00
aid9. off. sac, c~ty
I hereby ackn*wledge that 1 have read this application and state that the Variance SAC, MWCC 5~~•~
infom~ation is correct and agree to comply with all a,ppliCable State of Water Conn. ~Su•~
?Minnesota Statutes and City of Eagan OrdinanceS. Fj
. Water Meter
Signature of Permi~tee _ _ _ ~ ~ ~ _p~
Road Unit -
A B"~+ nt~ Permit is issued to: ~CHM,11;ti bRClf1~E&£__C~3'tiS 7restment Pt 2~•~
on t press condition that all work shall be done in accorda~ce with all perks
app e State of Minnesota Statutes and City of Eagan Ordinances. ,~~s.
TOTAL ~
Buil fiicial__!_.----
_ . _ .
~ CITY OF EAGAN Permit No:_ !~~j~l l Date: IO-14-~8
383b ~~ilol Knob Road Meter Na Size: ~
; P.7. Box 21199 Reader No: Date:
; ~agan, MN 55121
~ Owner. '•a~hn~n 'ir:.a.
~ Site Addre~s: 8ter RQa.~ E ge ZII
' Plumber & K 3eat3a
55(~. "1
Conn. Chg: nin :
15.f± d ?
Acct Dep: N . ot .
~ Permil Fee: Z0. ~~JT`~
, Surcharge: I agres to comply with the City ol Eagan
! Tr. Plant 2~ •~~~'a Ordlnsnces.
j Meter. ~T - ~Q~tt`
~ Misc.: ?~V ~Qi7IY?TL• By
~ WATER SERVICE PERMIT
CITY OF EAGAN Permit No: ~ 115? Date: 10-14-8F "
3830 Rllot Knob Road B/P No: ~~~~1 „ Date: 9-27-R8
P.9. Box 21199 " ° i
Eagan, MN 55121 ~
Owner. t ~jchman Bros
SiteAddress: ~{44~ S~ater Road L9 B' ('innamon Rid~e IIZ
Plumber. K& K Heat in , ~
~ MWCC: 550.O~Pd Zoning• r.l
10(1.OOpd ' No. of Units: 1
City Chg: . ~Qpd
• Acct Dep: 1 agree to comply with the City of Eagan .
Permit Fee: ~ p ,
, p Ordinances.
j Surcharge:
Misc.: "r0?r:P.T'~ By
SEWER SERVICE PERMIT ~
CITY OF EAGAN Permit No: Date: ~''~~E
3830 Pllot Knob Road B/P No: Date: ry~~~~ c'~
P.O. Box ~1199
Eagan, MN 55121
Owner. ~ ~ .
SiteAddress:•~`'~'? Sl~tter Road L~ ?5~ ,i~i~amon r;ic~f~• -~T
Plumber. ~ ~eat in ~ ~
F
MWCC: ?''~.OQF~c' '
Zoninc~ ;
Ci Ch `
tY 9~ J No. of Units:
. t, .
Acct Dep: I agree to comply with ihe City ol Eagan
Permit Fee: , L Ordlnances.
i Surcharge; ,
Misc.: - gy
SEWER SERVICE PERMIT
ii~l l ~ li,L~/~~
CITY at 4AGI~N Permit No: Date: '
38~0 f~ilot Knob Road Meter No: .~I~ ~°7~ Size: ~~~ck
P.O. Box 21189 No: 11 ~ 4 ~ S 5
1~ Date: ~l a~~ ~8
Ea~an, MN 55121 ~
Owner. ZACHMAN C')?d ~T
Site Address: 4447 SL.ATER RD , L9 , 82 , ~1NNAMON RI DGE 3F:D
Plumber Pi ~'~enilTH PLR[`
Conn. Chg: S 55t1_On ~ d Zoning: R-1
ACCt Dep: 1 5- nn nd NO• ot Units: 1
Permif Fe~ ~ ~ - ~ ~ ~
Surcharge: _ 5n I ayree to comply wilh the City oi Eagan
Tr. Plant 2Cls~ 0~ n~ Ordinanc s.
Meter. 6~-n~ nd ~
, Misc.: ?'KV RFQUIRE~ gy
WATER SERVICE PERMIT J
(~p~ _
~ - _ _
i,~_ ~i~ii~~s ~
CITY .OF EA(3~1N Permit No: Date:
3830 Pilot tSnab Road B/ P No: ~ Date: Q~ 2~~ R~
P.O. fsox 21199 '
Eagan, MM 55121
i.A;'?i'-i.'+.`7 F.~inS :~:Cl`d57
Owner. cI.ATF~ ~U., 1,9~ R2, ::INNA`-'0~ °~~C~ 3~D
Site Address:
. . r .
Plumber:
MWCC: ~ 550.00 p~ Zoning' R-1
- ,
Glty Chg; No. of Units:
Acct. Dep: ~ ~ ~
10. OC+ n r~ I agree to comply with the C1ty ol Eagan
Permit Fee: Ordinances.
. ~
Surcharge' ~
• Misa: , .s BY
SEWER SERVICE PERMIT
`1, t -a....~11/21/8~~
CITY OF EAGAN Permit No: Date: '
3830 Pilot Knob Road Mecer No: Size:
P.O. Box 21199 Reader No: Date:
Eapan, MN 55121
Owner. ZA~':~l.~i< :';`ti`;1
&467 SL'~TER RD. . t..~r, fi2. C] NN .
Site Address:
Plumber_ PLY~lQlRH PLBi~ .
Conn. Chg: J ~ 50•~ n~1 Zoning: ~
Acct Dep: No. af U nits: ~
Permit Fea IA.00 od
Surcharge: pd I agree to comply with lhe City ot Eagan
Tr. Plant 7a4. C~0 p~ Ordlnances.
Meter. b 1. -+t! ,
t~.~cV ?E,~Iti~''~`
Misc,: ~ gy
WATER SERVICE PERMIT
` CITY ~F EAGAN Permit No: Date: 1'~-Ia-F8
~ 3$30 Pilot Knob Road Meter No: Size:
P.O. Box 21199 'Reader No: Date:
j Eayan, MN 55121 ~
i Z.~ci,r-::n ~,r.ar. , ~
i Owner. Slater P.o L9 B2 C ~~i $e A~ r
Site Address:
Plumber. b K R- i1¢
~
~ `i 5 ~ . ~~)t,si onin
Conn. Chg: 9= 1
Acct Dep: ~ s•~~~'`~ o. of Units:
~ Permit Fee: IO .0~ ~d
' Surcharge: • 5'- ~ 1 ayree to comply with ihe City of Eagan
i Tr. Plant 2~~ •~4p~ Ordfnances.
` Meter. ~7 '
~ .
' Misc.: -.r~ ~'--Tnr~ By
WATER SEFiVICE PERMIT
- . .
CITY.O.€`~AGAN PermitNo: L~~l Date: g~-~~8$
38~f0'Pilot Knob Rosd Q/P No: Date: ~
P.O. Box 21189 " ~
Eagan, MN 55121
Owner. '•ach~sn Broe.
SiteAddress: Slater Roa~! L9 B2 Ci~~!~asuc?i Ttic'.~e ?.II
Plumber. Ft ~ K Rea`~inR ~
MWCC: ~ 50:00~ Z~ing~ i 1
City Chg: ' No. of Units:
. ?
Acct Dep: , p~ . I agree to comply with the City of Eagan
Permit Fee: . Ordtnances.
Surcharge:
MISC.: ~T'T~ 'rr~;T; rt*+r~ ~
SEWER SERVICE PERMIT
~ CITY 7F EAGAN Permit No: a'`' ~ i
383a !'ilo! Knob Road Meter No:
~O. Box 21199 Reader No: G
Eagan, MN 55121
~.c'.:^,~.,: R~'O.^,. / I
Owner. '
Site Address: t er ac L L i namon
Plumber K '~"s° tin ~
SSO.DOpd ' ~
Conn. Chg: Zo ~ng: !
Acct Dep: 15 .~d No. of Units: s ~
Permit Fea i~ . 00 d ,
Surcharge: • 5~ ~ I agree to ccmply with ihe City ol Eagan
Tr.Plant 20+.QOpd Ordinances.
Meter. 67 - ~fl~
~ MisC.: P~;l~ r.h.~~~*7- gy I
~ WATER SERVICE PERMIT
CITY OF EAGAN
- 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55721 N~ 15653
' ~ PHONE:454-8700 ~r~~G/
BUILDING PERMIT Receipt# /
To be used for SF DWG/GAR Est. Value $69, 000 Date SEPTEMBER 27 g 88
Site Address 4447 SLATER RD OPFICE USE ONLY
Lot 9 Block 2 Sec/Sub. CINNAMON RIDGE 3 O~SiteSewage _ Occupancy R-3 M-1
MWCC System ~3
_ Zoning P~
Parcel No.
On Site Well _ (ACtuap Const V-N
City Water ~ (Allowable) V-N
a Name ZACHMAN BROTHERS CONSTRUCTION
W PRV Required ~ # of Stories
~ Address 4620 W 77TH ST SUITE 104
; Booster Pump Lengih 48'
° City EDINA Phone_ 893-0755 -
Depth ZA~
. p Name SAME S.F.7otal
~a Address FootprintS.F.
~ Ci~y Phone APPROVALS FEES
~ a Engr./ASSess. Permit 450.00
`W Name planner Surcharge 3~+.50
'z~ Address
City Phone Councii Plan Review 225.00
aw
Bldg. Ofl. SAC, City 100.0~
I hereby acknowledge Ihat I read this applicati stat at the Variance SAC, MWCC _$50.00
information is correct a comply w~ I lic State of Water Conn. ~OQ
MinnesotaStatutesa Cit of anOrdin nc
WaterMeter 67-00
Signature of Permiltee Roatl Unit ~.2 S~n
A Building Permit is issued to: ZA_CHMAN BROTkIE$$S.ONST- Treatment P1 904_ 00
on ihe express cond ition tha~ all work shall be done in accordance with all
applicable State of Minnesota Statutes antl City o~ Eagan Ordinances. Parks
Building Official TOTAL Z, 505.50
-~i-f1~-~`~~
This re4
18 monlhs ~
E 3 914 ; g~ ~ ~
Repvesl I]ate ' Pire No. Noueh-i i Insper,[ion
He u~red7 ~Ready Now~Will Notify Ins~eo
6^' 6' ~ es ?NO lor Whnn Pendy
~~.icensed Electrical Contnctor I herebV reQUest inspection ol ebov¢
Owner electrical wark ins~alled et
Sveel AAdress. Boz or Howe No. ^ Giy
~ ~
ection o Township Name or No. flange No. County ~n
GC r' ry a- t
Occupant (PNINT) Phmie No.
ZIFC As~+ ,B/1o7N~'c/t-S SrP3 -G?s
Power SuoVlier Atldress
Elec[ri~al Conlrac[or ICompany Nama) C~~~rtrac~or's Liccnse No.
~ E'~.~:~- DYo s/~-3
Mailinp Address ~CONracmr or Owner Makinp Ins[xila[ionl
ll6 ar~.c
Authorized Sipnawre ICOnvacmdOwner Makine ~ns~alla i n) Phone mber
~ ~'`Jo S'S
M~NNE50 STATE BOARD OF ELE ICITV THIS INSPECTION REUUEST WILI NOT
GrigBe•Midwav B~dg. - Room N-191 BE ACCEPTEO BY THE STATE BOARD
MN 55704 UNLESS PNOPEN INSPECTION FEE IS
1821 Uniwrsi~v Ave.. SL Peul, ENCLOSED.
cw,...e iwfoi aaznann
9~/^7~8~ REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
~ See instructians br completing this form on back af yellow copv.
E~~ 914 2 ~~X Be~oW Work Covered by Ihis Request
HAtl Nep. . iVOe of Builainy Appliancaa w~.ae Equiumen~ Wired
Home Range Tein~wrary Service
~ Duplex Water Heater Liyhtiny Fixtures
Apt. BuilAing Dryer Electric HeaUn
Commercial 81dy. Fumace Silu Unloader
Industrial 81dg. Air Conditioner dulk Milk TanR
Farm ou,r~ oP~_~ v oino~ iso„~,~ivl
~,P. ue~~ v m~, om~,
ompute Mspection Fee Below
N Fee ServiceEntrenw5ize k Fae Feaders~5ubieeders N Fee Circults
U to 200 qm s 0 to 30 qm s ~ ~ m 30 Am s
Above 200 q~nps 37 to 100 Amps 'p 31 to 100 Am
Swimming Pool Above 100_Amps Above 100_Am s
Transtormers Irrigation Booms Partial-"Other Fee
Signs Special Inspection
S L!3 S TOTA FEE
Ae~*w rks ~
RouBh-in ~/'/~~e ~ I, the EI cal
' 7 ~ ~ry ~ Inspacbq hera6y
~ cerlity ehe~ the a~ova
Final ~"t nspection has baen
? ~.~J~' matla.
TMS fepuasl vo1018 moniRa Irom
~o/ali/9o fs 9'll~~LO
~ 57224 ~ ~ ~/5
Request Date ire No. Roug~~in Irvapeclion
~ O RequireA? ~,Aeatly Now ? Will Notity Inspector
~ ? Ves No ~ ~ When Reatly?
I~I licensed contrector ? owner hereby request inspection of above electrical work at~
Job Adaress ($Uee1. BoK or Route No.) ~ City
"1, S.-~~Z (Lj~ ~Ac' A ~
Section No. Towrehip Nema or No. Range No. Counry
~AK
OtcuQant (PRINn ~a Phone No.
r.~ ~l ~ ~JT'~~/~7J
Power Supplier Adtlress `
t.l~~...~f~~ N ~~y
EleUncal Copiractor (Compeny Name) Cantractork License No.
~ W ~ ~i.-~e. T ti(p.
Mallirg Atltlrass ( Vactar or Owner M' g Instellafion)
i~Sgl' Q~ ~L 1 ~i'11~, ~ ~Anl ' 55~~
M~ttw ~ ~ ature (Corn ner aki eilaHOn) Plwne Number
~
MINNESOTA STA7E 80pP ELEC7RICT' THIS INSPECTION REOUEST WILL NOT
Grigga-Mitlwey BWg. - Noom S719 6E ACCEPTED BY THE STATE 90ARD
1841 Unroereity Ava., Sl Paul, NN 5510C UNLESS PROPER INSPECTION FEE IS
~ Pha~e (612) 802-0800 ENCIOSE~.
j~Q REQUEST FOR ELECTRICAL INSPECTION es~aoooio~
~ Sae instycfqns for completiitg ~his form on back at yelbw Copy. 9ry~
5 7 2 2 4! 'X" Below Work Covered by This Request
e AdC Rep. 'n Typeof8uilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Oryer Other (Specify)
Comm.llndusirial Furnace
~ Farm Air Cond'Rioner
Olfier (speclM Co Vaclor5 Femarks:
CorApute lnspection Fee Be/ow:
# Other Fee # ServiceEntrenceS¢e Fea # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to ta0 Amps ~
Tfans(ortner5 AboVe 200 _ Amps Ahove 100 _ Amps
Signs ~nspeaorg Use oniy: , ~ TO
~
~ ~
Irrigation Booms / `
Special Inspection
Alarm/Communication
O~her Fee ` .70
I, the Electrical In' or, hereby Rough-in oaie
r
certity that the above inspection has F;nai
been made. ' ~~a
OFFICE USE ONIY
TTis requesl wk 18 monihs hom
~ ~~1.~r~ ~o~~~ ~
v~
zoo~ RESIDENTIAL MECHANICAL rExMIT ArPLicaTrorr
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone ~ 651-67~-5675
Please comptete for: single family d~vellings & townhomes/condos wher permits are required for ezch unit ,
Da[e t~a ~~j
SiteAddress ~~4~ ~J~~/LTI._r. R°ad . Unit# -
Property Owner ~ ~ ~~J~ ~I ~ 7'elephone # ( ~ ~ ) ~lD-I' ~j0 ~
~ j
Contractor ' ~T ~C~~~~ e~~ ~~~lY ~t~l (~~7~Lli
T~~~ i
Street Address ~O `'t ( i ( c~~'~ !~i"~ i~7'` City - ~~"~-`L! ~ ~
c
p ~;L~_ p ) ,''x_ l~~ _
State Zi ~`~I~ .L~ "Tele hone# r ~
Sand X: Expires: .
/
The Applicant is _ Owner ~ Co~tractor _ Other
Fire repnir (replace burned out ~ppliances, ductwork, etc.) $ 90.00
This fee applies when exiensive mechanical repairs are made to a building.
Add-on or al[eration [o esis[ing dwelling unit 5 50.00
furnace _Additional Y Replacement _ New
ZS
air exchanger
air conditioner
heat pump
~ other
State Surcharge ~ $ .50
Total ~ ~ -y[1-~-~J~J
] hereby apply for a Residzntial Mechanical Pennit aad acknowledge that the information is complete and a n~ I~' t F~e ~o~v~ D
be in confortnance with the ordinances and codes of the City of Eagan and with [he Mechanical Codes; tha I~ n ersfan~-[}us ~s not a
permi[, but only an application for a permit, and work is not ro start without a permit; that the work will i~darcl~WW~~t~e
approved plan in the case of work which requires a review and approval of plans.
Applicant' rinted Name Appl' an s i nature
vny•~n5~'[.
+ f~ fl • 4 0•u~
+iiq•5l~ ?
+f,~•L9
+nn•O55
+nn•ns~
+nn•~o4. .
+nn•ycl .
+05•~£ .
+[~o • o5v
-•o
~ . . r~
l
' ~ '::8 ~'.~Ii.!):'::} Pc:?ii;~T APF'..il'?.I'i.0:~ - f:i'iY OF El!iAN
' - .
SIP7GLE FAMILY DWELLINGS I,g 3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNEA LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUZLDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 0 OF UNITS
i~IC~UDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.~
t SET OF ENERGY CALCULATIONS
COi•2'iEACIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ~~p ~ o»~e
Single-Family Valuation: ~te~ 9~20/$$
To Be Used For:
Site Address 444J Siara,- Rnarl G~ ~p- OFFICE USE ONLY
Lot 9 Block 2 On site sewage_ Occupancy -R
3 M_I
MWCC system ~ 2oning ~
Parcel/Sub Ciifamon x+dgP ~ra On site well Actual Const V-N
City water Allowable V-N
Owner Zachman Bros Cnn~rr,~rr;,,,, PRV required ? 9 of stories
Booster Pump _ Length L/8=o"
Address 4620 W 77th St. S,,;rP ioa ~ Depth :~7-6"
S.F. Total
City/Zip Code ~Edina Mn. 554'~5 Footprint S.F.
Phone 893-0755 ~ APPRODALS ~ ~
Contractor Same as above. Engr/Assess Permit $d,v0
Planner Surcharge 3y,5p
Address Same as above. Council G Plan Review 2.~, $,00
Bldg. Off.'I~'] SAC~ City IDO~Oo
City/Z1p Code Same as above. Pariance SAC~ MWCC 55~, Oo
Water Conn 550, o0
Phone Same as above~_ _ . Water Meter 6~,oc~
Road Onit ' 3ZS,o0
Arch./Engr. Saine as above. . 1~eatment P1 20 ,po
Parks
Address Same as above. Copies
, . TOTAL ZSO~-0
City/Zip Code Same as above. ~ ~
I Phone 0 Same as above: `
~ ,
~ _ - .~.._.~._.._._..._._.......o._~,..~.__
! l/L1 l, l.l a`C 1 u f~\ ' ~
~AR~'C~C .;°a ,
. . ~
zzX2~ =ti8u
X !o = yc~
3 x 3~~~ ~ (/o,
s,`i xly. ~ll~~
t3sm r
xa6~
7x3'~Z~ a y
I'~z x 12 ~/z ~ I 8
r]1 ~ X/3 = ~f 33~1
F-lousc-
~/o X ~2~ _ ,oyo
l~~z~12'~2~- ~g
~ose X ~Iq = 51842
G~
~ ~ ~ j t-_ ~ ~ i"_ ' ' .
, , I ! ~ ti.,'..
r ~ i ,
~ ~ L-: l~' t~: i..
• , .
~ I:i:1~l:R]9R E:7V1:LOi'li i1VFlt•lGE •~U•~ C(~:~11'UST~7'10:) ~ .
71620 :•'est 77 th St. Fi3ina, :4n. '
.:~:!:R----- Z°.C!~{AN E30S. CO?vSTRUCTION C0. - - -
~LOGK~ Cinnamor~ I~~~Q+3r~
,~•rr ~,r.~rrss L.or 9
893 - 0855
ZACHIAN &t05 CO~vSTRUCTION DA'rE G~3___ P~~~~'E -
,
:p,~',9 J~CTOR -
• Dclcrmine ~:o~'king squarc footagc of each_
~ ~ ,~y~'__5q. rt. x .ii - ~/9S,SS
'iotal cr.posed r:all arca -
/2 sq. ft. x .026 - `_Z 3 . 7
y, Total roof/cciling area
- ~6'. /S
A. Tot~l wall ~rindo-.a arca. . . . - - • " • ' - . . . . 7• 7~ -
'
R. Total door area O.D-
C. Total slidiag 91ass door aiea
n. To:.al fi~epl.:ce ~:ull ar.ea ,~S 0 9
g, Total wall fra~iny area (averzae 102):.:::~::~:-
F. Total Rim ~oist arca....... • _ /2 /S- 77
r' iotal t:et ~~all area above fioor. -
• Total exo~seo ~ou~dation a=ea - $ a. °
O -
Total fccn9stion k:~doa areH_..•--•----•-•--•--• .
Z. Total r°t Fo~T~~ation ~rea above gr~de_..._...._. $ O, o_
. Determine "U" value o~ each wall se5^.~ent.
. a. / o y. /S-x .~u~ .47 = Sl• 3 a
b. 37 7 x _ . i37 = _S, ( G ^ _
o X ..U.. .55 = Z~o
.
. ~ X - _
• ~ 3S ~ y .OS = ( 0 . ~D
e. -
' f. / ~ p o X.r~.~ . 0446 = 7•/3 f
I 2/s. ~ x:,~.. .ou~~ = s~. 9 y
g'-----~
. h._- f x _ SS - _ ' -
$ o, a a.~~~~ ,Ol~ s ~ I. O
d
i • - .
~ 1 ~ 77 ~ 7/ -
....................T~t,~ [_iss-~~ ~K
3,,..~.........• c - -
Tf it~,m h3 ic. t'.~c s:unc as~ ur lc_:, lhau iCcia fll, you L~e~: nsl Chc ~ntcnt of
: NC GOPG (c)'-. -
.
• ~ i.il' •
t ` .
9 /
Total cxposcd roof/ccilin9 •~rca =
• r O` .
j. 7'otal skylioht .rca ~ _
Y.. ?ot~l rwf/cci lirg frami ng a:ca (av~ r. yc 10 9~
- zo~_~
1, Total nct insulatrd roof/cciling ~rc~~.-_....
pcter~niue "U" ~iliie for e.ich roof/ceiling segment.
' X .50 =
7• -
2_,~(2
Y._~ Z, a .,U., _ 0~2 = _
. 1. ~5 2 G,!j' X., 02$ Z O. S 2
O,~j
..............Total = 2 3 . ~~f'~
4 .
If t~tal of ,°-4 is the sane as, or less than ~2~ yov have ..-•2t t~e intent of
SBC G005(c)i-
Altern~te 3uilding Envelope D~sign
..ctablis?ied '-t._ '
' thc ~~aluPs
~ total er.velopc sj•sten n~eU~od, and g2.
To u:.-1iz.. tiie } Ll~e sum oT ~t~.rs ~:i
~3 `.,3 r-; s,.~li T.DL be greater
cu:, of itEr.~ -
+ 2_ _
- 1- -
~ ~ ' + 4 _
3. -
, . -
• ' .
, .
~ .
; :
. i _ 4> L:~L e
- ~ ):(YJI' /C 1'1 L I C . •
~ .r~~ • ]i=V_~liiC .
i~ C~nr.t~:uct:io» (Uce fot Item L)
- -
1, Intcr.ior ,ir film ` 0.G1
~ i~~ r~ ~ 2. 57&`~ Gvp.-Board -~9
~.~~~~.y,.c~ _ ~ ~11 3. -30 z-~~ ~e1Su7ose'~on~,---=---3-,3:00'
J- tfi i T;1 ~1, 1
/~i11I~lI~II f~l`~LII~~~~~~~1~{I~~ 4. T:i:lL`YSGY :~11' 11IIn (::t:i)1) n.7i1
~ % ~ ' Towl 39.oi
~~._I , ,~t-~i~~l~! ~~11
'V'i;:I • • ------f' U = 0~5
~
4~ Z .
crc;. Fr~~~a!r.r,iuse for rtcm K) ~
ted llc~[ flow . -
f• 1_ Int~rior 7~ir film 0.61
D~- u p
2. 5/$" Gyp. &~ard .69
_ " 1 4_~
- 3. Incli^s soft ~:ood 3 z°
FIG. u5 ~ . q. Inches insul ~bove framina 6 z° 24•98
5. l~ir Film 0. Gl
- - ~ 3 at-~1 31.27
- - - .,,.~.r_~<3~ • - U = .o3z -
"'ti '
- s~ r"'''
~ ~ 1. Interic,r ~ir fil.-.~ 0.61
_ 2'
~ r r.`+,;~t . .
~;;l,~i~~~,~~Q)~;I~,~~~(~~ . 3- ~
J`~_,~1.~,;~ l'~.: q. Exterior air :ilm (still) O.Gl
-~.~.~aL__.~_--- -+'-=---r -
. . Total
. 1 2 I 121 l;_ - . -
~ ~ ~J -
?enC :loc~ up , - ven[ed ' ~ '
PIG. ~6 . . - . , „
. . - ' - - • _ .
/ ~ ~
~ ~ „ 1.' 7n:i~'c .~ir fiLu 0_61_
~ 2.
• ~~~;5'~~..'...•..::.:•:; .
~ •~1l~~' ` : •
.a.iC~-!.~~~l• ~~r" / Q. - ~
' ~ ~ ~
_,l:`t: ~ i; • ~ • 5. Out_idc ai~_f.il:n O.17_
~ ~ • •tcl;,l
=:r::~%/ ~ - .
-i~ , ~
~ ~t'~` . -
~
~ • l:otc: L~::c :~:1:liL-Son~l sh.at5 it ~nura: ~~~•:e:c i:.
• }:0::-\'i:::fc'.D
. ' ~::~cdc:l fnr drt~iL•: ~n~l c:~lcn?:~tion.^..
_ . ' : . lianC ~ ~ • - • ~
il.•v ~p
, - , ~ , i'. ; . .
' 4 , _'j
~ C E L: 4,! L:~ 't' 9
r:1~l.i. :~I
(:T+~_ ~S • .
- u^ ~all ai•~a for r_=V,luc
G:-~• l~ti i~L c•~~ i Cnn;:tru~_fion
Ira:,~ ~u~,a~r„ci.ivn J o C3
~ __---~J 1. ~i>>_~;` i or :,i r f i 7 m-
- lJ,--~ yp• 3oard.
z _ --_T ~
7 ^ 2. 32~-~t.~: ~otr. ~.~nnA
~
~ ----~y 3~ Tnermax Sheathin _
3 9' ~7 fiardboard Siding -b~
`
i~~ : 5 • = O . ] 7
6, F.~tcrior. iir film
, . z•~t~i 12.35
~C U - ,OS
LL • . •
' , 1- . . -
~ .TOYVIti:~ OF _ 0. GS .
£IG. Ir1 . 1. Intcrior .~ir f:i.lm .45
~t},n;S£ S:TLL . 2_ z n ~yQ, Board . -
. 3. R- 1 lass Patts 13'.00
'fherreax Sheatliing_ 6,00
' 4. 3 " 6z '
, _1~ , . 5 7~
6 Iiardboard SidinP
0.77
6. y;~tcrior. air filn
l ~-a Total 20.97
. !>--1 ' U = .0477
FIG. $2 .
1
Interior air filn i3_00
. ~ ~~.Y..~----'~ • . 1. 0.68
R - 13 Fiberglass Batts
~°r ~ Z~ F2im Jst. Sofftwood 1_~
' .00
~ ---Qi 3~ 3 ^ Thermax Sheathing .67
~y^- V~ 11~ _ 4. 1~~ Hardboard Siding
~i~ ~.--(1 5. ~ - - p. i7
~S";,L=~(r'~ ~~-i r~~~ ~ o. Er.terior air ;:ilm
,5~~e1 ~,-~~~~i -r'__~ fl 7'otzl 22.40
_~j._~
17~_--1' ~ ~ II l,_.~~-v U = .0446
~l r i^ r: . ' ' -
l~ l~-_~___._-- ~
~ ~ 1 z.--,- --o , o.
t~%-''• P I • 1. Intcrior air f'lm 00
- 2. i~ Thermax Sheathing
1~ .
/ 1 ~ 1.11
I~~ . . A ° » ---u 3. • Conc. -
=?.TIGL] f~' • d ' ~ , • 4. _
i. .
ta. k~~ •d•~'v' s. _ . o.i~
~ _ . • } rterior ~ar ilm
I4~ ,r• • ~_:i Tctal 7. 9
. ~~L1----~~-'" . - • • _ . .U - . O(2S -
~ SLI+B Ol~ C ~%,nE . .
' ~ ~ [1~r~ /(f K 6• „ • ` 'a ' ~t~ •
~ ~ , • ~t~. - , _
! ~Rn, ` 1((/_(~ '•v•~ • 6•:•••'
• u J ~
p•` • % ' /l~ I(~ ~ . . ~ ' .~l~ f .
. ~~I • T7G. CQ /(t , .R• , ~ ~ i!!~=' /
~ ~ _ , ,
~ i 1 ~ ~ ` ~ / /
• _ - ~
~i.:. p3 .r. , f
_ ~i~ : ~ir
I7' ' " vi]~u~ d~~nt.li and
',~1 ~ tlOili: L~cli~~:~l'ae t.)•~~~=: ~ •
~___u • •
~ -
' _
SUBTERRANEAN ENGINEERING C4P~.
7415 WAYZATA BLVD. vnone sae-sese
• •;e•t•• D11TE
MINNEAPOLIS, MINNESOTA 55426 ~~7~~~yJ
EARTH WORK OBSERVATION REPORT
OBSERVED
Job Name li~.~wa.« ~ ~
R~'Z_._.3 Job No..'r EXCAVATION~
Job Location R/- ~ 77a Ea'~.. , ~n~ ~ Lot
Earthwork Block
Contrector A-L vP• [;on~{' Cdlient ~~~!~~°!T`~~ Plat
Arriva Job ~~I~ Mileage ~r~"'~~f FILL PLACEMENT~
rotei ~~M
Deoart Job ~¢SP Travel Time Chargeabie ~ot ~ ~
Houra ~ - - -
Total Hours Lab. Tfine ~a ~ Eng'r p~at k 3"~____
On Jo6 ~ Report Time 1 Revlew Time -
Summary of Technlcal and /or Engineerin9 Servlces pertormed Includin9 Fleld Test Data, Locationa,
Elevationa, and Deoths are estimatad. TklE I.IMITATION OF LIABILlTY STATEkAENTS ON TNE REVERSE
SIDE OF THE COMPACTION QUALITY CONTROL TES7 REPORT CONSTITUTE AN INTEGRAL PART HEREOF.
feet deeP . - - - -
, .
~ ~ CERTIFiCATE
i.~~~ ,.:.2c~, Enc. ~._~..--.,-r-.~.
. O C Engineering
. . ~ ~ r - ~ land Surveyi~g
FO80 wauace Poed . -
Oen Pra~~'~e, M~~nnesma 553aI " S U RV EY ~ ~ Landscape Archilecture
~3'i°'-+.76"~`}l. ~ : - s_ - _ . . ~ Plannfnq .
mix~ea...x~z SII:7 F~2'a~: :_r'
°oy'1D Bk. ~/86 pg. ~!O
2AGl~ fMAtJ g~D S Job No.
Survey tor
fJ OR.T F-1
SGALE'.~~=30~ ^
qlli .
O
k~ ~ ~ ~~9n G1.
. 'i N~ ~'q 9~ 91~ ~ ' \ ~D1E'. V~.pJF~ ~7EQJI(E ELEU.
~ ~ ~ Fi~(9P~ FDOT~ula CdnIS"fQJL11D1,I.
. ! ' 3q, ~0'l. o •DO
gt° ° ~ ~
~q~ ,a yy.t q~e• ~ l: B 91rnm~e
ti~u 'A ~ ~6
~~6 ' . ~p yS06~~,p~~, S
9/$. / '$i10.o ya v~'rlG
\ i"'~~ ~ OG p •0 9~04iv~ ~
3 z S ~ 16,p
I e' -
9i9~
\ E~ r)
y s .~~yi9~ i.ti c~ G9 ~g,:. aa`' N
9~0 / ~p\ ~ s~.5 Q ~ ~qiapl¢~
~ d q" 1.'~ 9. ~ 919 b
~ ~ / \ 2 0 ~ ~ !e. y
~~`ti
s
~,T , ~ ~9 , g18 y , qa ~i
y~ ~,zo;ti
~ , A0~
~ HSE
aQ ~ \ f ~o
~ :/J
S yn.~c
~
r
n y
~ ' Y ~ +.w ~ ~ JF~ Y~ •wS\
~ ~
_f~ ~ (J p o
~ z-~
: ~ N a ~ a W~ o ~ ~ ad=b '~"~J p ~ ~ ~
, r _=,i!`? i7EPT
,L~r,i~ ~ ~_.i
P,2caPOSEO 6LEVL~TIpNS XXX - o~No7E5 EX~ST/NG ELEVATIoN
L.oWE57 F~~~'- 9~5.58 VERIFY ~XXX~ - ~ENOTFS PROPOSEO~G6YAT/a~
G-,A/~AGE Fcooz- 9/9~z5 ~-OENoTES 0/,C'EC71oFl c~-FLoW
Ta~ o~ FouNo,a~r/oN- 9/9 s8 ~RFA~E ~2AINAGE •
LoT 9 ~ 6~.o~IC 'Z
I HEREBY CERTIFY THATTHIS IS ATRUE AND CO~RpRECT REPRESENTATION OFTHE BOUNOA~R~IE~STF~ CQ N Y, MINNESOTA.
GI1JtJAWION fZlO(oE 3.- ADO1T1o~.1 ,
~STy DAY OF ~P7EMBE~L ,19 Sg ~
SURVEYED BY ME THIS
R ALD L. KR EGER
STATE RE615TMTION NO. 1,37~
-
THESE LIMITATION OF LIA9ILITY 57ATEMENTS SHOULD BE
CONSIDERED TO BE AN INTEGRAL PAR7 OF THIS REPORT:
I. In perForming our profeuionel sarvices wifh regard fo earthwork inspeefion and queFfy
wntrol, our findings will be obfeined and our reeommenda+ions mede, in accordanea
with generelly aeeepfed engineering principles and preetiees. We will observe, monitor
end tert +his work, and may edvise or make recommendafions, bu+ we ere not guersrrton.
This werron}y i: in lieu of ell other werran+ies eifher ezpreuad or implied.
2. Subferrsnasn Engineering Inc. does not prscFice in }he field of lend surveying, end
is nof rosponsible for fhe aeeurecy of grade stakes and/or 6uilding locafion sFakes a}
this jobsite. There musF be edequafe wnsfruction sta~es, elearly marked, to enabls our
wil irnpee+or to properly essess 4he excevation. We will not be responsible for any hsrm-
ful eonsequenees resuRing from improper or incorced wnstruction s+aking,
3. The field densify tesf da+a preserded with fhis reporF reprete~s fihe velues af per-
ticlar Iocelized poinfs wifhin +ha eerfhwork. Aihough +his is believed }o be fairly repre-
san+etive of fha wndition of the fill pkced and wmpaeted on ihis defe, conditieru ef
ofher loea4ions erd elevetiona in 4he fiill mey vary, end we do not wanan} or guerantas
uniform fill deruitias.
4. We cenno} certify, eifhar expreuly or by impliu+ion, fhe quelity of erry work on lhis
projecF which we did not heve 4he opporFunify }o observa ef fin#-~hend. Impeefien of fhis
earthwark projee+ a+ ircegular infervak does no1 permi} tha inspecMr to essass fhe full
scope of fhe eontraetor's ectivities.
5. If +he s}ruefura is redesigned in sisa end shepe, or if if is otherwise movsd subsequa~
to our inspaction, we should be notified so 4het we un assau if additionel inspection
work is requirod, or suggest wund anginaering ekernetives. We are no# rasporoib~s
for eny soil•foundetion sys+am where the sfruc+ure hes been reloceted wi+h rospeef }o
e:wvation and fill erea, su6sequer~t to our inspedion.
, .
SUBTERRANEAN ENGINEERING ('Q~,
~~°1~~"' MINNEAPOLIS, MINNESOTA PHONE 546-6938
COMPACTION QUALITY CONTROL TESTS
ProjeCt Cinnamon Ridge 3rd Addition Report No. 68 _
Cliff Rd. and Hwy. 77, Eagan JOb No. 5-8134
Sand Cone Method ~ Indicated Percent Compaction: ASTM
Nuclear ? Max. Modified Proctor Dry Density D-1557
Other ? Max. Standard Proctor Dry Density D-698
ELEV. AND/OR
DEPTH BELOW ~yet DensN
Y Dry Density Maximum
0018 Test FOO11n Of Tolal MOISTURE Laborotory % RECOMMENDATIONS REMARKS
Flaor Grade ( Correcled
N0. Desi n Grode Sample CONTENT p`y p~~yi~y Compaction
For Sfone)
Fill Surfate IncludingStone) % pcf
-2 3/4'
Sept.13 355 916' 138.2 8.1 127.9 133.8 95.6 Meets specs.
-2 3/4'
" 356 916' 139.0 6.7 130.2 133.8 97.3 "
NOTES~ I.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLE.
2.) APPROXIMATE DENSITY TEST LOCATIONS ARE SHOWN BELOW .
~ ~
~56
~~~ck , 3
~ ,o~,r~~r
~ g
~ v
~
~ +
~
~
s f
, , _
• APFLI~ATION ~OR PERMIT ~ ~~E~ pAY~7r OF FEE AT TI.'~ OF
' APPLICATION DOFS N07' CON-
. i
* STI7(11'E APPROVAL OF PIItMIT. ~
~{'~jL=L~,:'~'',,.;~ SEWER AND/OR WATER CONNECTION ; I~~~ aF ~~~ox wa~a *
~•l..si.t, ~ t IIISTWATIOKS WIIJ. DAT BE ~'mn.cn ~
' ' ~ [.'Nl'IL PII2MIT HAS HEFS7 APPROVFD.
~ ##>f4lkt#ffftt#~th4ltfff##i~111f f~ttfi
`S > .
~G~~ ~t~C~C'~~
(PLEASE PRINT
1) PROPII2TY ADDRESS: 4N~f 7 SI~~~^ E~D
T.FY:AT DFSQtIPTION' _ 9 Z '
~Lot Bloc~c Subdivision or Tax Parcel ID )
IF EXISTING STRL'CTURE, DATE CF ORIGINAL BLILDING PERMIT ISSLANCE:
(iNOnt Year
PRESENT ZONING/PROPOSID liSE:
Q COfM'lEf2CIAL/RETAIL/OFFICE I~R-1 SINGLE FAMILY
Q INDC'STRIAL ~ R-2 DL'PLEX (3WO Cnits)
Q INSTIT[iTIONAL/GOVERNNIENT Q R-3 ~WNHOL~SE (Three + Dnits) ( Onits)
~ R-4 APARTMENT/CODIDONIINIUM ( C'nits)
2~ Zr4c.~i m.v ~rdt G°ors ~
anDxESS: ~f<oo20 ~ue~f- 77riS~ l0`/
CITY, STATE, ZIP: vKi-
PHONE: ~I :.7~ (~?,5,~
For City Use
3) '~'-~'~+a NAN1E= ~~rl~ll01.~~'I.. ~~e~ ~.`'tiL. Plu[nbers
License:
ADDRESS: Active
S24o ~.s~,lar+-, G,. ,v.
Expired
CITY, STATE, ZZP: /1%p~J~ ~~C, Not recordec
PHONE: [~Ci3_ ~.~75~ MASTER LICENSE a06~~ St Ia
n~itial
4) e~, o
NAME: ~'1lw.~ ~21
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) n W..~. .t ae
~EONNECTION TO CITY SEWER Q~ff)NNECTION Tt~ CITY WATER O QTfIER
6 ) ~ t.t/.GSV.~ /~JPJlL~i~--~ ~ ' y / ~ ~7-tl ~
******.*********,t**********r~~***,~+~~****+*~*******~***,r+**+**:r*.,**~++*+**~***+******+**x~x***~+~***>
*
* THE GOID COPY OF THE PIItMIT WIIS, BE SENr DIREX.TLY 7~0 PLBLIC WORKS 70 FACILITATE METER PICK-UP. ;
*k PLEASE N~IA~W Z4~0 WORICING DAYS FOR PROCESSING. SONIIJONE FROM Tf~ CITY WILL COKfALT Y00 IF TEIERE ;
* ARE ANY PROBL,EMS. ;
~*******,t:t,t****t,t**:rx*+*,r**x*t:****t~,t~****,t+**~*+**,~~~r***~**,t,t*****+,r*t+*~**,r**+***r***t*,t*x****,~;
~OR CITV USE ~NLV ~ ' . .
PERMIT ISSDED
~ I~11~ -C
Pd w/Bldg. Permit FEES:
D
$ $ ~ D S SEWER PERMIT (INCLL'DE SL~RCHARGE)
$ $ / Q WATER PERMIT (INCLUDE SC'RCHARGE)
S ~ ~ ~ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ S WATER TAP (INCLDDE CORPORATION STOP)
~ $ SEWER TAP
$ $ ~ ~ ~ ACCOUNT DEPOSIT - SEWER
!'ZJ
~ $ ACCODNT DEPOSZT - WATER
s s S~ o. S wAc
S ~o S b, S sAc
$ $ TRL~NK WATER ASSESSMENT
$ S TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRCNK WATER
$ 7" ~ $ WATER TREATMENT PLANT SORCHARGE
$ ~ S OTHER:
$ / 't' 7 I S TOTAL
8~ 70 / Sf 9a ~7
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PL'BLIC RIGHT OF WAY?
Q YES IF YES, THELV A"PERMIT FOR WORK 6+IITHIN PL~BLIC
Q ROADWAY" MLST BE ISSL~ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SC~BJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: /
TITLE:
DATE: _ ~~'I ~ J ~
CASH RECEIPT -
. . ~ , '
~ CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
``~i
DATE 19
RECENED
FROM
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& DOLLARS
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FUND 08JECT AMOUNT
Thank You
BY
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~ ' w Whne--Payera Copy
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Pink~Ye Gopy
BLDG. PERMIT NO. ~d ~ ~
; / ; j ' /Ge~.
_ ~ _ ,f f ' ~ ~ ~'W
~ U1-3210 Bldg. Permit Q
01-3422 Plan Check ~ `
01-3445 Surch./Adm.
01-3446 SAC/Adm. ~~D
~ ~l
01-2/~5 Surcharge
75-38fi0 Road Unit ~ J
20-2275 SAG . ~r ~ ~
20-3865 Water Conn. ~ ~ D
20-3868 Water Trmt. ~ ~ ~L
20-3716 Water Meter 0~
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ~ L j
28-3855 Park Ded.
, '~L;d ~
TOTAL
.
.
~ ~ 1 CASF! RECEIPT
~ , ~
CITY C~~ t~?GAN
~ 3830 PILOT KN~B ROAD
~ EAGAN, MINNESOTA 55122
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DATE ~ ~ ~ ~ 19 ~ J
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& DOLLARS
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FUND OBJECT AMOUNT
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Yelbw~Posdrg Copy
PirMc-Fife Copy
November 21, 19$$
ZACHMAN BROS CONST 'J
4620 W 77TH ST. ~ dk104 ~ ~1~~y,~/- ~ ~~~7~`_t~~~ ~~c~., ,
EDINA, MN 55435 Q
RE: 4447 SLATER RD.~ L9, B 2~ CINNAMON RIDGE 3RD
WARNING: BEFORE DIGGING, CALL LOCAL IITILITIES - TELEPHONE, ELECTRIC, G9S,
ETC. - REQIIIRED BY LAW
X Your Sewer and Water Permit for the above property has been completed.
It will be held at the Public Works Garage (3501 Coachman Road) until
the meter is pieked up. BE SURE TO CALL PQBLIC WORBS (454-5220) FOR
YODR PERMANENT WATER TURN ON.
i Your Sewer and Water Permit for the above property cannot be completed
for the following reasons:
_ Your Sewer and Water Permit for the above property has been completed,
however, the meter cannot be issued or occupancy allowed until further
notice.
COIrAfERCIAL PROJECTS ONLY
_ Your Sewer and Water Permit for the above property has been completed.
It will be held at the Publie Works Garage ~3501 Coachman Road) until
the meter is picked up.
Please come to City Hall to pay for whatever size meter you will need
for this project. The size must be confirmed by either our Public Works
Dept. (454-5220) or Bill Adams (Plumbing Inspector - 45~4-8100) before
issuanee.
Sineerely,
~C<--v
Jan Severson
Seeretary
JS
o ~
EATING Ft
PLUMBING, INC.
Heating Air Conditioning Plumbing
6011 LONE OAK ROAD • ROCKFORD, MINNESOTA 55373 •(612) 477-5505
10,27-88
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Permit Application Department,
On 10-11-88 I mailed check number 24288 in the amount of $51.00 for a Sewer
and Water permit ($21.00) plus the Account Deposit ($30.00).
The job address is: 4447 Slater Road.
I was informed today (10-27-88) that we did not get this particular ,~ob.
Please refund the monies sent to you for this permit and account deposit.
Sincerely,
~Lt~~r-~ I.CX~ar~~la-~54~
Susan Albondante
sa
. *ir****##**************Yi******##**##
° ; C1TY OF EAGAiV * ~ ~F~
ap ~~~F *
• • APPROVAL OF PII2NIIT. *
~
APPLICATION FOR PERMIT *
• . * INSPFX.`PZON OF SkS~I2 ADID/OR WA1ER
~ I~L'ATS.A'I'~~ONS WIIS, AXYP SE SQgD- *
q
SEWER AND/OR WATER CONNECTION ~ N~ P~MIT ~ B~ ~
~ ~ • * aPPxovFn. ~
. * *
* »
~ *
.
P ease Print
~ 1) PROPERTY ADDRESS: 4447 Slater Road
LEGAL DESCRIPTION:
, Lot B ock Sub ivision or Tax Parcel ID )
IF EXISTING STRCCIL~RE, DATE OF ORIGINAL BPILDING PERMIT ISSCANCE: .
~
(Nbnt Year
PRESEDTP ZONINGJPROPOSID L'SE:
Q' CONY~I2CIAL/f2ETAIL%OFFICE ~ R-1 SIt~IGI,E FP.MSLY
Q IDIDL'STRZAL ~ R-2 DL'PLEX (Zt„o Units)
~ INSTITLTIONAL/GOVERIa~Nf ~ R-3 ~W[~IIiOLSE (Three + Units) Dnits)
. ~ R-4 APARZP'IIIV'P/COI~IDOMINILTI ( Units )
2) ~ ,
K and K Heating & plumbing, Inr::
~ ADDxESS: 6011 Lone Oak Road
CITY, STATE, ZZp: Rockford, MN 55373
PHONE• 477-5505
3~ y~' ~ NAt~: Same as above For City Use .
Plumbers License:
ADDRFSS: Active
' FScpired
~ CI17, STATE,.ZIP: Not recorded
.
PHONE: - MASTER LICQISE# M2099 St~f~Initlal
4) ~ i~.
ta7,i,G: Zachman Brothers
_ ADDRFSS: 4620 W. 77th Street Suite 104
CITY, STATE, ZIP: Edina, MN 55435
PHONE: 893-0755 .
~5) r v •i r• • a• • a~ - a~
~ CONDIFK.TION ~ CITY SEWEI2 ~ CpNNFX,`PION ~ CITY WATEIt ~ pT'f~R ' .
6~ ~ PLEASE HOLD APPROVID PERMIT'FOR PICK-UP BY ONE OF ABOVE
PLEASE MAIL APPROVID PERMIT TO 1. . 3 4, ABOVE
7) r. r. ~~QN+~ 1 lU~-~CJ~I(~XX~ ~C ~e)//~-~~~C.~"
CJ
. ' • 7• ~ •r ~ • u • r a~ ~ • ^ a i~• . u p a~• . . • • a~ r • ~ ~
~ • i~. ~ : f Y'I• •~tl6~ ~ ~ ~ ~ a• • ~
~ ~ ° :`~OR CITY USE ONLY ~ .
v.,, •
PERMIT # ISSL'ED
C~D T/
Pd w/Bldg. Permit FEES:
$ $ /C 'S~ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ ~U' S~ WATER PERMIT ( INCLC'DE SC~RCHARGE)
$ ~ 7~(J t) $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL~DE CORPORATION STOP)
$ ~ S SEWER TAP
S $ ~S~C~ ACCOC~I~T DEPGSIT - SEWER
$ . S 'lr/~ ACCOUNT DEPOSIT - WATER
$ 5
L Ct7~ $ WAC ~
$ S CJ d'~i $ SAC •
$ $ TRLNK WATER ASSESSMENT
$ $ TRC~NK SEWER ASSESSMENT '
$ $ • LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRDNK WATER
$ v~G $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ ! ~7~' S d tJ TOTAL
77 0~ l i Z-
k~~EiY'1' # RE~EIPT
DOES ti~TILITY CONNECTION REQUIRE EXCRVATION IN PL~BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
~ ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY: ~CS~ p~~,~ ~ '
TITLE:
DATE: /p//~f
- ~
CASH RECEIPT •
~ ~ CITY OF EAGAN
~ ~ 3830 PILOT KNOB ROAD
- EAGAN, MINNESOTA )122 ~
o e Z~ ~s
iscervEO ~ ~~~f
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AMOl1NT $ D (J
8 DOLLARS
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FUND OBJECT AMOUNT
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Thank Yo
N~ 8 819 2 ~"~a"~aY~ ~PY
VHbw-POS6eg Copy
Pink-Flle Copy
_ ~
BEA BLOMOUIST THOMASMEOGES
Y~YOR
~ . CIiY AOMINI51N~i0P
TMpMAS EGAN C1TY OF EAGAN EUGENE VAH OVER9ERE
MARK PAGRANTO Gif CLENK
JAMES r1. SMITM ~ .
TNEODORE WACNTER 3]86 PILOT KNOB ROAO
COUNGIYfMBENS EAGAN. MINNESOTA ~
• \ 9b1t2
~ VHONE ~S~-e100 '
DATE: OCTOBER 8, 1982
_ j'l.
' \y~K!
.r~~ .
SPECIAL'ASSESSh1E,IT SEARCH
Lots 1-28 Block 2
Cinnamon 8idge 3rd Addn
Single Family Cluster .
Enclosed herein is the search which you requested made on the above described property.
Kind of Improvement Runs Beginning Original Amount Balance Due
AONE REQUESTID ¢
I further certify that according to the records of said office, the following improve-
ments are contemplated or pending after having been approved, and are now in the process
• of planning or completion.
Kind of Improvement Approximate date o Completion Approximate cost
UTILITSES SPRINC 1983 3464.00/lot
STREET " 931.00/lot
WAIVER:
Neitlter the City of Eagan nor its employees guarantees the accuracy of the above in-
formation which was requested by the person or persons indicated. Nor does the City
or its employees assume any lia6ility for the correcLness thereof. In consideration
for the supplying of the indicated information in the above form, and for all other
consideration of any nature whatsoever, any claim against the City or its employees
rising there from is hereby expressly waived. Levied assessments to be paid to the
County Treasurer at Hastings, hLN, 55033
Ver Lruly yours, •
/IV''V'~r ~/~ry
YH l0 E~AK~~E THE 3YMBOL OF STRENGTM AND GROWTH IN OUR COMMUNITY.
~ , .
City of Eap
To: File, 4447 Slater Raaf
From: Pamela Dudziak
Date: January 13, 2016
Subject: Front Setback for Staircase and Deck
Nero
Background
The property is zoned PD, and the house is located on a private street cul-de-sac off
Slater Road. The front entry to the house is elevated, requiring a staircase and landing to
access from ground level. The front of the house is set back 20' from the front property
line. Access to the front door is provided via a wood staircase and deck extending 9'
from the front building wall.
The Building Inspector's review of the parcel file did not turn up a permit for the existing
9' deck, and the original house construction had a 4' x 4' landing to the front door.
Issue
A building permit to replace the front steps and deck at the 9' size was initially denied
since the existing 9' deck was built without a permit and was nonconforming. The
homeowner was advised he could replace the deck with a landing that conformed to the
original construction 4' x 4' size, not the enlarged size.
The homeowner argued that the larger deck is needed to get the staircase far enough out
from the wall of the house to avoid interference from the garage roof eaves, and also to
allow room for people to safely stand on the deck landing area and allow for the swing of
the front door.
Conclusion
Upon further review, Planning staff determined that replacement of the non -conforming
9' deck could be allowed based on consideration of the following:
• The PD zoning does afford greater flexibility in the application of setbacks than
straight zoning.
• Section 13.30 Subd. 4-11 of the City Code states "Minimum setback for any
structure from the back of curb shall be ... 20 feet for any dead-end private
street" (setback measured to street curb not property line).
• If the deck were less than 30" above grade, an 8' encroachment into the setback
would be permitted (the proposed encroachment is —4' as measured from the curb
of the private street).
• The stairs and deck are necessary to provide access to the front door.
411111
City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
AUG 2 4 2015
Use BLUE or BLACK Ink
For Office Use
Permit#: 13U 11
Permit Fee: 1 20\ . l0
Date Received: 6 • a L1 -. 1,
Staff: 610
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
CA",-(ifj
Date: Site Address: Unit #:
Winer
Name: P PI 1I pt ( 0 1 e Phone:
t '217--- u:
Address / City / Zip: 1441-V1 :S 'iltAt '-n, lb.( --,17--2-<J
.
'13PP
Applicant is: Owner Contractor
s .
Ype .4: ter
Description of work:' CC.�% Y ..\,,C FC`c ,r111 CSE VI c) �S� Y�
dati1�_e'J� '
'F.V:
4 /a6
vZi v�&c `/L%
Construction Cost: 1 , 0 - 2,000 Multi -Family Building: (Yes / No )
Co
Company: Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt
from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
N T Plans and ng docu , ® ant'# c ail red to o f ° fes
#ion ma m s tfie al , R ® e � o ro i cific reals • f t ou
9
e are{ ecretsr
n Portion
f
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.
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.
x \ CG►€ -
Applicant's Pri ted Name
Applicant's Signature
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition Move Building
_ Alteration Fire Repair
Replace Repair
Retaining Wall
DO NOT WRITE BELOW THIS LINE %-I L{14
Fireplace
Garage
Deck
Lower Level
Interior Improvement
DESCRIPTION
Valuation
Plan Review
(25% 100%)
Census Code
# of Units
# of Buildings
Type of Construction
V{2
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)., "
Footings (Addition)
Foundation
Roof: _Ice & Water Final
Framing
Fireplace: _Rough In _Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
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
Egress Window
_ Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ 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 Suppression Required
Meter Size:
Final / C.O. Required
?+C Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: Rough In _Final
Erosion Control
Other:
, Building Inspector,2j
Page 2 of 3
6080 Wallace Road
Jen Prairie, Minnescte 55340
(812) 934-4242
1==gat
tr:
CERTIFICATE
OF
SURVEY
1.11_11-11 SI al•-tngineering
Land Surveying
Landscape Architecture
... Planning
Survey for: 2AC1-I W\AN 112D S .
Job No. 'o9-70
Bk. 4/86 Pg. y0
Al o2T E -i
SG4t_E: �n=&t7•
iiD1E: M.1N.6EkoICE Euv.
21 FOet: eVrt NIb CONS"f L1ID>J.
INC DEPT P.R.V. REQUIRED
P2oposEo 6LVAT/0/'IS XXX
L=7WEST F[Gto2- 9/S 58 VE21FY (Xxx)
Gr ARA E FLpoe - ••
FCUN5,4T/o V- 9/9.56
- c'eNoTES EX/S?/NG ELEV,4TloN
- DENOTES P2oPosED 6 .EYA77on/
- 17E/VOTES D/RECT/okl c FLOW
of SURF/46E DRAINAc E .
I HEREBY CERTIFY THAT THIS ISA TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF 1—c' -r- 9 a LOL iC 2
CIULIAMOK1 TZ(ObE SRD AOD TIo i DADTA CO'N Y, MINNESOTA.
0 ...•74A............
F ALD L. KRUEGER
STATE REGISTRATION NO. 14374
15TH
SURVEYED BY ME THIS DAY OF 1:).TEM,66R ,19 88
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139880
Date Issued:11/14/2016
Permit Category:ePermit
Site Address: 4447 Slater Rd
Lot:9 Block: 2 Addition: Cinnamon Ridge 3rd
PID:10-17402-02-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Douglas R Mead
4447 Slater Rd
Eagan MN 55122
(612) 310-2773
Kat Construction Llc
8833 79th St
Annandale MN 55302
(320) 266-3455
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172021
Date Issued:09/13/2021
Permit Category:ePermit
Site Address: 4447 Slater Rd
Lot:9 Block: 2 Addition: Cinnamon Ridge 3rd
PID:10-17402-02-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
Douglas R & Nicole L Mead
4447 Slater Rd
Eagan MN 55122
New Exteriors By Sma Inc
P O Box 423
Rogers MN 55374
(763) 315-8900
Applicant/Permitee: Signature Issued By: Signature