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4450 Slater Rd _ ~ . ~ INSPECTI~N REC4RD CITY OF EAGAN PERMIT TYPE: t{` 3830 Pilot Knob Road Permit Number: ~ . Eagan, Minnesota 55122-1897 Date Issued: ' ' ' ~ ~ (612) 681-4675 . . . . SI7E ADDRESS: ~ ~ - ~ ,,r t. , APPLICANT: r• .I qi~Ft R11 I! t,rti`~I; I i t?~fdrlhislk~ i I'rs~! ± E' r~. I i ~ I 1 PERMIT SUBTYPE: TYPE OF WORK: i,~~ i,,~~~t,.~~~ t~ i ~ ~ ~ i i i, , . . :~i~ I ~1i~ ~ ~ ~ ~ Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINRL PLBG FINAL HTG ORSAT TEST BLDG FINA4 ~J_ v BSMT R.I. BSMT FINAL . OECK FTG DECK FINAI , ' CITY OF EAGAN q P 3795 Pilef Kwob ~ioe~ Ee~en, MN SSls2 ta PHONE: ~54-6100 BUILDING PERMIT Receipt # Te b~ w~d Mr 1/'; DUPLEX f~ GAR Est. Value $4~,OCO Dote .Iune 15 , ~q8~ Sit, ,~dd,~u S1aCer Road (Unit E1 Erect ~(,q Occupancy R-~ 5 g~ak 3 ~/S~, _Ciruiamon ~tidge 3rd Alter ? Zoninp ~P;>> R-2 pa~~ # 1'J l,'402 0.70 03' Repoir ? Firo Zone ivA Enlorpe ? Type of Gor~t. V oWc Name ~-achman ~iOi~es, Inc. MOYe ~ # Srories ~ ~ ~d~u 77b0 Mitchell ~oad Demolish ? Length ~4 Ci ~den Prairie pF,~ 5 Y" Grode p Depth 4~ Sq. Ft. s~ Approvols F~es o Name ~ler o'~' /lddress Assessrr+ent Permit 224.50 Water a Sew. Surcher e ~ Cit Police Plon check 139.?.5 ~W Name F{re SAC 525.04 llddross F.~p. Woter Conn. 4 i 0_On ~W p~~ Plonner Water Meter • L'~ Cou~cil Road Unit 250.OQ ( hereby acknowledge that I hove reud this epplication o~d stote that g~~, Off, the information is correct o~d ogree to comply with oll applicobie ^PC T~a~ $1~2~ ~2~ Stote of Minnesoto Statutes and City of Eaqon Ordinonces. Siynoture of Permittea ac n omes, nc. A Building Permit is issued to: on the axpress condlTlon tFxi~ all work shall be done in accordance with oll oppliooble State of Akinnesoto St~uttRS o~d City of Eayan Ordinonus. Buildinp Officiol P~rmit No. Permit Holder Misc. Permit No. Holder Plumbin9 3W ~j 3 Q~Z ` qy~ ~7- 2~ H.V.A.C. 3 ~ VIG G('~ l E r t t ~ I Well Wat~r o~. s.~.. E~~•~~ we~oy~4~l ~reK.E ~(tc. p-~-83 - L1 FAt~ l3 1 ~1~~RCa 'O.J Inspection Dats Irup. Other ~ Footings q Foundatian Framing ' Rouqh Pit~g 3. y~3 Rouph HVA C - 1 I~wlation ~ Final Plb¢ •3! 8 ~ q Finel HVAC 3r~ ~ Final ~J" W~~ Describe Lotation: VWII Sevwr Pr. Di~p. ~ Receipt - lt ~ MECHANICAL PERMIT Permit No. ~'~C' ~ , CITY OF EAGAN FeB 'G. ~ Fill in numbered spaces S/C . 7l; Type or Print legib/y , Tot. 1. Date ~-~~-s ~ 2. Installation Cost '6::~~.Ci? ~ 3. Job Address ~?0 s#,e ,I cLot ~ Blk. ~ Tract 4. Owner ~ ~ : ~ 5. Contractor _ . Phone :~<".-~~:_~,'r 6. Address "T ac~~ ~u ,re, 7. City n•"r=s• State • Zip 55f~ r' 8. Building Type: Residential 0 Commercial ? Institutional ~ 9. Work Description: New C~: Add ? Alter ? Repair O 10. Describe.i i' o: Ced :-L1Z il~~ . L?'1; Fuel Type: 11. No. Enu~nment BTU - M. Ea. No. EQUipment CFM i Forced Air s~~OC'C, Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify tha~ the above information +s true and correct, and I agree to comply with all qrdinances and codes govarning this type of work. Signed: for ` Rough , Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8700 ~ ~ f~ ~ , Receipt i I`~ PLUMg~IVG PERMIT Permit No. l%~- , CITY OF EAGAN - Fee FiII in numbered spaces S/C Type dr Prini legibly Tot. 1, Date 2, Installation Cost 3. Job Address Lot ~ Blk. J Tract /,f , 4. Owner ~ ~ - - ~ _ 5. Contractor Z- - C ~~ti ; Phone - ~ ~ ~c`- 6. Address - `~y~i ~ _ _ ~ - 7. City State ~ ZFp _ _ i- ~ ` ~ 8. Building Type: Residentia~. \~7 Commercial ? Institutional O 9. Work Description: New ~ Add ? Alter 0 Repair ? 10. Describe 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield L_ Bath tubs Septic 7ank Lavatory Softner 7' Shower Well ~ Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn, Stop Sink Gas Piping Outlets 12. I hereby certify that the above infotmation is true and correct, and I agree to comply with all ordinances and codes governing this type of work. . Signed : ~ for Rough Final Inspections: Date Insp. Date Insp. This is your permit when num6ered and approved. Approved CITY OF EAGAN 454-8700 CASH RECEIPT CITY OF EAGAN 3~95 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 dnr~ ' ~ s Reterven FRpM AMOUNT ~ + ~ & DOLLARS foo ? CASH ? CHECK ~'ow FUNO CODE AtAOUNT ~ ThaJ~n You b - B v White-Payers Copy ~ Yellow-Posting Copy " Pink-Ffle CoFY Y OF EAGAN Remarks - Additio CINNAMON RIDGE 3RD ADDN ~ot 5 B~k 3 Parce~ 10-17402-050-03 owne~ St~eet 4450 F~ 4452 SLATER ROAD State EAGAN MN 5512Z Improvement Date Amount Annual Years Payment Rece' Date S7REET SURF. i; - ~ STREET fiESTOR. GRAOING SAN SEW TRUNK 1973 , 22 6. 81 15 .31 A012713 9-7-83 SEWER LATERA~ WATERMAIN WATER LATERAL WATER AREA 1973 131.44 $ 15 35 8 12713 -7- 3 STORM SEW TRK 1979 381. 69 19. 08 286.29 A012713 9-7-83 STORM SEW LAT CURB & GUTTER SI~EWALK STREET LIGHT ROAD UNIT 500.00 3&472 6-15-83 WATER CONN 900. O~ " ~UILDIN R. SZS7 & SH sAC 1050.00 " K CITY OF EAGAN Remarks .~1 V• 5 Z 2~ r.'' Addition CINNAb10N RIDGE 3RD ADDN ~ot pt Of 5 glk 3 Pa~ce~ ~'"~'?4d'l"f~A~' Ow~er t~~~+ - Street 4450 SLATER ROAD state EAGAN MN 551Z2 Impro~ement Date Amour+t Annuai Years Payment Receipt Date STREET SURF, qd 1 $ 6~ 17 2 r~ STREET RESTOR. GRADING SAN SEW TRUNK 1 73 Paid und r ori ina cel SEWER LATERAL ~ 1 21 WATERMAIN WATERLATERAL X1 $5 529.12 1Q~J.82 5 WATER ARER K 1985 337.60 67.52 5 - STORM SEW TRK p8' d d r STORMSEWLAT X 1985 941.86 188.37 5 941.86 C009466 9-7-84 CURB & GUTTER SIDEWALK STREET LIGHT waTF~ coNrv. 450.00 " " BUILDING PER. $1S'] 5AC PARK • _.a . •n. . r . r ~ r, . .a . ^r . . . •~rr~ " CITY OF EAGAN ~ !7!s ?Not Kwei Rooa Ea~n. MN SSt s2 t~ ~ ~ 5~ ` PHONEs ~S4-O100 ~ BUILDING PERMIT Receipt ~F - ~ ! - i.,% Te w w~d fer 1/"Z DUPL.~X & GAR_ Est. Value a49.000 Date _i~ine 1 S , 19_~3.3_ ~h 4452 Slater Raau l"linit A) E~t Occuponcy ?~-3 lat C~ Block + $ec/Sub. C3nuamon Rid~e 3rd Alter ? Zontng ~PV~ R-2 pa~~ 10 17G0~ 050 U3 Repair ~ Fire Zone NA Enlorfle ? Type of CAnst. V W Na,t,e Zachman Ho~es, Inc. , Mwe ? # sto?~es ~ ~m~ 7760 Mitchel.l ~oad Demol~sh ? Length~_4 C~ t;den Praifie p~ 93"l-952.0 Grode ? Depth 42 Sq. Ft. ~ NQ~ OG,ner ApProvals F~es s~ Address Assessment Permit 27E.50 Water & Stw. Surchorpe 24. 54 Ci Phone Police Plan check 139.25 ~W Na^'~ Firo SAC 525 . d0 Address ~ Enp. Wuter Conn.1~.~.Q.~ ~ W Ci ph~ Plonner Woter Meter ~2~ Council Rond Unit 250 _ (?(1 1 hereby ocknowledpe that I hove read this opplication and stote that g~~, the informofion Is torrect and ogree to comply with olt opplicoble , 5 State of Minnesoro $totutes ond City of Eagon Ordina~ces. A~ T~a~ 7 Siynotura of Permitte~ A Bu(Idi Pertnit Is issued to: Z3CIur,~in ;ipmes~ .tn~ _ e ny xpress tondition fhnt all work sholl be done in eaardonce with o}I oppliwbl~ SfQfe of Mfnnesota Statutes ond City of Eo~an Ordlnances. - - BuildinQ Offidol Permit No. Permit Holder Misc. Pe~mit No. Hoider Piumbin9 3~Q .J ~o~RZ - 1\ -Z~]~ H.V.A.C• ~ ~ ~ ` ` < . w.u Water Disp. Sevrer e~~?~~ wo~o~(870~1 6ro~tP ~1~~. 5-3~3 Inapeetion Date Insp. Other Footings 3 Foundation Framinp s. .TJ Rouyh Plbq. . _ . Rouyh HVAG, • ~ Insulation Final Plba ~ y~ • Final HVAC Final w W~r Describe Location: VYsll S~vrar ' a Pr. Di~p. ~ -ij,l:l , Receipt=:, i'~~ MECHANICAL PERMIT Permit No. . _ CITY OF EAGAN F~ ?p~~r r' • ~ Frll in numbered spaces S/C ' Type or Print /egib/y ; , - Tot. • ~ 1. Date 2. Installation Cost ~"~C•~l c- 3. Job Address ~ ~~~~r~ ~ ~ot Blk.~ Tract` 4. Owner .:I: .:a li`::. ~ ~ 5. Contractor ~ ' ; i~ i: . ~i Phone '~-i , (,ry 6. Address 4~37 Ch.icY,s~i :.ve. ~~c. 7. City }!~1~. State '~a1. 2ip ~j'~r+~r;"- 8. Building Type: Residential ~ Cammercial O Institutional ? 9. Work Description: New ~ Add ~ Alter ? Repair ? 10. Describe "`~t w ~ 1'or cEd :z:~r.t_:Z Fuel Type ~~~t '1r_s 11. No, ~y' ent STU • M. Ea. No. Epuipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other = Air Cond. Mfg. ~ Gas, Piping Outlets 12. I hereby certify at the above informatiory is true and correct, and I agree to comply with ~rdinances and codes go~krning this type of work. Signed : ~ ' ~ for - ' Rough ' Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4b4$100 Receipt ~ 7~? ~ I PLUMB~JIIG PERMIT Permit No. _ :l CITY OF EAGAN F~ . ~ ` Fill in numbered spaces S/C Type o~ Print legib/Y Tot. - 1. Date 2. Installation Cost _ _ : j ~ , r, 3. Job Address Lot Blk. 3 Tract I`, ~ ~c~ 4. Owner - , ~;i~ ' " ~ ~f~,,, 5. Contractor _ ~ Y Z - ~ ; r/ Phone ~ 6. Address - ' : 7. City State " Zip ' ' 8. BuildingType: Residential.~1 Commercial D Institutional ? 9. Work Description: New C~'`',~ Add ? Alter ~ Repair ? 10. Describe 11. No. Fixtures No. Fixtures ' Water Closet Cesspcol/Drainfield Bath tubs Septic Tank T ` Lavatory Softner Shower Wel I ~ Kitchen Sink Urinal/Bidet Other ~ Laundry Tray Floor Drains ~rinking Ftn. Slop Sink ~ Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codesgoverning this type of work. Signed : ~ for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks DI U' ~5 2 Z1 ~~J`'' Addition CII~INAMON RIDGE 3RD ADDN ~ot Pt Of S g~k 3 Parce~ 10-17402-052-03 Owner ' st~eec 4452 SLATER ROAD state EAGAN I?W 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. G 86~.60 COQ 467 -7- STREET RESTOR. GRADING SAN SEW TRUNK j P 1 SEWERLATERAL 621.~3 C009467 ~-]-$4 WATERMAIN WATER LATERAL WATER AREA Serv' STORM SEW TRK STORM SEW LAT 1985 941 8 CURB & GUTTER SIDEWA~K STREET LIGHT WATER CONN. ~i BUILDING PER. SAC tr n PARK INSPECTIaN RECORD ~ ~ ~ ;~~~r~~~~NF, CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~~''f;~ Eagan, Minnesota 55122-1897 Date Issued: w~' (612) 681-4675 SITE ADDRESS: ~ f, ~ : ,s i ~ APPLICANT: ~ ~ ~1 iti 11'i+ itl? ;;I rl t ~ ;ll ~ ~ '.t1NI~~? NMIAM(~p! I~ ( I~ ~ s~ I~ i rc,s 1+lil f PERMIT SUBTYPE: TYPE OF WORK: t;~s~~ti~ ~ ~ r , , , ~ , ~ • • ~ i rl~. ~ ~ ~ . ~ Permit No. Permk Holder Date Telephone ~k ELECTRIC PLUMBING ~ I HVAC Inspeetion Date Insp. Comments I FODTINGS I I FOUND ( ' FRAMINQ ROOFiNG ROUGH PLUMBINO PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FlREPLACE AIR TEST FINAL PLBCi FINAL HT(3 ORSAT TEST BLDG FINAL ~ BSMT R.I. BSMT FlNAL DECK FTG DECK FlNAL CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Rcad 4 V v~ P. O. Bo~c 21199 PERMIT NO.: Eagan, MN 55121 pA~; 7/ 13 3 Zoning: ~2 No. of Units: ~s du~leX Owner; 2aahman HGlnes llddresx Sta nddmas: ~ 52 Sldter Rd LS B3 Cinneman Ridge 3rd Plumber: Westorik8 Meter No.: CcM~nection Q?orye: 50.00 pc: Size: Acoount Deposlt: Reoder No.: Permit Fee: _ 1~.00 pd ~ N~ ~ oo~ ~!w Clhr of E~y~w Surchorge: . 50 pd a"" ~ Miac. Choroes: _ C0.00 pd meter Total: Date Paid: ~P•~ Insp.: CITY OF EAGAN ~Wp~ SERVICE PERMIT , 3830 Pilot Knob Road . P. O. Box. 21199 PERMIT NO.: Eagan, MN 551?1, DATE: ' ' ~ ZO~',^~: No. of Units: ~ ~P ex OWrIlf: u91.'~ITt811 l3C~.:~S /~df@55: 5tte Add?QU. 52 Slater Ai~ Lj C~C1:~d7::Gi1 ~ f~~-"C Plumber: estOn~.n ~."--1".i ?J .J~:4 ~ ~ ~OV• ~ . ~.~n.. ro eomoy with Ni. cay ef Ea~o¦ conn.ccro.i Chor~e: _ 425 . U~i: ~.~i O.dlw~nea. Account Deposit: ' Pa?mit Fee: b~ . ~ Surcharpe: 5~ BY Misc. Clwnpe=; Dece of Insp.: Total: I nsp.: Doh Paid: CITY OF EAGAN - 3830 PJOt Knob Roed M~ATER SERVICE PERMIT P. ~ Box 21199 (i;; - r . Eag.,n, MN 5512j, PE~IT NO.: Zonlrg: R~ D11TE: ~ ~ ~ Ownsr: ~ Q@@S No. of Units: Addre:s; ~ Mdrcss: a et ~ ~ r.nem Plumbsr. e9ton ~u Mete~ No.: Stze: Connection Chor~e; • Reader No.: ~unt Depostt: ~~i~ to eqa~ ~~y p~ ~ Permit Fee: . G~ pd pr,~~~ Surtfwrpe: p AA1sc. Chorpes: . r e Total: Y Dete of I ~e ~id: rup.: ~~R: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pi~ot Knob Road i., ~ 1 P. O. Box 21199 PERMIT NO.: 7~ I3 P s Eag3n, MN 55121 DATE: ZoninD~ ~2 No. of Units: ~ U~~~'7C pM,,,~.; Zacnaan fi4aes Address: 5ite Address: ~~+50 Slater Rd L5 B3 Ciana.~aori ~iage 3rd , ~ Plumber. ~eston:.ta E-15-u3 36y7~ lOC.00 pd 1~9n~ M oon~ply wNh tM CNp of lape Connectlon Charpe: - ~?25~ 0~ Dd ~ OediNnww Acco~mt Deposit: pe,mlt Fee; I * ~0 ~ d Surohorpe: _ 50 ~c~ BY Misc. Chor+pes: Dote af Insp.: Total: Insp.: Dot~ Paid: Thisrequestvoid ~GU~[/ 31a~1g5 18 months 1rom ~ D A ~17.~6a2 ~ . ~ Hequest Da~e Fire N, flough-in Inspection Aepuired~ Reatly Now Q Will Notify, InsDec- 9 ?Yes No ~a~M'henHeadv ? licensed Elecuical Contrecmr 1 hareby request ineVacuon et ebove ~ ,~Ownar alectrieel work imtalled at Sveet Atldress, Bux or Route No. G L ec ion o. Townshio Name or No. Aenpe n• Caun~y Occ Pant (PFINT) ~one No. a.r t~ g`iy•f~SY Pow SupDli ~+tldress ElecVical Comracmr ICompany Namel Comractor"s Licanse No. Mailing ddress IConvuc[or or Owner Making Instaila[ion) Authori ed Sipna ure ntractor Owner MakinB ~nstallation) Phone umbe THIS INSPECTION REQUESi WIIL NpT MIN SOTA STATE BOA D OF ELECT0.ICITV Grie -Mitlwey Bldg. - Noom N•191 BE ACCEPTEO BY THE STATE BOARD 1821 UniversitY Ave., St. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS on,.... I6~ 21 29]-2'I 17 E NC LOSED. 5~ REQUEST FOR ELECTRICAL INSPECTION Ee'°°°°'-°a Sae inatructio~s for mmpleting this tor~on beck of yellow CopY• A 0 7~~~ ~""X" 8elow Work Covered by~~his Request ~i Add Rap. Type_ot Builtling Appliancea W~red Equipmenl Wired Home Range - Temporary Service Duplex Water Heater Lightin Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industria~ Bidg. Air Conditioner Bulk Milk Tdnk Farm Other peci Y ~ er~SUecity) t r pacrty t er Olher Compute Inspection Fee Below # Fae ServiceEnvancaSize N Fee Feeders/Sublsede~s N Fee Cimvite 0 to Z00 Am s~ 0 to 30 Am s 0 t~ 30 Am Above 200 qm~s~ 31 to 700 Amps 31 to 100 A Swinaning Pool Above 100_Am s ~ Abo~e 100_Am ' Transrormers Irri ation Boorr~,s Partial%Other F Signs Special Inspection S TOTAL F E~ ~ Ram3rks ~ Rough-in d1e~} q I,the Elee " V ~ ~ (f~,/'Ol~ InspseWq here6V Fina~ ~ ertifY ~hef the above ~~B / C, iropection hgs been ~ mede. (liis requeal wltl 18 manihs irom This reqoesl void p y/ w ~ ~_L~ d~OhUfrV~~ 1 L~`~~ _ t~~~~- Rxqu~ ~ate Fire No. NouBh-in InsVection RaQ ireA? ~[~7eaAy Nuw ? Will Nolity Insoec- ~ ~ ^~3 ~ ~'6 ~Yes ?No _ ~~r Wh¢n Reatly ~ Lice9setl ElecVical ConVactor I hereby request inaoaction ol above i ~Own¢r elacbical wark ins~alled at Sveet Address. Box or Route No. Ciry Y SO a e ~d• E~- a/~ ectmn o. Township Name or No. Range No. County A a Occupant IPHINTI Phona No. I 9Y-~o Power Supplier Adtlress ~ ~ Q Electrical C~nlractor (COmVany Namel Contracto~'s License No. Mailine /+ddress (COnvactor or Owner Makiny Instailation) Auffiori Sipnawre IC tractor Owner Making Installa[ionl Phone Number TMIS INSPECTION flEQUEST WILL NOT MINNESOTq STATE BOAflO OF ELECTRICITY Griggs•Midwav Bldg. - Foom N•197 BE ACCEPTEO 9Y THE STATE BOAPD ~ UNLESS PqOPEN INSPECTION FEE IS 7827 UniversitV ~1ve., 5~. Paul. MN 56104 Phone 1612) 297.2111 ENCLOSE~. / ~j/~, REQUEST FOR ELECTRICAL INSPECTION EB-00001-0 r C- 6(G~ ~ See instructiqps br c'alhpletin9 this form on back of Yellow copy. 3~~/~ ~ (CJ ""X'" Below Work Covered by This Request HAd' ReD• Ty-; o/ Building APpliancea Wi~eA EQUiUmen[ Wi~ed y Range Temporary Service ' Duplex Water Heater Ligh[iny Fixtures Apt. BuilAing Dryer Electric Heatin Commercial Bldg. Fumace ~ Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank FBrm OI er ~eci V OtherlSpecifyl t er pen y [ er pth~r omuute lnspectron fee Below # Fea ServiceEntranceSize N Fee feeders/Subfeeders q Fne Circuits 0 to 200 Am s 0 to 30 Am s 0 tn 3D Am~s Above 200 qm ~s 31 to 100 qmps 31 to l OD A s Swimming Pool Above 100-Am s Above 100_Amps Transiormer5 Irngy?ion Booms Partial."Other F Signs Speciallnspection S~^ SO TOTAL FE O Rem~rks RouBh-in ( ~~1e I, the ElecVic ~ - ~ nspeclar, hereby ~ ° certify that the ebova Fine~ ~ e pection hes been y e. T~ia request voltl 10 monlhs Irom ~ 181months from'd Z ~,~~D y l~~ q4 ~s, a3 e~r~a a~o~~ 3~D~I~~~o•va Reques' Dale Fire No. Rough-in InsVer.~ion fleVUireA? ~Neady Now Q Will No~ifV ~~sVeo 2~9-~4 ?YUS ~NU ~orWhenReady ~ Licensed Electrical Contractor I hereby raquast insPection of above Owner elecirical work installatl aY Slreet ACdress, Box or Foute No. Ciry eVL ecLOn o. ownship ame or No. Range No. Cou L Occupan IPNINTI Phone No. ZRC~2Yfl0.n Power Supplier Atldress Electrical Contracmr ICOmpany Name) Contrar,tor's License No. Ecwxon ~.Cec~i~i.c Co. 040019-4 Mailing Address (Comractor or Owner Making Ins[ailationl 6525 110.th S~. P~,i.ah Lafze MN 55372 Authori d Signa[ure ICo cmr/Own Makiny InstnllatioN Phane Number ' 447-2490 MINNESOTA STATE eOAflD OF ELECTPICITY THIS INSPECTION NE~UEST WILL NOT Griggs-Midway Bldg. - Hoom N•181 ' gE ACCEPTE~ BY THE STATE 80AND VNLESS PflOPEN INSPECTION FEE IS 1821 Univers~~Y A~e.. St Paul. MN 55104 Pho~a 16121 29L2111 ENCLOSED. % Z~/3~R~(SPJEST FOR ELECTRICAL INSPECTION EB-00007-04 See instructio~s for completine ~his form on back of vellow coPV. ~ ~ '"X'" Below Work Covered by This Request r Ad Nep. ~TVDe ot Builtling APP~~~~ces Wired Equiomenc Wired Home ~~~ge Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Cominercial Bldg. Furnace Silo Unloader Industrial Bldg. x Air Conditioner Bulk Milk Tenk Farm Otne~ Sveci v ther ISpeclfv) t er SUecify Other Other ompute Inspection Fee Below p Fee ServiceEnlmnw5iza H Fee Feedars~5uhtaxders N Fee Gircuits U to 200 Am s ~ to 30 Am s ~ to 30 Am ~s Above 200 Ain~s 31 to 700 Amps 31 to 100 A s Swimming Pool Above 100_Am s Above 700-AmVs Transiorcners Irrigation Boort~~s Partial-'Other Fee Signs Specfallnspection 5 1 t Nemarks 1 Q. J~ TO HovBh-in ~ate I t ecVical Inspector, hereby certify t~et the above Final r e~~ ' soection hes been ea. T~IerequeetvoiEl6montlreirom . Tnisre4uestvoid S-~ L5~ 33 i Crnr' ~.aL~ I~~~ 3~~~~ 18 rtwnNS irom Q W064~64 $b.ao Raquest Date Fire No. qough-in Insper,tion 4 Re ired? ?Ready Now~Will Notify, InsPec- ~~JL„(`~/ 2~ ~Yas ?No tur When Ready~ .~y n pqLicensed Elec[rical Contractor 1 hamby raquest inspec~ion of ebove Ow^er eleclrical work installed at: S eet Address, Box or Raute No. C~ . .S2 S~-~~-R ~'A Gq N ecLOn o. Townshi0 Name or No. a ee No. C nty ^ ~~ry Oc u0am IPflINTI Phone Nn. L 70n/ dw~S ~~L. ~2.~} Po er Sup0lier Atltl s ~ ~ ~ Elec ical Convactor ~C Vany Namel C~~ntractor's License No. ^ C~ C mp AdJress onvactor or Ownar Makine In ilationl nl LLCJUo IU GS c~ ut ized Signa(ura ontt Owner Makine Instellation~ P~one Numbery - ~ 9 / THIS INSPECTION XEQUEST WILL NOT MINNESOTA ATE BOARD OF ELECTBICITY Griees•Midwey Bitlg• - Noom N-191 BE ACCEPTED BY THE STATE BOARD UN~ESS PROPER INSPECTION FEE IS 1827 Univarsity Ave., St. Peul, MN 6fi104 _ ENCLOSE~. REQUEST FOR ELECTRICAL INSPECTION „ ee-ooooi.oa ' See insiructions for completirw this fwm on bnck of yellow cooV~ . Q64864 w Work Covered by This Request 3~~ D~ AAd Rep. Type oi Building Ap0liances Wired Equipment Wired Home Range Teniporary Service Duplex Water Heater Lightiny Fixtures Apt. BuflAinc~ Dryer Electric Heatin Cominercial Bldg, Furnace Silo Unloader InAustrial BIAg. Air Conditioner Bulk PAilk Tank Fdfm Othxi peo v thr~r ISpor.ify) t er Veci y Ot er Oth~r Compule lnspection Fee Below p Fee ServiceEntranceSize k Fee Fexders~5ubineders # Fee Circuits U to 200 qm s 0 to 30 Am s m 30 Am A6ove 2 0 Am ~s 31 to 100 Amps to 100 Am 5 Swimmin Pool Above 100_Am s Y Above 100_Am s Transrormers Irrigation Booms rti :Other Fe Signs Speciallnspection Hemarks S ~yS TOTAL FE qouBh-in D / I, ~ha Electric ? t/~f~ Inspactor, hereby certi(y Shnt the above Ginal '~~e inspection has been ~~b"~ ~da. Thla reauest valtl 18 mon~Ra irom CITY OF EAGAN * $15$ ~ ^ 7795 Pilet Kneb Roed Eagan, MN SS12'l lr O PXONEs 4S4•l100 BUILDING PERMIT Receiv~ # Te 6e wad fw 1/2 DUPLEX & GAR Est. Value $49,000 Date June 15 , ~q 83 Site Addreu 4452 Slatei Road (Unit A) Erect ~ Occuponcy R-3 Lot~- Biock~_ Sec/Sub. Cinnamon Ridge 3rd Alter ? Zonirg ~PD) R-2 pa~~ # 10 17402 O50 03 Repoir ? F~re 2one NA Enlorge ? Type of Const. V s Nome Zachman Aomes Inc. Move ? S~o.~es ~ pddrcA 7760 Mitchell Road Demo~~sh p Length 24 Eden Praiiie Pho~ 937-9520 Gmde ? Depth 42 Sq. Ft.- p Name O~eL Approvols Feas Zu Addre3y Assessment Permit z~ • s~ Cit Phone W°~er 8 Sew. Surchorge 24.50 Police Plon check 139.25 ~Z Name Fire SAC 52$.00 Address Enp. Water Conn. 45_Q~0.0_ ~W ph~ Plonner WaterMeter 60.00 Council Road Unit 250.~0 1 hereby ackrwwledge thet I hove reod this opplication and stota thaf Bldg. Off. ~ fhe inlormation is correct ard agree to comply with all applicab~e $rote of Minrcesoto Stotutes and Ciry of Eagan Ordinances. APC Total $1727.25 . $Ipnoture of PermiHee A Building Permit is Issutd fo: ZaChman Home on the exprexs corditlon 1hn~ all vrork sholl be dora in acwrdance with licabl ~5 of to Statutes ord City of Eogan Ordinances. Bulidinp Officiot / ~ ~ CITY OF E?Ga:~ Tnc?u3e 2 sets of plz-+s, 2 site plan w/elevaticns & ~ BUIIJT~G PE~.'ULIT APPLICATTO~~I J. set of erergy calNla;ions_ i P w~ pleX ~ C~o~~t- - , DQQ - 7b Be IIsed For • • v ua n Date Z~ ~3 Site ~c?xess: ~ ~Q ~ • O:'FIC~ US~ O~ Y IAtS~~!- sloc~c sec./sua. ` EYeot x- oacupar~cY (~J' Parcel l~-1~~0z=o5:G-a3 Alter Zoning. - ~ . Ret~air Fire Zor.e O.mer: Zachman Homes, Inc. Enla~ae. R~+pe oi Const. Nbve . - u - , r. Stories P~?d~ess: .776o Mitcheli xa. .D~;olish EYont gt City/Zio Cod2: Eden Prairie, Mn. 55344 Gz~° ~ Depth y6t ft. Phone - a~~-as~n APP~YJ'~TALS F'~ Contrzc; or: samP aG abovP ~ ASSess~nts Permit ~~8 Pc3c+ress: hTater/Se.~r Surco3ce~ y~ Polioe Plarc C~ec~c _ j 5' City/Zip C,ode: Fire SAC ~ - ,S-ds~ Phor.e ; c ~S~ ~ ' S~;ater Corn_ Plariner ~~rater r'~; er s~ . Arcn•/Ehq.: same as above CounCil P,o?d Lnit ,'Z~ Bldg. Off. F,~dress= P~pC ~ , CITY OF EAGAN N~ 815'7 „ »9S Pllet Knab Rmd Eogan, MN SS122 PHONE: 454-8100 ~UILDING PERMIT Receipt # . ~/-~~L To bs med fe. 1/2 DUPLEX & GAR Esr.Vaiue $49,000 oare June 15 ~y83 Site Address 4450 Slater Road (Unit B) Erect g$ Occupcncy R-3 Lot 5 Blxk 3 Soe/Sub. Cinnamon Ridge 3rd q~rer ? Zoning ~PD) R-2 Parce~ # 10 17402 O50 03' Repalr ? F~re Zone NA Enlarge ? Type of Const. V < Nome Zachman Homes, Inc. Move ? # Stories Z /Wdrau 7760 Mitchell Road pc,,,u~ish ? Length z4 ~ ~i Eden Prairie p~,~ 937-9520 Grode ? Depth 42- Sq. Ft.- Nome Owner Approral: Fee~ Address Assessment Permit Z~ •5 F C.~ Woter & Sew. Surchorge 24. 50 Police Pinn check 139.25 Gw Nome Fire SAC 525.00 F xZr~ Addreas Enp. Woter Conn. 459~.DQ <W CI Phone Plonner Water Meter 60.00 Council Rood Unit Z50.00 I hereby acknowledge thot I hove read this applicotion ond stote that Bidg. Off. the inlormo~ion is correct ond ogree to comply with oll opplicable AP~ T~a~ $1727.25 Sfote of Minnesota Statutes and Ciry of Eugan Ordinences. Sipnoture of Permittee ac n omes, nc. A Building Permil fs issued to: an tha expren cordiNon Ihm all vrork shall be done in accordonce with all limbl St of Innesota ond Ciry of Eagan Ordinances. Buildfnq Officiol _.m - - _ . . . CITY OF EA~~ Tnc_u;ie 2 s2ts of pIa-~s, . 1 site plzn o-i/eIevaticrs & l~ BUITJIVG PER.^+LLT_PRPLICATIO~I 1 set of er~rgy calcula`ions ~'~j~ ~~~a~(~ i U- Zb Be Used For • • Valvation Date ~Z Szte r~3ress: ~C~iS(1 ,~~J~~..~j . OFFICE US'~' . Y T,ot ~ B).oc~c ~ Sec_/S~. ~ ErecE x Occupancy Parcel' jD (7y~2 OSa D'?t Alter ZoninS. ,~.2 ~ P~- Repair Fire Zor.e /j/ ~ ~ Qaaer: Zachman Homes, Inc.' En2arae , Type oi Const. Nbve r Stories P~d~ess: 776o Mitchell 1td. ,(~,_i;plish Front fk. City/Zin ~g- Eden Prairie, c~n. 55344 Grade Depth i/,~ ft. Phone aa~-qS~n APPF~JUAIS. F'rsS CAntz'zciAZ: _ GamP a~ above ~ Assessrents Permit ~78 h*ater/5e~r Surcna_-ce~ Pc3dress: Poli~ Plan Ch~cic l3~ City/Zio Code: Fire SAC ' S,~s Phor.e. ; : ` . ' ~ L~7ater Corn. /,~5~ ~ PTarir!er . . [•Iater n'~.`.er (o- O ~ Aren_/~g.: same as above CoUncil P~~l Uni.t Bldg. Off. ~a- ~ f/~~~_ R~tlress: A~ ~ _ . ~ ~ ~ ~ ° ~v ~ ~ c"~ o ~ 6~ U ~ ~ , ~ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u r ~ o z N ~ Eagan, Minnesota 55122-1897 Permit Number: 028166 (612) 681-4675 Date Issued: 0 7/ 0 5/ 9 6 SITE ADDRESS: 4452 SLATER RD LOT: 52 BLOCK: 3 CINNAMON RIDGE 3RD P.I.N.: 10-17402-052-03 DESCRIPTION: ~ ~ (R00FIN6) rBuildin~j~Permit Type STORM DAMAGE ~8uir~~dirig I~o,rk Type REPAIR t Census Code~ 434 AL7. RESIDENTIAL , ~ f`' ~ ~ j , ~ a;~~ - ~,I~;, ~ ~ t$;-~' ~ ~ it t ~ r ~(i~ ~r ~ [f . i f~ . t. ~ t-.:~ ~~1. ~ f ~l i j i 4." 1~ ~ ~ ~ j ~ ~ ~ v i '~..:.~/",~C . REMARKS: FEE SUMMARY: CONTRACTOR: OWNER: - Applicant - SALNIKOV ALEKSANDR 4452 SLATER RD EAGAN MN 55122 (612)882-1441 S hereby ackrtowledge that I have read this application and state that the in~o~rm~~tiara is co~*reex ar~d agre~~~ ta~ ca~nPly~~ with aLl appiicable ~ta~$ of Mrk. Statutes and City of Eagan Ordinances. ~ _ _ ~ _ ~ . _ _ . S• ~o~ - `~n,~r~ ~..~:f~ l `~l APPLICANT/PERMITEE SIGNATURE -T I EO Y: SI NATU E CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Naw Conslrudten Reaui~ements RemodellReoafr Reouirements ? 3 reg(stered site surveys ? 2 copies of plan ? 2 eoplas of plans (includa beam 8 wi~dow sizes; poured fM. design; etc.) ? 2 site surveys (exterior additions & decks) ? 7 energy calculations ? 1 energy wleulations tor heated addilions ~q~ pQ~ ? 3 copies of tree preservation plan H lot pleNed afler 7/7J93 ~ ~"4f'~ required: _Yes _ No ~ n~ Q~ DATE: ~ 7- ~S ' y~ CONSTRUCTION C05T: DESCRIPTION OF WORK: Q~~~A~ STREET ADDRESS: ~7 "W LOT BLOCK ~ SUBD./P.I.D. Ilal ~IRATltlf1 '~U'All.~ g-~" ~le,~s~hqrr ~'a~r~~~co~ ~~~_~v~/ PROPERTY Name: Phone OWNER u~~- ~ Street Address: ~ d - L~Q State:/~~ Zip: ~~~~Z City: coNTr~croR comPa~y: ~9~.~~G~~ Pno~e#: ~~~^~~y~ Street Address: YK-P d~f License C~ty; State: Zip: ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address~ City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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. ~ C~~~' ~ Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY w tl~ • ,3~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility ? 04 SF Porch ? 09 12-piex ? 74 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC . City SAC Water Conn. Water Meter Acct. Deposit S!W Pertnit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °k SAC SAC Units . . . CALVIN H. HEDLUBVD 7726 MORGAN AVE. so. MINNEAPOLIS, MINN. 55423 ~onu Surv~yor Civll Enpln~~~ PHONE NO. 866-2523 sur~ver~or~~ G'ert~j~cate q.9i2 J08 NO. g'9i3 SURVEY FOR~ DESGRIBEO AS~Lot 5, Hlock 3, CINNAMON RIDGE 3RD ADDITION, City of Eagan. Dakota County, Minnesota, and reserving easementa of record. ~ Nor+hern Nafural Gas. Co. Pipel;ne ~o _ 80.00 N 98°32~35"E _ ~ i~,0 9~9. N . _ w I I 3 I I I I 3 I N Top of Foundafion = 92/•2 N N i ~ ~ ~ Saseme~t Floor= 42r.2 a. ~ , o~ ~ Garaye f~oor= 920.9 ~ ~ 920. GiJo w~o Z0~5 ' ~ V~ ~ ~24-I~ ~4-I~_ Z Proposed ElevaFions ~ ~ ~Wi~N mD ~eiRC wooDN I Bx%st;ny E/evat:ons _ ~ "h~ D~aina9e D:recfion 1592 N UN~@ U tT ~ ~s92 IO~pSrAKES IO~QSTAKES 4~ ~4 I Derotes Lot Co~ne~ O uGAR T/uGA~. ~ ~ \ ~ ~ ~ ~ , ~ _ _ . Za~ zo-~ _ ~I , t_JJ--~~ ~ 9zo-s ` 92os~~ ~_4': - ~ I ~ ~ a ~ z„ ~ I L _ n~ ~ 9 i ~.9: % ~ ~g~ i $0.00 N 48° 32' 35„E - - 0 450 ;~4452 M ~ 9_I(~.(o', _ SLA~FR ROAD _T';~II_9.5; q~i~.~ ) 9i8.4 ~ ~ - . . GERTIFIGATE OF SURVEY I Aereby c~riity thaf on 5-23-$3 I ~urv~y~d 1~~ p?op~rty d~scrib~d obov~ and thot ~he oDov~ plot is a cor~~ct repr~~~ntoti0~ o~ sold surv~y. ~Y~.~l~ Golvin N. Mtdlund, Minn. R~p. No. 5942 ~ CALVIN H. HEDLUND 7726 MORGAN AVE. SO. MINNEAPOLIS, MINN. 55423 ~ona Surv~yer Civll Enqin~~r PHONE NO. 866-2523 sur~ver~or~~ G'ert~,f '~cate A•9i2 JOB N0. B'9i3 SURVEY FOR~ OESCRIBED AS~LOt 5, Block 3, CINNAMON RIDGE 3RD ADDITION, City of Eagan, Dakota County, Minnesota, and reserving easements of record. ~ Nor+hern 1~1d~ural Gas. Co. ~i'pet;ne ~O _ $O.DO N 4$°32~35"E _ ~ ~ 1~.0 ~ 9 ~9.3 N ~ . 3 I I I I 3 f I N Top of Fo~.+da+~on = 921.2 r ~ a N i I ~ ~ Basement Floor = 921.2 Garaye f/ooi = 9Z0.9 ~ ' 920• ~W/o w~b ' 20~5 N V•, ~Zq_~ ~,~_j Z Propoaed E/evaf:ons O ~ i N ~siRC wooD~ i Existln9 E/evat:ons _ ~ N ~rd~ne9e DirtCfion '~592 ~\N~~ ~ i5.421 IO~OStAKFS fO~Qs STAK~S \A Deno/es Lof Corne~ O ~ 7uGaR T%u A ~ , ~~a i , , _ Zo-~ 20-~ ~I , - t_O'l--~ ~ vzos . qzos ~ L~i: --~t I I y ~ I ~ / y x I ~ I ^ L.~1 ~ a I- J 9ib.q << ! ~9~ ~ $0.00 N48°32'35"E o L4450 _ 4452 M ~ ~ 91(~.fn SLATER ROAD +919.5~ _ F ~ _ ~ ~ qi7,~ S i9i8.4 ~ ~ ~EBTIFICATE OF SURVEY I h~reby c~rtify that on 5-23-83 I ~urv~y~d f~~ prop~rty dtscrip~d obov~ and thot the oDov plot is o cornct repr~s~nfoli0n of sald survtr. Ta vG~-~ l~' . ~~.-.-•Q Colvln H. N~dlund, Minn. R~p. Na 5942 ~ ; PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: s u z ~ o x N ~ Eagan, Minnesota 55122-1897 Permit Number: 0 2 s 161 (612) 681-4675 Date Issued: 0 7/ 0 3/ 9 6 SITE ADDRESS: 4450 SLATER RD LOT: 51 BLOCK: 3 CINNAMON RIDGE 3RD P.I.N.: 10-17A02-051-03 DESCRIPTION: (ROOFING) Buiiding Permit Type STORM DAMAGE lBU~,I din~~Jork Type REPAIR ~""Censws C#?de ~`„b 434 ALT. RESIDENTIAL . ~ , ~ ~ ~ c___ ~ ~ . r L C > ,~4 4 y„-:. r" 1t 'i~ r ~ - .~i` ' ~`t s z ' ! ~ i ~ ~~~A 1 L ~1 J~~_ ~ ~ ~ ~ a~ f -vYV~. p~`q~1-~i1 bal E.--.~ ~ y! i REMARKS: FEE SUMMARY: CONTRACTOR: OWNER: - Applicant - HALL DANIEL A450 SLNTER RD EAGAN MN 55122 (612}894-2051 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State ofi Mn. 5tatutes ai~;d Cit~ a~ Eagan 9~'d'znanges. ~ ' ~ R.~~~~.I APPLICANT/PERMI7EE SIGNATURE ISSUED BY: SI NAT RE , ~ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Conslruclian Reauiremenls Remodel/Reoair Reavirements ? 3 reglstered eite surveys ? 2 copies of plan ~ ? 2 copies of plane (includa beam 8 window slzes; poured Tnd. design; etc.) ? 2 sile surveys (ezterior add'Rions & decks) ? 1 energy plculationa ? t energy caleulations for heated additions ? 3 capies of tree preservation plan H lot plaNed afler 7/7193 required: _ Yes _ No DATE: ~ CONSTRUCTION COST: 34o.ov DESCRIPTION OF WORK: STREET ADDRESS: 5n ,~Dn~n PitD LOT ~ BLOCK ~ SUBD./P.I.D. ~ ""n' g~~ PROPERTY Name: ~`-~J~lQpO /`~n.~ Phone ~9y-~o5 / OWNER R1fle, Street Address 'yy-so ~ Ciry: F.amn~. - State: ,r~. Zip: 5 5 i a~ CoN'rrtACTOR Company: ~ Phone Street Address: License City: State: ZiP: ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address• City: State: Z~P~ Sewer 8 water licensed plumber: Penalty applies when address change and lot change are,requested once permit is issued. 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. Signature of Applicant: ~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No 'ree Preservation Pla~ Received _ Yes _ No OFFICE USE ONLY ~ * ~ - R, ~ BUILDING PERMlT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi RepairlRem. ? 17 Swim Pool ? 03 SF Addftion ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-piex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move o• 32 Addition ? 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 Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Vaiuation: $ Surcharge Plan Review License MCNVS SAC ~ City SAC ~ Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~ O ~ Fw Office Use ~ I QQ 1 Clt~ Of ~~~~Il i Permit#: ~ ~ ~ ~ I Permi[ Fee:~r. ~ 3830 Pilot Knob Road ~ Nq ~ i Eagan MN SSY22 i oate ~tece^'ed= C ~ Phone: (651) 675-5675 i i ~ SFdff: Fax:(651)675-5694 i I 2oos RESIDENTIAL BUILDING PERMir nPPUCanoN Date: l 2 1 Site A~ress: `7 -I. J`-' J~~7"~~ IG v. Tenant: ~-^~'e ~ 4~ q(~ ~r (7rC g~ l Sulte RESIDENT/OWNER Name: ~'e ~ f ~4 / ~'C (",~C ~~hone: ~JS/L~~''13-'n70S 2 Address / City / Zp: ~ A s S•'~- Applicarrt is: _ Owner ~ Contractor TYPE OF WORK Descriptian ot work: .r-c~ ~`'`~w~c Construcfion CosC (Oi TOU ~ a MuIG-Family Buikling: (Yes / No CONTRACTOR Narne: ~P_¢~~- ~A~3 ~:~''u~~ ~S: Licer e#: ~bGDy~ . Address: ~ ~16 S"G b~ ~~~Y l..]~-• ~A-DP ie U~?f~y State: Zip: -~f Z y Phone: ~SZ.-~q ~-~KvU CoMact Person: IS~2¢J 1~0'U COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Ener9Y ~e • Hesidenlial verm~a4«~ Categwy 1 worksneet • Mew Energy Code worksneet ~~jOry Sibmhted Submitted (J submission type) • ~~91' ~ae C~ul~i~ Suanmed In the last 12 moMhs, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, daze and address of master plan: Licensed Plumber: Pho~: Mechanlcal CoMractor: ' ~ ~ Phone: Sewer & Water Contrector: ~ Phone: NO7E: Plans and supporfing documents thaf yoU submit are considemd to be public information. Portions of the information may be classifred as non-public if you provide specffic reasons that would permit the City [o conclude that the are trade secrets. I hereby adcnowledge that this iMOrmation is comple[e and accurate; ihat the wak vnll be in nformance wdh the or?nances and codes of the City of Eagan; that I unders[arW this is not a permit, but ordy an appfication tor a permit, and n ut a permd; U4at the work will be in acCOrdan wi[h the apFxoved plan in ttie case of work ~Nuch requfres a review and of X ~ ~ l~ ~ ~ [l ~l f~ Applica~rt's Printed Name ppli ~ APR 3 ~~~r ey ~ ~ ~ ~ ForOfficeUse -________i ' 82~ Sa5 ~ ~ ~ Permi[#: Clt~ of Ea~a~ ~ ~ ~ I Permit Fee: ~ 3830 Pilot Knob Road ~ C I Eagan MN 55122 i~~e R~~ ~ Phone: (657) 675-5675 ~ I ~ Staff: Fax:(651)675-5694 ~ i 2008 RESIDENTIAL BUILDING PERMIT APPIICATION Date: L~ Site Address: ~ ~ ~ ~ 51.~ T`^-- ~ . TenaM: ~ ~ ~ : c Suite RESIDENT / OWNER Name: ,Q~ ~f`~Jt ) i~~(h Phone: ~t`I ~ 57'Qd Address / Ciry / Zp: J ~}~iQ-~ ~ Applicarrt is: _ U~mer ~ Conbactor TYPE OF WORK Description of work: - S'; U'~ Construction Cost: . t d d Mum-Family Building: (Yes / No CONTRACTOR Name: ~ Qe11'~- VI ~ S W~;'~ ~L'~•1 r S~ ~LiLense n: `Zp060`I2 Address: l~~i ~C~ l°1, I t.. J A ~2• C~ty: ~D U~ ~ t e~/ State: Zip: ,SS 12 y Phone: q~. ~.~-~l~I() CoMactPerson: ` !.~~29a~~~ COMPLETE THIS AREA ONLY IF CONSTRUC7ING A NEW BUILDING Minnesoia Rules 7670 Cate~orv 1 Minnesota Rules 7672 En~9y Code • Reside~,tiai venuurim Caiegay t wa~sneet • niew E~rgy code waksheet ~~gory suommed submmed (J submission type) • ~~9Y E"'~~Pe ~b"'~~ In the last 12 months, has the City of Eagan issued a permk for a similar plan based on a master pian? _Yes _No ~f yes, date and address of master plan: Litensed Plumber: Phone: Mechanical CoMractor. Phorre: Sewer & Water CoMractor: 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 specHic reasans that would permit fhe City to conclude that the are trade secrets. I hereby ackrpwledge that this iMOrtnation is complete and accurate; tha~ the vwrk will be in conformance with the ordinar~ces and codes of the City of Eagan; tlet I unders[a~ this is not a permi6 but only an application for a permit, k is ~ ou[ a pertnit; t7iat the work will be in accortlance with ihe a~roved qan in tlie case af v~vtk wFnch requiies a review and app val f p x ~4^' ~ i Oz~ X ~ ~ Applicarrt's Printed Name ' M's g o Q APR 3 0 2008 By . I ~p~~~-U 1 ~~7 ~ City of Ea~aIl j Permit# ~7 U`"t L~ i I Permit Fee: ~ ~ 3830 Pilot Knob Road I ~ Eagan MN 55122 ~ Date Received: ~.o~ j Phone: (651) 675-5675 I ~ I Fax: (651) 675-5694 i Staff: c G I 2008 RESIDENTIAL BUILDING PERMtT APPLICATION Date: ~ ~ 7 ~ O Site Address: ~ySO s,j~/G~ ~ 7enant: ~~A~~ Suite#: RESIDENT / OWNER Name: ~l917/ Phone: ~ G / ~ °I P' Address 1 City 1 Zip: I C~v ~L iQ-~ l~ ~~1 Applicant is: ~wner _ Contractor TYPE OF WORK Description ofwork: fV'/0~//1~~ ~ Construdion Cost: Multi-Family Building: (Yes No ~ CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheef Category Su6mitted Submitted su6mission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the enformaGon may be class~ed as non-public if you provide specific reasons that would permit the City to " - conclude that the are trade secrefs. ' I hereby acknowledge that this information is complete and accurate; that the work will be in wnfortnance with the ordinances and codes of the City of Ea9an; that I understand this is not a permit, but only an application for a permit, and work is eYt start without .permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ans. X ~J L-~~- ~ _ Applican 's Printed Name Applic Ys ig . Page 1 of 3 ~----------------i . ~ FPfO-..m~,,,,EUsg C~4~ O~ ~U~LL~ j Permit# j ~ ~ ~ Permit Fee: 3830 Pilot Knob Road i 7~ Eagan MN 55122 ~ Date Received: ~ Phone: (651) 675-5675 j stan: ~ b i Fax:(651~675-5694 ~ I -----------------J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ~ S~- S~«~'~ 2 r R°~ Tenant: r 1 e i F Pe Suite RESIDENT / OWNER Name: PC' t~~~~°~ Phone: Ca I~-' 3-, ~~a 3 Address/Cdy/Zip: t-I~"(~a S ~c~~c/ ~ Applicant is: ~ Owner _ Contractor TYPE OF WORK Description of work: ~ ~F ~ h ~ Construction Cost ~ S V v' Multi-Family Building: (Yes ~ 1 No ~J CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet ~ Category Submitted Submitted 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 8 Water Contractor: Phone: NOTE: Plans and suppoRing documents thai you submi! are considered to be public information: Portions of the information may be classified as non-pubiic if you provfde spec~c reasons that would permit the City to 3~ conclude itiaf the`` are trade 3ecr~ts. I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of Me City of Eagan; that I understand this is not a permd, but only an application for a permit, and work is not to start without a permd; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~ 4~~ X X n'C.~. App cant's Printed Name ^ Appl" ignature Page 1 of 3