4456 Slater Rd CITY OF EAGAN N~
3793 Pilet Kee6 Road Eagon, MN 55122 • ~
1 ~ ~ PHONE: 454-8100
BUILDING PERMIT tteceipt #
Te M wed fer 1/2 DUPLEX & GAR Est. Vulue $49~000 pa~e May 9 19 83
Sin qdd~eu 4456 Slater Road (Unit B) R-3
erecr ~ acupancy
Lot 4 efack 3 Sec/Sub. Cinnamon Ridge 3rd qiter ? Zoni~ ~PD) R-1
Parcel # 10 17402 040 03 Repo~r ? Fire Zone NA
Enloroe ? Typa uf Const. V -
W Noma Zachmari Homes. Inc. ~ve ? # Srories
~ Addreu ~760 Mitchell Road Demonsh ? Length24
Eden Prairie pho~ 937-9520 Grade ? Depth 42 Sq. Ft._
g Na~ OWri2Y ADVrorala Faes
Zt Addrass Asseument Pertni~~
s~ C~ P~~e Water 8 Sew. SurcFrorge 24.50
Police Plan check 139.00
~W Nome Fire SAC S2S.0~
Address Erq. WoterConn450.00
iW Ci Phone Plomxr WaterMeter 60.00
Council Rood Unit 250.00
1 hereby ucknowledge thaf I hovo read this nppiicotion and stote that gldg. Off.
fhe informofion is correct ond ogree to comply wlth oll appiicoble $1~26.5~
Stote of Minnesoto Statutes ond Ciry of Eogan Ordirwnces. APC Totol
Signuture of Permittee ~
Zachman Homes, nc.
Buitdfng Permit is issued to: on the express co'dition thn~
eil work sholi be done in occordanee w/it/ii~ elf opplic tate inn2id}L Stetutes ond City of Eagan Ordirw~ces.
Buildirq Official - ~ Frn -
, .
l~ CITY OF F:~Gl:~1 Include 2 se:s of plz~s,
u0~ R 1 site pl~n F~/eleva`icns
BUILDIVG P~titIT APPLICATIODI 1 set oi er.erg~+ calcuI.ascns.
.,~~,~.~Lti 1~ '1- Co0.:`~ ~i07!"O ~ ' .
Zb Be [iseci For s;,,,,~,~.~,._._ Valuatio ~ Date Z Z. ~
Site e~L'csess: ~ ~ F~ 7
S OFFICE US~ O~ZY
~t ~ Block Sec./Sub. '/z Erect X Occupancy ~3
Parcel /D ~`1 ~ ~ Z C) ~ O o'~,~.. . Alter Zoaing
~ . Repair Fire Zone
GWn2r~ zachman Homes, Inc. Enlarge _ Z~+pe of Corist.
~ Hbve u Stories
PddLess: '7760 Mitchell Rd. ~ D2t;tOliSh Front ~ - a~/ ft.
Clt}+/Zio Cod2: Eden Prairie, Mn. 55344 GTade Deoth ~j/~ ft.
Phone 1: 937-952o ApPg~4ALS ' ~,g
Contrac`or: same as above. . ~ Assess~rents Pe~-mit~
g'~
A3dress- Y:atQr/Sz.~r Surcnarge
Police Plan Check~
City/Zip Ccde: Fire SAC • ,2
Phone ~J. Water Conn. SD
^ Pla~ner Water ~~ter~
Q ~
Arch_/Fhg.: same as above Council Road Unit .2~5`fJ
Bldg. OfE.
Fc'dress: ~
City/zip Ca.''ec
Phone ZC7TTAL, l~ ~ ` ~O
.
CITY OF EAGAN No $ O 10
9795 Pibt Kno6 Raad Eegan, MN 53122 .
. PNONFs 431-8100
BUILDING PERMIT 2ece~pr g ~J 3
Te M wad fer 1/2 DUPLEX & GAR ~,ya~~ $50~000 p~e May 9 ~y 83
S~te Addreu 4458 Slater Road Unit A E~« g_3
~ oauaa~v
Lot 4 BI«k 3 Sec/Sub.Cinnamon Ridge 3rd qlrer ? Zonin9 ~pD) R-1
Parcal # 10 17402 040 03 Repa~r ? F~re Zone NA
Zachman Homes Inc. Eniarge ? Type of Co~st. V
w NO~^B ' Move ? # Stories
~ 7760 Mitchell Road
Address Demolish ? Length 24
Eden Prairie ~o~ 937-9520 Grade ? Depth 42 Sq. Ft.-
o Na~ OWiteY AvD~a~ab faes
Address Assessment Permit '
Woter & Sew. SurcFwrge Z$ .0~
Cit Phone 141. 50
Police Plan check
~w Name Fim SAC 525.00
Address Enp. Water Conn450.00
<W CI PFwne Plonner Wcte~ Meter 60.00
Councll Rood Unit 250.00
1 hereby acknowtedqe that I have read this application cnd stote thot g~dg. Off.
the in(ormation is cor~ect and ogree to wmply with all opplicabie APC Totol 51734.50
Stofe of Minnewta $totutes and City of Eagan Ordirqnces.
Siqnature o4 Perminee
A Building Permil ls issued to: ZaChm2n Homes ~ I on tha expreu condition Ihnr
oll work sholl be done in otcordance with'ull lico le 51 inneso tatutes a~d City of Eagon Ordinontas.
Bulidinp Officfol ~nr~pG /
~ . ; . . . . . . . . . .
~.Q"lal ~ CITY OF EAGAN Inci ~u'e 2 sets oi pl~~s,
f~ U ~ 1 site plan w/eleva`icns ~
l~~ ` BUILDT\G PE..'RMFT APPLICATION 1 set o` er.ergy calculatiors.
~ b u~~ E'1. ~ C~ r~ . i p
7b Be Gsed For Valuati.on Date Z 4~
sxfe aaaress: .t~c~5~ ~~a~, o~zc~ vss a~.
Lot t~~ slock z sec./sub. .3~. Erect ~ occupancy .
Parcel ~ : 1 L~ ~'j D Z b~ O (Q : Alter Zonirg /p / .
. Repair Fire Zone
Cwner:~chman xomes, znc. Enlarge _ ZYpe of Corist. ~
tbve Stories
Pddress: 776o raitcheli ad. Der.nlish Front ? _ ft.
City/Zlo CrJdz: Eden Prairie, Mn. 55344 Grad2 ^ Depth ~Z Pt.
Phone 937-9520 APPROGALS ' FEFS
Contractor: same as above. ~ p,ssessr~nts Ye~-~it~
v'~
Pddress: h'ater/Szaer SLlrC[tdYC,e
Police Plan Check
City/Zip Code_ Fire SAC ~
Phone : ~4. Water Co~n. ,yS7l
Planner ~9ater r=:2ter ~'d
Arch. Counci.l Road L'nit ~ s'~ -
~q-: same as above $ldg. Off. _
Fddress: ~
City/Zio Ccde:
Pho~z ~fA.L ~ ~~1 ~a~ ~`'~O
(,(tf O(~1 REQUEST FOR ELECTRICAI INSPECTION ee-oooot.o~a/
1 ' See inetructions for completinp thia form on beck ot rallow aopy. 4'' L I~ y
A "X"" Below WoPKC!~9efed by This Request ~
AAtl ec. Type of BuilAinB AoP~iente~ Wirod Equipment Wired
Home Range Tamporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Buildinp ~ryer Etectric HeaUn
Commercial Bldg. Furnace Silo Unloade.
Industrial Bldg. Air Conditioner Bulk Milk T&nk
- FBfnt ~ er oeu y ther l5uecifyl
t nr ueuly [ er p~hur
ompute nspection fee Below
M Fee ServlceEntrence5ize p iee Faetlars~Su6faadere N Fee Cirwite
0 to 200 Am s- 0 to 30 qm s 0 to 30 Am
Above 200 qm s 31 to 100 Amps 31 [0 100 q
Swimmin Pool Above 700_Am s Above 700_Am s
Transformers Irri ation Booms G Purtial.'Other Fee
Signs Special Inspection S~O~
Remerks TOT
~.U/
no~en-~~ ooca ~ m
Insoeetor. hereEy
cortify thel the »bove
Final . ~ Dxte inspection hes bean
~ moae.
~IN~ repueet voltl 18 montlm Irom -
aaa o;d ~yp~~ ~~cz1g~
18 months from
A~55452 i..~{t ~i~3 Gth.~' 3 tn.an
Requ~:'s~ Fire No. ~ouph-in Inspecti n
p~,/ equired7 eady Now ? Will Natiiy Inspec-
Co ~ ~ 9 l QVes `~'flo ror When Ready
~Licensed Elecvical Conunctar I heraby repueat Inspection of ehove
?.~w~er electrieel work inafelled et
Sveet Atldress, eox or Route No. City
5/4~.5~ ~LsOfG'K . .~a tp~
cLOn o. Township Name or No. R»nge o. Count
OccuOant (PqINT) P~one No.
7~-d o 9~i'~n~6
Power Suppliar Address
Electricel Contractor (Campeny Namel Connanor's Licansa No.
.P~ Q5~/6 ~ e
Mailing Addrass IContractor or Ownar MakinB ~~stailation) ~
/~3 7/v ~a/.~dY'~.~ .57~`. a
Auihorizatl Sipneture (CantractodOwner MakinB ~nstellatlon) Phone NumCar
~.~/-~5"~t G
MINNESOTA gTATE BOARD OF ELECTNICITY THIS INSPECTION REQU T WILL NOT
Grlpga.Midwey eldg. - Xoom N-191 BE qCCEPTED BY THE STATE BOAND
UNLESS PqOPEH~ INSPECTIOro FEE IS
7821 Univarsity Ave., SL Paul, MN 56104 ~
a~.....e IRt21 29].2111 ENCLOSED.
This reyues[ void ~v L~ ((,73 h t ~ ~ W S S S
18 rtwn[hs from 1 '
1~f 064~56 7~ ~~d
REques[ ~ate ~ Fire No. Repui etl>InsUer.tion ~Ready Now rty. InsVec-
.
~j nJ - ~ ~ ~us ?No «~r Wlien ReadY
~Licansed ElecVical ConVacl~x I hareby raquest inspaclion of ebove
Owner electrical work installed et:
SVeet Address, Box or floate No. ~ City
s~ 4ys S~ ~ ~
ecuon o. Township Name or No. Ran9t'. No. County
i~ a
OccupuntlPqlNTI 1~ Phone No.
C- ..i f 1U ~N~• ~ ~
Power Suno~iee ' Ad~s
a ~t.EcV-l~IL
ElecVical Contreclor ICom ny Namel Cw~hacmr's License No.
C C, O
Mai inp Address ( onVactor or Owner Makine I taila[ion)
U ~ni o c t..~ . rrr ~
Au orized Signature 1 ontrn r/Owner MakinO ~nstallationl P pne • m e,r
r ~ P'
0
MINNESOTA qTE BOAHD OF ELECTXICITY TMIS INSPECTION NEnUEST WILL NOT
Griggs•Mitlway Bld9. - Room N•191 BE ACCEPTED BY THE STATE eOAHD
UNLESS PNOPEN INSPECTION FEE IS
1821 Universit~ Ave..St. Paul, MN 55704 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION , ea-oacwi.oa
' See inshuctions for como~e~ine this tarm on beck ot yellow caoy.
a (I(~~
"r~/le~ UW~rk ~oTe~ed by This Request ~~D j S S
Adtl Nap. TYpe of Builtline ApPliances Wiretl Equipment WireA
Home Range Temporary Service
Duple.x Water Heater Lightiny Fixtures
Apt. BuilAin~ ?ryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm Omer Snc~ify ~he~ (SUC~:Iiy)
t er Suecity ther Olh~i
Compute Jnspection Fee Below
R Fee ServiceEntranwSixe k Fae Fnedars~SUbfeatlers A Fea Circui~s
~ to 200 Am>s 0 ro 30 qm s 0 to 30 Am s
Above 200 qm~s~ 31 to 1U0 Amps 31 to 100 q
Swimming Pool Above 100_Amps Above 100_Amps
Tranytormer5 Irrigation Boort~s Partial~'Other Fee
Signs Special Inspection S '~So •
Rema~ks TOT FEEi
S~1 t2cH-Rk 7 ~ .
Raueh-in ( D. b
n,, aEe a
F.~ ~ l spectoq hereby
~ ' w~ certify thxt the above
Final 'jz~ ~ / ~ ~li insoection ~as 6ean
,1i.~. i~.'~~'K , ti~3' ~ae.
Tnis renuest voltl 18 mont~e imm
c CITY OF EAGAN 1 O
3795 Pilot Keob Rood Eogon, MN SSI'12 ~
' ` PHONEs 454-8100
~UILDIWG PERMIT Receipt # ~5 7~~~
To b~ used fo? 1/2 7UPLE.s{ & GAR Va~~ $50,000 pOie Maq 9 _ ~q 83
Sjte /Wdreu 4458 Slater Rosd (Unit A)
Erect ~ Occuponcy R-•3
Lot 4 elock 3 5~~g„bCinnamon Ridge 3rd Alter p Zoning ~~'n) ~-'1
pa~~ # 10 17402 04+~ 03 Repoir p Fire Zone ~A
Zachman Ho~.es , Inc . Enlor9e ? Type of Const. V
rc Nome Move ? # 5tories
~ ~~bo r~t~neiz xoaa
Address Demolish p Length ~4
Eden Prairir~ ~o~ 937-9520 G?ode ? Depth 42 Sq. Ft.
Approvak Fees
p Name ~er
o~ Address Assessment Permit .
Water & Sew. Surchorge 25 . ~0
C~r P?+o~ 141. 50
Police Pien check
FW N°'T'~ Fire SAC 525.00
Address Eny. Water Conn450.00
i W Ci Phone Plcnner Woter Meter E u• Ud
Council Road Unit 25n.OJ
I hereby ocknowfedge that I have reod this applitotion and state that g~dg. Off.
the i~formotion is correct and ogree to comply with all applicoble
Stote of Minnesote Statutes and City of Eagan Ordinonces. ^PC Total ~1734.50
Sipnature of Permittee
A Building Permit Is iss~d to: ~aC11T,z8II l~OmeB, Ii1C,. p~ }{~Q express conditlon thar
oll work sheil be done in acoordarxe with all a~pliooble State o,4- Minneso tatutes ond City of Eayon O~dinonces.
Buildinp Offitici
3s~4 Gf~Z n to-rs-~3
Permit No. Permit Holder Misc. Permit No. Hoider
lumbing uOl,~„ ~~g`$ 3
H.V.A.C. ~ ~~C I ~1~ ~p-'7~X~
Well
Water
Disp.
Sev~wr
Electric WpII't 6ro~E E(~c • '~~F1.3
Inspection Date I~sp. Other
Footings •
Foundation
Framing yf
Rouoh Plbp. -~_~3 ~
Rough HVAC ~ ~
Inwlation
Finel Plbp. Y-es,~ ~ -
Final HVAC f
Final
Wster Describe Location:
YYell
Sewer ~ .
Pr, Disp.
; ~-s ~~4, ~-~a~. ' a~.~ ~s~~-~~r~-~-~e. - ~y.~..~~.; :~=.y?~,~,s~,~.~~p~.,
.~_~p.~yr~i.
~~yl, ~ - i~f.. ' „3N,r ~~7~~ ~ 9~I ' +CYW ~ a4B7? ~ ^KVir ~y! .t'Sov ~vf. R~ ~~~f ~ ~yf- +4mw i+F'.~
~ ;
;+~j'~' ~i~~..`~~' _ %~~~''A' ~.t.
t'cy~+,i. q eyTS . -c~~['s c: ~"L'+ s-~;z~.-•.-yc~c~--e: ic ~-~~c-i-r - c ~.~71' ~
='L~ - ~^,.Zi~~aS.Tr.~..'4C'4C'ti'[;~ .
, . ~ i'a ~ - - - - a
~ ~ti ~.er#i~tr~tfr nf (~rr~ ~tr~r ?
~r ~ ~J ~
~Cir of ~a
~ ; p gari ~
. ~
~ ~ ~ ~p~rttrfimrni ~f ~uitdittg ,~n~~Pr~inn
~ ~
~ ~ ,
y, i Tbif CcrtififRlC ~1.iuGGl Pt(fJf(~i1Pt t0 tjJL T[9Jt11t1/IpJlJ O
f Scction 306 of tht Unrform Building
~ r r.i Codc urti
f
ying that at tfx timc o
f ittuamt tbit .ttsuttrtn wa.r in com pliuncc uritb tlx variou.r d~~',
`~l:I ordinanca o
f tix City ~egrelating building connsuttion or xie. For thc fo!lowing:
~ g~'
80I0 ~ ~ 3~
~i '
s + ~ 1 / 2 DUPLEX & GAR ,
~ ~ ~ GM CYdfintlm Bld`. hrmil No. , ~ '
R3 V NA PD) Rl ~
~wrr ~Yw 'hn coewuenm Fu. zoa. z«w~ n~t~c~ ,
Zachman Homes Inc. 7760 Mitchell Rd., Eden Pra ~j
o.wroce~ma~~ ' ~aa~.
D„~,~ 4458 Slater Road ~~,Lot 4,Block 3,Cinnamon Ridge1 '
3rd ,i~~4Y~
~ ~ a
' .~y~,7, a,.: August 5, 1983 ,I~
~ ~
: ~ ~Q`~:~ ~ ~Y'
~ ~1 ~I ~Ot7 Y A COIINKypyt RJ1G[
~ ~7'-.~>:~~~~
.~A~~~~~_~1:~~': : l~. - ~ ~~..uQa•
~"..r_ ~~.5 - _ _ y~
wf~ ' ~~,'SV'~~~ _a =.:ab. ~ -~,A~itiy~JiY~~~~
-~:~ji°-:~ ~a
. . . . R ~
° . ~ i , ` ~ ,
\ ~;,~,oP~.l;.~~-~~1,~~.~.~+~~j~•~;~1~~~~',~6~~~t.,~,,1"~~~,~~.~~~
a.._~. .
Receipt - MECHANICAL PERMIT Permit No. ~ ~ '
CITY OF EAGAN F~
Fill in numbared spaces S/C ~
Type or Print /egib/y Ta. c~.~~
1. Date ~~'v > 2. Instal lation Cost
"
3. Job Address ',~:5$ a~r Lot Blk. Tract
4. Owner .:::i•`..d
5. Contractor k Y _ l_! iG Qhone ~2~`-~~7
6. Address ~+~37 Ch1.C:.~ v~. `_'O•
' S j1~0~
7. City ' • State 2ip
8. Building Type: Residential ~1 Commercial O Institutional ?
9. Work Description: New ~I Add ? Alter O Repair C)
10. Describel~t~.:.L =~rced =.:ii• ~:~tin~;FuelType ~ at G"~,~
11. No. E
aui ment BTU - M, Ea. No. Equipment CFM
1 ~ Forced Air <-G~~;•b
Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg,
Unit Heater
Mfg. Other
Air Cond.
Mfg.
1 Gas, Piping Outlets
12. I hereby certify ~at the above information is.true and correct, and I agree to
comply with atl ordinancesand codes gover~ing this type of work.
Signed : r `
for
Rough Final
Inspections: Date Insp. ' Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
Receipt - PLUMBING PERMIT Permit No, h-
CITY AF EAGAN r_
Fee
Fill in numbered spaces S/C
Type or Print /egib/y • '
To~ ~
1. Date " 2, Installation Cost
. ` ~ :1 ,
_ ,
3. Job Address Lot L~ Bik.: ~ Tract
- ~~i c1
4. Owner _ -
5. Contractor - i Phone - `
- -
6. Address -
7. City State 2ip
8. Bui~ding Type: Residential -~I Commercial O institutional ?
9. Work Description: New ~1 Add O Alter ? Flepair O
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
Lavatory Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking 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 codes governing 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 464-8100
Receipt ' ~ ~ J7 PLUMBING PERMIT Permit No. • _ • ~
CITY OF EAGAN -
. - Fee ~ -
` FNI in numbered spaces S/C ~
Type or Print /egibly . - L ~
Tot. '
( G Cr
1. Date )~3 2. Installation Cost ~K'~JJ
~ `
3. Job Address " s `i J
C rLot Bik. ` ` ~ '
Tract ~ r
+f ' ~ ;'~c_i
4. Owner 1(At~ NA r~ r~ ~
5. Contractar r 1 ti(~~c~ Y~ C n Phone "~i,1 f f~
z
6. Address _1DU ~ ~ ~~A f ~ ~ (~P •
7. City jc - St I/~-t~ r State li'~~ 2ip ~SU 7~
8. Building Type: Residential ? Commercial ~ Institutional O
9. Work Description: New ? Add O Alter Cd~ Repair ?
10. Describe ~Z ~ia f~~~d [1,r?~P~ ~ o-f-fF-aN ~
11. No. Fixtures No. Fixiures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory + Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking 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 codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbe~ed and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No~-~' f?~
CITY OF EAGAN 2Q _ 00
Fee
Fill in numbered spaces 5/C
Type or Prini /egib/y Tot. ~ ~ • ~
1. Date i-"o3 2, Installation Cost
Ciunamon
3. JobAddress 445R S11ter :c:. Lot Blk. 3 Tract'~iuc,~e 3ru
4. Owner i ac'nman omes Inc .
5. Contractor ~ Phone 436-Slbl
6. Address ~'-lyl Qakgre n Ave. :io.
7. City Stillwater State Zip 55U~2
8. Building Type: Residential gl Commercial Institutional ?
9. Work Description: New;~ A ? ter ? epair ?
~
10. Describe
11. No. Fixtures No. Fixture
~ Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
~ Kitchen Sink
Urinal/Bidet Other
Laundry Tray
r Floor Drains
Drinking 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 codes governing 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
INSPECTION RECORD ~
,/~ITY OF EAGAN PERMIT TYPE:
3B30 Pilot Knob Road Permit Number. '`1
Eagan, Minnesota 55122-1897 Date Issued: '
(612) 681-4675
. ~ ~ ' . . ~ 4 . ~ -
SITE ADDRESS: ; ~ ~ . APPLICANT:
. i i
~ ~r~rir~r~~«~ j i~~~~, r:r~ ~i.i:~) 41qN~
PERMIT SUBTYPE: TYPE OF WORK: ; r f~r~T ~~~r~
, .
. .
~ ~
~ ~
Permit No. Partnit Hotder Date Telephone ~
ELECTRIC
PLUMBING
HVAC
Inspactlon Deb Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFIN~
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
TEST VC
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.i.
BSMT FINAL
DECK FfG
DECK FINAL
Receipt ~ t~~ PLUMBING PERMIT Permit No.
CITY OF EAGAN F~ nrti
Fil1 in numbered spaces S/C • ~
Type or Print /egib/y T~. $ ~ . : "i
6_1. ~
1. Date 2. Installation Cost
~ ~::anamon
3. Job Address ~f466 a.tar :.cf . Lot ~ Blk. ~ Tract ~i~;pe 3td
4. Owner ~ 3chman Homes , Inc .
5. Contractor "'~rgue I umbing one 5`~~
6. Address 2~%' ~~kg en Elve . ~ao ,
7. City ~`-fllKster State ' Zip =
8. Building Type: Residential Comm rcial ? Institutional ?
9. Work Description: New :B dd Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
% Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
~avatory ~ Softner
Shower Wel I
Kitchen Sink
Urinal/Bide Other
Laundry ray
Floor ains
Drin ng Ftn.
Slo Sink
s Piping Outlets
12. I hereby certify that the above information 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 numbered and approved.
Approved CITY OF EAGAN 454-8100
i
• CiTY OF EAGAN ,i "
. 37!! Pllof Knob Road Eegan, MN SS1Z! ,•.d
PHONEs 454-8100
BUILDING PERMIT Rece?pt # " - - ~
_ Te b~ ~d for 1~2 DUPLEX & GAR Est. Volue $49,OQd Dote _~dy 9 ~ 14~_
Slte Address 4456 Slater Road ~ TCni_~ 8) E~ ~ Occupancy R-~
Lot _..1~.~ 8lock $ec/Sub. ~'~~Ir~on Rid~e 3rd Alter p Zoning ~PD) it-1
Parcel # 1 fi 174U2 04D 03 Repoir ? Fire Zone ~IA
Enlarpa Q Type of Const. V
~d Nome 7~(~hman 1~(n~naa r Tn[~ _ MOvB
? Stories
Z Address 77h(1 1~ti_te+hnll Rnad Demolish Q Lertgth_
~ C; i:riPn Prajrie p(~~ 4~7-9520 Carode ? Depth ~ Sq. Ft.
oe pS,Tng~ Appeorals Fae~
o Name
Address P+sseSSmenr Permit 278.OQ
~ Cit phane W°t~~ ~w. Surchorge 24 .:i0
Police Plan check ~ 3 n
tZ N°"1° F~re SAC 52 5_ ~0
/~ddress Eny. Water Conn~:5n nn
i W Ci Phone Plonner Woter Meter .bL~.:l_
Councii Road Unit ~.n nn
I hereby acknor~rledge that I have reod this applicotion and state that g~dg, Off.
the info~mation is correct and ogree to compfy witA ofl oppiicabfe ApC Totol ~1726.5~)
STote of Minnesota Statutes ond City of Eoqan Ordinonces.
Sipnofure of Pertnittee
7.achu?an I?omes, ,.Inc.
A Building Permif is issued to: on the express condition thm
all work sholl be done in occordarxe wfth all opplicqble~Stote of ~7e1irneset~o Statutes ond City of Ea9on Ordinonces.
Building Officiol
3s ~gy1z- h fo-IS 8_3
Psrmit No. Permit Holder Misc. Permit No. Hotder
Plumbing V~t d b~ ~ S~
H.v.a.c. 3 t~ ~ ~P ~l~ b-7-$3
wou
w~se?
Disp.
Sewer
Eleckric 'OtO~$SG folellE ~~Ef' •Lb-~3
Inspection Date Insp. Other
Footings ~p-83
Faundation
Framinp
Aough P1bg. .
Rough HVAC , 3
Inwlation
Final Plbg. ;j Gt,
Final HVAC /
Finsl
Water ~ocatios?:
Well
Sewar
Pr. pkp•
r~,~~*,,. .~~,~,.~.q.~:~
-~~-~,.~~~r~„~;~ ~
~~~1'~'' •.:ro. ~~b~'` ~ ~w. ~ d~`~~ °~4~~~„~ `~,mam~- "`o~~~"' w~ ~ ~e" ~ 'm~r~' ~b
.~a, o
. . ~ - - ~j~ - ,..4eF~~~m.~'~ ~ .e~n. _ . . .
I ~ ~ ~ T L
<.~:c4.scT °-'•r__ -~s _.-~-yr ~v _ i+~ ~,y ~ :qr•+^ . ~
..,,'~y
~~~^v ,T - ~ .
V1 ~ •
~ . C~~~tt~ix~tf~ it~ C~~~C1C tt~tr ?
~r ~ ~ , ~
~ ~
~ ~~3
,
~ ~Citp af ~Eagan ~ ' ~
3~p}~ttrtmpttt nr# ~ixii~utg .~Jn~.prr~um '
~y~.y
~ ~ ; ~
i Tbis Cati
f
icate itsutd pur.ruun2 to tht reyui~cmentt o
f Scction 306 o f the Unif
orm Building
, ti ~ ; - '
Code urti n that at the tima o usuarue thi~ structur~ wu.~ in com l:ancc with thc varioul
fr g f ' p ' ' ~ '
ordinanat o
f the City regulating building connruction or use. For she f
ollowing:
L ~ ~
~
1/2 DUPLEX & G.AR 8009 `
u. cs.~s~am Bidg Permit No.
t.,,
y'~ ~w~r ~Ya R3 ~Yv~ codweam v Fire z«i. NA zoni~q niurict PD Rl i~
~of~a,,,` Zachman Homes. Inc~s7760 Mitchell Rd. , Eden Prai;~
~ y. B,~~,~4456 Slater Road ~~,Lot 4,Block 3,Cinnamon Ridg~
' 4~ _ 3rd
~ August 5, 19a3 e,~.
~ ~ ew7din= ot~dal Date: ~ct ~
s ~
'~s ~ ~
1 M~T IM A tONfIICY0U1 IiAt[ Y
~ ~y1
` ~ ~ f~ i~
Y~.:'~ .a..~~L " ~~~..a.~..:.-;~.-a~.-.,.~•~-z"~S'$i S's~.~aS~ii:~l
~~y\ ; . t y~n',KQ~tt T~ . _ ~`iy ~ / :,~q~ . ~ ,
.ar~~.,-a:=~* ~ ,NihE~~\ ~a ~~,,.~u/..5~ ~~~:.-a~b ,i,t~. ~~t ~..,/4p, ~'dA~ ,~BID,,.=.~~ . t ~ ~ ~j-.a
~ ~ . •~~~"~-.~-~~`~-E,~m _ ' ~ _ ,.~~b _ -.1. -a~ ~ .
,
' ~ ` , % ~ ~ , - ~ ~
Receipt."== PLUMBI~[ G PERMIT Permit No.
CITY ~F EAGAN . '
Fee
Fill in numbered spaces S/C
Type or Print legib/y Ta~ _ -
1. Date J~` - 2. Installation Cost
- i - - ~ ~ _ (1 ,1
, ,
3. Job Address Lot Blk. Tract k~ ~ t`- ~
- ~ .n cl
i ~
4. Owner ~ - ` ' 'f
5. Contractor ~ ~y ~ ` • J Phone ~ - ' ' `
6. Address ~ ` ` /
7. City ~ State Zip
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New ~ Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
; Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
- Lavatory Softner
Shower Wel~
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking 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 codes governing 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
~ /
Receipt MECHANICAL PERMIT Permit No. `-f ~r '
CITY OF EAGAW .
pee a~.00
FiII in numbered spaces S1C . a 0
Type or P~inf /egib/y Tot ~0. 5~' '
1. Date ~~~'3 2. Installation Cost ~~UO.GO
; -f ' ~L•,
3. Job Address ~+?6 `~].~te= -`?3. Lot ~t Blk. Tract "i d
4. Owner ~•e':(:; i7'L• ~~i ~i; :~~L•:;i `1 P~C .
5. Contractor ~ - x . i . - ' ' Phone ~~5--~'6"l
6. Address +~37 Ch1C~.~;o : -ve . ~ . o.
7. CitY 1liimc:" ~r;~; ~ State Zip ~
8. Building Type: Residential ~ Commercial O Institutional O
9. Work Description: New ~ Add O Alter ? Repair ?
10. Describe~-n~t.•~_'_1 forced ~~t,in~' Fuel Type 'J- t, tKis
11. No. Equi ment BTU - M. Ea. No. EQUiament CFM
Forced Air ~p~Qd(; Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
~
12. I hereby cer3ify th 'the above information js true and correct, and I agree to
comply with all din~~ s and codes govetning 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 4b4-6100
~
~ ~ ,
Receipt - ` i MECHANICAL PERMIT Permit No.
~ CITY OF E/KGAN
j Fee
Fill rn numbered spaces S/C
Type or Print /egib/y Tot.
1. Date ' 2. Installation Cost ~
3. Job Address Lot Bik. Tract
4. Owner
5. Conuactor Phone
6. Address ' •
7. City State ' ~ Zip
8. Building Type: Residential ~3 Commercial ? Institutional ?
9. Work Description: New O Add e3 Alter O Repair ?
10. Describe ' _ Fuel Type
11. No. ~uioment BTU - M. Ea. No. EQUiament CFM
Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
• Air Cond. '
Mfg. •
Gas, Piping Outleu
~e( ~ I~o~Ysa-
b(~ ~~.av 4~1 ~tc
12. I hereby certify that the above information is true and correct, and I agree to ~
comply with all ordinances and codes governing this type of work.
Signed : ' ~ _ ~ ~
, • for
Rough ~S-~~` I ns
Inspections: Oate ~nsp. Date p.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITY UF EAGAN Remarks ~~J ~ 151~~ 9~A3
add~c~o~-~innamon Ridge 3rd Addn ~ot pt of 4 Rik 3 parce~ 10-17402-041-03
Owner Qet ~456 Slater Road 5tate LAGAi~! '•L~I 55122
~
Improvement Date Amount Annual Years Payme~t Receipt Date
STREETSURF. 6~ C009465 9-7-84
STREET RESTOR.
GRADING
5AN SEW TRUNK j 73 Paid unde OTl inal C81
SEWERLATERAL x 1 8 621 03 b21.~3 C009465 9-~-g4
WATEFiMAIN
WATERLATERAL K 1985 529.12 105.82 529.12 C009465 9-7-84
WATER AREA 1973 Paid unde ori inal rcel
Services X 1985 337.60 67.52 337.60 C~09465 9-7-84
STORM SEW TRK 1979 Paid unde ori inal cel
STORMSEWLAT 1985 941.86 188.37 5 941.86 C009465 9-7-84
CURB & GUTTER
SIDEWAIK
STREET LIGHT
RAOD UNIT 250.00 35723 5-9-83
WATER CONN. 300.00 " "
BUILDING PER. SOO9
sAC 525.00 " "
PARK
CITY OF EAGAN Remarks ~~V ~ ~5~~~~
Addition G~nnamon Ridf~e 3rd Addn ~ot Ut of 4 eik 3 Parce~ 10-17402-042-03
~wner ~ Street 4458 Slater Road State EAGAN A~lN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. Q
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 Paid unde ori inal cel
SEWER LATERAL
WATERMAIN
WATER LATERAL X 2 12 1 8Z
WATER AREA 20 1973 Paid unde ori inal ceI
X 1 7 6 2 1 4
STORM 5EW TRK 1979 Paid unde ori inal cel
STORMSEW LAT 19SS 941.86 188.37 5 941.86 C009407 9 13 84
CURB & GUTTER
SIDEWALK
STREET LIGHT
0 NIT 250.00 35723 5-9-83
WATER CONN. 300. OO
BUIIDING PER. HOlO
sAC sz5. oo
PARK
Y OF EAGAN Remarks 9
Additio ~~NNAMON RIDGE 3RD ADDN Lot 4 BIk Parcel 10-17402-040-03
Ow~er Street 4456 $ 4458 SLATER ROAD state EAGAN NIIV 5512
Impro~ement ~ate Amount Annual Years Payment Rece' Date
STREET SURF. O - - D3
STREET RESTOR.
GRAOING
SAN SEW TRUNK 1973 .22 6.81 15 .31 A012609 8-12-83
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1973 131. 44 8. 15 35.08 A012609 A012609
STORM 5EW TRK 1979 381 .69 1~.08 Z$6.29 A012609 $-12-83
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 00.00 ~t n
BUILDIN R.
SAC /t
K
~ . .
'y . _
'
~c'¢!- t q. :?F'° "
fi
. . r.' _ -~.7~'°~-_
crrir EAGAN SEWER SERVICE PERMIT
~795 Pilot Knob Rood PERMIT NO.:
Eagan, MN SS1Z2 dA~: -
No. of Units:
Owner: ' ti `A ~ :~:Ct~'!ES IAC
Address: , . T
~?~~.t.L'.~ ~.~.L.l l.i~{ ~~ti. r.~l
S(te Addreu: . , , "
Plumbc~: : nr!' y:~- .
1 eyrw ie oon~~r wieh the'Ciyr of EeOa~ Connection Chorpe: ~
OrdiNanas. /lcoount Deposit:
Permit Fee: 1~ 1, c
Surcha~e: 5(', n<?
By Misc. Charoes:
Dote of Insp.: Totai:
I nsp.: Dob Pold:
S
.1' ~
. ~3ti 1
_ f
~ - s
: ~ i,
` «r
' . y~..~~~~, ' ' ` ~
' , , ~.~:~~~r ~~f~~Ti . . ,
~ ` ' i .
' ' . • . f ~1 ~ . .
:~~c,'( _ • `-v, ,
' ~ ~ ''~Di _ ' ; ~ . ' I
.w
~-6.~ y' ~
. ~ 1 . _ . ~ a T. ti~aJ~a~i. .L11
WATER SERVICE PERMIT
C~'rlf OF EAGAN
3795 P~lot Keob Roed PERMIT NO.:
,
Ea~an, MN S51Z2 DATE:
Zonir~: No. of Units:
Owner: i r..~~ ~i.~L i
Addross: - ~oed , z~ ~
Site Address: '~~5't ^lE?teT' - i~'' - -
t.T~Ct~C+''~ f T• ,
Plumber. " ~ x1
Meter No.: Connedio~ Charfle:
Size: Account Deposit: . ,
Raoder No.: Permit Fee:
1 e9re~ to wmplp wi~h IM Gh ef ~4°~ Surcharge: . y:
~.1:.
Ordinencss. Misc. Chor9es:
Total:
Dote Paid:
By
Date of I~sp.: Insp.:
.
SEWER SERVICE PERMIT
C; r1f Cf ~AGAN pE~IT NO.:
3796 P'lat Keob Road
Eegan, MN 5'li~ DATE:
Zoning: No. of Units:
Owner:
Address: 4 : I.I I
fi~ I' :ZU0.i I,G 1.:::. . l~
Site Addrass: c f. r
Plumber. ] _'J . C''- : -
~ ' ' ~ ~i f1('+ -
1 pre~ fe eon~Pl~? wkh tM Gep of ~9a~ Connectior+ ChorOe: ~
Oedinanee~. ~O°u~ ~~t
permit Fee:
Surcharpe:
Misc. Chor9es:
By
Date of In Totcl:
sp.:
Insp.: Dote Pald:
WATER SERVICE PERM~T
~~n : EAGAN pERMIT NO.:
3199 Pilot Keob Roed D/~TE: _
Engoa, M!1 SS122 No. e{ Units:
Zoning: .
~WMf:
Address: ~ - T_ I 1
, , ,3Tater ,
Site Address.
c - ~
Plumber:
Con~ecfior+ G7+arge:
Meter No.:
Nccourd Deposit:
Size: '
Permit Fee:
Reeder No.: Surchorge:
1 eqre~ to e,omVlf wilh tM C'fir ef EeY~~
Miu. ~~s:
~ip°~• Total:
Dote Paid:
BY I nsp.:
Date o4 Insp.:
~ CALVIN H. HEDLUND 7726 MORGAN AVE. so.
MINNEAPOLIS, MINN. 55423
~ona Su?v~yor C1v1~ Enoin~~r PHONE NO. 866-2523
sur~v or~s G'ert«ca~e
~
A - 470
J09 N0. 8- 4l I
SURVEY FOR ~ Zachman Home s Inc .
OESCRIBED AS~ot 4, Block 3, CINNAMON RIDGE 3RD ADDITION„City of Eagan,
Dakota County, Minnesota, and reserving easments of record.
Narthern I~~furd/ Gas Ca P,pel;n~
80•00 N48~32~35'~E ~
c~'~a 0
~,~h
q19.3 ~ 92i.s ,
~ ~
~
r--
I ~
~ ~ ~ 3
N~ ~ Top oF Foundation = 924.1
N~ ~ ~ 8asement F/oor+ 924.t
a N I 923. ~ o= c G~rs9e Fl~o~ s 923. 8
~ ~ N 1
~ 24 I~ 24. I ~ ~`r Proposed Elevalion.s O
I `gI cH?,?ooa EEcN~ ~ ~ ~x~sf;.+9 Flevaf?•os~s
15.92 ~
UN~' uu~T A~~ IS.9t~ IO~~~TAKES Dralnage Dlrection
~o'SQ STAKES i 4~ TT ~ ~ Denotes Lot Cor~er O
~ o A 7u`~ .
~ \ ~
20-1 24-1 ~
~ ~ _ _
~ -
1_; ~ 23. ~c.~:
i ~ ~ I
G a M
~ - - - +
919.8 922.7
$D.00 N 48°32' 35~"E
4 58
o ~ o
M ~
SLATER ROAD -
.
92o.b 921.4
CEATIFIGATE OF SURVEY
I her~by c~rtify that on q-~5-$3 I ~urv~y~d fh~ prop~rty d~scrib~0 obor~ ond fAof
~~e aDov• plot i• a car~fc~ r~prt~~~t~tion ol sold wrv~y.
V ~~v / ~ - / • ~
Colvin H. H~dlund. Minn. R~p. No. 5942
;;(Yt:kxti~,i~/Y„YF.K Yfi~;X(aR:~~;:~tiKY,~Y„X:~'~%~Y:;;t>kY,:;•;"~FY,(M:nd':Y,cY,:Y,:7'fi::::{(Y',.
~:[7Y q~' L.f1,f,A~
L'Ei34f.Lli_f;:;; 1S Tl:l:NiIN~11... t~(]~ 'c'g
.r,...` iF _t ~ce ',:vi
r,~,.~ ~,:r~:..~iC,:~ T'Ii i..~,:L.,. ~~f0
ILi :
'~~Fl~?Fe !.7t1L~1-1 T'kTl.?~L~7:
~a'f] 'rJOf'l;. 44,if3 SI_~'i'~f•: fiL~ 24~00
21;:i5 7Cli.J:':. $~f.:i;_? Sl_fti'Tfi:~i Fixt (:1..`_)0
'N
•
'1"ot.:_~7. ~iec~~i.~:;+. Arn,~~ni,;: 24.'50
c~;;n•~c~a.~
~.~^~_r r:o. .~r~,N
;k Y,t.`::'C >X:~C::;. Y. ~d?X ib %X>Y>k?i; i'n;( Y,t )'r ~i, M Xi ",':X ~;;k 5,: ~~>r. ;::$;X xYY,1 %K'~
I
PERMIT
~f C~TY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: a u x ~ o z N~
Eagan, Minnesota 55122-1897 Permit Number. 0 318 3 7
(612) 681-4675 Date Issued: 0 4/ 2 2/ 9 8
51TE ADDRESS:
4458 SLATER RD~
LOT: 42 BLOCK: 3
CINNAMON RIDGE 3RD
P.I.N.: 10-17402-642-03
DESCRIPTION:
~ (PATI0,D00R)
Bui,ldimg,,Permit 7ype SF (MISC. )
%Building W'ork Type ALTERATION
t Census Gode 434 ALT. RESSDENTIAL
~
p,~
. .
(t
~ ~
. de£5. • y y' ~ . .
x f .
_ 'p?• e4
. ~1. ~,r'~~ ~ 1'ti...-,f
fY
&Y ~ ~ f~
i t
+ ` j ~
rl,y3' \ s~~ ~`5`~\~~ ~~~t,l ( U~P~~~~ ~J~t~~`:t`'~~~l~
~ f Lf '~.J ~ ~ ~ ~
i i
REMARKS:
FEE SUMMARY:
VALUATION $600
Base Fee $24.00
Surcharge $.50
Total Fee $24.50
CONTRACTOR: OWNER: - Applicant -
TRIVEDI UMESH
, 4458 SLATER RD
EAGAN MN 55122
~ (612)707-9407
I hereby acknowled'ge that I have rea~i this application and state that the
infePtn~tiqn; ~s carrect and agr~e to ~ctmPl,y ~ith a~a, apR2~.catzl~ 9ta~e o~F Mr~r
Stat~€es an~tt Citq~~of ~agan Ord~nana`~`~~ ~ ~ ~
L _ . , _ . _ _ ~
~n~~n R,~,~;~, I rrf.~l
APPLICANT/PERMITEESIGNATURE ~ -.~UE BY:gIGNAURE
~u=•~3~
998 BUILDING PERMIT APPLICATION (RESIDENTIAL) z~,~i
~ CITY OF EAQAN
3830 PILOT KNOB RD - SS 122
681-4676
New Construction Requirements RemodeUReoeir Requiraments
• 3 registered site surveya ? 2 copies oT plsn
• 2 copiea of plans (inGude beam & window sizes; poured fid. design; etc.) ? 2 sile surveys (axterior additions 8 decks)
? 1 energy calculations ? t errergy celculedons for heated atldftions
? 3 wpies of tree preservetion plan 'rf lot platted after 717l93
tequired: _ Yea _ No
DATE: ~(lA Fl 3 0 q~ CONSTRUCTION C05T; ~ gi~ •(70
DESCRIPTION OF WORK: ~a ~ A~C I ~,1~
STREET ADDRESS: 4~ S g ~v l,{rf ~V~ T~i o R1~ ~-r~GflN 1'YIY~I SS12i
LOT: n 4~ BLOCK: SUBD./P.I.D. ~~~m~~ ~Q~
Name: ~v£D~~ ~~M£St~ V ' Phone#: /17~^ Oy-t~~
PROPERTY 1~as~ F~rsc
OWNER
Street Address: 4uF s8 S 1.,i~T i~ ROfl'~
cnr ~~a R N s~~: M N Z;P: S~'? .
~~5~-
_
Company: ~ J ' D ~ Phone
O
/ Street Address: _ 1-} } I 'W License # ~ ~ ~
c~ry ~ £ sr~s~: ~'h ~ z' : 3'7 ~
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
SVeet Address:
City State: Zip:
Sewer 8 water licensed plumber (new construdion only): . Penally applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge ~at I have read this application and state that the infortnation i5 correct and agree to compy with all applica6l
State of Minnesota Statutes and City of Eagan Ordinances. ~ e ~ t ~I ~~7
Signature of Applicant: r~ - k~
~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Pfan Received _ Yes _ Na _ Not Required
. , .
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaiNRem. ? 17 Swim Pool
? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ~ 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05, SF Misc.~ ? 10r__ryple~ ? 15 Deck
' ~k , . 3 :F ~
WORK TYPE
? 31 New ? 33 Aiterations ? 36 Move
? 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 Footpr,nt sq. ft. 5AC Coda
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
CITY USE ONLY
LATO ~ a~ 3 xECe~pr#: ~30~(~
SUBD. c3 ~ RECEIPT DATE: ~
1998 MECHANICAL PERMIT (RESIDENTIAL)
oF I~~~~
3830 PIIAT IINOH AD
EAGAN MN 55122
~ (612) 681-4675
Date:
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAI.:
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not reauired for alteration/add-on to ductwork in
existing residential units; but is required for the following:
_ Install fumace ~ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge
Total: $ 20.50
SITE ADDRESS: ~~~0 X1f~lIJ ~(j
OWNERNAME: l~6_~~f.GG`eU~ PHONE#: ~~O/
INSTALLER NAME: PHONE
cTx~ET y~D,t~ss: 12481 Rhode Istand Ave. So.
~i~; ~ 894•0005 sT ZIP:
IG ANRE OF PERMI'fTEE
1S/FORMS BI.D/MECH PERMIT (RES) - 1998
CITY USE ONLY
L BL RECEIPT#:
SUBD. RECEIPT DATE:
1998 b~CAANZCAL PERMIT (COL~ID~RCIAL)
CITY OF EAGAN
3830 PILOT EQ108 RD
EAGAN, ~I 55122
(612) 681-4675
Please complete for: all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1 %
PROCE5SED PIPING
PERMIT FEE .
STATE SURCHARGE ($.50 per $1,000 ofnermit fee due on all permiu.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (iMPROVEMENTS oNL1~:
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
. . • . .
. ~ . . . :
r . .
~ , ' f . 5 ' ' • . . ~ t..
~ ' , . . , '
. ' ~ •
1~I~~I*7R7R7~I$~7~p~.~(1~1K'~I7~'.~$7R~17~1'{1~l~I7~7~17K71. '
' , ~ . ~.Girr n~' EacaN • .
. ,
CASHIEI~~ S. TERFiINf,L N0: 728 .
~DATE~ D~r/~.if99 .TIME: +.Oy:Y(~ei9','
Id: ' , i . . ~
' NAM~ ~ • U~IEFJN . T~2IVEDI ~ ~ ~ : ~ ~ • , ~
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~i 3210 9001 ~ SLA1F_R RD•:' 60.OQ;
2~.55 9001 a~458 $LATEk RD , . . „0.30
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~ Total R~cei~p`• Rno~mt: . 60.50
e CR~11018 • ' ' ' • :
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~
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t•~ 1999 BUILDINC PERMIT APPLICATION iRESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD • 55122 ~ S-b
3~ ~ 651-881•4675 / pt q y~
~G ( ~ b
un~. ron~ucflon ReaWremeMs ~ RemGdel/Reoalr Reau
rTer~t~t~
> 3 registered sMe surveya ahowing ~q. R. o! lot, sq. N. oF house 2 cop~es ot plan
and all roofed ateaf f20% maximum lot coveraae allowed) 1 sM of energy calculations lor healed addHfons
> 2 coples of plans (show beam S wirniow sixes; poured UW. dasign; etc.) 1 ske survey for extedcr addttbrts L decks
? 1 sef ot energy calcvlafbns
? 3 copies ol hee presenaNon plan H bT plaHed afMr 7/7/93 ~y
DAiE: ~ 10 ~ D~`~ CONSTRUCTION COSi: I T J~~~~
DESCRIPTION OF WORK: 1~ ~C"~- -1
STREET ADDRESS: ~ S g s L' 1 ~ ~~AT~ ~l r~ S~°~ ~
LOT: ~~I a- BLOCK: ~ SUBD./P.I.D. C J. M n~ VY` ('n.. ~w o t- 3~
Name: ~ 1~1v ~bl UM~tS 1'~ Phone#: ''JQ7r U4'L~7
PROPERTY LOt~ fl~
OWNER ~~5$ S~-AT~ n~
Street Address:
City ~Pt!-~ _ State: rn~ Zip: ~ S' a o~
Company: Phone
(area code)
CONTRACTOR
Sfreet Address: llcense # ExP•
City Stafe: Zfp:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Sheet Address: RegisfraNon
City Stafe: Zip:
Sewer 6 wnter licensed plumber (reauired for new conshuctlon onlv):
Penalty applies when address change and l01 change is requesfed once permN Is issued.
I hereby acknowledge that 1 have read this appltealbn, state that the irrformaHon fs cortect, and ag~ ompty witfi all appUeabl
Sfale of Mlnnesofa Stafutes and City of Eagan Ordinances. ~ ~
~ r-~
Signature of AppUcaM:
OFFICE USE ONLY 4
~ Jui ~
Certificates of Survey Received v Yes _ No
Tree Preservation Pfan Received _ Yes _ Na _ Not Requi~d-- .
• 1
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) •
? 02 SF Dwelling O 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ piex ? 08 6-plex ? 13 16-plex 18 Deck ? 23 Porch (screened)
CI 04 2-plex ? 09 7-plex ? 14 Apartments Q~ 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE -
,,4' 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/So~ts/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas lrtsert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair C] 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATtON
Const. (Actual) Basement sq. ft. Census Code .)1
(Allowable) Main level sq. ft. SAC Code ~
UBC Occupancy sq. ft. No. of Units G
2oning sq. ft. No. of Bldgs Z
# of Stories sq. ft. MC/ES System .
Length sq. ft. City Water
Width ~oatprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building 5 Engineering Variance
Permit Fee Valuatian: $~/jll~
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/UN Surcharge
Treatment PI.
Park Ded.
Trails Ded. E
Other
Copies
Total:
SAC Units
% SAC
. ~VIN H. HEDLUND 7726 MORGAN AVE. SO.
MIr+NEAPOLIS, MINN. 55u23
su~v~yor Gvn Ena~n~v PHONE NO. 666-2523
sur~ver~or~s G'ert«cate ~
A- 470
JOB N0. 8' 4~ ~
SURVEY FOR~ Zachman Hanes Inc.
OESCRIBED AS~Lot 4, Block 3, CINNAMON RIDGE 3RD ADDITION„City of Eagan,
Dakota County, Mirinesota, and reserving easments of record.
Noifhern /?aiurd/ Gd5 Ca Prpel%ne
80~00 N48~32~35~'E
p~'~~ 0
~ ~ ~
Q19.3 ~ 921.5 _ ~
s ~
, ~
3 ~ I
~ ~ 3
M ~ Top oF Foundal:on • 924.1
` o- ~ ~ ~ ~ N Sasemenf f/oor= 424.1
c~ Gara e Flooi: 923~8
a~ . I 923. 9 z. I~~ 9
~ r 24~1~ 24-I ~ P Proposed Elevad%ons O
I BI.CH4100D EE[H 00 ~ ~
~ Ex%s/iny E1evdl~ons
rs.42 uN~r . uu-ir~, is9z~ IDQ,Tp~cES O~a%nage D~recf~on
~o'O s-rA~ces ~ 4 ~ Denofes Lot Corner O
I ' ~
I I A TIU GA
I N~ ~
20-1 ` 24-1 ~ ~
L_~7;'-~ ~ 23. Z3.4 ~~i':
~ m W ~
I ' ,~j ~
L_ ° ~
919.8 922.7
$0.00 N48°32'35"E
~ ~4 58\
o ~ o
M (A
i4.5 L_ 5~ ~ER Roan _ 922.
9ZO.6 92L4 ~
+
GERTIFIGATE OF SURVEY
I 1?ereDy certify lhot on g-IS-$3 I~urv~y~d tht prop~rty d~scrip~d apov~ and thot I
the apov plot is o corr~ct r~p~~a~ntotion of sold surv~y.
~~,G~~ ~J. ~a&-~----Q
Colvln H. M~dlund, Minn. R~p. No. 5942
~ ~ RESIDENTIAL BUII.DING
Permit Application
/ City Of Eagan ~ ~ ~ . ~ ~
t~ pl °I 3830 Pilot Knob Road, Eagan Mn 55122 ~ p ~ ~
Telephone # 651-675-5675 FAX # 651-675-5694 C~X-~--@~
i S-U3
New Construclion Reauiremenks RemodeVFteoair Reauiremenfs Office Use OnN
3 registered sile surveys showing sq. R of lol, sq. fL of house; and all roofed areas 2 copies ot plan _ CeR of Survey Recd
(20°h maximum lot ~verage allowed) 1 set of Eneryy Cakulatbns for heated addNOns Tree Pres Plan Recd
2 copies of plen showing beam 8 window sizes; poured faurM desigq etc. 1 site survey lor additions & decl~ Tree Pres Not Reqd
1 ut of Energy CalcuWtions AddiNon - iiMicate i(onsite sepfic system _ On-site Sepllc System
3 copies o( Trce Preservalion PWn if lot platled aher 7/1193
Rim Joist Detail Options selection sheel (61dgs witl~ 3 or less uni~
Date l~ ri' l b 4 / CJ.3 Construction Cost 'L JTCS~ `x'
SiteAddress, 4~~Pj Sr-AT~~ R~ EAGA/~I 'rj5fZZ Unit/Ste #
Description of Wor~~~EU~ J p~T-1 U
Multi-Family Bldg _ Y~ N Fireplace(s) ZC 0_ 1 _ 2
Property Owner M I C N A~ C_ T~ff ~ M~ ~T7~'• Telephone )~9° ` 3~z!
Conlractor
Ai~dre r•ti•
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category Residentlal Ventilation Category 1 Worksheet . New Energy Code Worksheet
(J submission rype) ~ Submitted Submitted
. Energy Envelope Calwlatlons Submitted
Licensed Plumber _.~~CS i1 ~~`J ~ Telephone J
~l~~ ?~03
Mechanical Contractor . ~0 4 Telephone )
Sewer/WaterContractor ,'11~1 Telephone#( )
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accura[e;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand tktis is not a permit, .but only an application for a pemvt, and work is not to start without a
permit that the work will be in accordance with the approve lan in the case of work which requires a review and
approval of plans.
A~I ICN ~ EL T/+sonf TtFf~~~onl .7R. ~ ` /l,
ApplicanYs Printed Name App icanYs Signature
OFFICE USE ONLY ~ 3
Sub Types
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ~ 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-p18x Plbg_Y or _ N ? 25 Miscellaneous
Work Types
J9 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt
Valuation Occupancy Z MC/ES System
Census Code ~ 3 y Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const U~ Width
REQUIRED INSPECTIONS
Footings (new bldg) Final/C.O.
~1 Footings (deck) ZC FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By ~ , Building Inspector
Base Fee
Surcharge
~~QC~ "2-~ ch° m
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search ~
Capies
Other
Total
. _
CALVIN H. HEDLUPI4D 7726 MORGAN AVE. 50.
MINNEAPOLIS, MINN. 55423
LanO Surv~yo~ Grll Enyln~~r PHONE NO. 8b6-2523
~R ~V
A- 470
JOB N0. B-4'I I
wa \
wRVer F
DESCRIBED , CINN N RIDGE 3RA ADDITION„City of Eagan,
~ p ta, and reaerving easmenta of record.
DATE nCp T
~~Q~!~1~a°F Gas Ca ~;pe%ne
a'~~p
80•~ N98'32'35'~E O ~}j
- ~ ~
ql93 N „ 921.5 ~
s ~
I ~
3 ~ I
~ ~ 3
~ ~ Top of Foundalion • 924.1
N P ~ ~ ~ n 8asemant Floor= 924.1
o-~ I 923, ~g~ ~ ~ e Gara9G Fluor = 923. $
~ N ~
4~1~ :.~•I ~ ~ ~ Proposed Elevel:ons G7
I I CHWoP ECN On ~ ~ ~x;sl;..y E/e~al:ons ~
i5.q2 ~
N~ UUITA~ /5.92~ ID~7TA~CES Draine9e Direcfion
lo'~OSTAKES ~ ~ 4 ~ Denoras LotCorner O
I a u
~nT ~
I ~
I N\ ~
_ 20-1 24-1 ~
~ ' , ~ ~ ~ ~ „ ,
L_~.~, ~ 23. 23_4 ~ ~_l.%! `•J
~ ~
~ d ~ I~
L_ ° ~
919.8 ~ 922.7
$0.00 N48°32'35"E
4 58
O ~O 0
M M
14.5 SI.ATER ROAD~ 9Z2.
920.6 q21.4
• CERTIFIGATE SF SURVEY
I ~~r~by ctrrity tAor on 4-~5•$3 i~urveyed 1~~ property Aveeribvd opov~ and t~or
Ihp obov~ plof i• o wrr~el r~pres~ntofion of wld survty.
l~a~i.~-._. T'. 1~-~-~
Colvln H. N~OIUnA, Minn. R~p~ No. 5942
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 '
R<CBI V 6D - .
FROM
AMOUNT $ I
R ~OLLARS
~oo
? CASH ? CHECK
FOR
~ _
FUNO CODE AIAOUNT
Thank You
BY
White-Payen Copy
Yellow-Posting Copy
v Pink-File CoPY
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4456 Slater Rd
Lot: 041 Block: 3 Addition: Cinnamon Ridge 3rd
PID:10- 17402 - 041 -03
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector,
952- 445- 2840Frank Richie 695 Otseg o St. St. Paul, MN 55130 651- 793 -6030 americanhtg- ac @juno.com
Fee Summary:
Contractor:
American Heating & Air
695 Otsego St.
St. Paul MN 55130
(651) 793 -6030
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$30.00
$30.50
Owner:
Carol G Matuaci
869 Curry Trl
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Mechanical
EA075904
11/16/2006
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4456 Slater Rd
Lot: 041 Block: 03 Addition: Cinnamon Ridge 3rd
PID:10- 17402 - 041 -03
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Crew2 Inc
2650 Minnehaha Ave
Minneapolis MN 55406
(612) 276 -1680
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Scott H Kitelinger
4456 Slater Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA091224
09/21/2009
ePermit
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112988
Date Issued:08/27/2013
Permit Category:ePermit
Site Address: 4456 Slater Rd
Lot:041 Block: 03 Addition: Cinnamon Ridge 3rd
PID:10-17402-03-041
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Laura Gillespie
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 -
Scott H Kitelinger
4456 Slater Rd
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127259
Date Issued:09/25/2014
Permit Category:ePermit
Site Address: 4456 Slater Rd
Lot:041 Block: 03 Addition: Cinnamon Ridge 3rd
PID:10-17402-03-041
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Scott H Kitelinger
4456 Slater Rd
Eagan MN 55122
(612) 964-2253
J Carver Construction Inc
1345 Schletti St
St. Paul MN 55117
(651) 645-5488
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r-----------------�
I For Office Use �
' � Permit#: % �!S � T� j
Clty of �a��� � Permit Fee: �V • �5 I
�
3830 Pilot Knob Road � p.. �
Eagan MN 55122 � Date Received: � o�o �
Phone: (651)675-5675 I i
Fax: (651)675-5694 I Staff: I
I I
014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ��� L Site Address: � l �� �� !�`S� c�'�?� � Unit#:
� Name: �� / � Phone: C�S� — �''b,�J3y��,
ResidentJ
QW�gr = Address/City/Zip: ����o � e�� �
�� ��' n�; r�, Applicant is: Owner� Contractor �
`�
° Description of work: � � ��
Type of Work, ., �—
" Construction Cost: �y� , K� Multi-Family Building: (Yes /No�
rn ] „
Company: ~� � Contact: V��il ,/1/
�COfltl'�C'�OI' ����� � Address: J ��� 3��� �� .k�'��City: �
' State: (� Zip:� Phone: Gv��"�Z��7 r�aiL ��h'� � ��T���/C �
; License#: ��D��1� � Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
` "NC?TE:.,P,l�ns and suppQ-„ing do�ur�ei�ts�hat ybu subm�t are considered i�o�:e`pu.blic'int'armatian. 'PolYtions o� ' '
; ,the�iriformafior�r+�ay��be�lassifie�l��rton p�i�lic if you�provid�spe�ific rea$ons fhaf,would p'er'mit�i�� City#p
conclude:;t�at flre are-.trade sec're#�,
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.qopherstateonecall.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.
Exteriorwork authorized by a building permit issued in accordance with the Min sota State Building Code must be completed within 180
days of ermit issuance. �
�a,r3;d1 �..���/' P�.�o �--
X X � �,�o�.
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146514
Date Issued:10/30/2017
Permit Category:ePermit
Site Address: 4456 Slater Rd
Lot:041 Block: 03 Addition: Cinnamon Ridge 3rd
PID:10-17402-03-041
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Scott H Kitelinger
4456 Slater Rd
Eagan MN 55122
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153112
Date Issued:11/21/2018
Permit Category:ePermit
Site Address: 4456 Slater Rd
Lot:041 Block: 03 Addition: Cinnamon Ridge 3rd
PID:10-17402-03-041
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Scott H Kitelinger
4456 Slater Rd
Eagan MN 55122
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature