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4459 Slater Rd . ~ CITY Of EAGAN 3795 Pilot Knob Rood Eogon, MN SSIZ2 . PHONE: 454-8100 BUILDING PERMIT Receipt ~t ~ u Te b~ wed for 5F DWG/CAR Est. Val~,e $SG,UOG pOfe Ju1S* f3 ~q 83 Site Address 4459 Slater ROad Erect ~ Occuponcy. R--3 l.ot 5 Block ~ Sec/Sub~~~moit dge 3rd ^iter ? Zoning (PD) R-1 porcel 10 17402 050 02 Repoir ? Fire Zone NA Enlorge ? Type of Const. V ~ Nome _ - Zachnan FioID@B , IIIC . ~~e ~ # Stories z Address 7160 '`iitc:iel2 Rvad perrwiish Q Length~_ ~ ei Eden Prairie pt,o„~ 937-952d Grode ? ~epth ~4 Sq. Ft. ~ N~1e Keymen Construction, Inc. ApP~a,~als Fees u~ Address 5952 Woodland C1~CCle Assessment Permit 283.00 ~ Cit r~~1~. ''i5'34~ Phone g~4-12I8 Woter & Sew. SurcFwrge 25.00 Palice Plan check ~~1, ~0 ~ FW Nome Fire SAC ~2$.a~ Address Enp. Woter Conn. 4.~0. b0 iW Ci Pha~e Plonner Woter Meter b0.00 Cauncil Road Unit ZSO. C10 I hereby acknowledge that I have read fhis application and stote thaf g~dg. Oft. the information is correct ond cgree to camply with oll applicobla APC Total $1734.50 Stote of Minnesoto Stntutes and City of Eagan Ordina~ces. - S{pnofurc of Permittee A Bulldin Permit is issued to: ~B~~n Construction, IriC . on the e 9 xpress condition thnr ail work shpll be done in occardonce wlth all opplicable 5tate af Minnesota Stotutes and City of Ea9cn Ordinances. Bulldirg fJfficiol . ~ m ~ 0 s d Z m L -ry M ~ ~ n i ~ Q E W r ~ ~ ~ ~ ~ 4" u ~ ~ ~ J ~ x° ~ ~ E ~ N ~ G d ~ ~il ~ ~ ~ ~ ~ . \ ~ - 3 ~ a Z ~ E N ~ 9 ~ . b,o ~ l_ ~ ~ a ~ \ ~ ~1 "~l ~ ~ ~ ~ a~ d c V v ~ c Cl ~ ~ u o ~ a ~ ~ o ~ 7 ~ Q ~i ~ ~ c t = 'r, a S ~ _ . ~ > > « ~ ~ ~ ~ E ° ~b ~ m o ~ ~ G W W 8 ~ ~ > > ~ C C G m ! d ~ U~ C LL I~L IL ~ ~ C LL {l IL '~S ~ f!7 4 CITY OF EAGAN Remarks Addition CINNAMON RIDGE 3RD ADDN ~ot 5 B~k 2 Parcel 10-17402-050-02 Owner Street 4459 SLATER RQAD S~te EAGAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Q ~98 - - STREET RESTOR. GRADING SAN SEW TRUNK 1973 102. 22 6. 81 15 20. 50 A013587 2-28-84 SEWERLATERAL 19$S 724 53 14 1 2 --8 WATERMAIN WATERLATERAL x 1985 617.30 123.46 S 617.30 C009450 9-7-84 WATER AREA 1973 131.44 8. 76 15 26. 32 A013587 2-28-84 Services x 1985 393,87 78.77 5 393.87 C009450 9-7-84 STORM SEW TRK 1979 381. 69 19. 08 20 267 . 21 A013587 2-28-84 ST~RMSEW LAT 1 8 1098 83 219.77 5 1098.83 C009450 9-7-84 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 250.00 36930 7-8-83 WATER CONN. 4SO.OO BUILDING PER. SAC ~f PARK , ~ cir~r oF ~?c~?N N~ 8 2 2 2 77lS PYe~ K~ Ro~d Ee~eA, MN as12! PH~Nt: ~54.6100 • BUILDING PERMIT R~~~ # ~~v Te N w~d for SF DWG/GAR ya~~ $50,000 p~e July 8 , 19 83 S~te llddrcss 4459 Slater Road R-3 l.ot 5 el«k 2 ~~~Cinnamon Ridge 3rd ~ ~~(pD) R-1 po~~ # 10 17402 050 02 Repalr ? Fire Ione ~A Enlarys ? Type of Const. ~ W Nome _~achman Homes, Inc. ~,e ? # 5ror+es ~ 7760 Mitchell Road Addross DemoHsh p Length 56 Eden Prairie pf,~ 937-9520 Grode p Depth 24 Sq. Ft. ~ Na~ _ Keymen Construction, Inc. Approvoh F••s Z 5952 Woodland Circle Assess~„er,r Pe?~+,~r • 3 /lddress ~ Ci Mtka. 55343 pFwne 934-1218 Water 8$ew. Su~cho~ 25.00 Police Plan check 141.50 GW Nome Firo SAC 525.00 Addross Enp. Water Conn. 450. 00 tW C~ ph~ Plonner Woter Meter 60. 00 Council Rood Unit 250.00 I hereby acknowledge thot I hava read this opplicotion ond srote that B~~ the info~motion Is carrect and ag~ee to comply with oll opplicobls A~ T~o~ $1734.5~ Stote of Minnewro Stotutes ond C1ty of Eeflan Ordina~ces. Sipnaturo of Permittee A Buliding Perml~ Is ~ssued to: Keymen Construction, Inc. axpross tondiNon Ihn~ oll work sholl be dona in xcordonce with oil oppliaoble Sta f Minnesoto Stprutes nd City of Eo~n Ordinonces. Buildirq Official ~U _ ~ . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: i'r 3830 Pilot Knob Road Permit Number: 7 4`~ E, Eagan, Minnesota 55122-1897 Date Issued: H`. ' y; j`'r. (612) 681-4675 SITE ADDRESS: ~ ` ` ~ s S ~ APPLICANT: ~.~,t : Esi i n 11 t';13 ~ ~ ; } ~ ; ~~~~:3~v: ~ l MP1AM11N i( I l~i,t ;t-:I~ : i 1 r ~ t ,~1:; ' PERIVIIT SUBTYPE: TYPE OF WORK: . , <<~ . ~ ~ , ~ ~ , ~~;~p~~r • • ; ~ ~ r~~ ! ~ i'.' ~ ~ ~ ~ ~ Permit No. Permit Holder Date Telephone M ELECTRIC PLUMBING HVAC Inspectlon ~ats Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAI PLBG FINAI HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG i.~ f'';:;,ti._ , ~ ' - - ~ ~ ,G~~TJf~s /~ev7~7~<- -i~ ' ~ 311~ ~ ~ ?6Wi1/~/~G ?~__G'F~?y FA~ ~7/?A~; i ~ -1-. - - - ~p~ gqtY1CE P `.ERMIT CITY OF EAGAN ~M~T NO.: 7_29-53 3g3~ ~ilot Knob Road P. O. BoxN2 55 27 No. of Units: Ea9an. M Zonir+o~ p,i,rner, /~dress: ~ • ~ Stia ~dd'rass: '~i a st on1:a ~ 2 5, 00 pd Plun+b~r 7 ~3 ' ~,~tton 1 M~ t° e~0~! i~l~~ ~ a~. ' c', t ~~K p~: ~ . ~ pr~iiw~ne~ Surd?a~= M;~, CMwro~ 8Y Tota~: Date ef 1^sP•: p4t~ P°id. In~p.~ WATER SERVICE PA~R CI'iY O~ EAGAN ~~~T NO.: ~-z9-S3 3830 Pilot Knob Rosd DA~, P. O. Box 2 5~ ~ ' Eagan, MN No. of ~lnits: Zor+~r+~~ l~?~~ 4 ' ' . Sw° ?restonka S Plumber Connectian C~wr9a: ~ete~ No.: l~ount DeD~t` 1 p 0 d Size: Permit Fee: 5Q ` d R~~ No.: ~ ~ ~ Su?cF+a~~ 1 p~ to eou~vM M'~' Misc. CFarqes~ -(otal: pcte Paid: • BY InsO•: , pate of Insp•: ' . { I I i ~ , • _ CI,PY OE• FAC~1 Include 2 sets of plans, n j}-~~ 1 site plan w/elevations & + j~~~~ PEI~ILT APPLICATION 1 set of energy calculations• KJ~ ~p-ZZ $3 i 5~ Valuation ~ r'~n Date Zb Be Used Ebr ~ Site Pddress 6 a-~G' S LP i~~ 2 L~? OFFICE~~'?' Lot Blocx 7,. Sec./Sub. G< Erect ~~Pan~Y ~ Parcel ~ d 1'1 o a b SO O a Alter Zoning g~~yr Fire Zone _ ~ ~ ~ Enlarge _ Type of Const- Qaner: Z G ~ ~p~ # Stories Address: `?`7 (nC7 Iv~c ~ ` D~mlish Front S~n ft. Grade Depth ~c/ ft. City/Zip Code: ~c~~ Qt`O.it`l~ Pho~ ~3 q s a o ~P~s ~s Assessments P~tit ~ 3 Contractor: EG ~=Y r~ ~(•.i, G~,~[ S T~ .4-~ Surcha~Je~~ ~4ater/Seaer Address: S Z w Gc~ ~it t-~ l~ G i 1~ Police Plan Checlc ~ Fire SAC Sd S City/Zip Code: f`nZi~-~ h`~~`~ ~ Water Conn.~c SG Phone ^ P 2. L~ T - P~lanner Water Meter /Q~ Council Road Unit 6 _ p,r~.~q.: Bldq. Off. ~ APC Address: city/Zip coae: ~,I,~ , S p Phone ~j 3(ps ~ 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION Cify Of Eagan 3830 Pilot KnoU Road, Eagan MN 55122 Telephon e # 651-675-5675 Please completc for: single family dwellings & townhomes/condos when permits are requircd for each unit Date ~ / a~J / SiteAddress ~~5~ 51a~er RpCLa Unit# Property Owner ~(J,~~'1~ ~C~~ Telephone (g~jl ) ~`I~ Contractor ~~Y1`~ ~'{~(~,Yl~~t~ ~YIC. StreetAddress 1/~/~~ ~~d ~~~Ck- yaY~ 1-`~`tiLL City SrFA~~e scatie M ~ z~~ 'Pelephone # ( CIS~ ) ~I N5-~ Bond ~ ~y ~ ~ I ~ ~ ~ Expires: pj~ ~b y The Applicant is _ Owner ~ Contractor _ Other Add-on or alterrtion to existing dwelling uuit $ 30.00 furnace _Additional ~ Replacement air exchanger ~ airconditioner _New ~Replacement other Slate Surchargc ~ , $ .50 ~ n n n ~ ~ . Total . . - $ .7~.5V I hereby apply tor a Residential Mechanical Pernrit and acknowledge that the infocmation is complete and accurete; that the work will be in conformance with the ordinances and codes of the City uf Eagan and with tl~e Mechanical Codes; that I understand this is not a pernut, but only an application for a peimit, and work is not to start without a pc~mit; that the work will be in accocdance with the approved plan in the case of work which requires a review and approval of plans - L1 ~P C ~lO~VC~P ~ ~ ~ ~ V1P1~4'~~ ApplicanYs Printed Name App icant's Sign e 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Piease complete for: commercial/industrial buildings mul[i-family buildings when separate permits are not required for each dwelling unit Date / / ~ Site Street Address Unit k Tenaot Name (if applica6le) Previous Tenant Name Praperty Owoer Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bood Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove ""see 6elow Interior Improvement _ Install Piping _Processed _Gas Nature of Work: *'When insta!ling/removing underground fank, call for rnspection by Fire Marshal and Plumbing lnspector 1'¢I'ml[ F~¢¢S: $70.50 Undergmund tank installution/removal ~ 550.50 Minimum (includes Sta[e Surcharge) or Contract Value $ x Permit Fee • If ermit fee is $1,000 or less, add $.50 ~ $ State Surcharge If ep rmit fee is over $1,OOQ add $.50 for every $I,000 en rmit fee $ Total Fee I hereby appty for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in wnformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. Applicant's Printed Name ApplicanYs Signature Approved By: Inspector Date: ~~~l~q RESIDENTIALBUILDING ~`~AIC~~^ ~ ~ Permit Application ~ ~ ~ , City Of Eagan -~S 3830 Pilot Knob Road, Eagan Mn 55122 ~g~ - Telephone # 651-675-5675 FAX # 651-675-5674 Ner~ConsWClionReauirements RemodeVReoairReouirements OfficeUseOnN 3 registered site surveys shaxing sq. R. of bt, sq. ft of house; and all roofed areas 2 copies of plan CeA of Survey Reoi (20°~ maximum lotwverege allowed) 1 selof Energy Calculations for heated addNons Tree Pres Plan Recd 2 copies of plan showiig beam & windov~ sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set of Ene~gy Calculafwns Add'rt~'on - indicate Aon-sde sepNc system _ On-site Sep6c System 3 copies of Tree Preservatbn PWn if lot platted after 7/1/93 Rim Joist Defail Opllons selection sheet (bldgs wiN 3 or less units Date Z- / Q3 0 pn,.,~ n ConstruMctio.n/ Cost ~~i '7~S o 0 Site Address S-/ ~C~W l~ l~-U~^~" ~~L~(.~ I?Y J~S ~a'a' UniUSte # Description of Work 0!,`,,,, C~(,,~.}~ I L)L~U~~S ~n~ ~ Multi-Pamily Bldg _ Y~ N J Fireplace(s~ 0 _ 1 _ 2 Property Owuer ~~Gt[!.IlX °!',fiV'j't~LL~1J L/L. N"/~G(6lE'~GCX- Telep6one 07 ILZJU ~ Contracror ~ (/~/UWQ~ ~.4KJ~f l.y7l-~' ~ .n n ,~y~ i Address ~ l (J~ City ~,If,/lX _ State Zip ~'S3y3 Telephone#(9',j(~ q.~s- 9~~9 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate o~rv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) Submitted ' Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephon ~C~ ~~~r~. ~ j DEC 0 8 2003 U ~u I hereby apply for a Residential Building Pemut and acknowledge that the i ormation is complet d accurate; that the work will be in conformance with the ordinances and codes of the ~of Eagan and the tate of MN Statutes; I understand this is not a pernut, but only an application for a permit, and work is~t'to without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~Gt~~ J~ Vo~,s ( ~ f~~S ApplicanYs Printed Name Applicant's ignature OFFICE USE ONLY Sub Types 4 ~ ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessoryt'si~g ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 1D OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types O 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 Windows/Doors ? 34 Replacement , 'Demalition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) Fina]/No C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Draia Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ~ / / ~ y ~ RESIDENTIAL 7 BUILDING PERMIT APPLICATION CITY OP EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-689~-967~. l ~ ~ ' ~ 3 NewConstruetion Reauirements ~ <-Q- RemodellReoair Reauiremenls / • 3 regislered site surveys showirg sq. ft. of lot, sq. R of house; and all roofed areas • 2 coDies of plan (20%maximum lot coverage allowed) ( ~ . 1 set of Enert~y Calculatlons tor healed addNOns • 2 copies of plan showing beam & windaw sizes; poured fouM design, etc.) -rt' • 1 site survey tor exterior additians & decks • 1 set of Ene~gy CalaAations 5 C~"~ • Indicale if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 711l93 t~ ~ . Rim Joist Delail Oplbr~s seleclion sheet (Wdgs wilh 3 or less units) ~ a _~~(7 1 l~ v DATE ~/I L~I ~ VALUATION ~~~X ~ ~I ~ I ~i~z SITE ADDRESS yy S a. P C3 MULTI-FAMILY BLDG _ Y ~/N TYPE OF WORK~QY o'~'F qna ~~~e roo FIREPLACE(S) _ 0_ 1_ 2 APPUCANT 1" 1 ~j~ ~lYl p~~~c)~ ? STREETADDRESS ~~3~~ /~i~re~ /l "~C~ ~C7/vo~ CITY ~'~~eSTATEM/~/~p SS33-] TELEPHONE #~'~y6'o77o CELL PHONE # C~~2~~50` 9'Y~ FAX # 95~- ~/~/V~~ ~ PROPERTYOWNER ~ L('~ ~S1A-\\'2_. TELEPHONE# 1~5~-~/7-`~~~~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7G70 CATEGORY 1 ~1 submission type) • Residendal Ventilation Category 1 Worksheet Submitted • n ~gy._ od0 W k Q~, bmitted • Energy Envelope Calculations Submitted AUG 1 4 ZOOZ ~J Plumbing Contractor: Phone # Plumbing systcm includcs: _ Water Softener Iawn Sprinklcr y= -=Fe~"$9 . Water Hea[er No. of R.I. Bailis No. of Baths Mechanical Contractor: Phone # Mcchanical systcm includcs: Air Conditioning Fec: ~70.00 _ Heat Rccovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eag Ordinances. Signature of Applican~ ~~i~o ~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? D9 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 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 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applitant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump NBr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundafion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stuceo Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacexnent) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry sac Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ~ ~ PERMIT C~~~rr~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u z ~ o z N e Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 4 5 6 (612) 681-4675 Date Issued: ~ r~ g~ g 6 SITE ADDRESS: 4459 SLATER RD LOT_ 51 BLpCK: 2 CINNAhION RIDGE 3RD P.I.N.: 10-174@2-051-02 DESCRIPTION: ~"~~.,,p (ABOVE GRDUND) ~uiltl~YrY~ Permit Type SWTM POOL ~ ~8uilsiXrig~~k }Type IVEW ~ ~a ~ ~ > ~ a ,s ~ ~ ~e, ~ , €~o- p e . ~ . `}E~y~.k ~ ~ q*~k 1e ,v+ 6 4%}'~` ya ~Y*~rAM g~~ ~ `~S'~.~`` }ii'~1A}*' ~~6~f ~5~~~~~ • a ~ ~ ~ ~ '~t ~ ~ xx ~ `a ~ ~~t ui~~f ~~~g ~ ° e a~~,.a~~ c~*? ~~~i"~~~, ~~a~ ~R , REMARKS: FEE SUMMARY: VALUATION $11,000 Base Fee $174.75 Surcharge $5.50 Total Fee : $189.25 CONTRACTOR: OWNER: - Applicant - LACHAPELLE DUANE 4459 SLATER RD EAGAN MN 55122 (612)894-b887 .Y here6y ackricrwlect~~ ~hat: Z h~va% r#dd' this .appl,icat3<ar~ a~d `state tha~ the i~fo,rmat~on.°is,-ccsrreci~ arrd ,sgres'-'~~ ca~~Z1y'wa;th a~), apP~~~~~le S't~at$ of Mn. " ~ ~ta~u~~~ a~~`~c~,~~..~~€ ~~~j~~; a~~~,r~~fle~s _ -1 A_ PPLTCAf47/PE~ MIT E IGNATURE IS~EO B~S~~A~~ E~ CITY OF EAGAN • • 3830 PILOT KNOB RD - 55122 ~ ~ ~ ~ ~ ~ 1996 BUILDING PEFIMIT APPLICATION (RESIDENTIAL) 681-4675 Re^~^~^IlReoair Reouirementa ? 3 registared sRe surveys ? 2 copies af plan ? 2 copies of plans (incl~e beam 8 window sizes; paured fnd. design; etc.) ? 2 sRe surveys (exterior additions & decks) ? 7 energy calculetfana ? 1 energy calculations for heated additions ? 3 wpies of tree presenatlon plan 'rf lot platted aRer 7/7/93 requlred: _ Yes _ No ~ DATE: CONSTRUCTION COST:`~ DESCRIPTION OF WORK: P~ ` ' -O ~ STREET ADDRESS: S~ A~~% r~.~ LOT ~ BLOCK SUBD./P.I.D. l im~p~~"" P+~~na~ ~zfA PROPERTY Name:~~ ~ ~~ne-u y' ~G~.~-~ Phone '~96~~ OWNER T~ TT Fl~~ Street Address ' ~ S~~ ~ ~ City; f~~ • State: •-/~t ZiP:~~~a' 1_ . b~,,~T°: ~ cl V)') 2, - CONTRACTOR Comp a . hone Street Address: License State:~ ZiP=~--~--r-- City: ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address~ Ciry: State: Z~P~ Sewer & water licensed plumber: Penalty applies when address change and lo! change are requested once permit is issued. I hereby acknowledge that I have read this applicatia~ and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 1.~, ~--~L~+~^~ r OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY ~ ~ , ~ ~ ' ' ~*:w BUILDING PERMIT TYPE ' ti - 0 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 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ~eY05 SF Misc. ? 10 _ piex ? 15 Deck ~o o L - C2cuu~ WORK TYPE 31 New ? 33 Alterations ? 36 Move o 32 Addition ? 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCM/S 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. o S Depth Footprint sq. ft. - SAC Code oi Census Bldg i Census Unit o APPROVALS Planning Building Engineering Variance ~ Permit Fee Valuation: $ Ooo Surcharge Plan Review License ~v~~,~j - MCNVS SAC ~~,^p City SAC / ~~i~ ~ " Water Conn. Water Meter Acct. Deposit SIW Pertnit S/W Surcharge Treatment PL Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units . , ~ ~ , ~~CALVIN H. HEDLUND 7726 MORGAN AVE. SO. MINNEAPOLIS, MINN. SSa23 ~and Surv~yer Civl~ Enoin~~r PNONE NO. 866-2523 surr~e~or~~ G'ert~ ~te J06 N0. ~26 SURVEY FOR: Zachman Homes and Keyman Construction DESGRIBEO AS~~t 5, ffiock 2, CINNAMON RZDGE 3RD ADDITION, City of Eagan, Dakota County, Minneaota, and reserving easementa of recor~. „~r ~ ~a3~ ~ 922,b ni89 46'o5"E 917.L 81.C2 _ / ~.s -1 uswer / F9 2~, ;.r,~N~~~~S= '~j •~St rU s w ~ o M ~ 'f+ O " ~ ~ ~7 ~ Z ~ ~A O~ ~ ~ 917 7 w_ ~1 9,. _ - '°<;;~5 92s.~ \ ~ ~ 2~_ L ~I W f~ UR ST ~ ID'.~~ SThKES \ GAR \ ~ \V ~ - yn`~IO'-J-~S~gTAKES ` N \ S ~ N' LN) / ~^"j f \ 1 \ ~ ~ a~ 5 L 9zsr~ ~/~~`~p~ i ~ \ ~ Q 2 Top of Fo~n. t~on=925. JI BBS¢men! F' xz 922.60 ~ ~`3 °2~4~.~ : ~ ~r Gsrsye'Fioor ~2''~ul~~" ~:7i 9~ R°45 ~~~v PrePosed E/e~•Ilo7s O ~ , \ Ex;st;n9 Ekv.F~ons ~ / Dr~;naye D~ret~on ~ beno~es Lo~ CMer O / ~ SLA7ER ROAD \ X 1 \ ' C ~ X , ' ~ ' ' ~ ~ t/~ ~EBTIFICATE OF SURVEY , , I A~reDy c~rtify thaf on L/3~g! I w\y~d 1h~ proP~rty d~acrie~d opov d~~~t the obov~ plot i~ o corr~ct r~pr~sen~efion~m0 aold wrvey. ~»'.~-4 Colvln M. FMdlund. Minn. R~ No. 942 CITY OF EAGAN CASHIER: JS TERMINAL NO: 77g DATE: 03/24/00 TIME: 14:41:53 ID: NAME: REBECCA PETERSON 3210 9001 4459 SLATER RD 60.00 2155 9001 4459 SLATER RD 0.50 3210 9001 4463 SLATER RD 60.00 2155 9001 4463 SLATER RD 0.50 Total Receipt Amount: 121.00 CR125043 USER ID: JAN ~+************~****~********x********** 2000 BllILDING PERMIT APPLICATION (RESIDENTIAL) ~ ~ cinr oF ~?car~ ~ 3830 PILOT KNOB RD - 55122 ~ ~ , 851•681-4875 ~ '~-U 0~5`~ e_~~fl 3 -aa-G New ContMicHon ReaWrementa Remodel/Reoalr Reauiremanh > J reglstered sNe wrveya ahowlny aq. N. 01 loi, aq. H. ol houae 2 copies of plan and g~j roofed areas ~ rtwxlminn bf ooveraae ailowedl 1 aei O} energy calcWaHons for heafed addiMOns ? 2 coples of plaru (atww bean & window alzea; poured 1nd. deaign; efc.) 1 a{te survey tor exte~Wr cddlHons 3 decks ? 1 eet ol energy calculallom D 3 cop~es of hee preaervafbn p~an H bt platted after 7/1/93 DATE: d?~ ' 2l ~ 00 CONSTRUCTION C05f: DESCRIPTION OF WORK: L~ p c~ STREET ADDRESS: ~ I 5~-~- ~L v~ LOT: ~5 ~ BIOCK: a SUBD./P.I.D. p: ~ Name: L~ C n A P e~ ~ ~~~,N Z. Phone ~i S~~ ' SS ~J PROPERTY wa~ Flrof OWNER ~ ~ ~~1 ~ Sheet Address: ~1-~ aty c~,~~ srafe: V~ ziP: S's-7 z'Z . company: 1~{v <<.s ~P~-~e-+f~sorv CoN~~- ~one u: ~ 1Z 7.~/- 3~-/.~ Q (area code) CONTRACTOR Sheet Address: I~f ~Z rs 'V1' ~ Yti1 1~~ ~ llcense ~ zo r 7 S~ 76 Exp. 6 3• 3 l-~ ciy Lc~ jc.e,r ~ l le sm~a: tiYi ni zip: s sv ~lu ARCHIiECT/ ENGINEER Company: Name: Telephone M: ( ) Sheet Address: Regishatlon CNy State: Z?p: Sewerlwater licensed plumber (H Installina sewerhvater): Phone I hereby acknowtedge that t have read lhis appacalbn, a~ate that the InfomnaNOn is cpRect. and gree to comply wHh ap app4cable State ol Minneaota Slaiutes and Cily ot Eagan Ordinances. ~ Signalure of ApplicanY. ~ , OFFICE USE ONLY Certificates of Survey Recefved _ Yes _ No ~ .i",~~ Tree Preservation Plan Received Yes No _ Not Required - - ~ OFFICE USE ONLY , , BUILDING PERMIT SUBTYPES 0 01 FoundaUon O 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Ait- Multi ? 02 SF Dwelling ? OS O6-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ~ 33 Ext. AII - SF ? 03 01 of _ plex ? 09 07-plex ~ 18 Deck ? 23 Porch (screened) ~ 36 MuNi ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Vor_N ? 25 Miscellaneous ? 06 Q4-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ~ 43 Reroof 32 Addition ? 37 Demolish (Bldg)• ? 44 Siding ~ 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERALINFORMATI SAC Code # of Stories sq. ft. . No. of Units Length sq. ft. No. of Buildings -T Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code ~ (Allowable) ~ Main level sq. ft. MC/ES System UBC Occupancy ~ sq. ft. City Water Zoning sq. ft. Booster Pump • PRV Fire Sprinkiered MISCELLANEOUS IN8PECTIONS ? Stucco/Stone APPROVALS Planning Building 2 f~ Engineering Variance Permit Fee Valuation: Surcharge Plan Review ~ License ~ MC/ES SAC ll/ City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge , Treatment PI. . Park Ded. Trails Ded. ' Other Copies Total: SAC Units % SAC ? ~ . I ~ CALVIN H. HEDLUND 7726 MORGAN AVE. so. MINNEAPOLIS, MINN. 55423 ~ana Sur~~yer CIr11 Enoln~~r PHONE NO. 866-2523 sur~ver~or~s G'ert~f "~ca~e JO6 NO. 9 Z(o I SuRVEY FOR: Zachman Homes and Keyman Construction ~ DESCRIBED AS~~t 5. Block 2, CINNAMON RIDGE 3RD ADDITION, City Of Eagan, Dakota County, Minnesota, and reserving easements of recor~. I 922.b g~,pZ NB8~46'OS"E 9(7.Z ' / -G / ~ i'9~~~, 2 0 \ `b ~s;L o m x! ~ O~ ~ 4 ~ 9 I T. T ~ 9za.L ~ ~ 9zs.~ . ~ . . - - \ ~ ~ zo ~ ~ ~V ~ ~ ~ W O URST~ 10~~~ =~TAKES ` \ ~ • \v ~v=JL1STAKES ~ N~R SF SC ~ ° / ~ ~ \ ~ h ~ 5q Zg:l~ 92S1~o . P~ ~ r ~ ~ j 4 j 2 Top of Founda+~on ~ 92 5. r ~ Bdscmen~ Floor: 922.60 P_ ~ p=5 °2`q''~~ ~ ~ Gara9e Floor: 925.40 \ 47" ' i 9 6 Pro osed E/evaf~ons d ~:7i -'=r 2/ R`45 q24.1L-~' -f-' P Ezist:n9 Elevafions _ / \ Drd%nagC Direcllon \ Denotea Lo! Corn<r O / ' SLA7ER ROAD \ X 1 \ \ x t.~TiFIGATE OF SURVEY 2 h~raby c~rtify that on C/,3~C% I ~u~v~y~d fh~ prop~rty d~scri0~d oport and thot tna ooov plat is o corncf r~pr~s~ntalion of sold surv~y. ~ : ~'~,~z Golvin M. H~dlund. Minn. R~q. No. 5942 : . CALVIN H. HEDLUND 7726 MORGAN AVE. SO. MINNEAPOLIS, MINN. 55423 ~ana Surv~yor Civi~ Ena~n~~r PHONE NO. 866-2523 sur~ve~or~~ G'ertlf "rcate J08 NO. 9Z6 SURVEY FOR~ Zachman Homes and Keyman Construction DESCRIBEO AS~~t 5, Block 2. CINNAMON RIDGE 3RD ADDITION, City of Eagan, Dakota County, Minnesota, and reserving easementa of recor~. ~9 2.ti~ gl.o2 N89'46'o5"E 9172~ . / ----------1 -G . p9~z~, 2 0 / \ ~ 4j ~s, ~ m o • ~ ~ ~ ~ ~ z ~ ~.917.T!~ ~ ~ ~e ~ . _ ~ . --+~r~ k . ~.925.1? \ ~ ~ ~ .~-~.92s,~ o- ~ / / ~ w ~HURS'r \ ~ ~ ~ io'-o ,5_~_ STP.KE 5 ID'~~ S7AKE 5 ~ a6AR \a ~ \ N \ ~~11 N 4N3 ^ \ R~ I r,L~ : zsy ~ ~9zsi' ~ O : ~ ~ 2~ Top of Foundah~on=925. r~ ~ / Bdsemen! Floor_ 922.60 P A'3 °29'q`~,.~ ~ ~a Gareye Floor ~ 425.4Q~ L_ L7J -•=~'~24~2 R~ 45 6 Proposed E/evafions O / ` 924:~ ~ E,r;3t;~y E/evartons _ / \ Dr.~rnagc Directlon \ DenoFes Lo! Corner O / I SLA7ER ROAD \ X 1 . ~ \X tERTIFICATE OF SURVEY I h~reDy certify that on G~3~8'i .I wrv~y~d tM prop~?ty d~~trip~A apov ond thof the obov plot is a corr~ct r~pr~s~nlotion•~of soid surv~y. ~ coi~i~ N. N~Alund. Minn. R~p. No. 5842 . ~-j~YB~I RESIDENTIAL ' ~ BUILDING PERMIT APPLICATION CITY OF EACAN ~ Z ~ 3830 PILOT KNOB RD - 55122 ~ 651-681-4675 NewConsWcdon ReouiremeMe RemodeUReo~lr ReauiremaMs . 3 registered sde surveys shmMng sq. ft of IM, sq. ft. of Iwuse; and all roofed areas • 2 copies of plan ~ (20% m~imum lot coverage allowetl) • 7 set ot Energy Calculations for heffied additions . 2 copies of pWn shawing beam 8 window s¢es; poured found design, efc.) . 1 site survey fw erterior additions 8 decks • 1 set of E~~gy Calculatbns . Indicate'rf home served by septic syslem for additiors • 3 copies of Tree Preservadon Plan'rf lot platted after 711FJ3 • Rim Joist Oeta~ Options selectlan sheet (bldga with 3 a less unAS) DATE ~ VALUATION ~ 0 U1l(~ ~ OO JOB SITE AD RESS 5 ~ ~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? F PROPERTY OWlVER TYPE OF WORK C~ ~ f~ ~ EP~ CE(S) _ 0_ 1_ 2 APPLICANT ~ • PHONE# 9sa ~ 9,~s ~°~e~9 ADDRESS ~~l YLC IU/)Q. ~ Il~ ~~(~ILP 7 D n,~ut_ ZIP CODE S 3 ~ PAGER # CELL PHONE # FAX # 9J~~• ' 95yy NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNE50TA RULES 7670 CATEGORY D~~~ ~ u~~ (check one) - Residential Ventilation Category 1 Worksheet Su edEB O 4 POOP - Energy Envelope Calculations Submitted h _ MINNESOTA RULES 7672 ~ - New Energy Code Worksheet Submitted BY Plumbing Contractor. Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No, of Baths Mechanical Conhactor. Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Conhactor: Phone # All above infortnation must 6e submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicabie State of Minnesota Statutes and City of Eaga~ Ordinances. Signafure of Applican} Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ? O1 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi . ? D3 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 O 23 Porch (screened) ? 36 Mutti ? 05 03-plex ? 17 10.plex O 19 Lower Level p 24 Storm Damage ? O6 04plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New 0 35 Int Improvement ? 38 ~emolish (Interior) ? 44 Siding ? 32 Addition ? 36 Mave Bidg. ? 42 Demalish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ p~~b~g _ Foundation HVAC Drain Tile Roof _ [ce & Water _ Final _ Other _ Framing _ Pool _ Ftgs _ A'v/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee~ ~_N~ Y~` Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit , Mechanical Permit License Search Copies ~ Other Total            òî þý ýü ýüüû úíú     ùûûüü  òþùû ïåýóë   ï ÿ  ýü   ûú ù  ÷ý  ý ÷ ú ù ö õ   ù÷ý  ý ñ  Ú ñ  ú ù ñýæý  ýöóû ë ó öóû  Ú Ý ä   ü âë þý ýüóïï âï âï   óø ì÷ãá ÷ éïíîíî ôù   ý øè éïíðíðï Þýýîîí  óòòñ  ðõ ùùý åýóùóû ûà þó âëíüÜäèîï þý ýñöïï ñ ýùñöïïî ìâïê âï   û ýõ  ýýç  ýýùùýýý ý æ óý ýý óù õýýùùýû ý  æñ ýý ýå æþý ýä ý í ùùýá ó  ý    ý PERMIT City of Eagan Permit Type:Building Permit Number:EA115576 Date Issued:09/27/2013 Permit Category:ePermit Site Address: 4459 Slater Rd Lot:051 Block: 2 Addition: Cinnamon Ridge 3rd PID:10-17402-02-051 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 . David Luna 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 - Abdi Guled Elmi 4459 Slater Rd Eagan MN 55122 (612) 423-1022 Armor Construction Inc 5981 148th Ave NW Ramsey MN 55303 (651) 491-2616 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA115576 Date Issued:09/27/2013 Permit Category:ePermit Site Address: 4459 Slater Rd Lot:051 Block: 2 Addition: Cinnamon Ridge 3rd PID:10-17402-02-051 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 . David Luna 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 - Abdi Guled Elmi 4459 Slater Rd Eagan MN 55122 (612) 423-1022 Armor Construction Inc 5981 148th Ave NW Ramsey MN 55303 (651) 491-2616 Applicant/Permitee: Signature Issued By: Signature