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 $1734.50
Stote of Minnesoto Stntutes and City of Eagan Ordina~ces. -
S{pnofurc of Permittee
A Bulldin Permit is issued to: ~B~~n Construction, IriC . on the e
9 xpress condition thnr
ail work shpll be done in occardonce wlth all opplicable 5tate af Minnesota Stotutes and City of Ea9cn Ordinances.
Bulldirg fJfficiol .
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CITY OF EAGAN Remarks
Addition CINNAMON RIDGE 3RD ADDN ~ot 5 B~k 2 Parcel 10-17402-050-02
Owner Street 4459 SLATER RQAD S~te EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. Q ~98 - -
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 102. 22 6. 81 15 20. 50 A013587 2-28-84
SEWERLATERAL 19$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
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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