4461 Slater Rd ncQUEST FOR ELECTRICAL INSPECTION ~ EB-00001-04
v:-
, Sea insVUetions lor complatine this form on back of yallow copY.
~~~'4~~~5 ~
""X"' Below Wor overed by This Request ~j(0 `C Z
Add Nep. Type oi Buildin9 Appliancns Wiretl Equipment WireA
Home Range Temporary Service
Duplex Water Heater Ligh[in, Fixtures
Apt. 8uildinc~ Dryer Electric He2tin
Commercial Bldy. Furnace Silo Unloader
Indusirial Bldg. Air Condi[ioner 6ufk Milk Tank
Farm ther oeci v Othtir Isuecifyl
t pocify O~he~ O~her
ompute /nspection Fee Below
N fae ServiceEntranceSize # Fee Fexdere~SUbfeeders # Fee Circuits
r 0 to 200 Am s 0 to 30 qm ~s .J 0 tn 30 Am
Above 200 qmpy. 31 to 100 Amps . 31 to 100 A s
Swimming Pool Above 100_Amps Abov m 5
Transformers Irrigation Boon-~s P~ tia t e
Signs Specialinspection ~f "b
Vcp"i .ks O N tr UC..O~C. ~L AGC.'R~ USS ,K ' cf L`L S~ f~ 7 F' Cst
Hough-in , 1, the ElecVical
Inspector, M1eraby
~ certify fhei the above
Final ~ ~%+~e,~i inspection has Oeen
,
~i f'
~aa.
ThlsreouesivoldiBmont~sfrom _
. ;d ,3 z-Sy y,74z.
, s ,nonms r~om
~ QL e cNt~•2vg.3~ ~Fo•ov
Hequest Date / Fire No. peQUired? n5Pec1~~~ atly Nnw Will Notity.lnspec-
~ ZG ~es ?No ~ ~or When ReadV
~ Licensetl Elec rical Contractor 1 heraby raquast inspection oi above
? Owner electrical work installad aY
Sveet ddress, eox or Route No. C'
SL~ ~ ~a ~
ec: ~ o. Township Name ar N. Ranga No. County
O c pant iPflINT~ Phone No.
~ ,
Po er upplier Atltlress
G ( ,v
Hectrical Contracmr 1 ompany Namel ontractor's License No.
c9 - ~
Mai m~0
j.4ddress (COntractor or Owner Making 1 siailationl //J~
~/'3U ~NUL.I(JUJ~ ~ ~(..~i . I /I ^~`~~1TUGrS ~ Y~~
Au[h 'zed Signature ( om~a r Owner MakinO ~~~stallation) Phone Number
2
MINNESOTp S TE BQAflD OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT
Grie9s-MiAway Bldg. - floom N•197 BE ACCEP7EO BV THE STATE BOARD
1821 University Ave., St. Peul, MN 56104 UNLESS PROPER INSPECTION FEE IS
Phone 18121 29]-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ouom.aa
_ ' See instruc~ions for comolacirg this form on back ot y~llow copy. I~~ ~
y y
7 '"X'" Below Work Covered by This Request <
A Xep. Type ol Building Aon~iancea Wired EpuiVment Wired
Home Range Temporary Service
Duplax Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm ONer peo y ~L Other ISper.ify~
t gr SVecily Ot er O~her
ompute lnspection Fee Below
# fea ServiceEntrenceSiae H Fae Feeders~5ubleetlers H Fea Circuiis
~to200qms- Oto30qms 0 e~ Oto30Am
Above 200 qm~y 31 [0 100 Amps ~ 31 to 100 q
Swimming Pool Above 100_Amps Above 100_Am ~
Transformers Irrigation Boorc~s Partial.'Other Fee
Signs Special Inspection S,; ` ~,i '
Rema rks 0,5
Q'
flough-in f~ I, the Elacbical
~ ~d Inspec[oq hareby
certify the2 ~he wbova
Final Uate J, i~spection Aas been
~ ~ ~rede.
Tio repuast roiE 1B montha irom
INSPECTION RECORD
CITY OF EAGAN • . PERMIT TYPE: ~ ~
3830 Pilot Knob Roa~"~ - Permit Number:
Eagan, Minnesota 55122-1897 Date Issusd: ~ s,,~
(612} 681-4675
SITE ADDRESS:' ' ' " ~ ' ~ ' ' ` APPLICANT:
~ ~ -E t, t
~ ,~rr s~ ~~t~ ,,~r,,;
~ ~r~ ~ i•~ . ; , , , , ,
PERMIT SUBTYPE: TYPE OF WORK:
, ,
, , ,
. „ .
, , , ~ , .
„~i~,I~ i i~ ti t ,
~ ~ ,
~ - ~ q _ ~ _
~'s~^~ s ~'~'a ~~iz ~ ~~k'~'s` srT ~ ~.~r '
~ . . . . . . ~,°`~I.~L:fa.-~~n~~~,~,~~~L ~ ` ~ s~i~'.
PermR No. Parmk Holder Date Telepnone N
ELECTRfC
PLUMBING
HVAC
Inspecdon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING ZZ d~ ~
7
ROOFiNG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATIN(3
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL ~
BSMT R.I.
BSMT FINAL
DECK FTG
~ECK FINAL
Receipt -~a U~~r~ PLUMBING PERMIT Permit No.,-
CITY pF EAGAN ; -
. Fee -
Fill in numbered spaces S/C ~
Type ar.Print l~gibly Tot
1. Date 2. Installation Cost '
.1! y~ • . , . ,
3. Job Address Lot~_Blk. ~ Tract
!
, ;
4. Owner F - ' ~ -
/
5. Contractor . r Phone ' ~ ~ ~
6. Address • , ~i~t -
' ~
7. City State Zip _ > _
8. Building Type: Residential ~1 Commercial O Institutional O
9. Work Description: New Q Add ? Alter ~ Repair ?
10. Describe
11. No, Fixtures No. Fixtures
~
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Wetl
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.
Sig~ed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MEC~ANICAL PERMIT Permit No.
CITY QF EAGAN
~ ~ Fee
Fi/J in numbered spaces S/C '
Type or Print /egibly Tot
1. Date ' 2. Installation Cost -
/ ~ .
3. Job Address `J Lot~_Blk. Tract
4. Owner = ~~-4. f - ~ -.-~-t r~ -
J
5. Contractor r,., ~i t~- Phone ' ' ' ~ `f
. ~
6, Address 7 ` ~ ' ~ ~ . ~
7. City r.~•-h•- State Zip
8. Building Type: Residential d Commercial ? Institutional O
9. Wark Description: New ~ Add ? Alter ? Repair ?
i
10. Describe Fuel Type - =
11. No. Eauioment 9TU - M. Ea. No. EquiRment CFM
Forced Air ' ~ Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
compty with all ordinances and Codes goYerning 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
GRY Q~ EAGAN
~7lS Pilef Kfob Rood Le~en, MN Ss1 Z2
PHONIE: 454-8100
~ BUR~INd PERMIT Receipt aqF ~ - ~ ~
Te ~e aNd io~ SF D4~'G/GAR Est. Vclue $58,C?00 Date Ju~v 8 ~q 83
Stte Address 4461 Slater Road Erec~ Ckcuponcy R-3
Lot ~ Block 2 Sec/Sub. _Cinnamon Ridge 3rd p~tar p Zon~ng CPD) R-1
Porcel 1Q 17402 'J40 t?2 Repoir p Fire Zone NA
Enlarye ? Type of Const. 0
W Name Zachmen Homee , Inc . ~Ve p # Stortes
; Addross 7760 Mitche.ll Road pemo~~sh 0 Le~yth 24
b Lder, Prairie pF,o~ 937-9520 Grode ? Depth ~6 Sq. Ft.
~ N~1e Key~e;n ConAtruction, Inc. Ap~orals Fee¦
o~"i ~~e~ 5952 Woudland Circle Assessment Permit •
u~ C~ ~itka. 55343 p~M -~3$=1~'~$ ~~'3' Woter E~ Sew. Su?cFwr9e 29.00
Police Plon check 153.~~
~W Name Fire S/~C 57.5.0~
Address Enp. Water Conn. 450.00
~ W C~ pha~ Planne~ Woter Meter ~0•
Council Rood Unit 250.00
I hereby ocknowledge that I have read fhis opplicotion and state that Bld~, Off.
the inlormarion is correct and ogree fo comply with all applicable APC Total ~177~ .50
State of Minnesoto Statutes ond Ciry of Eogon Ordina~ces.
Slpnoture of Permittee
i~eymen Construct on, Inc.
A Building Permit Is iuued to: on the expresa oonditlon thn~
all work sholl be done in occordonce wlth all opplitoble State of Minnesotu Statutes and City of Eopan Ordinances.
Buildin~ Officicl . ~
.L_
Parmit No. Parmit Holder Misc. Permit No. Holder
Plumbin9 ~~"'7 ~ ~~KL
H.V.A.C. 3S C~ nz 9 7 y 8~
w.u
Water
Disp.
Sewer
Electric ~ ~t •Z •
Inspettion Date I~sp. Other
Faotinsp 7~ ~ ~
Foundation
Frsminy ~/S/-~ l
RouqF+ P~6q• . . / G!J
Rough HVA ~j
Insuiation x~~ ~yr
Final PIh¢
Final HVAC
Final ~ ~
` ~
Water Describe Location:
Well
Sewer -
Pr. a'ap.
CITY OF EAGAN Remarks
Addition CINNAMON RIDGE 3RD ADDN ~ot ~ B~k 2 Parcel 10-174Q2-04fl-02
Owner Street 4461 SLATER ROAD State EAGAN NW 55122
ImproMement Date Amount Annual Years Payment Receipt Date
STREET SURf. q0 1 2 _]_$4
STREET RESTOR.
GFADING
SAN SEW TRUNK 1973 102.22 6.81 15 2Q.50 A014130 6-27-84
SEWER LATERAL 1 85 2 2. S C
WATERMAIN
WATERLATERAL ~ 1985 617.30 1
WATER AREA 1973 131.44 8. 76 15 26. 32 A014130 6-27-84
Services r 1985 393.87 78.77 0 4 9-7-84
STORM SEW TRK I979 381. 69 19. 08 20 267.21 A014130 6-27-84
STORM SEW LAT x 1 8 10 83 1098.83 C009449 9-7-84
CURB & GUTTER
SIDEWALK
STREET LIGHT
RO NIT 250.00 36931 7-8-83
WATER CONN. 4SO.00 " "
~UILDING PER.
SAC ~t
PARK
CASH RECEIPT
CITY QF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE f9
R<C~I V LO '
PR4M
AMOUNT $ I
6 DOLLARS
+oo
? CASH ~ CHECK
FOR
FUNO CODE AIAOUNT
Tha ~u
~ BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF Ea?GAN SEWER SERVICE PERMIT
3830 Pilo*_ Knob Road P~~T N~ : 1
P. O. Box 21199 7-1~-33
Eagan, MN 55121 pAT~~
Zoninp: "~r ~ No. of Units: ~
Owner: ~ ey^~en C•,^a r T„~ r t or~
Addrcss:
Sita Addross:.. 44f~1 Sl~ter Rna~i 7L~ F~2
i Piumber: ~~LStOnkB? S lV
7 f3 ~3 369 31 ! ~0 •~0 Pd
1 qra to eeu~ol~r w~h tl» GM ~~~w Connscit~ Charpe: 42 5_ fl(} n d
Ordiaewa~. /lcoount Deposit: 10 . f)Q d
P~rmlt F~s: ~
Surchoe~e: . 5Q I?`'
gy Misc. U,oroes:
Date of Inap.: Totol:
Insp.: DaM Pnid:
, ciTY oF eA~an, WATER SERVICE PERMIT
~ 3830 Pilot Knob Road 4~' ~3
~ P. U. Box 27199 PERMIT NO.:
~ Eagan, MPl 557 21 DATE:
T I~T No. of Units: I
~teymen ConstruCtion
~j Address:
: Si~ 446! S a er T: ad 4 B2 i amo d ITI
Plumber. eStOII 8 s
Meter No.: Connection Charge: 450.00 nd
Size: Aocount Deposlt:
U. ~ p
Reader No.: Pertnit Fee: .50 pd
~ a~~ b~o~nPy ~ tl~ Ciry af Ee~oa Surchorge:
~~M~ M~~ ~ro~; 0 d n er
Tatal:
gy Dote Pnid:
Date of Insp.: ~^sP~~
CITY OF EAGAN WATER SERVICE PERMIT
383~1 Pila' Knob Road 4933
P. O. Box 21199 PERMIT N~.: ~_?g_83
Eagan, MN 5b121 DATE:
Z~~~: RIV No. of Units: 1
i
p„~~~; K?~; ^~n onGtrL ti on
Jlddross:
llddrcss:
umber. W@StOflk8 S ~ W
~r ~ y d~a 3~l ~ _ Connection Ct+arQe: ~ s~ _ nn nd
ixe: " Rc•'~,su-..-e-Q ' Aeeount Deposit:
T- I1 ~ L ~~5/ ~ s~ Pennit Fee: 1Q. 00 pd
eeder No.: -r .50 Ud
1~yrN M aonpiy w1M t1N Citq of Ea~an Surchorge:
Or~nonas. Misc. Gwrges: ~~1...QQ~ ~ matP
~ Total:
gy Date Poid:
Date of 1 r~sp.: ~ D 1 nsp.:
I
~ '
, ~ ' ._..z ,
CITY OF EAGAN
L . 3795 Pllsf K~w6 Rwd Eagan, MN 55122 N° - 8 2 2 3
PHONE: 451-8100 -
BUILDING PERMIT e~~pr # _ ~ 1-~/
Te M wed Ior SF DWG/GAR Est. Volue $58~000 pa~e Julv 8 , ~q 83
S~te Address 4461 Slater Road E,Kt ~ p~cupancy R-3
4 g~«k 2 ~~S~y Cinnamon Ridge 3rd q~ter ? Zonin9 ~PD) R-1
Porcel #-1Q 1_74~2 04D 02 Repo~r ? FireZone NA
Enlarqe ? Tvpe of Const. V
W Name Zachman Homes, Inc. Ma~e ? # Srories
= Address 7760 Mitchell Road pe,,,olish ? Length24
~ Eden Prairie Pha~ 937-9520 Groda ? Depth 46 Sq. Ft.-
o Name Keyaien Construction, Inc. Avvro•ala Fees
o`~' Addreu 5952 Woodland Circle Asseument Permit •
u~ C~ Mtka. 55343 p~~~ 934-1218 Woter 8 Sew. Surchor9e 29.00
Police Plan check 153.50
~W Name Fire SAC 525.00
~u ~reu Enp. Water Conn. 450. 00
<W CI Phoro Plonner Water Meter 60. 00
Council Rood Unit 250.00
1 hereby acknowledge thot I have read this upDlication and stote that g~dg. Off.
fhe inlormotion is correcf ond ogree to comply with oll opplimble 1~~4.$~
$late ot Minnewta Statutes and City of Eagon Ordinances. APC Total $ .
Signoture of ~artnittee
A Building Permif is issued ro: Keymen COriStTUCt1oII~ IriC. a~ ~ express mnditlon thm
all work sholl be done in eccordonce with all oDP~iwb~~J$\
tate of~ M~inneso Statutes ond City of Eogan Ordfnances.
Buildinp Offielol ~-e~ .
This request void~-~- l L'7 ~ /J ~ 1 /~.n ~ ~ ~d i ~y~ ~ Z~
18 monfhs from
~06485~ ~s-o
RPnue~t Uate r ~1 Fira No. pFqu ietl7 ~s~ection Ready Now Q Will Notif Inspec-
S I~J`[ ~ l/f ~J ?Yes o ~or When Reatly
~Lir~ensed Electrical Con[ractor 1 herabV rapuast inspection of above
? Owner ~ electrical wark installetl at
Sveet AAdress. Box or Raute No. City
g~ 44~~ _ sl0.-~r- ~o~~'-- E/~a Gla~
ecbon o. Township Name or No. anBe No. C n~V
~'~ho
OccupnntlPRINTI Phone No.
N NS T~ ~ - i21
Po r $appli¢r AA ss
~~,~r<~~,, E~E~P~e,~G,-oP aRM~N~ a~
Eleclrical Cnntracmr I mpany Namel Contracmr's/Li/ce:`ns~e No.
p +J ~l..~C.P'R l~ d ~ bd~7
i mg AdJre s lContractor or Owner Meking Instaileti n)
o ~S M, ,u, S 43 2
A rized S~gnawre ~onx or Owner Ma ne ~a lation Phone Number
K r
MINNESOTA qTE BOAflD OF ELECTNICITV THIS INSPECTION PEaUEST WILL NOT .
Gripgs-MidwaV Bltlg. - Room N•191 BE ACCEPTEO BV THE STqTE BOAND
t821 University Ave., St. Pa~l. MN 65104 UN~ESS PROPEH INSPECTION FEE IS
~o..... ENCLOSED.
, f`~~?~~~~~~ CITY OF FAGAN Include 2 sets of plans,
_ . y,C~,_ A~,~~.,~---- 1 site plan w/elevations &
I SUILD PERMIT APPLICATION 1 set of energy calculations.
Zb Be Used For ` G~~ Valuation DDb Date ~0 ~ 2 Z
Site Pddress ¢~-Co~ 5 z.R~TE~ ~t7 OFFICE USE ONLY
w _
Lot ~ Block 2 Sec./Sub. Erect ~ Occupattcy
Parcel Z ~~D O Z Alter Zoning
i~pair Fire Zone A
Oaner: Z R C{ [ r~~ ' _ ~1~9e _ Z~ie of Const.
Address: '77~De~ /~A~ ~-c.~1E(~ ~ , M°`re # Stories
D~mlish Front ft.
City/Zip Code: Qc0.«~`E Grade Depth ~ ft.
Pnone # : ?J ~ - L ~ ~ d
APPROVALS FEES
Contractor: (c,C`~~ Eht ~_c~~ sT ~KG Assessments Pernut ;~o7
?aater/Sc~aer Surcharge a 9-P~',
Address: S°( S2 cvC`~r~D~.if~t~ c-c7z- police Plan Check '
City/Zip Cocle: ~~T[~h !~'1 r.~. S S~a ~E Z Fire SAC ~~o`~-
Water Conn. y6"6
Phone q 3~6 Z I~j p~lanner water Meter ~
Council Road Unit ,2,~0
Bldg. Of~~ -
Address: ~
City/Zip Coclec
Phone' # : ~'~'1'~ ~ ~ ~ ` a
. ~
r ~ PERMIT G,~~I3~~
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Bu/~(~~~' ~
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 6 2 8
(612) 681-4675 Date Issued: 0 5/ 17 / 9 5
SITE ADDRESS:
4461 SLATER RD
LOT: 4 BLOCK: 2
CINNAMQN RIDGE 3RD
P.I.N.: 10-17402-041-02
DESCRIPTION:
' (E~RESS WINDOW)
Building`Permit 7ype SF (MISC.)
Bviiding Wo`rk, Type ALTERA7ION
i
~ .
~ re.. ~~6.. - Yi
'x j:._ ~ _ , ~
~ \
#
l
1. ....~I
i'. i:
i I Gi
pi= .:i ~ ~
~ ~ ` -
. i
REMARKS:
FEE SUMMARY:
VALUATION $700
Base Fee $19.00
Surcharge $.50
Total Fee $19.50
CONTRACTOR: OWNER: - Applicant -
WALI DONALD
4461 SLATER RD
EAGAN MN 55122
(612)895-5604
I hereby acknowledge that I have read th3s application and s~ate that tMe
inPormation is correct and agree to comply with all applicable 5tate of Mn.
~ 5tatutes and City of '£agan Ordinances. _
~I n "~~1 I ~11:~
APPLIGANT/P R NATU ~SSUED SI UR€-~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: e u z ~ o r H e
3830 Pilot Knob Road Permit Number: 0 2 5 6 2 8
Eagan, Minnesota 55122-1897 Date Issued: 0 5/ 17 / 9 5
(612)681-4675
SITEADDRESS:P•I•N.: le-i~nez-eas-ez qppLICANT:
LOT: 4 BLOCK: 2
9461 SLATER RD WALL DONALD
CINNAMON RIDGE 3RD (612) 895-560q
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) ALTERATION
DESCRIPTION (EGRESS WINDOW)
• .
FRAMING ROUGH IN PLBG
OUGH IN HTCa FINAL
~ ~ ~ e ~ ~
L ~
i _ , ,
~
' ~ CITY OF EAGAN ~
3830 PILOT KNOB RD - 55122 ~
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
687-4675
New Construction Reauiiements RemodeVRayair Reouirements
? 3 registered sRe suneys ? 2~opies M plan
? 2 wpies ot Dlans (indude beam & window sizes; poured fitl. design; etc.) ? 2 site surveys (ezterior edditions 8 dedcs)
? i enerey t~iwtations ? 7 energy ralwletions for heated eddiNons
? 3 apies of Uee D~Natton plen if bt platted after 7/1/93
required: _ Yes _ No
DATE: - CONSTRUCTION COST: ~ o
DESCRIPTION OF WORK: ~ ~ `
STREET ADDRESS: ' ~/S-~.I~ ~.e£sS ~ c,~,
LOT ~ BLOCK SUBD./P.I.D. ~~~j'' ~ r~~
/ / ~
PROPER7Y Name: 1NiA~l , Phone ~~~Q
OWNER ""`T ~
Street Address ~y`~ ~
City: State: Zip: .~5~ 2 Z
CoN7RACTOR Company: Phone
Street Address: License
City: State: Zip~
ARCHITECT! Company: ~%Z Phone
ENGINEER
~ Name: Registration
Street Address•
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this apptication and state that the infortnation is rrect and agree to compy with all
appficable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY " ' ~ ~ F ~
~
~ ~
BUILDING PERMIT TYPE ~ ~
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-piex o 14 Fireplace o 21 Miscellaneous
~05 SF Misc. 0 10 = plex ? 15 Deck
L`c,2tsr k//~ c?
WORK TYPE
0 31 New o 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuaq Basement sq. ft. MC/W5 System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning _ sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~
Depth Footprint sq. ft. SAC Code
Census Bidg
Census Unit o
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ ~D, S~
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposft
S/W Permit
5!W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units "
`
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CITY 0~ ~AGfit~~
C:A~;HTFFi~ ',i iF_'RhfI~AL I~U: 6"r'i'
DA7~s Q4/l6!99 'T'TPfi=r J.4~:iE3:4i'
IDr
t~r~ME~ FiEIL~ fi T'rlUilf'SQt4
329.0 °!001 4461 ~L.~TER RC~ 6!].00
~i. ;S 3C1[]:I. 4469. SL.FaTE:Fi RIi 1:1.5~
Tn+,a:l. R[~rr:tpt f,mourtit: ~:,(7.5p
c~io~,a~a~
~ is~r: .rr.~ ~ r~~,nr..v
?XYa ~k X~ ~k ~ w %k?%~k ~ ~k ~ %c W ~ k~ ~k ~%~C ae ~?Y ~k ~k m ~k>$ ~ M ~k W ~;q %c~C
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
; ~ ~ CITY OF EAGAN ~ ~Q ~
3830 PILOT KNOB R~ - 55'122 q
l~ 657-681-4675 y- - f Q(
h
New ConstrucTion Reaulremenfs ~ Remodel/Reoair Reauirements
? 3 registered site surveys showing sq. R. of lot sq. tt. of house 2 copies ot pian
and all rooled areas (20% maximum lof covemae allowed)~ 1 set oF energy calculaifons for heated addHions
? 2 copies ot plans (show beam a window sizes; poured fnd. design; eic.) 7 aBe survey for enterlor addRion3 3 decW
> 1 sef ot energy Calcvlatians
> 3 coples of tree preservatlon plan H IM platted aRer 7/1/93 ~
DATE: ~PP•IL /S ~ ~9! 9 CONSTRUCTION COST: ~~3~
DESCRIPTION OF WORK: ~EG~'- ~T $}}G~ DF ~SE
STREET ADDRESS: ~~6 ~ SL/47~ ~f~'~ ~ ~'46~h1 ~M N '~7
~a
LOT: ~ BLOCK: °Z SUBD./P.I.D.#: C~NNfI'MDN RIDGE ,3~ ~
~
Name: 11T7//'~PSON t~E/D Phone _~S/ -FSaZ - 63~
PROPERTY ~an Ftrsi
O W N ER G
f C~~p ~ SLA'TE"~i - I-~/*"~ '
Street Address:
City State: Zip: ?'~s~a,~
Company: Phone
(area cade)
CONTRACTOR
Street Address: License # Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
~ Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer 8 wafer Iicensed plumber (reauired for new construction onlv):
Penalty applles when address change and lot change is requested once permit is Issued.
I hereby acknowledge that I have read this applicatlon, state that the Informaflon is correct, and agree to comply with all appiicable
State of Minnesota Statutes and City of Eagan Ordtnances. ~
~ Signature o} App~tcant: l~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
• . i
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Firepiace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ~ 18 Deck ? 23 Parch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 1D 8-plex ? 15 Lodging ? 20 Pool. ? 25 Miscellaneous
WORK TYPE
~ 31 New ? 35 Tenant Impr ~ 39 Gas Line Only ? 43 Siding/So~ts/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) r~.) Basement sq. ft. Census Code `t3`~
(Aliowable) S~ ~.V Main level sq. ft. SAC Code
UBC Occupancy R• 3 sq. ft. No. of Units
Zoning Q• o i_ sq. ft. No. of Bldgs 6
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ~ . Engineering Variance
I e~-e~
Permit Fee Valuation: $ b~U
Surcharge
Plan Review
License
MC/ES SAC
ciry SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies •
Total: '
SAC Units
% SAC
4461 Slater Road
Lot 4, Block 2, Cinnamon
Ridge 3rd Addition
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I 15~~4`OUV
f~~Of~M~(~D
SCALE IN FEET DATE
I Y
a zo 4o so BUiLDING INSPECTlONS DEPT.
1 inch = 20 feet
~ .
_ . `
~ CALVIN H. HE~LUND ~ 7726 MORCAN AVE. SO.
MINNEAPOLIS, MINN. 55423
land Surv~yor Clril Enqfn~~r PHONE N0. B6fi-2523
s'~~ ~r`~ G'~1't~j~t~
J08 N0. 925
SlIpVEY FOR~ Zachman Homes and Keyman Construction
DESCRIBED AS~~t 4, Block 2. CINNAMON RIDGE 3RD ADDITION, City of Eagan,
Dakota County.. Minnesota, and resezving easements of record.
;922.oj 7a~.8 N¢4°o2~4o"E ~BBel9zz:o;
. . / /~~6~ • ' .
~ ~
`sF`~~.-t` 0
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0
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a
ToFa of Founda+ion s 925,80
7 _
10'-o t~. STAK~S ~ ~ B~, asemenf Flobr• 922..l00~,
~p•_V
~ / -
~6qR. STAKES' Gdra9G Floor = 925.40
~:61 N _
~ \ ~ y Proposed Eltvafions ~
d - i Exisfins E/evafions
~ ~ D~a~na~e Direct~bn
~ N `h cy ~ Denofes Lof Corner O
, ° 32'2• / a
~ ~
~ ~ ' ~~{9 9.2
z~'~~ ~18.3g ~ / ~~r .
/ R`4s i_9Z4,2~
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1
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~ERTIFIGA'[f OF SURVEY
I heroby ctrtify thot on G~,~~~~ I survsyrd the p?op~rty dtseribsd asov ond Mot
the obove plot is a cor~ect reprssentotion of anid survey.
' Z~--- ~
' Calvin H. Hedfund, Minn. Rap. No. 5942
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
7 3830 PILOT KNOB RD - 55122
~ ~ y~~ y 651-681-4675
Reaulrements
D 2 copies of pian
~
DATE: a~~-~ I CONSTRUCTION COST:
Rep~ice prywu4~,.~nsuln+~on * c~ean (~'I-o
DESCRIPTION OF WORK: ~.~~-er da ma~ e If multi-famiy bldg., how many unltsl
INDICATE THE FOLLOWING EHUIPMEM TO BE REPLACED AND BY WHOM:
_ Plumbing _ Homeowner g,~ Contractor Name
_ Mechanical _ Homeowner g~ Contractor Name
"Note: If somebody other than the homeowner is performing plumbing or mechanical work, they musT apply forappropriate
permit. Only Iicensed plumbing contractor or homeowner may complete plumbing work.
SfREET ADDRESS: I SI a~' e r R oc.~ ~
LOT: BLOCK: SUBD./P.I.D.
Name: ~TI-.ornpSoll i~e~ -LI phone~i: (oS1'8~a-(o39q
Peo~erv ~~t F~~+
OWNER
Sireet Address: y y~ l S ~ 0.~ e ~ R ~
Clty ~a~ 4 n State: Zip: S S/a a
Company: Phone p:
(area code)
CONIRACTOR
Shest Address: Llcense # Exp.
City State: Z~P:
,,~1,~(P'~~~~~~,
fE6051001';~~
~li I'. i
V_I'~
. ~-Y
I hereby acknowledge fhat I have read this applicatfon, state fhat the infortnafion is cortecf, and agreeto comply wilh all applicable Stafe
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicanf: 1 ?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107921
Date Issued:11/02/2012
Permit Category:ePermit
Site Address: 4461 Slater Rd
Lot:041 Block: 2 Addition: Cinnamon Ridge 3rd
PID:10-17402-02-041
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Chelsea Laughlin
2211 11th Ave E, Ste #130
North St. Paul, MN 55109
651-770-9011
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Alexis Mann
4461 Slater Rd
Eagan MN 55122
Window World AKA Probuilt America
2211 11th Ave E, #130
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature