4462 Slater RdCity of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit#: 2'
Permit Fee: 9 9 Co
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: q -Q -1 o Site Address: 4 1 a,
Tenant:
Suite #:
RESIDENT / OWNER
Name: 6 CA.( G eXst C -%C5. Phone: q SZ-- 2 q^S1 TC31
Address / City / Zip:k' \ 62 te-,,,\'f R' Q E 6(.cgm )\. t ? ai . SS \?.
Applicant is: //Owner Contractor
TYPE OF WORK
Description of work: 9\ \< <.e. \-\\C \ I
Construction Cost: Multi -Family Building: (Yes / No )
CONTRACTOR
Name: License #:
Address: S'e lam' City:
State: Zip: Phone:
Contact: Email:
COMPLETE
In the last 12 months, has
Yes If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE Plans and supporting documents that you submit are considered to be public ;InformationPortions of
the information' maybe classified as non-public ifyou; provide specii is reasons that would permit the City to
conclude that they are trade secrets: ,>
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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conforman
Eagan; that I underst d this is not a permit, but only an application for a permit, and work is not
accordanc- • t e aproved plan in the case of work which requires a review and approval of plan
x
Appli
ted Name
x
Applicant's
the orjinances and codes of the City of
a permit; that the work will be in
Page 1 of 2
. . . . _
. _
~f7 ~ L. CITY OF F.'~CAN InciuBe 2 sets of plz~s,
1 site plnn w/eIeva~_cns &
~ BUILDI\G PEFtMIT APPLICATIO~~t 1 set oi energy calcvla;icrLS.
~ Zb...~lti1~ ~a
Zb Be tised For • Valuatio Date A
5
Site P~'cress: ~ R51C~`~j . OF'FICE US'~' O~ Y
Ir~t~ Block ~ Sec./Sub, Erect pccupancy .__~j~-3
Parcel s: ~D 1~1 ~C~ Z v'~C~ b'~ : Aiter Zonir.g
, Repair Fire Zone
~2L. Zachman xomes, Inc. En7.arge _ R~pe of Const.
hi~ve z Stories'
ABctr'ess: '776o tlitchell Rd. De[,*olish Fiont 2 ft.
City/Zlo COCIe: Eden Prairie, Mn. 55344' Giade D2pth - -~J~- ft.~~
Phor~ 937-9520 APPR~GALS FfFS
CAntractor: same as above. ~ Assesscrients Pe.`mi.t
Address: ~3ater/Se~aer Surcnarge ~S~
Poliae Plan Check , 3 9
City/Zip Code- Fire SAC ° ~ SaS~
Phone t: ~J. Sti'ater Corn. yS0
Planr!er Water T~eter ~a0
-
ArCh./E1~q.: same as above CounCil Road Unit ~Sh ~
Bldg. Off.
F~.'dress : APC
City/Zip Ccu'e_
Phor.e 7roTAi. ~ (~2~0 ~SC7
CITY OF EAGAN TT~ 7967
]79S Pitof Knob Reed Ggan, MN SSi'L'
i ~ PHONE: 4S4-BI00
BUILDING PERMIT Rece~pt #
To 6s wed Mr 1/2 DUPLEX & GAR Esf. Value $49~000 Dote ~T~ ~ 29 19_$3_
Site Addreu 4464 Slater Road ~A) Ered ~ Occuponcy R-3
Lor 3 BI«k 3 Sec/SubCinnamon Ridge 3rd Ai~er ? Zonir~ (PD) R-1
Parcei # 10 17402 030 03 Repair ? Ftre Zone NA
Enlarpe ? Type of Const. V
W Nama Zackman Homes, Inc. Move p # Srorces
~ Addreas ~~60 Mitchell Road pemolish ? Length 2~+
Eden Brairie p,o„Q 937-9520 Grade p Depth 42 Sq. Ft.-
c Na~ Owner AvVrovala Faes
o~ Address Assessment Permit z~8•~Q
V~ Ci Phone Woter & Sew. Surchorga 24. $0
Police Plan check 139.00
GW Name Fire SAC 525.00
FW
Address Erq. Water Conn. ~J.r].Q-nn
<W Ci Phone Plonner WaterMeter 60.00
Councfl Road Unit Z$~•~~
I hereby acknowledge that I hove read this applicotion ond srate that Bldg. Oif.
the inlormotion is correct ond agree to wmply with oll opplicnble APC Totol $1726.50
Stote of Minnewto Stofutes cnd Ciry of Eogan Ordirances. ~
Sipnofure of PermiMee ~
ac man omes, nc.
A Bufiding Pertnit is issued to: . on Ma expren condlHOn Ihn~
oll work shall be done in accordance withib I oppliwblo tate of nnewto Stmutes and Ciry of Eagan Ordinances.
Buildiry Otficiol f/~ . f '
1 . _ _ . . . . . . . . . . . . . _ _
^_,n Pn ~ CITY OF F:3Gr~;'v Inci~c'e 2 sets oP pla~s,
Y W 1 site pl~.n w/e2eva`~.cns &
~
BUILDI\G P~titIT AP°LICATION 1 set of er,ergy caicul.au.crs _
~ z Okgle~C ~ a ^r'~
To Be ~sed For Valua on ~QC~ Date
Site e~csess: ~~~p OFFICE USE G?II,Y j
Lot Bloc;c Sec./Sub. Erect X Occv,oancy ~
Parcel ( b ~ 0 2 0 3rj O' a Alter 2oning
. , P.epair Fire Zone Q
GWner: Zachman Homes, Inc. Enlarqe _~ype of Coris~.
tbve = Storzes
P~'dress: ~~5o rzitcheii xa. I~t;olish Front 2 y ft.
Clty/Zio Eden Prairie, Mn. 55344 Grade ~ Deoth ft.
PhOne 937-9520 ppppVpy~ ' ~,g
CAntrBCtOr: same as above . ~ Asses~nents Pe."mit ~2 ]8°~
Pddress- j:at~r/Sz..er Surcnarce ~y-~~"~
' Po1i~e pian cnectc. /,3 9 ~
City/zin Code: Fire SAC ° ,~,2,SS~-
Phone ~J• ~ti'ater Conn. ,S~Q
Planner L•later ~•2ter (o~
~h.~9• = same as above ~~cil Road Iinit ~,~"Q =
Bldq. Off.
Ar~dress: pp~
City/zio Coce: „
Phone RI~TAL ` ~12CP ~ 5~
Receipt • PLUMBING PERMIT Permit No.: '
~ CITY QF EAGAN F~ ~i . ~
Fil1 in numbered spaces S/C
Type or Print legibly
Tot.
1. Date ~-1-~~ 2. Installation Cost
C? riu~:nc:i
3. JobAddress =:=:~?4 S ter Rci. Lot .3 Blk. Trac~idge 3rc~
4. Owner =~lvean o1es , I~c .
5. Contractor ='~rque umt~i~i: one ' - % '
6. Address ~1:7 Oal;~r~ n ~v~. _:e.
7. CitY Srillti"at~r State Zip ~-%~ci
8. Building Type: Residential Com rcial O Institutional ?
9. Work Description: New .C3 Ad Alter ? Repair ?
10. Descrit~e
11. No. Fixtures No. Fixtures
~ Water Closet
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ~ Softner
Shower We~~
Kitchen Sink `
Urinal/Bid t Other
~ Laundry ray
Floor D ains
Drink' g Ftn.
Slop ink
Ga Piping Outlets
i2. ( hereby ceriiiy thai the above information is true and correct, and I agree to
c:omply 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-$100
, . cirr aF E~c~N ry
~795 Pilot Kno6 Reo~ Eo ` e16 i
9an, MN SS122 . ~ ~
PHOIdlt ~IS4-8100
BUILDING PERMIT Receipt # ~~^5'~,~~
Te b~ dad ior 1/ 2 DUPLEX & GA..~L Va~~ S 4 9. 0 C10 Date ~3~- i~ ~ q , 19-3.~
Slta /~ddreu 4464 Slater Road [A} Eroct ~(g Occuponcy t'
Lot 3 Block Sec/S~,bCinnamon Rid~te 3rd Alter p zo~i~ f P~;'~ 1
pa~Ce~ # 10 17402 030 03 Repolr ? F~re Zone i~
Enlonpe ? Type of Co~st. ~
Nm„e ::acisman Homea, Inc. ~„e ? # Stories
W
~ Address 176U Ptitchell Road Demo~ish ? Length.2~
Eden Brairie pF,o~ 937-9520 Grode ? Depth~_Sq. Ft.
~ Nome ~~~r Appro~als Fees
0
a~ Assessment Permit 27$ _ CI(~
V~ Ci pha~ Water E~ Sew. Surchcrfle ~4. 50
Police Plan check 139. ~0
FW N°"'~ Firo SAC 525.00
/lddress Enp. Water Carm. 45n nn
~W C~ pF~ Planner Water Meter 60. 00
Councfl Rocd Unit ~50.00
I hereby atknowledge that I have read this opplication ond state that g~dfl. Off.
rhe information is oo~recf ond ogree to comply with oll applicabla $1~26.5~
State of Minnesoto Statutes and City of Eoqon Ordinonces. ^PC Totol
Sipnc~ure of Permittee
~ac ai; ~omes, nc.
A Building Permit Is issued to: on tfie exprcu cadiNon thn+
oll work sholl be done in otcordante with,~ll opplicable,Stace of Minnesota Statutes ond Ciry of Eapon Ordinances.
Buildinp Offidal ~ ~ -
s~(o ~2 -/2 n (o-ts ~g3
P~rmit No. Permit Hold~r Mi~c. Psrmit No. Holdsr
Plumbiny O t' ~ 7 3"f 3
H.~.,..~. ~t~~Q U~~( Q^~ ~-~-~'3
Wst~r
D'ap.
S~wa.
e ~eetric u1 c.~ Co4 ~b 5 3 6 rdtE E~f d. b-( 5-fi3
Inspaction Darte Irqp. - Other
Foatingt ' ~
Foundation
Framinp
Rauph Plbp. -1~ ~
Rough HVA . ~
Inwlation , .
Fi~al Pib~ u -
Final HVAC .,25. G~
Fiml ' ~
wet~r Deacribe Location:
YYell ~
S~v~r
Pr. Disp. .
~~~~~~~~~~~~~t`
. ~ , ~r~'' ~ `~~T. . mc~ '~~P'> '-~y~°' ~e? °9 F''_ ~ ~~r"_;
~ 4-~` Y~;" ~ ' _ _
~ .~-~~R._~w.'~L`?~~.~.+"~,~'1,:.-.'~-,cj
~~r,~-.~; ,r,~:-r,_-'~C„~.~: T~ ~--c-.. ~
- - - - ~ -z - =4~. _;~e:•_
~-'-~~QF~'h. a_~ =~~Si~
i\~~ ~~,e ~ ~ ~
~ ~~e~fi~irtt#~e uf (~rru~ttnr~
, :.F-~
<
;
~ ~ 'f; ~itp of ~agatt ~ ~ ,
,
; ~'r ~ ~r~r~r~nenf nf ~~rilding .~tcs~rrriinn
~ r,~ f
+;.I Tbit CtrtifltQtt tJJUl/j ~7(fJlfliflt !0 !IX ~[9tttTtlltt/11J Of Satimr 306 0/ tix Uni orm Buildin '
s., f g ~
Code arti
friRg tixu at tfx ti~rs af itsr~anu tbi.r st~uturc was m coa4~lianu witb tix variou.t I~~''
oa
i~ '
j ordi~raxcu o f tfxCit
y rr
g u
l
a t
irr g buildi~
g conrt~xrtio~s or ur~. For tfx followin
g: ,r
~~r~~ .:I ~ ;
r' u,~~ 1/2 DUPLEX & GAR ~4~N,. 7967
(PD) Rl
v o~r.~r ~a R3 ryv. c~n~ V F~. NA w~
R Zachman Homes, Inc ~~7760 Mitchell Rd.,Eden Prair ~'e~
~j'~ ~~4464 Slater Road ~~,Lot 3,Block 3,Cinnamon Ridg~
3rd, .
ww o~mr ~j~ ow: Juiy 29, 1983
~ ~ ~
r'i Y~ _ _ /~p. ~M . m...~~VOW ...,C. _ . _ ~
~ ~-~YL~~~.Y~'~S .J _.1~''~. .J:_la 1~» ~5~. ~v~. ~i~g~
1~vaw ~':f.'Sa~'SSa~~'~~`~y
sl
~ ~~o~ ~f~.- "~.8n . :.Fl? ~IY. q~~ _ . .9.i~ . e . ~ ~ ~ ,y, ~ ; .
-~1~?.,,~,,.~y~:.,,~.~a~;.~~~~~~.~
~
_ , -
Raceipt ~ PLUMBING PERMIT Permit No. `
CITIA~OF EAGAN
Fee
J
Fill in numbered spaces S/C ~
Type or P~ini legibly Tot -
1. Date ` 2. Installation Cost ~ l •
_ „
~ -
3. Job Address ~ ~ ` ~ Lot Blk. c' Tract t
+
a `
4. Owner . , ~~'v~ J , . .
5. Contractor ''Y? " 1~. l ~ ~ Phone ~ ~ 7_~~ - ~ ' "
6. Address ~ ~;ff~ ~,~i- : ( -
~
7. City ll State ~ Zip ,
8. Building Type: Residential . L~1 Commercial ~ Institutional ~
9. Work Description: New;~l Add O Alter ? Repair ~
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Orainfield
~ Bath tubs Septic Tank
• Lavatory Softner
Shower Well
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 454-6100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN : ~t-; ~ ,
- ~ Fee
Fill in numbaried spaces S/C ~
Type or Prini /egibly T~ ;~r~ ~ ~G
1. Date F~`~~ 2. Installation Cost 'nC~~'•n'~ •
~
~ .
3. Job Address~~E~t ~1'~r ::U• Lot~ Bik. - Tract
4. Owner ~ •~C:'~~~:1d :,~`1'._::• 1rtil~. °
5. Contractor R~_~C i~e. :LT_.it Hi._ ~ Phone ~~~"6`~'~•~
6. Address 4~37 C',zice~ .'~.ve. `~out.~-i
7. City '~C~~• State ~ Zip :74~:•?
8. Buiiding Type: Residential Commercial O Institutional ~
9. Work Description: New ~ Add ? Alter D Repair ?
10. Describe T:S`,'`,~1!- forced a2~ he~~::xi~'Fuel Type ~+at v: s
11. No. E_~uioment BTU - M. Ea. No. Equipment CFM
~ Forced Air f~~U~~ Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
1 Gas, Piping Outlets
12. I hereby certify that"the above information is true and correct, and I agree to
comply with al! afdinances and codes godemipg this type of work.
/ ; ~ y ~
Signed~ ~ ,
f' : . for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
cirir oF EAC~?N
~ ~7!! 'ilt4 Knob Rood Eogan, MN 65122 • ~ ~ ~ s ~j
' ~ PHONEs 4SI-8100
BUILDING PERMIT Receipt # .
To b~ uwd Mr /2 D TF •FX f GAIZ Est. Va~ue $49.000 Date A~ri 1 2~) ~q~_
Site Addross ~?~,62 Slater Road ~BZ- Erect ~ Occuponcy -
Lot ~ Block Sec/Sub. Cinnamon Ridr~e 3rd Alter p Zon~.?o f r~ ) 1
pa~~ # 10 17402 ~30 03 Repoir ? Fire Zone
Er~farpe Q Type of Const, V
oWe Nome Zachman Iiomes . Inc. ~yj~„e ? # 5rories
Z 7760 ?fitchell Road pemoltsh p Length.~-
~ Eden Frairi~ pt,a,~ 937-9520 Grode ? Depth.~-Sq. Ft.
~ (~~r'~ ApProvals Fee•
~o Name
Address ~ Assessment Permit Z]~i ~'~n
~ Cit p~~e Water & Sew. Surcharpe 2.L+ - 5~~
~ Police Plon check ~~g - n~
~W Nome Firo SAC :~I~
~
Address Eny. Water Conn, L~.~.~1~
~ W Ci p~~ Pionner Woter Meter •~n
co~~i Road Unit '~5 Of.~
I hereby acknowledge thot 1 hove read this applicotion ond state tfiat B~dfl. Off.
the inlormation is torrect and ogree to comply wlth all opplicoble 51~26.50
5tnte of Minnesota Stotutes and City of Ecgon Ordinonces. APC Totol
Sipnature of Permittea
/1 Buildiny Permit is issued to: ZaChmun ~-lomes, InC. on the exprcu condition ttu~+
oll work sholl be done in accordwxe with all oppliwble. Stote of Minrsesota Stotutes ond Ciry of Engan Ordinonus.
Bufldinp Offlcial
• ~ ' .dFa .~d
~~n~
- IIsAA
:uoiie~o~ eq~»oaQ J°~+M
y S' ~ ~Qw j
/a ~VAH IQUld
\
r
~91d leU1d
' ~ uol~e~nsu~
~ ~ ~VAH 4a~~d
~ ' "~ild 4d~~H
'~rJ 9wwe~ j
uo~~epuno j
sbutsao~
~ay~0 ' ul ete0 uoil~edwl
~$•F>-9 ' ~3~3 ~~w~ ~ sSh9on ~l~~~a
,w~?.g
' •ds~p
~~M
IIeM
~.g-C-OI )3~1Z 0~~ '~•vn•H
~~10~ Bu~qwn~
~ePIoH 'oN iiw~ad -asiW iaPloH i~w~ed •oW liw~ed
~8-s~-~J, u~ -2u3J Slss_
~ ~,~"~m.~~ ~',~a,~ . -c~ ~
~~YI"` ~ .r~`i°' ~ .,o~~~`" w~ ..~~~r' .~i~~ . ~ - ~l,~' ~Y~,'. ,.`°,~~i°'~~
,~~i' . . .t~~l~,.~lkriro''m'~~~
~x ~~'~'~1~ ~ x ' . ~
~ -..r`'y~ 4..'i.'~~~1Ci -_'t:4 ~'~~•'~1 .y'.`='°-"-s•r~_'-1~.yV~~3'y,Yi'`+,T'i._-:1_~~s~'=yi~l:~-r'~`__t..
~~.~4- . ~._.,~`!9~`,%
1 r~ - - _ _
tt
~ ~~er~~f ~x~t#~e u~ (~rr~ ~tnx ~
Y.~ ~ .
r ~ ~t`~ ~Ctt 0~ ~a an ~ :
4~ ~ g ~
; ~,e}~ttrfm~ezt# nf ~uil~mg .~n~}~.erttntt ~ .
.
i ~
~ j Tbis Ccrti
ficate i.uutd ~urtuant to tht ~cqru~cmtnu of Sution 306 of six Uni fo,m Building a:Y.,~
Code cmi
f
ying that at the time o
f ia.rtutna this structure wat in toen plianu with t{x various
~ '
ordinances o
f the Crty regrelating building conttruuion or use. For the f
ollowing: ,a
~
~~~'y %N ~
j~~~'` 1/2 DUPLEX & GAR 7966 ~ `
~ Uis GuoBe~um Bida. Pemtit No. ~
~ PD Rl
~ ~'f o,xaw,~r'~YP~ R3 ~YV~caaqnKnon V F'~.~. NA zaas~8n~uicc '
~ 4-~~
E; a,,,~~~~~ Z. a ch m an H o
m e s, Tn~,~~a,~„ 7 7 6 0 M i t c h e l l R d. , E d e n P r a~
r a~a,~~4462 1 t r Rnaci ~,,~,;~yLot 3,Block 3,Cinnamon Ridg~
` 3rd ~s;~~
,~Q~~~
~ July 29, 1983
~s; 1~~~ s~,ud+,~s orea.~ n,u: r: a« ~
~ ~ ,
r,i
, ~ - ~ . ~w~„ K.~
\ ~:z~a~.-ci~a-~ ~ +c~- z._-_v a ::aa..a ~a~ ~~.i:^~»:_::a.a ~a~J , '
~ F4 =y - ,
~ ~-~a~.. , ~ ~ : " . . i , .Y= :;A`
r~~~ It i ~ r i t a w ~
~~,`,~"~r,~'~.~-~ ` .e~ ~~'w~ ~ , ~ -~~~w~,~.$er~~~y„~~ -a~~~ v~ ~r
~ '
, ; ,
~ - ~ ~ - -
~ ' i , _ .
, _ . ~ , ~ ~ . ~
Ooo.scni _ - . ~ ,
ur .o n ~ s.a. ~
_ -
Receipt MECHANICAL PERMIT Permit No._''! '
CITY OF EAGAN ;'_L ~OC
~ Fee
Fi/1 in numbered spaces S/C .~U
Type os Prini legib/y Tot. ~;r,. aU
1. Date "-`-r~~~~ 2. Installation Cost -~~~L'•~~`~
3. Job AddressL`.~? .;~-..f,r3r Lot Blk. • Tract
_-~,~r - f-
4. Owner '.L. ~ : . ....y -
5. Contractor i~• - 'Phone ~?S-(~~7
6. Address ~,.%'r' ' :i;
~ `r~.
7. City State ' Zip ~-"r~~
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New ~ Add O Alter ? Repair ?
10. Describe L~ ~1 _ cc~^ ti_ re:. _ Fuel Type ~~:as
11. No. Eauinment 9TU - M. Ea. No. EQUiament CFM ~
~ Forced Air Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater J
Mfg. Other +
Air Cond. i
Mfg.
' Gas, Piping Outlets I
~
~
J
i
12. I hereby certify that the above information is true and correct, and I agree ta ~
comply with alL6rdinances and codes governing this type of work. ~
Signed : . ` l
for I
~ Rough ~ ~ Final
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt ' PLUMBING PERMIT Permit No. ~ ~
CITV~OF EAGAN F~ ,t_ J ~
~
Fill in numbered spaces S/C
Type or Print legib/y Tot.
1. Date 2. Installation Cost i
_ ^ , ~ "
3. Job Address- ~ ~ ~ ~'Lot ~ Blk. ~ Tract ~ `r `
;
~
~ ~
4. Owner J- ~
5. Contractor ' _ ~Z- - "~/n~ Phone ` - - ~ ~ ~ a
~
~ ~
6. Address ~r ` • ~J • J r % ' ~
~ '
~
7. City ~ _ ~ - 5tate ' ~ Zip •
8. Building Type: ResidentiaY~l Commercial ? Institutional ?
~
1
9. Work Description: New ~ Add ? Alter O Repair ?
10. Describe 1
11. No, Fixtures No. Fixtures
% Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
` Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above i~formation 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
Reoeipt y ~ PLUMBING PERMIT Permit No.'
CITY OF EAGAN ~
+ ~ ~ Fee - . ;
I Fill in numbered speces S/C
TYPe or Prinr legibly T~ ~
1. Date - j'3 z. Instauatio~ st
r/ _ S/f~~ ~ ~ „
3. JobAddress lt~t~~ e Lot a3~81k. ~ Tract t~ '
~ / ' r~~
4. Owner ~Llt,y ~~.'i SL1 r~D ~
5. Contractor I 1 t I ~ ~r~ ~4 • Phone / ~
6. Address f
e'~ Y I C ~ lX
7. City ~F7. JT ~ t"/~u ~ State Zip !5
'~r 7'7
8. Building Type: Residential C~Y~ Commercial O Institutional ?
9. Work Description: New ? Add ? Alter id' Repair ?
~ r 1~
10. Descrihe AlS-f A I~~C' L.ULf T~' ? ALl~
11. No, Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ~ Softner
Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
D~inking 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 Flnel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reoeipt - PLUMBWG PERMIT Permit No,-=`
CITYOFEAGAN F~ 2~.1;0
Fi!l in numbered spaces S/C . 5 U
Type or Prrni legib/y .To~ z~0 . 50
1. Date ~-t-~ 2. Installation Cost
c, r.namon
3. Job Address `+r«62 SI Ler Rd. Lot 3 Blk. Trac~idge 3rd
4. Owner Z ac hman o~es , Inc .
5. Contractor ~'-°Yque Y1 binr. P one 43''- ~i~l
6. Address Oakp,r n Aae .::o .
7. City ~ tillwater State Z Zip 55U~~2
8. Building Type: Residential ~:l Com rcial ? Institutional ?
9. Work Description: New '~7 A d Alter O Repair ?
10. Descri be
11. No. Fixtures No. Fixtures
Water Close C Cesspool/Drainfield
Bath tu $eptic Tank
Lavat y Softner
Sh r We~~
itchen Sink
,
Urinal/Bidet Other
Laundry Tray
' Floor Orains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 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
CITY OF EAGAN Remarks ~~~~-~I fyL~i~~l C~~
Additib~ Lot n'f ~ Blk ~ Parcel ~7d~.~ (a.~7 Q3
Owner ~ ~ g- Street 4462 Sl.a~hex' RDad State ~Qan• ~ 55122
Improvement Date Amount Annual Years Payme~t Receipt Date
STREET SURF. ~ ~
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWERLATERAL (21.~3 C009464 -7-84
WATERMAIN
WATERLATERAL 529.12 C009464 9-7-84
WATER AREA
337.60 C009464 9-7-84
STORM SEW TRK C
STORMSEWLAT X 1 8 41 8 18 37 941.86 C00 464 -7-
CURB & GUTTER
SIDEWALK
STREET LIGHT
road uni 250.00 35537 4-29-83
WATER CONN. 4rj0. QD
BUILDING PER. ']9C7
SAC Q
PARK
CITY OF EAGAN Remarks ~~-~1~~ '
Addition 3rd ~ot nt ~ sik 3 Parce~ 1Q 17402 03I 03
ow~e ~~~t 4464 Sla.ter Fac~ad stace ~5~1 ~ 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ~ 0 00 463 9-7-84
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 ~CI l~ OY'1 1T1a1 1.
SEWERLATERAL X1 621.~3 C009463 9-7-84
WATERMAIN
WATERLATERAL x 529.12 C009463 9-7-84
WATER AREA 1973 ~C~ 1~ 1],I~d]. 1
X 4 9-7-84
STORM SEW TRK 1979 ].Cl UT1C~Px' OY'1 1I]d~.
STORMSEWLAT x 1985 941.86 188.37 5 941.86 C009463 9-7-84
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PEF.
SAC
PARK ~
CITY OF EAGAN Remarks
/~ddition V1NNAMON RIDGE 3RD ADDN ~ot 3 e~k 3 Parce~ 10-17402-030-03
owner reet 4462 ~ 4464 SLATER ROAD State EAGAN hW 55122
, 8
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. -
t~~~~,
STREET RESTOR.
GRADING
5AN SEW TRUNK .31 A012569 8-4-83
SEWER LATERAL
WATERMAIN
WATER LATERAL ~
WATERAREA 1973 131. 4- 8.76 1 35.08 A012569 8-4-83
STORM 5EW TRK 1979 " 381.69 19. 08 20 286.29 A0~2569 8-4-83
STORM SEW LAT
CURB & GUTTER -
SIDEWALK
STREET LIGHT
ROAD UNIT 500.00 3553 4-2 83
WATER CQNN.
900.00 " o
BUILDING PER.
SAC n n
PARK
CASH RECEIPT
CITY 4F EAGAN
3795 PILOT KNOB ROAO
EAGAN, MINNESOTA 55122
DATE 19
RECEIVED
FROM ~
AMOUNT $ I
& DOLLARS
~oo
? CASH ~ CHECK
FOR ~
FUND CODE AfADUNT
Thank You
B Y
_ / Whita-Payers Copy
V Yellow-Posting Copy
Pink-File Copy
. . ~ . . . y . , ~
. . ~ . ~ ~ i~
. . a_. - r -
. - . 't . ,
CITY OF EAGAN WATER SERVICE PERMIT
3~'`S Pflot Knob Road PERMIT NO.:
6ogan, MN 5512Z DATE:
Z~ning: " No. of Units:
ay~r: [.ar hmRn T7nm ~a Tn r
Addres3:
Site Addreu: ~iGF,~ S1 r,r r y~ ~ _ ' - -
Plumber. ~4~on't a 5 " -
Metor No.: Connection Chorge: ~ ~
Size: Account Deposit:
Reoder No.: Permit Fee:
I aFy~ eo oaepy wMh tlw Citq of Eoynn Surcharge:
Grdinonces. Misc. CFwrges: .
Totoi:
gy Dote Poid:
Dute of Insp.: ~~P•~
cirr oF ~?~AN SEVYER SERVICE PERMIT
87~5 Pilof Knob Rood PERMIT NO.:
Eagon, MN 56122 DATE:
Zor,irg: r" No. of Units: I!~
Owner: ~ - ':~r - ' ~ •
/lddress:
!,~FF,~ SI.AtCT t'..OAC' ~ _ ~ .l''•
Site Address: -
Plumber: ° r: j•i
n[, ^ ^ ~ . rc
I prN to oompy wieh tM Cihr of Ea~uw Connection Chorpe: •0~ pc;
Ordinanees. Aocount Deposit: ity
Permlt Fee: 1 •
Surchcrpe:
gy Misc. Charoes:
Dote of Irisp.: Total:
In~.: Date Pcid:
cr: ~r c,~ ~?c~~?N WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: ~
Eayae, MN b5122 D/1TE: 1~,
,
Zoning: ~~I ` No. of Units: -~~i c•
Owner: •'r -
Address:
Site Addresr. , n r. s'
Plumber: P5 ~1 '.2 S ~ j~1
Mater No.: Connection Churye: ^ - , ~
Size: Acoount Deposit:
Reader No.: Pertnit Fee: ~
I~Oree to aaw~pl~r whh fiw Cihr of lo9on Surcharge: i~,-
Ordinence~. Misc. Chorycs: . t _ `,r
Total:
gy Dote Poid:
Date of Insp.: ~^SP•~
I
CI?Y ~ ~AGAN SEVNER SERVICE PERMIT
l793 Pilo~ Knob Roed PERMIT NO.:
Ea9an, MN 55122 DATE:
Zoninfl: No. of Units:
OWne?: „1 ~~r7, P~ -r. ,
Address:
Site Addreu: ~ys,rpr T.. iri;.n 7i_.
Plumber. t ~ ~:i1cP. ~
~ !"i ^r~ . ? .l
1~yro~ M aomphr whh ths Gry af Eayon Connectlon Charqe: ,
O?dlnenees. Account DepCSit:
Permit Fee: ~
Surcharpe:
By Mtsc. Chorpes:
Dote of Insp.: Tatal:
Insp.: DaM Paid:
Th~s aa~as a,~ g-IZ L3 3, CrKh~ ~c1s~ 3 ZQ S"(o
18 man[hs trom ~
~1'0~ 30~ 3s~ ~o~~o
Rpquest Uatc Fire No. RouNh~iilnspeclion
~j3 Requiretl? eatly Now ? Will Notity InsOec-
t Q Q ?Ves ~'No ~or When Ready
icensetl Electrical Gontracto~ 1 herehy request insPection of ebova
? Owner elechical work ins~alled ac
SVee[ Addre~, 9ox ot ute
N_~ ~ I C~ `
~l ~
ec.uon o. owns~iP Name or No. Range No. ~
Occu nnt IPflI .T~ Phonc No.
P r Supplier Adtlress
Elx I Convact r ICompany C~~Mrnetor's License No.
~ 0 a~7~ -
Ma n9 .4dJress ICOntrector or Owner Mak ng Installationl
S`as ~ ~~o ~ 5t, p~ . ~ds3~~.
Authorized naNre fCoMre~5~or Owner akinB ~nstallationl Phone Number ~
~~f7'~`f90
MINNESOTq STqTE 80AND OF ELECTRICITY TMIS INSPECTION PEQUEST WILL NOT
GriBes•Midwey Bldg. - Room N-191 BE ACCEPTED BV THE STATE eOAFO
1821 UniversitV Ava., S[. Paul, MN 55104 UNLESS PflOPEN INSPECTION FEE IS
o._" ie~o~ envin~ ENCLOSE~.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
L:'
~ ' See inatr~ctions for completine Ihis form on bnck of yellow copY.
G'~-~ (f~~?nj~,]l QQ p~y
' X" BeloW Wo~'C'oOvered by Th~~equest J7~ l D~
AAtl Rep. ~Type ol Builtline ,4PC~~ances Wired Equiument Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. 8uildinq Dryer Electric Heatin
Commerciai Bidg. Fu ace Siio Unloadar
Industrial BIAg. Air ConAitioner Bulk Mllk Tank
Farm orher oer.i v ~ne~ Isoecifvl
t e SueciFy [ier Oth~~
Compute lnspectiron Fee Below
M Fee ServiceEntrBnceSiza b Fee Fanders~SabfeeJers 4 Fee Clrcults
0 to 200 qm s 0 to 30 Am ~s 0 to 30 Am s
Abuve 200 qm ~s~~ 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100-Am s Above 100_~m s
Transiormers Irrigation Booms Pertial.'Other Fee
Signs $pecial Inspection S~M•~
Remarks U /R . O
(tl
flouBh-in ~~~P I, i cVicel
~ Insoectoq hereby
certi~y the~ Ihe above
final inspection hes been
mede.
T~le recueel voltl 1B mont~s from
This request void ~p-~ S (.,~3 ~ D) ~ C~ N 3~~ ~ Z~
18 months imm
W 064853
ftequest ~aie _ Fire No. RouBh-in.InsVection
1 RequireA~ ~Reatly Now~Will Not~fv spec-
JN~ ~ ' / Yes ?No ~~r When Peady
E--7
Licensed ElecVical ConV~ctor I he.eby request ins0e~tion of ebova
? Ow'Sier electrical work instelled et:
Street A~ress, Box or Rqute No. ~ ~Y
~ 6 0
e uon o. ownship Nnme or No. Aange No. CountY
Or uDant IPRINTI ~ e Nn.
r.. v ,`~.'n. ~ 3- S.
er u e A~~~~'~~0~\
~y~ ~c
lV
Elechical ConUactor ICo V e ConVactor~s License No.
(~N € C ]~tL A
Mailine Address 1 onvactor or Owner Makin stailatioN
~ U N L W U ~ I N.Vs-].3
Au ~ized SiOnatur ICon tor Owner Makinp Installat on Phone N~Nmbefp
, l~r`f/~7
MINNESOTA ATE BOARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griees-Mitlw y Bldg. - Noom N-797 8E ACCEPTED BY THE STATE BOANO
UNlESS PflOPEH INSPECTION FEE IS
1821 Universit~ Ave., SL Peul, MN 56104
,e,~~..o ENCLOSE~.
FOR ELECTRICAL INSPECTION w EB-~0001-04
u:
~ ructians tor comoleting this form on beck ol Yellow copy,
""R~ 8e o W r o ered by This Request 3~D
Fdtl flep. Type ot Builtling Applinnces Wired Equipment Wirad
Home Range Temporary Service
Dliplex Water Heater LightinG Fix[ures
Apt. Buildinq Dryer Electric He2tin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Buik Milk T&nk
Farm tbxr oew v Ot er ISnaaiivl
t nr Sneci(y Orher Oihi.r
Compute lnspeciian Fee Below
k Fae ServiceEmrenceSize # Fee Fxxders~Subfeeders N .Fne Circuits
U to 200 qm s 0 to 30 Am s ~.~+0 0 to 30 Am s
Above Z00 q~»py 31 to 100 Ainps ~ 31 to 100 A s
Swimming Pool Above 100_Am s Above 100_Am~s
Transformers Irrigation Fioorc~s Partial~'Other Pee
Signs Special Inspection g~j,~(J TOT ~
Femarks ~ ~ 9 6(J ~•mJ
f1
Fough-in `t I. tha cal
~ Inspectoq he~aby
cerlily lhet the above
Final Dxte i~spaction has been
_ Qr~~ ~ made.
This reauest voltl 18 monMS imm
CITY OF EAGAN * ~J966
t,. i~~ • 3793 PIM Kao6 Rmd Eagan, MN bS121 lr O
PHONEs 454-8100
BUILDING PERMIT Receipt g ~5~~
Te 6a u~ed for 1/2 DUPLEX & GAR Est. Vo~ue $49,000 pa~e Anril 29 v , ~983
Site Addreu 4462 Slater Road ~B~ Erect ~[g Occupancy R-3
Lot 3 Bi«k 3 Sec/Sub. Cinnamon Ridge 3rd Alter ? Zoning ~PD) R-1
Parcel # 10 17402 030 03 Repo~r ? F~re Zone NA
Enlarpe ? rype of consr. V
W Name Zachman Homes, Inc. Anove ? # Srories
~ Address ~~60 Mitchell Road pe~~~~ ~ Length 24
Eden Prairie p~~ 937-952D Grade ? Depth 42 Sq. Ft.-
o Name Owner Approvala Fee~
v~ Address ~ ~'~Assessment Permit 278•~0
~ Ut Phona WO~~ 8~w' Surcharge 24.50
Police Plon check 139.00
Fw "Name Fire SAC -~~n
z~ Address , Enq.~ WaterConn.45.D_-nn
~W pha~ - Planner WoterMeter 60.00
Coundl Road un~r 25.0.00
I hereby ockmwledge tlaf I hova reod this application and state that ~ Bldg. Off.
the inbrmotion Is correct ond ogree to comply with oli opplicoble APC Tofal $1726.5~ -
Stote of Minnesoto Statutes and City of Eagan Ordirwnces. ~
Sipnoture of PermiMee ~ ' . ~
Zac an Homes Inc.
A Bullding Permit Is issued to: on tho express condition thm
oll work sholl be done in utcordance wuf ,~I_ oRplic 1 taM of Minnewfa Stafufes ard City of Eapan Ordinances.
Buildinp Officiol ~-e~~C~~ n
10 ~~~O 2005 RESIDENTTAL BUII.DING PERNII'C APPLICATION O
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Nevr Construction Reauiremenis RemodeUReoair Reouirements ORce Use Onlv
3 registered site surveys showirg sq. ft. oi lot, sq. (L of house; and all roafed areas 2 copies af plan Cert of Survey Recd _ Y_ N
(20°k maxunum bt coverage allowed) 7 set of Ene~gy Calculations for heated addNons Tree Pres Plan Recd _ Y_ N.
2 copies of plan showing beam & window s¢es; poured found design, etc. 7 site survey for addHions & decks Tree Pres Required _ Y_ N
lselofEne~qyCalalations Addih'on-i~Mketeifon-sltesepticsystem On~HeSepticSyslem _Y _N
3 copies of Tree Preservafion Plan'rf lot platted after 1/7l93
R6n Joist Detail Options selectian sheet (buadings wM 3 or less unBs)
Date~~/ / n ConstructionCost ~ 3500
Site Address ~yG ~ SLf~'~/Z ~~l . Unit/Ste #
Description of Work ~+C-~eD~,(
Multi-Family Bldg _ Y~ N Firepiace(s) ~ D _ 1 _ 2
Property Owner C~'~' Telephone #((e•r/ 9 i9 ~~z
Contractor ~ G / G ~/`~/D 5
Address City ~~"6~'/?
State Zip~ Telephone q(GJ
I) ~G7D -SD 3~
~ ~00 ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate orv 1 Minnesota Rules 7672
Energy Code Category . Residenlial Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone ~
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
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 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. , /
~ Y
, J~sor~
Applicant's Prin Name p icanYs Signature
OFFICE U5E ONLY
Sub Types
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 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 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ~ 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteratian ? 37 Demolish Building• ? 43 Reroof ? 46 WindowsfDoors
? 34 Rep~acement `Demolidon (Entire 81dg) - Give PCA Aandout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire 5prinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
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
\
' GALVIN H. HEDLUND ~ 7726 MORGAN AVE. 50.
MINNEAPOLIS, MINN. 55423
~ano Surv~yor dWi Enqin~~r PHONE NO. 866-25I3
srrr~ver~or~s G'ert~j"~cate
A-456
J06 NO. ~"457
SURVEY FOR~Zachman Homes inc.
DESCRIBED AS~Lot 3, Block 3, CINNAMON RIDGE 3RD AnDITION, City of Eagan,
Dkota County, Minnesota, and reserving easements of record.
_ _~fhern Nd~ural Gas Co'Pipeline
~
80.00 /JQS°32~35"E i pQ'~~O
921.5 ~ ~ 924.0- -
~ ~
r----
~ ~
3 I ~ ~
h I ~
F ip ~ ~ ~ ~ Top of Founda+~o~= 92b.9
N N ~ ~ a e $asemen+ Floor= 92b.9
= N -
z` ~ ~~26.2. ~i , 2b. -`~i ~ z Gara9e Floor= q26.6
~ 2 -I 24-I ~
~ Proposed E)evations O
I i Nwoou oi ce oo I
~ N ~ Exis+in9 Elevations _
, I1s9z 4 UNIT6~P ITA 4 js9zl ~~~STAKES Draina9e Direc+ccn
l0137STAKES penotes Lot Corner O
~ T/ GAR. T U G ~ ~
- ~ I V~. ~ 2~~ ~
~ ~
- ~4'L6.Z , 6. ~ [ L~ r - ~
~ I
W W
7 > I
L _ p _o I
922.7 ~ 925.5 S
$0.00 48°32' S"' E - -
~A46 ~q~
o. ~ ~
~ •
422.4 SLATER (~OAL] 425.2
- _ _ ~ _
9z3.s q~
4ERTIFIGATE OF SURVEYI
I h~reby c~rfify fhot on 4-IS-83 I~urv~y~d t~~ prop~?ty d~strib~d obov~ and ihof
fhe obove plot is o corr~ct~ repr~s~ntatipn of wld surv~y.
~ ~ 7~.~-k--.S2
I Colvln H. Hedtund, Minn. R~p. No. 3942
;
cirr use or+~v
L O~I gL ~ ~d RECEIPT / 0 3 Ca_ ~
SUB~rury~, C,[. .Ji' RECEIPT OATE: s g/
-u-~
1999 ~'LUM$INH ~P~i141IT (ft~S1DEN17~iW
CI1'S' Of' f~AfiA1N
SS30 ~ILOT KNOB RD
s,e?sart, t~[a 551 Ea '
(851) 681-4875
Please complete Tor: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH ~ TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tutr 3.00 x =
Lavatory 3.00 x =
Kitchen Sink ' 3.00 x =
Laundry Tray ! 3.00 x =
Hot Tub/Spa I 3.00 x =
Water Heater ~ 3.OD x ~ _
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum • 1 3.00 X =
Rough Openings 1.50 x =
Water Softener ' for dwel~ings under constructlon 5.00 x =
Water Softener ' tor exiatlng dwellinp 30.00 x =
U.G. Sprinkler • for dwalling unde~ const. 3.00 =
U.G. Sprinkler ' tor exispng dweliing 30.00 =
Alterations " to ezistine residence 30.00 =
Water Turn Around i 30.00 =
Private Disposal Systsm • MP i rc. 75.00 =
(new and-refurbished systems) '
Private Disposal Systems ' Abandonment 30.00 -
RPZ (new installation/repair) ~ 30,00 =
~ STATE SURCHARGE .50
Reminder. Call 681-4675 for inspectlons of water heaters,
water softenars, alleratlons,l ata
. ~ TOTAL 30 ~
i
1lieieti~ldviowied etiiafihaw_...._-_.,_'-------•••••-•
It is !he appilpnYs~responslbllif ~ -~ecl, and agree to wmply wllh all appllpble City of Eapan ordinances.
ANDERSONI JOHN umes no Ilabilly fa any damages aused by Ne Ciry dunng Its normal
operaUonBl and maintanance a 4463 SLATER ROAD vfthln City proparty/dght~o%wayleasement.
SITE ADDRESS: E^cAN, MNlssizz
- 0-
OWNER NAME: ~
INSTALLER NAME: ~~~/3/ p~+~J ~G, 1~f/1 Vi1 nJ TELEPHONE ~ Z~-`fD,3 3
STREETADDRESS: ~~CJ~J I~~/~j~ •~d~ -~'~j
CITY: ~~~5 I STATE: N ~ ZIP: S O8
SIGNATU E ERMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
~108~ ~
~ Z005 RESI'DENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruclion Reauirements f RemedeUReoei~ Reaui~emenis 6tfice Use Onk
3 registered site surveys showing sq. Fl. of IW, sq. fl. af house; and all roofed areas 2 copies of plan Cerl at Survey
Recd 'F ~ N
(2~°k maximum lot coverage allowe~ I 1 set of Energy Calculations for heated additions Tre~ PtOSPIan~AOCtl _ Y_.N.
2 copies of plan showing 6eam &window sizes; poured (ound design, e~c. 1 site survey for additions & decks Toee PresRerluired 'N AN
1 set of Energy Caiculalions Addition - indicafe if on-sife septic system prrsite Septic Syslem _:~Y ~ N~_
3 copies of Tree Preservatian Pian if loi plaped afler 7/1/93
Rim Joist Dehail Options selection sheet (buildings with 3 or lesi units~
Date 1~ I,_~ I~ I Construction Cost ~~y ~ S ~
Site Address _!~{r{
(o~___ h7 ~I` Uait/Ste #
I
Description of Work ~ ..(./~{/1K,7 ~ !lTYN-~1 ~T~t~~/
Multi-Family Bldg _ P_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner I Telephone #(65r 6 h~~ ~ Q O
~
.
Contractor ~
Address ~ ~ City
State ~ Zip ~j~_ Telephone # (by
~ ) ?
~
~
--1~
I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesot~ Rules 7670 Catecorv 1 _ Minnesota Rules 7672
Ene~gy CodO Category Resid
al Ventilation Category 1 Worksheet • New Energy Cotle Worksheet
(J submission type) ~ Submi~ted Submitted
. Energy Envelope Calculations Su6mifled
Have you previously constructed a bl ilding in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone ~
Mechanical Contractor I Telephone # ( )
Sewer/Water Contractor i Telephone )
I hereby apply for a Residential Bu±lding Permit and acknowledge that the information is complete and accurate;
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 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 wlii~-~eE}uices-ar,-F~ui~w
i
approval of plans. I I' ~ I l~`% ~ U f~~
L ~ ~Y11 I , ~ 2005 ~ I~
Applicant's P~nted Name Applicant's Si na re i ~
4'" -_=i
L -
t
3 OFFICE USE ONLY -
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 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 ? 1D 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
p 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fi~e Repair
? 33 Atteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition ~Entire Bldg) -Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units ' Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
7ype of Const Width , ,
REQUIRED INSPECITONS
Footings(new bldg) _ FinallC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundalion _ HVAC
Drain Tile Other •
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tes[s Final
_ grazn;ng _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Conneetion Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
~ Copies
Other
Total
~
.
~~is' ~~a
~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION /
I City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reouiremen5 RemodeVReoair Reauirements Olfice Use~ Onlv
3 registered site surveys shaning sq. fl of lot, sq. ft o( house; and all roofed are~ 2 copies of pWn showiig footings, beams, jdsls Cert of Survey Recd~ _ Y_ N
(20%maximum lotcoverage allowed) I 1 set of Energy Calculations for healed additions Sals Repal Y_ N
1 Soils Report'rf propwed building is to be placed on disWrbed soil t sfle survey for addi6ons 8 dedcs Tree P~es Flan R9cd~ Y_ N,
2 copies ot plan showing 6eam 8 windax sizes~, poured founif design, etc. Adddion ~ indicate i(on-site sep6c sysfam Tree Pres~Required Y_ N
isetofEnergyCalculalions I Onsite~SepticSyst~n -_Y _N
3 copies of Tree Preservatlon Plan if lot platted after 711r93
Rim Joist Detail Oplions selection sheet (buildings wiM 3 a less units)
Minnegasco mechanical ventilffiion (qm
Plans are considesed u61ic information un{ess ou state tfie are trade secret and the reason.
Date C7 ~e O? 5,(+i,'1 l,r Construction Cost ~ SU
Site Address L( L/ (d~ ~`c c~+J ~ MIl7 5$ 1~'Z UniUSte #
~ -aon• a ~ne s i ~e
Description oF Work T£l~ C'L C~ . ~ap69 O~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner G~~Z l~ ~y ~.I l~t Telephone #(~5~ 3/- S ~ 7 /
Contractor S~'(7 ~,YY~ l7 k-4I 4Z..~ e~~St' b~+r~l(7'1~ - `
Address (,o E} ItiC~S6r {~•rQ City l.(.7 ~ W
State ~fl 1J I Zip ,s'S l a S Telephone b5 ~.3~- 9
I
~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde CategOry , Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet
(d submission ~ype) Submitted Submittetl
• Energ~ Envelope Calculallons Submitted
In The last 12 months, has the City of Eag I n issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date anb address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone # ( )
Sewer/WaterContractor Telephone#( J
~
I hereby apply for a Residential Bui~ding Permit and acknowledge that the information is complete and accurate;
that the work will be in conformanee with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 acco~dance with the approved plan in the case of work which requires a review and
approval of plans.
,C.~ ~ ~4 rOho1crrc,~-
Applicant's Printed Name Applicant's Signature