4463 Slater Rd CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNQB ROAD
EAGAN, MINNESOTA 55122
DATE 19
e¢ce~veo
FROM
AMOUNT $ i
~
& DOLLARS
~oo
~ CASH ? CHECK
FOR
FUND GODE A~~OUNT
G'
Thank You
B Y
White-Payers Copy
Yello~nt-Posting Copy
Pink-File Copy
~ cir~r oF ~?~,?N , ,
37 S Nlot Knob Raod Eo9an, MN SS1Z2 ~
t PHONE: 451-8100
BUILDING PERMlT Receipt
To b~ wsd fo~ SF DWG/GAR Est. Volue ~54 r a~30 Dcte July 8 ~ 9 83
Srte Address g Erect ~ Occu R~3
3 2 Ciunamon Rid e 3rd ~~~y
Lot Block Set/Su . ~ Alter ? Zoning t~~) R-1
Porcet 0 174G2 030 0 Repolr ? Fire 2ona ~A
Enlurge ? Type of Const. ~
oWc Neme e Inc . Move
? # Stories
~ Address ~~~4 Mitchell oad pemolish ? Length 49'3"
Edan Prairi~ pF, 937-9520 Grcde ? Depth 3~ Sq. Ft.
' Na,T,~ Ke en Constru tion Inc. Approvols Fees
0
o~ Address 5952 Woodland ircle Assessment Permir 295.00
C~r I`1t1~. 55343 P~ 934-12iS Water & Sew. S~rchar~e 27.00
Police Plo~ check 1~~ ~ S~
WW Name Fim saC 525.QD
FW
Address Enp. Water Conn. ~50.00
i W C~ pho Plcnner Woter AAeter 6d . 40
Councii Road Unit 25~.00
I hereby acknowledge that 1 have reod t is application ond state thot g~dg, pff.
the iniormction is correct and ogree t tomply with oll cpplicable ^PC Totol S17~k.50
Sfote of Minnesota Stotutes ond City f Eagan Ordinances.
$ignuture of Permittee
Ke nen Construc~ on, Inc.
A Building Permit is issued to: o~ the express condition tha~
all work sholl be done in accordorxe wi h oll opplicable Stote of Minnesotn $~atutes ond City of Ea9Cn Ordinances.
Buildinp Officiol ` "
1
Permit No. Permit Holdsr Misc. Permit No. Hoider
Plumbing ~ GQxZL,
H.V.A.C. ~ L ~lo ~ hZ h `Il'~~
w.titi
Water .
Disp.
Sewer
Elactric wo~y g (3M11~ E~EC• Q-~~'~'~'
I~sQection Date Insp. ~ther
Footingt ~
Foundation
Frami~g
Rouyh Plbg. ~ W
Rouqh HVAC ~
Inwiation -
Final Plbg. C~~~: -
Final HVAC f
Final f Y~
Water Deacribe Loeatian:
YVell
5ewer
Pr. Disp. _
, ~ ^ ~ . ~ ~ ` ~y ~ ~ ~r~, ~ ~~r,
~ ~
~
c~. '1 ~ ~
) t-~~'?~fcr ` "''f~ ~
d~'~, , '~Pr ' ` ~
i ~~~-r s~61COS'~jf~~ ~Ox'CUB'~~61N1N ~ ~ ' _ " ~
~~!'~"c~`r_-~~..riz~e~~,c.c-=-.,4~-a-t^.-rr~.v`y~c:riy~~ y~;i
-1~._:~~a',cs~a_F'°~ti•e`-~~~
_ ~ ~ f
1`\~ ~5~
,~,$~~a C~r~#f f tr~t~e uf (~rru ~tnr , ~
~ ~3 ~
~ ~ ~ ~Cit of ~Ea an ~
~ ; ~ ~ p g ~ . ~
. ~
~ ~ ~ ~p#r i ,a# ~uil~ing .~n~rpriam ~
i ~ s' ~ ~
Thrs Ccrti ~catc i~sacd srraxt m tlx 'r enu cu~on ~
yy fs , taqu~ em of S'on 306 of thc Un:forni Brald:~g ~
s;•I Code arti frrn8 that at ib~ tin~e of itruance tbiJ structrere waf rn conapliancr wrtb the various „
n~ u ` ,
~~,I ordirrarua o
f tix City ngu~atiug 6rvldrr~g co~utrartian or rrse. For the f
ollowi~g: ~r
/i~~+3,~~ry j~
~;j S~ DWG/GAR ~~Na 8224 ~
:
o«.r~r'~Yw R3 'iYrc~e~ V Fu.~ NA z~ne~ PD Rl , ~
S
'y` ~d~ ZachmanjHomes. Inc~7760 Mitchell Rd..Eden Prai~~ ~f'
4463 Slater Road ~ryT•o.~ 3.87-ock 2. Ginnamon Ridg~
n 3rd
: ~ ; ~ r ~ h~ October 28 I983 r ~
~ ~ ~ oroo~ u.~.: ~ F~! ~
~~'BUILDER: KEYMEN C~NST.
~ ~ ~at r • cor~ncuou~ ruc[ ' . _ ' ' j: ~ ~ ~ .
*~s:~- ~_~`y. io:~i~~.~:..Z,:~~,. w.ai.~, ~.~Yd..`~_].:A`.J~ti"...~..~.a`a~~~w
. a- . w~ . ~ _
~ -t-'' ~•~f„~ ' ,•~1~w
•~.~,~i~:.
.,~~f .~w. s~r~«~~~~
.,~~,~~,~,~~1i.
.~~F~1~.~
. _
o~~, .r, _ - . .
~
Raceipt ' ~ PLUMB~NG PERMIT Permit No. ~ ' ; ~
CITY QF EAGAN
Fee ? _
Fill in numbered spaces S/G
Type orPrini /egib/y ~
Tot. . ~ ~ _ i
1, Date 2. Installation Cost
, , ;1
,
3. Job Address ~ ~ Lot ~ Blk. Tract ~ `
; ~
4. Owner l . ~
5. Contractor ` ' ' Phone - ~ ~ ~ - ` ~
6. Address , ` , c ' , - - - J-
7. CitY ~ State Zip
- S. Buitding Type: Residential_ ~ ~omm~i~l O_ Institutional ?
9. Work Description: New ~ Add ? Alter ? Repair O
10. Oescribe
11. No. Fixtures No. Fixtures
' Water Closet ~poo~/Drainfield
Bath tubs Septic Tank
_ Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet pther
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12, t hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved . CITY OF EAGAN 454-8100
Receipt J MEG~FIANICAL PERM17 Parmit No.
~ CITI(qOF EAGAN ~
Fea
` Fil1 in numbered spaces S/C `
Type or Prini /egib/y T~ < < .
, ~
1. Date ~ 2.Installation~Cost
r i : -
3. Job Address f~` 3~-"'O"`- Lo~.~ Blk. Tract
7
4. Owner s..-~•--- - r-'^'°~''`..'•.~..,,.~ ~
5. Contractor ~ Phone L '
, , ~
6. Address ~ ; ' ~ l _ ~ ~-C.",i"-
~ ~ ~ 5
7. City ~r`"'"~""" State Zip ~
~ 8. Building Type: Residential Commercial ? Institution_al
9. Work Description: New C'~ Add ? Alter ? Repair ?
10. Describe Fuel Type 2^-+A~ ~;>f•~
~
11. No. ~uioment 9TU - M. Ea. No. Equipment 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
wmply with all ordinances and Codes,governing this type of work.
, ` r ~ `r
Signed : ' ~ for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition CINNAMON RIDGE 3RD ADDN ~ot 3 R~k 2 Parce~ 10-17402-030-02
Owner Street 4463 SLATER ROAD State EAGAN NW 55122
Improvement Data Amount Annual Years Payment Receipt Date
STREET SURF. 1.012. 2~ C009448 9-7-84
STREET RESTOR,
GRADING
SAN SEW TFiUNK 1973 102. 22 6.81 15 20.50 A013180 11-15-83
SEWER LATERAL ~ ]2l+.53 C009448 9-7-84
WATERMAIN
WATER LATERAL 8
WATERAREA 1 73 131,4~4 8.76 15 2b.32 A013180 11-15-83
X
STORM SEW TRK 1979 381. Er9 19. 08 20 267..21 A013180 11-15-83
STORMSEW LAT X 1 85 1098.83 219.77 5 1098.83 C009448 9-7-84
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 36932 7-8-83
WATER CONN. 4SO.OO
~UILDING PER.
SAC
PARK
. ~
CITti F E4GAN SEINER SERVICE PERMIT
3830 r~~oY h~~ob Road pE~~T NO.• ^
~ P. O. Box 21199 ' " _ _ - ~
Eagan, MN 55121 ~TE~
No. of Untes:
Own~r: ~ey
~r.en Cf~ll° t'C'i1C~ j.OP
~d~°~ ? c'~nn~on Ridg.e III
Site I~ddross: 4463 S~a.t~r ~ohd L'~ ~
Plumber. S ~ ~ •
, - , ~ 425.a0 nci
1 prr~ to ea+s~lp wlel~ tlw C1~1 of /aloe Ca+rnction Charpst
Ordlw~n~a. /1~cao~x+t DePo~l~:
! Surr.F+arpa:. i(; :.J~
By Misc. Chaross:
Date of Insp.: Totah
Dab Poid:
c~ : ~F ~AGAN WATE~t SERVICE PERMIT
383L , ilot @Cnob Road *
P. O. Box 21199 PERMIT NO.: _
-o.>
Eagan, MN 55121 ~^TE~
Zaniny: P.IV No. of Units:
Keymei~ Conatruct~on
Address:
4463 Slater I:oad L3 3~ Cirinamon Rid~e III
P'~~r eston a
Connection Chorye: .00 pd
Meter No..
stze: Accounr ~eposlr: 10.00 p
Reode~ No.: Permit Fee: , SG ~
1~~w !o eo~aVh? wM` tw Cly? ef ~s~s~ SurcF+orge: f~0. 0 pd r.ieter
Oedl~awa~ Miac. Charges:
Total:
BY Dcte Poid:
Date of Msp.: Irup.:
i
~ ~
, i
- ' ' 3~ `r ~~3 ~
~ _ ~ .
I, . . . s f ' .
rn~s ,e4~ds~ ~o~a ~/y} Z~ ~ 'd`cL 3~~ q~
18 mon~hs from L 3~~ e~'nn ~ 3 _
1~064870 4~ so
ftaques[ Date Fire No. Hough-in InsOeciion ~y~'~
Rapuired? ~Ready No`yy~~• ~Il~ify_ InsPOo-
~Yes ?No `<ur When Ready
~
~Licensed EI¢cvical Contractor 1 berebY reo~esr inaoection of above
Owner eleevieel work instelled aY
Street Address, Box or Hoate Na. Cir
'~'~f ~ 3 SG4~r~2 ~ ~ G a ~v
ect~un o. Townshi0 Name or No. Range No. C~y
nty
!?R~KG
Oc ~pant IPRINT) ~ ~one No.
Nsv~t v c~7^ao,•~ ~ 3 -/Z,l~
P wer SupPlier ~1 Addr s
c ~ZF~c~-k« 1~ss o~. ~A R~`, ~ N G~?`U+~
Ele -cal CnnVactor ICOm~^ y Nnmel Comrnr,tor's Licen e No.
~ U n~ ~ GL.fs-~v7C t L Q' 0~O ~O 4
Mailiny AdJress I ontractor or Owner MakingyqstallaC N /
~ n7 v ri tsS .32
Au rized $ignamre (C vact wn¢r Making Installabon) Phone Number
~-2~'~
MINNESOTA STA E BOARD OF ELECTHICITV THIS ~NSPECTION NEQUES WIIL NOT
Griggs-Mitlwey Bldg. - floom N•191 BE ACCEPIEU BY THE STq7E BUARD
UNLESS PROPER INSPECTION FEE IS
1821 UniverailV Ave., 51. Paul, MN 55104
eF ~p~?~~~ ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-~0007-04
s , See insiructions tar eomo~ecirq this fam on back of yellow capV~
06~~70
'"X"" Be/ow Work Covered by This Requesf Q~
AAtl Reo. TYVe of Building APC~la~cas Wired Equioma WireJ
Home Range Temporary S rvice
Duplex Water Heater Lightin,y Fixtures
Apt. Buildin~ Dryer Electric Heatin
Commercial Bidg. Furnace Silo Unluader
Industrial Bldg. Air Condi[ioner Bulk Milk Tank
Farm Othe.~ Dec~ OtherlSper.ityl
t er Spec~ly t er O~her
Compute lnspection fee Below
p Fee Service Ent~ancaSixe N Fee Feade~s~Subfaetlera N Fee C{rcuits
Uto200Ams Oto30qms ~ Ot~30Am~
Above 200 qmps 37 to 100 Amps 31 to 100 q S
Swimming Pool qbove 700_Amps Above 100_AmNs
Transformers Irtigation BooaS • Pattial•'Other Fee
Signs Special Inspection S ~j
flem~rks ,JY~ E
~ J~
Roueh-in D>}e ~
Y ~ a1
? insoecto.. no~eey
eertily ehet ehe nbove
F~^a~ ~'ld~ ~j G inspeeeion has been
~ p[,. 7 Q ~aa.
Tl~~areauastvo1d18montlulrom ~ i
4*******#*******~************#*********
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 779
DATE: 03/24/00 TIME: 14:41:59
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
200~ BUILDING PERMIT APPLICATION (RESIDENTIAL)
cinr oF ~?caN
3830 PILOT KNOB RD - 55122
~ 851-681-4675 ~ ~ Q l
New ~hucibn
R
utremenis Bemodel/ReoairReaWrer~h 3~~ ~'-~OU
? 3 regbtered s~te wrveys ahowing ~q. k. ol bl, ~q. H. of house 2 Coples ol plan
antl gll rooled oreos (4076 mmdmum bt covemae Wlowedl 1 set of anergy cdculatlons fw heated addltlans
> 2 coplea of plana (ahow beam d wlncbw alrsa; poured fntl. deslgn; efcJ 1 site aurvey for exteAOr addlBOns d decks
a 1 sel of energy calcWalione
? S coples M free preservaHon plan If Id plaHetl aHer 7/1/93
pqh; _~1- 2 i- 6 b CONSTRUCTION C05T:
DESCRIPTION OF WORK: ~De G l~
STREET ADDRESS: ~ S L i}-~2 Q
LOT: BLOCK: SUBD./P.I.D. 8: C~
Name: R~c~e2sorv J1$c~ ~onep: ~n~'~~`d~Z-~`34`~
PROPERTY LaM First
OWNER /~~I~¢.j S~)9-~tR. I~C~
Sheet Address:
Ciy c~ r~- N State: YYi rv 7Jp: S S l~ Z
Companr• 14evx+.~ ~c~erz_so~ ~eNg~ Phonen: ~Z 73-f-3~~3~
(area code)
CONTRACTOR ~yC,
Shee} Address: I l 7 7 S1 lAS i~q 1 n1 Q ~V Licerue p~o l7 b7lo~p. 3~ 31 ~
cny L R kQ 1~~ sr~re: VY) N np: SS
o K
ARCHITECT/
ENGINEER Company: Name:
ielephone ( )
Sfrset Address: Regishatbn A:
City State: Zip:
Sewerlwater lice~sed plumber (H i~tallino seweHwaterl: Phone
I hereby acknowledge fhat I hove read Mis appticafbn, atofe fhaf the infortnation is onect, an~ agree fo comply wHh a0 appBcaWe State
of Min~esota Statules and City of Eagan Ordinonces.
( Signaturo of Applicant: r v
, OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ~ 2~
u.
Tree Preservation Plan Received _ Yes _ No _ Not Required ~
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
07 Foundation ~ 07 OS-plex O 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 02 SF Dwelling ? OS OB-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. AR - SF
? 03 07 of _ plex ? 09 07-plex O 78 Deck ? 23 Poroh (screened) ? 36 MuIH
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Stortn Damage
? 05 03-plex ? 11 10-plex Plbg _Y o~_ N? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. O 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ,
? 34 Repair ? 42 Qemolish (Foundation) ? 46 WindowslDoors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATIOy
SAC Code ~ # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actuai) ~ Basement sq. ft. Census Code y3
(Allowable) ~isf Main level sq. ft. MClES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire 5prinklered
MISCELLANEOUS INSPECTIONS
? ~ Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ e ~
Surcharge
Plan Review ~ ~
license ~i~~.~ ~p ~ o ~
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI. ~
Park Ded.
Trails Ded.
Other ~
Copies
Total:
SAC Units
% SAC
_ ~
- . .
r~"° _
t E:'a"
4 ~ ~
~i41L~iN H. HEDLUND
~ane Surv~yor F"~'~~~R.~ 7726 MORGAN AVE. SO.
Civll Enqi~~~r E"`~1 MINNEAPOl15, MINN,
~ 55423
PHONE NQ, 866-2523
s~~„c~va~~~ G~~~ ~tc
~
SURVEY FOR: Za~n JOB NO. 9i~
DESCRIBEO AS~Lota3 `~omes and Keya~a~ Construction
Dakota Count 2~ C~~~N R=~E 3RD ADDiTION, Cit of Ea ct
Y• Minneaota, and reserivng ea~ements of record. ~
NpR7N
. - 3~~
9Z2.~ l25.57 N 6°4t~(2"E 922~0
- ~
/ ~
~ ~r.
1 j ` ` 9 S. ~ - - / / ~•i `
/ 6,
6. \ . 24 ~ ~ - ~ ~ ~ ^o
6~9 , ELM
p 25•$ :9251 ~\0~~ T~P of Faundafion = 925,gp .
,p Basemenf Fl~r ,
M ~ ~ 9z2.6o
o t" ~ ~~AR ~N Gara e F/
~ sro.KES \ s.8 \N ~ ~o'-o p 9 oor = 9 2 5.40
24 ~ D ZO ~ STAKES Proposed E/evai;ons p
i~ S 1 Exisfiny E/evatior~s
r
~~~RN p=6f o33q. ~ D~aina9e d;r~Ction -s
~ _ ~z¢. ~a 47.96 0 Denotes Lof CarnP/ ,
- i ~ R•4s O
/ ~z4.z ' i
/ La
~ ' - ,
\ , .
SLATER RoAp \
Y. ~ ~
/
• x
SiFBT~FICATE OF S•~os /
I hereby c~rtily
~h~+"'
1he opov~ plot Is c co~ ct ~ip ~s~ntofi0n ol aold ~u v~y ~p~rty d~scribsd cbov~
ond thol
~i ~~--SL
tei„i., • -
CITY USE OrLY
LOT ~ BL ~ RECEIPT ~ ~ ~
SUBD. 1.~~~~Q~(1A~11 ~ A/~. RECEIPT DATE: 1~~' 1 I
MECHANICAL PERMIT # o~F~ D ~
7 999 M~Ci~NIC~L P~iMiT (fi£SIDENTI~Ia
CfCY 0~ ~kfiAAl
S$SO Pll.OT I{NOB itD
f ~HAN MN 551 YE
~ 9 ~i ~BSi~ ggi-ag~s
Da[e• I
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• HVAC: 0-100 M B T U ~ 30.00
ADDITIONAL SO M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge .50
Total $
Complete this secrion onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
n~ PLry c~
_ New X Alteralion Repair _ Other
Reminder: Ca1l 681-4675 far inspections.
~ Fumace x Air conditioning
_ Air exchanger ~ Other ~~/~~Q~C b« .
/.~~n~c~~i~-.
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS: -1 7 ~ ~ ~ 2 ~ ~
OWNER NAME: ~ c~ l.N C~ S o I`, Pxoi.~ C~ S 1_ ~1,
INSTALLER NAME: I~nCYt ~ tue ~ S ~~rl,~ ~ 'I' ~ ~ PHONE A ODZ g~G ~ ~ ~
STREET ADDRESS: ~ 3~ S (~~q or, ` o r-' ,q v.e S ~ARE'4 CODE)
ci~: ~ C~1 -t- i e C a STATE: M(J z~: S S V~ 3-/ 76S
C~
SIGNATURE OF PERMITTEE
CITY USE ONLY
L BL RECEIPT#:
SUBQ. RECEIPT DATE:
APPROVED BY: , INSPECTOR MECHANICAL PERMIT#:
i 999 MECFIRNICl4L ~~iM1T (COMhI~tCIAiL)
CiTY OF £AfiflN
3$SO ~'ILOT KNOB iiD
~4HRN, bIN 551 EE
(651)6$1-4675
Please complete for: all commerciai/industrial buildings
multi-family huildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank (Minimum Fee)
Processed Piping (Minimum Fee)
'*NOTE: When installing/removing underground tank, call 651-681-4675 for inspection by fve marshal
and plumbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price Q~ $30.00 minimum fee, whichever is greater.
CONTRACT PRICE x 1%
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of nemut fee due on all peimirs.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TENANT NAME (IIvIPROVEMENTS ONLI~:
INSTALLER:
ADDRESS: PHONE -
(AREA CODE)
CITY: STATE: ZIP:
SIGNATURE OF PERMITI'EE
aY'~%XM1~~~~ '<5k%c."„$:k~~P,t~:;'itXt;b:Y~YC;k~;~,4~;>;ci8 ,!M`~%k>k~:~t~
(`,:fiY (:1f- ~11G;AN
CA`~'•I-!TI":I:~ S iEi:fiilTNRI_ N0; '3~:>3
gATEa Ct°=/i.7/Ja 'C7:?~i'': ~.A^;:;C;ai:?:3
I(:~
Tdn{'E;; ~ilcl_A RDO~'.T.\(.:; r'.I?.DiODEI...:Ci@G INr;
(:',21~J '?l:}01 Q4E,^ fil...A?'E:G f:Ii Lii.,,i'S
?~.C:i:.-i 9Clf1:i. 4463 Sl_~al'I"r:R R?; c..,:SO
~
To!:a:L f(c2cr•i.~~+ qroo~.tri9;~ li:t.iS
C ~:L(3£;?`J~.
l~>I=F ID: ~AM{:iY
~!;,k~Y,oX~k:~t::?%%~m%kvci;Yf•~~%~:.$~r':MM>~
~9..;:;MM %-n?nticrg~;r:km
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
c-~ 3830 PILIOT KNOB RDN 55122 ~ ~,~J.~ S
~ ~ l ~ ~ 651-681-4675 I ~ _ ~ 9
!
New Conshuctlon Reauirements ~ RemodeVRena6 Reauirements
? 3 reglstered site surveys showing sq. H. of loi, sq. R. of house 2 coptes of plan
and ail roofed areas (20%, maxtmum loi coveraae allowed) 7 set of energy calculaflons for heaFed addNions
> 2 coples ol plans (show beam 3 window sizes; poured fnd. design; etc.) 1 sHe survey fa exferlor addMlons S decks
1 sei of energy calculWlons
i 3 copfes of free preservation plan M lot plat}ed after 7/1/93
DATE: ~ ~~~I l~ CONSTRUCTION COST: ~rW~~`"
DESCRIPTION OF WORK: i94~ {20~/~L. `~~G:~~
STREET ADDRESS: ""r~lov ~ ~
LOT: 6~J ~ BLOCK: SUBD./P.I.D. VV~~~ ~
Name:l.~~'yk^'"""'' " Phone#: ~ --"l~`-a 1
PROPERTY ~a~ First
OWNER
Street Address:L
City (_~2~?~ State: '~4 ~ Ilp: z Z
i
SELA ROOFING & REMODELING, INC. Q
Company: 4'00£`~5~~~~antUn Phone#: Z~~-~~
CONTRACTOR ST. LOUIS PARK, MN 55416 (area code)
ID #0001050
Street Address: License # ~Exp.
Cify State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer 8 wafer licensed plumber (reauired for nAw construcilon onlv):
P~nalty applies when address change and lot change Is requested once permR is fssued.
I herehy acknowledge that I have read fhis application, sfafe thai fhe Info eiliipn I conect, and agr ~ply w f all applicable
State af Mtnnesota Statufes and City of Eagan Ordinonces. ?
Signature of Applican . v'r . .
II'll~
OFFICE USE ONLY ~
Certificates of Survey Received _ Yes _ No ~ 7
Tree Preservation Plan Received _ Yes _ No _ Not Required iL!~''~. -
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.j
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/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) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# 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
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded. '
Other :
Copies .
Total:
SAC Units
% SAC
~ ~ ~ ~ n n x x x x x x x F W ~ t * * * * * * * * ~ * * * * * * * * * * * ~ *
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 894
DATE: 04/10/00 TIME: 13:38:56
ID:
NAME: GREAT LAKES WINDOW & SIDING CO
3210 9001 4463 SLATER RD 2'79,25
2155 9001 4463 SLATER RD 8.50
,
Total Receipt Amount: Zg~,~S
CR125744 ~
USER ID: JAN
r
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 7.
~ a03~a cirv oF EacaN 7S
3830 PILOT KNOB RD - 55122
851-681-4875
New Conshucflon Reaulremenh Renwdel/Reoair Reauiremanh
? 9 registeretl Yta wneys ehowing aq, ft ol bt, sq. H. of house 2 coples of plan
and p~ ropletl areas f7A% maximum lol crnemge allowed) 1 tet of energy catculallons for heated aHdlHOns
? 2 coplea ot ptana (show bernn R wlntlow alxes; poured Ind design; efc.) 1 site wrvey (or exieAOr addiHOns 8 decb
D 1 S9t Of 6116rgy CCICUIUHOf16
D 3 coplet d hee preservaMon plan H Id platted alfer 7/1/9S
DATE: ~f ~/O~.-~ UcJC~ CONSiRUCTION COST: f^I, OZI c) ~
DESCRIPTION OF WORK: I ~ L~~
STREET ADDRESS:
. LOT: ~ BLOCK: ~ SUBD./P.I.D. ~/i Y1 ~l a W~Ob'1 n{Di Q.i J Y
Name:_ t~w~ ~ ~~vr.:~.u~rovn Phone lo~S~ ~Pa- J`~d ~
PROPERTY last Flrst
OWNER
She9t Addresa: ~G~; ~ic.~i ~
c~N _,,i--~ state: /1.~,~ np: _ S~/ a-Y
D
~ ComPa~Yc ~1 ~ ~l-~---~~:i s ~ Phone G/a- ,~`I ~
3 ~aZ~
CONTRACTOR / ~ (area code)
Sheet Address: ~"~I /G/ S~ST c.~ IJcense ffi~~Exp.~l
City ~~7ui.~- Stafe: Zip: yJ~
ARCHITECT/
ENGINEER Company: Name:
Telaphone ( )
Sheef Addreas: RegishaNon
CNy Siate: Zip:
Sewedwaler licensed plumber (H installina sewer/water): Phone
I heret~y acknowledge Mwt I Iwve read this app6catbn, state that fhe InformaNon is cortect, and agree to comply wNh all applicable State
of Minnesota Sfafutes and Cily of Eagan Ordirwnces.
Signalure ot Appllcant
~FICE USE ONLY
Certificates of Survey Received _ Yes No '
Tree Preservation Plan Received _ Yes _ No ~ Not Required ~ ~
~
1
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 05-plex O 13 16-plex D 21 Poroh (3-sea.) ? 31 Ext. Aft - Mutti
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Mufti
O 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storm Damage
O 05 03-plex O 11 10-piex Plbg _Y or_ N O 25 Miscellaneous
? O6 04-plex p 12 12-plex ? 20 Pool ? 30 Accessory BWg.
WORK TYPE
? 31 New ~ 36 Move Bldg. ? 43 Reroof
? 32 Addition O 37 Demolish (Bldg)' O 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolitlon permit
GENERAL INFORMATION
SAC Code ~ # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actuai) Basement sq. ft. Census Code
(Allowable) Main tevel sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS -
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit '
S/W 5urcharge
Treatment P~. ,
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
~ ~ CITY OF EACaAN ~T
4795 Pilof Keob Raed Eegan, MN SSi'24 lr ~ 8224
PHON[i 4S4-B100 .
BUILDING PERMIT Rece~Pt # ~~9~~2
Te M wed fer SF DWG/GAR E~.yo~~ $54~000 po~e July 8 19 83
S~te Address 4463 Slater Road Erect ~ Occupancy R-3
Lot -3 Black 2 Sec/Sub.Clnnamon Ridge 3rd Alter ? Zonin ~PD) R-1
9
Parcel # 10 17402 030 02 Repa~r ? Fira Zone NA
Enlorge ? TYpe of Const. V
a Name Zachman Homes, Inc.
W Move ? # Stories
~ Address ~~60 Mitchell Road pemoiisi, ? Length 49'8"
Ci Eden Prairie pho~ 937-9520 Grode ? Depth 36 Sq. Ft._
g Nnme Kevmen Construction, Inc. Apvro.al. Feas
~o~ Address 5952 Woodland Circle Assessment Perm~t 295.00
Mtka. 55343 P~~e 934-1218 WaterBSew. S~rcharge 147.050
Police Plan check
525.00
FW NO'n0 Fira SAG
x~ Address Erp. Water Conn. 450.00
i'Z" Ci Phone Planner Wate~ Meter 60. 00
Cauncll Rood Unit 250.00.
I here6y acknowledge thot I have read this opplicotion ond state thot gldp. Oft.
the inlormotion is correct and agree to wmply with nll opplicuble APC Totol 51754.50
$lote of Minnewta Stotutes and City af Eogan Ordinonces. ~
Signofure of Permiffee
Keymen Construction, Inc.
A Building Pertnit is issued to: - on the expreas wnditfon tlun
oll work sholl be dorro in ncmrdante with all opplimble of MinnesotaL,$potutea-u~ City of Eayan Ordinonces.
Bulidirg Official •B',
~ O~? CITY OF F~1GAN 'l"C U~z 2 sets of plans ,
~ ~ 1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
S~ p'.`~°~-~Ga~ -
To Be Used For Valuation ~5~~ dbv Date ~`22 `~3
site Aaaress: 4-~C~Z, 5 LAT"~~ iz ~ \9 o~zcE vss ornY
Lot ~ Block Sec./Sub. &`1°j~o~~7 `~'U Erect J~ Occupancy ~
Parcel ZO ~O Z 03p p 2-- ~1ter Zoning
Repair Fire Zone
6~aner: '2_ F1u. }^1 pl~/~, ft (~,i'. K~ r`^ ~~ge - 7'ype of Gonst. ~
' r Nbve # Stories
Address: ~7(r~ ~('~ed1~C1 ~ Deirolish Front yg-g'~ ft.
City/ZipCode: t~f~ ~~o~,~'t~~~ Grade Depth ft.
Phone Q 3~ 1 1 S~ b APPItoVALS FEE's
Contsactor: k~~ r~,~ i~c C Cr~t ;.~.1 t4 G Assessments Pennit ~9S'~
Water/Sewer Surcharge 27
Address: 7`1 ~Z ~c~c~ri~ra7-1D ~i~2.. police Plan Check !~7 ~
City/zip cocle: i~-~Tu~k . Lk~c ~ S~~i-~ Fire SAC ,S'~,r°`~'
Phone ~ 3~° I Z L~1( ~g. Water Conn..~/~
Planner Water Meter
~h ~g. : Council ad Unit ~ .,-a R%
Bldg. Off. ~ ~ ~
Address• APC
City/Zip Coc1e:
Phone _ 5~ ~ ~
~ . . . . _ . . _
..A ~
~ ~ ~
~.;:d 7726 MORGAN AVE. SO.
C~~VI~ H. 0"B~DLU~~ 1, ~ MINNEAPOLlS, MINN. 55423
Land s~n~yor Gvu eop~n~a PHONE NO. 866-2523 .
~~~~~r`s ~~t~l ' t~
JOB NQ ~ 24
SURVEY FOR~Zadman Homes and Keyman Construction
DESGRIBEO AS~~t 3, Block 2, CINNAMON RIDGE 3RD ADDITION, City of Esgan,
Da]cota County. Mizuiesota, and reserivng easementa of record.
NoRT~
o'
1" , 3
922.~
N 6° ~ ~ ~Z~~ E _ .
l25.5~ _ _ _ ~ ~
9Z2.1 / \
/ ~ ~ / 3 \
1 1~ / ~
\ _ezs.'~ - ~ O:°
/ _ z4 / ti Top of Foundat;on = 925.Sp
26 W \ . ~~~0 zs•8 :~i25;4`, p~~°
s ~ ~ Basemen+ Floor~ -922.Go_!~
>609 \ ELMWOOD ~ Garaye Floor ~25.~0._,.
~ - ~ie m m \ ~iAR `N - ~ ..10'-o Sn t`_~- _ - -
t" 5-S ~y' STPKE5 Proposed E/evaf:ona G-'7
ib'-o~ STAKES r~ \ ~ o Z\N s Ex;sf:ng Eteva~:or~s'~
\ z4
` 5~ ' Dra~nage Direcfron
61°D3'3q• Denotes Lof Cornei Q~,
°~~7.96 o N
~ t:~z~.~ a=a~ ~
- % ~ ,~z4.-z ta?%- ;
1_~.-,' - r_ ~ .
/ \
\
SLATER Rot~D '
r
/
x
, . /
cEHTIFI ATE OF SGRVEY
I A~rebr tortily IAot on G~,~~6'~ Z eurvsy~d M~ prop~rty d~scrib~d oDOre ond thot
the ohov plat is o cor~~ct rapr~sintatio~ o~ aoid sutv~y.
~~L--~-- ~.~.5~
Coivln H. H~dlund, Minn. Req. No. 59~2
ANDERSON
2008-09-30 07:21 ANDERSON 6513881098 » 651 675 5694 , P 1/2
~
~''1 ~
. ` - ~ i i
G,4ur AA~6 ~u~Q.- ; ~
/.9 a•Y1 ~ G~Y~ ~r • ~ Pprmlt M: i~ I
City of ~a~a~ ~-~~y~~ 1 PemiltFes:~ ~
3830 Pilot Knob Road ~ oau Receivea: i
Eagan MN 55122 ' ~ i
p • ' q. 67S -7 ~
ax: (BS1) fi75•S6 1~J~ 4'~J~4S - ~ StaM: i
2008 RESIDENTIAL BLIILDING PERMIT APPLICATION
~te: sfte addreaa: 1~ ~ ~
Tenant: g~~
RESIDENT! OWNER Name: Phone: o~~, ~
i
Address ~ Glty ~ ZiD:
Applicant is: _ Owner ConhaGtor -
7YPE OF WORK Dexriptlan of work: - -
ConsYn~ctlon CoSC {p~7-f)"t~ Multi•PBmily 6ullcfing: (Yes No
CONTRACTOR Name: ~~~e ~ ~ -
Address: ~ ~
C~~y. StOta: ~ Z~P~
Phone: ' ~ Contact Person:
C~MPLETE 7'HIS AREA NLY IF ~ONSTRUCTIWG A NE BUELPING
Minnesota Rules 767Q Cateaorv i Minnesot2 Rules 7672
Energy Code • R061dentisl Ventilatbn Cataqory 1 Worksheet • S~m~ Y C~ WO~he¢t
CetegOry Suhm~rced
(J eubmisSlon type) • Energy Envebpe C~kulations SuMnldetl
In the last f 2 months, hes t~e CMy of Eegan IsauBd a permk for a slmller plsn 6eaed on a msstar plan7
_Ves _No II yes, dete and address of master plan:
Uconssd Plumber: Phone:
Mechanlcat Conlraclor: ' Pho~:
Sewer R Water Contrector: Phone: .
NOTE: Plans end support(ng documen~s that you submlf arc consldered to be publ7e InlarmsNon. AorNons al
the lMormarton may be ciassN~ed as nat Pub!!c u
you provtd4 'spedNc reasorta tAat would permtt the CJty ro
CoJiC1U thet the e!9 trede seCretB•
I h0re0y acknowt6dqe that this kd0/mdllen+s cump~ete antl accutPlB: thet ~he wwk w~ll he In conlorm0nca w1N tl+e ordinpnces and mdea ot Ihe C~ry a
Eapan: ihat I underctaM Vifs is nOt a parmit, but only an epplicaUon for a pennil, and k is not lo stan haut a pem~lt: d+a~ ~Ae wa1•'^r~~ E~
accOrtlanq xith tha app~wetl p~an in ihe cese W work wh~ch reQUims a re~lew and approva 1 plans.
X.~L 7~~~ % .
Applleant'8 PHnted Name AppllcanCs Signeture
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