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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 Page 1 of 3