4477 Slater Rd REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
;a>
' See instruc[ions tor completing this torm on back of yellow copY~
~ _0~4~~8
'"X' delaw Wor overed by This Request 3 73
AAd Rep. Type o1 Building Applinnces Wired Equipment'Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unluader
Industrial Bldg. Air Conditioner ~ Bulk Milk Tenk
Fdrtll Olher Oen y ther (Specifyl
t e. Soeci(v Oiher O~her
ompute lnspection Fee Below
N Fee Servica EnhanceSize k Fee FeeEers~Subfeeders N Fon Circuits
(1 to 200 qm ~s 0 to 30 Am S 0 tn 30 Am s
Above 200 qmpy. 31 to 700 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Abov 0_amps
Transtormers Irrigation Booms Par al%Oth
Signs Special Inspection S 4/Q.CQ TO E
Rertwrks ,v ~
HouBh-in . , the Eleehical
Inspector, ~eroby
certify thet the above
Pinal D~~~~Jy~,~j ~s0ecdon has been
1~1~t1'' O made.
T1~I6 reuuest voitl 18 mont~s iram '
Thisre~oestvoid ~-p~U (..,~f~BIlCcnn,2d~..3~a
18 months fwm
6~1064~58 ~{o~bb
- fleques[ Uate ~ Fire No. Fough-i InvUeGion
Requiretl~ ~Ready Nuw ? W~II Nolify Ir~oer
L ~ ~ 3 ~os ?NO tor N~hen Ready
~licensed Electrical Contractor I hereby request inspection of ebove
? Owner electrical work installed at
S[reet Address, Box or Houte No. ~ CitY
S~.A~ ~i4 C~l~?~l
ecv n a. Township Name or No. ang~ No. Co ity
~A J< C3Q'A
O u ant IPRINTI Phone No.
C~NS~. - zr
Po r $ap0lier tltlress
a C i~, ,.i
EI ' al Contractor ICompa Name) Convactor's Li onsc No.
G G. Q l C._. O~
Mar p A dress ~CO actor or Owner Makin staila ' nl
N ~ SS`~.S'-
ut e Sipnature ontrac Owner akinB Installat I Phone Nvmbe~
/
MINNESOTp ST E eOAND OF ELECTNICITY TNIS INSPECTION flEQUEST WILL NOT
GriAge•Midwey Bld9. - Noom N•191 BE ACCEPTED BV THE STATE BOARD
7827 Universitv Ave., St. Peul, MN 66704 UNLESS PXOPEH INSPECTION FEE IS
ENCLOSE~.
Receipt ~ MECHANICAL PERMIT Permit No. ~ D~
CITY OF EAGAN
Fee ~ - '
Fi!l in numbered spaees S/C ~~.'~1
Type or Print legibly Tot.
1. Date ~l - 2. Installation Cost
~ 1 i~'~ ~1~'
3. Job Address Lot ~'t Blk. Tract N ~ `
_ ~
4. Owner ~
,
5. Contractor ~ Phone ~
6. Address
7. City State Zip
8. Building Type: Residential L°~ Commercial ? Institutional ?
9. Work Description: Nevy 0- Add ? Alter ? Repair O
10. Describe ~ Fuel Type ~ v" n
11. No. EaJp~nent 8TU - 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. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances an.d codes governing this type of work.
Signed: for
Rough Final
Inspections: Oate tnsp. Date Insp.
This is your permit when nurpbered and approved.
~ Approved j CIT~G..OF EAGAN 454-6100
f. .
CASH RECEIPT
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
CATE 19
weca~veo !~?z-~-~~/ C C`j
wwea '`i
AMOUNT $ I ~
~
- " ~ ` 4 DOLLARS
+ao
? CASH ? CHEGK
FOR ~
FUND COOE AMOUNT
T n You
' BY ~
White-Payen Copy
Yellow-Postin9 ~PY
Pink-File Copy
, urir o~ ~?wN
` 37lS Pilo~ Keob Raad Eayon, MN SSl'l= .i": ~ y~ ~
~ PHONE: 454-8100
i
BUILDING PERMIT Receipt ~t - `
To b~ a~d Mr SF DWG/Cu?R Est. Vc~ue $62,OU0 pare June 7 19 33
s;r. ,~,ddKss 4477 Slater Road Erect ~ occ~po~cy R-?
Lot 4 Block 1 Sec/SubCinnamon FL:t.dge 3rd iVrer ? Zoninq ~PD) ~-1
pa~~ # 10 17~+02 O~EO Q1 Repair p F~re Zone NA
Enlorye p Type of Co~st, v
~ Na,,,Q Zactunan Homes , Inc . Mo~e p # Sro?ies
~ ~fe~ i 76D Mttchell Road per„e~ish p Length 52
Eden Frairie py,o„~ 937-952t) Grade p Depth 40 Sq. Ft.
~ Chmer Approrals Ftes
~o Name
o~ Addreu Assessment Permit 31~ .~0
~ Woter d. Sew. 5urchorfle 31. 00
~ Clt Phone
Police Plon check 159.5U
~W Name Fire S11C - 52].00
Addreu Enp. Water Conn. `,n nn
i W Ci Phone P~cnne? Woter Meter 60 . 00
Council Road Unit 250.00
I hereby ocknowledge that 1 have reod this apDlication ond stote that Bidg. Off.
the informotion is torrect ond ogree to comply with o!I opplico le A~ T~a~ ~L~g4.5~
State of Minnewta Stotut4s and City of Eogon Ordinonces. 1
/ ,
Sipnotum of Permittee ~ ` i r ~
T~_yr.~en o et . , Inc .
A Buflding PeRnit is issued to: ,L - on the express condition thwt
oll work shall be done in occordante with y~l qppllcobls Stote,ef Mirinesota Statutes and City of Eo9on Qrdinances.
Bulldinq Official -
, ~ ' ,~.-.~,~~;~~-~r
~~~~i,r- ~,~w ~ ~ ~r~- ~ ~ ~~r~ ~
~ .,,r`J w, o ~ab/s' ~ ~"~~~+L+s"., ~ e1~ .
~s,~t.~ s~
1~ T.: _ 4 - : ~7 C-:~~ 1:• ~~s~:1`T`~t _1CS:4-1i-•-.fi'~`~~1.
_ _ . _ ~1~ ~
C~~r#ifir~tt~ uf C~xr~
~ttnr~
~it of y, ~~Y1
p ~agan ~
~ ~
~ ~C:
~P.ptt~lltPttf II~ ~lttl~ttlt~ ,~II~~tPI"~titri , ~y~ ~
,
~ s
~
~ This Cnti f
icatr islued ~rrrrxant to tbe rcquirtmrnta o f Section 306 0~ the Uni
form Building ~f
r
r'* r~ Code urtifyrng that at tJx timc of ttsua~ta thit ltrrecturr wat rn cotnpliatuc urith the vuriout ,
.
~ j ordinanccs o f tix Crt7.rgularing bu;lding constrrrccrion or u.ca For the follouting:
r
SF DWG/GAP. 8109
ux cs~r,~u~ e~a~. r.~~ xo.
R3 V NA PD Rl
~ R ~ OcwP~Y TYP` TYP~ Caa~wctloa Fin Zon. Zonina District ~ ~
~~~~u Zachman Homes, Inc ~~,7760 Mitchell Rd. Eden Pra~
~~E,~ 8~,~ 4477 Slater Road ~~~,Lot 4,Block 1,Cinnamoa Ridge;
1 . 3rd
~-.5 ~ ~l~ ~ _
; ~o~ ~ a,~. September 13. 1983
I
~ " ~I ~ ^ _ - _ rO~T IM •-CON~lIGUW¦ r4C[ _ _ - - . y~ g'.~
a~Il%~_x. .a. J _ . . . ~ . - - . . . . - ~ . Z . . ~-A ~ ~J.`a'ti`:.]...•~._-•, ~ Y
i~~.
f~,~s~~~ ~ ~;~..,~~s~,~~n=~~,~~.~~t ~ .
.,`J~. ."a??* . ~i'4 ~at~,S.~ .~~`~.~-..`t9° ~'R9'~..,~lj_~, -.~i`~~4e. '~'~•rtjiL,.,~'~' ~ all~"{~ •,~~~Y,p~~~.
.~"'y~~~ ~~°~~'~x.. :
~
L .
Receipt f ~ ` PWMBINGPERMIT PermitNo. -
CITY ~F EAGAN
, _ Fes
Fill in numbered spaces S/C
Type or Print /egib/y
Tot.
1. Date - 2. Installation Cost
i ( ' r`
` f
~ ,
3. Job Address Lot -1 Blk. I Tract F~
~ "
4. Owner `
5. Contractor ~ v ~ Phone - ~ - '
6. Address - - ;
7. City ~ State Zip
8. Building Type: Residential ~ Commercial O Institutional O
9. Work Description: New fl Add ? Alter ? Repair ?
10. Describe
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 information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rou9h Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt " ' ~ MECHANICAL PERMIT Permit No. -7 Lr
~ CITY ~ EAGAN - • ,
Fee
~ Fi!! in numbered spaces S/C j~
Type or Print /egib/y ti
Tot.
1. Date7 - l ~ 2. Installation Cost
~ ; ,
3. Job Address ' ~ t~ ~ ~ 'Y` ~L.ot~_Blk. ~ Tract ~ '
~ ~
4. Owner -i:.t1~s+-G.~. ` '`'~'~~v-=' 3
i
5. Contractor !.1~--~~ Phone
t c ~ ~ / / `f
6. Address ~ ~ y ~
7. City -.~"''-~r--4-~ State 1"+,~ Zip ~ t. C C Y
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New 'Lf Add ? Alier ? Repair ?
10. Describe Fuel TypP?
11. No. Eouinment 8TU - M. Ea. No. Equiament CFM
Forced Air S i ri-'t
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
oomply with all ordinances an~ code~ gove~ing this type of work.
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 4 Rlk 1 Parce~ 10-17402-040-01
Owner Street 4477 SLATER ROAD State EAGAN A'W 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ~ 1 _ _
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 102 . 22 6. 81 15 20.58 A013090 1U-27-S3
SEWER LATERAL ~8 ~ 1 8 103 ~5 1035. 5 C~~9
WATERMAIN
WATERLATERAL x 1985 881.~ 1~6.3~ 5
WATER AREA i9'j3 131. 44 8. 76 15 2 3 A 0 1-27-83
Services x 1985 562.67 112.53 S
STORM SEW TRK y 1979 381. 69 19. 08 20 267.21 A013090 10-27-83
STORMSEWLAT x 1985 1569.77 313.95 5 1569.77 C009444 9-7-84
CURB & GUTTER ~ -t"(` ~ p Q
SIDEWALK
STREET LIGHT
R UNIT 250.00 36241 7-7-83
WATER CONN. 4SO.OO
~UILDING PER.
SAC t1 11
PARK
CIT' OF :~GAN SEWER SERVICE PERMIT
3795 Pitot Knob Read PERMIT NO.:
Engon, MN 561~ ~A~' _
Z~~~g: No. of Units:
~ S.. C;J?; a i
Owner:
Address: '(7 Sle.~er -,c•r. :;la$'~
Site Address:
Plumber: ~ ~ 1~0 . '~L'
• ' , 1~~~,i,p pr
I agree M eomohr will~ tha Ciry? of Eogan Connection Charpe:
Ordinances. NCwunt Deposit:
i r'~ ~
Permit Fee:
Surcharge:
By Misc. Cltarges:
Dote of Insp.: T°t°~'
Dote Poid:
I nsP.:
~
~CITY OF EAGAN WATER SERVICE PERM~'t
~
' 3&3U F'+~ot Knob Road pERMIT NO.: 4 ~ 1 'I
P. 0. Box 21199 DATE: 3 I
Eagan, M{d 5512~i 1 I
No. of Units:
Zening:
~ pwner: '.Ce en Gonst !
I
Address. k4 3later Rd I~+ Bl Cinnemon Ridl;
Site Address: .1 .
Plumber. t~ t r.ka S&~~ 5Q.04 pd
Connedion Charge:
Meter No.: Account Deposit: 10 . a~ Pd
Size: Permit Fee: '
Reoder No.: ' Sa I
witk tke Cihr sf E~9°" Surcharge: b0. 00 pd mtteT
1 e9~ to oomV1Y Niisc. Charges: '
Ordinaew. Total: I
Dote Poid:
By I nsp.: I
Date of I nsp.:
\
I ~ CITY OF EAGAN *7
~ 9795 Pllof Knob Road Esgan, MN SS1Z2' lr ~ 8109
/ PHONLs 4S4-BI00
BUILDING PERMIT Receiv~ #
Te bs wed foe SF DWG/GAR E~,ya~~ $62~000 po~e June 7 ~q 83
S~re Address 4477 Slater Road Erece 7~ p~~~p,~~y R-3
Lot 4 Bi«k 1 Sec/Sub.Cinnamon Ridge 3rd Ai~er ? Zontn9 ~PD) R-1
pa~~ # 10 17402 040 Ol Repoir ? F~re Zone NA
Enlnrge ? Type of Consf. ~ V
c Nama Zachmsn Homes, Inc. Move ? # Stories
Z Addrcu ~~60 Mftchell Road Demolish p Length 52
~ Eden Prairie pha„a 937-9520 Grode ? Depth 40 Sq. Ft._
p Na~ OW[18I ApOrorols Fae~
Addreu~~ Assessment pertnit 319.00
~ Cit Phone Woter 8 Sew. Surcharge 31.00
Police Plan check 159.50
~w NO~ Fire SAC. 525.00
Address Enp. WoterConn.LS(1 nfl
~W p~ Plcnner WaterMeter 60.00
Council Road Unir Z50.00
I hereby acknowledge thnt I have read this application ond state that Bldg. OFf.
the inlormotion is correct and agree to comply with oll applica le APC TMaI $1794.50
Stote of Minnewto Statut s ond Ciry of aflan Ordinancez. .
Signofure of Pertnittee
~I ymen Co t., Inc.
A Building Permit Is issued to: on the expreu wrditlon thni
all work shall ba done in accordonce witb g'I. '~c~l , f f Minnewro Stmures and Ciry of Eapan Ordirwnces.
8uildinp Officiol G~
' ~~o°I
Nr~ CITY CF EAGAN Include 2 sets of plans,
4rfV ' 1 sit,e plan w/elevations &
" u ~ BUILDING PEftMIT APPLICATION 1 set of energy calculations.
- J-C~.t-'
Zb Be vsed For ~tRrn ~ valuation a?i D 0 0 Date - l- g~
site paaress 447 ~ 5/.4~ ~2 Ro2 • ' ' OE'FICE USE ONLY
~t si~x s~./s,~. G%~~ ~ ~
~ ~ect Occupancy ~3
Paroel l O 1~~O Z(~ ~0 0 l ~ ~~r zoning
Repair Fire Zone
Owner: ZAL I-~ M.4nJ ~6tuS~ .~ndC . Ehlan7e Type of Const.
Nbve # Stories
Address: '"Z7(pD f'h~1c,~,el.G~/~.c~~ Demolish Front ft.
City/Zip Code: ,~c~r3/~ ~2 a1 Q i e _ Grade Depth b ft.
Pnone ~ 3- `Z S ~C~
f- ~I APPROVAIS FEES
Contractor: J~ ~Vmi•.t.( CvNST ~~G • ~lssessinents Permit 3l9
[aater/Sewer Surcharge 3 /
Pdaress: 595Z ,,~ooc~.IfFNd GP~ • police Plan check ~s9 ~
city/zip Code: /r„t-fC~a,•, ~ ~J SS3~3 Fire SAC ,5
q ~g. Water Conn. S-Q ~
Phoxie / 3~-/ Z/ g3 planner Water Meter ~Q_
Cbuncil Road Unit ~ 3'E ~
~~•~g•= Bldg. Off.
Address • ~ ~
City/Zip Code:
Phone # : ' " ~ ~ ~ ~
' ~
' A~~ 2005 RESIDENTIAL BUII.DING PERNIIT APPLICATION
~ City Of Eagan ~
3 8 3 0 P i l o t K n o b R o a d, E a g a n M N 5 5 1 2 2
Telephone # 651-6'75-5675 FAX # 651-675-5694 ~
New Constmc[ion ReauiremeNS RemodeUReoair Reauiremenls Ofifce Use OnN
3 registe2d site surveys showing sq. ft o( lot, sq. ft of house; and all roofed areas ?2 coples of plan CeR of Survey Rerd _ Y_ N
(20% maximum lot coverage allowed) J~ set of Ene~gy Calculadons for heated additions Trea Pres Plen Recd _ Y~_ N,
2 copies of plan showing beam & windax sizes; paured fou~ desgn, etc. ~/1 site survey for addido~ & decks Tree Pres Required _ Y_ N
lsetofEnergyCalculations AddNOn-indkafeHOn-s~7esepticsystem On-sitsSeptiaSyslem _Y _N
3 wpies of Tree Preservation Plan N lol piatted after 7M193
Rim Jaist Defail Options selection sheet (bulldings with 3 or less uniGS)
Date / / Construction Cost o' G(~
Site Address s~TE`~ UniUSte #
L~ ff ~~/!l /1~ .S`S
/ 7 z
Descri fionofWork ~/"`e~ ~~~'ST/ti~ ~~//O, `l~'~~~~ l2~
P '
Multi-Famity Bldg _ Y~ N Fireplace(s) _ 0~1 _ 2
Property Owner Q.~~ Telep6one # I~.S'~~) Y~~ ~~7
j r ~ ~
/lH ~ \
Contractor ,n ~ 7./7~~~
Address City
State Zip Telephone # ( )
~~1~ r,
COMPLETE THIS AREA ONLY IF CONSTRUCTING ~!j~ 1~ ~ll~l~0 1~
LI~,~,,~ ~ ps
Minnesota Rules 7670 Cateeorv 1 ~firi~'sota Rules 767'
Energy Code Category , Residential Ventilation Category 1 Worksheet - By•-N_a~Energy Code Wo eet
submission type) Submitted -
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25~ plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone # ( ~
Sewer/Water Contractor 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 pertnit, and work is not to start without a
permit; that the work will be in accordance with the approved plan ~ e c of work which requires a review and
ap al of plan~
~y'"~ ~N~ L
Applicant's Printed Name Ap licant's Signature
~ ^ ~
- ~ ~ `
CALV~N H. HEDLUPJD 7726 MORGAN AVE. SO.
MINNEAPOLIS, MINN. 55423
Land Surv~yor Civl~ pnqin~or PHONE NO. 866-2523
~ s~t~~ or~~ G'~t'~l ~tc
~
J08 N0.
447
SuRVEY FOR~ Zachman Homes Inc. and Keymen Construction Inc.
DESCRIBED AS~Lot 4, Block l, CINNAMON RIDGE 3RD ADDITION, City of Eagan,
Dakota County, Minnesota, and reserving easements of record.
N o oo' 15" E 9+8.0
~ ~ ~23.63
9~ n~
/ ~p /
1 ~
~ ~~p~
~ \
~ N r-------- /
0 0 ~ ~ / Noa-rN
H M / ~ : 30'
0
M I
~ ~ C~3~,3 '~~`i-s)7,G / ~
~ ~ 7- -;A,.:_ 5 a
~ 1 j',2o z Jdx/p ~
( f;~~ ~ ~ Top oF Founda+~on = 934.1
~ i ~~:v ~;A'' ~~RU ~2 \ ~ n oh
r ~+v,,,, _ i Basemen+ Floor=q30,9
io'Os-r+,~~s r-- f` 20~ T~~~ h Gara e Floor = 933.']
i 6 ~r~~`. ~ 9
~`r ~ . ~ -
~ - > ~ y~~~ c. ' PropoSCd Eleva}ions O
w _ p . E%i5ti~~ E18v~7}ions
i fO~\`., `,/v x' Dra~~age Direct(on
~ ~ r ~r
- f W ~ ~ ~'i0(~S7AKE1 penofes Lo+ COrn@r ~
°-t ~ i y _ / ~ .1.~..` .
. ~ CGNt ,:~'O=.
y~_-- c p ~ q3 3~~~ .
9320, ~ ~ ~:.1 r
- ' /
' 6p~a9~ rr.~`%
~~~'96• ~ L_C: -
c g~~ os '
M =`7 .2
931.7 SL4T~c ~
- ?
p~i.s RoqD n>° ~
~ 429.9
L~71fIGATE OF SURVEY
~ hareby certi4y Ihot on 4-J$-$3 I wrveyad the proparty doatribad a8ove and thor
e obov~ plat is a cor~~ct repr~sentation of aoid survey.
~ ~.~..-.a
Cqlvin H. Hetitund, Minn. RaQ No. 3942
~
• CArLVIN H. HEDLUND 7726 MORCAN AVE. so.
MINNEAPOLIS, MINN. 55423
~and Surv~yor Civli Enpln~~r PHONE NO. 866-2523
~r~t~ve~por~~ G'cr~l~'"~te
J08 N0.
447
SURVEY FOR: Zachman Homes Inc. and Keymen Construction Inc.
DESGRIBED-AS~Lot 4, Block 1, CINNAMON RIDGE 3RD ADDITION, City of Eagan.
` Dakota County, Minnesota, and reserving easements qf record.
N o oo' ~5" E 9rs.o
~ ~23.63
938~° \
0
o `r
~ \
3 _
N r--- - - - / .
0 0 ~ ~ No2-rH
h m / 30'
n M / 3. / ~
Z ~
~
I 20 $L - / A
l \ Ga cQ4 32 9~.f~ o~ Top of Founda+~on= 934,I
, R, w,,, ~ ~ Basemen+ Floor=q3o•4
~o'Os-ra~cs r' 20 ~v 6 \ ~T\ \ ~y Ga.raye Ffoor = 933.~ ~
~ _ ~ , 93g
F_~: ~ ~ ~ Proposed Elevafions O
,c.~~ y Exis+ing Elevd+ions
~ ,
` ~ ~y ~ ro i ~ ~ Dra~nage direc+ron
' ~ ~ , ;
w , l6 r~ ~IO(~S7PKES Deno+es Lo+ Corner O
320~ + o ~c433.'I~~ .
~ 4~ + 6 ` ~ /
o.g9 ~ J
d 77°4 , ' L_i:= ~ _ ~
~'~5,~ ~y3o.2. v
R37:T S~q~.E \ ~
_'~f. _ % 2
~93r.5 R~qD ~
~ '
4Z9.9
LERTIFICATE OF SURVEY
~ I hareCy certify Ihot on 4-15- 83 I su~v~y~d the prop~rty d~scrip~d obov~ ond fhot
~ the obov~ plat is o coer~ct rspr~Nntotion of sold surv~y.
` ~'~Q-~--.~z
Colvin H. M~dlund, Minn. Req. No. 5942
~
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4477 Slater Rd
Lot: 4 Block: 1 Addition: Cinnamon Ridge 3rd
PID:10- 17402 - 040 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
PERMIT
City of Eaan
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Bryan Lance
4477 Slater Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA081403
12/10/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Use BLUE or BLACK Ink
r————————————————�
I For Office Use � }
' � Permit#: /���`�U �I�
Cit� of ����� � �-- �
� Permit Fee: ,�����--� �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � �� Site Address: �,��� ����=�' �A Unit#:
,
'���`�� ���;,� ��� Name: Phone:
� � Resid�ntl ��
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� �.�lJwner� �
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,�;g;�„�w:'; Applicant is: Owner i� Contractor
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�.� . Description ofwork: �C�(ca,T �t�v�.�e\��,t��r :�..c„E,
��Type of Work� �
� � �,_ ����`� s Construction Cost: �� Multi-Family Building:(Yes /No X )
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� � .�� � �x� �:� '. Address���Z> ��' �-(.`��(�J� City: � �� �`�ti �� ► 'b1
Contractor
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' �= License#: � �- ^� �, Lead Certificate#:�-��`'Y��C�C I'""��{�'�'�.?�'����G - h
� i Cd�;'r,
If the project is exempt from lead certification, please explain why: (see Page 3 fo�r ac�ditiona in ormation)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
QTE P/ans and su ort�n documentsi` � � � " ��� �4 `� � ��
�;�,a���- .,, s, ,:, ���PP� 9 f�at,you subm►yL are cons�alered ta be ublrc rnformaf�an ortrons of '
.� .a� �a�s�r c �, .,.,;�. . a '�z:�,� c,, G,�.,".:'"'""'� � k�' 3r�.€ `�""� :��' ' 3 �.��„ �
�� the�nfor�riat�on may.�e�class fed as n.�on-p bl�c rf�rau pravide speci�c reaso��rs thaf w�aul�d�ermNt tl�e� �fy
�,�_��°�- . ,,:�., .���... �����..�����,�__'����co,nclude,;that.,#hey.are;trade.secrets. � �
�
- � � . ,a_. , ..,�.� � . ,�e<�:..�.�����;
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.qopherstateonecall.orp
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota St Building Code must be completed within 180
days of p rmit issuance. �
X ����lr. �, �.V �,� v \
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Applicant's Printed Name �— ApplicanYs Signature
Page 1 of 3
Use BLUE or BLACK Ink
. . r—————�————————————+ .
I For Office Use �
I � �' � Permit#: �� ��
Clty of �a��� � � .�� �
� Permit Fee:
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: {651)675-5675 I I
Fax: (651)675-5694 � Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
�� � �� :�� —�" � �.
� � Name:_�S�A�t 1-� �� �c�ri,�l�lr � sc"�',.A�nn �P��3:V Phone: ��� ' 4���' ���
���#����
��� Address/City/Zip: ��1� S�A�1�r"`� �*� �C�-�3.� ►`��-� SS��o�-
� Y ��� :; �;
� � ��
' �� � Applicant is: Owner Contractor
�:�:._
����,�r
T��4f W4C�C�. Description of work: �.5���� �
J `�
�� �� Construction Cost: ��oo�'� Multi-Famil Buildin es /No'�`
�.'eo. .r�.. Y 9� (Y �
��� .�-^� ) .�-^
`��. � �' Company: "t y �A��l�ril�t✓D `�1(,, Contact: r�,Z�l�3�1�t7
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' �. Address:_ �'+��rr� �, �-- City: 1�,toP-� l�C,�
�iSl���'1G'�QC ,,�' /
� State:�Zip:-�� Phone: - l.l sC7 EmaiL `7'`-�4lorma/t7T.���lZ1s��2.C�vY1 ,
��` v: License#: G �� Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a�master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
���t�f4�'� � �rr�����'s� ���i�r��Ic�� n�s th�r��,��r��ub��a���r��rderetl� � ��t��"orrrt � ort�or��r���
���h►e 1� �vn m�r������as,s�t`r� r�n pu�t�c rf yc�u.�r�r�rf����t�� ���� ��� ����������`rty tr� .,.
,��� � 0 l��d ��t th� ,�re tr��
,..
,� ��, m ;
. . .�... � .,... ... ,
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 receiveJocates of underground utilities. wuvw.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota te Building Code must be completed within 180
days of permit issuance.
c.".�•,
X����� �iR��V'��:'"'� X
Applicant's Printed Name Appl' anYs Signature
Page 1 of 3
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