4485 Slater Rd ~ r ~
Reoeipt P,LUMBING PERMIT Permit No.
. CITY OF EAGAN
Fee
~ ~i_}
~ fill in numbered spaces 5/C
Type or Print legib/y '
Tot.
1. Date (o ~ 7~ 3 2. Installation Cost "Y~ RJ
3. Job Address y~c ~ ~~:j IQp Lot ~ Blk. ~ Tract ' ~
:c~ ; _
4. Owner ['_A~ Rc.~mnnJ ~ ~
;
5. Contractor /i + k !/r~r,,~:,; { ~
, ~ Phone ~'7 7 ~ ~ ~
6. Address ,f u o/ S~ v?
7. City ~lv~,t ..,.c.? State i~7~?- Zip ,~~3J ;
S. Building Type: Residential ~ Commercial O Institutional O
9. Work Description: New E~ Add 0 Alter O Repair ?
10. Describe
11. No. Fixtures No. Fixtures
- R ~ Water Closet Cesspool/Drainfield
_L Bath tubs Septic Tank
/ • KS Lavatory Softner
~Z Shower Well
-
I Kitchen Sink " ,
Urinal/Bidet ~Other ~;r~.:^t.c_,--
~ Laundry Tray , f ;
Floor Drains ~ '
Drinking Ftn. i ! ,
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 : ~ r for " ' . -
~ Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4b4-8100
Receipt ~ ` ~ MECHANICAL PERMIT Permit No. . - ~
CITY OF EAGAN -
~ ~ j F~ ~
Fill in numbPred spaces S/C
Type or Print /egibty - - -
Tot. ~ -
1. Date ~ I i ~3 2. Installation Cost
S~~P~ ,~c~1E~c~'~ 2 ~ ~
3. Job Address Lot Blk. Tract K' rt f~
~ ,
4. Owner ~~~1 S7`/i2~/Sd~1 .~o.~J.S T J~~
5. Contractor~ /~D N~~? ~E+ Phone`~~ y o 9s
~ 9
6. Address ~~~9~iPC ST~UGY'~•p ~ElL
~ ~ ~ie State / ~~i~1 Zip~~ ~yt'
7. CitY -{i C:` 4 sI.
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New B' Add ? Alter ? Repair ?
10. Describe Fuel Type ~~r~ ~j/I S
11. No, Eauioment 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. I hereby certify that the above information is true and correct, and I agree to
comply with a~l ordinances a~n,d codes governing this type of work.
~
Signed: ~ y" G+',r~.? for
Rougfi Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464~8100
Receipt ~ ~ ~ ~ MECHANICAL PERMIT Permit No. ~ C' ~
• . CITY OF EAGAN F~ ~ ~ „ ~
Fill in numbered spaces S/C _ 7~
Type or Pri»t legib/y T~ . ~ J
1. Date ~ 1 7 2. Installation Cost ~6 S
; i
3. Job Address'f . ~~~I~ Lot Blk. ~ ract , !e
.
~ :
4. Owner ~ r
. .s
5. Contractor /t y K/y~,~ f.~~ , f;~.L~... Phone ;
i
i
6. Address ~'U/ %~w- .S~ ' i
i
7. City I„~ tate /~~ai / Zip J::_3 7 3
8. Building Type: Residential ommercial Institutional O
9. Work Description: New ~ Ad ~ AI r? Repair ?
10. Describe Fue~ Type `1"`~J
11. No. Eauioment BTU - M. Ea No. EQUipment CFM
i~ Forced Air~T~~
Air Handling:
~
Mfg. . ' ~
Boilers Mech. Exhaust
Mfg.
Unit Heater
' Mf9• Other
Air Cond.
Mfg.
Gas, Piping Out ts 1`
4
i
12. I hereby certify at the above information is t~!ue and correct, and I agree to
comply with ordinances and codes governin this type of work. .
$I~1@f~ : P _ ~ , r ^ ~ . . _
~ Of
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _ ~ CITY OF EAGAN 454$100
CITY OF EAGAN Remarks
Addition CINNAMON RIDGE 3RD ADDN ~ot 2 Rlk 1 Parce~ 10-17402-020-01
owner street 4485 SLATER ROAD state EAGAN MN 55122
Improveme~t Date Amount Annual Years Payment Receipt Date
STREETSURF, 1446.01 C009442 9-7-8
STREET RESTOR.
GRADING
SAN SEW TRUNK ~g~3 1~2. 22 6. 81 1$
SEWERLATERAI C009442 9-7-84
WATERMAIN
WATERLATERAL $ $(7 C009442 9-7-84
WATEF AREA 1973 131.44 8.76 15
X 2 9-7-84
STORM SEW TRK ~ 1979 381. 69 19. ~S 20
STORMSEWLAT 1985 1569.77 313.95 5 1569.77 C009442 9-7-84
CURB & GUTTER
SIDEWALK
STREET LIGHT
Ro I 250.00 3~+925 3-24-83
WATER CONN, ilSO.OO
BUILDING PER, a(
SAC 2 .OQ ~t n
PARK
- , ~ . _ ' . ~ ~ ~ _ -
~"R!.~~r?a'~a?~v~,-~*,~~'r-'~„~~'~`~~qTa?~~~.~+~Y~„'
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~"''y'.,~1'~` -.'+~7~' ~
's - • ~
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~~'r P _.C,<:v,,~. c,~i e~~`S ~~~tva~a~rc~~i.~:.~,'*a--~LC-~'.~•r.~-e-y_Sa::--'~~`~t...:'{.~r.r,~i.'~'~i.~,.`~'CyG'.~~~"~"
+ ~ . _ _ ' ' _ `C~
~ 7 f.~ V
~ ~~x#if ir~t~e uf (~rru ttnr f~~ ;
~V, ~ ~ , 3~
~r
~ . ~ .
~ ,
F~ ~Citp of ~agan . ~
~ ~ J
~:i ~P~tt~nP'tTt nf ~iui1amg .~nap~r~[nti ~~a
.
~
~ ~
' Tbu Certi f
itatt itsued prntuant to tbe ~eqni~emcnts o
f SusioR 306 o
f the Uni f
ona Building ~
, ~s 3 ;
v~ Cods cnti
fying tbut at tbc time o
f issaa~a thia uruscrm u~as in com pliance witb t1x variore~
` ~ ordi~ascu o
f the City rtgrdati„g Mrildi~g aortunutioe or xse. Far tlx f
ollwuing: r~"~,~:
~ ~y.
. ~
~ SF I7WG/GAR m~ r„,~+~ 7863 ' ~ ~
u..a.~a~.
7yT Cmwctlai Fin la~m Zoeint Di~ukt
~ ~s~~ ~wKsm¦ ~ V N/A ~
i~-'%~" o.~d.~.~~~Christians Const.,~. 18423 Italy Ave.,I pville;~
~~R',~ 4485 Slat~er Raad ,~,,;ti L 2, B l, Cinnannn Ridqe 3" ~
~ ',a ~ ;
~ '
~~~i 12/12/83 r%~ ~
~-'s' .
, ~oiedr w ~ ~
~r1 ty~~; ~
~ ~ ~ I ros~ w w e~nneuou~ ruc[ ' k ~
~ ~'i1=..'a. _w~_....> " _ - a-•a:3'.:~.:~~;y..j.~~_ wa•' a3T~;.L._-'IG
~ `~r~.+p~~~ ",~,'°is~' ~
~-~.4
~,~~;~.~~~~.~,~~.~~"~~i~:~~~~-.~~~~: ,
_ ~ ; . . , 4
o~ ~ ,
, ; ~ c~rir oF E~r~?N . t?
- 3795 ~llet Knob Raad Eoyoe, MN SS 122 ~ ~ t~
PHONE~ 454-8100
BUILDING PERMIT Receipt # s =.,.:s ~
To b~ w~d for SF D~'G/GAF~ Est. Vclue $46. JG~: Date __.118rr~, ? , 19~~
Si~ ~teu w485 S,~ater Road Erect Occupancy
Lor 2 BI«k Sec/Sub. Cinnamon Rid~e 3rd ^~ter p Zonin~ 1~-1
Parcel # 1G 1740~ 02U Ol Repoir ? Fire Zone =`l~
Hnlorpe ? Type of Consf.
ac Name Chrit~tiangc~n Cnnntrnrti~n Move # Srories
W
~ Address 1 RG ~ Ttal ~~1vP _ Demolish Q Length~L_
C~ T•a pvil pho~ 435-57G5 Grade p Depth~`
~t-Sq. Ft.
~ Na~ ~j~`r Approrala Faes
o~' Address /~ssessment Permit ~ V ~
u~ CI Phone Woter 8 Sew. Surchc~rye 23 .~.~J
F Police Plon check 13~.
FW Ncme Firo SAC 525.0~
Addrcs~ Enp. Woter Conn. ~
~ W Ci pha~ Plonner Woter lvlete? ~
Council Rood Unit
1 hereby acknowledge that I have read thls opplication ond state that gldfl. Off.
the information is torrect end ogree to comply with oll opplicCble ^PC Totol
Stofe of Minnesota Stututes and City of Eegon Ordina~ces. ' sn
Sipnaturc of Permittee
A Building Permif is issued to• CIlY'j.3C~Snan~ Ce~BT_ + on the express CondiNon Ihnt
oll work sholl be done in xcordonce with oll applicable, Stote o6 Minnesoto Statutes andf City of Eeflon Ordinonces.
Buildiny OffJciol J . ~
~ .
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
Rec~vco
FROM '
AMOUNT $ I
a oo~~was
,oo
~ CASH ? GHECK
_ ~i , ~ ,
F G
FUND CODE A~AOUNT
Thank You
~ C~--_ B Y
White-Payers Copy
Yeilow-Posting Copy
Pink-File Copy
+ ~
DAY/DATE s ~~~'J ~~~t •
ADDR ESS : '~~'~~~~J .!~X•.2~ ~Gx •
TIME : / c~ v
FTG FINAL HTG.
DECK FTG. FINAL PLBG.
FOUNDATION FINAL/C.O.
FRAMING FINAL/DECK
ROOFING ADDITION
INSULATION FIREPLACE
R.I. HTG. POOL
R.I. PLBG. GARAGE
~ ? ~
~ i,~'>; ~~.K
~ OTHER Cu"A VJCIt',_~ ~L .~n r~, -
~~Qcn.~ ~a,o~~ FOR ~~f0~~ gg~"I g~7
~ v,~
cirir oF FAGAN SEVI/ER SERVICE PERMIT
879b Pller Kneb Res~ PERMIT NO.: I
Eayen, MN SSf~2 DATE:
Zoning: No. of Units: 1
Owner: r^ < - .r s ~~i
Address:
Site Address: ~ - . + - - 1 , i- ~ ' ~ ~ I i ' -
Plumber:
~ ~t, . c~
1 e~ne M eomol~r with ths Cie~r of Ea9an Connection Char'pe: t1 t`
Ordinaneu. Attotx+t Depos7t:
Permk Fee: , r , ~
Surcharge:
By Misc. CFarges:
Dote of Insp.: Total:
Insp.: Date Paid:
~~,TM a_ ~~N WATER SERYICE PERIWT
~ 3795 Pitot Knob Road PERMIT NO.: ,
r_ . _
~ Eoqan, MN S51ZZ DATE:
Zoning: ' No. af Units: -
. r cr `cn
Owner.
Address: ~ r.. T 7~ 1 r~.,., ; T'*
Site Address:
Plumber. ~ i } ,
Connedion Charge: 5~ ~
Meter No.:
Size: Account Depostt:
Permit Fee: 1 i t,
Reader No.: , r~r~ .
1 agra~ to oo~sPh? wilh !I» Ciry ef Eayaa Surchorge:
Misc. Choryes: ~ : t ~
Ordinonea.
Total:
By Dote Poid:
Date of Insp.:
A
2 A~_~~~ ~ OFFICE USE ONLY This roquest void 18 months from wlidation daie pnnted in ffifs bo:.
4 ~ ~/~o~9G ~."G 54.Z
PLEASE PRINT OR TYPE + ~
~ ~
Requesl Dok Rough-in inspecFion required$ ~ Yes o Inspeclion her Thon Rough-In~ eady Now ~ Will Call
ti~ 7~ 9~ ~You must coll Ihe inspeclor when ready) ~oie Ready:
i, ~licensed contractor ? owner hereby request inspedion of the above electrical work ot:
'°~~'~'S -go~,~~d.e~r^ ou~ Z`~5 ~ ~a
.
Sacfion No. Township Noma or No. Ronge No. Fi~e No. Counly
OcwpaM Phone N ~
ao~l ~~5-0~ o
Power Supplier Addrass
Elactrical Cont~ador fComparry Name liceme No. Moater lic, No. (Pbnt Eled. Only)
~ ~ i ~P~.~ x~ ~ ~n- a 7
Mai~i~ Addm7 (Co~haelor or r Perfoiming Insta 'on)
I ~ I ~ V ~ ~ ~V ~ ~
Au ignofure (Co ~ dor Owner Performir~ I Ilolioa~ hone No.
~ ~ ~ ~ ~CJt~i ~
1 -00001 M 10 6 ATE BOAR COPY - SEE INSTRUCTIO ON BACK OF YELLOW COPY
I REQUEST FOR ELECTRICAL INSP CTI N`5~'~`.~
I IIII IIII I I II II I II Minnesota State Board of ElecVicity 5/O /`(p
1827 Universiry Ave., Rm. S-128, S. p,~M~104
s 0 2 4 7 5 1 0 1 * Pjwna (st3~ saz-oeoo yV
ome Apt. Bldg. Other. New ddn
Commercial Indushial Fartn Remod e ir
Air Cond. Htg. Equip. Woter Fkr. Load Mgmi. Other,
D er Ran e Elec. Heat Tem . Service
"k' above tfie work covered by this request. Enter remarks in this space and on the back of the white copy only.
Calculote Inspecfion Fee - This Inspeclion Request will not be accepted withoui the corzed fee:
Olher Fee # $ervire Enhance $ize Fee # Circuils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./~mff~c Sig. Above 200 Amps e 100 Amps
Transformer/Generator INSPEttOp'SOSEONLV TOTAL /~O
$ign/Outline Lig. Xfmr. ~~'6
Alarm/Remote Confrol
Swimming Pool
I hereb rnrli Ma~ I ins nted Me eleanwl insMllafian deeaibed herain on IM dvrea amted
Irrigafion Boom Roagh-In ` oax
Speciallnspeciion -
Fina O
Investigative Fee l ~ C
THIS INSTALLATION MAY BE ORDE D ISCONNECTE IF NOT COMPLETED WITHIN 8 NTHS.
~re4uestvoid ~(!36 L~~~'~C-lY1n~IC11~~3~~ 3~~S~,p
18 months from ~
~ 060739 °
flequest Date Firo No. RouBh-'n Insuection
/p Repu red? ~Ready Now ~Will Nntifv. Inspec-
f0 ~ ~ p 3 ~Yes ? No ~ `h'hen P~adY
~ Licensed Elecl~ical ConVactor t hereby request inspection oi nbove
? Owner ~ electricel wo~k installed ec:
Sveei Address, Box or Route No. City
v Y 8s F
ectwn o. TownshiD Namo ur No. NanBe No. Co,~un/t ,
[/~L
Occupam IWtINTI Phone No.
QquE G~YRiS:iq,v,5o~v co.~.sr y3S-S~os
Power Supplier Atldress
D~t.~-~. ~ ,
Elec[rical Contractor ICompany Namel Conhar.mr's License No.
~ ' ~3 ~4Y/ G G /
Mailing AdJress IContractor or Owner Making Instailation)
~ . c/i+.G~ //Lw- 3.1-aA~ ~
Au~t^h{orized Si8 [ re iConhactor Owner Making Installatiun) Phona Numbor
S/~~ lP ~
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION PEQUEST WILL NOT
idway BIdB• - poom N•797 BE ACCEPTED BY THE STqTF BOAND
ve., St. Peul, MN 55104 UNLE55 PPOPER INSPECTION fEE IS
ENCLOSED.
EQUEST FOR ELECTRICAL INSPECTION r. Ee-ooooi.o<
, See imtructions for comple[i~ ~his form on back ot Vellow copV. '
~ 739
"1!" Below Work Covered by This Request ,7j(p7 S~c
Add ReO~ TYPe of Builtling Appliances Wired EquiOmen~ Wired
Home k Range Temporary Ser~ice
Duple,x Water Heater Lighting Fixtures
Apt. Buildinc~ Dryer Electric Heatin
. Commerclal Bldy. f~ Furnace Silu Unluade~
Industrial Bldg. Air Conditioner Buik Milk Tank
Farm Other peu y Other ISn~~r,ltyl
~ ~ er uecify iher Othe~
ompute lnspection Fee ~Below
q Fae Servica EnUanceSina d Fee Fxeders~Sableaders M Fce Circuits
Oto200qm s Oto30Am s Ot~30Am
Above 20D qmps, 31 to 700 Amps 31 to 100 Am -
Swinvning Pool Above 100_Am s Above 700_Amps
Transiormers Irrigation Boorrs C ~ SC~ Pdrtial%
Signs Speciallnspection
Remsrks S~,s T AL FF~
. 3J,~0
BouBh-in - ~iLe the Ela ~I
7 „X Inspec oq he~oby
P certi~y ~het the above
Final Dnte 'nsoeetion has been
? de.
Thb recueat vo1G 18 montRs irom
CITY OF EAGAN Np ~ 8 6 3
3795 Pi1M Knob Reed Eegen, MN SS12!
A ?HONEt 4S4•8100 ?
BUILDING PERMIT Rereipt # ~ 1`~.~~
To M mad 1er SF DWG/GAR ~.ya~~ $46~000 pare March 24 ~q83
Site Address 4485 Slater Road Erecc ~ Occuponcy R-3
Lot Z Blxk 1 $ec/Sub. Cinnamon Ridge 3rd Alter ? Zoniry7 R-1
Parcel # 10 17402 020 Ol Repolr ? F~re Zorro NA
Enlarge ~ Type of Canst. V
W Name Christianson Construction ~y,o„e ? # S~ories
~ Address 18423 Italv Ave. Demotish ? Length 56
p Lakeville pho„e 435-5705 Grode ? Depth 24 Sq. Ft.-
~ Name ~~er ADD~orola Faes
O
~o~ Address Asussment Pertnit '
u~ CI Phone Water 8 Sew. Surchorge Z3.00
Police Plon check 132.50
ez Name Fire SAC 525.00
Addreu Enp. Woter Conn.450.00
<W C~ ph~ Plonner WoterMeter 60.00
~ Council Rood Unit S~
I hereby acknowledge fhot I hove read this applicotion cnd stote fhat g~dg. Off.
the inlormation is correct and ugree to wmply with oll applicoble AP~ Totol S1 7h5 _ S(7
Stote of Minnewfa $tatutes ond City of Eagon Ordinonces. ~
Sipnoture ot Permittea
A Building Permif Is iuued to: ChriStia on the expreu cordiNOn thai
all work ahall be done in accordunce w~th cll oDPlicabls~ aM o} Min wto Stafutes ond Ciry of Eagan Ordinances.
Buildinp Official ~l .
u. . ~~Q~'~ (~i~, CITY OF EA~I Include 2 sets of plans,
j 1 site plan w/elevations
gUU,pING pgRMIT ApPLICATION 1 set of energy calculations.
7U Be Used F'or SF fl~ ~r- Valuation ~ a Date MGcy ~5~r 3
Site Address ~~5 SlafPr /~oa~ ~ OFFICE USE ONLY ;
C iNNa.,e~~ 1~, c~~ / ~ / \ .
.~7Jt.`' ~ B~.OC~C ~ .ci2C.~.SUb. GF'1'2Ct. ~CCIIp~I'1Cy-. . .
Parcel ~ ~ ~-7 't O c~ C~ O I Alter Zoning
r ( Repair Fire Zone
Oumer: ~ ' A 1~ ; g'~~'qe q~ of Const.
Nl~ve # Stories
Address• De~mlish Fmnt ft.
City/Zip Code: Grade Depth ~I1 ft.
Phone
APPfZOVAIS F~
Contractor: G~r;s-I;a ,se~. ,.Ms~1~~ei;~ Assessments Pesmit
~ [aater/Seaer Surcharge
Psidress: ~4 ~y ) 3 ~'kr),~ t} ~C , Polioe Plan Check_
a~
City/Zip Code: Lake~; ~t SS~UY-~f Fire s~ s'a3'
~ r ~CJ. w3t.2L' COIIil. yC~O
Phone y 3~--57o S Plaruier Water Meter ~
Council Road unit l~~S=O
~~•/~4• ~ Bldg. Off.
Address. APC
City/2ip Code: _
Phone # : ~'PAL ~i 1 'Za Si ~
~ CALVIN H. HEDLUND 7726 MORGAN AVE. 50.
MINNEAPOLIS, MINN. 55423
~ona surv~yor Cirli Enain~~r PHONE NO. 866-2523
surrve~or~s G'ert~,f
"~cate
JOB N0. 45~
SURVEY FOR~ Zachman Homes 6 Chriatianaon Conatruction
DESCRIBED AS~ Lot 2, Block 1, CINNAMON RIDGE 3RD ADDITION, City of E8gan,
Dakota County, Minnesota, and reaerving easements of record.
N O°oo'is"E
l_q35.~~ 71.00 ;9a~.o1 -
NaRTH
3 l., = 30'
3 ~
~ Top of Founde~ion • 93B• 8
v- r---------~
i I Baxment Floo• • 935. (o
e N y~ a, Garaqe F/oor. 938.5
I I N~o
~ l~~~ I ~ 2 Proposed E/evaFlons O
Exisfin E/evafions _
_~j( 38. _ q38,1 ~ Drainage Direc#bn
20 3l° ~
~J ' WOODNURST, Denofes LoI Coiner O
~0 s STqKES S,.jGAR. ~ d~ I~D lO~Q S7AKES
~ N S~N ~ i
i ~
L_~J; ~ L_. 7- " 3
~938.1 ~ ~ `_38.f i
I I:
` a --~M 34.1~
~936_5_ ; 7!. DO /
' N O°ao'IS"E
o ~
M M
~93b.2; SLATER ROAD ,q33. ~
~^--i-- - ~
- -
~ 934.9 }
GERTIFIGATE OF SURVEY
I h~reby c~rtify ~hot on 3-! 1-g3 I su?v~y~d IA~ prop~ny d~scrib~0 o0ov~ ond tAof
tne opovt plot is o correct r~pr~atntefi0~ of sald wrvey.
~J-~.--,~t
Colvlo N. N~dlund, Minn. R~p. No. 5942
, ~daa~~l~
aEGORD OF COMPLAINT ~ 3
0
DATE: 3 ~ `7 - ~ ~
COMPLAINT TAKEN BY: ~~~2c~-2i+/J-az~~
NAMEe r~~.w-~-,.~n~
ADDRESS: ~lL~/ S ~3e~~
PHONE N0. : ~9 y- i 8a 7
COMPLAINT: l~ a.~-2. ta~ -c.~ e,0 .~~.('¢r'-6L. ..1"u~-~
a~.~~~.a~
ACTION TAKEN: ~LG~t~~ r I
~ ~ -
COPII~fENTS: ~'~-2t-~ ~22~~~ ~
' LPJ~e2e~ ~ CL ~ ~ GU~ uJ ~=0
~,~~G~~ L~~.~
TYPE OF BUILDING: ~4~~ ` ~C~
LEG9I. DESCRIPTION:
• SIGNED:
~40
CITY USE ONLY 55S~~v5
L o2 BL / RECEIPT
SUBD. ( _'GwNa.fne~f/~co~k~ .~~d DATE~-~"`~~~
p•~a7~%-S/~ ~ 1996 MECHANICAL PERMIT (RESIDENTIAL)
5~o~y CITY OF EAGAN
~ 3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: ~-llo' 9~0
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL °ZD ` 5O
SITEADDRESS:~'~~~ sra~~
OWNER NAME ~~Q~Y~~I'~ I
P C~~ PHONE ~95~ ~ 77~
INSTALLER NAME: ~ p ~~~r~ r~ ~'Q'"7`~n~~ ~
STREET ADDRESS: ~ `'~~a~~ ~ve'
CITY: ~a~ STATE: ~ N ZIP: 5
PHONE ((9la )~~-C~t~~
f ~,7~_
~f • ~ PERMIT# gbb RECEIPTDATE: ~
~ ~
~SID~NTI~kL ~LUM$INfl ~~itMIT ~E~P~I1Ci4TION
crrY og ~a?sa~x
s8so ~aor ~cxoa {tn
EA6Aft, MA 551 E8
851-691-4B75
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? 6ackflow preventer for irrigation system
SITE ADDRESS: - L~ O~ ~l ~1Tl~Y 1~~
OWNERNAME:: ~(~.V IC/ ~(,~`I ~ ~ 1~ TELEPHONE#: V/-G~I~~
(AREA CODE)
INSTALLER NAME: ~ ~ TELEPHONE 0~ "I~S' "l ~
. O (AREA CODE)
STREET ADDRESS:
CITY: (~~,1 U I~IY/ STATE: ~uN ZIP: ~~JIJ
Place a check mark next to the ermit work t e
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installationlrepair/rebuild of RPZ
• lawn irrigation system
. water turnaround ~
Nature of work:
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge lhat I have read Ihis application, stata that the information is correct, and agree to complywith all applicable Cityof Ea9an ordinances. It
is the appliranCs responsibility to notify the properry owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance ac6vities to the facilities construcled under thls permit within Ci ~ ro rtylri htof-wayle sement.
S GNATURE O ' PERMITTE
Updated 1/01
o te: 08/16/2001 Appliance Installers of MN
Installer GREG
Install Date: 08/17/2001
Time - M
Client SEARS
Order Number: 11322421279
Department..: 42
Customer....: SAYTHONG, MARK
Address.....: 4485 SLATER RD
City........: EAGAN, MN 55122-
Phone........ (651)882-5127 ....sk ~h~n~ . t9t2'.850-0532
Item: Pick up at:
WATER TREATMENT Standard Replacement - Softener 33895
WATER TREATMENT Permits •
Special Ins~~ructions:
CUSTOMER HAS UNIT
CALL 952 890 6532
PERMIT REQ[JIRED
Amount Received :
~ Comments
NOTICE TO CUSTOMER:
Do not sign this statement until the installation is satisfactorily completed.
The installation of the above has been completed satisfactorily.
11322921279
SALES CHECK NUMSER CUSTOMER SIGNATURE
IN3TALLER NOTE: Return this form with your invoice.
_ t-i'%P 1R C.E- i. m..~ .^.Q15E ~r~u T_ n..: r~~~~1c1 t.t.
hn-re rn~ m~ h<,mc a;~d i_ ~ ~io d. 3gE. ~X)
h~-:•~re check~d 7~ 1 ~a'.z.~... L~..,es and E~o~~~~r«l _~e.~~x..
Cus',.omer. . ~.ar~ature
~~$a`'~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION aa o1°
' ~ ~ ' City Of Eagan
; 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
_
New Constmction Reauirements RemodeVReoair Reauirements pffice
kkef~ilv
3 registered site surveys showing sq. fl. of lol, sq. fl. of twuse; and all roofed areas 2 copies of plan Ge~o! Sw~EY Rerd _~Y N
(20% maximum loi coverage allowe~ 1 set of Energy Calculations for heated addtions Free Pres Pleti{Fet:tl _ Y_ N;
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks I~ae PreS Requ~red `:Y ~N
isetofEnergyCalculafions Addition-iMicafei~on-sifesepticsysfem (h~3tle:Sepl~cSyslem .-~~~:Y _N
3 copies of Tree Preservatbn Plan if lot platled after 71153 ~~~R~ q ~ a~ Q~
Rim Joist Detail Options seleclion sheel (6uildings with 3 or less units) ~
Date~/ / ConstructionCost ~.7~~• ~
Site Address ~~I>~ T,~ UuiUSte #
~'d a~ .5~si2 2
DescriptionofWork ~7~'~'L ~ '
Multi-Family Bldg _ Y ~ Fireplace(s) U_ 1 _ 2
PropertyOwner ///q~t ~ ~/'~~f`Telephone#~~3) ~a- ~~3
~C~~C~~v~. " liW ~ r
Contractor
r
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category t Worksheet . New Energy Code Worksheet
(Jsubmissiontype) Submided Submltted
, . Energy Envelope Calculations Submitted
In the last 12 months, has the Ciiy of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor 7elephone )
~ 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 nd the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, an ~~~o[lc ~S f~t~o~~~ hout a
permit; that the work will be in accordance with the approved plan in the case of w k$
EP re ~~r w and
approval of plans. 005 U
~Q~ljj/Q/d'1 -<~~~G~iT.!'.1nf~Y ~~i'L
A
p plicant's Printed Name Applicant's Signature
, ,
Pemut Number
RFScheck Compliance Certificate Che~lced By/Date
20001Vfinnesota Fnergy Code
REScheck So$ware Version 3.6 Releasc 2
Data 5lenazne: Untitled.rck
COLJNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
WINDOW / WALL RATIO: 0.36
DATE: 09/19/OS
DATE OF PLANS: 08l30/2005
PROJECT DESCRIPTION:
4 season porch addition
DESIGNER/CONT RACT OR:
Construction done by residenl
COMPLIANCE: PaSSes
Maximum UA = 38
Your Home UA = 37
2.6% Better Th~ Cade (UA)
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Valug R-V.
ue~l ~3Sr.~9_r 3J~
Ceiling 1: Raised or Energy Tmss 240 38.0 40.0 3
Wall 1: Wood Frame, 16" o.c. 232 19.0 22.0 5
Window 1: Abovo-Cmde:Vinyl Frame:Double Pane 16 0.320 5
Window 2: Above~Crrade:Vinyl Frsne:Double Pane 16 0320 5
Window 3: Abovefiirede:Vinyl Freme:Double Pane 16 0.320 5
Door 1: Glass 36 0310 11
Floor 1: All-W ood Joist/Truss:Ovcr Outside Air 240 38.0 42.0 3
Fumace 1: Forced Hot Air, 78 AFUE
Air Condilioner 1: Electric Central Air, 10 SEER
Proposed and Mazimum U-Fac[or Averages
Proposed M~cimum
Average U-Factor Allowed U-Factor
A6ovo-Grade Wi~dows and Glass Doors D316 0.370
Includes Foundation Windows> 5.6 fi2
RFCcheck Inspection Checklist
20001VTinnesota Fnergy Code
REScheck Soflware Vasion 3.6 Release 2
DATE: 09/19/OS
PLAi~i REVIEW AND INSPECTION ISSUES
This list ofitems may be helpful ~r Plm~ Reviewecs and Building Inspecto~ to use as a guide ~r en~rcing the Minnesota
Energy Code. The items apply to Group R, Division 3 Occupaicies, ono- and two-ficnily residential dwellings. The
items marked with * apply only to detached ono- and two-family residential dwellings.
PLAN REVIEW ISSUES
FOUNDATIONINSPECTION
[ J~undation wall insulation R-5 minimum
[ j~unda[ion insulation extends from top ofwall down to top ofthe ~oting
ezterior ~undation insulation is covaed by a protective coa[ing finish
CONCRETE SLAB OR UNDER SLAB INSPECTION
slab on grade perimeter insulation R-5 minimum
slab insulation extends from top ofslab to design frost line or top offooting
Hoors over unheated space R-30 minimum
WINDOWS / DOORS / SKYLIGHTS
average U-value is 0.37 ma~cimum ~r windows and glass doors (excludes S~undatiou windows)
window U-values consistent with building plan and REScheck CertiScate
window and door areas consistent with building plmm m~d REScheck Ceetificate
MECHAIVICAL VENTILATION I5SUE5
residential mechanical ventilation system provides adequate ventilatiou per code requirements"
ff~xnace e~ciency is oonsistait with RESchuk Ceiiificate or building plan
proteclion against excessive depressurization is installed per code requirements°
ENVELOPE IN5ULATION FOR PLAN REVIEW
interior basement insulation R-5 minimum (ifno ex[erior insulation)
ceilings with altics R-38 minimum or consistent with building plan and REScheck CertiScate
wall h~ing mmd insulation level is consistent with building desig~ and RESchedc Ceiti6cate
INSPECTION ISSUES
CONCEALED INSULATION
Framing and Sheathing
wind wash bazxia installed at aztic edge
e~cterior wall comets framed so thaf insulation can be installed x@er e~ctcrior sheaWing is installed
inteiscdions ofinterior paztition walls ~d extaior walls fiamed so that insulation can be installed betwear the
partition and e~cterior shrdthing a@er elcterior sheathing is installed
gaps between framing less than onahalfinch aze eliminated by secucing fiarning together or aze insulated at the time
ofassembly *
all penetretions be[ween conditioned ~d unconditioned spaces made prior to fr~ing inspection are sealed •
lnterior Air Barrier
all fire stops are air sealed
pipes, ducts, wires, equipmrut ~d IIues and chimneys through the interior air bazrier are sealed
a sealed continuous interior air barrier is installed on the wazm side of the building envelope at ceilings, walls, ~d
8oor rim joist areas *
air bazria behind tub and shower is seale[I and protected
reccssed light fixtures are sealed
Envelope Insulation
( ] basement insulation R-5 minimum
wind wash bazrier on wall scpazating house az~d gazage is sealed
loose fill insulation is preventcd from entaing the eaves
insulation on skylight sha8s and walls exposed in attics is supported on the unconditioned side
Attrc Insulation
attic access panel insulated to R-38 ~r ceiling panel and R-19 for wall panel
aztic card attached to framing near acccss opening
noli5cation of a[tic R-value and da[e of installation posted neaz building petmit inspec[ion cazd
This is a summary only. Other requirements may apply. See the Minnesofa Enagy Code. Questions? Call the
Department ofPu6lic Service In~miation Center at 651-296-5195 or 1-800-657-3710.
COMPLIANCE STATEMINT: The pmposed building design described here is consistcnt with the building plans,
specifications, and other calculations suhmitted with the pamit application. The proposed building has bcen designed to
meet We 2000 Minnesota Energy Code requir~~ts in REScheck Version 3.6 Release 2(foanerly MECcheck) and to
wmply with the m~datoty uuemen[s list m e Scheck Inspection Checklist.
BuildedDesigna ``'V~~ Date / ~
~
~CALVIN H. HEDLUND ~.~26 MORGAN AVE. SO.
MINNEAPOLIS, MINN. 55423
~and Surv~yor Cirl~ Enpin~~r PHONE NO. 866-2523
Surive~or~s G'ertlf
"~cate i
JOB NO. 450
i
SuRVEY FOR~ Zachman Homes & Christianson Construction ~
DESCRIBED A5~ Lot 2. Block 1, CINNAMON RIDGE 3RD ADDITION, City of Eagan,
Dakota County, Minnesota, and reserving easements of record.
N D°oo' i5~~ E
935. 71•00 937.0 .
NORTH ~ _
~ / - 30
3 3
~Jl Top of Founda+ion • 936• 8
~ ~ ~ r ~ ~ ~ 8asemenl Floo~ • 935.6
i ~ r i ~,52 _ . ~ r~ Garaye F/oor= 938.5
`N i S- N I i =n-~Lttd`-.'~ ~ N~
m i ~ ~ ~ Z Propoaed Efevdfions d
+ ~ yf/ Az~` I Exisiin~ E/evaf;ons
fl ~35~ ~ '~38.1 ~raina~te Direct~bn
-
Zo 3~' ~ Denofes Lo~ Corner O
ID~'sj ~7qKE5 § ' ~ ~W~b-T-~H--r~-~~- I~D /0~~ STAKES
N GAR.
N\ SF S~.~N ~ i ~
~ . - _ l L_ -
L_ ~ ~ ; ~ w- - y38.1 135.7~~
~ ~ ~ i
:I , ~M I
~I A d ~ 434.1
q36.5 -7~.00 _
~ N o°aD'Ib"E -
0
M M
936.Z SLATER ROAD 933.8 ~
~ ' 434.9 -
rFRTIFIGATE_OF SURVEY
I h~reby c~rtify that on 3-11-83 = ~~?~~Y~4 WaP~rty d~scrib~d a0ov• ond thot
~ha oDov~ plat i• o co~r~ct r~pr~s~ntotlo~ of sald surv~y.
~ _
Colrln H. N~dlund, Minn. R~q. No. 5942
7 0 ~°LI f ~
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
_ _
New Consiruction Reauiremenis Remodel~fieoair Requirements OtficeFJse 0~1
3 registered site surveys showing sq. N. of lot, sq. fl. of house; and all roofed areas 2 copies of plan CefEa~SurveyRecd ,_Y ~t~
(20%maximumlotcoverageallowed) isetofEnergyCalculationsforheatedadditions Tte~PtCSPfsnR9Ctl ._Y _N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site surve~ for addilions & decks Tr¢€ Pres ReqUired ,~;,1 ,,,,,N
isetofEnergyCakulations Addition-indicate'rforvsitesepticsystem Dirsi~eS.epl~e:System _Y _N~~
3 copies of Tree Preservatian Plan if l01 piatled afler 111193
Rim Joist Oetail Opfions selection sheet (buildings wi~h 3 or less units)
Date ~ / ~ 2 / ;n~ Construction Cast -3~0. ~
Site Address ~-5 J/~Z~~~' 7~~( UniUSte #
~h /~IN SS/22
Description of Work ~ /J-~«- ~hCi ~ ~ ~h~s ~
Multi-Family Bldg _ Y ?N Fireplace(s) ? 0 _ 1 _ 2
Property Owner / Qh! ` ~ ~'J9 Ct' Te~ephoue ~ (76,~j ~39-3
Contractor ~ ~~V~
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mirmesota Rules 7670 Cateeorv 1 _ Min~esota Rules 7672
Enefgy Code Category . Residential Ventifation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Sutmitted Submitted
. Energy Envelope Calculations Submitted
In ihe last 12 months, has ihe CiTy of Eagan issued a permit for a similar plan based on a masTer plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone ~
Sewer/Water Confractor 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. ~ ~ ~
~la'h~ fR G e~
Applicant's Printed Name Applicant's Signature
~
~°l~
200~ RESIDENTIAL PLUMBING PeRnniT aPPUCarioN ~
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do not combine inside and outside
lumbin on the same a lication; se arate a lications and ermits are re uired.
Date_~/~_/~
Site Street Address ~~[Q~ 5/ GIa9f',l~ F(A Unit #
Property Owner ~ K-- ~ U Telephone #((~i) I~$Ba-S (~7
Contractor ~~e~
e~.n Telephone # ( )
Address ~70 ~Odd Rd. #100 City State Zip
The Applicant is: _ Owner 8 Occupant ~ Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumhin re airs are made to a buildin .
Alterations to existing dwelling $ 5D.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener andlor water heater at the same time. ff you are
installing onlv a water sof[ener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Saftener ~ ?Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing Permil and acknowledge that the information is complete and ac ' h h ill
in conformance with the ordinances and codes of the City of Eagan and the plumbing wdes; that I underst hi~~S ot a e~{~ ut
only an application for a permit, work is not to start without a permit and work will be in accordance with the o~1~la~ri~thEUl~~nt
a plan is required to be reviewed and approved. ~
~-f162ff Lf;J
ApplicanYs Printed Name ApplicanYs Signature
~2 ~-f 50
401'
City of kap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: / Ofr 7(
600 O
Permit Fee:
Date Received:
Staff:
2012 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address:
Tenant:
Suite #:
RESIDENT /OWNER
Name: p/7 /O�ff G G<1 L Phone: G (o1 ^ 02 a 91- Ii.
Address / City / Zip: V L/ Q5 3 glie. N KV 6- 9'!x n 3 /oZsZ
CONTRALTO R
Name: /' /e kI dckf '/ f ....Se rt//t!? e (74/ License #:
Address: .S /S t' 4'c7 4 -cit City: CA/ 41 iy(�y b Le `-
State: Zip:Phone: C3 (- ...??6" ^ c7 3
10��7
-/ �/
Contact: C07YAeI'1Q�yt�'�1Email: AeI" Yl RervCC co6)070It1` Oe
Ale
TYPE OF WORK .
New Xr.. Replacement Additional Alteration Demolition
Description of work: (-{1—ti 4G r" Pe oL-CI C e We ►�1�1
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank (_ Install / Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State
burned out appliances, ductwork, etc.) (includes
Surcharge)
$5.00 State Surcharge) = $ TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$60.00 Minimum (includes State
(includes $5.00 State Surcharge)
Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
OR Contract Value $ x 1%
= $ Permit Fee
- If the Permit Fee is less than
= $ Surcharge
- If the Permit Fee is > $10,010,
Fee
= $ TOTAL FEE
(i.e. a $10,010-$11,010 Permit
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.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.
x
5CY/t // t1dE fis c) v
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed' By:
Underground . Rough In Air Test 4 Gas Service Test ; In -floor Heat
inal
Date.
AC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119259
Date Issued:11/20/2013
Permit Category:ePermit
Site Address: 4485 Slater Rd
Lot:2 Block: 1 Addition: Cinnamon Ridge 3rd
PID:10-17402-01-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Eric Brehe
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ephriem Tekle
4485 Slater Rd
Eagan MN 55122
Aspen Contracting/asi
4651 Nicols Rd
Eagan MN 55122
(952) 583-2641
Applicant/Permitee: Signature Issued By: Signature