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4499 Slater RdCityofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 6 20 Cttl/757 Use BLUE or BLACK Ink 1 Permit #: CC Permit Fee: ,c/. Q 0 Date Received: �J 6 ! 1 Staff: 2011 MECHANICAL PERMIT APPLICATION Date: - Site Address: i --IL-4 - C\LJ c( d Tenant: C__ ��4 �� I13C0 Suite #: RESIDENT / OWNER Name: �. �`�L�CN\JO Ca 1 Phone:) I �SL•-,,_.., Address / City / Zip: Lir " 1 \(:).__C 1' 2 _L L..() 5.-1,,--a CONTRACTOR Name: BURNSVILLE HEATING & A/C, IN, License #: 4 (c.2• -)S&.- 2 cell 3 3451 W. Burnsville Parkway Address: Suite 120 City: State: B ?sville, MN 55337 Phone: C\-2 -VC1L-1_-C D Contact: C� \c -L Email: TYPE OF WORK New >K. Replacement Additional Alteration Demolition Description of work: 1 ICI. -o- j NOTE I `' ars! grid mo es e %a I equ ent is requilr to ed y Code ill s ciari i the t :hani al Ins for for cti. i 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) X Other AZU **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ �� 'k --)l. TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) 810,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% $ Permit Fee - If the Permit Fee is less than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One`dall 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. aopherstateogecall.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 pl in the case of work which requires a review and approval of plans. llPyT)fiyJan ,)d\c Applicant's Printed Name Applicants Signature cirr oF ~?~AN _ - a'.~ 97!! Pilof Kwob Rood Eayan, MN SS122 ~,,r~ ~ PHONE: 454-8100 BUILDING PERMIT Receipt # Te 6~ uad fer Est. Volue ~ Dote , 19 S1h Addreu Erect ? Occupanty Lot Block Sec/Sub. ` Alter ? Zoning pa~~ Repoir Fire Zone Enlarge ? Type of Const. W Nome Move Q # Stories ; Address Demolish ? Length b Ci phone Grade ? Depth Sq, Ft. °C Nome Approvab Foes ,o Addreu Assessment permit F Water 8 Sew. Surchorge Cit Phone Police Plon check ~W NOrn° Fire SAC Add~ess E+?p. Water Conn. ~ W Ci p~~ Plonner Water Meter Cuunc~~ Road Unit 1 he~eby ocknowledge that I hove read this appliwtion ond stote thar Bidg. 4ff. the inlormation is correct and ogree to comply with all applicable State of Minnesota Statutes and City af Eogon Ordinances. APC Total Si~noture of Permittee A Building Pem+it is issued to: on the expreu condition that all work shcll be done in occordance with all oppliccble Stote of Minnesota Statutes and City of Eapon Ordinonces. Bufldin9 Officiol ~ 1"°~'~`ai=~~".~„~~'"'~ . ~ 1 1-~.~'`~`'i ~°°~'~~'.~°°"~;~~-!!''~"~'~~-1~~ '1 ti~~~ ~ + ~ ~ r r ~ ) } ~a"~ _ _ > - - • , ' ` ~ ' ~a...~ ~ .r-. t 'a~-`~C'.~'C'~' C~e.':€;~~ L^..~i~~'~ ~z _ ~ , _ _ `°:~L~c`TST7~a. s .3-~ s~~-~..TS'~1 ' ya~ - ~ ~ . ~~~~t~trMf~ C1~P~~I~~t~tl~ , ~ - :~s-~ ~ ; ~f. ~itp of ~agan ~ ~ , ~-i ~ ~ ~ ~r ttrtm~rct xr# ~iuil~m ,~n rr#i~m , ~ , ~ ~ ,.d ~ 3 ~ ~ l~ ' ~ ~ ~ r.~ ~ ~ r ~ Tbis Certtf'uatt i.urttd pltrsxuru W tix rcquirtw~srut of Sution 306 of tix Uniform Buildi~g ~~'r"~ Cade cati f yiag that at tlx 1ir»e oJ i.rrua~u thir u?wct~a wa~ rn cors pl;ancr u,ftb tix varioua ' C'~ , ordinaruu o f thc City ngulatiag building connruction or utt. For thc following: I;, % ~ SF DWG/GAR , , , • ~ ' . . 7550 ~ ~ Ur Cl~adoe DId4 hm~ No. j~ ~ ~ ~y iYw R 3 nP c~.w.~uo. V F~~ NA z~;,,~ a.a~~ P D Rl , `4-~~ ~~~,,,,,a Zachman H~mea, INc.,~,a,7760 Mitchell Rd., EdPn Pra~' ~ 4499 Slater Road ~,,~,,;ti Lot 2,Block 1,Cinnamon Rid~~ , ~ ° n 2nd ; ~ ~ 4,t~ ~~~~QrYI sr: ~ ~ December 21, 1982 ~ ~ ~ ~Y ~ Y~+i~ rosr ~M w cowwrcuou~ ruc¦ - ~ I'_'~i~..]`.~:'i;.'~'~ ''~as,~i::. ~.~~._i:`.~S:i`: `A`+`:o.~.r=~.L `.'~.~.j;~i '.~~n.;:Li::s~l.:tia~'"S `~:.a.~.°T'lsTS"`~~ ~ ~ ~ . . . . ~ p ` ..~J~~.A,s•~~r:~?~.~:•~6.r~,..~."1:'.~.I~-~-~.`~, ~-.~,J1~'~?'i~,~~.r~~~t ~~4.~'~'~'~i~,.~•,~'~";~ ~ ~ ~ . . . " . - . . ~ j O~o[i aet _~-,.~.N $.A. Receipt MECHANICAL PERMIT Permit No, CITY OF EAGAN Fee • Fill in numbered spaces S/C Type o~ Print legibly Tot. 1. Date ~ t - • 2. Installation Cost ~ ~ ~ 3. Job Address ~.'.t~~~ ..Lot ~ Blk. Tract 4. Owner • 5. Contractor ' Phone 6. Address ~ 7. City ' State Zip ' ~ 8. Building 7ype: Residential O Commercial ? Institutional ? 9. Work Description: New CI Add ? Alter ~ Repair ? 10. Describe - : ~'c~ ; - Fuel Type 11. No. ~,quinment STU - 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 all ordinances and codes governing this type of work. Signed : for Fough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ~ r' Receipt J~~ PLUMBING PERMIT ~ Permit No. CITY OF EAGAN ~ , Fee ` Fi/l in numbered spaces S/C Type or Print legib/y Ta. ~ 1. Date 11-Iii-si2 2, Installation Cost 4494 Slac~r ('inn3M~~-~ ' 3. Job Address Roed Lot ~ 81k. 1 Tract 4. Owner ~'~c~~n~an !~o~e.~, Zr,c. 5. Contractor ``•~'rque Pluml~ino Phone 436-5761 6. Address '1'?7 Uakgreen AvP. `;c. 7. City `'riiluat4r State Zip ~;'1 ~ 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New ~ Add O Alter ~ Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet ~p~1/Drainfield Bath tubs Septic Tank Lavatory $oftner Shower Well Kitche~ Sink Urinal/Bidet Other ~ Laundry Tray Floor Drains Drinking Fm. Stop 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 : far Rough Final Inspections: Date Insp. Qate Insp. This is your permit when numbered and approved. Approved CtTY OF EAGAN 454-8100 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 wacarvEn FROM AMOUNT $ I ~ ~ & DDLLARS ~oo ? CASH ? CHECK FOR FUNO CODE AIAOUNT / Thank You ~ y C~~~ ' ~ B Y White-Peyen Copy Yellow-Potting Copy Pink-Fila Copy CITY OF EAGAN Remarks Addition CINNAMON RIDGE 2ND Lot 2 p~k 1 Parce~ 10-I7401-020-01 ' Owner ` Street 4499 SLATER ROAD 5tate r, . . - ~ ; ; Improvement Date Amount Annual Years Payment Recaipt Date STREET SURF. 6 ~ _ _8 STREET RESTOR. GRAOING ~Q 1984 268.44 53.69 S 268.44 C008b31 --8 SAN SEW TRUNK 1973 85. 38 S. 69 IS 22. 79 C008142 1-4-83 * SEWER LATERAL j Z 3Q 32 466 ~6 5 2 0. 2 C008~4 1 * WATERMAIN 1984 S WATER LATERAL WATER AREA Z 1973 109. 78 7.3t 15 29 7 8142 1-4-8 * rv'c 1984 5 STORM SEW TRK 1979 318. 80 15.94 20 239.10 C008142 1-4-83 * STORM SEW LAT 19 84 5 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 2 0.00 32236 10-~-82 _ WATER CONN. ~+20.00 ~r BUI~DING PER. 50 ' s,ac 25 . oo " " PARK CITY OF EAGAN SEWER SERVICE PERIVIIT 3795 pilot Knob Road PERMIT NO.: Eegan, Iv1N 5s12~ DATE: 3 Zoning: ~ No. af Units: aYVf1EfI ~ i r• T . Address: Site Address~ l+u~'~ 41afc~r ~flat~ T"' i int~ ,;~H TT Plumber: '~'t' i ' ~t ilit ieG , I~ r^~ ~~',1^t: 1'.j~- ~ 1 egree ro eo~npy wi~h N~s Ciry of Eegos C4nnection Charge: - Oedinaeeas. Acwunt ~eposit: ~ Pertnit Fee: 5urthorpe: ' , i BY Misc. Charges: Date of Insp.: Totot: ' Insp.: Dnte Puid: uTr aF ~caN WATER SERVICE PERMIT 3745 Piloc Keo6 Rond PERMIT NO.: Eagany MN 551Z2 DI~TE: Zoning: No. of Units: ` Owner: < - - _ - Address: Site Address• y•`+~9 Slater Foau I~ ? - " - Plumber: ;1 ' Meter No.: Connection Chorge: ~b ^ Size: Account Deposit: Reader No.: Permit Fee: ~ 1 agroa to eomply with fhe Citr of Eegan Surcharge: ~ Ordinaneaa. Misc. Chorges: ` ~~t' ' ' ` Total: By Date Paid: Date of Insp.: Insp.: T,.; ~s ~od«~ls L~l S(, C~•nn~ ~c~,. z~.~ 3z~lqo _ _ 1 ~ fTli~ } rpRl O ^ w 1 ~.89 ~ ~c~ RPquesi Date Fire No. Rough-in InsVection ~ ~y Requued? ~Reddy Nnw Q Will Nntify Inspe~- Yes ?Nu ~~r Whrn Ready ~ Licensed Elec ncai Conlr~etor I hereby request insDection ol above Ow~er electrical work instelled at: 5treet Address, Box or Route No. Ci y~ SC A ~~~+ti ection o. Township Name or No. Range Nn. Co~~tv IJ K G ~ Occupdnt (PRINT} Phune Nu. ~ s 2 U Power uppiier Add s ~ L~j{,~` /Q /C ~ lJl 1~ / nl ~1/ ~lectncal Contrac.tor lCorr,pany Namel C.~ntractor's License No. ~ ~ ng A ~ress lContractor or Owner aking t ta~lation) ~ ~ cs ~ 3 Z nzed Signature ntract Owner Making Installationi P c e Number ~ -2 1 MINNESOTA S TE 80ARD OF EIECTRICITY THIS I SPECTION REQUEST riILL NOT Grigps-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARO UNLESS PROPER INSPECTION FEE IS 1821 UniversitV Ave., St. Peul, MN 651U4 ENCLOSED. o~....... rR1~1 ~Qi_7171 REQUEST FOR ELECTRICAL INSPECTION ~ EB-00001-03 YV 1 ~ ~ ? u. See instructions tor completing this form on back ot Yellow copY• ""X"" Bel~w~Woe Covered by Thrs Request 3 2_ ~ D N Adtl Rep. 7yp~ of Building Appliances W~red Equipment Wired Hame Range Tem~~orary Service Duplex Water Heater Lic~htiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo UnluatJer Industrial Bldg. Air Conditionet Bulk Milk Tank Farm O~ er pac~ y rhFr iSe~er.lfyt t r SUCCify t~er Othiir Cnmpute lnspectron fee Below a Fee ServiceEntranceSize q Fee Feedars~5ubfeeders # Fee Circuits a to 100 Am ~s 0 to 30 Am s ~ 0 tn 3~ Am s 101 t ,1n 31 to 100 Amps 31 to t0U Am s Abov ~ Ahove 100-Am s Ahove 100_Ain~s Trans ers 7*""` Remote Control Circ. F~rtiai Other Fee 5ign5 Special Inspr,~ction S ~`S TOT Remarks ~ . S~ Rough-in ' , t ectrical ? ~ , ~ spector, hereby c:ertifV thal tl~e ebnve Flnal U'~~e ~nspection hes been f` , r % , ~ ~ made. Th~s request void 18 n~nths from • ~ - CIT~' OF EAGAN _ ~ " 7795 illef Knob Rood Fagan, MN SS132 N~ ~ 7 5 5 0 vHONe: es~.e~oo BUILDING PERMIT Rece~pt # To 6s aad fer SF DWG/6AR Esr. Value $50~000 pa~e OctAbez 4 ~q 82 Site Addreu 4499 S~ateT RD8d Ered ~ Occupancy R-3 Lor 2 Blxk 1 See/Sub. Cinnamon Ridqe 2nd q~te, ~ Zoninq R-1 Porcel # 10 17401 020 Ol Repoir ? Fire Zone Enlorge ? Type of Conat. V W Name ZaChAtBil HOaleS, InC. µo„e ~ # Srories ~ Addrees ~~60 MitChell Ro~d perrwlish ? Length 48 ~i Eden Prairie pr,o„e 937-9520 Grade ? Depth 36 Sq, Ft.- ~ o Name ~wnnr ~ Approrob ~ Fees Address Assessment Permit 283.00 ~ Cit Phorw Water 8 Sew. Surcharge z5.00 Police Plan cheak 141.50 Gw Name Fire SAC 525.00 Address Eng. Water Conn. 420.00 iW CI Phone Planner WoterMeter 60.00 Council Rood Unit 240.00 I hereby ackrowledge that I have read this application ond state ihat g~dg. Off. the intormution Is corretf and aqree to wmply with all applicable S1694.50 Stata of Minnesota $tatutes and City of Eogon Ordinances. APC Totul S(e~a~ure of Permittee A Building Permit Is issued to: ~C~n 8~ on Nie axpress condition lhnr oll work shall be done in accordonce wlth all ap le Sto i neso tutes ond Ciry of Eagan Ordinonces. Bufldiny Offlcial ~ ~ . . . . . . . . . . . . . . . _ . . . . _ . CITY OF EAGA.H Inciuc'e 2 szts of p~z:~s, j' ~jQ 1 site pl~ w/eleva`~.cns & U/ $UII,DI~G PERMIT APPLICATIOi~: . 1 set oi er,ergy calc~?a~.cns. ' . G0.~ ~ _ 7b Be Rsed FOl Ginola fami i~ 'a' Valuation ~~Q,,;~ Date ~/o%~ Site ~d;sess: L{l~~L~' 0.T~ T~O(j~ OFfICE USE Oi~LY Lot d Block Sec./sub. ,nC~~ Erect Occul~i~Y. /~j ~ ~ Parcel i, o~ 7~{ o l o zo o(~ A1ter ' zonirq ~l ) . Repair Fire Zone pJ,4 OW[32r:Zachman Homes, mc. ~ - ~ - ~ Enlarge _~7.~+pe of Corist. ~ _ Move a Stories FGdres5c ~7760 Mitchell xa. - Deccnlish £ront ~ ~ ~!g___ ft. City/Zio COC10C Eden Prairie, t~r,. 55344 Grade Depth G ft.' Phone s: 937-9520 APPROUALi ' FEFS Contractor: same as above . ~ Assessa~nts Pe~"mit ~83 ~ Rddress: Water/Sz.~er Surcnarce o°2S' Polioe Plan ChecJc : ~-j~~_ City/Zip Codec Fire SAC ' ~ c2,~ Phone ~9• Water Cor.n. v'L o~ Plann.er ~•Tater TM2ter Arch_ Council RDacl Unit ~~/0 ~q•= same as above gld Off. 5 • 5'• z~ - S''t/ `r,c'.clress: APC City/Zio Code_ pt,oP2 mrar, '((o L' ~ ~'Q / 2004 RESIDENTIAL BUII,DING PERMIT APPLICATION ~ City Of Eagan ~(o~U~ 3830 Pilot Knob Road, Eagan MN 55122 ~~U ~ Telephone # 651-675-5675 FAX # 651-675-5694 New Construciion ReauiremenCS RemadeVReoair Reauirements ~ 3 registered site surveys showing sq. ft. ot lot, sq. R of house; and all roofed areas 2 coDfes of plan Ge~ af Sorvey Recd+ ~ Yd" `N (20% maximum bt coverage allaved) 7 set of Ene~gy Calalafions for heated addNons Tr~ P[es Pfaq,fiecd ~ Y;~~N 2 cop'ws of plan showing 6eam & wiMow sizes; poured found desgn, etc. 1 stte survey for additions & decks 7ree Pies ~tequired Y. _ N 1 set of Ene~gy Calculafions Add'dion - indiwfe if ao-site septic system Q~S„Ite~eQfiwc.~ate~n~,..,, 3 copies of Tree Preservation Plan if lot platled after 7l1193 Rim Joist Detail Options selection sheet (bldgs wBh 3 or less un'As S'4'f'~ C/~~~~ •r Date . / Construction Cost y Site Address UniUSte # Description of Work ~ . Multi-Family Bldg _ Y~N Fireplace(s) _ 0_ 1 _ 2 Property Owner f ~ elephone # /~J'~ ~ Contractor f/C~C ~ Address City • 7~ State Zip ' Telephone # (~/~_,~~~lJ~~U COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Mim~esota Rules 7672 Energy Code Category , Residential Venfilation Calegory 1 Worksheet • New Energy Code Worksheet submission type) SubmiHed Submitted ~ • Energy Envelope Calculadons 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 Telephone D ~ ~ ~ ~ ~ Sewer/WaterContractor ~CT ` ~ I hereby apply for a Residential Building Permit and acknowledge that the informatio is complete and accu te; that the work will be in conformance with the ordinances and codes of the City of Statutes; I understand tlus is not a permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. L(/%~~~ ~ ApplicanYs Printed Name p licant's Signature . RESIDENTIAL BUII.DING ~ ~ y. 75 ~ Permit Application City Of Eagau I~~~ 3830 Pilot Knob Road, Eagan Mn 55122 t~ Tetephone # 651-675-5675 FAX # 651-675-5674 Naw Conswction Reauiremen5 RemodeUFteoair Reauiremenfs Office Use OnH 3 rag~lered s@e surveys shavirc,{ sq. (L of lot sq. R. ot house; and all roofed areas 2 copies of plan _ Cert of Survey Recd (20Yo maximum lot caverage albwed) 7 set of Eneqy Cakr~lations for heated additions _ Trea Pres Pmn Recd 2 copies of plan showing b~m 8 window sizes; poured fou~ design, etc. 7 site survey for addNans & decks _ Tree Pres Not Reqd 1 set of Eneqy Calculatians AddlBnrt - mdlcafe ila~-srle septicsystem _ On-site Sepbc Syslem 3 copies of Tree Preservation Plan if Iot platted aRer 7/7193 Rim Joist ~emil Options selecfion sheet (bldgs with 3 or less units Date / / Construction Cost ~ c~ ~ 6 ~ Go SiteAddress 1-~~Q~( S~a{-Pr ~dc„int MN 551c~i r~ UnitlSte # Description of Work re d ~r)[~ Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner C A r ~ d 4 Ca-th v S~ rnn/~SO Y1 Telephone #((oS I) SBa -~I~~-I.'i Cantractor - ~17PTIMe. c~IdtYlO "f I~eMOdP~iY1n, //'tl)C. JParn~PSS Address 355 a21s1- StrrPt c~ry~ Nek~nnrt , seate ~nnPSV~'~ "`z~p'S51~55' TeiePnone#;(G~Si:>~158-08~-1y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 (~submission • Residential Ventllatlon Category 7 Worksheet • New Energy Cotle Worksheet h'P8~ Submitted Submitted • Energy Envelope Calculations Submilted Licensed Plumber Telephone ) _ MechaniCal Contractor ~u ~ ~ ~ Il Telephone nn I~ Sewer/Water Contractor DCT 20 f! Telephone ~ a'J ` ~Jl SEP 2 92003 liil --y-= - ' ° I ' I hereby apply for a 12esidential $uilding Permit and aclrnowledge _that.the infprma as=cor~ptet~~-ac~urate; ~ 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 perittit; 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 whick requires a review and 'approval of plans. - na, I~arn~" ApplicanY Printed Name Applicant's Signa ure ~ 200~ RESIDENTIAL MECHANICAL rERn~iT nrrLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: siugle family dwellings & rownhomes/condos when permits aze required for cach unit Date ~ / r~ ~J / ~ ~ r Site Address y-~ U/~P V /L~r•? Unit # Property Owner ~ ~ ~ T ~~.~-r.~ / ~N U n _IlI ~l Telephone # ( ~S~l ~ p p o~ `70 ~.3 Contractar BURNSVILLE HEATING & A/C, INC. 51 W. Bumsvi le a way sc~eec naar~s Suite 120 c«y Burnsville, MN 55337 r State Zip Telephone # ( /S y) 0 ~ ~ ~~.5 ~ Bond L7 .S ~.S ~~~'7 Expires: U The Applicant is _ Owner Conhactor _ Other Ftire repair (replace burned out appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration ta existing dwelling unit $ 50.00 1( furnace _Additional ~Replacement _ New 7 air exchanger air conditioner heat pump other State Surcharge D ~ ~ ~ ~ ~ ~ $ .50 MAY 0 2 Tars, 2007 ~ S~_57~ I hereby apply for a Residential Mechanical Permit and acknowledge that [he information is comple[e and accurate; that [he work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a peanit, but oniy an applica[ion fox a pe~mit, and work is not to starC without a pe t; that the wor 1~1 be in accordance with the approved plan in the case of wor ich requires a review and approval of plans. ~ , ~li s~~-, ~Q 6~ i ~ Zt ~~c e,~=~~ ApplicanYs Printed Name Applicant's Signature 1 _ f ~ ~ ~ -,~LVIN H. HEDLUND J -77I6 MORGAN AVE. SO. MINNEAPOUS, MINN. 55423 _and Surwyor Clvil Enqlnnr PHONE NO. 866-2523 surve~or~s G'ertlf "~cate REUrs`~ ~'Z'r$t J08 NO. 3~ 82-16 38~ SURVEY FOR: Zachman Homes DESCRIBED A5~ Lot 2, Block 1, CINNAMON RIDGE 2ND ADDITION, City of Eagan, Dakota County, Minnesota, and reserving easements of record. I 93~ 93~ 88.50 ~ ~5 ~ ~ ,n ~ - - ,0 ~ 5~ 58.21 - ~hern IJal: / T„ ~ 4l G.=~- ~ of N = 25~ Gas Co. Easement ~ ~ ~ m ~ ~ ~ m 1 ~ Top of Founda+~on - 943.3 1 4L B"gyemenf Floor = RgO.I 94Z.6 Garage F~oo`r = 942-4 / ~ 24 2¢ ~ Propoxd Elevations O ~ . IO~OO r~j GAR. SQ~AR51 ~ Eais~i.+g Etevations ~ ~fq ~ IO~O D~a~~aye Direc~Ion ! StdkCS ~I ~p ~ Z r i stakez ~~o}es Lo4 Cor~er O i ~ ~ .~r\ i ~ - ~ ~ r ~ ._C)1' ; s~Q ~ ~4Ld L_:+~ -1 ` ~ - ; q41.8 ~ .43 ~ zs.oo ° ra. g R:gs 94o.t i \ i1 ~ \ 1 / 940.8 439.9 ~ \ p ,~O ~ " ~ ~ \ + SLAT E fZ R OA~ ~ CERTIFIGATE OF SURVEY I here0y certify fhat on 9-2-gZ I surveyed the property deseribed above ond thaT the above plat is a correct repreaentotion of said survey. 7'~ . 1`~~ Colvin H. Hedlund, Min~. Req. No. 5942 2~ _ - CALVIN H. HEDLU~ ~ 7726 MORGAN AVE. SO. MINNEAPOLYS, MINN. 55423 ~and Surv~yor Civfl Enpin~~r PHONE NO. 866-2523 surve~ror~s G'ertlf "jcate JOB N0. A 82-16 383 ' I SURVEY FOR~ Zachman Homes I' OESGRIBED AS~,Lot 2, Blxk 1, CINNAMON RIDGE 2ND ADDITION, City of Eagan, Dakota County, Minnesota, and reserving easements of record. °138 5 ~ -t ~ ~ 9~~ ~ 58.50 ~ --N ~5 ~ / c. 5~ S8.21 - of 1~orfhern Nsh. ~ / ~ 125 47 + Gds Co. Easemen+ 1 ~ ~ M ~ _ ~ , ~/L//~ ~ ' Top of Fountla+ion=_943.3 1 '940.1 2: Z, 8eseme~+ Floor ~ ~ 5 r c Gdrage F~oor ~ 942.9 v~`-~' 24 4~0 ~ N Proposed Eleva+ians O lO~O S~ Rs~DE 5 5~~ £ais+ing Elevafions _ ~ Ste3~S 1 9 S i+r - 4yb S~3kCS D~a~naye L~iree~ion ~ ~ r ~Q~o+eS Lo# COrntr ~ E ~ ` ' ~ W I ~ 42b ? ~ ~ , ~ + i ~ OC ~ r~° ~ ~ L_C) J- J , t 5 N a ~ L_.. ! ~ ' . ~ C O O I q41.i4~ S 3- 25.00 - l8.~ ~ / ¢ ~ R; ~ 94o.B ~y Q39.9 ` \ / \ ~o~ ,~O \ ` , u + SLATE R R SERTIFIGATE OF SURVEY I hereby eertify thof on 9-2-gZ I surveyed the property describeA above and fhot the above plot is a eorrect representotion of soid survey. T7 . T-~.a~...sSZ . Golvin H. Hedlund, Minn. R~Q. No. 3942 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4499 Slater Rd Lot: 2 Block: 1 Addition: Cinnamon Ridge 2nd PID:10- 17401 - 020 -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- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: Carla M Simonson 4499 Slater Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. 0801 9001 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 h all applicable State Issued By: Signature Building EA090844 08/25/2009 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA113151 Date Issued:08/29/2013 Permit Category:ePermit Site Address: 4499 Slater Rd Lot:2 Block: 1 Addition: Cinnamon Ridge 2nd PID:10-17401-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . David Luna 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 - Carla M Simonson 4499 Slater Rd Eagan MN 55122 (651) 231-5445 Armor Construction Inc 5981 148th Ave NW Ramsey MN 55303 (651) 491-2616 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116469 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 4499 Slater Rd Lot:2 Block: 1 Addition: Cinnamon Ridge 2nd PID:10-17401-01-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Carla M Simonson 4499 Slater Rd Eagan MN 55122 (651) 231-5445 Armor Construction Inc 5981 148th Ave NW Ramsey MN 55303 (651) 491-2616 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116469 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 4499 Slater Rd Lot:2 Block: 1 Addition: Cinnamon Ridge 2nd PID:10-17401-01-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Carla M Simonson 4499 Slater Rd Eagan MN 55122 (651) 231-5445 Armor Construction Inc 5981 148th Ave NW Ramsey MN 55303 (651) 491-2616 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA130203 Date Issued:04/13/2015 Permit Category:ePermit Site Address: 4499 Slater Rd Lot:2 Block: 1 Addition: Cinnamon Ridge 2nd PID:10-17401-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Carla M Simonson 4499 Slater Rd Eagan MN 55122 (651) 882-7843 Champion Window Company of Mpls 5100 HWY 169 N, #B New Hope MN 55428 (763) 574-2054 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA142315 Date Issued:04/25/2017 Permit Category:ePermit Site Address: 4499 Slater Rd Lot:2 Block: 1 Addition: Cinnamon Ridge 2nd PID:10-17401-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Carla M Simonson 4499 Slater Rd Eagan MN 55122 St Paul Plumbing & Heating 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature