4502 Slater Rd CITY OF EAGAN N° 7183
9795 Pild Knob Road Eegan, MN SS112 _
PHONE: 4S4-B100 ~
BU~ILDING PERMIT eeceipt #
Te ~..e 1 2 DIJPT.EX & GAi~n. vai~~$45,~0 Date ~il 16 ~y 82
S~te Mdress 4502 Slater Road ([h~it B Erect ~ Occupancy R-3
Lot 2 Black 4 s~is~n.~~~l Ri.dge lst Alter ? Zoning R 2
Parcel # ~-4 17~~ ~2~ Q~+ Repair ? Fire 2one ~
Enlorge ? Type of Const. ~1
w Name ~C19~9i1 ~~ID2s~ ~IIC. Mova ? # Stories
; Address 7760 Mitcltell Road. ~mon,n ? Length ~/+.5
b Eden Prairie q,,,~ 937-9520 6rade ? Depth ~ Sq. Ft.-
~ Name ADO~oral~ Fees
O'~' Address Assessmenf Pertnit 265 _00
Water 8 Sew. SurcFwrge 23.00
Cit Phone
Police Plan check~.~..~
~w Nome Fire SAC 525.00
i,~-~ Addreas E~p. Warer Conn.~t~n nn
<W C~ pho~ Plonner WaterMefer~Q..~
Council Rood Unit
I hereby ucknowledge that 1 huve reod this application'ond stote that g~dB, pff, -~g~
the inlormotion is mrrect and ogree fo comply with oll opplicoble AP~ Totol
Stafe of Minnesota $tctutes and Cify of Eogan Ordinonces.
Sipnoture of PermiMee ~
A Building Permit Is issued ro: ~~'~n ~ on fhe express condifion thnt
all work sholl be done in accordarue with all applicable St~of Min s a St C' of Eogon Ordinances.
Building Officlol y~L ctEX~
CITY OF EAC~'~ Incl~de 2 s2ts of pl~~s,
~ ~ ~ 1 site pl~n w/elevations &
~~~~1 ~J B~vC; PF.RMIT APP ON 1 set oi er.ergy calculations.
1' -
'ib Be Used For , uation ~ 37_~, Date ~.30 8
site ~~'ress: ~}Sp~ D ~~LL~r:~ or,erce t~s~ or~:Y
IAt ~ Bloclc ~ Sec./Sub.~~ rect ~Occupancy ~
Parcel )U ~~Z ~I U U C~ zC G y ~~r Zoning -
. Repair Fire Zor.e /
O.mer: Enlarge 'Iype of Const.
Nbve = Stories
Pddress: Der.nlish Front
City/Zip Code: Grade Deoth ~q,~-ft_
/
Phor.e q 3~] - C/S APPR0~~1LS FEES
Contractor: ~ Assessrents Pesmit Z C,S~ 1
Pddress- Waber/Sewer Siscna~,e 7 3
~ Poli~ Plan Check ./;3 2 S°-
City/Zip Code: Fire S`r,C . S2 S~-
°hone ~J. Water Ccnn. o
Planr?er Water '•+eter GO
Arcn. Council P.oad Lnit 2~~
~g~~ B1dg. Off.
Fc.'ciress: ppC
City/Zio Cade:
Phor.e ~UTpL, I (vur~l ~7 ~
- - ,
CITY OF EAGAN j1TQ 7184
. ~795 Pibt Knob Rood Eagan, MN SS1'22 _
` ~ - PHONl: 451-9100
BUILDING PERMIT Receipt # ~1L~S
Ta ee d.ea ~0.1/2 I7iJP'LF:X & GAR ~r, vai~ $48,000 Dote A.Pril 16 , i9 82
Site Addreu 4504 Sl ateY Roa.d ((fiit A) E~~~ ~ p~~~P„Ky R-3
lot 2 Blatk 4 seois~b a~ ~e ~'St Alter ? Zonirg R'2
pa~~~ # 10 ].7~ O20 ai Repoir ? Fire Zone ~
Enlaroa ~ Type of Const. ~
W Name ~s, ~I1C. Move ? # $tories
~~~e~ 7760 Mitohell Road, oemor~ ? Length 24.5
Fden Prai.rie Ph„a 937-9520 ~roae ? Depth~Sq. Ft.-
g Nume ~r ApOrovak iees
Z~ Addreu Assessment Permit 27~+.~n
s~ Cif Phone Water 8 Sew. Surcharge 7~+ ~
Police Plon check 7 {7-(~
ww Name Fire SAC 525.00
420•00
Address Erp. Woter Conn.
~uZi ~i ph~ Planner Water Meter
Councfl Rood Unit
I hereby ackrwwledge thot I have read this aDDlication and stote thot gldg. Off.
ihe fnformotion is correct ond ogree to comply with ull opplicoble c16~_~
Stote of Minnewto Statutes and City of Eogon Ordinances. APC TMOI ~y
Sipnature of Permittee
A Building Pem.it is issued to: ~ on the express condition tlun
all work shall be dwie in acmrdance with oll op b~e Stote of rresota S utes and Cfry o4 Eogan Ordirwnces.
BuHding Officiol J /n /
7
: . . . _
~:r.' ~~~g ~
~p CITY OE EAC~'J Include 2 sets of plans,
` 1 site plan w/eIevaions &
1 b~ B . ERMIT APPLI('1{T ON 1 set oi energy calculations.
bu~lE~X , ~ ~
Zb Be Qsed For ~Q3.f~, h: 0 V uation .P, .SS~(~ Date
Site P~dress: L~.~U~~-~~ C i,Ch;} OFFICE USE ONLY
Lot~ ~ BLodc ~ Sec./Sub.C1~,~ Erect occupancy ~ 3
Pareel 1 U t~7~(oc~ U~{ A1ter Zoning
Repair Fire Zor.e
Owner: Enlarge Type of Const.
Nbve r Stories
Pddress: -j(~p ~-~~Qp Q~ Der,nlish Front ~Q ft.
City/Zip Caie: ~ p„~ P~~~ m~ Grade Depth t~ ft.
Phone ( ~~---rS~,~ ppPROUALS FEf~'S
Contractor: ' Assessnents Pe~mit Z' y~
P~idress: Water/Sewer Surcnarge ~ y
~ Police Plan Check.~
~
City/Zip Ca.'e: Fire SAC ° LS~ ~
Phor:e ~J• Water Conn. O
Planr.er Water Meter G <`J
Arch./Ehg.: Council Road Unit 7~j O~
Bldg. Off.
Pddress: pp~
City/Zio Ca..''e:
Phore . TOTAL ~ ~V ~ ~ ~
. y ; ~ /l.
Receipt PLUMBING PERMIT Permit Na
CITY OF EAGAN r' ~
Fe~
I
Fill rn numbered spaces S/C
Type or Prini legiWy Tot. r~
~ , -
.
1. Date ~ ` 2. Installation Cost
3. Job Address i f~ ~ Blk. r~ Tract /
K~' - ~
4. Owner i : ~ f~ ~ ~ ~ ~4a;J,~'.~" f
5. Contractor P~4~e
` d tl:iyn~11~',
6. Address J' ~r?ii+e~ A~~.~r._ F_
HopYy~~S~ ~.1l~9~i~i~L•C[~ {~YW'417
7. CitY St~a ~~~r~ Zip
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Oescription: New ~ Add ? Alter ? Repair ?
- , ; -
10. Describe ',~C.~1 k~` ~ C~ y-.. L+,- i' ~
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath ~ bs Septic Tank
La~'~ .ory Softne~
Shower Well
Kitchen Sink
~ Urinal/Bidet Other
k Laundry Trey
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 ordi~ances and codes governing this type of work.
Signed : - ' I ' for , ,
Rough Pinal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
q.-•~., ~
. cirr oF ~?caN - - ,
' ~7lS PikR Kwe? Roed Eayoe, MN a~122 •
' PHONE: 4S4J/00
BUtLDING PERMIT rtece~pr #
Te b~ w~d fo~ Est. Velue Date , 19
S1te /lddrcss Ercct Q Occupancy
Lot Block Sec/Sub. /Ilter ? Zoninp
pa~~ # Repoir p Fire Zone
Enlorpe Q Type of Const.
W Name Move p Stories .
; Address Demolish p Length
b Grode p Depth Sq. Ft.
Ci PF~one
~ Approva I~ F~es
Nnme
v~ ~dfe~ Assessment Permit
~ Cit pF,~ Woter b Sew. Surcharpe
Polfce Plon check
~ W N°~'° Firo SAC
~
IRddress Enp. Water Conn.
. ~ W C~ p~ Plonner Wnter Meker
Council Road Unit
I hereby acknowledge that I hove reod this opplicotion ond stote that Bldy. Off.
the informotion is correct and ogree to tomply with oll applicoble
State of Minnesoto Stotutes ond City of Eogon Ordinances. A~ Totol
Siqnaturo of Permittea
A Building PoRnit fs iuued to: on the express conditlon tFx~t
all work sholl be done in acoordonce wifh oll appliwbls Stote of Min?xwto Stotutes cnd City of Eopon Ordinonces.
8uildfnp Offlciol
. ~
~c ~ `1~~"' ~ ~ ~;t'~ ~ g
~ ~ ~ ~ ~ ~ ~
,y_~~ . ~ - -a ~
~
-c-+ .--c ~ = i'c:
x ~ s't-t ='~3~_~"~
:'c v--~ ..T ~ - _ i~~. =^.:'ti. s. ~i~
s~-~`-. ,
~ ~y._
- -~Pr#ifirttt~ ~rf (~rru -ttnr ~
~
r~ ~ ~
:
~itp of ~agan ~ t
.J
,1-~ 4< ~P~iMI`~Pttt 11f ~liil~tttg ,~ttB~PtItDIt !
.r
~ i~
1., '
Tbi.r Ccrti
f
icatc iss~ad prersxw~t m tlx rtquire~u~rtt o f Sutimi 306 o f the Uni
f
orrn Br~ildiag ;
~ - t~.~ ~ '
y,, Codr eerti f
yiag that cu t& ei~ne e
f u~raaca tbis ~t?r~ctxrc wat in cora pliana with thc varioru
~.1~~~~ o~dinaACa o
f tlx City rcg~lati~g Mrildr~g coxnrxctian or rrae. For dx f
ollowing: :.r
~ . ~
~ F~ ~p~„ I/2 DUPLEX & GAR 7183 ~
„
~ ooa~p~.r.r~Yv. R3 ~Ywc~m. Vn Fin7ar~ P1A z~uiwi~{PDI R2 I; e~. i
7achman HQmes Inc~~..77~0 Mitchell Rd..Eden Prai
~ ' °'°a~ca~°''~ •y ,
y GSn~ S1atPr_ Road ~ry2o ,,,Alo~k 4,("innamon Rida~' ~
~st ~
~ ~ ~ ~
° ~ - Auqust 27. I982 ~
~r~ ~'i: ~ ' ~ ~1'L_~ ~ ~
~ ~
; - - t'
. ~ J _ . _ _ /O~~ IM A COMN~CYOY~ R.~CL _ _
c:~~~.sJ.~1-::_a~i:1~... _ . _ ~4 . ~
_.~~\';l. \ S' ~ .:.a: a:. ` _ _ir
•a~ii.'
a.~ . •s.',_•. 'yc~,~~ ~
i
' ' ~ ~ ~
+ir ~~~..,+Ir? ~~~,.NO?.~ , 1 ~ -~j~~~ ~~q:~~,~~
~+.~L--~~ ~
. • ~ ~ ~ 71~' ~ '
~ i
'O.::es ~x. . . . . . _ _ _ - L~~-.., .i . s.
Receipt _.y PLUMBING PERMIT Permit Na !
CITY OF EAGAN F~ ~ n, n-,,
v! ` Fi/l in numbered spaces S/C r. ~
Typa or Prini legiWy T~ ~
rql~_^~+
1, Date 2. Installation Cost
, irn~^~on
3. Job Address`` `~iat~~r ~t Blk. ~ Tract''l`~`+f, i-;`
4. Owner "ac}~an I'om:~s
5. Contractor "'arque i'll~!lJ11lU Phone ,
6. Address ~'1'~7 c7akareen AVe. ~<o.
it~11 ~n. c ~(~n'?
7. City w:-~ r c~r State Zip .
8. Building Type: Residential G1 Commercial ? Institutional ?
9. Work Description: New ~ Add ? Alter ~ Repair O
10. Describe
11, No. Fixtures No. Fixtures
~ Water Closet Cesspool/Drainfield
1_ Bath tubs Septic Tank
Lavatory Softner
Shower Wel I
Kitchen Sink
Urinal/8idet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify thet the above information is true and correct, and I agree to
comply with all ordinance; and codes governing this type of work.
Signed : ' ` for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved (`,ITY OF EAGAN 464~100
,
Receipt MECHANICAL PERMIT Permit No. I`~
CITY OF EAGAN
• Fee "
Fill in numbered space~s S/C
Type or Print /egiWy To~
1. Date 2. Installation Cost
3. Job Address - ~ Lot Blk. Tract
4, Owner ' ~
5. Contractor Phone J
6. Address
7. City State Zip
8. Building Type: Residential G~ Commercial ? Institutional ?
9. Work Description: New f~ Add O Alter O Repair ?
10. Describe Fuel Type
11. No. Eauiument 8TU - M. Ea. No. Ectuiament CFM
~ Forced Air Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heaier
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
Rough 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.
CITY OF EAGAN ~
, ~ v
~ Fee
~ r~` j Fill rn numbered spaces S/C
Type or Prlnt /egibly To~ S', ~~j
i ~
1. Date 2. Installation Cost i u
3. Job Address '~ZBtk~~ "fract _,r,_~
~ ~ ~
~ ~
4. Owner - a t-"-~~ ~
5. Contractor ~ • ` i Phone ~ rU
6. Address ~r ! ~ '
7. City t~` ~ State '~ia`'r~ Zip
8. BuildingType: Residential~ Commercial O Institutional ?
9. Work Description: New ? Add ~ Alter ? Repair ~
i; .
10. Describe G' _ ~~(~b7/',~ Fuel Type
11. No. Eou'inment BTU - M. Ea. No. Equiament CFM
Forced Air Air Hand~ing:
Mfg,
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. 6~ Other
Air Cond. ~ ~
Mfg.
Gas, Piping Outlets i _
-1 5 ~~t
.C~~ a z }
12. I hereby certify that the above information is true and correct, and I agree to
comply wi~ all o dinan~an~codes governing this type of work.
/ o~`
Signed : for
ough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4b4-8100
/.J~ ~ n ~ ~ _ (r~ ~~14 5 " /l1 .nl ~ c```-~
~ - CITY OF EAGAN
371! Ptlof Kwor Ros~ Eo~en, MN 5Sis2
PHONEs 4l4-8100
BUILDING PERMIT R~u+~r #
To b~ w~d Me Est. Value Date _ 19
Site Addrcss ` Erect ? Occuponcy
Lot Block Set/$ub. ~ Alter ? Zo~ing
pa~~ # Repair ? Fire Zone
Enlarye ? Type af Const.
W ~ar*+e . ~ Move ? Stories
~ Address Demolish p l.ength .
C; ph~ Grada ? Depth Sq. Ft.
a Avvrorols F•es
~o Name
u~ Assessmenf Permit
~ Cit pho~ Woter E~ Sew. Surcharpe
Palice Plon check
F W NO'^e Fin SAC ~
Address En~. Water Conn.
~ W C; • pho~ Plonner Woter Meter '
Countil Rood Unit
1 hereby ocknowledye thot 1 hnve read this opplication and stote thct g~~, pff,
the informotion is correct ond ogree to comply with oll upplicoble
State of Minnewto Statutes and City of Eognn Ordinonces. A~ T~~~
Sipnoture of Permittee
A Building Pertnit is issued to: ~ ~ on the express condition tFx,+
oll work sholl be done in xcordance with oll appliwbls Stote of Min~esota StoFute~ ond City of Eopcn Ordinonces.
Bufldirq Officiul
~ ~?_~T ~ Tr'~~ ~a ?-;Tr' Y~~~~~. ;
~r.~''r,~~. ~ ~ r° ~ _ `
~ ~ . _ .
, ~
` ~ _ _~s~_13 _ ' - -
; _ I,
~~r#iftrttt~e af (~rru tt~r ~ '
~ ~
~
~Citp of ~agan ~ '
~ _
; ~ ~ ~ ~P~iMI'#U[Plit A~ ~lf~~ ~1t~iptftittt ~
~ ~'i
~ Tbis Certi/icau irsutd piers~Nt to tbc rcqxirrnuatr of Sutma 306 of tIx Uni
f
ora: Br~ildi~g
Codc arri
f
yi~g that at t& tinu o
f urxa~ce tbir ~trr~ctrne wa.r in co+n ptra~uc witb tbe varioxr ''y ~
~i
ordiuusu.r of tix City ngxlati»g bxildiRg cerurrrutioa or use. For t/x f
ollowing: 'y
i ~"i"' ~~I j , ~
Kil Z/ 2 DUPLEX & GAR ~ h,~,;~ No. 7184
oa.p~o~ 1yp. R3 tyv. ca..wono. Vn F4. zoa~ N1~' ~ p~ R2 (FD) ~
a,~~.,.,,. Zachman Homea, Inc.,,~,,,.7760 Mitchell I~d., Eden Pra
Y~ ~~ar,.. 4504 Slatex Road t,~,u~'nt s8lock 4,s_i n e~nn Ridg~~
' lat ~ /
~~--d'~n"'~' Julv 2, 1982 ~ i
Rr i eWw`~`°i°ar wn' ~
~ .
~ Gli _ _ rw~ ~w • eowr~euou~ nwc[ _ ~
f:~3id~S'1~~i~. - '.~c,i. ~.~S-:ti-S :C~ii~a'~~' : s:rS,~~.y'. _ ~a.~y~-v~ "w-~'~~_.~'r. i
~ ~ ~
, ~ ~ F ~ r ~ y~ ~ + :Ji 1
. ' - ....a - 1~
: . . . . ~
r ~ ~ ~ . ~ . , ~ ` ~ . ~ ~i ~ ! _ ~~pY ~ 11
i~~ ~ ~i~~ ~J~ ~~i~~!~yid~. . .j` ifit~ 'i ~ir1~-~ ~~ir~.. ' , ry i
Oco.a sei ~ . r~,-: ~ - , .
Receipt MECHANICAL PERMIT Permit No. ~
CITY OF EAGAN -
Fee '
Fill in numbered spaces S/C L'
Type or Print /egiWy Tot
1. Date - 2. Installation Cost 1%'i:t;. ide
~.t~~.'~.-..".'~VT . . ,
3. Job Address ~~~r ~Z~~~=i' . Lot Blk. F Tract
4. Owner _ i ' • ` - ~
5. Contractor - ~ • ~ Phone ~
6. Address ~Y~3 ~ - - -
7. City _ . State Zip
8. Building Type: Residential C3 Commercial ? Institutional O
9. Work Description: New ~ Add ? Alter ? Repair ?
10. Describe `~t _ . , Fuel Type ,
11. No. ~ui~ment BTU - M. Ea. No. EQUipment CFM
~ f Forced Air ~ •
Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Neater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets~ • - -
12. I hereby certity ~at the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : ~ ! for
Rough Final
Inspections: Daie Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
_ / , l '
Receipt . ~ - ' PLUMBING PERMIT Permit No. ` ' '
~ ' CITY OF EAGAN F~ . ~ r~ , .
~ Fil! in numbered s;paces S/C '
Type or Prinr /egib/y T~ ~
--i7-.,~>
1. Date 2. Installation Cost
~i~nnar.ion
3. Job Address ~ 5~r cl ~ tf.-' i~1 1ot ' Blk. ~ Tract ri'.!cTP ls t
4. Owner "~chman I?omes
5. Contractor 1 unl~oi: phe~e 7 1
6. Address ~ ' , ~ „-"an `.v~, .-c~.
7. City :~t-.ill.o:ater State Zip
8. Building Type: Residential G~ Commercial O Institutional ?
9. Work Description: New ~ Add ? Alter ? Repair ?
10. Describe
11. No, Fixtures No. Fixtures
~ Water Closet Cesspool/Draintield
~ Bath tuba Septic Tank
Lavatory Softner
Shower Well
~ Kitchen Sink
Urinal/Bidet pther
' Laundry Tray
j 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 gover~ing 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
Th~s ,s, ~o~d s;'~~7 L.2, f3y~ C~•nn ~e~~, /s~ 3d ~r 11 ?
18 mc, rs from r
VII 1='' 7s~~oc~
Re ur;st v Fire No. Rough-in Inspect~on
~ ~ ~ Re wred? RP.Jdy Now Q Will Nolify. InsPec-
2 Y~s ? Nu When Heady
~L~rensed Elec[rical ConiraCtor I harehy request inspection o1 above
Ownep electrical work inytelled at:
Street Address, Box or Route No. / C~y~--
S ~ z ~I ~ 0~ S G,4Q~+L ~4- CA GA rv
ect~on Township Name or No. Ranye No. County
A1 ~ ~
O Dant (PRIMTI Fhone No.
~N~ q~~- sad
Power Supplier Address
o v~ Er~c~-~t~ ~~aP , u
Electrical Contraeior ICompany N~ ie) C~~ntractor's License No.
~ L G IC ~t ~
ail~np Address C ntractor or Owner Making t tailanon)
~ ~.l U C L c., c~ J ~I< ~ G,~ ~ 2
Au rized Signaturq~ICon -ctor Owner M~king Installationl Ph~ne Number
1`
MINNESOTA ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
Griggs-Midwey Bldg. - Room N-191 UNLESS PRQPER INSPECTION FEE IS
1821 University Ava., St. Paul, MN 56104
,~,~,.,o-,.,,,, ENCLOSED,
REQUEST FOR ELECTRICAL INSPECTION EB-00001-03
See instruct~ons for comDletinp this fprm on 6ack of yellow copy. ~
W 3~.1 ~ 5 ?
"X'" Be... '"~o~k Cavered by Thrs Request
:ew Add e. Typn o1 Bwlding Appliances Wired Epuipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
industrial Bldg. Air Conditioner E3ulk Milk Tank
Farm ther peu vl O~he~ ISuecifyl
t ~~r poc~ y t er t~ther
~ompute lnspection Fee Below
Fee ServiceEntranceSize N Fee Feeders/Subleeders ~ Fee Circuite
~tol00Am Oto30Am s Ot~30Am s
101 to 200 31 to 100 qmps 31 to 100 Am
Abo 20 ~n ~ Above 100- Am ~s Above 100_Am ~s
ar e Remote Controi Circ. Partial Other Fee
Spec~al Ins >ection
Remarks ~ S~S a, TOTAL EE~ ~
S~.l~GN^ ~ l~f
Rough-in ~ ` D t. , the Electrical
~ 3 ~ Inspector, he~eby
~ certffy that the a6ove
Fina~ ~ ! D~'t" inspection has been
~ ~ 3. mnde.
Thfs request vo~d `
18 months from
This request vo~d ~ ~v ~ ~ ~ ~ ~ ~ ~ ~ G S
mondu irom ~ G
~ a~~{ C; ~ ~ U Q G
R te Fire No. qough-In Inspectioa
I~ 9[ Re4w~ed? ady Now Q Will NalifY. Inspec-
Q ?Yes No [or When Ready
L ens Elec[r~cal ConVactor ~ herebr repuast inspection o} ebove
e~ eleatriol work insfallad at:
Street Address, r Route o. CiiY ~
Q
ct+on o. Towrtship Name w No. Hanye No. County
~
Occupani 1 I TJ Phone No.
e,
Power Suppl~er Add~ess
El~tri 1 Co traciw ( ny Name) Contrac ~i~n ~ Na.
Fl 1
Mailin~ ~ d S l ntractor or Owner Ma g Instailat~onl ~
I J ;i
Auihori ig~ature 1 r ~o Owner aking I~tal~ tion) Phone N r
'Yp "
YI OTA STATE BOARD CT111CITY THIS INSPECTION REQUEST WILL NOT
~~~Y B~~ _ _~g~ BE ACCEPTED BY THE STA7E BOAND
UMLESS PROPER INSPECTION FEE IS
1 Unirsrsity Ave., SL. Paul, MN 55104
Phw~e (612) 297.2111 ENCLOSE~.
REQUEST FOR ELECTRICAL INSPECTION Ee~O°°°~~
~ ~ 7 - ~ ~3 -~S'
, See i~st?uetions for completiny this fors on b.ek of wiio.. coYY• ~
~2 ~ O 7 G~ ~""X"" Be/ow Work Covered by This Request
Add P- Type ot Buildi~q APPlianoes wir~d E4~~Vment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Etectric Heaun
Cortbnercial Bldg. Furnace Silo Unloacie~
Industrial Bldg. Air Conditioner Bulk M~Ik Tank
Farm olher aec~ v ther Isuec~ryl
t.r pec~ y ther Other
ompute lnspectrnn Fee BeJow
!1 Fee ServiceEntrance5ize N Fee Feeders~Sublaeders JI Fee Circuits
Uto200Am Oto30A ~ Oto30Am
Above 200 Am~n 31 to 10~ Amps 31 to 100 q
Swimming Pool Above 100_ Above 1Q0_Am •
Transformers Irrigation Boorrs Partial-'Other Fee
Signs Special Inspection S _ ~
TOTA~ FEE
~ks _ G• /
/ _
qouph-in ~ ate I, the~Nx~cal
Inspector, he.aby
rtif~ that the above
F~na~ inspaction haE been
, ;~b~ ~de.
.li. w~e~,roid,B m«,th. tron,
CASH RECEIPT
CITY OF EAGAN
Z' ` 3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
wece~veo
FqOM
AMDUNT $ I
8 DOLLARS
~oo
? CASH ~ CHEGK
FOR /S~
FUNO GODE AIAOUNT
Thank You ~
Or~~-- ~ B v
J
4Yhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks ( ' • ~ ' `
Addition CINNAMON RIDGE ADDN ~ot 2 B~k 4 Parcel 10-174 0- -
Owner~f ~~"s,i_ ~jj r.Qlllt~ P{~;=;- Street 4502 SLATER ROAD Stete EAGAN hW 55122
Improvement Date Amount Annual Years Payment Receipt Dete
STREETSURF, j9H4 794.51 158.90 5
STREET RESTOR.
GRADING 1984 230.09 46.02 5 230 09 7 1- -8
SAN SEW TRUNK ~ 1973 Pal un origina p rce
* SEWER LATERAL 1 ] 2 399 . 48 5 - -
* WATERMAIN 1984 $
WATER LATERAL
WATER AREA 1973 Paid und ori inal rcel
* S 'c 1984 5
STORM SEW TRK 1979 Paid und original p eel
* STORM SEW LAT 19 8 4 5
CURB & GUTTER
SIDEWALK
STREET LIGNT
240.00 #29G55 4-15-82
WATER CONN. 420. d0 " "
BUILDING PER.
snC 525.00 " "
PARK
C1TY OF EAGAN Remarks li~ ~ I'~~ r~~,• ' "
Addition CINNAMON RIDGE ADDN ~oc p't 2 A~k 4 PB~~~ 10-17400-022-04
X~ ~ ~ ~
4504 SLATER ROAD EAGAN hQV 5122
Owner7~ ~ ~ r ' Street State
~
Improvement Date Amount Annual Years Payment Receipt Dete
STREET SURF. 1 1 9 -
STREET RESTOR.
GRADING 1984 230.09 46.02 5
SAN SEW TRUNK 197"s Paid unde ori inal rcel
* SEWER LATERAL j$ j~ 42 39 48 S -
* WATERMAIN 1984 5
WATER LATERAL
WATER AREA 19 3 Paid und ori inal rcel
* Services 1984 5
STORM SEW TRK 1979 Paid und ori inal rcel
* STORM SEW LAT 19 S 4 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD I't 240.04 #29655 4-15-82
YYATER CONN. 42~.00 T~
BUILDING PER.
sAC 25 00 " "
PAR K
crnr oF ~r?w~N WATER SERVICE PERMR
3795 PsEet Knob Rosd PERMIT NO.: ,
Eoyon~ MN S51Z2 D/1TE: , c,;
Zoning• ~ No. of Units: ~
Owner, , ` ` _
A~~QSS: ~ ~ s
~ ' ~ > r`~.•' ~ 1 :
Site Addressr "l~tcrs :.~a~
Plumber: ~ - ; ~tc
Meter No.: Connection Charge:
Size: Account DePosit:
Reader No.: Permit Fee: .
1 ayea~ ta oon+Ph wi~ ~Y °f E°9°n Surcharge:
Ordinoneas. Mtsc. CF+ar9es:
TotaL•
B Dute Paid:
Y
Date of Insp.:
CITY OF EAGAN SEWER SERVICE PERMI?
379b ~Na+ Knob Road PERMIT NO.:
Eo n MN 55121 DATE:
.
dp , .
No. of Unrts:
oni ~
Z r~:
Owner. ~
Address: , ~
Site Address: - r" ~ ' . , -
Plumber. I
1 aqn~ to oomP~fl ~ tIN Cit~r o~ Eogoa Connedion CharOe: ~
O?dinenoes. Atcount Deposit:
Permit Fee: '
5urchorpe:
By Misc. Char9es:
Dote of I~sp.: Totol:
Dote Pcid:
I nsp.:
, _ ~~H WATER SERVICE PERNUT
3795~ P11ot Knob Roed PERMIT NO.: . i;
,
Eogon, MN SS122 DATE:
Zoning: No. of Units:
Owner: c
/,~fE55: • - "'3> >n ~ [~~;F? L
, ` , c~~Cc rs T.~~a~ - • :~::_~~c_ -
Site Address: j t_, i t_.. .
Plumber. T,,:
Meter N~.: Connection Chor9e: -
Size: Account Deposit:
~
Reader No.: Permit Fee:
1 egree ta oon~Vb wi~ ~f° ~Y °f E°q°a 5urcharge: .
~t ~ -
Oedinanas. Misc. Charges:
Totol:
BY Dote Paid:
Date of Insp.:
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN ~ ~
U~~1 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Piease complete for modifications to existing residential dwellings.
Date_~/~~1~~
Site Street Address Unit #
Property Owner ~.d /C2/~~G. LY c~ Telephone #(9~oZr~/.1 z'~~~7~
Contractor~~~//~~L l// ~T~.~ Telephone# (9S~) S`~9'f -~f'.~~~
Address ~!'J~~~~/~~// City d.S(~/LLP State~ Zip C'"~~,~7
The Applicant is: _ Owner ~ Contractor _Other
Altetations to existing dwelling $ 50.00
Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
~
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
~ Water Softener _ Water Heater $ 15.00
~ replacement _ additional.
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
/ i
~d c?Y ~ ~ , ~ ~~~i
App icanYs Pri ted Name App icant's Si - re
NOV 1 6 2004 ~i ~
ay
RESIDENTIAL BUII,DING
Permit Application
City Of Eagan '
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtbn Reauiremen5 RemodeVReoair Reoui2ments O1Flce Use OnW
3 registered site surveys showing sq. ft. of bl, sq. R. of house; and all roofed areas 2 copies of plan Ced of Survey Recd _ Y_ N
(20°~ maximum lot coverage allowed) 1 set of Energy Calculations for h~ted additions Trce Pres Plan Reo] _ Y_ N
2 copies of plan showing beam & window sizes; poured fou~ design, etc. 1 site survey for addiGons & decks Trce Pres Reqd _ Y_ N
1selofEne~gyCalculafions AddiG'on-indicafeiion-sitesepticsystem On-site5epticSystem _Y _N
3 wpies of Tree Pmservation Plan if lot plalled afier 711193 ~
Rim Joist Deteil Options selection sheet (bldgs wtlh 3 or less uniLs
Q~
Date l;i / ~J / Y~J ConstructionCost ~o,~~
Site Address Q3 S ~A ~G C, w1 ~ UnillSte #
Description of Work ~
Multi-Family Bldg Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner ~ J~ vl ;rl G ~ Oh n~o ~ Telephone #(~gj ~~l5' i I 7~
Contractor , 112~~1 ~'~ti51-rvcSs"~p-~-Z LL~,
Address ~D lq ~ ~ y-~ ~ e ~t ~ ~'1 City ~~-J ~:$~Q-
State qyOSA~~y~~ lM v1 Zip `j $ y 2~
i Telephone Co i2 d Z-~`/ 4 c~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy Code Category . Residentiai Ventllation Category 1 Worksheet • New Energy Code Worksheel
(J submission type) Submitted Submitted
• Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
licensed Piumber Telephone # ( )
Mechanical Contractor Teleph I.~ c
' ~S~ L~
Sewer/WaterContractor Teleph r~ ) ~ i
0 Cl' 1 3
I hereby apply for a Residential Building Pertnit and acknowledge that the i fgrmation is comnl~Se_~nd accurate;
that the work will be in conformance with the ordinances and codes of the -ity'YSf-Eagan
and the State of MN
3tatutes; I understand this is not a permit, but only an application for a it, and work is not to start without a
permit; that the work will be in accordance with the approved plan in th c se of work which requires a review and
approval of plans.
'~~~h L..~~-~~,.
ApplicanYs Printed Name A ' ant's Signahxre
k +k Xt iX>
~t ~,e ~;c R c Yn X+Y,t ;'r "6 ~k n ~ ik ~ i
~ $<l: ~ %h ~ ~ t Yd kc;:; X; :,".5,::k S; A:
C:i iY C11= F.rGAPa
L'l~S~-I:CER~ S -I'.F..I::i"i:f~dAl_ \0~ U68
I~U'i1-:: pq?2`7/'7!? '1'IMF=: i`i:38:°t~
ri~;;
xanc. rtF1r!nv, r,~.r-...=_s~ziE_rar:ini... ~:nur;:n,
~~.°s~ ~~~o~ 9s~?a. ~,I~A7Ef; r,r.~ r.,.oa
3c1.0 9[lpi. fi.304 ~;~nrr::r, RC~ ic?,`.';,,c'.:5
r
.
'~nt:~1 f?er_a:.iGrF Amn~.,r~t~ i.?_[3.?5
f,Fi:lD i'S1.9
USr:!"i iL~: Nf~NL'Y
~:%~;~~c;k?;:gcycr,c?'a',~r, xc~r~:?x~s,tk::k8o~ ~cXc': ~tY,: ~>;o,:+~c,. „m "m.".'r,:
1999 BUILDING PERMIT APPLICATfON iRESIDENTIAL)
CITY OF EAGAN ~ (
3 IO~~ 3830 PILOT KNOB RD - 55122
5 65'I-68'I-4675 ~ ~
New Conshuction Reauiremenh ~ Remodel/Reoair Reaufremenh
D 3 regislered sNe s~rveys showing sq. fl. ot IoL sq. @. of house 2 copies ot plan
and all roofed areas (20% maxfmum lot coveraae allowed) 1 sH of energy calculaFions for heated addNions
? 2 coples of plans (show beam 8 window skes; poured ind. design; etc.) 1 ske suney for exferior addkions 8 decks
: 1 set of energy calc~laNons
: 3 copies ol iree preservation plan H IM plaMed aHer 7/1/93
DATE: ~I~=~~ ~ / CONSTRUCTION COST: ~~OC~ ~
DESCRIPTION OF WORK: ~
STREET ADDRESS: J D
1
LOT:~~ BLOCK: SUBD./P.I.D.
Name: ~i~ / LC( /,L Phone
PROPERTY ~as? Flrst
OWNER ~ /~~T-
Street Address:
City State: Zip:
Company:~f9 ~~~~iQ'"P hone / ~ - l/ 3~ ~
(area code)
CONTRACTOR f~~~ J. ~Q Lieense# ~/6~S Exp:~
Street Addresr - r-C/ f
City Q~~ ~k S state: ~6~ zip: ~~7~ ~.3
ARCHfTECT/
EhiGINEER Company: Name:
Telephone area code ( )
Sheet Address: ' Registration
City State: Zip:
Sewer & water Ilcensed plumber (reauired for new consiruction on~):
P?nalfy applies when address change and lot change is requested once permit fs fssued.
~ hereby ncknowiedge that I have read fhis applicafion, state that the information is correct, and agree to comply wlih all applicable
Stpte of Minnesota Statutes and City of Eagan Ordinances.
~
Signature of Applicant: / n~~-~ n
' ~
OFFICE USE ONLY ~r----- ~ I ' ,I
I~ , r I,,-~; - 5 f~~9 I';
1 11
Certificates of Survey Received _ Yes _ No r,l
Tree Preservation Plan Received _ Yes _ No _ Not Required ~ ~
~ - -
~ 1 ~ I I 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan ? ~ S ~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
_
4JewConsVUCtionReoui~emen7s RemodeUR IrR u'r enis Offxek~eL7nN
3 registered site surveys showing sq. ft. o( lot, sq. ft. of house; and all roo~ed areas 2 copies of plan CE7~4F Su~ey Recd _„'Y ~ N.
(20°k mauimum lot coverage allaxed) 1 sel of Energy Calculations for heated additions £reePres Pfari,Recd _Y _I~,
2 copies of plan showing beam & window sizes; poured found design, e1c. 1 site survey for addifions & decks Tr~Pr~S ~4Uired ,.,Y _,.,N
lsetofEnergyCalculations Addition-indicafeifonsitesepticsysfem On-stleSep~iC~ys~eln _Y _N._
3 copies of Tree Presetvation Plan if lol planed afler 7f1193
Rim Joisl Detail Options seledion sheel (buildings with 3 or less unils)
Date 7 j I~ ~ / Construction Cost
Site Address ~1 S~~/ ~~'v f-`-`~"° UnidSte #
~
~ ~ ssrzz
Description of Work 5~~~'^~L
Multi-Family Bldg _ Y_ N Fireplace(s) Nfl 0_ 1 _ 2
Property Owner p~~~~ VO~Nus ~r Y-~il~ Telephone #(61 Z) S~ 6~I
Contractor ~L~S~N~~ A~ ~~~5 lii
IJ'~- l1 Mr~
Address C~ty pu t~
State Zip Telephone /~ll N ii n
a zops ~ll~i
~y~ ~°f
~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _
- Minnesota Rules 7670 Ca[eeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residentlal Ventilafion Category 7 Wwksheet • New Energy Code Worksheet
(Jsubmissfontype} Submilted Submitted
• Energy Envelope Caiculations Suhmitted
In the last 12 months, has the CiTy 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 Conhactor Telephone )
Sewer/WaterContractor 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 ca of work which requires a review and
approval of plans.
~C~s~1.~e~ l/o%vusl~ ,r~'.?
ApplicanYs Printed Name Applicant's ure
~C:~iL*!IN H. HEDLU~ ~ 7726 MORGAN AVE. SO.~
MINNEAPOl15, MINN. 5~;n ~
.;r~~t Surv~yor CIVII E~Ol~~llf PHONE NO. $G(i l:i~'.i
i
~ ~ut~r~or~s G'e~t`,f
"~cate
, t
*~JI`I
~ JOB N0.
~ 5uRVEY FOR~,Zachman Homea
` DESCRIgED AS~Lot 2, Block 4, CINNAMEIN RSDGE, City of Eagan, Dakota c.ount•~~,
1 i-lLnne~ota arad reserving easements of record.
~ ~
f I I S ~p,~pp z„E ~ 931.b
I ~ ~
I '93a7 - `
I I
~ I
I I
i ~ ?
` ~ ~ W
~ o~ ~o ~
~ v ~ - _ I ~
{ ~ 1 I 0 ~I ~ h t~~/ r 1
i i 1f1 ~ VN ;T UN~T ~ Z '
z 'I e ,
~ ~ Ip~O A' ~q ~ I Sasement finor '-I-~ i.
~ 51ak45 BfEL -'f`~'~I Gurac~t floor , . ,
i S.~ T~uUAR. Z5.94 ~raina~e direc~~on
; , T/4GqR I Propasecl e~eJ. L~~
i ~ 'yZ~ .Z4 ~ I ~ extsti~9 ~fev.
~
.P ~e~afes lo-F iron ~
~ ~~=~T~ I 439. I_
, - ~
; ~ ~
j L, DRivE AaN~ _ J
~ -
I _ _ 93b3 ~ I 9359 -
~ 100. 00
' p S38° 12 ~22~E
M M~
SLATER RoAD ~
- - -
93(0.0 435•(n
GIERTIFICATE OF SURVEY
Y hereby cartify thot on 3~1 ~BZ I surveyed the property described above und ~hor
tne above plotis a corr¢ct repr~sentotion of soid survey.
s/
( i 1.c. 1;. . , .
• Z ~.G~-=- ~/SL- /
Colvin H. Hedtund, Minn. Req. No. 5942 ;
: 35 ~ -~o ~
zoo6 RESIDENTIAL BUILDING rE~nT arrLrcnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction ReauiremeMS RemodelA2eoair Reauiremenis Office Use OnN
3 registered sife surveys showing sq. ft. of lot sq. tt. of house; and all roofed areas 2 coDies of plan showing footings, beams, joisis Cerl of Survey Recd _ Y_ N
(20°/a maximum lot coverage albwed) 1 set of Energy Calculations for heated addilions SoiB RepoR- _Y _ N
i Soils Reporl rf pmposed 6uilding is fo be placed on disN~bed soil 1 sfte survey for additions & decks Tree Pres Plan Recd .~_Y _ N.
2 copies of plan showing beam 8 window sizes; poured found design, eta Add~ion - iMlicate rf on-srte sep6c system Tree P2s Required ~ _ Y~_ N
i set of Ene~gy Calculations Od-sAe Septic System~ _Y _N
3 copies of Tree Preservation Plan if lot platted after 711A3 .
Rim Joist Detail Options selection sheet (buildin9s wBh 3 or less unils)
Minnegasco mechanical ventilation form - ~ y~ C~
U
cD0
Date ~ L~, S / d~9 Construction Cost SdU -
Site Address l/41~/ S~0.'~d` ~CC~ ~~=L~1 z,r'7 ?u /1J ~S I~ UniUSte #
Description of Work c[~~ C k
Multi-Family B)dg ~ Y _ N Fireplace(s) 0_ 1 _ 2
Property Owner kC ~ ` ~~I )'7 i S{'1 ~I Y~ Telephone # ( (;r~ z ) S6l -S I ~GI
Contractor SE%~~ II n~~~~ i~ r I
Address I~'~ J`~ I II II City
H~~ i ~ ua
State I ~ ip i~ Telephone# ( )
I ~ ~
rsl y-- _
COMPLETE THI$ AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residentiai Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City 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 Telephone )
Sewer/WaterContractor 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 ' not to start without a
permit; that the work will be in accordance with the app oved~pl in the case of work h requires a review and
approval of plans. ~~j~jl/,B'j~ ~Q~/(~C'l
~
A lic 's rin ed 2 ~ A lic ign re ,
' M1 ~:/~1L~lIN H. HEDLU?~~ 7726 MORGAN AVE. SO.
MINNEAPOLIS, MINN.
. i.~.~.i :.urvayor Clrll En9lnpr PHONE NO. Sb~i 2S1 S
survc~or~s G'ert~j"~cate
-
JOB N0.
SURVEY FOR~ Zachman Homea
DESCRIBED AS~Lot 2, Block 4, CINNANION RIDGE, City of Eagan, Dakota :•cunt ,
ri~;r,e~sota acad reserving eaeemente of record.
~
i
~ Saa°~2'z2~~e
, 99a7 100.00 9~
b . , _
~ - - -
; ----------i
~ ~ I
~ ~ ~
j ~ ~
I I
~ ~ ~
~ ? ~ p ~c.
j ~ ,u
~ ±u I ~ ~ D~ i
Z.
i
i ~ o°j _ ~SY` _ o
' ~ ~ ° ~ ~ ~
i :._Ci? i ~ Y~1~ UNIT UNIT ~N Z t-`%~
; ~ ~6u
~ Ib~O \ •lA"~\. IO~~ ~ Basement flnor i:
~ I SiakGS ~ BEEL StaF~L'SI Gura9e ~loor
' S.9W i5.`Ib Drainn9e direci'ion - ~
~ ~\AR. T/uGRR ~ I proposec~ e,leJ. L..-'
I I ~'!i~ \ Exist~n5 elev-
/,°pT - 4-- Z4~~ -t-.__ derto-Fes lot ircr~ ~
, y 938. ~
~ 30. ~ ~
` ~ I
. L _ DiiivE DfuJ~ _ J
' _ _ q~ 935•9
' =
- -
~ I ~O. 00
p S~S~~Z~ZZ~E
M M
SLATER RoAD
- -
93(n.0 935.1v
GERFIFICATE OF SURVEY
I hereby csrtify fhat on 3~~ ~SZ I surveyed ihe property described above and ttt<,r
tne above plat ia a correct represantotion of sofd survey.
; ~ a: ~
~ ,
Calvin H. Hedlund, Minn. Req. No. 59424
i__
i
i Fp~~otfice~use
City of Ea~a~ i Permit# ~.J o ~
~ l/~'~ fi I
I Permit Fee: / U v~ ~
3830 Pilot Knob Road j i
Eagan MN 55722 ~ Date Received: ~
Phone: (651) 675-5675 ~ ~
Fax: (651) 675-5694 i Staff: ~
-----------------J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
~ a~ Y~'c' ~ S~' t
Date: ~ Site Address:
Tenant: Suite ti:
RESIDENT 1 OWNER Name Q 1 ~a~yL Phone:
Address 1 Cdy 1 Zip: ~/S
62 5~.~ SS'/ 2 Z
.~U~ ~i~-C
Applicant is: _ Owner ~ Contractor n G
/
TYPE OF WORK Description of work: /L~~,l ~15 ° Z S"~Z~ ~
Construction Cost: Multi-Family Building: (Yes No ~
CONTRACTOR Name: ~iu~- /5~--~~ ~ _ License %36 0
Address: ~~1,~ s ~
City: u~~ State: f?v~' Zip: S-S'`/.z o
Phone: '~!'S'L- Y ti S Z Contact Person: ~ `?~w~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Ene~gy Code . Residenlial Venlilation Category t Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 72 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you su6mit are considered to be Public information. Portions of
the informat/on may be classified as non-public if you provide specific reasons thaf would permit the Clfy to
' conclude that the are frade secrets.
I here6y acknowledge that this information is complete and accurate; that the work witl be in ~conformance with the ordinances and codes of the C'rty of ~
Eagan; that I understand this is not a permit, 6ut only an application for a pertnit, and work is not to start without a pertnit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pla s. ~
X G ~j"l'E~
N x i77~~.'~-~~~/~-~
Applic nt's Printed Name ApplicanPs Signature
Page 1 of 3
411,11
City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
MAR 16 2010
Use BLUE or BLACK Ink
For Office Use
93>>7Permit #:
Permit Fee:
Date Recei
Staff:
J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION em," 36.
Date: 3// (p (iD Site Address: 17/.5 0 ?, �A/�a to-- R c£rte i yc /1,7 4f
bee So%d
Tenant: ()et C.c vt 7L — j LIS f -
Suite #:
RESIDENT / OWNER
Name: b c,v,ca `d j 5u C ('t S Phone:
Address / City / Zip: 93/1 oak 4,,, i hue S f3hdm, H/y f ar., 171 0 SSy21
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: R u i 1 A �e_ (-.) 1 2_X 1 2
Construction Cost: -7)/ (900 Multi -Family Building: (Yes X / No )
CONTRACTOR
Name: kAt t I; f S (4)rt Sfthu r 1 -in eid . LLC License #: .2 CO 62 3 4{9 //
Address: I b 1 E 1 2 4O i -k S+_ C City: Lekervi J L
State: mh h Zip: 5 SO y y Phone: 9,52- — 12/2-6 —521D 1
Contact l:'tit- V Wi 1 /S Email: wi ( t•S C04 S1--v-uC -io►^ c yahoo.
COMPLETE
In the last 12 months, has
If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit fora similar plan based on a master plan?
date and address of master plan:
_Yes _No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.gopherstateonecall.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 •t 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 pla
x4� LA- 1/ /9-t W I c . I 1` 5
App kalifs Printed Name
Applicant's Sign ture
Page 1 of 2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
_ Retaining Wall
Fireplace
Garage
Deck
Lower Level
_ Porch (3 -Season) _
_
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
_ Interior Improvement
_ Move Building
Fire Repair
_ Repair
DESCRIPTION
Valuation ! li
Plan Review
(25%_ 100% x )
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
)( Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test
Insulation
Meter Size:
Reviewed By:
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
A-64-
(01\7)--0,..2)
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
19z)(;(2= Vy°
Page 2 of 2
s3$'"1Z °L "E
1.31,4
am= 4101100.1
ammo- .m1. aime
1
1
')l
to
4;#
41)**
z
13403
100.00
S 3friz *zee
9502- LATER ROAD
boy,0,\A
'35;
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156558
Date Issued:07/08/2019
Permit Category:ePermit
Site Address: 4502 Slater Rd
Lot:021 Block: 04 Addition: Cinnamon Ridge
PID:10-17400-04-021
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
April V Vanschaick
4502 Slater Rd
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
To; 6516755699 ___ From: 7637108061 _ _ _ ____ _1-27-20 9:50pm ._p. 1 of 1
r
For Office Use
Nil I 1 "/ E AG A NPermit#:
.... .'. Permit Fee: t
�1
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
bui idinoi nsoectionsCa)citvofeaaan.co m
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
l l'('`1/27/20 4502 Slater RD, EaganMN 55122
Date: Site Address: Unit#:
Name: April Vanschaick Phone: 651-399-8949
1 Resident/
t owner Address/City/zip: 4502 Slater RD, Eagan MN 55122
AApplicant is: Owner V Contractor
I"! Replace existing overhead garage door on attached garage.
I Type of Work Description of work:
f
2000.00
a Construction Cost: Multi-Family Building:(Yes /No V )
i Company:
AA Garage Door Contact: Dave Sands
I Address: 562 Lundy Laneco: Hudson
i Contractor
I State: WI zip: 54016 Phone: 651-702-1420 Email: dave@aagaragedoor.com
License#: Lead Certificate#: NAT-671642 1
I If the project is exempt from lead certification,please explain why:
I r
a
'; COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
jIn the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
1 Yes No If yes,date and address of master plan:
aLicensed Plumber: Phone:
IMechanical Contractor: Phone: I
i Sewer&Water Contractor: Phone: f
1 1 Fire Suppression Contractor: Phone:
iNOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe l•
I classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.comisubscribe.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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. tiw+w.aophersteteonecall.crq
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 Deborah Nyasende
Applicant's Printed Name Applicant's Signature