4507 Slater Rd
~ . _ . . . . _ . _
~ ~ Ja S~ CITY OP E.'1CAN Inc_ude 2 s2ts of
pla:-+s,
~ ~ 1 site plan w/e2eva`;cns &
~ BUILDI~G P~MiT APPLICATION 1 set oi er.ezg'~+ calcala,`iors_
~a~ ~ -
Zb Be [isect For _G;,,q~p fam;~~ Val.uation ~/7~d~a Date ~J/a~~z--, -
Site ~L':sess: ~{4~ 7~l'~z ~il ~OQ ~ OFFIC:E USE d~I[,Y
Lot Bloclc `L Sec./Sub. , ~z„ti~ Erect ~ Occuparecy .
' ~ Znd Alter Zoni.r~
Parcel 1: LO ~~I~O( O~D D, ~"e'
. Repair Fire 2or.e
Q~rn2r-Zachman Homes, Eac. Enlarge Ty~e of Const.
' tbve ^ ~ Stories
Pddress: '7~5o rtitcheli 1td. Delrolish Front 5/7 ~ ft.
Mn. 55344 Grade Depth ft.
City/Zio Codec Eden Prairie,
PhOn2 937-9520 APPFd7LRIS FFF'S
ConYsactoe: same as above , ~ Assessc~nts Pe.._'f[~it '~1p9 ~
Fc3dress: F:ater/Sc~.~r Surcnarce ~23
Poli~ Plan C_nec]c _
~3'y-~
City/Zip Coc'.er Fire . SAC ~ g'~s _
Water Conn. y~ a
Phone r: p~er Water rz`er /,o ~
Council ~ Road Unit ~s~d ~
Arch./E1tg.: same as above Bldg. Off. O~~h") r~
~:dress- APC
City/Zin rode:
Phoce ~U'PAL /~U~a
a swo~~ ti~Z L~ i 13 l, Cr n tia,Mo r~ 2~d~-£ 3a"r
18 mon[hs irom
131$3 a,~d. 3~.so
Roquest Oate Fire No. R~oaehe`~~Inspect~pn ygHeady Nuw Q WiH No~ity, Insper,-
~ es ?NU ~u lor Wh~n Ready
~Licensetl Electri at Contractor 1 herebY request insvection o! above
? ~wner electricnl work ins~ellad a~:
S~ree[ AAdress. Bux o Houte No. CitV
~ U ~ ~I,~q~" l~~ Z.~
ecuo o. Township Name or No. Range No. Coumy
Oc upnnt IPpINT) ~~T Phone o.
C, d~R ~l S.-1- G., ` ~ d
Po r Supplier Atltlr255
( ~ N nJ
Eloclricvl Convactor ~Compa Namel Cnnhecmr"s License No.
Ma np Jress IC pvac ~ or wi er Making nsta' ation)
3 ~ von _E. ~ .S 3
Au rizud Sipnamre IC ract wner Makine Installatian) Phone Numhe.^r
~
MINNESOTA TE BOAPD OF EIECTPICITV TMIS INSPECTION qEQUEST WIL~ NOT
Grieas-Midway Bldg. - floom N•191 gE ALCEPTED BY THE STATE 90AND
1821 UniversitY Ave., St. Peul, MN 66704 UNLESS PNOPER INSPECTION FEE IS
ow....e ~a~~l ~4]_~N1 ENCLOSEO.
nEQUEST FOR ELECTRICAL INSPECTION EB-00001-03
w:
_ e ~ . ' See inshuctions lor completing this form on back of Vellow copy.
"'X'" 8e ~~ft Covered by This Request ~j~~ g~
N AAtl Reo. • TVpe ot Buildine AOO~~nncws Wired EquiPment Wirad
Home " Range Tamporary Service
Duplex Water Neater Liyhting Fixtures
Apt. Building Oryer Electric Heatin
Commerciai Bldg. Furnace Silo Unloader
Indusb~ial Bidg. Air Conditioner Bulk Milk Tank
Farm O~har A~eafy oiht:r!Specify~
t ier peai y ther Other
Compute (nspec[ion Fee Below
N Fee ServiceEntrance5ize q Fee FeeEers~Subieetlers k Fee Circuits
0 Yo 100 Am s ~ 0 to 30 qm s 0 to 3G Am~s
701 0 A 6 , \ 31 to 100 Amps / ~ 0 31 to 100 Am s
A6o ~ qln s' Above 100_Am s Above 100_Amps
Tran / merSr-- ~ - RemoteControl C~ra Partial%Oth Pee
Signs~ Special Inspection ~7o TO L FEE
Renwrks
Houeh-in
th mxl
pectoq heteby
certi~y that tha ebova
Final ~"]a L1ale ) "nsPection has been
~ it/Q~~~S/ ~~f matle.
This ~equest voitl
18 months fiom ~
CITY OF EAGAN ~ _
9795 PIRY Kno6 Reod Eogon, MN SS132 N~ 7 5 5 2
~ " PHONE: 434-8100
BUILDINd PERMIT Receipt #
Te be u~ad fe~ SF DVTG/GAR Est. Value$47r000 Date ~~1~r 4 19~-
Siro Address 4507 Sl8ter R488 Erect g~[ Occuponcy R-3
Loc 6 BI«k 1 Soc/Sub ~inna~n Ridge 2nd Alrer ? Zoning ~PD) R-1
Porcel # 10 17401 060 Ol Repoir ? Fire Zone ~
Enlarga ? Type of Const. V
W Name Z8cit10an HomeB. InC. Move ? # Srories ~
~ q~~eu 7760 Mitchell Foad Demo~~sM ? Length97~8°
Ci Piai=ie Phorw 937-9520 Grode ? Depth 36 Sq. Ft.-
~ Nome ~1e=' ApP~oral~ Faes
0
Addrass Assessment Permit 269.50
~ Cit p{m~e Water&Sew. Surchorge 23-50
Police Plon check 13d.')5
~w Name Fire SAC
4~ Address Enq. Water Conn.4~~
i W Ci Phona Plonner Water Meter Fp _ nn
Councll Rood Unit ~dl1_f1n
I here6y ackrawledge that 1 have read this applicorion and state that gldg. Off.
fhe information is correct ond ogree to comply with oll opplicable $16~2.~5
Stote ot Minnesoro Statutes and City of Eagon Ordirwnces. APC Totol
Signofure of Permittee
A Bullding Pertnit Is issued to: ~C~llO8n F~~168 r C• on the ezpress conditlon tlun
all work shall be done in ocwrdnnce with oll li e St of Mi Statutes and City of Eogon Ordinonces.
Buildiny Officiol
arir oF E~c~N~ ~ -
~na ~~i~e K~oe a~a MN sSi~ 'd i~?
' . PHONE: 454-8100
BUILDING PERMIT Receipt #
Te b~ w~d ier Est. Vnlue ` Dote ~ 19
Site Addrcss " Erect Q Octuponcy
Lot Black Sec/Sub. ' ' Alter ~ Zoniny
Parcel # Repair ? Fire Zone
Enlorye ? Type of Const.
W Nar^e Move ? # Stories
; Address Demolish ? Length '
b C~ p~~ - Grode ? Depth Sq. Ft.
oc APPr~ay Fees
o Nome
/lddress Assessment Permit
F Water 8 Sew. 5urchorfle
Cit Phone
Police Plon check
~W NO^'1Q Firo SAC
~
/~ddress Enp. Water Conn.
t W Ci pF~e Plunner Woter Meter
Council Rood Unit
1 hereby acknowladge that I have read rhis appiication and stofe that g~dy. Off.
the informction is corred and ogree to comply with oll applicab~s ~ •
State of Minnewto Statutes ond City of Eagon Ordinonces. APC Totol "
Siynoture of Permittee
A Building Pem,it Is issued to: ~ on the express condition thm
all •woric shell be done in otcordonte with oll eppliooble Stote of Minnesoto Stotutes ond City of Eoyon Ordinonces.
BuildYnp Officiol
i ~ . . \ . _ _
' -~;`~°'~`~~-r`~",~~=~.~.,;'~''~' ~~"~'~;r'~'
t,~`~`~'~.~`r'~
- _ ~ _ . .
_
Q.
_~:~._,ic.~.~ 1 _PC~c __~.e.;~ciQ,z~:t~.~5.'cs.~~~a°'-~
i~'~:°ri~"r~.,:CC'4~'~C'~; -
C~~r#i#ir~t#r uf (~rru ~tnr ~ ~ .
~ ~ ~
~
~ ~ ~r' ~itp of ~agatt r S `
. ~ ~ ' ~
; ~r~rttrtm~ttf nf ~uil~ing .~tt~~rrrtinn i ~
~
~ ; ~ ,
Tbii Ccrtificata itruad pratxant to tix rcqui~e~nenu of Sation 30G of tix Uniforne Building ' '
f~'r" Cade urtif~ing that at chr ti~ne of ittua~a tlril ttr~tture war ia co~plia~ct witb the variox.r
, ~ I r
ordiaaRCCt o f thc Cfty ~egxl~ti~tg bxilding cmut~uctioa w asr. For tbe f
o~lowing: , ~
~ ;r
?
v,.c,.weoam SF DWG/GAR aa~.r.,~N,. 7552
~ ~w~r~YP~-~rco~.~~Fr.~.. NA za.i~p.uie, (pD}~ ~ ;
w
i~ a,,,,roteie~ Zachman Homes . Inc .,~,.,7764 Mitchell Rd Eden Pra#; -~i
p~ ~,~.,,~4507 Slater Road ~,,p„~Lot 6.Block 7.C.innamon Rid~c~
I,~ 2nd ;
~ 'l ~ -
y ~orea~ E~ aa: December 2. 19Fi2
i
~ 41~. _ _r~w~ iw • owi~cuou~ n.cc _ _ _ _ ~
~~`jS~~~iL~>"'a+!1-~~.~.. i~' ~.i:: ~`ai~~
ti_ ~j~i:~-='~a~a~~ 'i•Z'aa..~`Z'1~
. ~
, . . ,~a~~~~s's~r~."~ : .
° .a? ~r ~ ~+f~k, ° J~` „~j'~ e ~ ,~T'~}~,~
~ . :~MI~1~. --,\_'~wr~~ ; ~ _ . "~41ir1~~ . - _ .
a_, .a - , .
Receipt ~ PLUMBING PERMIT Permit No. ~ `
CITY OF EAGAN F~ ~ • ~
Fill in numbered spaces S/C • i~
Type or Prini leyibly To~
1. Date 11-1 r}- ~ 2 2. Instal lation Cost
~innar,~vn
3. JobAddress'+:'.7 5luter kd. Lot f Blk. 1 Tract`'irl~e 2nd
4. Owner ~act~man No@ee, I:tc .
5. Contractor '~ruue Pleuaiain~ Phone !a'~F-57F1
6. Address ~'1 ~ 7 ~~a kc,raPA ~+v~ ."o .
7. City `~t..llt.~.~tc~r State ~ Zip :5,-~"•,
8. Building Type: Residential Commercial O Institutional ?
9. Work Description: New:.~ Add ? Alter ? Repair O
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs 5eptic Tank
Lavatory Softner
Shower yye~~
Kitchen Sink
Urinal/Bidet Other
' Laundry Tray
' Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of Work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-61Q0
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN '
Fee
FiII in numbered spaces S/C
Type or Print /egib/y Tot. , -
1. Date ; -~3,_: 2. Installation Cost . . `
3. Job Address r' ` • Lot ~ Bik. Tract
4. Owner
5. Contractor ' Phone =
6. Address ; 3 7"„ Li+'
7. City :L:~ State Zi
P -
8. Building Type: Residential ~ Commercial ? Institutional ?
9. Work Description: New ~1 Add O Alter ? Repair ?
10. Describe :i~;,;_.il _ o.~~~-' , _ Fuel Type -
11. No. ~~nment STU - M. Ea. No. Equiament CFM
Forced Air ' Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
' Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: ~ate Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-81Q0
CITY OF EAGAN Remarks ,
~?ddit~on CINNAMOI~i RIDGE 2ND ~ot 6 a~k 1 Paroel 10-17401-060-01
Owner ' ~ street 4507 SLATER ROAD state
~ ` 1,
Improveme~t Date Amount Annual Years Payment Receipt Date
StREETSURF. ~Q+f 1984 926.93 185.39 5 6. CO 81+ --8
STREET RESTOR.
GFiADING 1984 268.44 53.69 5 268.1+k C008~t34 5-3-83
SAN 5EW TRUNK 19 _ _
* SEWER LATERAL 1984 33~. 32 466. ~ S 2 Q.32 CQQa).}3 -3-83
* WATERMAIN
WATER LATEFiAL
WATER AREA
*
STpRM SEW TRK 197 H
* STORM SEW LAT
CURB ~ GUTTER
SIDEWALK
STREET LIGHT
2k0 ~ 22 8 ~-~-~2
WATER CONN. ~2~. 00
BUILOING PER.
SAC n n
PARK
~.~.~.,.s--
ci~ OF EAGAN SEWER SERVICE PERMIT ,
3795 Pilot Knob Read PERMIT NO.: ,
Eogon, MN 5S1Z2 DATE:
Zoning: No. of Units:
Owner. - :e3 ~
Address: _ _
5ite Address: ~7 at~r ~oad 1~- ~ i~•: 1 ~
Plumber: - :I. ~ `t ~ r r t : . _
1 egre~ M eampl~r wlth the Ciry of Eogan Connection Chnrge: '
4rdinaneas. Account Deposit:
Permit Fee: '
Surchwrge:
gy Misc. Charges:
Dote of I nsp.: Total: '
~~,p.: Dota Paid:
WATER SERVICE PERMIT
cn oF Ea~aaN
3T4~ Cil~t ~~tnob Road PERM4T NO.:
Eogan, MN S512Z DATE:
Zoning: No. of Units: '
Owner, 7
Address: r. _ • , , ~ I
- ~t,~
Site Address:
-
Plumber. Connection Chorge: '
Meter No.:
Account ~eposft:
Size: permit Fee:
Reader No.:
1 egree !o aomPN wlfh the Cit~r of Eogon Surchnrge: - • ~
Ordinan~ea. Misc. Charges:
Total:
Dote Paid:
By
Date o4 Insp.: ~n~"
I _
ln~oao 70~~
2004 RESIDENTIAI. BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
• Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruction Reauiremenis RemadeVReoeir Reauiremenis ~l~g~( '
3 registered site surveys showing sq. R. of bt, sq. fl of Muse; and au roofed areas • 2 copies of plan Cei;,vt Sviw:~y~Fter~1;;:'; •:_:;YJ
(20% m~imum lot cwerage allowed) 1 sef of Energy Calrulations for heated add~tions TtEe:Pre5:~I8i{;[tecd:=:s; :~:~'Yr~ hk
2 copies of plan showing b~m B windovr sizes; poured fourW design, etc. 7 site survey for addNons & decl6 7ie@[Pre's.J~gi;iEd>.::~;;:;»s,;;;. Y:;;;;;;F1
1 sel af Energy Cakulations Addrt'an • indk~te if onsife sephb system Dri~3itg,~~5'C~ybleiYi`: ~:~;;~~_'Y%>
~_N
3 copies of Tree Preservation Plan'rflot piailed after 7l1/93 ,
Rim Joist Delail Optiw~.s seleclion sheet (bldgs with 3 w Iess units
Datc / r`Z.S / ~ / Conatruction Cost ~
SiteAddress ~fSD7 5.~~%
~ /7oC ~ Unit/Ste #
Description of Work ~ ~/Ni~~ -Sl9~G~~'~ '-S~%1s~-f/~ ~ ~J`m'°-'~ ~ ~-7~'~S~
er
Malti-Family Bldg _ Y~ Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~\~ti`e C_~tJ C Telephone # ( ~p ~
Contractor /~/'(/lS(C'.~ ~~is20 OLP~~n-~L
Address ?5rr'J ~ G~9-SLi li--~'T~ /~Z'fC'~ S~ City ~i?p/^r~/'6-?^i-c-+
State ~~L~ ' Zip .~~3 y~ Telephone # ( )
S' -~fftl"~-~3c70
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Enefgy Code Category , ResWentlal Ventilation Category 1 Worl~heet • New Energy Code Worksheet
(Jsubmisslontype) Submitted ~ Submitted
. Energy Envelope Calculadons Submitted
Have you previously constructed a building in Eagan with a similar plan6 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone ~
Mechanical Contractor Telephone ~
Sewer/WaterContractor Telephone#( ?
I hereby apply for a Residenrial 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 NIN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
~s~-~. 1~~_-y~
Applicant's Printed Name Applicant's Signature
~ 3~~`~ ~
2004 RESIDENTIAL BUII,DING PERMIT APPLICATION' \
~ a City Of Eagan $~Q=C~aU
3830 Pilot Knob Road; Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 , ' " ~ `
fhe
' p>,~-i=. = „~'y
NewConsWction~Reauire.ments RemodeUFteoairReauirements ~,L"-, _
3 registeied site surveys ahowing sq. R of lof, sq: R of house; and gll moted areas 2 copies of plan ~ ~
20%maximmnbtowe eallowed ~
I ~9 ) , 1aetMEneigyCakulapwisfw,healed,adtlNOns~ ,
2 copies ot plan showing beam & windrnv sizes; poured Tound desfgn, etc. ~ 1 si(e survey for additlons'& d~ic's ~ ~
1aetofEne~gyCakula6ons ' Addifion-irMkateQaraifesepflcsystem - ~ . . _ . -~"'_„~.i, ,
3 copies of Tree Preservaibn Plan~'rf ht plalted after 7M193 „ Y°`r J." ,:-ry ;
Rim Joist ~e~il Options seleG'ion sheet (bldgs witl~ 3 or less unlls ~ ~
. ~ ~~i~V'.1 Fy , i
Date IL ~ ~ ~ y
~ / I ~ / Construction Cost ~ /YL' . ~ ~ " ~
L ~ u.,~ _ _ 4
Site Address , ) ~ Unit/Ste",#i .
. ` y .
_ _
- • t' (t "1 A' ' ~ i't ~
M ~ .
' r l 4~ T`~ 1g+!... ~
+I ]p _ i7
Description of Work [~i u. `,~:_.A . a!.
Mu[ff-FamilyBldg _ Y ~ N Fireplace(s) ' _ 0 _ 1 . _ 2 '.,'~~~y~~~,,?,~'~'~~,
Jy~~~ , .
Property Owner ~1/Q U--~-P _ ~I ul " ~ ~ ~'P~le~~ )'.'-i~ ~~~'~~'~u.v~ ~
f ~ I~ ~ • ~z~.
^ ~ 4 ~ U ~ ` _ . P: " ` `
Contractor " !~'i~,i._ .-X::
X.-~t o ~
Addr¢ss ~ r- Y'--.••- v' x":" r
t; ~
State + '
~ M N Zip S~Ir~D Telephone:# ~~}F' ~J
- ~ #c.u.s.~}~--rs- ;rn~~~qp!~
, ' . . • ~.~~~'~~q~~ "`:`S~ i5c
' _ ' . ~.ji`'~""'~ 1~'r~~~~ Z..3~
~ `#l.H,. .L.-.. ~3' ~ !
• .~'n ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW~BUILDING ;x
. ' 'r . -,iii.'.~:'~,.~- -
~ ' -lF,o:-~~ :
Minnesota Rules 7690 Cateeorv 1 IGlinnesota'~Riiles 76~-2,; ~
Energy Code Category , - • i .
. Resldenpal VentilatiomCa 1 Worksheet • vNew;Ene Code~Worksheet~ y~•,
(Jsubmissiontype) Submitted - 'Sutimitted .'"~.-~,.r~~`.."`5~~:,r• .
. Energy Envelope CalculaGons Submitted , , . ~ ~
Mave you previously constructed a building in Eagan wilh a similar planZ = Y N, If so; .25~ plan~review
~ fee applies. ' -~N y ~ , ~
~,~5~;,~ ~
, " ~ k
Licensed Plumber Telephone ,~:J; ' *x:~
+
i.
Mechanical Contractor Telephone _ ~
`u ,
.~,.6', -
Sewer/Water Contractor Telephone # ( _ ) _
, ` i . `~a t.~ rx. * -
r~
4;~. ,'~`ys~~~~; ~,'~i'~ = , ' : "
°~,3,~~-~a~'
I hereby apply for a Residential Building Permit and acknowledge that the informaYion~is~+cqirtplete and~accurate;=:
that the work will be in conformance with the ordinances and codes of the City{ of Eagan~and~:tYie'?S'tate.of IvIN.;:
Statutes; I undershand tlus is not a permit, but oflly an application for a permit,,'arid;~vork~is~not;'to" start without a a
perinit; that the work will be in accordance with the approved plan in the case of work whicli~4iequires$"a*review and
aPFroval of plans. ~ ~ ,.a , ° =a
, • " k
~ CU551 C. M~ ~f ~ ~ ~ ` ~`~,/~i.~ n/I:Q:t~~ ~ . , ~ r ~ _
Applicant's Printed N , ~ : _
e Applicants Signature ~ ~`~,~,µa
:sk,
. ."n. f.{~~b1.:,~'>c Y
' ~i ~ . - Y.~1'.~~.R~~tjl:. ~lP~ , i'''''yf
- . ':~i.w~ ~°~e. i-b'.'
CITY USE ONLY I `3 ~ ~ ~
L 1L BL RECEIPT I~3~ g3
SUBD.' Gruw.n.~w[ ~(,~.e.d.c~ d4~ RECEIPT DATE: 3`/
. 1999 ~LUM$INH ~P~itMTf (~~SIDENTiFcI.)
. crrYo~ gws~?x
3$SO PII.OT KNOB RD
$AfiAN, MN 551 YE ~
(651) 691-4675
Please oomplete for. ? single family dweliings '
D townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
FIXTURES EACH ~ ~ T TAL ~ w
Shower 3.00 x =
Water Closet 3.00 x =
6ath Tun 3.00 x =
Lavatory ~ 3.00 x =
Kitchen Sink. 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x ~ _
Water Heater 3.00 x =
Floor Dram 3.00 x =
Gas Piping Outlet ` minimum - t 3.00 x =
Rough Openings ~ 1.5~ x =
Water Softener ' for dwellings under consWcdon 5.00 X =
Water Sokener • for e~usting dwelling 30.00 x =
U.G. Spflnklef ' for dwe~ling under const 3.00 ' _
U.G.Sprinkler ' forexistingdwelling 30.00 =
- - - - - ~ - - -
Alterations' to exiating resmence 30.00 =
Water Tum Around 30.00 =
Private Disposal System . ' MPC rc 75.00 =
(new and refurbished systems)
Private Disposal Systems " ,nbandanmene 30.00 =
RPZ (new installationlrepair) 30.00 =
STATE SURCHARGE .50
Reminder. Call 687-4675 for inspections of water haatere,
water softeners, alterations, etc.
SOTAL -~0• S~
-
I hereby acknowledge Nat I have 2ad tliis appliation, shate tliat the infortnation is corred, and a8~ ~~Ply with all applicable Cily of Eagan ordinantes.
It is the applipnPs responsibility to notity the property owner ihat the City of Eagan assumes no Iiablily for any damages pused by the City during its nortnal
aperetlonal and maintenance activities to Me fadlities consWCted under Ihls permit within City property/right-of-way/easement.
SITE ADDRESS: ~f~O ~ ~L~Tt~ ~
OWNER NAME: ~~~~T T(~~~Bl9uG ~
INSTALLER NAME: DeT~ ~ TELEPHONE -rs~~a~-
STREET'ADDRESS: c~~Dd G/f'~~°u.s /9/~ ~'s'%r `~D
CITY: ' d~Y/n6'ti~ STATE: _ ZIP: S-r`~9~
~
SIGNAT RE OF PE E
CDlPERMIT FORMS/RPLBG PERMIT (RES) -,1999 .
..y . . 1 y - ~ . . . ' : . C . " . ' ~ . . .
_ 1';: ".r.. r': i~lf..~~ ' ' ~ ~
. . .
"11~~_~. . ~r_~:~ . , ..~~.:.~'~.r ~ i - • ~'•r . ~ • . ~
CALVlN H. ~HEDLUND'...~:. - ' ; ,r'_::;~< ; ~ 7726 MORCAM AVE., so. ,
, ~ : ° . • MINNEA?OUS, MINN. 55423~
. . LanO.,Surr~yor n`~ ~Clril Enpin~~r ` - ' -
~ `t:..: PHONE NO. 866-2523
- ~ :ti" r~Jl ` i r~~ ' _ ~ . .~^I 1- , . ~ - ' ~
~ n.i.~. ..A,hK.:~:a,iY'~: • ~ . :4~• • •
. xt~`~ . ~ : . • ia. i . . ~ - . .
.:Src~rv~dr~ ert< <cate R~~°,J~ y-?,~~.~
s G'~~
,
'n .~s` '•r,kFj; ':YS.:_, ~;f. - . - _ ' . ~ .
= ~ : ~ -r~. - - . - _ : ~ , . ~oe No. az-ao
- J' ' _ . o
~ °,r +~~~~;r~~: , ~S~ ~ ~k39~ i
SURVEY : FOR? ::Zactunan'? Hanee, - . ~ , 'i _ . ~ i . . r •
~`vOESCRIBEDtA5~"~Lot,+.6',";.Block~l;;~~CINNAMON RIDGEs2ND ADDITIOIQ, City of Eagan, °
~
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. '.GERTIFICATE OR SURVEY' ~ ,
~ I Aer.,eby"rcertify'that o~~".,`j-,~,=`~$2_` ~~I~sur.veyed^,ttie property descriDed above and thaf
t~e~ "oboJe~ plat is •a. ~corroct; repr.esentofion-of"sald-suc,vey..
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"=z - , ~ ` ; ^ . . -Colvin H: Hedlund, Minn. Req. No. 5942
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' 3830 P.ilot Knob Road ' . . . I'. . , . .
Eagan MN 55722 ~ ` ` ;.I Date ReceNed; ~ . # f' '
Phone: (651),675-5675 - ' ~ I . „ ;
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• , , .1Fa~c• (657) 675-5694 • • " r,~,?.': i::s~a~: > ':I.
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~ 2009~RESIDENTIAL PLUMBINGPERMIT'APPLIGATION '
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Date: Site Address: • . . , ,
- renant: StevenClute =eSuite#~_ ' `
' 4507 Slater Road ~ ~ ~ ~ ~ ~
RESIDENT/OWNER Name: Eagan, MN 55122 " _+a'' , '
6514069104 ' >ne: , , _
Address/Ci /Zi ~ k~` ' ~ '
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t CONTRACTOR Name: NC1R1~1 C111A PI IIMR~IA~C`Cl "Licen'se.#: 'O~I`,ZI.~YI '
aea~sg: (612) 827-4033 =1, . ~ ~ - ° •
' ~~~ry: 2905 GARFIELD~AVE. SO.,~; s`tate:~~_.,•': , ':z~p: _ ~ :
Y ~y: o. .
, ~ ~ I NEAPOLIS, {1~IN
5~408: ~ - ~ ~ . • .
, Phone: - ~
' TYPE OF WORK _ New Replacement _ Repair _ Rebuild !_IModify~Space''~ ' ~'~N/ork in R.O,W ~ :'t
Description of work: 1 ' • "
v~%kte~''
. ; . , ; =
w ~ PERMITTYPE RESIDENTIAL ~ ' ~ -„'.i~,:~. ' ° `•,~t!'~•
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` Water Heater _ Water Softener . ; ~ ' r ~ - r; . ' ~ ,
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' Lawn Irrigation Add Plumbing Fixtures s~Y'
~ RPZ! PVB) ~ Main _ Lower'Le4ei) " ` ' - ~
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y . ~ a
_ Septic System _ WatenTumaround: • ' •
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New ' • . ~ ,
` _Abandonment • ' ~ ; ~ ~
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RESIDENTIAL FEES: , . . ~ ~ : .
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener.(i'ncludes $.50 State Surchaige) ~
$30.50LaWnlrrigation:(ncludes$.505tateSurcharge) °
~ ~ _ ~ . .
$50.50 Add Piumhing Fixtures, Septic System Abandonment Water Tumaround' (inGudes $.50 Sfate Surcharge)' - ~
'Water Tumaround (add $165.00 if
a 5/8" meter is required) ~ ' ' ~
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- . $100.50 SBptic System New ($10.00 per as built) (ncludes County fee and $.50 State Surctiarge) ~ ' : ' . ,
- • $90.50 Fi~e Repai~ (repiace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) , ; ` ; ' • ~ . ~ - , . '
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. ' TOTALr FEES $ • , ,
~ I hereby acknovAedge that this IMormation fs complete and aaurate; that the work will be iri confortnance.wkh the brdinances and codes of the City of
~ Eagan;~that I understand this is not a perm~, but only an application tor a pertnft, and work is~riot`to'~start without a pertnlt;~that the~work willibe;in ~
, accordance wlth,the approved~plan in the case of work which,requlres a review and approval of plans.~: ~
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, ApplicanYs Prin Name . A~icanYs Sign re. ' , - - •
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' CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
Receiveo
FROM
AMOUNT $ I
~ - p~ DOLLARS
~ee
~ CASH ? CHECK
FOR
FUN~ CODE AMOUNT
Thank You
~ ~ ~ eY
White-Pavers CoPv
Yeilow-Posti~g Copy
Pink-File Copy
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113733
Date Issued:09/06/2013
Permit Category:ePermit
Site Address: 4507 Slater Rd
Lot:6 Block: 1 Addition: Cinnamon Ridge 2nd
PID:10-17401-01-060
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 .
Eric Brehe
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 -
Steven J Clute
4507 Slater Rd
Eagan MN 55122
Aspen Contracting/asi
4651 Nicols Rd
Eagan MN 55122
(952) 583-2641
Applicant/Permitee: Signature Issued By: Signature
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