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4508 Slater Rd -.i' Receipt I MECHANICAL PERMIT Parmit No. - CITY OF EAOAN Fea ' Pill in numbered spaces S/C ~ Type or Print /egibly , . Tat. 1. Date j 2. Installation Cost 3. Job Address 'I' ` t ''Lot ' ' Bik. ' Tract 4. Owner ~ i ~ : : : ~ IIIG . 5. Contractor . ~ ' : ~ i~ ' • ' Phone 6. Address ~+~3~ C'_tic:i;ro : v~.. 7. City ~ , ' State ' Zip ~ ''.~r~ 8. Building Type: Residential ~ Commercial ? Institutional ? 9. Work Description: New L~ Add ? Alter ? Repair ? 10. Describe .rn,;t. _11 forcec3 c.i~~ hcat~ Fuel Type <;<-~• 11. No, ~uinment STU - M. Ea. No. Epuipment CFM ~ Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Qther AirCond. - 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 ~overning this type of work. Signed : for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 , c~r~r oF ~?c~?N . lTil'~ PIle1 !S:s~b Resd Eoyen, MN 55122 ~H~NEs 46~-l100 BUILDING PERMIT ~o ~ ~ R~u~~r # To M oad foe E~t. Value Dote , 19 Site /lddress Erect 0 Occuponcy Lot ~ Blotk Set/Sub. /Ilter p Zoning pa~~ # l~~~O Repoir ? Fire Zone Enlorye ? Type oF Const. W Nome . Move ? # Stories Z Address Demolish ? Length ~ C~ ph~ Grode p, Depth Sq. Ft. o N~ ApProvals Fees u~ Addreu Assessment Permit ~ Ci pho~ Woter ~ Sew. Surchorfle t PoNce Plan check °C Ncme ~ W Firo S^C /lddress Enp. Wuter Conn. tW C{ ~ ph~ Planntr Woter AAeter Council Road Unit 1 hereby acknowledfle thot I hove read this cpplicction ond stote that g~dfl. Off. the informotion is rnrrect and agree to comply with oll opplicable ^PC Totol Stote of Minnesow Stotutes and Ciry of Eo9on Ordinonces. Sipnaturo of Permittee A Buflding Permit Is iuued to: on ths exprest condition 1hn~ oll work sholl be done in accordante with oll applitable State ot Min~esota Statutes and City of Eayan O?di?ances. Bulldinq Official ~ TO~~ . . . _ CITY OF EAGAN ' 379! Nlef Kwor Roo1 Eapen, AA!! SS1~ PHONL: 454-8100 BUILDING PE~~~ Receipt # Te b~ w~d for Esf. Value ~ Dote , 19 Site Ihddress Erect ~ Occuponq Lot Block Sec/Sub. Alter p Zoninp pa~~ f 7~ Repoh ? Fire Zone Enlarye O TYpe of Const. W Na^~ lVbve ? # Stories ~ IkJdross Demolish ? Length p}~~ Grade ? Depth Sq. Ft. ~ Nome APProvah F~a~ Address Assessment Permit Ci p~~ Water d~ Sew. $urchor~e ~ PoNce Plon check oe ~Z NO^1° Fin SAC Address Enp. Woter Conn. <W G Phone Plonner Woter Mete~ Councii Rood Unit I he~eby acknowledge thot 1 hove recd thia opplicotion ond state thot g~~ the informotio~ is correct ond ogree to comply with oll applicoble StaM of Minnesota Statutes and City of Eagan Ordinances. TO~O~ Sipnoturo of Permittea A Building Permif Is fuued ta on tM axpress condition tha+ all worlc shall be done in occordonce with nll opplicable State of Minnesota Statutes ond City of Eaqan Ordinonces. Buildfnp Off{ciol Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fse • Fill in numbered spaces S/C Type or Prrnt legibty To~ 1. Date ~ 2. Installation Cost ~ , f 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor ~ Phone ~ ~ ~ _ , 6. Address ' ~ ~ ~ . + 1 7. City State ' Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ~1 Add ? Alter ? Repair ~ 10. Describe 11. No. Fixtures No. Fixtures ~ ' Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other ~ Laundry Tray Floar 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 Fi~al Inspections: Date Insp. Date Insp. This is your permit when numhered and approved. Approved CITY OF EAGAN 454-8100 Receipt PWMBING PERMIT Pe?mit No. ! CITY OF EAGAN - - Fee FiN in numbered spaces S/C Type or Print /egibJy Tot ~ ' 1. Date 2. Installation Cost ~ 3. Job Address ` Lot Blk. ~ Tract 4. Owner • ' i 5. Contractor ' z Phone " " . l ; . , : 6. Address ' . 7. City State Zip - 8. Building Type: Residential 0~ Commercial ? Institutional O 9. Work Description: New ~3 Add O Alter ? Repair ? 10. Describe 11. No, Fixtures No. Fixtures ` ^ Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner 5hower Well Kitchen Sink Urinal/Bidet Qther 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 F inal Inspections: Date Insp. Oate Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 ~ Receipt - MECHANICAL PERMIT Permit No. ~ CITY OF EAGAN Fee ' Fill rn numbered spaces S/C . ~i~ TypeorPrintlegib/y Tot. .'C:'.$~ 1. Date 2. Installation Cost , , , 3. Job Addressle.$Oo ~>7_~ t~ ~r . Lot-" Bik. 7 Tract ' 4. Owner 5. Contractor ~'r Phone ~~7 I f /"I -T'-• 6. Address , (~i:iC_.:'n `~~o. 7. City F''~"• State Z;p 8. Building Type: Residential ~ Commercial ? Institutional ~ 9. Work Description: New Add O Alter ? Repair ? 10. Describe -~~`i,~_11- t'„'c`-'c'. ii'. ' ~"~`fuelType 11. No. ~qujpment 8TU - M. Ea. No. Eauiament CFM ' Forced Air ~>>L~~'~~ Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other ~ AirCond. ~'%~~;`;iC ~,leCt:~i~. Mfg. Gas, Piping Outlets 12. I he~eby 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 F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks .~«/-/+r~~~~~'r` ~i~~ Addition_ CiNNAA1nN RTDGF. ~ot Pt 3 alk 4 Parcel ~o i~4oo o~ a4 ~ Q„w;,e,~UQVreM~ Ul. ;C. l,eirsh Gcr st,~: 4~iA8 Slater Road $~te Eagan, NIN 55122 , ~ ` • . a~" Improvement Date Amount Annu Years Payment Receipt Date STREET SURF. j 9 9 51 1 7 - - STREET RESTOR. - GRADING 1984 230.09 46.02 5 SAN SEW TRUNK ~ SEWER LATERAL 1984 1997. 42 399 48 5 * WATERMAIN 1954 5 ~ WATER LATERAL WATER AREA j * Services 1984 5 STORM SEW TRK ],979 iHH, g3 9.45 2O - * STORM SEW LAT 19 8 4 5 CURB & GUTTER SIDEWALK STREET l.IGHT WATER CONN. ~UILDING PER. SAC - PARK CITY OF EAGAN Remarks ~ ~~'~y~-~ Addition Ci.7xTlamOri Ridge ~ot Ft • 3 g~k 04 pa~~~ 10 17400 03I 04 pvwner ~1~~~ _`>~2e ~ ~41~ ~Ui ~~;P~' LD~streec 4510 Sla.ter Road state Ea,g.~n, NW 55122 ~41'111i~~CilL1 `il~ `y'~- ~r.lu.~ ~,~-t')~' Improvement Date Amount Annual Years Payment Receipt Date S7REET SURF. 198 7 ~ 8~2 __8 STREET RESTQR. GRADING 1984 23 09 46 02 230.09 COOSk29 5-3-83 SAN SEW TRUNK 1. 5 C00866 0- * SEWERLATERAL .~2 coo84z -3-$3 +t WATERMAIhf 19 5 WATER LATERAL WATER AREA * STORM SE{N TRK _ _ * STORM SEW LAT 19 8 4 5 CURB & GUTTER 510EWALK STREET LIGHT WATER CONN. - ~UILDING PER. SAG ~ PARK CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 I~<CLI V 6D FROM AMOUNT ~ I & DOLLARS ~oo ~ CASH ? CHECK FOR FUNO COOE ANIOUNT Thank You - ~~0~ B Y White-Payers CoDY Yellow-Posting Copy Pink-File Copy Thisrequestvoi~i ~~O C..~~`~ '~J t ~~(~/~/l i SV ? 18 months (ram ~ ~ ~ ~ T 6571_3 Requesr Date F~re No. Rough-~n Inspect~on 1 Requ~red? ~Ready Now ~Nnll Nc,Ufy Inspe~:- V~~s ~Nu tor When Reildy ~ Licfnsed Electricai Cunvactnr I hereby request inspection of a6ove ? Owi~r •~2 E, electrical wark ~nstalled at: Street Address, Box or Route No. Citv 4 08 Slate r ection o. Township Name or No. ange No. Counly Dakota OccuV~3nt IPRINT~ Phonr No, Puwe~ Supplier Add~BSs i Electrical Contractor ICompany Name) Contractoi's License No. Sunrise Electric, Inc. 39778-4 Mailing Address (Contractor or Owner Making Instailation) 4120 83rd Ave. No. Mpsl,Minn. 55~+3 Authorized S~gnature IContrado~ Owner Making Installationl Phone Number Keith R Hesli 566-8600 MIf+FNESOTA STATE 80ARD OF ELECTRICITY THIS INSPECTION HEQUEST WILL NOT Griggs-Midway Bidg. - Room N-191 gE ACCEPTED BY THE STATE BOARD UN~ES5 PROPER INSPECTION FEE I5 1821 University Ave., St. Paul, MN 55104 pti~~e ~q~_~~~i ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-(10001-03 ~ See insiructions for completing this torm on hack o~ yellow coqV. ~ ~~713- " "X'" Below t~rk~e~ed by Thrs Request N Add ReP. TYpe of Building Appliances Wired Equipment Wired Home flange Temporary Service Duplex Water Heater Liyhtinq Fixtures Apt. Buildinc~ Dryer Electric Heat~n Commercial Bldg. Furnace Silo Unloader Industrial Bidg. Air Conditioner f3ulk Milk Tank Farm Dther vec~ v otn~~~ isi~~-~:+tvi l w:r SUe~~~ty Other Other Carnpute Mspeciiun Fee Below b Fee ServiceE ceSize t7 Fee Feeders/Suhfeeders il Fee Circuits X Q Q~ ~ t An D to 30 Arn S 1 0 t~ 30 Am s 1 0 ps 31 to 100 Amps 31 to 100 Am Arn ~s Above 1 00_ Am ~s Above 100_Amps Tra inrmers RemoteControl Circ. . Q Partial OU~e Signs Special Inspection g 2~.0~ TOTAL F E~-7~d Renuarks Rough•in ~`~t`~ I, the Electrical ~ / Inspector, hereby r ~ ~ certify that the sbove Final ~ ite vL,~i / inspection has baen ~ ~ de. This request vnid 18 n~nths ironr Th~s request vold (Q Z~ ~ ~u ( ( ~ ~ ~ ~r,~ 1 ~ v ~ T18 ni nths from ~ ~j ~ ~ 657; ~3 ~ a Request Date ~ Fire No. Rnugh-in InsUect~on 10-1 gl fleyuired? ~Ready NoW}~ Will Nolity Inspec:- ~-@ ~Yes ?No tor When Ready Licensed Eiecincal Contractnr I herebv repuest inspectfon of above ? Dwner ~unrise Electric ~ 121C. electrical work installed at: Street Address, Box or Route No. CitY 4 l~ ectwn o. Townshfp Name or No. Range No. Coun1 . Da'~ota Occ~G~nt(PRINT) Phone No. Power Supplier Address Dakota Electric Electrical Contractbr (Company Name) Contrartor's License No. Sunrise Electric Inc. 39778-4 Mailing AdJress IContractor or Owner Making Insta~lation) 4120 8 rd Ave. No. M ls Miz~n. 44 Authorixed Signature iCuntractor~awner Making Lista)lation) Phone Number 3~eith R Hes1i THIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOARD OF ELECTRICITY 6E ACCEPTED BY THE STqTE BOAR~ Griggs-Midway Bldg. - Room N-191 iB21 UniversitY Ave., St. Paul, MN 551~4 UNLE5S VflOPER INSPECTION FEE IS o~__., ~a»~ ~a~_~~~~ ENCLOSED. CITY OF EAGAN SEIIVER SERVICE PERMIT 9795 Pilbt Knob Rood PERMIT NO.: Eegon, MN SS122 DATE: - Zonirp: ' ~ ~ No. of Units: Owner: ~:i c: i„ Address~ Site Address: ' Plumber: t' . ~ _ ' : i % 1 ~ _ 1'~''- • ~ ' ~ 1 a~n~ M eaaPy wiM t6s Cihr of Eayen ConnecHon Chorpe: y-~ 5- Oeaiaewe~. Account Deposit: „ - Pertnit Fee: • Surcharqe: " By Misc. Chorges: Dote of Irup.: Total: Insp.: Date Pcid: CITI' OF EAGAN WATER SERVICE PERMR 8745 Plloe Knob Roed PERMIT NO.: Eagan, MN S51~Z DATE: Zoning: ' No. of Units: ~ ~ Owner. :n~ _ !-y Address: - ; Site Addrocs ~'ni t B ~ Ptumber: ~ ; ~'t ; t + 1- ~ - Meter No.: Connection CharQe: - Stze: Account Deposit: Reader No.: Permit Fee: - " I agre~ fo wmplr wiH~ th~ Cif7r of Eogon Surcharge: Ordinane~s. Misc. Chorges: _ T,,3 Total: gy Dote Paid: Date of Insp.: Insp.: CI''Y OF EAGAN SEWER SERVICE PERMIT l79S Pilot Knob Re~ PERMIT NO.: Eagon, MN 55122 . _ DATE: . . Zoniny: - No. of Units: ` ~c~° ~ ; . pNrner: Address: ~ lrn'C i;p<i~~ Site Address: :~n1~ ~ L3 F.4 f;inne~^ . ~..;;~e r' ~,il i*:i, t r- Plumber. ~ r i _ , , Z " . ~ • , 1 prs~ to aoylp wNh ~he Cft~r of Ea9an Connectlon Char'pe: Ordinances. Account Deposit: Permit Fee: Surctwrpe: gy Miu. Cha?9es: Dote of Insp.: Total: I~.: Dote Paid: REQUEST FOR ELECTRICAL INSPECTION s;, E8-00001-03 See instruct~ons fnr compieting this (orm on back O~ Yellow copy. s-~ 1" 6 5 7 :1 ~X~~ Below Wo. ' Cc•~sred by This Request rC~~o~ ~ ? N Add Rep. Type o1 Build~ng Appliances Wired Equipment Wired X Home Range Temporary Service Duplex Water Heater Liyhtfny Fixtures Apt. Buiiding Dryer Electric Heatln Commercial 61dg. Furnace Silo Unloader Industrial Bl Air Conditioner Bulk hlilk Tank F2flll Olhef P('ci Y Ihur ~$Pe~:lfy1 t k~~ ~Si,r,~ ~ry Oiher oih,,, Compute lnspectic»~ Fee Below u Fee ServiceEntranceSize N Fee Feeders/Subteeders iJ Fea Circuits 0 to 100 Am ~s 0 to 30 Am ~s U to 30 Am s 101 to 200 Amps 31 to i UO Amps 31 to 100 Am hove 200 Am ~s Atx~ve 1 ~0_ Amps Above 100_fa~»P5 rai Remote Control Circ. Partial Other F r g , Special Inspection R r~s % ,wx : . . $ZH.O'~ TOTAL E j~ ~jL7 Rouph-in j' ~ D,ite ~ the ElectriCal ~ Inspector, heraby ` LGf'~ aT i l Eertify that the above Final r ~'~-'i U:3le inspection has been * ~ ~ de. ~ This requesi void , ~~nnths fin~~ CITY OF EAGAN Ng 6 912 ~795 Pilef Kneb Reed Eagan, MN 53112 _ PHONEi 434-BI00 BUILDING PERMIT ttece~pt # ~~~-3 Te be o.~e ro. 1/2 DUPLEX ~.~ai,x $51,000 DOLe October 1_~y 81 Site Address 450g Slstes ROSd Erect Occuponcy R'-3 Lot 3$ Blxk see/s~b. Cinnamon ~(~E Alter ? Zonirp ~~1 Pa~~ # 1~ 030 04 .(,~,n,c-,-$ Repalr ? Flro Zone Enlarga ? Type of Const. v ac Nome ~Ct10flII HOIDeB~ Inc. ~qp~e ? # Stories ~ Address 77f~0 Mitehell Rflad Demolish ? Length~_ Ci phone 937-9520 Grode ? Depth_~-Sq. Ft.- o Name Qpr~gr Approrab Fae~ =u Assessment Permit 2g~-~n Address Cit p~M V?uter & Sew. Surchorge 25.~~ Police Plan check 1G3.00 ~w Nome , Fire SAC 525.00 ~w Addrex~ E~p. WaferConn.335.(~(~ • ~W C~ pha~ Plcnner WoterMeter . Councll Rood Unit ~F~5_(lfl 1 hereby ackrwwledge tFwt 1 hove read this opplication and stote thot g~dg. Off. the informafion is correct and ogrea to comply wlth oll oppiicoble APC Tofal ~1559.~ State of Minnewto Starutes and Ciry of Eogan Ordinonces. ~ $Ipnature oi Fermittee A Buildirg Pertnit Is issued to: ~CI'UII8I1 HO1ReS TIS on the express condition ~hnr all work shall be done in occordance with ull applicabl tote o n sota Stat~ond Ciry of EaOOn Ordinonces. Buildirp Officiol ~ ~ CITY OF EAG~N , Include 2 sets of plans, , 1 site plan w/elevations & ~~l BUILDING PERNtZT APPLICATION 1 set of energy calculations. 2 ~ 9/~~/~ 'Ib Be Used F Valu tion ~~GM`d Date Site Pddress: p OFPICE USE ONLY Lot sl«-lC sec. /sub j_ ` rect,~_ o~c~~pancy L-" ZJ~ 3c~ ~t_ ----~ter Zoning C~/ Parcel ~ U ~ ~ Repair Fire Zone N O.mer: Enlarae 'L~ of Const. Nbve # Stories Pddress: %-7 De~rolish Front ft. Grade Depth -~ft. City/Zip Code: ° Pno~ ~ 3"7 - I So~ r.ePao~s ~ Contractor: ~ Assessaients Pe~mit ~s(e rO Water/Se.er Surcharge Address: Police Plan Check _ ~ i°-° Citv/Zip Code: Fire SAC " ~ Phone k: ~J• Water Conn. ~ ? ~ pl~,~ Water Meter - Arch./Ehg.: council Road unit ~ tf~ Bldg. Off. Pcldress : ~ City/2ip Code: I ~ , Phone f: 'PO`I'AI' ~ ~ ~ ~ b~ / / ~ CITY OF EAGAN N~ 6513 , ~ 7795 Pikt Kaob Reod Eugan, MN SS1'l2' - PHONEs 45~-8100 ~ BUILDING PERMIT Receipt # Te M wed ~or 1/2 DUPLEX Est. Vo~ue $51~OOO~i- Dote 0.ober l , ~9~L Site Address ~r.5~ fl Sl atar RoBd 6ect ~ Occupanq ~3 Lot Block 4 sec/s~b. Cinnemon R{dge Alter ? Zoning R-1 Parce~ # 10 030 OL ~l-1~~~ Repo~r ? Fire Zona Enlaroa ? TYPB of Const. V W Name ZBCilIDflR Homea Inc ~ ~~e ? Stories 3 Address 7760 Mitchell Road Demolish ? Length~~ b Eden Prairie pnorb 937-9520 G~ode ? Depth_.~_Sq. Ft.- CI ~ Noma ~ler ApPromlt Fae~ 0 Z~ Assessment Permit ' ~ Address 25.~~ ~ Wafer 6 $ew. $urchorge c~ rr,o,~ 143. o0 Police Plon check ~w Nume Fire SAC 525.~~ ~ 335.00 x~ Address Erq. Water Conn. <W Ci Phona Plonner Woter Meter ~•00 Council Road Unit 1g5.~~ I hereby ocknowledge that I have read this application and stote that g~dq. Off. . the informotion is wrrect ond agree to wmply with all upplicable APC Total $1559.~ Srote of Minnesota $rotutes and City af Eagan Ordinances. , Siqnature of PertniMee . A Building Permit is issued to: •fl . mai~ HpIDas f Inr _ on tha expresa mndition thm all work sholl be done in accordance with oll applimbla State of Minnewta Statutes and Ciy of Eapon Ordinances. Buildirq Official . ~ ~~~~3 ~ ~ `~Y CITY OF EAGPN Include 2 sets of plans, , 1 site plan w/elevations & 2~~1~ ~ BUILDING PERMIT APPLICATION 1 set of energy calculations. ~ ~a 'Ib Be Used Fo Val~tion Date Site Pt:dress: ~ OFFICE USE ONLY Lot ~{a-~31ock ~ sec./Sub~~ ld reet Occupancy ~P3 ~ C~3a O `~A3ter Zoning / Parcel o Repair Fire Zone Enlarce Type of Const. Owner: ~~e ~ Stories Pddress: D~?~olish _ Front Qy ft. Grade Depth y ft. City/Zi.p~ Cocle • ( -r APPROVALS ~''S Phone # : 9~ .7` ~ ~ ~ Assessments Pezmit agl ~ Contractor: P3dress: Water/Sewer Surcharge Police Plan Check~ City/Zip Code: Fire 5~ - water Conn. 33 S ~ Phone ~ Water Meter ~ ~eQ~ Planner Council Road Unit / $S Arch./EYig.: _ Bldg. Off. Pddress: ~ City/Zip Code: 'iC~pL ` ~Jsq' r O ~ Phone - • y RESIDENTIAL ~ ~ BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55'122 651-68'I-4675 Naw ConsWCtlon Reouirements RemodaVReoair Reauirements • 3 registered site surveys showing sq. k. ol lot, sq. ft. of house; and all roo(ed areas . 2 copies of plan (20°/a maximum lot wverage allowed) • 1 set of Eneryy Ca~culatbns for heated addiGOns . 2 copies of pWn showirg beam & windaw srzes; pau2d found desgn, etc.} . 1 site survey for ezlenor additiw~s & decks . 1 set of Energy Calculations • Indicate "rf home sened by septic sysiem for additions • 3 coples ot T2e Preservation Plan i( lot platted afler 711793 . Rim Joist Detail Options selecGOn sheet (bidgs wdh 3 or less unAS) 1 ~j DATE / f/(~f/~Il~~ ~o~ VALUATION ~~/~3l') SITE ADDRESS v ~CGt' / ~l^ ~OCl~ MULTI-FAMILY BLDG _Y _N TYPE OF WORK ~u r~r,i G( ('/!'LS ~/y/'Pe~ !l~ds~ ~ FIREPLACE(5) _ 0 Y 1_ 2 Fi`re~O 1 a~.~ a~ rc,v~ C<-~Crs !i~ 2 Exi s frhJr APPLICANT o c 1'~~(7V'v~ Qv' ~/9l~i~c0 ~`hC~S/'r~<~ STREET ADDRESS ~~5 G UJ • f/ P CITY • Y SU I~ STATE~31P S.5^ 3 TELEPHONE # S~- ~ CELL PHONE # FAX # PROPERTYOWNER~rFee,~-1/1(~y~ d~0~/X19V1 TELEPHONE#~S~-~~~`~~19~ COMPLETE FOR ~NEW" RESIDENTIAL BUILDINGS ONLY ~ z ~ ~ r~_ Energy Code Category MINNI:SOTA RULCS 7670 CATLGORY 1 YITi>;~~SOT.A-R~LES 76 - ~ I' i,. (d submission type) • Residential Ventilatlon Gategory 1 Worksheet Submitted New Enerqy Code Workshee1t~S~bmitted . Energy Envelope Calculations Su6mitted •'.i I1 ~ll 1~ 2~~12 I 1; U !I Plumbing Contraetor: Phone # ~!E ' _ _ ~I Plumbing sys[em includcs: ~Vater SoEtencr Iawn Sprinkler Fee: $90.OU Water Heater No. of R.I. Baths \`o. oF Baths Mechnnicol Contractor. ~~J` E S ~~C~ ~(~~I/~w PV Phone #~~~.~/~~v~~ Mechuticsil system includes: _ Air Conditioning ree: $70.00 Heal Recovery System Sewer/Water Contractor. Phone # . I hereby acknowledge that I have read this appiication, state that tfie information is correct, and agree to comply with ali applicable State of Minnesota Statutes and City of Eagan Ordi ces. SignatureofApplicant ~`~~~dx~. - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 ~~li CALVIN H. NE~DLUND g~~ord Av~nu~ Sou~n BteOnilnpron,Minn~aota 55a3i ~.una surv•re. cIr11 [n~InN? PDOU~:es!-2o90 ; ~ ~'111~G1J01"8 ~~1,~l~Q't~ , ~ - I J~ N0. 25l SURVE~ FOR~ zachman Homea OE5CRI8E0 AS~ Lot 3, Block 4, CINNAMON RIDGE, City~ of Eagan, Dakota Cowty, Minneaota, and reserving easementa of..record. ~ S 38°I2~22°E ID0.00 °131. 6 ~ 31.8 932.0 ~ N ~ S~ I 5 ~ ~ Beseroe+++ Floor = 938.9 i. ~ 6araye Floor= 93$,2 I i Preposed Eleve}ionS G7 f EKiStin9 Elevs4iona ~ ~ f ~ DenoteS Drainagt _ w Denotes L.et Co.ner O M i 50 ~ ~ ~ j F 38. ~`23-~ ~ 3 g -i ~ g~ 2 ~ 24' I" ~ ~ ~ ~ ~ UN~7\~ ~ ~ ~ i~ u8~~ A,•~ N N /~O~T , ~ N~ . y SfaKes \ ~ eecu+wooe gass~~ ~ ~ >~D~O S~dkeS ~ ~ ~ Tiu Tlu ~ ~ ~ ~ ~~GAR. GRR~O ~ L_.. : c? ~ ~ _ ~Z~~i~ 2 ~ i_c: - 4 1 aZ 3,, ~ , i ~ ~ 5~ ~ W M ~5 435.q ~ Q p g 935.1 ~ ~ L'- /00.00 N38'/2 ~22" W ~ I ,o ' °~_'3,5~, gLATTEl2 DRIVE 934:8 CE(~TIFICATE bF RVEY I h~repy certlfy tAat a~ g-23-S! I wrv~p~d 11N prop~Mp Mserib~d obove and that ~ the o0ove plef is o corr*et re~es~nfofion W wid survey. ! 7 ~a.`tr-•-- ~d. . 7~3 s~u,..~ E Colvin H. MeAlunO. Minn. R~ Na 5942 ~7~ ~ ~a. 2~07 RESIDENTIAL BUILDING PERMIT APPLICATION L'~ City Of Eagan 3830 Pilot Knob Road, Eagan N1N 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ~ New Gons Wction Reouiremenfs RemodeVReoair Reouiremenis O~ce Use OnN 3 regislered site surveys shoxting sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joisfs CeA of Survey Recd Y N (20qo muimum lot coverage allowed) 1 set of Energy Calculatlons for heated additlons Soils Repwt _Y _ N 1 SoNS Repoe if proposed building is to 6e placed on dis(urbed sal 1 site suney for additions & decks Tree Pres Plan ReW _ Y_ N. 2wpiesofplanshowingbeam8windowsizes;pouredfounddesign,etc. Addifion-indicafeifon-sitesepticsystem TreePresRequired _Y _N 1se[ofEnergyCalcula6ons Oo-siteSepticSyslem _Y_N - 3 copies of Tree Preservafion Plan if lot plaHed after 7l1f93 Rim Joist Detzil Options sdection shee[ (6uildings wiN 3 ar less units) . , Minnegasco mechanical venfilaiion form Plans are considered public information unless ou state the are trade secret and the reason. Date ~ / ~t~ / ~ Construction Cost ~ ~O O. ~ r Site Address 5^U ,S{ ~~~I TE / rd UniUSte # Description of Work ' r' Multi-Family Bldg _ Y~ Fireplace(s) ~D _ 1 _ 2 PropertyOwner ~UC ~ur.nJ~~ Telephone#(~,S! ) SC'6a.=~('70 Contractor S'P~'r ~ ' pddress City State ~ Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING ~ - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category , Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet submission type) 5ubmitted ~ Submflted . Energy Envelope Calculations Su6mitred In the last I2 months. has the City of Eagan issued a permit for a similar plan based on a mastei plan? - , Y _ N If yes, date and address oi master plon: 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 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. c ~ J~.~t~1C, / F~-- ApplicanC's Printed Name Applicant's Signatu~ ~ ~ PERMIT ' Control No. o O 7 U CITY OF EAGAN ~unnxN~ 3830;Pilc*'rts~ob Road PERMIT TYPE: Permit Number: 000074 Eagan,Minnesota55123 03 20 92 (612)681-4675 Datelssued: ~ ~ SITEADDRESS: 4998 SLATER ko LOT: 012 BLOCK: 4 CINNAMON RIDGE DESCRIPTION: Buildi;rng Permit Type PORCH Building"Work Type ADDITION Co~nstruetid~f~~,7ype VN r ` Buildi~g Lengtk~ 16 Building Width ' 24 l ; 9 s 1. i fE r i~,. f. t}'t, 4 . , i ~ ~ ~~i, j ~ d t ~ '7 ti[.]~ t t~ , " ~ REMARKS: Q, ` e D~~9~1 FEES MMARY: va~unTloN ~ia,eee Base Fee 5189.00 Plan Review ~122.85 Surcharge $9.00 Total Fee $320.85 , CONT~~CTOR: - Applicant - QWNER: N ON WM 18941475 NEWTON WM 4498 SIATER RD 4498 SLA7ER RD EAGAN MN 55122 EAGAN MN 55122 (612) 894-1475 (612)894-1475 I heretry acknow~ledge Chat I have read thais epplication and state that the informatiatt is correct and agree to comply with al2 applicable State of Mn. Statutes snd C3ty of Eagan OrdTnance~. ~ ~ ~Cti~-- - ~ APPLICANT/PERMI~ IGNATURE ISSUED BY: SIGNATURE Use BLUE or BLACK Ink r----------------- I For Office Use ; Permit Ron City of EaRd I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: ; Phone: (651) 675-5675 f I Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: 7>uC 1,.. 1LJG Phone: , f 2-5?03--e30 3 Resident/ Owner Address / City / Zip: S0 $ S ~a ~vr I-C4 M /V 3_1 of Applicant is: Owner Contractor Description of work: yl Type of Work Construction Cost: Multi-Family Building: (Yes /No i Company: Contact: Contractor Address: City: i { State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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 then 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.clopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X_ ~cr c_ ~un~fJZi x lzc Applicant's Printed Name Applicant's Sign e Page 1 of 3