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4509 Slater Rd ~ CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD ~ ~ 1 EAGAN, MINNESOTA 55122 DATE 19 R!C<IYED FI~OM AMOUNT ~ I Q ~OLLARS ~oo ? CASH ? CHECK ~ rOR FUND CODE AlAOUNT Thank You B Y White-Payers Cop Yellow-Posting CoPY Pink-File Copy CITY OF EAGAN Remarks CINNAMON RIDGE 2ND 7 1 IO-17401-070-01 Additlon Lot Rlk Parcel Owner ' ' Street 4509 SLA'fER ROAD State i . ~ ~ , , • ~ ; Improvement Oate Amount Annual Years Payment Receipt Date STREETSURF. 19 4 2 93 185 39 5 926.93 C008?24 10-15-83 STREET RESTOR. GRADING 1984 268.44 53.69 S 268.44 C0084U7 2-23-83 SAN SEW TRUNK 19 3 5 3$ 28. 48 AD11186 6-21-82 * SEWER LATERAL j~84 2330. 32 46b. ~6 5 Z 8 7 2-23-83 * WATERMAIN 1984 $ WATER LATERAL 1NATER AREA g 36.68 * Services 1984 5 STORM SEW TRK 1979 318. 80 15 . 94 20 255. 04 " " * STORM SE1M LAT 19 84 5 CURB & GUTTER ~ 51DEWALK STREET LIGHT ROAD UNIT 240.00 #29779 4-26-82 WATER CONN. 420. 00 " " BUILDING PER. 1 SAC PARK • Receipt x•' ' J PLUMBING PERMIT Permit No. CITY OF EAGAN ^ ^ Fee ' ' FiII in numbered apaces S/C Type or Prin[ legibly • - Tot. 1. Date '~17"''' 2. Installation Cost i.nr.a~on 3. Job Address `'1~1 <i r ' •Lot ~ Bik. ~ Tract~i~l~~~ "n ~ 4. Owner '-zct~r. - - .".ar;ut ?'lt~?~.1~•. n ~r _ i 5. Contractvr Phone B, Address .'.J•`~7 OakqrPeri t\~e. '?o. 7. City t' 11: ,3 r ~ r State Zip " 8. Building Type: Residential Q Commercial ? Institutional 0 9. Work Description: New ~ Add ? Alter ? Repair ? 10. Describe ~ 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield / Bath tubs Septic Tank ~ Lavatory Softner Shower We~~ 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 ordinanQes;and codes governing this type of work. Signed : for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee ' fi!! in numbered spaces S/C ..r• U TypE orPrint legibly ,t, r;. Tot. 1. Date 7'" 2. InStallation Cost ,1 3. Job Address - ~ ~ ' ~ • Lot ~ Blk. ~ Tract _ , . ~ . f 1 4. Owner . . , . _ , f 5. Contractor - ~ Phone 6. Address ~~'-3 1 C!~:ic _~r~. :.o. 7. CitY , State ~ • Zip - 8. Building Type: Residential ~ Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. pescribe ~ 1 _ ~•e~ '~3' . . : ~ Fuel Type 11. No. ~ui menr STU - M. Ea. No, Equipment CFM i Forced Air Air Handling: Mfg. _ Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. ' Gas, Piping Outlets 12. I hereby certify that.tfie above information is true and correct, and I agree to comply with all or inances and codes governing this type of work. Signed : C for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved ` CITY OF EAGAN 454-8100 se~ , CITY OF EAGAN ~ ~ ~ • !7!S ?ilot Knob Road Eoyan, MN SS142 ' , ' PHOHE: IS4.6100 BUILDING PERMIT Receipt # To b~ w~d for Est. Volue ~nte 14 Site Addrcu Erett ~ Occuponcy Lof Block Sec/Sub. Alter Zoninq pa~~ # Repoir ? Fire Zone Enlorye ? Type of Const. W (Vame _ ~ ' ' Move ~ # Stories Z /lddreas Demolish ? Length ~ C; p~~ Grnde p Depth Sq. Ft. ~ APprovols F~ss p Nams u~ Addross Assessment Permif Water 8 Sew. SurcFar ~ Cit Phone - ~ Police Pian check F W Name Fire SAC Address Enp. Water Conn. iW Ci Phone Planner Woter Meter Countil Rood Unit I hereby ocknowledpe that I hcve reod this application ond stota thot Bldp. Off. the intormation is correct and agree to comply with oll appliccble Stofe of Minnesota Stotutes and City of Eagon Ordino~ces. Totol 5ipncture of Permittee A Bullding Permif Is Issued to: on fhe express conditfo~ thn~ oll work sholl be done in occordonce with all opplicable State of Mlnnewto Stafutes and City of Eepon Ordino~ces. Buildlnp Officiol INSPECTI~N RECORD CITY OF EAGAN PERIIAIT TYPE: ~ r~~~ 3830 Pilat Knob Road Permit Number: . ; ~ Eagan, Minnesota 55123 Date Issued: : : . : • ~ ~ { (612) 681-4675 SITE ADDRESS: APPLICANT: 1~i i H~ ri; F , ~',~5~+ ,I fi l! I~' I~1~ I:11: 1~~rJ t! 1 f f) ~ i nlNAPI~~~~ r; i ~~~~i r~r~ r r, << , ,~.~.~t:~ PERMIT SUBTYPE: TYPE OF WORK: i~; ~ t t~i ~ i . . ~ ~ ~ r~~~ ~ ~ ~~r,i ~ ~ ~ ~ C?TY Gf EAGAN SEWER SERVICE PERMIT g795 Pilot Knob Read PERMIT NO.: Eogon. MN 561?~2 DATE: Zoning: ' No. of Units: ' Owner: :r' •~4,- - Address: Site Address: fa - ` :_-.ters ^n;~. - - ~ . - Plumber. . - - ~i; _ - ~ , . I agroe to eamplq whh t4s C1hr of Eago~ Connection Chorge: - ~ Ordinanees. Account De posit: Permit Fee: B Surcharge: Y Misc. Cho?ges: : Oate of Irisp.: Tataf: ~ Insp.: Dote Paid: ~~n Q~ EAGAN WATER SERVICE PERMIT '?9S Pifot Knob Rood PERMIT NO.: Eagan, MN 55122., T-- DATE: ~ Zoning: " No. of Units: - Owner. _.c;trt:t.~ - Address: Slte Address: , . . . . ~ r , T:r... ,:i _ Plumber: ~ Meter No.: Connection Charge: ' ~ Size: Account Deposit: Reader No.: Permit Fee: 1 e9ree to oomply wi}I~ Hie City of Eaga~ 5urcharge: ~i„°°~. Misc. Charges: • ' ' , - Total: BY Dute Puid: Date of Insp.; i ~ CITY OF EAGAN N° 7196 9793 Pilaf Knob Reed Eagcn, MN bS122 - ~ ~ PHON[: 454-8100 G 77LJ Receipt # BUILDING PERMIT ~ ~ ro ~ n..a Fo. SE' DU1G/GAR en. vai~ $44.000 oare ~il 26 , i 9~ Site Address 4509 Slater Fnad Erect ~ Occuponcy R-3 ~or -L e~«k seo~s~b. ~ Ridze 2ndn~fe. ? zo~in9 (PD) R-1 Parcel # 1~ 17~~- 0~~ ~l Repalr ? Fire Zone ~ Enlaroe ? Type of Const. ~ a~ Nome ~C~ ~~T~'3 Move ? # Srories ~ Addresa 7760 Mitchell Road, ~mau~, ? Length~ Fden Prairie ~,o„~ 937-9520 Grade ? ~epth ~S-Sq. Ft.- p Name ~~pT Approrals Faes Z~ Assessmenf Permit o~ Address O Water 8 Sew. Surchorge 24.5 Clt Phone Police Plan check ~w Name ~ Fire SAC ~25•~ ~W Address Enp. Water Conn. 4 0"~ u ~ W C~ - ph~ ~ Planner Water Meter h~1 _ nn CAUncll Road Unit 7 I hereby ncknowledge thot 1 have reod this upplication and stote ihat g~dg. Off. the inlormotion is correct and ogree to comply with oll opDlicable APC Totol ~ Stote of Minnewto Statutes and City of Eogan Ordirances. Slynoture of Permittee ~ ~ A Building Pertnit is issued to: Achm3 on the ezpress mrditloo thnr all work sholl be done in accordonce with al ppli St Mlnn to S~a es and Ciry ot Eapon Ordinances. Bulldinp Official ~ ~7 i. ~~y~- ~(J CI`I'Y OF EaGA^i Inclt:de 2 sets of plans, 4 1 site plan w/elevations & BUILDIVG PE?.^1IT PL N 1 set oi energy calculations. ~~w~ 'ib Be Used For QV/a~luation ~ Date G~-- Site Pddress: ~1 . ~ OFFICE bSE ONLY Lot 7 Bloc;c ~ sec./sub. Erect ~ Occupancy - 3 Parcel I~ (~~U~ U7U Ol d~ ~ter Zoning YD R- ! ~ Repair Fire Zone Owner: En1as'ce _ Z~pe of Const. ~-~'t^" Nbve ~ Stories p~cLess: ~-7[n(~ /'Yl C~~~i~ ~ Kl'~ ~+'~lish _ Front ft. _ , ) Grade Depth j' ft. City/Zip Cocie• ~I7Al Phone ,~7-7 J~o2l.~ RPPROUALS FEES Contractor: ~ Assessments Pezmit ~ 7~ PddKess: Water/Sew`r Surcharge Poli~ Plan Check ~ 9~ City/Zip Corle: Fire S~ ° ~t 7 ~ g~. Water Corn. ~ Phone ply~~ Water *~ter ~ CounCil Road Unit ~G~ Arch./f~g.: Bldg. Off. Pddress: ~ ~ City/Zip Cede: REQUEST FOR ELECTRICAL INSPECTION q-~ EB-00001.03 ~n~ ~~..1~ ~;See instructions for completing this forin on back of yellow copY. ~ 1 ~y "'X"' BeJow ork Covered by This Request ~vl s d Add Rep. TVpe ot 8ui14ing ApAliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. 8uiiding Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank Farm Other ~ea y Dther (Specify~ t~er SF~ec~ y ther Othe: Compute lnspectiun Fee Below k Fee ServicaEntrenee5ize p Fne FeederslSubfeetlers N Fee Circuifa 0 to 100 Am s 0 to 30 qm s 1`.Zs 0 to 30 Am 101 to 200 qmps 31 to 100 Amps c 31 tn 700 Am s A6ove 200 Ahove 100_Amps A6ove lOG-Am s Transf ~ers~ RemoteControl Circ. FartiaVOth s ,F~ Special Inspection ~7 Remarks +c " S^ u o TOTAL F E3[^'~ Rough-in Dat , the Electriwl . ' - ? ~ S 1 / nspectar, hereby Final { u, certity that the ebove ~ti_ 111]'pBCtiOn hA5 bBBfl m2da. This request voiA ~ 18 monihs trom ' . This re~t vo~d S ~ `1 C~ nh ~ ~ ~ ~ O 18 nxnith:, 13~ 6 ' 3~ ~ sa Raquest Date Fire No. RouOh-in InsUecGOn y~. / RequrteA? QRcatlY Nuvy~pp Will NotitY Inspec~ l ( Yes ?No ror When Readv ~Lice~sed Elec[iical Con[rac[or I hereby request inspection of ebove ? Dwner electricol work instelled n[: Street Address, Box or Route No. Ciry g5U9 S4/~T~ CA GA~ ecuon o. Township Nnma or No. Range No. County l~Ar< 0 7'q '~1.I{p~an[IPflINT~ Phon~a7 No. O ~T~GIJv~+v ~0 ~w~ r~7 ~v ~ Power Supplier A ss K G Q'A l~ ' Q ~ n/G'T Oti/ Elec[rical Con[ractor 1 mpany Namel C~~ntractor~s License No. " ~C4' cC. ~ N in0 P.tldress ~Contractnr or Owner M inp Ins[@il_ationl 3 U~~vo rs ~ ii:'. cs .555/3 2 th ' ed Siyneture ( tract Owner Making Insta118lioN n(e} Number (y'~ L X f C / MINNESOTA ST E BOARD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT Grigps-MidwoY BIdO~ - poom N-791 gE ACCEPTED BY THE STqTE 80AHD 1827 Universitv Ave., St. Peul, MN 55104 UNLESS PNOPEfl INSPECTION FEE IS .,A ~y~ ENCLOSED. ~ ~ ~ ` y z 1 \ 0.;.: i - ~ 9 2 ~ ~ a ~pi / ` ~ ~ "'~F :'sn~ v _ w 'i~c-i'c F „ `S1 % f~~r#i#irtt~r o# (1~rru~ttnr~J F ~ ~ F ~Citp of ~agan ~ ~ ; ~ , ~ ~ ~r}~ttrtmrnt n# ~ui[~ing ~ns}ier2iun ~ ~ ~ ~ : ~ Tbir Certi fi~att insred Qartuaru to !bt ngwremrntt o/ Secrian 306 oJ the Uni/orn+ Building ) t`v Code rnti f png that ct tJx time o~ ittnarut thit sn~uture uaf rn cmn plionre witb tin variowt \ 4': ordinaruu of tlxL"itr ttgylaling bailding ronnsurtion or ure. For ilx (ollmuing: Y' ~ 1 ~ S%~ ~ ~ i Y~I ~~~m SF DWG/GAR &a4h~No 7196 ~ ' R3 Vn NA R-1 (PD) ~ ' . ` OcmPrPTYR '7YP~Cmwctlm Fln~•,••• ZowigDinnci Y Q„w~s~~2achman Homes, Inc.,~,a,,,7760 Mitchell Rd., Eden Pra - ~ ~ ~„~,m4509 Slater Road ~,,a;,,LOt ? Slock 1,Cinnamion Rid~~ ~ ~,i ~ ~ ~ ~ 2nd - / ~ - / V. ~ ~a June 17, 1982 ~ ~ - ~ ~ \ ~ _ ~ ~ .o.. . ~a ~ ~ ~I ~ ° .~~~~z-c~~u-r~---T°_ = ~'r ~ i ~ ~ , ~ s m . a~ ,.w ? .a C ~ "r' . . :~..,4, . ',v„ ,y., ~ ~i. ~ ~ - :~a . ~.e[z : . _ ~ 1 " " ~,._i ~ . v l ~"o~o.:.e~ - r ~ s o. ~~~..ae~1B.a•V~IV H. HE~LUND 7726 MORGAN AVE. 50. 4 - MINNEAPOUS, MINN. Ss42+ s~~veyor Gvli Enyfns~r PHONE N0. $66-2523 ~ ~ ~ sr~rver~o?r~s G'ertlf "~te ~ ~ ~ ~~e~.~ ~ JOB N0. 7~ 62-21 ~ ~3~5 I SuRVEV FOR~ ?achman Homes. , DESCRIBED AS~ Lot 7, ffiock 1, CInINAMON RIDG~ 2ND ADDITION, City of Eacran, ~ Dakota County, Minnesota, and reservit~g easementa of re_r.oz~i. I - I f Top.of Fo~.,da+;o~ = q42,3 ~ (935.9 , . ~esement F'loor=... q39.1 ~ 30 y . ' raers9e Flnor • 94 L q ~ i I 1`~~•`~ Proposed Efevaiions G7 ` 939.2 I ' Io I l0'0 Exis+in9 Eleva+;ons - ~ ~ S{4~~`= S`~ Dr~~naye Direction ~ ( ; Denotas Lo+ Co~~er O ; ~ ` Q ~ ~ ° o I e~,,,~. g'~ 1~ e~ ~ ~ ~ ~~~i . In I ~ V/~ f . F- ~ , ~ ' . GY l ~ , ` ~ Q ~ ~ ' a, 7oi - ~ ~ + ~ ~ ~ z' ti r` ~ J ~ ~ A 0 ~ Ib'~ ~ ~ N ~ ~ ~ T Sfia~keS . qoc ~0 1 ~ ~ ~y ~ ~04 Mo 3d t ' \ ° 42.69 ~o ` ~ 437.1 438.3 ~ H ~ ~ ' , ;s ~ SL+P,7ER OAD I 436.43 - - ~93i.B4 937.64 + ~ ~ ~ ;~RT'IFICATE OF SURVEY ` hcre6y certify that on ¢~i¢~S~ x surveyed the prope?f.y descriDed above and that ~ -~m anove plot is a correct repreaaefofion of sald survey. _ ~ ~/~-.tsZ ~ Coivln H, Hedlund, Minn. Req. No, 8942 " 8, . . _ r . ' PERMIT ~2 ~ ~ CI~Y GF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U I L D I N G Eagan, Minnesota 55123 Permit Number: 023928 (612) 681-4675 Date Issued: g 6/ Z 0/ 9 4 SITE ADDRESS: 4509 SLNTER R~ L07: 7 BLOCK: 1 CINNAMON RI~~E 2N~ P.I.N.: 10-17401-070-01 DESCRIPTION: 6uilding~•Permit Type DECK ~Building LJor-k Type NEW ~ l ; / ~ ~ ~ / ~ ~ , r- ~ ~ i'W ~ . ~ ~ ~1(~/~r L ~A ,v.,,- \;r t i a e; -~f(' r--~~- r-.; ~ ; ~ ~ ~~'~;I~ ~C~~~~t~~~,.~j~~~f~1 u - ~ REMARKS: FEE SUMMARY: Base Fee $39.00 COPIE5 $2.0~ Surcharge $.50 Total Fee $32.50 5ubtotal $30.50 CONTRACTOR: OWPIER: - Applicant - BURTON KEITH 4509 5LA7ER RD EAGAN MN 55122 (612}435-3500 I here-4y acknnwled e that S have read this appli~atior~ and state that the ' informati is corr c and agree to comply with a11 appTicable State of Mn. ~ StatuCes n' ~ of E gan Ordinanees. ~ _~loc1~ R ~:r,Ll ri?.tf APPLICANT/ MI EESIGNATU ~S~SUEDe SI ATUR - - - 71~TQDL'!''TTlIAT ~L'!''!ll?Tl ' CITY OF EAGAN ' 1994 BtJILDING PERMITAPPLICATION ~32,~0 ~3~~ 681-4675 ~G ~6~~-~a SINGLE & MULTI-FAMILY 2 sets of plans, 3 re i ed site surveys, 1 copy of energy ca]cs. JUN 1 5 1994 COMMERCIAL 2 sets of architectural _str.uc~Lrat.p,]~?g 1 set of specifications, 1 copy o . Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3} ]ot change is requested once permit is issued. Date L~J ~1 ~ / L~ /~I- Valuation of work Z-,~~, Site Address:_ ysO~ s~{~~["~~ ^ STREET SUITE # Tenant Name: (commercial only) LOT BIACK SUSD.r~~~~ i P.I,D. # ~ Descri tion o~ work: ~ L~ The applicant is: Owner ? Contractor ? Other (Deseribe) Name ~V~[7Vl Phon ~~~~~~`~g Property LAST FIRST W~ 3L"-, ..?J'~'~ Owner qddress ~S~ l S ~ ~ ~ STREET STE M City ~ a~ 5tate Zip z~ Company ~ ~ ~ ~G Phone Co ntractor Address License # Exp. City State Zip Company Phone Archttect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have rea this application state that the information is correct and agree to comply with al plic State of innesota Statutes and City of Eagan Ordinances_ Signature of Applicant: .-,r`VIN H. HEDLUND 7726 MORCAN AVE. 50. MINNEAPOLIS, MINN. SSU2 s + S~~~eyo~ CIvU Eoaln~~? PHONE NO. 866-2523 ' surve~ror~s Gert~, f "~cate ; > JCB NO. ~ 52-2~ i 3•L5 ~u4vEY FOR~ ?.achman fiomea_ , ~ DESCRIBED A5~ ~t 7, Blxk l, CILnNAMON RIDGE 2ND ADDITIoiQ, City of Eaaan, i nakota County, Minneeota, and reaerviT?g eaeementa o£ rACOrci, i I Top ef Feu.,da+;on ~ `~42,3 ~ 935.9 ~asamer~t Floor+ . 934. 1 ~ 30 . - , ' t+~rye Floor. 94Lq ~ M r proposed Elevalions C~ ~o ( /o~Q ~ ~ 939.2 Eais*~n9 Eleva+;on s- i ~ S+akeS - ~ fl~iina9e Direttion I ~ ~ D6no~e3 Lo+ COrncr O I i ~ 1~ I Q ~R ? ~~p ' ~ $ ~ g~f 1~ . I =1 ( ~ d' I T / 1N A1 I 4/~ ~ W r ~ ~ ~ ~ I ~ ' i A` ~I _G'Y - I ~L ~ ~ ~ ~ i ~o'~ N ~ - - ,~s, ~ ~ Sk~kes qD~ 4 0 ~ 30 L---J/ ~%y t~ ~,~\„7 ~ = 42.b9 ~o ~ ~ 4371 438.3 N SL~TER OAD + 436.43 ~9~t.E4 937.84 ~ ~;3TiFIGATE OF SURVEY ! ereby cerrify ~har on 4~i4~9t I surv~yed f~~ prop~rty dncribed obove and thot ! onove plot is a correct reprtsentatfon of sald survyt. ~~,L._:_ ~/-~-...s~ Cotvln N. Htdiun0. Minn. Rep. No. 5942 ~~~~M~~~~~~~~~~*~~~a<~~~~~~*~~~~~~~~~~*~ r„ITY OF 4.nGFl~ L'ASNI:[Fte S i'E:RtfINAi_ t~l0~ £3i'4 DATCc 03/c~/99 1'IMF.: 13a;#A~.°,3 II~ ; t~~AP1F: RANDY ESSWC.T.N s~~a ~on:~ 450~ SLATkR fiL~ 2.(]~ 321.? ?00~. 4503 SI_ATE:Fi FiA 9i.c5 t 7ota7. fi?c~i.p+, Amo~mr,~ :j'~.?5 Cfi i0R 394 USLR ID: NANCY ~i ~iX~~%%c~F%~m~k~kXcX~%~%~~t~KXcXc~~X~k~k~:~x~~%~kXc~%~%~~X~X~X~z~~~%~Xc ~ PERMIT City of Eagan Permit Type: Building 383~ PILOT KNOB RD Permit Number: EA034800 EAGAN, MN 55122 Date Issued: 03l24/1999 (651)b81-4675 Site Address: 4509 S later Ad Lot: 7 Block: 1 Addition: CINNAMON RIDGE 2ND Description ` ~~,~u£ ~~G..,:~.. Sub Type: Single Family ~ UBC Occupancy: Work Type: Reroof - Construc6on Type: Description: - Zoning: . . fi~iY-. Census Code: Additio~/Bsmt fin/Decks/Poroh ~ Sqi~ e FeeY.:ym„r ~ ~ ; t~ H _ ~~F u~~~ ~ a~ ~13i3 ~sw~ tv-"ewt , ~ i ~ ~W ~335?'~ ._.~:p41}~1fmR' ~ q Remarks: Fee Summary: State Surcharge 2.00 Valuation: $4,000.00 Base Fee 9Z25 $99.25 Contractor: - nppi;~~c - Owner: Randy's Residential Roofin St. Lic.: Hung Pham 1509 W al~ut Street 4509 Slater Rd Hastings, MN 55033 ~ 612-414-0308 Eagan, MN 55122 651-SOS-0905 ~ I 6ereby acknowledge that t 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. "~-""~'~-~c "-~I ~ ApplicanUPermitee: Signature Issued By: Signature 1999 BUILDING PERMIT APPLICATION ~RESIDENTIAL) Jy g U~ 3830 PILOT KNOB RD - 55122 ~`l c~ 651-681-4675 ~ ~~~~~nl New Construction Reouirements RemodeVReoair Requirements ? 3 regislered site surveys showing sq, k. ollot, sq. k. ofhouse ? 2 copies of plan and a71 roofed areas (20% maximum lot covereae allowed) ? 1 set ot energy calculations for heatetl adtlitions ? 2 copies of plans (show beam & wintlow sizes; poured fnd. design; etc.) ? 1 site survey for exterior add'Rions 8 decks ? 7 set of energy calculations • 3 copies of tree preservation plan H lot platted aker 7/1/93 DATE: ~ ~ CONSTRUCTION COST:~~IvUO, L/~c7 DESCRIPTION OF WORK: ` (~C~// STREET ADDRESS: ~O S ' , LOT: BLOCK: SUBD./P.I.D. v~ o~ ~~v~L~-. ~ ~ ~ ~ ~ ~ Name: ~ l i1ilil / 7~~{~Yr ~ Phone f~ ' ~SU 2s ^ ~ PROPERTY F~~ 04~'NER ~5~~~ ~ ~ ~ Svcel Add s: f1 O// Cin' State: --_L~_ c L~PO / ~j1~~1 I ~ ~ Compa~n~:_L~C ~~Y_ vt~Phone Jl: " ~ =Q-f1~ CON'I`RACTOR / ) Street Address: ( ~ /G iLt Lf~(" • _ Ircensc ti „10/~/ r9 ~--E~p. ~ Cit} -t~~-.(~~ State: d~'/ _ ZiP: ~ ~ ARCHITECT/ ENGINEER Company: Phone Narne:-- Regisvation ~i: Svicet Address: _ Cit}' Sta[e: Zip: Sewer & water licensed piumber (reauired for new construction oniv): Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowiedge that I have read this application, state that the information is corcect, and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ' Signature of Applicant: ,~l1~ti_ c _ OFFICE USE ONLY . ~ / Certificates of Survey Received _ Yes _ No ; ~ i 1'~ 2 4.~ ;I I~ I L!L__ Tree Preservation Plan Received _ Yes _ No _ Not Required f ~ City of Lap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: Permit Fee: Date Received: Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing I Sewer & Water Date: //VAilii Site Address: q -o 1 6/41-er Ail Tenant: Suite #: RESIDENT / OWNER Name: hi! A GJ ))01,i.IA h Phone: (o /2 —870 e -71/20 /- Address/City/Zip: 'fs09/4/-cc r ,• CONTRACTOR Name: Ni v >‘.1, License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) Sump Pump Repair Repair Other: Other: DESCRIPTION �. Description of work: i/ i i i / „ , 1 .,L. , , 'ir /.S5up So s`y"') W4 k.i, dta ins /o Atlesri yr a o re_. .Shrx FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.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. x '' 1 &.eq AM �'i• %kVj A Applicant' Printed Name xa,(, Appli 's Si naturefr FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Final PERMIT City of Eagan Permit Type:Building Permit Number:EA121578 Date Issued:04/08/2014 Permit Category:ePermit Site Address: 4509 Slater Rd Lot:7 Block: 1 Addition: Cinnamon Ridge 2nd PID:10-17401-01-070 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Bruce Bauer 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 - Aliya Khazon 4509 Slater Rd Eagan MN 55122 (328) 328-7996 Bauer Restoration Inc 9302 Hulett Ave Faribault MN 55021 (952) 200-3436 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162054 Date Issued:06/24/2020 Permit Category:ePermit Site Address: 4509 Slater Rd Lot:7 Block: 1 Addition: Cinnamon Ridge 2nd PID:10-17401-01-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Muche A Mekuria 4509 Slater Rd Eagan MN 55122 (612) 505-0137 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 Applicant/Permitee: Signature Issued By: Signature