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