4514 Slater Rd
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, CITY OF EAGAN N~ g399
' 7795 Pilet Knob Roed Eegan, MN SS111 •
~ PHON6: 4S4•8100
BUILDING PERMIT Receipt # ~
~ ~7
Te M wed fer 1/2 DUPLEX & GAR yoi„e $55,000 Dote August 19 , ~q 83
Site Address 4514 Slater Road (Unit B) Er«r R-3
4 4 Cinnamon Rid e lst ~ ~~U~~~
Lot BI«k See/Sub. g Alter ? Zoning CPD) R-2
Pa~~ # 10 17400 040 04 Repair ? Pire Zone NA
Enloroe ? Type of Coast.- V
rc Name Zachman Homes, Inc. Move ? # Srories
~ 7760 Mitchell Road ~
Address Demolish ? Length Z6
Eden Prairie p,o,x 937-9520 Grade ? Depth 4z Sq. Ft.-
a No~ Owner AvV~orela Feas
s~ Address Asseument PeTi1~ 27.$0
~ Cit p~~e Water 8 5ew. Surchorge
Police Plon check 149.00
~w Name Fire SAC 52$.~~
~W 450.00
Address Enp. Woter Conn.
iW Ci Phone Dlonner WoterMeter 60.00
Council Rood Unit 250.00
I hereby acknowledge thot I hove read this application ond stale ihat g~dg. Off.
1he informatio~ is correcf ond ogree to wmply wfth ali opplicoble APC Totol $1759.50
$tote of Minnesota $tatutes ond City of Eogon Ordirwnces,
Signoture of PermiMee
ac man Homes, c.
A Building Permif Is iuued to: on tha express conditlon thn~
oli work sholl be done in accordonce t oll apv~~~ are of Minnesota Sfatutes and City ot Eogan Ordinances.
Buildinp Officiol ~ -
_ _ . .
SS~.. . ~ a
. ~ ~3a R .
CIT1C OF &?Ga;~ Inc_uae 2 sets oi p2~-~s,
~ 1 site plan w/eIevaticns s
BUZL~I?vG PE~'~IIT AP°LICATIO~iI 1 set oi en_rgy calcuZa;
i.ons
~"z Dug~~@~ C~a l~ ~ ~ 8 sS. ooa
~b Be Usecl For i ~ Valuation ~ Date June 23, 1583
Site P~.a~tesS: 4514 Slater Road, d~.(~i'-~ g
• . OFFICE US"~' 6\T.Y
LOt .4 i~ Block 4 Sec./SL~_ Cinnamon ltidge~£,.ect pcc~~panc~, ~~j
Parce7.' I~ I~.~'C OO B y O Q~ Alter ZoninS . ~-~on
. Repair Fire Zor.e
Qr7ileY: Zachman Homes, Inc.' . . ~ E~-~4e Oi COnst. ~ ~
bbve ti Stories
P~dtess: 7760 Mitchell Rd. .~olish Front a €t,
City/ZZp C~e_ Eden Prairie, Mn. 55344 Grade Deoth </,2 ft.
Phor.e q~~-95~n APPF20"vAIS . . . F"'crS
CAntsac~Or: c,~P ac above ~ ASSes~ntS Pezmit ~
~9~-.
Fc?dress: hTater/Se~r Surcna,-ce > .t??
Police Plan Cneck J L
City/Zin Code: Fire g~ - ~ ~
Phone ~1= Water Corn_ ~YSO ~-"0
Planr!er j4ater 4'~ter /
y~ ~
Arcn./Etig.: Council P.oad Unit
same as above ~ SO
R~ctress c Bldg. Off -
A°C ~ -i -r'~Q ~ eS0
cirr oF EncaN N° 8400
9795 Pilot Knob Raod Eagan, MN SS121 •
~ • ` PHONE: 454-8f00 ~
BUILDING PERMIT Rece~pt # -~~r'~_
Te 6e wed h~ 1/2 DUPLEX & GAR Est. Value $49,000 pate August 19 ~q 83
4516 Slater Road (Unit A) Erect Occupancy
Site Address R-3
Lot 4 Block 4 Sec/Sub. Cinnamon Ridge lst A~rer p Zoninq ~pD) R-2
Porcel # 10 17400 040 04 Repa~r ? F~re Zone NA
Enlorge ? Type of Const. V
~ Name Zachman Homes. Inc. Move ? # Sro.ies
~ Adaress ~~60 Mitchell Road pe,,,olish p Length24
den Prairie pF,o„e 937-9520 Grode ? Depth 42 Sq. Ft.-
p Name ~1eT AvO~avok Fee+
Address Assessmenr Permir 278.50
~ Cit p~~e Woter & Sew. Surchorge 24. 50
F Police Plon check ~
39.2~
uw Name
FZ Fire SAC 525_00
Addrem Eng. Water Conn. 450.00
i W Ci Phone Plunner Water Meter 60. 00
Council Rood Unit ZS~.00
I here6y o[knowledge that I hove read this opplication and state thct Bldg. Off.
fhe informotion is correct and ogree fo comply with all applicable APC Total $1~z~.25
$tote of Minnezota Statutes and City of Eogcn Ordinonces.
Sipnoture of Permittee
Zac man Homes,
A Building Dermit is Issued to: ~ on tho expreu condiHOn ihm
oll work shall be done in accordance with a~ licable St ~ Min wto Stotutes ord City of Eapon Ordirwncez.
Buflding Officiol ~
. ' ~~+~+.ae.....-.a..~."an•+a:
r,e!n^r :i^i~ -a.;s'
.
_ _ , _ 1~'~~
~ ' . . • ~ Vo d - .
O- ~ CITSC OF F.?C~:~ Inciude 2 seEs of ple:-~s,
~j~~l o~ 1 site plaz w/elevaticrs~& :
BUZLDI~G PF.RNLLT PPPLTCATIO~V 1 set o~ er~xgy calcu2a`ions.
Zb Be used For ~ b~•.P\@ G0.~` ~ O~i /
Valuation Date June 23,'19a3
Slt2 PGd7CeSS: 4516 Slater Road, ~ ~l.tn~~~} ~ O~j~ USE O\?,Y .
IAt 4~ B10CiC 4 S2C_~SL'u_ Cinnamon Ridger~eCt ~ p~~~
Parcel Y- _LO DC~ pl~p . C'rC~ Alter ZoninS._ _ R~-
_ Repair Fire Zor.e ~ ;
Onmer: Zachman Homes, Incr E~~~'e oi Const.
r~~'e r Stories
F~dxess: 776o Mitchell Rd. .(~,~olish Front ay ft_
City/Zio God2; Eden Prairie, Mn. 55344 Grade Death .t~~ ft.
Phone n-t~-qs~n APPfYJVF1LS F'~
Contrzctor: Gamp a~ abov~ ~ Assess~nts Permit ,~78~'!
Pr3dress: h'ater/Se~.r~r Surcn~-ce a y.~
Police Plan Cw~cx /,3 9 -a
~
City/Zio Coce- Fire SAC s-a'~-
Phor.e f: II~g:. ' S~Iater Corn_ y5d -
PTanr.er T~Tater n'~ter
Arcn_/~q.: same as above Council P.oad Urut olSO
F~.'dress: Bldg. Off. gq ~R'~
~ A1bC i`7a`7 ~ a5
This reques[ void ~
,8 ~~~hs 1~33 - 23 8~
4`~ 253 ~ o ~ ~ ~ r ~ Q.; A,u~. • ~~ra-~'
ft999{{{111uest Date Fire No. Hough-in InsVection
l/, ~ Re~red? ReadyNUw~WiIlNOtifYlnspec-
~ ~ ~L ~ es ?NO tor When ReadY
~ Licensed Elechical Conhactor 1 hereby raqaest inspection of abova
? Owner electrical wwk iastatled at.
SVeet A~dress, Box or Poute No. ~ Ci~~ ~
~ 4 SCA~~~.
ectmn o. Township Name or No. Range No. County
D ~o
Occopant iPRINT) 9 ~ Phone No.
R•.r ~'#~!~IFiS ~n.C, ,~S - f`
Power Supplier Addr ss
OqtCU~ E~~GP~r~ C"v"0~' AR /NG4`0/J
EI ~ical Contractor Company Neme) Cont~actor~s License No,
NE ~c~c4-Z« ~ 466 ~
MailinB ~+ddress ICOn r ctor or Owner Making In aila[ioM ~
3 U .v o~K wooo , Qc,~s ~N~I,~`~3 2
Auth ized S~gna(ure ontr IodOwner Makine Installati Phone umbe~
~ ~
MINNESOTq ST TE gOAN~ OF ELECTRICITY THIS INSPECTION pEQUEST WILL NOT
Griggs-Midwey Bltlg. - Room N•191 gE ACCEPTED BY THE STATE BOARD
1821 Universiry Ave.. SL Peul, MN 55104 UNLESS PROPEH INSPECTION FEE IS
Phone (612) 29]-2111 ENCLOSEO.
y,'a„'~'1~~ REQUEST FOR ELECTflICAL INSPECTION Ee-^^ ' na
~
? See instructions far completi~g [his twm on back ol yallow copY.
~ ""X" Be/ow Work Covered by This Request d~
AAd XeO~ Typg ot Building Aap~~ances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Buildinq Dryer E~ec[ric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Parm ther Peu y Oth¢r ~Snecifyl
thtv ueci y thc~ ~ Oth~r
Compute Inspection Fee Below
k Fee ServiwEntranceSize N Fea Feetlers/Subfeetlers # Fea Circuils
0 to 200 qm s- 0 to 30 qm s 0 tn 30 Am s
A6ove 200 qm~s 37 to t0U q~nps p 31 to 100 A s
~ Swimming Pool Above 700_Am s Above 100_A.mps
Transformers ~rrigation Booms Partial-'Other ee
Signs Special Inspection S
emarks ~ OTAL
L~RT A A~ ~ c~ ~W i ti U Mfi Q.
floueh-in ~`~Z_ I, eha Ele ' el
Insoector, he~aby
certily that the abave
Final i11e 'nsoection has baen
0 . mede.
thiatepueetvoidl8monthsirom ' ~
,~~es „o;d µ~j(o~(3 s/Zo/~y
Ie~monms aum
A• 5 2 e~ G le< <,c~- ~ ~ ~
flequ¢st pe~ Fire No. Rouph-in Insper. ion
NeQUiretl? ~y(' ~'RaaAY Now ? Will NntitY. InsPe~.
~,7~~y ~~J-$4 • ?Yes ~VO Ior When PeaOy
~~ncensetl Elec[rical Cmtracto~ 1 hareby requesx insoecHOn at xbova
? Pnner electrical work iristalled aC
Street Atldress, Box or floute'No. Ciry ~
4514 S2a,te~r. Raad E an
ecuon o. TownSAip Namn or No. nye No. Caunry
OccvpantlPplNT) Phone No.
ZRCI2tYKCVt
Power Supplier Aetlress
Elecbical Convactor ICompany Neme) Contraclor's Licensa No.
Eae.ton ~Qec.t~u.c Co. ' -040079-4
Mailin9 Address IContrector or.Owner Makinp Insmilationl -
652i E. 110~th S.t. Pn.i.on. Lahe MN 55372
Aut~orized Signeture 1 on[ract r AAakirq I~laliationl Phone Number
MINNESOTA STATE BDAPO OF EIfCTRICITY THIS INSPECTION NEQUEST WILL NOT
Grigys-Midwey 61dy. - Room N-187 ~ BE ACCEPTED 9Y THE STATE BOARD
1821 University Ave., St. Peul, MN ~700 UNLESS PNOPER INSVECTION FEE IS
~Plwne 1612~ 2972111 ENClOSED.
" 7J NEQUEST FOR ELECTRICAL INSPECTION ee-ooooi ~a
y~4 `t. ~ Sea instruclims far eo~bti~q this twm on back oi Vellow copy. ZO t YjI.~I
A` ~ ~ "'X'" Belo Woik Covered by This Request
Ad Reo. Typa of BuiltlinB Applianees Wiretl Equioman~ Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
; Cortmercial Bidg. Fumace Silo Unloader
Industrial Bldg. x Air Conditioner Bulk Milk Tank
FBfRt ~M1e~ Oac~ ihei (Spar.ifyl
t / Veufy t Oih~r
ompute lnspection fee Below
k Fee ServiceEntrenceSize p Fea FeeAers~S~bieatlars L! Fee Circuita
U to 200 Am 5 0 to 30 Am s 0 in 30 Am
Above 200 qm - 31 m 100 Amps 31 to 700 q
Swimmin Pool Ahove 100-Am s Above 100_Am s
Transfortners Irtigation BooRS ~ Partial~~Other Fee
Sig~s Special Inspection S
1O.SO T~ L FEE
pemarks ~R ~
flouph-in Date ~,tha Elaetrical
Inspector, ~ereby
cartify thn[ the above
F~'~~ ~^b insDection has been
(~1' . '/d'~+~ [-a ~aa.
TNa~epueatw1018monNS~mm ~ '
/M ~0'9 6
6 ~ ~ ' ~
j~
~o
Requeat ate ~ Fire No. Fough-in Inspection NOTICE: Vou Must Call Elechical Inspecmr
10 11 93 Rea~~red? II A Pough-In Inspec[ion
~ ~ ?Yes ~ No Is Pequiretl.
I~1 licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or RoNe No.) Ciry
, 4516 Slater Road Eagan
Seqion No. Township Nama or No. Raige No. Counry
Dakota
Occupanl ~PRINT) Phone No.
Bill Funk 890-5604
PowerSupplier Atldreas
Dakota Electric 4300 220th Street 43.
Eleclrical Controc~or (COmpam~ Name) ConVaclor5 Licenae No.
Joos Electric AM01895
Mailing Atlaress (CoMraclor or Pxne~ Making Installa~ion)
3980 Beau D' Rue Dr. Eagan MN 55122
AuthonzeE $ignaWrs (Conireclor/Owne~ Making Inslall ' Phone Numbe~
688-6180
MINNESOTA STATE BOAPD OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT
C+riggsMltlway Bltlg. - Room S1]3 BE ACCEPTED BY THE STATE BOARO
1821 Univerelty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phane (81R) 602-0800 ENCLOSED.
~ G+~ REQUEST FOR ELECTRICAL INSPECTION ~ ee-oaam-oe
~ ~ See insimctlons for comple~ing ihis form an bflck ol yellow copy. /i/i~~v
> `f"~`"rl
9 616 ~l" BeloW Work Covered by This Request
ew Add Rep.~ Typeafeuilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Wa[er Heater ElecVic Healing
Apt. Building Dryer Load Management
Comm./Indusirial Furnace O~her (Speciry)
Fartn Air Conditioner
ONer (specity) ConVacrorS Femarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trans(ormers Above 200 _ Amps Above 700 _ Amps
SIgfIS Inspeclor5llse Only: _ TO~L 5.
1
Irrigation Booms ~J . ~
Special Inspection
Alarm/Commu~icafion THIS INSTALLATION MAV BE OR D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Ro~qn-m DatB
t
certity that the above inspection has F;,,ai ~y
been made.
OFFICE USE ONLY ~
This request witl 18 monihs hom
•n;s ,Pq~as~ ~o~a 1, ~ g ?~L~ Q~
is ~„o~~ns ~.am 9 ~ e, ~/V ~ ~ ~
~ C ~ • l ~ ~L ~/Ie 0
N s~-Data Fire No. Rough-in Inspect~on
p Ne<urtetl? ~Readv Now ~ Will NotifV. InsPe~r
~I~j(. ~ ~Yes ?NO ~urWhenfleatly
/y~~ icensed Elec[rical Convactor I hareby requestinsoacuon ol above
~J Uwrfer electrical work installed at
Street Addsess, Box or Route No. City
. J ~ 1D ~ 'T'~IZ I ~ ~ ~Q ~
ecLOn o. Township Name or No. H~nee a. Cnunty
~
OccuoAnt IPpINTI Phane No.
N'~ o ~ ~s 5- I Y
Po er Supplier Add~s
A 1C o t`l~ CLCi cQ-Y( i c. C~ -U~O E-A R~, ~ NC 0 N'
Electrical ConUactor IC ipany Name) Contracm~'s license No.
2~ z~ Q~t0 6G C
Ma~ inp Address /IGo~iractor or Owner Makin~g)~ Instaila[ionl 2
, U I`, N O~.( (JUV lV ~ ~ I NN Eq OU S~ J~-
uth 'zed Sie~~w~e (Co ctor ner Makiny Install ionl Phone Num~er
~ /
MINNESOTA ST E BOAAD-OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT
GrigBS-Mitlway Idg. - floom N-191 BE ACCEPTED BY THE STA7E BOAXD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phane (812) 28]_21t1 ENCLOSED.
u~ 9~g~ REQUEST FOR ELECTRICAL INSPECTtON EB-OWOI-O,
7 ' See instructions far comple~irg this fwm on back o1 Yaiiow copy. ~~1 / O
~ 2 5~ "R'" Below Work Coveied by This Request i~~
HAd p. ype o1 Buiitling APO~~~~cea Wired EqaiDmaol Wired
Home H:~nge Temporary Service
Duplex Water Heater Ligh[iny Fixtures
Apt. BuilAing Dryer Electric Heatin
Commercial B1Ag. ~ Fumace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tunk
Farm tner oeo eher 1SUCCify1
i Ar uecify ther ~ O~hei
ompute lnspection Fee Below ~
p ~ Fee ServiceEnlranceSixe q Fae Feetlers~Subfeeders p FeA Circuits
0 to 200 qm s 0 to 30 Am s e~ 0 t~ 30 Am
Above 200 Am ~s 31 to 100 Amps 31 to 100 q
Swinunin Pool Above 100_Amps Above 100_P.m ~
Transtormer5 Irrigation Booms . artial:`Other Fee
Signs Special Inspection ~0~~ C~/t
Ra marks TOiA
~c.(a114 AL~ ~ TWl~ [t0u~
Rough-in ~ ? Dat
tha ical
~ `+`~J~r~ ~ ~ InSpacloq ~B~BCV
~ - cerUry that the xbove
final ~ ~ J, iJ ~I~e~~ spaction hes been
~t• L. lY made.
t01e reQuest vo~a 18 monihn trom
~ 9 37 . ~~a~a~
R quest 0 Ie C~ Fire Na. Rough-in Inspection
Re iretl? G ReaOy Now ~ili Notity Inspecmr
~~Ves ? No H'hen Fieatly?
1^ licensed contrector ~qwner hereby request inspeciion of above electrical work at:
Job Atltlre s IStreet Box or Rou o.~ ' ~ Ciry
~/(a ~ a~er
SectiSn ko. iownship Name or No. Fange No. County
Occupent IPRWT~ PM1One No.
f un I~-
Power Suppliar • qtltlress
ElecVic I Go haclor ~GOmpeny Name~ ConVactor's Licanse No.
~~I.~, /L/ ~
MaiM1ng Atltl ss ICOnira<tor or Owner Making Instella~ionl
bo ~ ~
Aul~oriietl SignaWr ICOnlramor~Owner Mekmq ~n allalion~ Phone Numbe~
~ ~ 8'92-ys9S
MINNESOTA STATE BOAHD OF EIECTRICITY tHIS INSPECTION REOUEST WILL NOT
Grigge-MlCwey Bitlg. - Poom Sn3 BE PCCEPTE~ BV THE STqTE BOAFO
1BY1 Unive~alry Ave., 51. Paul. MN 55104 UNI.ESS PROPER INSPEGTION FEE IS
Phon¢~Bt2)642-0800 ENCLOSED.
9 q~ REQUESTFORELECTRICALINSPECTION ~~~0~0~/3
? See InsVUCtions for completing t~is ~orm on back o~ yellow copy.
d 3 9 8 3 7 ~ "X'fBe/ow Work Covered by This Request ~;ti~ q~~ ~f
eW Ad TypeoiBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
~ Duplex Water Heater Electric Heating
Apt Building Dryer Oihec-(Specify)
Comm /industrial Fumace
Farm Air Conditioner
• O~~er (syecity~ ConVatlor's Remarks:
V~l,r'ag~
Corppute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Cirouits/Feeders Fee
Swimming Pool O to 200 Amps 0 l0 100 Amps
Transformers Abova 200 _ Amps Above ~0o _ Amps
SignS Inspeaar5 Use Oniy: 7pTAL
Irrigation Booms G ~ ~
Speciallnspection ~ ~ -
Alarm/Communication THIS INSTALLATION MAY B ORDERED S~ONNEC7ED IF NOT
Othar Fee COMPLETED WITHIN 18 HS.
I, the Electrical Inspector, hereby Roiq°"" ~ l
cartity that ihe above inspection has F;,,ei p o
been made.
OFFICE USE ONLY ~ ~F,r'?~L'
c
Tpis requast voitl 1B moni~s Irom .
~ . C177 OP EAGAN ~ '
~796 Pilet Kno~ Rood Eogon, MN 5512! . `+7
PHON[s 464-9100
BUILDING PERMIT ' Rece~.r. '
Te M wed fo. Z~~ LiLi'T::Y ~j ~'~~A Est. Value $5~,';~'0 Dare ~'~~ust 19 _ 19
4.. .~f ~ ater ~.aau n t
Site Address ~ L Erect Occupancy ) f '
Cin:?aY~~eri F.iuRe lst p~
Lot ~ Block ~ Sec/Sub. Alter ? Zoning ~
Parcel # i~ 174;'CI l't~u ~4 Repoir ? Fire Zone '~A
~:actiman. omes, nC . Enlarpe ? Type af Const. ~J
? Stories .
Z Ome 776~ ''`itchell ~oad Move 'F
~ Address Demolish ? Length
C~ :..~n r'r.:i.ri_e 937-9520 Grode ? Depth Sq. Ft.
~~i t'~ E 2 Appraval~ Fees
p Name
a:,v.
o~ Address Assessment Permit ~
~ Woter & Sew. Surchn~ge ~ ~ ,
Cit Phone Polite Plon check
~°C Name fire SAC
~W
Address Eng. Water Conn,
~W C~ p~ Planner Wnfer Meter
Council Rood Unit "
( hereby ack~owledge that I hove reod this applicotion and state that Bidg. Off,
the iniormation is corred ond ogree to comply with oll applicable . J,
Stote oF Minnesoto Statutes and City of Eugan Ordinances. A~ ~otal
Siynoture of Permittee -
. . ~~-.i~'`_ .iI ,
A Buildi~g Permit fs issued to: on the express conditlon Iha~
all work sholl be done in acoordonce with oll appl~cable State of Mlnnesota Statutes ond City of Ea9e~ ~rdinoncas.
Buildinfl pfficiol
Raceipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee ~
Fill in numbered spaces S/C
Type or Print leglb/y Tot. `
1. Date `-~=~^~3 2. Installation Cost ~~L+~~'~'
3. Job Address 7~+ Lot Blk. Tract
4. Owner '
5. Contractor - ' , Phone ~ r~
6. Address ~ ~ .
ry
7. City - ' State ' Zip - ~
8. Building Type: Residential O Commercial ? Institutional ?
9, Work Description: New ~ Add ? Alter O Repair ?
10. Describe 1'u~ c:ed :~ii~ Fuel Type s
11. No. Eauinment 8TU - M. Ea. No. EQUiament CFM
~ Forced Air j n~ `
Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heater
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
( - ~ ^i ~ ~ ~ ~ / (p
Receipt ~ ' PLtUNIBING,PERMIT Permit No.
, / . ~ ~ CITY OF EAGAN , .
Fee ~ ~
FiII in numbered spaces S/C =
T pe or Prini legibly Tot. "
1. Date 1"~ ~ 2. Installation Cost
/ ~ ; S ~ / „ ,
1 / ~
3. Job Address Lot ~r Btk. f Tract
4. Owner 1'
~ .
5. Contractor ` '~Y ~ ` ~ Phone ~ :1~---'
~ ~
6. Address i ~ ' . . ' ~ / . , %
r; / -
7. City ~~-l~- State ~r~ Zip -
8. Building Type: Residential,~ Commercial O Institutional ?
9. Work Description: Nevyi'L~ Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Orainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
f
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 454-8100
~INSPECTION RECORD , . .
~,~,it~,tw~r;
CITY OF EAGAN PERMIT TYPE:
3830 P+lot Knob Road Permit Number: 4. t tz tt ~
Eagan, Minnesota 55123 Date Issued: , f~j
(612) 681-4675
SITE ADDRESS: ~ n ~ i. r APPLICANT:
~..,i, , j I,~rit ~i;if ~~~rt
~ ~~..~~1;~1~!i~i~ ~ I l:i.. ~ j' 1, 1
V~
PERMIT SUBTYPE: ~1 TYPE OF WORK:
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. ' CITY OF EAGAN ~4~~
]7!s PNe~ KwoY Rosd Eagan, M1~1 Sl122 -
PHONL: 464-8100 -
BUILDING PERMIT R~~~pt # J
Te br w~d fer 1/2 DUPLL2C & GAr Value `'49,00~ ~~e Aupuet 19 _ 1933
Slte Addrcss eC a n . Erect Occuponcy~ ~_3
~ 4 g~ k 5b nnar~on ~e st ~ Z~~~ ,
1.`~ TT~i~ir ~+b "0~+ A~re. -
Paroel # Repoir ? Firo Zone `
Enlorye ? Type of Const.
~ Na~ ac man 1 ornes , nc . ~e
' tC ~e._ . na O # Stories
~ Address ~ Demolish ? Length~.~
den Pr~lirie 937-9520 G~ode ? Depth 5q. Ft.
G J Phone
g Na~ EZ' App~ovals Faet
o~ A~~~ Assessment Permit '
Wate~ b Sew. Surchorge
CI Phone Polico Plan check Z 3 J. 2 5
GW Nome Firo SAC 5~~.;~~
Addres~ Enp. Water Conn.
~ W Ci pF~ Planner Woter Meter
Council Road Unit
1 hereby acknowledfle that I have reod this opplicotion and stote that g~dp. Off.
the inlormn~ion is correct ond agree to tomply with oll applicable ^PC Totol '
State of Minnesota $tatutes nnd City of Eogon ardinances,
Sipnature of Pertnittee ,
. .
A Buildinp Permit is Issued to: on the express conditian tFx~~
ell work sholl be done in aooordoncs with oll opD~~~bls, 5tme of Miarresoto Stotutes and City of Eoflen Ordinances.
8uildin9 Official '
~
Raceipt ~ PLIJMBIQI~,PERMIT Permit No, f~ 7 ~
~ CITY OF EAGAN F~
Fill in numbered spaces S/C ~
Type or Print Jegrbty ~ - ~
Tot. i u
~ ;
1. Date ~ 2. Installation Cost
- ~ ~ ~:L.e~ _ C~ L ' ~ ~ , ~ % ~ : .
3. Job Address Lot Blk. Tract
4. ~W(1Cf _ r , `
-y L-- ~ , -`I1:~
5. Contractor Phone i
6. Address ~~f/• ` s *7 T ~
" ~ ' , ~
7. City j- ~ State ' Zip ~ -
S. Building Type: Residential Commercial ? Institutional 0 ~
9. Work Description: New ~ Add ? Alter ~ Repair ?
lU. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
'0~ Bath tubs
_~~r Septic Tank
3~-~ Lavatory Softner
~ Shower Well
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 454-8100
Reoeipt MECHANICAI PERMIT Permit No. ~
CITY OF EAGAN
Fea
Fil/ in numbered spaces S/C
Type or Prini legib/y Tot. j~'
1. Date ~ 2. Installation Cost ~`~U''~• `
~I
3. Job Address - ^ Lot Blk. Tract r
4. Owner -
5. Contractor Phone
6. Address ' ~ '
7. City ' State ' ~ ' Zip
8. Building Type: Residential L~ Commercial O Institutional O
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe - ~~~'Cec ~ii' ' Fuel Type 6: ~
11. No. Equi~ent BTU - M. Ea. No. EQUiament CFM
Forced Air ~ ~ Air Handling:
Mfg.
Boilers
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances ~nd 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 4b4-8100
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB RQAD
EAGAN, MINNESOTA 55122
DATE I9
weee~veo
PRdA
AMOUNT ~ I
a na~~wRs
_ ,oo
? CASH ? CHECK
FOR
FtINO CODE q1A0UNT
'
r ~
Tha u
,
~ ~ BY
White-Peyers Copy
~ Yellow-Posting Cop
Pink-File Copy
!
CITY ~F EA(~AN WATER SERVICE PERMIT
3830 Pilot Kooh Road 5067
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 9-16-83
Zoni~: R2 No. of u~~r:: duplex
Zachman HOmes
, }(l~ddress: ~
i~. t r oa 4 B C in am ' d 1
~~~r estonka S ~ W
r No.: -3ya ~ a o y f? ~o~; 450 . 00 pd
SI=~; " /lccount Deposit:
~ r~.: 4 y c. ~ 2~ a~ Pe~,~~ F~: io.00 pd
I a~re~ eo ean~hr wllh !V Gfp of E~~o~ Surcharge: . 50 pd
q~,peS; 60 . 00 nd met c
Totol:
gy ~ b ~ Date Paid:
Dote cf Irap.: Insp.'
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilo* Knob Road pERMIT NO.: ~'-+~'7
P. O. Box 21199 9-1C,-83
Eagan, MN 55121 DATE:
No. of Units: ~'1 dup lex
Zoning: `
Owner: ..BC~aI1 fi~t9@S
Addro55:
5i~ ~rc~: 451~ Slater Road L4 li4 Ciiina~oz~ ~tid~e lst
;~e.st-onn2 _ ~ ~
Piumber: dG~~. ~J t~d
Meter No.: Co~nection Charge:
Slu: Accourit Deposit:
Pennit Fee: • ~~J
Reade~ No.: .511 nc?
I pew to oo~nvb wi~ !h~ Cihr oF Eayan Sureharge: G D. 00 ~d ~ r't e"
Miac. Charfles:
Total:
By Date Paid:
Dote of insp.: Insp.:
~
CITY O~ EAGQN SEWER SERVICF PERMIT
383~ Pilot knob Road ~~~T 6154
P. O. Box 21199 - ~
Eagan, MN 55727
Ionirg: No. of Units: ~~u::l tix
a„~~~• ~ 1C}llA 1 i0'.lc 3
Address: ~~e lgt
Site Address: 4514 5later Ro~d f 4 v4 Cit?na~uon Ri~b
Plumber. SeStO~!}.ia. S Fa lti
~-19-~3 38147 100.Dt? nd
E e~ to ~I whh tIN Cih ef EeOan Connection Chairpe: 4~'• r}~ r~}
Ordin~noe~. Ac~irit Deposif:
Permit Fee: D
Surriw?Oe: T'
gy Misc. Chorpes:
Qate of I nsp.: Total:
Insp.: Dote Paid:
. ,
•
~
C~tLVIN H. HEDLUND 7726 MORGAN AVE. SO.
I.and Surv er MINNEAPOLIS, MINN. 55423
Y Ciril Enqin~~r PHONE NO. 866-2523
surve~or`~ G'er~~,f
"~cate
932- B
JOB NO. 43 ~ - p`
SURVEY FOR~Zachman Homea
OESCRIBED AS~I,pt 4, Block 4, CINNAMON RIDGE, City of Eaqan, Dakota County,
Minneaota and reserving easements of record.
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IZI.OQ ~3~~b 9313
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Top o~'_Founda?ron•937.8 N~i ~ 24-I 24-I z ~ ~
Gqraqe {~op~-+q37,4 ~ 2 I ,R05EWD. B QCHWD. ~
t3asemerrt ~loor ° 937, g ~OO `~UNIT B u T N lo (s~ ~ z
Draina~e d'+ru,{;a, y STAKES s-rnK S ~
ProPosed elaJ. O I I 7/U C~AR. T U ~ ~
~x~S+in~ eieJ. ~ 2'cAUT N\~~ ~~"o I Q
Deno}es lo+ rron o I 24-I 2o-I ~ Z
~ Z
~ 93T.1 937. I r,
~ ~ ` ~ DR~VE DRNE ~ U ~
L--{-"' - ~
Y - - - ~1" s
- 30
1Z1.00
5 38° I 2 "22"E
0
~ ~ SLATER RoR~ ~
434•S i _ _ q3~.e~ i
~ER'~IFICATE OF SURVEY '
I he~eby cerfi}y fhot or 6-(7-83 I surveyed ihe property deseribed above and thot
the obo~e plot is a correcf repreientation of soid survey.
~4~-~-~ ~`7'-~a~u...+-+~.
Calvin H. Hedlu~d, Minn. Rep. Ho. 5942 i
PERMIT # rl RECEIPT DATE: ~ ~V
ft~SID~PTL4L ~LiJM$1Nfi ~P~iMIT l4~P~I1C~TlON
crrY o~ ~,ts~v
3$SO ~'DAT KPOB RD
gA6AN,11iN 551 QE
ssi-ssi-as~s
Please complete for: > single family dwellings
? townhomes and condos when permits are required for each unit
> backflow preventer for irrigation system
BOOZELL, MARY
SITE ADDRESS: asis SLATER ROno
EAGAN, MN 55122
OWNER NAME: : (s5i) aa2-a1~2 TELEPHONE
- - - (areacoce;
INSTALLER NAME: TELEPHONE
NOr~3LOP!I PLUM8INQ . (ARE.4CODE)
STREET ADDRESS: L::A V~N1TG9/APPIJAidCE It1uTALLEf:3
\OIL d_1^ J
CITY: 2~O~~~Fecni aA~nni F5~4t08~~ STATE: ZIP:
Place a check mark next to the ermit work t e
New residential dwelling unit under construction and not owner/occupied ~ 90.00
? Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repaidrebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: ~ ~
Septic System, new/refurbished - $ 225.00
• inciudes County & Consuiiing inspec[or fees
. requires MPC license
State Surcharge . 50
n~ (a ~I 1~ I~~~
Total ~I,~ APR 2 6 2001 ~~IglS~ 50
~L U
Reminder: Be sure to schedule inspections of alterations, i.e. wat r heaters, water softene ~s, etc.
I hereby acknowledge tnat I have read this application, sla[e that the informatlon is covect, and g
ee to complywith all applicable City of Eagan ordinances. II
is the applicanCS responsihility to notify Ne property owner that the City of Eagan assumes no liability for any damages raused by the City during its normal
operalional and maintenance activities to the facilities wnstructed under this permil wifhin City property/righl-of-way/easemenl.
~c~-~, n,m-~ i~ a~
SIGI~A URE OF PERMITTEE
Updated 1/01
. PERMIT ~ e~~~~~~
~ CITY OF EAGAN `7-~-93
3830 Pilot Knob Road PERMIT TYPE: au i ~ o i N e
Eagan, Minnesota 55123 Permit Number: 021880
(612) 681-4675 Date Issued: 0 9/ 0 2/ 9 3
SITE ADDRESS:
4516 SLATER RD
LOT: 4 BLOCK: 4
CINNAMON RIDGE
P.I.N.: 10-17400-042-04
DESCRIPTION:
(pETACHED)
Br3ldin~j~Permit 7ype GARAGE/ACCESSORY
B'uilding Wnrk Type NEW
~UBC Occupancy~ M-1
/'Construction Type V-N
/ Building ~enqth 1_ 24
~ Building Width 24
~ f
~
.~~r , ,
\ ~i ~,~i-
~
i% C~D~~ C~~~~l~
'-v-..-a~,
REMARKS:
FEESUMMARY: VALUATION $ie,eee
Base Fee $117.00 COPIES $2.50
Surcharge $5.00 Total Fee $124.50
Subtotal $122.00
CONTRACTOR: ~~ER: - P P c a n -
WILI.IAM
4514 SLA7ER RD
EAGAN MN 55122
(612)892-4595
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 Mn.
Statutes and C3ty of Eagan Ordinances.
L_ -
A PLICANT/PERMIT E SIGNATURE I5~ ~ B: 5~ NA
R~~-
. . . . _ _ _ . . _ - - _
TNCp~!'~mTn~T n~r+nnr~
t~»r~;/vi
REACTIYATE ~ CITY OF EAGAN
PEw~+IT y AUG ~ 7 1993 1993 BUILDING PERMITAPPUCATION $~2~,~~
681-4675
SINGLE 5 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. ,
COMMERCIAL 2 sets of archltectural 6 structural plans, 1 set of
specifications, l copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last Morking day of month•
in which request is made, 2) address is thanged or 3) lot change i.s requested once permit
is issued.
GG
Date R / JZ Valuation of work
Site Address: ~S S~a~e`'~ Rc.~ E° ° a"~
SiREEi iUlTE ~
Tenant Name: (commercial only)
IAT ~ SIACK SUBD.Cinr~ann0~ Ric~~ ~ P.I.D. M '
Descri tion of work: 1~ ~
T~e applicant is: Owner ? Contractor ? Other co~«~~>.
Name t~U ~J 1< W I ~ L 1,~- M Phone 89a ` S~JS _
Property ~~ST f~RS'
Owner Address ~f~l~! Slaf-~~- l~d
~ 57iEET LTE 1
City ~4,~aK _ State )`~1~• Zip S-~laa
Co a ES CO `
^ •
CO[1tf8Ct0~ Address •a cens Ex
Cit ~4 State ~ SS Z
Company ' Phone
Architect/ Registration i'
Engineer Name .
Address
City State ZiP
Sewer & water licensed plumber NoN~ ~G~2~c,E> . Processing time for
sewer 6 water permits is two days once area has been approved.
I hereby acknowledge that I have read this aPPlication and state that the lnformation 1s
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. /J
Signature of Applicant: ~~L~i~.~~u2
Cities Di ig tal Qualitv Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
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above piqt ~s a tarrecr represenipttion ot saitl survxy,
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1993 MECHANICAL PERMIT (RESIDEN'ITAL) .
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOIv~S AND
CONDOS WHEN PERMTfS ARE REQUIRED FOR EACH LTNTT.
NEW CONSTRUCI'ION
ADD-ON A/C
ADD-ON FURNACE
DATE 2 - `~3
FEES
NVAC: 0-100 M BTU $ 24•00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (M~NIMUrt i@ S3.oo Ea+cH)
ADD-ON/REMODEL (ExISTING CoNSTRUCI7oN) $ 15.00
STATE SURCHARGE •50
S~
ToTAL ~~lc~ro~tc rl2a~~~q rv~ S'4~'J, ~
,3~; l~e,~ 7-:i3.I~-'
S1TE ADDRESS: ~ S~ G S~Q Pv ~v' '
OWNER NAME: I~~ I~`aw~ Ft~tv~ TELBPHONE ~_y~ V Jars
INSTALLER: ~1~7 ~ I ~ a~.~.. ~u ~ ~
ADDRESS: ~ S/`/ S J a'~' -f V'
CTTy. ~ c~ STATE: N~ . ZIP CODE:
TELEPHONE
r,~G~~~~
SIGNATURE OF PERMITTEE
G ~ ~~°~C ~j
3
2004 RESIDENTIAL BUII,DING PERNIIT APPLICATION b o0
~P ~ 7~ City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 Z'~'oy
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtbn Reaui2menfs RemodeVReoair Reauirements Oifce (Jse On'l~
3 registe2d site surveys showing sq. ft of lot sq. ft of house; and all roofed areas 2 copies of plan Cert of 5uroey
R~ a_Y N
(20%maximum lot coverage allw+ed) 1 set oi Energy Calculations for heated additions T~e2 PresxPlan RCCd ~za'-`_Y =N,
2 oopies of plan sha,ving beam & window sizes; poured found desgn, etc. 1 site survey for addNOns & decks Tree Pres~Required _.Y = N,
isetofEne~gyCalculaUons Addi6on-indicateiton-sttesepticsystem [?.~`slte$gpbc;Systgm ~F;:,;~Y'"_N',
3 copies of Tree Preservation Plan if lot plaped after 7/1193
Rim Joist Detail OpUons selection sheet (bldgs wilh 3 or less uniLs
Date ~ ~ ~ ~ r Constructian Cost ~ ~~G ~
SiteAddress ~-(,~1(~ ~J ~ee~f'?' 2r~t Unit/Ste #
~A 5S IZ Z
Description of Work ,~c/ ~ ~o w P I E' v~Q !
Multi-FamilyBldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owoer l~1 r ~ I l A W. ~U ~t !~C Telephone #(~p S-~ ) 3 yG -6 3 ~ ~
wK sa ~ -6zZZKz~~
Contractor C~ W ~t 2?'
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(J submission type) Submitted Su6mitted
• Energy Envelope Calculations Submilled
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor I' I'~ ~ r~~ ~ ~ l~Tele~i ne )
Sewer/WaterContractor I' ! FFf~ ~~~~Telep~ ne )
u
I hereby apply for a Residential Building Permit an
fd~c ow e ge t~~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.
1~ I I t'[~ Inn r(~ vl (,v .P-~~ ~
Applicant's Printed Name ApplicanYs Signature
~~~~'S~ 20D4 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 2/ 5 ! C) ~ n
Site Street Address ~ S S~ a, ~ P?' I< ~ Unit #
Property Owner 1~ ~ 1 f Qw~ ~t-lh ~t Telephone #(~S~) 3`~U ~ 4,Jy`/~
Contractor !^J iA ~,.-ef Telephone # ( )
Address City State Zip
The Applicant is: ~ Owner _ Contractor _Other
I Alterations 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 5l8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rehuild $ 30.00
State Surcharge I r' ~ v, ~j ~r rl1 $ 50
i~
Total ~~j I, ~ ' $ U ~
U~
~
~3
I hereby apply for a Residential Plumbing Permit and a kn-a~le~g'e
f at e 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.
Li.~ ;11; ~ ~ _ w ~
Applicant's Printed Name ApplicanYs Signature
lls���.�t�'car�LAC�C tnE�
C_______:_..:....._ _.._.�
_..__...
� Fpr�Jffice Use k
, . �:�_.�_ . :,.. r
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�e�a����e sc„p�r�a�a � P��„�����; �DO � �O ,
Eagan MN�5�1z2 r Q . F
F'har�e:(651)6'75-56?5 I, Dste f2eceived:V� i
�ax:(651�675-5694 � � i
AUG 0 3 2015 i��ta�:��.�.__----___�.�J
���� N I' L �� tT �Lt��T1
❑ Please submit tw�(2}sets of p[an�with ail comrnerciat appiiCations.
�a��; 2�i 20(S s����aa�r���: ��a�>
�r��,ant: s�;���: — .
�.��..�.�.�_�..�a_... , �.w�r��.��( ,�,����m.w_._�.. .,��.�aa�.�.,,���.��,.,� � �. :.W:�.��..�
� RLSlGi@T1�I 11�r Nadl18: ~��'p1�/N.[/� (� P�10i1B:��ZrY✓� ��"� �
° Address/CitylZip: /k� 7S Z2 �
�.,�,� ,�„�,�„�.�.�,.�< .,.�.�. �
����e4������� �a��, MINNEAPOIIS-ST.PAUL PLUMBING,HEATING&AIR �icense#: M8003372
� , � Rddress: 640 GRAND AVE. Gity: ST.PAUL
� CUTt'�Y��C#OP � � � ,
� S(ate: MN Zip: 55105-3402 phone; 651-228-9200 '
Contact: Da❑IEI K. VODc']Va Emaii; PERMITS@MSPPLUMBINGHEATINGAIR.COM
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��New ✓ Replacement Additionai ______Aiteration Demofitic�n
Type 4f t�tdrk : ►�escrip#ian of wrsrk:
NOTE:Raof m�unted'at�d ground mountec!mech�nical�qui�ment is required to be scr�ened by City '
Code. Pfease contacf the M�chanical inspector fc�r infarmatiQn on.pertrtitted scre��ring methcsds, '
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,RES1t�ENT1AL. Ct�MlVJER'CI,AL
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�,��.��,����� ✓Air Conditioner ^Insta(I Piping _____!'rocessed
� �fiir Exchanger �Gas _____Exterior HVAG tJnit
_Neal Pump �UnderlAbove round Tank
g (�Insta[E f�Remov�*j
�Other �
RESl1?ENTlAL FE'ES , �
$60.04 Nfin3mum Add or�Iteration to an existing unit(irtcludes��.40 State Surcharge) d,y
f�$9Qf}.{?0 Residential New{inciudes$5.4(}S#ate Swreharge} =$ �o� Tf1TAL FEE
� Ca11flMERC1AI_FEES �
Ccsntrac#Value$ x.t11
$55.40 Permit�'ee Minlmum
�71J.C10 Un�iergraund tank instaElation/rem+�vaE =� Permit Fe� ,
� "`If contracY valt�e is LESS thae+�1U,Q10,Surcha�ge=�5.0� =$ Surcharge* '
*'if contract value is GREATER th�n$1 O;Q10,Surcharge=Cantract Value x$B:Od(35
� �«'�f the pro�ect vafua#ic�n is over$'E mi(lian.please cafi for Surcharge =� Tt?TAL�EE
! heeeby acknawiedge that this information is complete and accurate;fhat#he vrork widt t�e ir�conformanoe with the ordinances and codes of if�e City oF
Eagan;that i understand fhis is nat�p�rmit,but oniy an appiication for a permii,and work is nat to start without a permit;Fhai#he work wilf be in acearciance
v✓it the apprr�ved pfa 'n the e €of wer 'c�i reqr�ires a review and approvai of plans. �
x x 1 G,�..;� 1�•�/C1�G.nl o.�
`cant's Printe me App[icant's Signature } '
Ft}Fi t3FF{CE t1SE :
Required Ir�spections: Revi�wed E3y: Ciate:
Undergeaund F2ough,ln Air Test Gas Sen+ice Test Irr-flo�sr Neat Final HVA��cresning
For Office Use
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kE tis 'VED Date Received: ® /
ety.
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 -1 ,1---
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 FEB 2 1 2018Staff:
buildinginspections(a�cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
2-20-2018 4514 Slater Road
Date: Site Address: Unit#:
James Sullivan 952-457-8556
Name: Phone:
Resident/ 4515 Slater Road (2.i:;)
Owner Address/City/Zip:
Applicant is: Owner X Contractor Steve Kahl SK Builders LLC
Type of or Description of work:
Repair entrance door from garage into the home. Damage done by a car.
k
Construction Cost: $2 375.00 Multi-Family Building: (Yes /No X )
Company: SK-Builders LLC Contact: Steve R Kahl
Contractor
Address: 4171 160th Street East City: Rosemount
MN 55068 651-437-4332 srk55068@gmail.com
State: Zip: Phone: Email:
BC697367 Minnesota NAT-F157090-1
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
House was built in 1983
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:
i
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression 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-.ublic if ou •rovide s®ecific reasons that would.ermit the Ci to conclude that the 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.citvofeaqan.com/subscribe.
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. www.qopherstateonecall.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 not to start withor verredtyQofiner'ik will be in
accordance with the approved plan in the case of work which requires a review and approv II-of plans. i 02/20/2018
XSteve RKahl x3eVe k Kali(
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE (/j/ c 51 2r i i W/-` 79)--.7�
StJB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) Exterior Alteration (Single Family)
_
rSingle Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration Fire Repair _ Windows _ Demolish Foundation
Replace Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION _
Valuation 4 2 3 75 '^ Occupancy ._,L12 - ) MCES System
Plan Review Code Edition )44 -2-0/ 5- SAC Units
(25% 100% ) Zoning P 7 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V � Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 7p Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water Final Pool:_Footings _Air/Gas Tests _Final
?O Framing 30 Minutes 1 Hour _ Drain Tile
Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick—EFIS
Insulation Windows
74) Sheathing Retaining Wall:_Footings Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan `2 Other:
Reviewed By: ‘Tc(-)OA � ; fG 16 pY , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174397
Date Issued:01/24/2022
Permit Category:ePermit
Site Address: 4514 Slater Rd
Lot:041 Block: 04 Addition: Cinnamon Ridge
PID:10-17400-04-041
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Miheret Weldeanmanuel
4514 Slater Rd
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature