4778 Slater RdPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128464
Date Issued:11/13/2014
Permit Category:ePermit
Site Address: 4778 Slater Rd
Lot:4 Block: 1 Addition: St Charles Wood
PID:10-65870-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Gerald Rasmussen
4778 Slater Rd
Eagan MN 55122
(651) 803-2421
Sandstrom Enterprises
888 Burke Ave
Roseville MN 55113
(651) 983-4340
Applicant/Permitee: Signature Issued By: Signature
~~4~47 ~ ~/D
Repuesl Dete . Fire No. Pough-In Inpsettion FequireC I~paNOn Other t~an RovgM1-In
1-30-94 (~'o~must ns0eclorwhenreatly~ ~ ReatlyNOw ? Wi1lNOiilylnspecbr
~ ~ Ves ? No Date ReaEy
I icensed contracfor ? owner hereby request inspection of above electrical work at: ~
b ApOress (StreeL Box or Roule Na.~ Clry -
4778 Slater Rd. Eagan
Senion No. Townsni0 Nema or No. Reng¢ Na. Counry
Dakota
OccupantlPRINTI Ph No.
Joe Miller Homes 4~~+-4663
POWe~s~~P11ef ~~~~s300 220th S
Dakota Electric Farmington,MN 55024
ElecVicalGOmracmrlCompanyName~ - ~ Cn~haclQr§L~eRsqNO.
Midland Electric v1 _5n
Maiiing Aoaress ICOmramor o~ Owner Making Instaua~ion~
22691 Red Fox Drive Lakeville,MN 55044
Aul~ i C Signalu ICOnlra NOwner Making Inslallation~ P~one Numher
461-1444
MINNESOTA ST4TE BOAHD OF E~ECTPICITV THIS INSPECTION REOUEST WILL NOT
Gtlggc-MlCway Bltlg. - Noom S413 BE ACCEPTED BY TME STATE BOARD
~841 UniversHy Ave., SL Peul. MN 551Da UNLESS PROPER INSPECTION FEE IS
P~one(612~66Y~0000 ' ENClOSE~.
~ REQUEST FOR ELECTRICAL INSPECTION /y@g~.y/p~~py
/ ~~p -7 ? See insimctions for completing t~is brm on back ol yellow copK ~~~~EI~
~ 9`F f 'X" Below Work Covered by This Request
e tld Rep. Typeof.0uilding AppliancesWired EquipmeniWired
Home Re~ Temporary Service
Dupiex Water Heater Eledric Heating
Apt. BuilAing Dryer Load Management
Comm./industrial Furnace Other (Specify)
Farm Air Conditioner
Other ispeciry~ Contrectar's Remerks:
Compufe Inspection Fee Below~
# Other Fee # ServicaEniranceSize Fea # Circufts/Feeders Fee
Swimming Pool 0 to 200 Amps o ro i00 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs Insoector's Use Onty: ~ TOTAL
Irrigation Booms I /Gl U~' ~Q
Special Inspection ~
Alarm/Communication ~ THIS INSTALLATION MAY BE 0 ~ D DISCONNECTED IF NOT
Other Fee ~ COMPLETED WITHIN 18 M HS.
I, ihe Electrical Inspector, hereby Roug~-in are ~ ~
certify that the above inspection has Final oa~e
been made. 1r'¢
OFFICE l15E ONLY ?
T~is requesf witl 18 mont~s Irom
.S +JO ~ OFFlCE USE ONLY This requesr wid I B months (rom volidanon dak primed in this box.
IIIIIII~lllllllllilllll illll IIIIIIIIIII~j~~
* O 4 7 9 8 7 7~* PLEASE PRINT OR TYPE ~~O ~
Reqaes~ ~me Rooghin inspeclion ~eqolred3 ~Yes ? No Inspecfo~ O~her Tfwn Rough~ln: J~jReady Now ~ WIII CaII
A V ~ (Vou masl mll ihe inspecmr when reody~ Dab Raody:
I, ~licensed confractor ? owner hereby request inspecfion of ihe above elechical work af:
Job Address ~Skeer, Bon, or Rome No.~ Cly Zip Cade
~ 7 S~ N ~Q GT ovRT w. Z
SMion No. Tmvmhip Nome a~ No. Range No. Fire No. Couny
.6'dl~'!
Occupant Phona No-
P ~ ~ r rc .v 70
Power Sopplier Addresz
Ekarical Conhocbr ~Company Nome) Conrcacior License No. hbsrer Lic No. ~Plan~ Elen. Only~
L I~ w C 76
Mol6~g Addrau (Conrcacror ar Owner Performing InsNllofion)
S'~/ v /6 ~ ~ ~ ~ ~s L .¢.Y ~ ~1ti. S
Aolhori Si nonrre ~C oclor ar P rmiig Insrollation~ Phone No.
g ~ -IYY~
E lA-1 7 8/96 STATE BOAND COPV - SEE INSTpUCfIONS ON BACK OF YEILOW COPY
~/30~97 REQUEST FOR ELECTRICAL INSPECTION
v~p ~ ,821eUniv rstity Ave.rRm. S- 2r8,ISt. Paul, MN 55104
~ ~/~7 Phone (612) 642-0800
~ Home Duplex Apt. Bldg. Other: New ~ Addn
Commercial Indushial Form Remod Re air
Air Cond. Htg. E uip. Water Hir. Load Mgmt. Olher:
D er Ran e Elec. Heol Temp. Service
"X°above the work covered by fhis request. Enter remarks in fhis space and on fhe back oF fhe whife copy only.
7f/Y jLv 0 m u T l~'°TS l.ci /t L I3 ~ G F~' i
'~/.j u/z' rCTr~ w/7/f Lv J~ CC9Ur,q5
}~f7r S~,P r c~w Po.P ~sv~
Calculat~-lnspeclion Fee ~ This Inspecfion Request~~! not be occepfed without the correct Fee:
Other Fee # Service Enlrance Size Fee # Circuits/Feeders Fee
Mo6ile Home Park Slall 0 ro 200 Amps 0 ro 100 Amps
Sheet Ltg./Troffic Sig. Above 200_ Am s av _ Amps
Tmnskrmer/Genemror INSVECTOR'S USE ONLY ~ TOTA/L~ ~p
Sign/Oufline Ltg. Xfmr. `
Alarm/Remote Control
$Wimmin9 Poo~ I hereb cern 'Ihm I ins anricol t Ilofion deun6ed herein on Ihe dmos smkd
Irrigafion Baom RougMn Date
$peciallnspection F, ~
Invesfigative Fee
THIS INSTALLATION MAY BE ORDERED ISCONNECTED IF N COMPLETED WITHIN 18 1~50NTHS.
Address 4778 st.nr~t 1toAn Zip 5512?
I.ot a Blk I Sub sr. ~s woon
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: ~ ~ Yes No Inspedor.
Final gtade (6" from siding)
Permanent steps (guage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with lhe buiider the removal of roof test caps from [he plumbing system and the shut-off of water supply to
~ the outside lawn fauce[ before freeze potential exists.
Contact engineering division at 681-4645 before working in right-0f-way or installing underground sprinkler sys[em. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
~ _ ~ -
,
~C~~iCQt~ n~ ~CC1f~Q1iC~
~it~j o~ ~agan
~c.~ras~tu~e»t o~ ~xili~g ~u~~rection
This Certifirate issued pursuant to the r~q~cirements of the Uniform Building Code
eertifyiag thut ar the trme of isstuince thes strr~ctuir was ire compliance with the various
~ oirlinances of the City regularing 6uelding consrruction or ~se. For the}'ollowireg:
uu c~~r~: ~ Bldg. Pennit No, 2~58
~tlP~Y TYP~ W' ~~~8 a~ 1 TYP~ Const. UN -
O~voerofBuF~deag ~ ~ pd~~s.s ~iSQ ~ ~+iY
s~a~ naa~ 4778 SI.ATER ?~PiD ~;~y Ilr, B 1, 5f . 41Af.~ WOOD
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POST IN A CONSPICUOUS PLACE
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Permit No. Pe~mit Hada? oate relepnone t
C
- S/V1l
PLUMBING ~ ~3-~/~
i
HVAC I~~S y (p4-~piO1'~-
ELECTRI , ~ 7 `f Q ~
ELECTRIC
Inspection Date Insp. Comments
Footings l ~`z/'~~
Foundatan ~ ~3/~y
/ ~ Bjac,(:
Framing /S s- ~ ~P ~
Roofing
Rough Plbg. _7~ !T 9('
i
Rough Htg. Z- O
Isul. ~
Freplace ~ ~ ~ r ~
~ ~
Final Htg. ~
Orsat Test (1 q
Fnel Plbg. Ptbg. InspecMor - Notity Plumber
Consl. Meter
EngrJPlan
Bldg. Fnal ~ ~ ~ fi ~
`a
Deck Ftg. ~
Deck Finai
W811
Pr. Disp.
v - - ~C.]
~ . INSPECTIUN REC~RD
CITY OF EAGAN PERMIT TYPE: ~ ' ' ' ~ ' ~
3830 Pilot Knob Road Permit Number. `~'j
Eagan, Minnesota 55123 Date Issued: ~ ~ ~ ~ ~ ~ ' ,
(612) 681-4fi75
SITE ADDRESS: ~ „ ~ t~ ~ ~ ~ , APPLICANT: .
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PERMIT SUBTYPE: TYPE OF WORK:
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1994 PLUMBING PERMIT (RESIDENTIAL)
CI'TY OF EAGAN
3~i0 PILQT KN4B RD
EAGAN MN SS12Z
(61Z) 68I-4675
PLEASE GQMPLETE FOR SINGLE FAMII.Y DWELLINGS. AIS~, FOR TOWNHOMFS AND
CONDOS W~iEN PERMITS ARE REQUIRED FQR EA~i UNIT.
~ FIXTU~tES FACH TOTAL
C sxowEU 3.00
WATER CLQSET 3.00
BATH TUB 3.OU
LAVATORY 3.00
KTTC~-~N SINK 3.Ot~
! LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
~ WATER HEATER 3.00
FLOOR DR.AiN 3.f10
~ GAS PIPING ~UTLET • - ~ 3.00
RQUGH OPENINGS 1S0
WATFR SOFTENER 5.00
PRIVATE DISP. • D,r.c~y. u~, 20.00
U.G. SPRII~TKL,ER • t~e uudcr coau. 3.Q4
ALTERA'TIONS • to ~ 20.00
WATER TURN AROUND 2(1.0U
STATE SURC`HARGE .50
TOTAL: ~
.
srr~ ~DxESS: ~ D~~d
OWNER NAME: ~ ~7~
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INSTALLER•~/~Z - ~~Q/7
~D~ss: 1~~~~ . I~a~~~ T/
CTTY: ~l/~~ STATE: ~~~Y ZIP CODE:
PHONE (~vlv~ ) '7~~' Irhr~
NA E OF PERMITTEE
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199~4 PLUMB~NG PERMIT (C4M14IDtCIAL)
C£IY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 551ZZ
~su~ 6si-a67s
PLEA.SE COMPI.ETE FOR ALI4 COMl1~RCIAI~INDLJSTRIAL BUILDIN~S. AISO FQR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FQR EACH
DWELLING UNTT.
~ rrEw eoxstZtvc,-r1oN
ADD ON
REPAIR
WURK DESCRIP'TION:
COI~iTRACT PRICE: ~
FEE: 196 ~F CoNi'RAGT F'EE, '
STA'TE SURCIiARG& S.SO FOR F.ACH S1,Q00 OF FEE.
MIIVIMjJM FEE: S 23.U0
CON'~RACT PRICE X 1°~io ~
STATE SURCAA,RGE s
T4TAL $
STTE ADDRESS:
TENANT NAME: ST'E. #
OWNER N,4ME:
IN STALLER:
ADDRE5S:
C~~ S'I'AT'E; ZIP CODE:
PH4NE
F4R:
CITY 4F EAGAN AppI~ICAN'I'
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PERMIT
~ . ~IT~( OF EAGAN ~
3830 Pilot Knob Road PERMIT TYPE: B u r ~ o N
Permit Number: 0 2 4 8 5 8
Eagan, Minnesota 55123 Date Issued: 11 / 18 / 94
(612)681-4675
SITE ADDRESS:
4776 SLATER RD "
LOT: 4 BLOCK: 1 x-~ .
5T CHARLES WOOD
P.I.N.: 10-65870-040-01 ~
DESCRIPTION:
I
Bu'ilding'.Perm3t Type SF DWG
Building Wo•rk Type NEW
%~UBC Occupancy~~~~ R-3 M-1 -
j Construction 7ype V-N
Zoning ~ PD R-1
Building Length 68
Bwilding Width ~ 38
~ Buildinq stories 2
,~G~~ ~
~ ~ r,
i ~ 7 ~ i 1 r-', I~~ r~
~ LO~~ C~~C~~~:~C1!~_
~
w ~f-
REMARKS:
PRV S& W pLBR - M& W
FEE SUMMARY:
VALUATION $175,000
Base Fee $902.00 MISCELLANEOUS $1,828.50
Plan Review $586.30 Total Fee $4,204.30
Suroharge $87.50
SAC $80@.00
SAC ~ 100
SAC Units 1
Subtotal $2,375.80
CONTRACTOR: - /+pplicant - s7. ~IC. OWNER:
HORTON INC OF MN, D R 14544663 20005657 JOE MILLER HOMES
3459 WASHINGTON ~R 3459 WASHINfi70N OR 204
EAGAN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4663
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applica6le State of Mn.
Statutes and Gity ofi Eagan Ordinances.
L ~ ~j J
~
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AP ICANT/PERMITEE SIGNATURE ISSUED :
SI~TURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B u z ~ o i N ~
3830 Pilot Knob Road PermitNumber: @24858
Eagan, Minnesota 55123 Date Issued: 11 / 18 / 9 4
(612)681-4675
SITEADDRESS: ~aT: 4 B~ocK: 1 APPLICANT:
q778 SLATER RD HORTON INC OF MN, p R
ST CHARLES WOOD (612) 454-4663
PERMIT SUBTYPE: TYPE OF WORK:
5F DWG NEW
. •
FOOTIN6S FOUNDATYON
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLB6 ROUGH IN MTG
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - M& W
I~ ~
~ J
, . CITY OF EAGAN ~J~.~O
1994 BUILDING PERMIT APPLICATION ~
681-4675
_ ~ -
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s veys, l~copyro e ergy
calcs. ; s t 6 !~"''A
COMMERCIAL 2 sets of architectural & structural p1~Rs~_~ set of__
specifications, 1 copy of energy cal .
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) lot change is requested once permit
is issued.
Date~Cf-o~ETz / 26 //9y Valuation of work 1'-(I /7f
Site Address: ''~7 ~C~}~2 R.c`r/`FJ7
STREET SUITE #
Tenant Name: (commercial only)
LOT ~ BLOCK ~ SUSD. ~~i ~5 P.I.D. #
Descri tion of work: O!~ ~
The applicant is: ? Owner Contractor ? Other coescr;be>
Name ~O~ ~`~I~~t-~i2 l~"~"1~~ Phone
Property ~AST F~RST
Owner Address
STREET STE #
City State Zip
Company oE i"l/LL~2 ~"1~S ~~G Phone ~l5'/-~/663 ~/~5
Contractor Address ~5 Wi+ H-~~ ~o~ DR #ZU License #2~5657 Exp.3 3i 95
City ~~ifFN State ~ ~ Zip ~S/ZZ
Company Phone
Architect/
Engineer Name Registration #
Address "
City State Zip
Sewer & water licensed plumber /"t t~" ~ f~..~e~ l~1~-iP~ SP~Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Appl icant: ~ 10~2Fi~9~{
OFFICE USE ONLY ~ . ,
_ „ p ~
BUILDING PERMIT TYPE `
? O1 Foundation ? O6 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
0 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ~ 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) ~/y_ Basement sq. ft. /,isz MWCC System ~G _
(Allowable) lst F1. sq. ft. ~ s~ City Water o~
UBC Occupancy ~w,_~ 2nd F1. sq. ft. PRV Required
Zoning ~,p/2_i Sq. Ft. total Booster Pump
# of Stories z w asMr. Footprint Sq. ft. Fire Sprinkler
Length ~ On-site well Census Code La /
Depth 3 8 On-site sewage SAC Code oi
APPROVALS Census Undt o
Planning Building Assessments
Engineering Variance
REGIUIRED IN5PECTIONS
? Site ~ Footing ~Framing d~Insulation
? Wallboard $ Final ? Draintile ? Fireplace
Permi t Fee vei~c;d,: g /'~S, a o c~
Surcharge
Plan Review ~ sr`~~, ~~y
License
MWCC SAC z~ /o ' Z° 2o X So ~~o°
City SAC /s.x s'g ° sz~ .rx io = s
Water Conn. ~yF3e :~3z 2~ ~f = 3g
Water Meter
Acct. Deposit yX ~j-~' ° z' .rx b s 2
S/W Permit
S/W Surcharge /,SD7 X~Y 37B ~~lsX
Treatment Pl. ~ r~p--7SJ
Road Unit ns,w'• ~
Park Ded. z 's~°~~ -r---"
Trails Ded. 3DZ3g . /,/`~'D /r'~Q > /isd~
Others zz ~s.~~ = Z~ ~ Lx~a} =<z~ ~
Total: ~sXi~~J~ ~ ~s~~ zK6 = lz
:
SAC % //oxsy ~T~yo y5~' x /G =
_
SAC Units
- _ .
~ ~T~L ~ /7~0 oa~ ~1, `/'Bti ~
4~-
~ CERTIFICATE~ OF SURVEY M 32- ~ 2~~ - 94
for
JOE MILLER HOMES ~ .
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t~~7?u~t2, ~ O ~ ° ~q.l ~ r--
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I \ I 3287 ~f. ` J
1 ~ V 38.21 7 ~ ~ .5 ~
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~AGA1~T ENGINEERING DEF~
` ~ po[~a~o G°~ ~ ~ ~ ~ ~=v'~
Scale: 1" = 30' 4778 Slater Road
. r~ ~f'i.Yp
DESCRIPTION ~ r~: c;_•~;;
I hereby certify •that this survey, plan, or Lot 4, Block 1, ~
report was prepared by me or under my direct ST. CHARLES WOOD
supervision and that I am a duly Registered Dakota Count Minne~o,
Land Surveyor under the Laws of the State Y~ ,
of M' nesota. Plat bearings shown
o Denotes iron monument
Date 2S OC 94 Reg. No. 8140 ~ Existing j Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Su ite 206
Burnsville, MN 55306
(612) 435-1966
M32-1201-94
~ ~ LOT BIIRVEY CHEGCLIBT FOR RESIDENTIAL
~ BIIILDZNG PERMIT ?PLS T ON
~ ~ pROPERTY LEGAL=
~ ~ Dat• of Survey: /lJ/25~~9~
~ ~ ~CIIMENT BTANDARnR `
~0 0 • Registered Le,nd Surveyor signature and oompany
~ 0 0 • Buildinq permit Applicant
~D O • Legal de~cription
Y~ 0 • l?ddress
GYD D • North arrow and bar acale
D' D D • ~iouse type (rambler, walkout, ~plit w/o, split nntry,
lookout, etc.)
~~~,0 D • Directional draiaaqe arrovs with slope/qradient t.
@' D D Proposed/existing cewer and vater services
~ D D • Street name
B~D 0 • Drivevay
ELEVATIONS
~xistiaa
8" G D • Sewer serviee
0~D 0 • Lot corners
~0 ~ • Top of curb at the driveway
D L'Y D • Elevations of any existing adjacent homes
4reeoseC
~ 0 • Garage floor
~ 0 • First floor
,B D • Lowest exposed elevation (walkout/wir?dow)
8~ r 0 • Property corners
fl/0 0 • Froat and rear o! home at the foundation
~ONDiNG l?REAS (if aDDlicable)
~ L9' • Easemeat line
0 Q~ • HWL
D ~ • 8ond ~ desiqnation
D • ~mergency Overllow Elavation
DII~NSIO1i8
~D II • Lot lines
D D 0 • Riqht-of-way and street vidth (to back o! curb)
ID~ D D • pzopoaed home dimensions includinq any proposed decks,
overhnnqs qreater than 2', porches, etc. (i.e. all
structures requising permanent footiags)
D D ~ • Show all easements of record and any City utiiities within
those easements
yr D p • Setbacks of proposed structure aad setback o! adjacent
a / ~ existinq homes
ID~ Retaining wall requirements, iP any
Reviewea: -71 C5/ z7 / 4 ~ .
Name
v-r.-^; ~ ~ ' Ht.B
October 1992
' . . . t1It1t1C~o'L'IL.`1T~Tt;_fi11Fa1L~i_Y._~J2F~.~81.S41G8TI4113 #q~~ 3`fZ
- DA5Cl~ OII CIIAPTCR 5 OE 'PIIG '
~i~1~~L_Y~tirl~~iY.~ot1F - i§oa EQITLti
Adoption E~faotive
~F,f'~'SNr~~ ~ ~ ~ .
awnar phone Date
Slte Address ~
contraator `.~h~ I~l~i.!_F.R. ~,l~).~ST Phone
Ouilding Clossifloatlonf Type A1 (Single Fumily 6 Duplex) ~ .
7'ype A2 (ResiJential, ] etorles or lese) (over 7 etories) (Otl~er)
ti9T.EL~nmula~~tzngae__i._nn~firat. ~
~Gt1~1391,__Il1EQ[iL11iTIS2t1 kt~ N~~ .
1. Oulldlnq PerlmeEer~~~1~~~L~~ ~ ft.
2. IJall helght (ground to ~ave) EE: • '
1. X 2. (above) qross wall area ~I~ ~ eq.ft. ~
4. Uu1ldLiq dlmetielone (L) X(W) J ~~`~`v!/~. .sq.ft.eoof 6 floor.area
5. 5q, foot arep of tlm jolst - Floor ~alet tllz{~e 2 R'Iv )~,nq
L7 ~I ~V ~['6Y~1116r6C'~ ° ' 6C~.ft~.
12
6 . booCe - Area ~ ` -
7'hickne' fn U. ~acEti~'
Typo of Construction Perlmeter ft.
. Itanufacturer
7. Totol door'e perimeter ft.
0, lilndowet tlnnufacturer ~IUS~/~. GSYII 9tnte upproved
u Eactor .hG~
,TYPE SIZE AItE7~ (Sq.Ft.) IIl1FIUER OF TpTAL
5~~ N/,/~ l/i/„ ~7_N - EACII UIII'P9 9Q FEET
~~~1 '7
1
1 )
9. j Totul eq. f t. Olase ~Jn /
lo. Fireplace nrens {9ldtli X Ileight ~ H e eq.Et. ,
11. Expoaed foundations IIe1g1iE A Perimeter~~4~ X~=1~sq.ft,
COIIPL~TIOII OF' TIII9 FOAII I8 REpVIREp F'OR AGI, t1Et9 COt19Tf1UCTIO~1~ ~InJOR
ItEHObELIllt3 Allb DOILDIIIGB OEI11(3 NOVEp wucn~ EtICRGY~ OTI?ER TIIAtI 'PIIE IlI11I1fAL
COUE ALLOI~IAIICC~ I5 USED. ,
• t
-1- . •
' . ' :
~ ~ ~~~-'~.~7: .
12..,Frqml~ig nrep A lOt of groag wall aren. '
17. Uross wall area ~~-I`~ sq.ft. ~
Wlndow area A ~9d~ . eq.fE. U windawe ~ .3~ UxA = 1~I
Rlm jalst area A N4~ eq.ft, U rlm Jolet= ,D`CI UxA =
Uoor dteu A- ~7~ sq,ft. ' U dooC area~~~ UxA = ~
Otl~er doors area 1~~_eq, f E. U otlier dooru= r T~ UxA ~ 9
Expoeed fndU,A IZ -l eq,Eh, U foundation= ,D7f~ UxA m !
Framinq pren A~l , eq,fE, ll framinq nrea= ~v~~ Uxl~ = 3~
Ilet wnll uroa AZ eq'.ft. U unll~ ~D~f~ UxA =~..~D
, (laU) '1'OTA4 . . . . . . . . . UxA = li~~
14, GCOSn wall nre~ x ii.ll (A-1 eingle fomily 6.duplex) ~ allowa6le UxA/Cade
(1~. aUuve) •
x 0.2J (A-a othoY Cealdentlal) ' •
_ x .z7; (vtl,er uulldinge)
x .20 (ovor ~ ekories). •
3 oTU1i mu~t Ua larger l-han or eome
A~_x U Codo ~ I~ e. 3y~ _ oF: ae 1]tl above
15. Colling framinq oroa (AE) oqunla l0i ol.oelllnq~.area ~i
I5A. Ctoss eelllnq nroq ~(L) ~ x. (N) I~V~G./ . eq.ft.
1511. Joist oren (AE) e 104 aelllliq nroa e~_eq,Ek: .
15C. Itet aelllhg ar.en (A~) (15H - 151]) e l 7' eq,fk.
UcelllnqxA~ a .~~~-8 ~!/L/2 ~n 29 ~ . .
U f ramL~g x A E a {,9 H , dZ3 ~J' - , " • , .
15D. TO'PAL U x A........ • • ' _
- _ r ,
16. Celling aren (15A) x o.026 (A-1 einqle famlly G duplexj ~
= allowabla UxA/ ~ado
x o.o7a (A-2 other reeldentlal)
x 0.06 (otl~er) ,
A 15A ~~~~7~~ ~l,(~ ~ p'rUll musE be lnrger than or eame • •
( ) x U Code , d ~F. ae 15U above
IIOT~t Uea U anil A vnlues oUtaiiied Erom pagae• 1, 7 and 4.
~rll'PIEI~ItTIQU~ I I~erolry ceYtlfy Eliak I I~ave anlculared tlie ~'U~~ faotore and
"il'~ valuoe hareln nnQ L•hat tho bulldlnq liore desarlUed meet~ or excaode the
9tote oE IlLineeota Lnorgy Conporverlon AaE. ,
nate 8lgneture
V
-2~
~
, ~ ,
~ .
cs~r oa raa~?x ~ o! 4
BT. CSARy88 *OOD
DSVELOPMENT CONTRACT
Th~' Contract, made and entared into on the 6~ day
of SB-C , 1994, by and betwesn the CITY OF EAGAN,
a Mi esota municipal corporation, (hereinafter called the "City"),
whose address is 3830 Pilot ICnob Road, P.O, Box 21199, Eagan,
Minnesota 55121, and the Owner and Developer identiPied herein.
A. The term "Develeper" as used herein refers to: Joe Miller
Homes whose address is 3459 Washinqton Drive, Eaqan, 1~7 S51Z2.
B. The term "Owner" as used herein refers to: D.R. 8orton,
Inc.-Minnesota, a Delaware corporation whcse addi~ess is 3459
Washington Drive, Eagan, 1~T 55122.
WHEREAS, the Developer has applied to the City for approval of
the plat or subdivision known as ST. CHARLES WOOD located within the
City; and
WHEREAS,. in conjunction with the qranting of said approvtsl, the
City requires the installation and/or availability of streets, water,
sanitary :sewer, related services, storm sewer pipes, ponds, erosion
and sediment contsol measures or other facilities; and
WHEREAS, under authority granted to it, including Minnesota
Statutes g412 and $462, the City CounCil has agreed to approve caid
plat on the conditions: (1) that the Devaloper enter into this
Development Contract, which Contract defines the yrork which tY~e
Developer undertakes to complete within the boundaries of said plat
~
,
7. On Lots 2 through 6, the driveway connections to Slater Road
shall include a turnaround on the driveways.
S. A land covenant must be recorded that prohibits outdoor
storage within the turn-around area.
9. The Developer shall meet with the residents as early as
possible before the item ia presented to the City Council.
10. The Developer shall pay a cash trails dedication and provide
an eight foot wide bituminous trail connection from the cul-de-sac to
an existing trail just southeast of Highcroft Court, through a berm
designed to act as a buffer; to the park and a 30~ wide easement to
accommodate the trail. "
~ ,
~'tTl* ~S~
z
~
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_ _
~ ks `ss
~ ~ ~
. ~ . arR = ~ . A~`t'~ ,~`~i,~
~t?I3p.~. , < < < .
1994 MECHANICAL PERMIT (RESIDENI'IAL)
CTI'Y OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UN1T.
-
~ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE 2 /-q`J
FEES
HVAC: 0-100 M BTU $ 24.00 .
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@$3.00 EACH) 3•`~
ADD-ON/REMODEL (ExisrtNG coNS~rttUCr[ox)
STATE SURCHARGE .50
TOTAL ~3•3D
3ITE ADDRESS: y~~~ SLR"~i2 1PC~,
OWNER NAME: ~/GG~+e /~am E S TELEPHONE yJry ` y~d ~
INSTALLER: l,GN7,C'~G~~D ~l1Z
ADDRESS: 3~~I' 5T.
~A~iPm ~?V G~raN STATE: ZIP CODE: -~Sd ~
~,r~rHOrrE 6 - ~ ~ ~Z
J
SIGNATUR F PERMITTEE
. ` ~ USE #~~~,Y
' BL~
l ~ ~
; F
= S !
R.
)
~ ; ' !
. . . . i..:i. e.a..... >'.f. oA r.~. . . . .f.::.°.....i.... aa.~n...f..
1994 MECHANICAL PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RI3
EAGAN MN 55122
~ (612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDIIVGS OR OTHER MULTt-FAMILY BUILDINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTI2AC;T PRICF~ $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF ~~71~71'~~'T' FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ~'~R,M,~' FEE.
TOTAL g
Si i
E f1i~i~FtES~•
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLI~
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
~~v
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Plcasc complete fbr. Single Pamily Dwellings
Townhumes and Condos when pcrmits nre requirod for each unit
Date~/~/ O~
Sitc Address ~ / ! O ~ ) !(/t, 7C/~ Unit # _ _
Praperty Owner < ! li~r ~ 7~~(i ~ ~ I ! V~ U ~ C.i~ 1 Telephone # ( ~5/ ) 7 ~ ` 7"~ / ~
Contrac[or ~ll. I ' / I ~ l~U/ ~ ~ / ~~(il, ~
Street Address / /l~ % ~ ( /j/~\ ~ City V ~
State Zip ~~c~~~Tclephone# (9~G~~~~
The Applicant is _ Owner ~ Contractor _ Other
Add-on, modification or alteration to existing dwelling unit S 30.00
furnace replacement
air exchanger
air conditioner 1 ~
~ otner ~~i~~ ~v~~~ ~U(~,1~ ~tvV
~ ~~ro~\v~C.~~eN ~ S , ~S rti ~1
State Surcharge $ ~5~~
Total $JV •~0
1 hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work ~vill
be in wnformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is nui u
permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance wiih thc
approved plan in the case of work which requires a review and approval of plans.
`cZ:~ c~ ~G-~~,Y ~'«2'~~G~~~~~
ApplicanYs Printed Name Applicant's Signatu
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephoue # 651-675-5675 FAX # 651-675-5694
Piease complete for: commercial/indushial buildings
mulri-family buildings when separate pecmits are not mquired for each dwelling unit
Date / /
Site Address Unit #
Tenant Name (if applicable3 Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Conhactor _ Other
Work Type
Newconstruction ' UndergroundTank _Install _Remove
Interior Improvemeni, Call for inspection during installationlremoval of tank
Processed Piping ~
Nature of Work:
Permit Fee $SOSO Minimuin Fee (includes State Surcharge)
Contract Value $ x 1% _ $ Pemrit Fee
• If permit fee is $1,000 ~r less, add $.50 ~ $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Permit Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Pemut and acknowledge that the information is complete and accurate; that the work
will be in conformance with :he ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is
not a pemut, but only an app;ication 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.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
3~ ^ ~ ~ _ ~ 3~~Di ~
~ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION C° ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmctlon Reouirements RemoOellReoair Reauirements Office Use Onlv ,
3 registered site surveys showing sq. it. of lot, sq. tt. of house; and ali roofetl areas 2 copies N plan showing footlngs, beams, joists Cert of Survey ReW ~ Y_ N .
(20%maximum lot coverage allowed) 1 set of Ene~gy CatcuWtions far heated additbns Sals Repwt Y N
1 Soils Repod if proposed building is to be placed on distur6etl soil 1 site survey kr addilions 8 tlecks 7ree Pres Plan Recd _ Y_ N.
2 copies of plan showing 6eam & wintlow sizes; poured found design, etc. Addifion - indcafe i~oo-site sepfic system Tree Pres Required _ Y_ N
isetofEnergyCalculafions OmsiteSe~GcSystem _Y _N
~ 3 copies of Tree Preservation Plan H lot platted after ~11f93
Rim Joist Detail Opfions selec6on sheet (buildings with 3 or less unAs)
Minnegasco mechanical ventilation form ~
~~~a~~~ ~a~r~ cur,~i~~s~~~s~3 at'ttii€~ i~~crstz:~fi€~~ e~ar ~~t~f~ t~a~ as~~ tr~c~~ s~er~t ~r~t~ ~h~ r~a~~r~~~. ~
Date 2/ S~ Construction Cost ~
Site Address b~"]`P.tL aQ UniVSte #
(S Z. Z
Description of Work 1~P.~lk~'-~ 02 ~K
Multi-Fam+ly Bldg _ Y~ N~ Fireplace(s) _ 0 _ 1 _ 2
Property Owner C.~ GfC/~-GG~" vl~t Et J f~~ Telephone ~i
CE < < "
Confractor
~ Address C~tY
SYate . ~ Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7612
Energy Code Category . Residential Ventilation Category i Worksheet • New Energy Code Worksheet
(Jsubmissiontype) SubmitteU Submitted .
~ • Energy Envelope Calculations Submitted
In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber Telephone )
I
Mechanical Contractor Telephone )
Sewer/Water Contractor , Telephone )
1 hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wifl 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 pl n in the e of work which requires a review and
approval of plans. ~
~~~~Gl i~3~N2[.l,f~'~ y1
ApplicanYs Printed Name ApplicanYs Signature
-
, DO NOT WRITE BELOW THIS LINE
Sub Tvqes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
- ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 ~emolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
~ 34 ReplaCement `Oemolklon ~Entire Bldg) - Glve PCA handout to applicant
DBSC~IDtIOn: WaterDamage_Ves
Valuation J/D`~~'O~ Occupancy MCESSystem
Plan Review 10D% or 25%
Census Code ~-F3 ~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~ Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Sheetrock
~ Footings (deck) Final/C.O.
_ Footings (addition) ~ FinalMo C.O.
Foondation H VAC
Drain Tile Other
Roof Ice&Water Final Pool F[gs Air/GasTests Final
~ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace R.L _ Air Test _ Final _ Windows
Insulation Retaining WaII
Approved B . , uilding Inspector
Base Fee
Surcharge ~ 7''~
Plan Review ~ /G C ~D~ ~
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
g~- ~ - . . .
CERTIFICATE OF SURVEY M 32- ~ 201- 9 4
for
JOE MILLER HOMES
I-,
/ ~
~ ~
a
/ ;
~l qha ~ 5 z ~
; ~
~ ~ze> i%y~~~ ~a
~t~ 30 gs ` N. 43' . ki \ i
V ~ 'o '~h ~40.p~8 W ~ ~ / \ ~
9 ~ ~
St ~ l~' ~
' ^".1953% F~~y ''-3> v ~
~x.x ~~53. ~ 0
~l'V atoo g g ` \ .
~a~~ ~ ZDIMC " ~ a ~ ~ " ~ ~1~~ ~
1 ~ Z: r/ d`a b" ~aao ~53' ~ ~ D./9/
I ~ ~ ~ , ~a.,~ -:in`~.:.:q P ~ 9 5 96 ~
~ = SSiB .3i oo ~',m
Jlo ~ ' ~
i, / 5~ I n r a~
~ aa ~ t9 rZ~ ~ ~ $ e~ . _ M ~ ~oC . ' W
- ^ o M ~ ~ ~ ~ .
~ C~1 r^~,~ '~`7.~ ^ T' W 4~ ~ o J I ry~o
1 V1~ ~I ~s ~ O~ I I
p~ ~ ~.~,~I I/5~,~1 Jo.W y ss z
I ~l ~d, 24.87 i! C~~ =f~~~~ ' .
„ ' \I 9 ue> i ej ae.xi ~ ~ 5 ~ ~
.N~r ,4a.oa `549.9.
' I k `~j ~ N 83'43'01" yy ~
~ y.
B9
~D ~
EAGAN E GIN~~1tID+G D~PT.
~ / ~m~'1Em@9o ~YS~u~.'! i~lli ~ ,
D~
;~Qie: i" _ ~~t 4778 Slater Road , ,
, ~
~ ' DESCRIPTION • !~;;Zst 9•;
- I hereby certify that this survey, plan, or Lot 4. Block 1. ~
report was prepared by me or under my direct ST, CHARLES WOOD
supervision and that I om a duly Registered Dokota County, Mlnnega ` 0~~
Land~ Surveyor under the Laws of the State .
- of Mi nesota. Plat bearinqs shown
~ ~~_~~r~ o Denotes iron monument
~i.y~.
Date _ ZS ~~T 199~fi Rea. No. 8140 ~ Existing~ Proposed
BFtANDT ENGlNEERING & SURVEYBNG
1600 West 143rd Street, 5u ite 206
Burnsville, MN 55306
(612) 435-1966
M32-12Q1-94
~ ~
zoo~ RESIDENTIAL BiTILDING rExmuT ArrLicaTioN
City Of Eagan
3830 PilofKnob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConstructionReoui2menis ~ RemodeUReoairReauiremen5 OfficellseOnk
3 registered sile surveys showing sq. R of lot, sq. ft. M house; and all roofed areas 2 copies of Plan shaxing footings, 6eams, joisls CeR ofSurvey R2oi; Y_
N
(20%mardmumlotcover~eallowed) 1selNEneryyCalculatlonsforhea~edaddi6ons SodsRepnrt _Y =N
1 Soils Repod if proposetl 6uilding is to be placed on dislur6ed sail 1 site survey for addNons & decks Tree Pfes Plao Recd~~. _Y N.
2 copies of plan showing b~m & window sizes; pouretl found design, efc. Addition - ind'cate fi on tite septic system Tree Pre5 Required _ Y N _
. isetofEnergyCalculations ~ Onsite5ep4cSysiem. _Y _N
3 copies of Tree Preservation Plan if lot plattetl afler 777193
Rim Joist Detail Optlons selection sheet (buildings with 3 or less unifs)
Minnegasco mechaniwl venhlation form ~ ~
PEans are considered ublic information unless ou state the are trade secret and the reason.
Date ~
~ / / Constructiou Cost ~ /
Site Address ~i ~~Y ~ ~ UniVS[e #
Descriptiou of Work T~i~~ Of
~
Q/~ P`+~ l~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner ~;W~~~ ~S/~~~S~,f7 Telephone#(`/~ ) /~~,1~~7~~~
Contractor J/(/Y~ MidO/ ~l~/~ G~ J~ / 1~/N~
Address ~QJGO / 3 y"iy~ 9 V~ ~ C~Ty ~ 1~
State /~/V Zip ssy~~ Telephone #(763 S~~ ~ 3 7~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
Energy COde Category . Resitlential Ventilation Category t Worksheel . New Energy Code Worksheet
submission type) Submitted Submitted
~ • Energy Envelope Calculations Submitted -
In ihe last 12 months, has the City of Eagan issued a permii for a similar plan based on a master plan?
_ Y _ N If yes. date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone ~
Sewer/Water Contractor Telephone J
I hereby apply for a Residential Building Pertnit 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.
'~-,ioSC 1~UQ~DA'~//,v~ .~la/T/1~1 ' I~E~v" /l,l~,
Applicant's Printed Name pplicanYs Signature
DO NOT WRITE BELOW THIS LIlVE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling d OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ~ ? 31 6ct. Alt - Multi
? 03 07 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-piex ? t8 Deck ? 23 Porch (saeen/gazebo/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvoes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ~
? 32 AddiGon . ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' J~ 43 Reroof .0 '46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) • Give PCA handout to applicant ,
D05C~Iqtl011: WaterDamage`Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings(deck) - _ Final/C.O.
_ Footings (addition) _ Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
_ Framing ` _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
' City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies ^
Other
Total
~/1 ~~r~~
2007 RESIDENTIAL MECHANICAL PERNIIT AFPLICATION
CTity Of Eagan
3830 Pilot Knob Road, Eagan MN SS122
Telephone # 651-675-5675
Pleesa complete for. eingle fsmily dwellinga & towuhomes~coedoa whea permits ate required for each utrit
na~ I ~ ~ b$/ b~
StteAddress `l ~ ~ l~ ~~I~t'cir ~ _ Unit#
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State / V yip ;/,/~/~~Tekphone # ( O % ~ ` ! /
Bond#: Y~~~ ~~~-1 D~ Eapires: ~-a~cS
The Appticant is _ Owner ~ Conhactor _ Other
Fire repair (replace burned out appliauces, ductwork, etc.) $ 90•~
This fee applies when extensive mechanical repairs are made to a building.
Addo¢ or alteration to eristmg dweiling unit $ 50.00
fumace _Add'Rional _Replacement _ New
air exchanger
air conditioner
heat pump J ~
~ other ~XNJ
3tate Snrcharge $ .50
Total $ ~
I hereby apply for a Reaidentiel Mechanical Permit and acknowledge that the information is Eomplate and accurete; that the work will
be in conformance with the ord'mnnces and codes of the City of Eagen and w4h the Meel~enicel Codes; that I understand thia is not a
permit, but only an application f~ a permii, and work is not to start without a pe t the wor wi11 be in rdance with the
appro,v~` plan in the cese of vrork wkuch requires a review~aw.i epproval of plaos. ` ~ -
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Applican4s Printed Name Applicant's Sign
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129121
Date Issued:01/12/2015
Permit Category:ePermit
Site Address: 4778 Slater Rd
Lot:4 Block: 1 Addition: St Charles Wood
PID:10-65870-01-040
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Gerald Rasmussen
4778 Slater Rd
Eagan MN 55122
(612) 803-2421
Sandstrom Enterprises
888 Burke Ave
Roseville MN 55113
(651) 983-4340
Applicant/Permitee: Signature Issued By: Signature
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Date:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: `-0/� /q�/✓/ ono
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:
Resident!
Owner
Unit #:
Phone:, 12_ €a[>7j ?-
Contractor
Applicant is:
Owner X Contractor
Description of work: 9 (�
Construction Cost: Z- C, J5 00
Company;.) L A(..1.e. kV -W.\ ,.1
Address: \ LL ( c ✓\k0 L i
Multi -Family Building: (Yes / No
Contact:
City: L_c.1 .-.v',ll1,..
Staterh Zip: SS 0'19' Phone:e9$2-2._CO �JlyEmail: ,� z -,r (�� L- q
License #: . b1 W)0 r, Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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-public if you provide specific reasons that would permit the City to
conclude that the 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.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.
Exterior work authorized by a building permit issued in accordance with the innesota State Building ode must be completed within 180
days of permit issuance.
x.� 1,* -V id�r�C�q tA•�r.v�
Applicants Prinfed Name
Iicant's S e nature
Page 1 of 3
tits
711
L( 7 %g 6 0.--1-oz_ .R-1 0 NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation tom' 'e' Occupancy
Plan Review Code Edition
(25%_ 100% Zoning
Census Code Stories
# of Units Square Feet
# of Buildings Length
Type of Construction , / N Width
REQUIRED INSPECTIONS ' J
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) X 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
Framing ,k30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
2g6 -
Fireplace Porch (3 -Season) Exterior Alteration (Single Family)
Garage Porch (4 -Season) Exterior Alteration (Multi)
Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
Lower Level Pool Accessory Building
Interior Improvement
Move Building
Fire Repair
Repair
Siding Demolish Building*
Reroof Demolish Interior
Windows Demolish Foundation
Egress Window Water Damage
*Demolition of entire building — give PCA handout to applicant
L11-
tmvJ 20
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Insulation Windows
Sheathing Retaining Wall: Footings _ Backfill _ Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In _Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By:
It
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/ 14 0 NO 0 --__. 2_2_1
Page 2 of 3
Nov 09 2016 03:56PM Clearwater Plg & Htg 9524401740 page 1
Date:
CiIyofEa�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
For Office Use
Permit #: 139 I O
Permit Fee: (, O' Od
Date Received: 1( -14
1`
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Tenant:
Site Address:
4778 Slater Road
1
- J
Resident/Owner
/ ouite ii:
//�� CC Sl/!'t.c tQ �'-)
Name: Mtn Se f /C
Phone:
4778 Slater Road, Eagan
Address / City / Zip:
Contractor
Alta Heating & Plumbing Inc. dba Clearwater" PM060886
Name, License #:
19260 Mushtown Road Prior Lake
Address: City:
MN 55372 952-440-3779
State: Zip: Phone:
Susan Schlink susan@clearwaterphc.com
Contact: Email:
Type
of Work
4,New — Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _
Lower level finish
Description of work:
Permit
Type
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation ( RPZ / PVB)
4/ Add Plumbing Fixtures L_ Main / 4,Lower Level)
—
Septic System
New
Water Turnaround
_ Abandonment
RESIDENTIAL
$60.00
$60.00 Lawn
$60.00 Add
$115.00
FEES:
Water Heater,
Irrigation
Plumbing Fixtures,
Water Turnaround
Septic System
Water Softener, or Water Heater and Softener
(includes State Surcharge)
Septic System Abandonment, Water
(includes State Surcharge)
Turnaround' (includes State Surcharge)
TOTAL FEES $
(add $280.00 if a 3/4" meter is required)
New (includes County fee and State Surcharge)
CALL EFORE YOU DIG. Call Gopher State One Call at (651) 4544-0002 for protection against underground utility damage.
Call 48 h urs before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq
I hereby a nowledge that this information is complete and accurate; That the work will be in conformance with the ordinances and codes of the City of
Eagan; th t 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
accordan with the approved plan in the case of work which requires a review and approval of plans.
x
Susa Schlink 1. _...-a.
: i ' i
Applican's Printed Name•� � .,,Y„at%
Applicants Signature
FOR OF ICE USE
Require Inspections: Under Ground Rough -In Air Test Gas Test Final
Meter R lated Items: Meter Si,P, Rodin Read Mannmpter Staff.
Reviewed By:
Date: