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4782 Slater Rd INSPECTI~N RECORD C~TY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ' Eagan, Minnesota 55122-1897 Date Issued: ' 6 (612) 681-4675 SITE ADDRESS: i ~ ` " ~ ' ~ 1 ~ ~ ~ APPLICANT: l. i~ i ; t; ~<<~ ~ ~ , ~ a ~~~-a i{~i ~ ~ : : ; ~,~,•;y. i j ~i~~ ~ i ~ , i PERMIT SUBTYPE: TYPE OF WORK: I: ~ ta! I i ~ • i . #h':~ . - tii, ~ ~ ~ ~ ~ Permit No. Permit Hoider Date Telephone # ELECTRIC PLUMBING HVAC Inspectlon bete Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.i. BSMT FINAL DECK FTG p"~ 5' 2~d ~~-~w~. S fl DECK FINAi ~_Z~~ ~~y~~ Z~ I~l+~ aH ~ oy - - - - - - - - . ~ ~ INSPECTI~N RECORD CITY ~F EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55122-1897 Date Issued: ~ ' ~ ' ' ' ' (612) 681-4675 ! f 4 1. ~iT ( SITE ADDRESS: ~ „ ~ ; ; ~ k . , APPLICANT: ~ I~ it R il M rd . [1 N , ~i;,: ~ , r,~rs~~l~ ~ , i ' . ~ , PERMIT SUBTYPE: TYPE OF WORK: ~ . . ~ i ri~. , ~ ~ ; I~1~MfN~; , ~,~i ~r+~, ~ r.t~.sit r'~ i r,,pa i f rt ~ t;;~. ~~~~~~~i i ri ~i t~~ i ~ i~~~ N~~i ~ i,;,~lr . ~~t~V , ~ I.t, Fl tJ I.Jr+ ~ ~ r FtN~~ ,t ~J, . ~ ~ L~ ~ - Permit No. Permit Holder ~ate Telephone ~ ELECTRIC (v 9(p ,~Q~' , PLUMBING ! /9 9lr Hva,c g,3 9 Inspection Date Insp. Com ents FOOTINCaS i 6 / ICOT E (o G ~ FOUND I ~J?' ~ ~ ~ 7% FRAMING 3~~ Q~ ~ ROOFING ROUGH ' - J PLUMBING PLBG AIR TEST ROUGH HEATING -Io? ' ~j ~L~ GAS SVC TEST INSUL '%.~J ~.fL .l~ QYP BOARD FIREPLACE ? 7 9G ~ FIREPLACE AIR TEST y-a~~ - FINAL PLBG ~~7I n C~' cu ~i• o T G~ ~ FINAL HTG l~ e~ l ORSAT TEST BLDG FINAL ~ BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Cities Di itg al Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ` ~ ~ ~i . ..~~,.~.y„r,.~~r' ~ . ~ !~w . . . . ~ dl' ~ A » Y~- . 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Cities Di ig tal Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. . , s + ~ 7 '~t r r s „ v ' ~ 1 . , . . . . ..~t~ . . . . - ~y ~ ' ; ~ ~ ' ' ~ :d . . F . , . : x - ~ ~ ~ ~ M:I ~ ~ 1.~. / ~ . . ~ 1. . X"'~ . . ~ 4 1 . . 1 ' . r.. ~ Y ~ ~ l , . • r. . d " '¢,i n 4 ' • . ~ ~ ~ ~ . ~ ' ' ~5 . . ' ; . ' ~ . . . ~ . . . . . . . - . . . . . , . _ . . . . . , ~ ~ . . - ~ r . :1: . , ~ , . . ' . a 'FS' ~ . - . y" ~ ~,t;. , . • • . , ~fw ~ • . . , . R( f V . . . ~ . ~ . . ~ , • ~ , ' . ~l,' ~ . . . , . . _ . ~t . . 'y.' ~ . _ ~ i - ; - ' , ~ , ~ , • ° ~ . . , ~ - t y . . , . . ' ~ . ~.1z~w~~M , ~ s. r . . , , . . . . . P~Y ~5t~ , ' ~ ~ . : . . ° ~ 3~ ao; - A~ , s ~ i. ~ ~ ~ : , . _ r~sx~~= , ~ . ~ E ~ . . . ~ ~ ' ~a~ + ` ' ~ i . , r,, ~ , , ~ • . , . . r T ' . '1 4 ~~k . ~ °i~~ ! . 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Permit No. Z644~ Occupu~cy Type u ~ Zoaing District ~ Type Const. ~ Owner of Buildina ~ ~ ~ Add~s {~~l~ F Building Addtess ~1782 ~aR ~ L~caliry ~ ~ B ~ ~ ~+S ti~ , /y ~ Dare: Buildiug Official PO.ST IN A CONSPICUOUS PLACE 2 n c~~, O/~ /ONLY This requesl void IB momhs from validation dala pnnled in Mis bov / C. V V' V~3o 00 PLEASE PRINT OR TYPE 3 ~ D Raq est Dale Ro~gh-in in~pedian requiredY ~Ves ~ Na Inspecfion 01herThan Rough-In: ~ Ready Now 141 WIII Call F e b 2 7, 19 9 6 n~~ m~~~ ~aii me ~~~Peno~.n,~ ~aY~ oore R~a~: I, ~ lirensed contmcior ~ owner hereby request inspedion o( the a6ove eledrical work af: Job Addross (Skaet, Ba~, or Route No.~ Ciry Zip Code 4782 Slater Roed Eagan Setlion No. Township Name or No. Range No. Fire No. Counry Dakota Oaopvnl PIwM No. Joe Miller Homes 454-4663 PowerSupplier ``~aR~300 220th ST SW Dakota Electric Elec~dml Convacbr ~COmpa^Y Name~ onhnctor icen» Na. Masler lic. Na. (P~ant Elen. Only) Midland Electric CA 01236 Moiling Addrms ~CanMacmr ar Owner Pedorming InsMllalion) Midland Electric 22691 Red Fox DR Lake ' Panhorized grwNm ( mra r Perbrmine Im fion~ Phone No. 461-1444 EB- Ih 0 6/95 ~ STATE ARDCOW-SEEINSfXUCT10NSONBACKOiYELLOWCOPY IIIII II II ~ I t~~ ~I REDUEST FOR ELECTRICAL INSPECi., Minnesota State Board of Electricity ~ 182i University Ave., Rm. 5-128 St. Paul, MN 55104 ~tg * 2 2 5 1 ? 4~ 9 * P~+one.~ala; 642-0800 (o Home Duplez Apt. Bldg. Other: New Addn Commercial Indushiai Farm Remod Re air Air Cond. Hig. Equip. Wa}er Htc Load Mgmt. Ofher. D er Ran e Elec Heat Temp. Service "X" above }he work covered by this request. Enter remarks in this space and on the back of ~he white copy only. Calculate Inspection Fee - 7hi: Inspeciion Reques~ will not be accepted withou~ the correct fee: Olher Fee # Senice Enhance Size Fee # Circvih/Feeders Fee Mobile Home Park Stali 0 to 200 Amps 0 to 100 Amps Sireet ltg./fraffic Sig. Above 200 Amps Above 100 Amps TmnsformedGenerator INSPECTOR'SUSEONLY T~T°~ ~j Sign/Outline Lig. Xfmr. r~~~ PJ ~~~o `~'O Alarm/Remote Controi Swimming Pool I hereb certi fiai I im eded Me elechiml insmllafion dexcnbe on Ihe datas ed Irrigation 8oom Rough-In ~ e oe~e Special Inspetlion ~ Finvl Investigative Fee ~ ~ THIS INSTALLATION MAY BE ORDERED DISCONNECTED I O MONTHS. Ad~ress ; a~sz st.t~tEa ttann Lot 3 Blk ~ Sub sr ~~S [~on THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: g ~(P Yes No Inspector: Final grade (6" from siding) ? Permanent steps (gazage) Peimanent steps (main entry) Permanent driveway ? Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verify wiW the builder the removal of roof test caps from the plumbing system and Ihe shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact enginee[ing division at 681-4645 before working in righFORway or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~ PERMIT ~os 1go r~ CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B u i ~ o i N ~ Eagan,Minnesota55122-1897 PermitNumber: p~26gq7 (612) 681-4675 Date Issued: 01 / 10 / 9 6 SITE ADDRESS: 4762 SLATER RD LOT: 3 BLOCK: 1 ST CHARLES WOOD P.I.N.: 10-65870-030-01 DESCRIPTION: Buildinj.,Permit Type SF DW~ ;Building Work Type NEW ~~UBC Oecupancy' R-3 U-1 t~ Construction Type V-N Zonin~g PD R-1 ~ Bu~~ildin~q L~ngth 58 9ui~ding Width ~ 4~ B,uilding stories 2 -Sq`us~re Feet 1,908 Censu`s Co~d~e~ 101 1- FAM. D~TpCH ~ ;Y ~'d ~:4 _ ~ ` ~ ~ - r~ i ~1-~- ~ ~ _ _ ~ ' ~~~'.1 . , ° } REMARKS: PRV 3& W PLBR - M& W WATER AND SEWER FEE SUMMARY: VALUATION $151,000 Base Fee $1,142.25 MISCEI.LANEOUS ,~1.923.50 Plan Review $571.13 Total Fes $4,562.38 Surcharge $75.50 SAC $850.00 SAC ~ 100 SAC Units 1 Subtotal $2,638.88 CONTRACTOR: - Applicant - 5T. LIC OWNER: HORTON INC OF MN, D R 14544663 2000565 JOE MILLER HOMES 3459 WASHINGTON DR 204 3459 WASHINGTON DR 204 EAGAN MN 55122 EAGAN MN 55122 (612) 454-4663 (612)454-4663 I hereby acknowledge that I have read Chis application and state that the information is correct and agree to camply with all applica6le 8tate of Mn. Sta;tutes and City of Eagan Ordinances. ~ _ ~ Y~.~1'.~ u~ ~ ` ~ I APPLICANT/P RMITEE SIGNATURE ISSUE~ BV: IGN UR CITY OF EAGAN ~ ~~._.1 G 3830 PILOT KNOB RD - 55122 ,~p , 1995 BUILDING PERMIT APPLICATION (RE5IDENTIAL) ~A-~l ~-~a 681 ~675 New Conshuetien Reauirementa RemodeVReoair Reauirements ? 3 registered sRe surveys ? 2 rapies oi plan ? 2 copies of plans (inGude beam 8 window aizes; poured fid. desi8n; etcJ ? 2 site suneys (extedor addklons & dedcs) ? 7 energy ealculations ? 7 energy calculetions for heated additiona ? 3 copies of uea preservation plan if IW platted after 717l93 required: ~ Yes _ No DATE: 1~°I~'SS CONSTRUCTION COST: ~~y{~°Z~ DESCRIPTION OF WORK: ~ ~~'~u~~'Dy STREETADDRESS: ' ~7$a St~i~ w i~~- LOT ~ BLOCK SUBD./P.I.D. ~4rIC5 ~c~-~ PROPERTY Name: Phone OWNER Street Address~ City: State: Zip: coNrw?croR Company: Soe~ iM~ lfe,~ }~e5 Phone ~s~ yb/ ~ Street Address: 3~ISy tc~~SN~~.~-;ue. #.~?o~ License #~a~~~a City: v~ State: Zip• ~~a-Z ARCHITECT/ Company: Phone ENGINEER ' Name: Registration Street Address~ City: State: Zip: Sewer & water licensed plumber. J- . PenaPly applies when address change and lot change are requested once pertnit is issued. 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. //JJ Signature of Applicant: OFFICE USE ONLY / Certificates of Survey Received ? es _ No D E C~ g~995 Tree Preservation Plan Received ~es _ No I OFFICE USE ONLY - • - • ~ '""`~e . ~ _ ~ ~ BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish ~02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pooi ? 03 SF Addition o 08 8-ptex ? 13 Garage/Accessory ? 20 Public Facility o p4 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE ~ 31 New o 33 Alterations ? 36 Move ? 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) ~r~ Basement sq. ft. ~i ~Z~ MC/WS 5ystem G~ (Allowable) '~-N Main level sq. ft. 1~ i~~ City Water ~x. UBC Occupancy ~2-3(~/ sq. ft. I,IzN Fire Sprinklered 2oning p~-h/~ i sq. ft. PRV f~t 5 # of Stories 2~6r.~> sq. ft. Booster Pump Length s-~ sq. ft. Census Code. Depth v1 Footprint sq. ft. y4~ SAC Code ~ Census Bldg c-~< Census Unit APPROVALS Planning Building Engineering Variance ~ Permit Fee Valuation: $ G~ Surcharge Plan Review {~J~~,{, ~ ~,,,T- License • MCNVS SAC /c(Xt/~i ° G 7 y ~ s' i~~ City SAC ~x " ~ z%~ - ~ z Water Conn. Water Meter ~3x 2~ - f~ y Z ~ x'S" = Acct. Deposit ~ x~y, 3 p= o SNV Permit S/W Surcharge / ~ 6 x ~`l " Treatment PI. ~ o Z ~ Road Unit Park Ded. Treils Ded. , s x'° ' s Other ; y Copies ~ ; ~ //j G X !9 : ~1~ 3 TOt3~: / ~ ~,s' k ~4 = 38 1 2X _ ~i °h SAC ~ l Z~/ k.~`/ = , 5'x ~S~ O il~ = 5AC Units I ~ ~ yG ~z, y~ ~ : /s° J~~ - - c~R~nFica~ o~ suRV~Y M 32~ 1335- 95 for JOE MILLER HOMES ~ ~ ^ h i ~,h ' ~ Lfi ~ ~ ~ ~j ~~i 83'43'01" yy I O~ l~, ~ m.es ( y~ 140.00 ~ i ~ ~ z..B~ ,z~ y5 ~7 0~~~Q~' ~ M~ r-t--____ ~ .ScRY i i ~ -ir- _ _ N rn~~ a n~l I 'a' ~ Mn~ a ( I /L n~jJ ~ ~II~ ~ +ltB3 15 ~N L/ ~ ~ N~ , p ,1~;, N~ n\ II ~ ~~1~ ze.oo /%ry ~ I Z V l ~ II t~---- ~ ~ 4 ~ ~ v 53.8 az9o e; 0 ~ ~ ~r t.oo u ~ N ~ N I ( r 1 (~5/1 2~ ~ a g ~ a°~ ~ w J (N ~s.oo r ~ ~ I o ~ ~ "i'~a~- m -i I, G1~ ~ C ~ C ~ I ~ ~ I~ j„° ~v°~° L NN /~1I ~ ~~4 °0O ::.N~ 1DwY x~,~m ~ m ~a o° ~~o ; : ,Q o 0 ean;,;Z~' ~"".z ~w a~ ,~.so 9 yd • v, u, 3,$ n~ o g lo ~ ~ J5 z~3~ I m ~ I o ~si.~ g -.n. I ~~I~%~a~ ~~SK! ° ~j~ ~ ~ ~ ~ hj 2a. ~ ~a ~ Mt/ o~ ~ / ~ Z~ ~ao.oo S70eM ~6Q A9~. GB ` ) r ~ I / ~ ~ ~ ~ ~J~~ $9~38~~8~ Hd V~~'~ ~ ~ ~ / zz,s~ ~ ~9~ `E~?6~ENCY DUEPFt,O~u ~ I 4 ~ n / ~ ~o tJ ll o ll o~~'`=.S Fl l! L'-~ ~ LllGAN E IlVEERIIVG FJEFa'. Scale: 1" = 30' 4782 Slater Road DESCRIPTION ~ ~ ~ ~ ~ ~~V6EddE~ I hereby certify that this survey, plan, or report was prepared by me or under my direct Lot 3, biock 1, supervision ond that I am a duly Registered ST. CHARLES WOOD ~Y Land Surveyor under the Laws of the State Dakota County, Minnes a(t ya of Minnesota. iaTf _ Plat bearings shown ~~~l~ o Denotes iron monument Date EC 194 S Reg. No. 814Q ~ Existing j Proposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Suite 206 Burnsville, MN 55306 (612) 435-1966 M 32-1335- 95 , „ LOT SURVEY CHECKLJST FOR RESIDENTIAL • ` a BUILDI G PERMIT APPLI TION J ~ Q PROPERTY LEGAL: ~ m 0 TE OF SURV E Y: 4 S- ~ ~ IATEST RENISION: ~ o ~ s x z DOCUMENT~STANDARDS ~ a ~ • Ragistered Land SurveyorstgnaWre and company ~ ~ • Buitding PermitApplicant ; ~ ' ~ ~ o • legal descriptlon m' ? ? • Addres3 . o • North artow and scale ~ o • House typa (rambler, vraikout, spt~w/o, spiR entry, lookout, etc.) o • D(rectlonal drainafla artowa w8h slope/flradient % ~ ? • Proposedlexistlnp sewer and water services 3lnvert elevatlon ? o • . Street nama (Y' ? O • ' Driveway ~ ~ ELEVATIONS , Exlstlna . o • Sewerservice • ~p ~ • Property comera Q'~y ~ • Top of curb at the dfireway O • Elevatlons af any ebstlng adjacent homes ro ~ ~ • Garage 8oor ~ ~ • Frst iloor ~ ~ • Lowest exposed elevetion (vralkouUwindow) ~ ~ • Property comers ? 0 • Front and rear of home at ihe foundatlon / PONDING AREA Bf aoolicablel o • Easement Iine • • ~ fY S3- a NWL ~ . o O~ • HWL , , o • Pond ~ desipnatlon O ~ • Emefgancy OverfloW Elevetton ~ OIMENSIONS ~ ~ • Lot IineslBeadnps S dtmensions ~ o • Rightwf-way and streetwidth (to back of curh) GY a O • Proposed home dimensiona includl~p any proposod decks, overhanps y~eater then 2', ~ porches, etc, p.e. aU sWctures requirinq permanent footlnps) ~ ~ Show all easements of record and arry Cily utili~as wilhin U~ose esaemenb O • Sethacks of proposed struetura and sidayerd setback of adJacent e~dstlng struclures o ~ • Retaining wall requirements y , Reviewed: / z N e lOae July 1805 ' . . . . . .:.~-4P . NOT Afd ~€'P~i~?W~D / cc- ~rC.~-va r~'~n }~~c~~~ - SE.G~4~`Ie5 l~.x~d DCre~y~w~..r~~ L~f3G'i/(/ st~'~ suav~r ~u; ~ .T~C_ rn. ~r~- ~r~s ~t~tltEVVED FOR TREE PRES~WVATIOiV COM~Lt~NC~ pNLY ,rl t'~~ S Sc~l~ ) 30 ~ O- ~ ~ wU ~ ~ ~ ~ ~ 4~c. ~ ~O ~ 0~ ~ ~ ~ ~ ~C ~ L ~a`~Sfiv~~ ~~ri~ ~YeG~ JunoYhu'ry' ~v~ - ~;~y" [~lac.k C-~a•~y e EX~S~in~c Livrd~%~Ln.$ lr~~~~~C. l~li~• .`~i~n~~~";ccn~~ TrCG-5 „ • !a ,`~G v~ - 11 ~ c . . J:~G,n~}~cGn~ ~uU~~4n~s • fL/ O ~5. _Su~~ li/ti,'k 04~. o t~rr:~p~~e~ C~Kd;~~v=~_S SG~e - /I" k/6,'le, c`kk Tru,S /Lcm~vcd . . ~ S V~ _ . KC~~ G~:: ~ k(u1c+ ~G n cl S /Cl~+"~vUCc~ , 5ave, - ~o" L~/l,~`~c c~a~ ~o~~sr~~ Ds~isio~ ~~e~ ~ ~b ~~g' [~1~~ ia i,~ vs _ uttiu4s~?~~:t~t~,~n~cr~ilFdL~i1L~S?I1P,.~At,c<StL~~Lt41ts . , 1)A3BU UN CIIAP'1'Glt 5 OP 7'llli ,l~ ' • u~~z~t.~r~iriis~Y~~a~zr~_^~.:~n~?~~iQn ~I~~T- li~~ ' ~ Adoptla~t ~~feoEivo : ~ . OwltaC'~ ~ . . , ' pitolta DQte ~ Slto Adc~ress ' . contruoEor ~aE J~~IC .(_~P ' ~ ' ci one ~ ~ bulldlhy C1andlElautio~if mypa t~l (glt~qle ~Famlly G buplax) _ > . '1'y~~a A2 (Ilaoldentlnl, 9.ntotled or lede)_(OVer 7 eEorle~)_(Otl~er) IISL'L'~1__C_Qmuls~~tznsla~nusl~_i lrxt. . c~ue~3et.~~tes~?~~.~e•r~.szu 5~~ . ~ . i. • null~ting rarlmet~r~i~j,~oP~'Sf~~T tr. 2. Wall holght (gro~mcl kn ~uve) 61 ~E: 1. X 2. ~abovej groes wull uron J ~ ~~.Er. A. Uu~1dL~g.dlmatielol~n (L) H. (W) ~ b_I1 Li`T i~cj.Er.rooE 6 fioor gk~n1.. 5.,:Sq. tooL nraa of rlm foldr ~ Plq~ pr folek b~ze 2 H,' I Q. ~ . ~ , z. ~ _ _~U H 3Q~.~I~er rneL-ar b.~ q Et, La • 6. booCg ~ Atea . ~ . ` ' . ~t • . 7'lilcluiesg ~~i U, ~atl~tiE / ~ 'typo oE Conotr~~atlan PeYlm6tor EE.- • . 1laliuEnCkurdr , 7. 7'otnl door~d peklma~er Ct. ~ d. W.llidows!' !lutiutuaturer /~~xj~/(.~ ~~M,I~ ~ BEntn nppYOVed: `F , U tucEor .~~iL? ~ ~ ~ . - '1`Y[~E gIZC AiICA (9q.FE.) IIUtltf~tt oF 'Cp'CAt ~ . ~ Ii` ~I BACII UIII'tJ 1~Q ~'E~T ;/~-f~ E~ VO~F- ~ s,. ~ ri 9. Totp1 bq. f t. tllpdq _7 lo. F'lreplace arnnl {i1dL•h H 1loiqhE b H e ~q.~r 11. Exposed Eoundurlo~tt Ilelgl~r H Petlme~er 7S /7 L~_~(1~ey.frs coI1PLE'Tlol) ot^ Tllie pnnll J[9 It~pUIttep Fott l~t.L Ileti Colls2tt~axiolt, 1tA.iori ~1CIIOdELx11U r11U pUILbllldtl UCIIfd IIOV~p {ifiGlitJ L"tIGIIUY~ QTIIE[t 'I'1lAii 'P11L•' 11IIIIl~AI, CoU~ ALI.OWAIICC~ Ig U5EU. . : • . -1- . . . : . :w . , . . ~ `~4- ~7 ~ , . 12. Yramlii:y'oren d!o! oE qro~u wnl~ araa, ' _ B[~.~~. ~ . 17. (~COH9 41E111 4C~p j(/~/~~1 % . . H1~111oW AC6U 11 •l .Z~ . ~ . aq.fl•. U wlndoH+~ A ~ UxA itlm jaleE nrea A~_eq. EN. U rlm ~oie~-~ ( l Uxt~ ; Uoor dYan A C, ~ sq.f~, U daat ukea= UHA ~ OEI~nC dooru dren A`L~ nq; f~, 11 othex' door~e .`'i~I Ux~ d ~xpoead fncllt 1~~_eq.EE, U Enunda~ioti~,/~7~D UxA r ~ ~ ~ ~ ~rominn ~~en t~~~~/i oq. t~. u EYAltllllcJ dYeqm ~ uxA b ' Ilot wnll arna A~" C)~J~ C,~h.EE. U 4iq~ln , "I l1xA e~ ~ (19v) 'PamA4 ~ . . . . . . . . UxA ~ + , lA. Uroeu wnll oren x tl.ll (A-1 plnqlo Eam11y 6 duplox) r nllowo6le Ux1~/CO~le (19. aUuva) H 0.2~ (A-2 aE11nC YeqldehElnl) . ' H .2~ (olhor bUllcllltge) )t .2h (OVUY 9 bLoC~eq~ : . : ~ ~ ~ : J ~ ' / bTUll muu~.l~e Inrger Ehdn, dr nuine I A •'Jl~k U Codd ~~T-.,_~ oF:. qn 17U,nbnVd.' - 1~5. Ca111ng tramlhg araa (Af) aqunla lnt oC oelllnq nren ~ ' 151~. GYond co111n nroa ~ f~~~ ` ' q d It,) x; I1~) e •~q~CE.+ 15u. ~alnt aren (AE) q lat colllhq dron~~ eq.kt. . 15c. Ilat cailing nren (Ac) (15A - 1Bt1) ~~~w nq.fr. " t;'~'. U cailinq x AC d' V x~~"-L!'~ ~J U fruml~iq x A E b x,Q~~d , ~ EF'~ t i~n. marAL U X~......~... Z~ . 1G. Colllt~q nran (15A) x o.U26 ~A-1 plligla famlly.& duplex) ~~t 411bWAI716 ~~1C11~C0(~~ ~ ~ ' . ~ x o.o~~ (A-z othar renldential) ` x o.oe (okhur) - d'CUIt mue~ 6a lqrger Ehen tlr e~ma A(1GA)~_x U Coda ~F. pp 15U BUove v'~ i ~ 4, 11o'PE! Une lt ani) A vnliloe oI~L-ulltnd fYom puqeu• i~ ] dttc~ A. ,i;? , G1i11'CI~1~A'C1L111 I horoby certlfy l-IinE L hnva o4lauld~od L•ho ~~U{~, faatbrn1'dt~d "li" valuou Iwreln und lhnE Eha 1it111dlnq hnYe cleearlUad fieate br..axcaad~itiha ~ F}; ~l•ato oE llliiitiegi~l:o Liinrgy conuorvnElai~ Adt. i;; i , . ~ ~I : j ~ ~ ~ . ~ ~a.v :~t...q . . , r ;?j; . :yJ ~.;'.r:..' I)itte ' 8 C]i10t11Y6 t':'.' s ; , ~ _ , _.::i• . ~i ~1~ • ~I , . ~ 1 , . . . - . . . ;S,~r ~~Y , ' ~ ' . 45 Y } ~ ~ ~ ' . . . . . t f ~ ~ . . + n4 • 1 I....: i i . ; . , s ~ i / ~ ~1 { k 'd~ ~ . ' . ' . ' _ , : i_., yi , ~b ~ , ~ ~ ~ , ~ _ -~~s ' ~ ~ C~ ~-~.g Z r` ' ~ ' /~.~1 )I/~ y/~ ~ ~ r. :~..i ~S ~ ~~~~i'~~l! /-vlnl• ~ -L ~ ~ ~2 ll~~ U , , I ~i ( , ~ . t~ - ,~~y _ _ ~ : ~ ~ ~S2 _ _ ~ ~ r, ~2 ~ 2'~s'Z I ~ o~~ ii ~ ~ ~ z ~ Z U~~~ ~ , „ - ~2 ? 2XG'~ 7 ~'~'1n1, 11i M i I ' . . ' . ' 1 . ~ _ ~ ~C51 x ~c1"72~ ('Nlli. ~ ~ , , ~ ~1.... ~ ~ z ~ Z~~ I~~' , { ~f - • ' L-~~ f~ X o ~ z ~~'~2 11?-III ~ . rn , ; ,,r . ~ , .„A ~ . ; re:i?,, . . , , , . _ . ~ , F t , _ . . . . . _ . ~ .~,211 c,1 ` ~ ~ Z ; a~~i~ Z.~sIC~2~.~2-~--~v~g~)'~4n'`~ , ~ ~ ; . ..'L'La~ ~ x . ~s.! ~g2 ~ g~ "F ~b~~ ~l'~ x~L~'v1 : ~ ~ rn~~ : ~ . ~ . _ ~ ; , . , , . s z~~~k~kk~#XC~ir~i~~CXc ~#~~~%W# ,ekcY~:~v~v~;;c~?~Cr,eX;Y„8'~R«:v~~CM&c GTTY Ol= r_~n.r.,a~n r_a~Ei.r.F.~;~ s ?chnzr~ai_ ran: L~ATf= ~ OES/c i./`!E, 'C SMC^ l:i:':?4 ~2i ID^ NAME: f'ROMTIF:R CQNSTFLICTIOM1! :3~:L0 ~3b(11 4i8~'_ SI.ATFFi 1":Li 4.~.OQ 2i.:~.`:] 9C)0:1. 478F? "iLATk:.F2 Rzi Q.50 (.3430 S70('11 4iHc ~;L..AI'ILfi FiI~ O.~CI 'rntal Recei~_~t Aroni~n+,~ 4e;,,QO GROE,'3i.76 l!81:Ft :f.U: NANL'Y %~%~~kk ~X~~~%~X~kt~k~#~k~X~k~%~k~X*%~~ ~C~~~K~rXX~%~ %cX~ ~k~%~ # ~X~ ~ ~ ~ ~ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u x ~ o z n~ ~ Eagan, Minnesota 55122-1897 Permit Number; ~26603 (612) 681-4675 ~ate Issued: 0 8/ 21 / 9~ SITE ADDRESS: - 4782 SLATER RD LQT: 3 BLOCK: 1 ST CHARLES W000 P.I.N.e 10-65870-030-@1 DE5CRIPTION: ~ ~di1~k~~`~~Permit Type ~ECK ~Bur76~.~1~T~~'~~rk Type NEW ~ 434 flLT. RESIDEN7IAL GeTLStt~ C,~dF~ ~ ~f ` ~ _ ~ e~` c ' ~ _ ~ ; ~ ~ ~'-w` ~ x„ , P ~ ~ ~ ~ ~ t ~ ~a ~ r s ,t x g`~i4~..}Nv~ y:2&,nas~ 4~ ~h b~&~'~'#~ F ~w' ~ ~ ~ ~ ri "~a`~. r u~~ s¢t"~~i ~ ~ s~ ~ ~~x ~ #F:. ` ~ r'r u~'* .`~xi'~xa~ 1^`3"~''~ ~R»»~.~ "^~'~~u " u„"~'°a ~p REMARKS: FEE SUMMARY: Base Fee $A5.00 C(IPY $.50 Surcharge $.50 Total Fee $46.09 Subtotal $45.5@ . CONTRACTOR: - Appii.cant - sT. ~zc.OWNER: FRONTIER CONST 18914359 2@06031 VINE BOB 14191 FRON7IER LN A782 SLAT£R RD BURNSVILLE MN 55337 ERGAN MN (612) 891-4359 (612)953-2106 `-x here~sy ac,~n~wleage th~t ha~r~ read .~nas `appiica^~iar~ ~rrtd s~at~ tha~ the ~,n~~irm~7~fcan- ~s ~preec~ a,~i,~! ag,re~ ~Q".cnmp~y w3.th ail ~,#s#~;i~ai~~,~, s~~te :caf M~ S~tatu~~~~~" ~ ~3~~r~~z~"~a,~ari ~1~"di~~rfce~`s: _ _ k ( A LICANT/PERMITEE SIGNATURE _ ISSUED BV: GNAT ~ ;d°,(i;c;:fiY.~!;YF$::~f>$m`:z'; `~:K:t,tr,c:X%8%i:i ;:t:iY,:>$ ~:~,.Y,C::X~::: °,r.';ii,^.~ +:%t);;>;c C:J:1Y Gr' I:- P~Gf r~ C;t~,SVI:I:I'ft: J8 iE.FtM;Nf-,~ i~'(7~ i':.';S~ D~i"('~::. f)')/0"i'/`33 '`.'Ti"Ei:e 0'3;~:1.5:'i37' Ir~ ; ~vAt~C;: F.i'fL-~JE:~ I-I~ CJ.IT714:Cr1: iic'.:I.C1 .'~~(.1{];. ~i7~:;i:' ~~LATIcp,: ';:r~ G(.L00 343p 9rl~~J. 67f3i? i34..;7E~i F:D ;].C;O r. r,~. ~..ef~~:i c~.. , ~ t..._...~`.~ ~ i:.11. ~r c_ ~...61TE;~i fi_ G,.[30 . 'T'n'F:7.L F',~:Trir.:~.F~i; (~OTt~~i.:t}'h,C GleI1I7 r.%; i. i E. r°:i ~ 15:?:F',' :[iit JF~f~ i".. i w~.b.~~.~Ml~:y~.~~~~A:~).:.{~~ f9+~~: ~Vii..:)I~irn~~Y~i..~~l~L.n~4~~~n CITY ~F EAGAN p~ 3830 PILOT KNOB RD - 55122 • ~l 996 BUILDING PERMI68 -4673 ATION (RESIDENTIAL) ~ ^ ~ / ~.~f` QG( New Censtruelion Reauiroments RemodeUReoair ReeuiremeMs ? 3 rogistered sHe surveys ? 2 eopMs ot plan copks of plans (fndude beam 8 window sizes; poured fid. desfgn; etc.) ? 2 sMe surveys (e»erior additions 8 decks) ? t energy eakuletfona ? 1 energy calalations fw I~eated add0ions ? 9 copfea of Vee presenation plen H Id pleHed after 7l7/93 ~squhed: _ Yea _ No DATE: I ~I I WO CONSTRUCTION COST: DESCRIPTION OF WORK: i~ ~ r~,^ ~`-I K ~Z- ~C~ STREET ADDRESS: ~t~ ~Z SIc~+~ ~nra~t -r~ Y~ lOT 3 BIOCK ~ SUBD./P.I.D. ~~~h ~o~ /~~A t~-ice QS~-ZIC~S- PROPERTY Name: ~ V1V~Z Phone OWNER • Street Address~ ~ ~ ~D~ ~ City; State: Zip: ~,.,~-~,p~ ~,N,~vC-~ov~ Phone y~5~ cON'rw?c7o . Company: Street Address: 1~Ilhl FFar~~er- ~,H~~ License City: ~~~sN112. State: YVV-~ ziP~ ~533~ ARCHITECT! Company: Phone ENGINEER Name: Registration Street Address~ City: State: Zip: Sewer & water licensed plumber. ~ Penalty appiies when address change and lot change are requested once pertnit is issued. ~ 1 hereby acknowiedge that I have read this application and state that the infortn ' n is coRect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ~ Certficates oi Survey ReceNed _ Yes _ No QUC ; y~s~9n I Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY k ~ ' ~ ~ ~p~t ' *r~ ~g~ ~ :r , BUILDING PERMIT TYPE ~ 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition a 08 8-plex a 13 Garage/Accessory o 20 Public Facility 0 04 Sf Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous a 05 SF Misc. 0 10 _-plex d15 Deck WORK TYPE e~31 New o 33 Alterations o 36 Move 0 32 Addition a 34 Repair o 37 Demolition GENERAL INFORMATION Const (Actuat) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water T UBC OcCUpancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. u3 Depth Footprint sq. ft. SAC Code o~ Census Bldg i Census Unit o APPROVALS Planning Building d~' Engineering Variance Permit Fee Valuation: $ G Z Surcharge Plan Review License MCMfS SAC City SAC Water Conn. Water Meter • Acct. Deposit S/W Pertnit S/W Surcharge ~ Treatment PI. Rbad U~it Park Ded. Trails Ded. ~ Other Copies ~ Total: SAC SAC Un'ds i--• CERIIFICATE OF SURVEY M32-1335-95 for JOE MILLER HOMES ~ lr ~ ~ h~'i ~h~ L ~ ~ ~ ~ ~ 43' ~(0 1~ q~' ~ry ` 83~ 01 W I ~ 140.00 ~ O 4j ` a~.ea ~?~y ~ B s I /p~~ 1 ( 2~.e~ ~ " ~z.ze gSZi / d ~71.~~ ~ M~ rt--__ 9 I rn~~ oS,pl; ~ I ~ ~-IT-----__ _ u^~-~ ci ~I ~j pp~ a~~.~ ~ { ~ ~ro 1~2ff1 IrJ wN l/~ a ~ ~ I~j) ,i~ ~ ~oV_ n~, ~ II R ~ N~ ~~J~ S~ II I~ - NO ~V ~ II.~ ~ ~~J se.oo / ~ ~ ~ I Z 4 ~ ~ w m ° #Z9v ~ ~ - - - - 0 ~ ^ ~ ~4 1.00 ~ N ~ N I ~ ~ f~ N N ~ W r n (~'~/~~Z~ v 2 N~' ~ ~ ' \l J~~ ~s.oo ~ s a= I o ~ s- m~ c,, o- o ~ I~l ~~.O ~ ~I o N~ 0 I N N D I~~ o ~d2~4 I Mp L ~p I ~ `°1 N~ ~DnYz 1.:2~ w ~ ~ , ~aso 97~ $ ~ ~Z `°°o nY g S IQ S~ @ ' z ~ I J5 i 3~ m ~ - I o ~si.~s g ~a I~j95~%~~j OaSK! ° ~ ~ ~m z.. - - i i~ ~q ~ MN Iv y~ 140.00 STOQM ~6Q ~fll~ cB . i~,~,~ n , ~j~• ~2 r ~ ~ ~ I~ J 9, ~ s as•3a oa" w ~v, ~ zz,s' ~ ` ~E~N6P..GENCY DUE~Fi.W~ ~ 4 ~ n / p.p R ~p B ~i¦ ¦c~e ~~~'~C~~~~~0 ~ ~AGAN E INEERING DEPT.' s~aie: = 30' 4782 Siater Roaci DESCRIPTION ~ ~ ~ A M REVIEW~D I hereby certify that this survey, plan, or report was prepared hy me or under my direct Lot 3, block 1, ~ supervision ond that I om a duly Registered ST. CHARLES WOOD jY, Land Surveyor under the Laws of the State Dakota County, Minnes a~t yo r~- of Minnesota. i°7F Plat bearings shown o Denotes iron mo~ument ~.~-,..~r ~ _ - Date EC 1995 Reg. No. 8140 ~ Existing/ Proposed BRANDT ENGINEERING & SURVEYING 1600 West 143rd Street, Su ite 206 Burnsvilie, MN 55306 (612) 435-1966 M32_--1335-g5 ~ 1999 BUILDING PERMIT APPLICATION tRESIDENTIAL) ' ` ~ CITY OF EAGAN ~ 3830 PILOT KNOB RG - 55122 G~ ~ ~ ~ 851-681-4675 New Conshucllon Reauheme~a Remodel/Reoair ReauRements ? 3 reglaTered sHe surveys ihowing aq. R. of lot sq. H. of house 2 copfes of plan ond qJl rooted wem (20~ maxlmum lot coveroae allowed) 1 sM ot energy cakulaflons br healed oddHlons D 2 copies of plans (show beum S wlndow sizes: poured tnd. design; etc.) 1 sile survay fa exferbr addRions a deck~ ~ D~ 1 seT ol energy calculafions ~ D 3 copies of hee preservallon plan B b1 plalfed after 7/1/93 DATE: aI3 ! ~ ~ CONSTRUCTION COST: DESC81PilON OF WORK: U~_~'a Gr ~ t o It STREEf ADDRESS: 7 ~ ~ ~ r LOT: ~ BLOCK: ~ SUBD./P.I.D. ~ .V~(l n ~l t ~ ~~15~ Name: ~ u tz ~ c lc s t cc, ph Phone ~ 51- R`~ y 3~ Sk PROPERTY ~a~ FU~ OWNER Sheet Address: ~ ~ ~ 2 S ~a f rG ~1 City ~ State: /7 N Zip: 55 Z Company: O tv h P r^ Phone (area code) CONTRACTOR Sheet Address: - license # Fxp. City State: Zip: ARCHITECT/ ENGINEER Company: ~i c~ n e~" Name: Telephone area code ( ) Sfiee't Address: Regishation Cffy State: Zip: Sewer 3 water Itcensed plumber (reauired tor new consfrucHon onNl: PenqHy applies when address change and lot change is requested onee permif Is issued. ` . I hersby ocknowledge thaf I have read lhis applieation, sfate that the IMortnofion is eorrect, and agree to comply wMh all applieabl Staf~ of Minnesofa Statutes and City of Eagan Ordlnances. Slgnature ot Applicant OFFICE USE ONLY , Certificates of Survey Received _ Yes _ No Tree Preservation Pfan Received _ Yes _ No _ Not Required OFFICE USE ONLY ~ ' ' BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 7 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? OS 6-plex ? 13 16-piex ~8 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 &plex ? 15 Lodging ? 20 Pool 0 25 Miscellaneous WORK TYPE ,~31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair 34 Repair ? 38 Demolish (Interior) 0 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code 213y (Allowable) Main level sq. ft. 5AC Code p I UBC Occupancy sq. ft. No. of Units t Zoning sq. ft. No. of Bldgs p # of Stories sq. ft. MC/E5 System . Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building {~G Engineering Variance Permit Fee b0 SO Valuation: $ I._~_ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Perrnit S/W Surcharge Treatment PI. Park Ded. ; Trails Ded. „ Other Copies TotaL• ~ SAC Units % SAC CERTIFICATE OF SURVEY M32--1335-95 ' for JOE MILLER HOMES ~ ~ ~ i.. ih~'~ h~ L~ i ' ~ , I ~ \ ~o ~ ~ ~ / ~ 83'43'Ot" ; ~ ~ , ti~~ ~ ,ao.oo w ' J,.~ /p, ~ s,.e~ ' 4z.se 95 ~o ~~7~' ~o~o SRy I I ~ ~ -IT~ - _ N ~I ' M~ r*~-~ - ~ " rn ~r~ ~ n ---s ~ ~ L"' ~ 1 ~ #~I I$ ~ ts284 ~5 ~oc°v L/ ,n~ I I i~',~I1S3~ s~ ~ c~oo ~ ° J ~ i ~i ;°~h za.~ ° ~ ` I NZ ~ a i i = m ~ ,e a ° ; - - - - ~ ^ i ~ ~ ~ ~ >4 Y ~ i ~ ~ 1.00 rt N ~ ~ ~ N ~ 61 C ~ Z~ ~ fD a g+` ,.a, " fdl w rN ,aoo r~ o a:.r I o ~ °c v' ~ I ~ I~OI o,~ I~}~ ~ ~~i ° ~mz%4 ~ °o ~'l v~ m ~ o co 0 cnc~+ D~YZ I y ,w a°~ iaso 9~3g ~2~ ° S ~ I z N y g g ~o r, ~ J5 ~~g~ I I ~si.~5 ° v Ig ~`S%y e~SK! ° 4~- m 24 0 - S 93 ~ ~ oo < z°° S6w6R J3P~ ~ ~ ~ ~ehj ~ MIJ ~ b 140.00 5TOeM I~~ ~B `~'~l I` h S 89'38'08" W ~V.~"'~ ~ ' ZZS~ i~ r9~ ~E~6~EN[y oUERFI.Ow ~ - I 4 I ~ 9 ~ n a n, . - F CITY USE ONLY L ~ BL . • RECEIPT ~ ~ • +SUBD. /Lfi. l DATE: ~ 9 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681~675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES ~~H ~ _ JiOTAL Shower 3.00 x f Water Closet 3.00 x ~ 6ath Ti~G 3.v0 x - ~ Lavatory 3.00 x ~ _ Kitchen Sink 3.00 x / _ Laundry Tray 3.00 x ~ _ Hot Tub/Spa 3.00 x = Water Heater 3.00 x _ Floor Drain 3.00 x ~ _ Gas Piping Outlet * minimum -1 3.00 x Rough Openings 1.50 x Water Softener 5.00 x = Private Disposal " Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Spfinkler " home under const. 3.00 - Alterations * to existin9 20.00 = Water Turn Around 20.00 STATE SURCHARGE •5~ TOTAL ~ SITE ADDRESS: SICLfCI~ iQ(.~ OWNER NAME: JoE ruL~a CoNSTttUCTlorr INSTALLER NAME: GIIVZ-xYArr PLUrIDING STREET ADDRESS: 14745 South Robert Trail CITY: Rosemount STATE: MMP11 Z~p: 55068 PHONE ( ) 423-1144 ~~~~~a,~ ' h v . OFFICE USE ONLY r ? L _ BL _ RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672)681-4675 Please compiete for: ~ all commerciaUindustrial buildings. ~ multi-family buildings when separate permRs are Il4t required for each dwelling unit. DATE: CDNTRACT PRICE: WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of Rg~jt fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: ~~TY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: L ~ BL ~ CITY U5E ONLY RECEIPT + 5UBD. /J~ ~ ` DATE: S 1996 PLUMBiNG PERMiT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 ~675 Please complete for: ? single family dwellings ? townhomes and condos whcan permits are required for each unit ~ FIXTURES ~ACH t(Q. TOTAL Shower 3.04 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kftchen Sink 3.00 :c = Laundry Tray 3.00 :c = Hot Tub/Spa 3.00 ;c = Water Heater 3.00 :c = Floor Drain 3.00 _ Gas Piping Outlet " minimum -1 3.00 :c = Rough Openings 1.50 _ Water Softener 5.00 x = v~-~ Private Disposal " Dakota Cty. lieense 65.00 = (new and refurbished systems) U.G. Sprinkler * home under const. 3.00 = Alterations ' to exist~ng 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ~ L~'~~I~ ~d 3v O~- ~ SITE ADDRESS: ~~a OWNER NAME. ~~ZG~ ~~rr ir~. INSTALLER NAME: ~~~'~~'`"~'C~ STREET ADDRESS: ~~~%f/L~~ ~ C CITY:~ ~7 STATE:~ ZIP: ~~7 / ~ PHONE ( ) ~ ~ lp ~ OFFICE USE ONLY L 8L . . RECEIPT - - . , SUBD. DATE: 1996 PLUMBING PERMIT (CQMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGQN, MN 55122 (612) 681-4675 Please compiete for: ~ all commerciaVindusfrial bui(dings. ~ multi-family buildings when separate permits ar~ ~ required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER RE~UIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERfi TO BE INSTALLED? YE5 NO. FAILURE TO PROYIQE TH15 INFORMATION WIlL RESUtI' IN A DELAY OF METER ISSUANCE. WILL YOU 6E INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. fF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRtNY(LER PERMIT. FEE: $25.D0 minimum fee or t°h of contract price, whichever is greater. State surcharge of $.50 per $1,000 of rmi fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL ~ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTAILER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURF: APPUCANT OFFICE tISE ONLY METER SIZE: " DATE: INSPECTOR: CITY USE ONLY ~a.~ L i BL ~ RECEIPT i1.2~~ SUBD. ( ,{tQnX2~. /A~~ DATE: ~`3 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ~ New construction Add-on furnace .Add-on air cvndiiioning Add-on air excnanger, i.e. Vanee system, etc. Date: ~ / - ~ FEES ? Minimum Fee: Add-on/Remodel (existing residence only) -$-28-66- ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU ? Gas Outlets (minimum of 1 required @$3.00 each) ~,GO ? State Surcharge .50 TOTAL ~a SITE ADDRESS: y7 ~ 2 ~ f ~r _ OWNER NAME: /~l.'// ~ ~d.neS _ PHONE ~~S - 6 3 INSTALLER NAME: ^ lle~ ~ STREET ADDRESS: F~ ~D^ ~v~ - CITY: ~ 7~~ , STATE: /~?ti~ ZIP: S-s°'2 y PHONE ( brZ ) Y6D - /c4,2 a2 ~ ~U CITY USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? all commercialfindustrial buildings. ? multi-family buildings when separate permits are required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~$25.00 minimum fee gL 1% of contract price, whichever is greater. ~ Processed piping - $25.00 ~ State surcharge of $.50 per $1,000 of pg~jt fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (iMPROVenneN7s oN~v~ INSTALLER: ADDRESS: CIN: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR ~ /A .'/,D CITY 08 EA(iAN aT. CHAxLBS woon ~o~r 3 , DSVELOPMENT CpNTRA~ Th Contract, made and entered into on the 6~ d8y of , 1994, by and between the CITY OF EAGAN, a Mi esota municipal corporation, (hereinafter called the "City"), whose address is 3830 Pilot Knob Road, P.O. Box 21199, Eagan, ~ Minnesota 55121, and the Owner and Developer identified herein. A. The term "Developer" as used herein rePers to: Jos Miller 8omes whose address is 3459 Washinqton Drive, Eagan, ?IId 55122. B. The term ~~pymer~~ as used herein refers to: D.R. Horton, Inc.-Minnesota, a Delaware corporatian whose address is 3459 Washington Drive, Eagan, 1~IId 55122. WHER~s, the Developer has applied to the City for approval of tha plat or subdivision known as ST. CHARL,ES WOOD located vithin the City; and t~tEREAS,, in conjunction with the qrantinq of said approval, the City requires the installation and/or availability oY streets, water, sanitary :sewer, related services, storm eewer pipes, ponde, erosion and sediment control measures or other facilities; and ' ~~~+5, under authority qranted to it, including Minnesota Statutes g412 and 5462, the City Council Aas aqreed to approve said plat on the conditions: (1) that the Developer enter into this Development Contract, which Contract defines the work which the ~eve:'.aper undertakes to complete within the boundaries of said plat . . . , . 7. On Lote 2 through 6, the driveway connections to Slater Road ehall include a turnaround on the driveways. 8. A land covenant must be recorded that prohibits outdoor storage within the turn-around area. 9. The Developer sha21 meet with the residents as early as possible before the item is presented to the City Council. l0. The Developer shall pay a cash trails dedication and provide an eight foot wide bituminous trail connection from the cul-de-sac to an existfng 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. ~ ~ `~~-a ~o _ ~ 7~ ~~i ioo~ RESIDENTIAL BUILDING rExivuT nprLicnTiox City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consinctian Reauiremen8 RemodellReoair Reauirements Office Use 9nN 3 re9'rsteied sBe surveys shovring sq. ft. of lot, sq. R of hase; and sll roWed areas 2 wples of plan shovmig footings, beams, joisls Ceit af Survey Recd'~- _ Y-_ N (20°h mm'unum lot coverage allowed) i set of Energy Calalations fa heated addipons Sals RepM _Y _ N 1 Sa1s RapoM1'rf proposed building is to be placed an distmbed soil 1 sile sumey fa addifions & decks Tree Pres Plan Reod _Y N, 2 copies of plan showing beam 8 window sizes; poured found desipn, etc. Addifion - irroticafe Han-sife septic sysfem Oo-sile S~ 9Sys em _Y- _~N 1 set of Energy Cakulatims . . 3 copies of Tree Preurvetion Plan iF lot platted aft~ 711l93 ~ Rim Joist Deiail Op6ons selection sheef (buildings vntl~ 3 or less units) Minne9auo mectianical venfilallon form . Plans are considered ublic information unless ou state the are trade secret and the reason. Date O t Conshuction Cost SiteAddress ~'/7~Z ~~G~~Y ~ ~Q~G/I HA~.SS/2.2 UniUSte# Description of Work ~AR ajF ~n 1z~Of Multi-Family Bldg _ Y_ N Ftireplace(s) _ 0_ 1 _ 2 Property Owner j Telephone #(ljs/ j' 'i'7 7~Z~ Contractor \~Gs7 ~U~1~/ f~00//~~ ~ S~-~~~~ Address ji /3T// .f Vf /V City /~~X D' /1 T/y State ,rG~/y Zip ~ Telephooe (~j 's"S~/ d 3Oy COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 Energy Code Category , Residentlal Ventilation Category 1 Worksheet • New Energy Cotle Worksheet (dsubmissiontype) ~ Submitled . Submkted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masTer plan8 _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a,permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ~ ~ ~b7'~l~'P~ T,.,m T_ ,..y,Gr~c9~~~Q'l' //.~1 rApplicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Owelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Oeck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 37 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alterafion ? 37 Demolish Building• 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolitlon (Entire Bldg~~iva PCA handout to applicant. DPSC~IDti0I1: Water Uamage Yes Valuation Occupancy MCES System Plan Review 100°h 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 REQUIl2ED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) _ Final/C.O. _ Footings (addition) _ FinalRJo 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 S8W Permit & Surcharge Treatment Plant License Search Copies , Other Total _ ~ i i ~ APR 0~200~ ~ I Permit#: City of ~~~aIl 9 ; . ~ ; I ~~Y~ ~ Permit Fee: ~,lJ ~ I 3830 Pilot Knob Road ~ Eagan MN 55122 j oate Received: `t-3~ ~ Phone: (651) 675-5675 i ~ Fax: (651) 675-5694 ~ Staff: ~ 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ~~2~ D / Site Address: `C7~2 ~ Tenant: Suite RESIDENT/OWNER Name: Phone:~I`~~J~ V~~7 Address / City / Zip: • S ~ ~ CONTRACTOR Name: Champion License ~ll~ ~ ~~O Address: 3670 ~odd Rd #1D0 Eagan, MN 55123-133P Ciry: State: Zip: ~ Phone: Contact Person: TYPE OF WORK _ New ?Repl ment Repair Rebuild Modify Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESIDENTIAL ~ ~WaterHeater ~ WaterSoftener Lawn Ircigation Add Plum6ing Fixtures . L RPZ PVB): ~ Main _ Lower Leve~) . Septlc System _ W ater Turnaround New - Abandonment. RESlDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System_Abandonment, Water Turnaround' (+nctudes $.50 Stace Surcharge) "Water Turnaround (add $i65.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as 6uilt) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances;'duciwork, etc.) (includes $.50 State Surcharge) TOTAL FEES I hereby acknowledge ihat this infortnation is complete and accurate; that ihe work will be in conformance wfth the ordinances and codes of the Ciry of - Eagan; that I understand Ihis is not a permit, but only an epplication for a pertnit, and work is not to stan without a permit; ihat the work will 6e in accordance with the approved plan in the case of work which requires a review and approval oi plans. x ~~C~~ ~ ,~s~e~" X ApplicanYs PriMed Name ~ Applicaitt's re ~ sus if!i;, M{~ i i`F ~ ~~r~kd!`;ww•K~»!5~~ ~ ir : ~ "F~FI {iF(~'I.CE~ ~ t~ ~it~ lr I } i i ~ ETy' g rnt YY ~tC ~ ~ r i i dP i1 $ ~ aip~ ' t~° i ~ ~ I~k~t;N ~ ~ ~ a ~i'k?~~.~k; ~ i r . u~ 1~t 3~`~ ' iit~ s~f ~~~~~i ~9t vs t~ ~,57{,~ ~r b~ ~ i id~ ~R$~tt{fBSI'I1fS UTS ~~~''~,~.'~H~( `~~IC~ ~ ~QI9 Tn~'~..~-re~i~pyri~S i i F "('p~} ~ ' ~iar,~Iil~un;~, n n ? a ~ .~.~.w~.~i°`k` .M~ x _x~s !~~a4 :i. v i~j i v::iiF,= . . F {dtp. ~.:~£T <.SR . _ ra3~' , ~ I+I °.w ..t,u ~ w..,~_a 38C~1 PERMIT City of Eagan Permit Type:Building Permit Number:EA122328 Date Issued:05/05/2014 Permit Category:ePermit Site Address: 4782 Slater Rd Lot:3 Block: 1 Addition: St Charles Wood PID:10-65870-01-030 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 . Amanda Peters 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 - John J Spindler 4782 Slater Rd Eagan MN 55122 Jns Builders Llc 2325 Endicott Street St. Paul MN 55114 (651) 646-0221 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146279 Date Issued:10/17/2017 Permit Category:ePermit Site Address: 4782 Slater Rd Lot:3 Block: 1 Addition: St Charles Wood PID:10-65870-01-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the 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: 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 - John J Spindler 4782 Slater Rd Eagan MN 55122 Paul Davis Restoration 2094 Gilbert Ave St Paul MN 55104 (651) 243-0737 Applicant/Permitee: Signature Issued By: Signature 6,p For Office Use ,, ; i , :::: (gE AN AG �•• • /< CIE u Er./ Date Received:' 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-56751 TDD:(651)454-85351 FAX:(651)675-56911A R I' 2 ?018 Staff: buildinginspectionsCa.cityofeagan.com 2018 RESIDENTIAL. BUILDING PERMIT APPLICATION Date: VI Z//g Site Address: 11 7 a S *1 r Rot. Unit#: Name: .\0`nV\. S f�i �'Ch� Phone: to' -1_391 ` (a 10 a Resident/ j� Owner Address/City/Zip: _17 c)c s ICCs-ear c Applicant is: Owner )C Contractor P f T of Work Description of work: 'L` ' �x iS�+M t� ckc.,JC i c Ic.0 eXY S E'i�► ' 0 ype Construction Cost: /5)00 0 Multi-Family Budding:(Yes^�> I No ) Company: j1y1 r if S I 'i ( v ca i 17 y Contact: . vLI az-CA— Contractor Address: RP S15-34S 3 'Ra IW tAk y {ilk/ City: s-crnov.'✓\ t State: 01k)Zip: SS UPS- Phone: 71031-aIq"Sd ail: clave f Olfelc-A CL e%Yy'IA7 I.614'l License#: C 10 9 900/ Lead Certificate#: If the project is exempt from lead certification, please explain why: fUc /i e// /��, � • $1)( i 142 96- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: 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 they 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.citvofeagan.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.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 in the case of work which requires a review and approval of plans: x ► d I' al Gly x Applicant's Printed Name Applicant's Signature 4-7i2) Sle e C� DO NOT WRITE BELOW THIS LINE /W/23 / SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi }t 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 4. Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION N Valuation Sae Occupancy IA —/ MCES System Plan ReviewCode Edition 07.015. SAC Units (25%_100%. Zoning PP City Water Census Code {y Sir' Stories '— Booster Pump -- #of Units / Square Feet "- PRV — #of Buildings / Length Fire Suppression Required Type of Construction Width — REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) 7r Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test Final Siding: _Stucco Lath _Stone Lath _Brick 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: '1� , Building Inspector RESIDENTIAL FEESJar / 0 4 ' Base Fee f '' 4 Surcharge Plan Review 74 P 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:EA178004 Date Issued:07/27/2022 Permit Category:ePermit Site Address: 4782 Slater Rd Lot:3 Block: 1 Addition: St Charles Wood PID:10-65870-01-030 Use: Description: Sub Type:Ductwork Work Type:Alteration 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 - Robert Byars 4782 Slater Rd Eagan MN 55122 Sr Mechanical 6757 Oxford St St. Louis Park MN 55426 (952) 933-6933 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA178235 Date Issued:08/08/2022 Permit Category:ePermit Site Address: 4782 Slater Rd Lot:3 Block: 1 Addition: St Charles Wood PID:10-65870-01-030 Use: Description: Sub Type:Fixtures Work Type:Alteration Description:Laundry Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Robert Byars 4782 Slater Rd Eagan MN 55122 J Gadtke Plumbing Inc 11245 Xylon Avenue N Champlin MN 55316 (612) 226-8070 Applicant/Permitee: Signature Issued By: Signature