4786 Slater Rd , , _ INSPECTION REC~RD
CITY OF EAGAN PERMIT TYPE: ~ ~ ~ ~ ` ~ r ~ ~ `
3830 Pilot Knob Road Permit Number: F'
Eagan, Minnesota 55122-1897 Date Issued: `~i r,
(612) 681-4675
. , . ~
SITEADDRESS: , „i , ; APPLICANT:
. , . itl) ~<<~; ~ i ri~ ~~i rlri i~ .
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PERMIT SUBTYPE: TYPE OF WORK: , i~~
. .
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F?} MAI;I'`; e i'f~V : ~ ~ ~ ~ . t; ! ~ ~ ~ : ~'tiNi~ ! Ir~ i 1 1
~ . ~
~ ~
Pertnk No. Permft Holder Date Telephone M
~ ELECTRIC ~ ~ 3
' PLUMBING _ ~ y,J ~"J S ~3~
HVAC ~ ~ GO'~
Inspection Date Insp. Comments
FOOTINGS
FOUND S~ ~~,~~7` 6
~ ` t.W
i
FRAMING
ROOFING
ROUGH ~Z
PLUMBING Z - ~
PLBG
AIR TEST
ROUGH
HEAT~NG -z '
GAS SVC ~ ~
TEST ~
INSUL
GYP BOARD
FIREPLACE . ~3-~ `11.G1
vu
FIREPLACE ~
AIR TEST
FINAL PLBG ~
FlNAL HTG ~
ORSAT ~ l
TEST
BLDCi FINAL 'Z/ /
<
BSMT R.I. .
BSMT FINAL
DECK FfG
DECK FINAL
~ ~-a-~,~?-~.
~e~ti~icate v~ ~ccu.~anc~
~i#~g o~ ~agan
~art~cat o f ~xit~i~g ~r~ectiva
This Certiftcate essued pursuant to tlte nquirements of the Uniform Building Code
certifying that at the time of issuance this srrrrcture was in compliance with the various
ontinances of the CJty regulating building construcrion or use. For the following:
u~ c~J,n,;a,,: SF DWG Hwg. Na. 28435
~+w~Y ~ R-3 U-1 n~a ~-1 ~ co~~. ~N ,
JOE MILLER HOMES ~ 3459 wASH1NGTON DR., EAGAN MN
4786 S1.ATER RD ~Ky L2, Bl, ST CHARLES ii00D
~ i
; i : - A ~ ak: ,
~ euil~g ofFral~~
~
POST IN A CONSPlCUOUS PLACE
Address 4786 SLATER RD Zip 5512_
,IA[ 2 Blk 1 SUb ST CHARLES WOOD~
THESE I'1'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: ~ ~ Yes No Inspector.
Final grade (6" from siding) I/
Permanent steps (garage) 1/
Permanent steps (main entry) v
Permanent driveway
Permanent gas
Sod/Seeded grass v
TraiUcurb damage
Pocch ?
Basement finish j,/
Deck r/
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze poten[ial exists.
Contact engineering division at 681-4645 before working in right-of•way or installing underground sprinkler system.
White - City Copy Yellow - Aesiden[ Copy Pink - Contractor Copy ~ ~
2 6 5- 5 6 3 jQONLY This reqoest.oid IB mon~s from wlidoHan doh P^^~~ in ~his boY~~~
' Y T
/
PLEASE PRINT OR TYPE ~ ~
Reques5 Dob Rough-in inapenlon required2 ~ss ? No InspMion Olhe~ Tfwn Raugh-In: 0 Rmdy Now dJ.Yill Call
0 9/ 2 0/ 9 6 (You must mll ~he Inspecmi when ready~ Dale Reody:
I, ~F2ensed conimdor ~ owner hereby request inspeciion of fhe above eledrical woik ah
bb Addresc ~Street, Baa. or RoWe No.) Ciry Zip Code
4786 later Road
Seqion No. Township Nome ar No. Ronge No. Fire No. County
Dakota
pa~~M Phone Na.
Joe Miller HOmes 454-4663
Powar $vpplier ~d~' S 5 0 2 4
Elect~ml Conkocror (Compu~ry Name~ Conkoaor linnse No. Mashr 6c. Na ~Plom Elen. Only)
Midland Electric, Inc. A-01236
Moiling Addmi ~Canhador or Owner Perbrmiig Insbllafion)
226 d Red F.ox Dr. Lakeville MN 55044
Aulhorixed SigrwNn (ConM1a r Pedormfng Insiollotion~ Phone No.
EB-0OOO1h10 6/95 EBOARDCOPY-SEEINSTRUCTIONSON9ACKOFYELLOWCOPY
i REOUEST FOR ELECTRICAL INSPECTION~ T~
IIII I II I I I! I I I~ I I) I~II II Ilr'I IIII 8121 Un~iversity ABefRm EI'ctricSt. Paul, MN 55104
s 0 2 6 5 5 6 3~: Ph«,e ~6,2> ~2~ e a~ 9~ S~//
Home Duplex Apt. Bldg. Ollier: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip. Water Hfr. Load Mgmt. Other:
D er Ran e Elec. Heal Tem . Service
X" above the wo covered by ~his request. Enter remarks in fhis space and on the 6ack of the white copy only.
/5O~ !~-~c~S
Calculafe Inspecfion Fee - 7his Inspection Requesl will not 6e ac<epted wdhout fhe correct iee:
Olher Fee # Service Enkance $ize Fee # Ciraih/Feeders Fee
Mo6ile Home Park Stall 0 fo 200 Amps .7 0 to 100 Amps
SireeT Lfg./Troffic Sig. Above 200 Amps Above 100 Amps
Tronsformer/Generafor INSPECTOP'SIISEONL TOT
Sign/Oufline Lfg. Xfmr. / .,i 5~
Alartn/Remote Conhol
Swimming Pool i hereb «n; ~har i ~ ~ I' Ilo' n descnbed herein on Ihe daks sfol
Irrigafion Boom Rough.ln paroU. (
Special Inspeciion
F~~ oare .
Invesfigative Fee
THIS INSTALLATION MAY BE ORDERED ISCONNECTED IF NOT COMPLETED WITHIN 16 MONTHS.
: , ,
PERMIT ~~a~~/
- .
~~ITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: a u x ~ o z N c
E2g0n, MinneSOta 55122-1897 Permit Number: 0 2 8 4 3 5
(612) 681-4675 Date Issued: 0 8 J 01 / 9 6
SITE ADDRESS:
4786 SLATER RD
. I.OT: 2 BLOCK: 1
5T CHARLES WOOD •
P.I.N.: 1@-65870-020-01
DESCRIPTION:
r'~
~uildingyPermit Type SF DWG
~.'_~uild'zn~ t~ork Type NEW
~"'U8C Occuparicy., R-3 U-1
r Construction T'y.pe V-N
R-1
i' Zoning
Building Length r 65
fa ` 32
~ Building Width ~
~
4 ~u~~.d~i~ng stnries i"' ~
'f~.~__`~~~are F~et,~.m~~-~_' r' 3.998
Cen`sus„C;ode~ 101 1- FAM. DETACH
~
y ~
a ~
F1 ~ij Ar`3 ~R '.1 x f"1': ~6 r ~ ~i ~"i
r,rir V ' t " ~
~ ~ . f u . .
V :e.--~"'ir 2 t~.a ' _
REMARKS:
PRV S& W PLBR - M& W SEWER AND WATER
FEE SUMMARY:
VALUATION $1460000
Base Fee $1,127.25 M25CELLANEDU3 $1,923.50
Plan Review $563.63 Total Fee $4,588.38
Surcharge $74.00
~SAC $900.00
SAC ~ 100
5AC "Units 1 .
5ubtotal $2,664.88
CONTRACTOR: - Applicant - sr. ~IC.OWNER:
HORTON INC OF MN, D R 14544663 2000565 JOE MILLER HOMES
3459 WASHINGTON DR 204 3459 WASHINGTON DR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4663
I hereby acknowledge that I have read this application and state ttrat the
info~•rmation ~s e~orrect ~nd agre~~~ ta eam~p3y with ,~l,i applica~#~le 9taCs q'F ~Mn,
Statutes and City ofi Eagan Ordinances.
~ -
r
~~.~(//o r rt1 ^ f
i APPLICANT/PERMRE~SGNATURI~ ~ DBY.S A7URE
CITY OF EAGAN
~ 3830 PILOT KNOB RD - 55122 ~ u~ r
1996 BUILDING PERMIT APPLICATiON (RESIDENTIAL) ~ "
681-4675
New Construelfon Reauirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 wpies aT plan
? 2 copiee of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? t energy calculations ? 1 energy calculations tor heated additions
? 3 copiea of tree preservetlon plan if lot plaNed after 7l7/93
required: ~ Yes _ No
DATE: ~1 '~S~91~ CONSTRUCTION COST: J~, D.3S
DESCRIPTION OF WORK: Cv,S~-ru~~ntn
STREET ADDRESS: '~7g S C4ft~ !~n''~
LOT BLOCK SUBD./P.I.D. ~ • ~~~~PS ~LOU~
PROPERTY Name: Phone
OWNER
Street Address•
City: State: Zip:
coN7w?CTOR_ Company: So~- W1~ L~~? f-~N~,~z s Phone ~~~y
Street Address: 3~5~ j~~.Sli~'hf~~vr~ !-b~1ir'• License ~~~Sr
City: ~G~Gn• _ State: ~ Zip~SSia~
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address~
City: State: Zip:
Sewer & water licensed plumber. l~d-i.~~ ~~~/2,r d-l.t-/~f- . Penalty applies when address change and Ict
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ~ ~
OFFICE USE ONLY
Certificates of Survey Received es _ No ~ ~ z~ 9~9~
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY s
~ ~ . '
~ ~ ~
BUILDING PERMIT TYPE ~ ,
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~2 5F Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition o o8 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
~1 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. l 1 1~ MClWS System ~
(Ailowable) nl Main I~el sq. ft. i 1 a0 City Water
UBC Occupancy R-3.v-1 Z sq. ft. ~ 1 Zv Fire Sprinklered
Zoning '2-I Gu._
wAd~- sq. ft. ~038 PRV
# of Stories 2 -r sq. ft. Booster Pump
Length lo ~ sq. ft. Census Code. 1 U i
Depth 3z' Footprint sq. ft. ~~j~ SAC Code )
Census Bldg 1
Census Unit ~
APPROVALS
Planning Building G~7~s' Engineering Variance
Permit Fee Valuation: $ ~ ~V
5urcharge
Plan Review 8~ser,,,,,,~,~' 35u 3 Z= i i~p ~j scl ao0.
License - -
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit 1~_ 3 S,t ~ y I 20 I~~S~/ _ ya0 •
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Capies 2~e 3 5 X 3 s. = 1~ 2d t~ 60~ [(~p,
Total:
% SAC ~
SAC Units ~1~a~e_.~ ~v+t ~ I = 2-Zd I~j
zZU~~ ~ ~~~8t~
~3~
~
~~L = ~c~ z~8
~~1~.9~a
~ ~ uERnFicA~ oF suRVEY M32-1446-96
for
JOE MILLER HOMES '
~
~
~I 0 I ~ ~ / ~
zz,5~ ~ 1q5~~$~8938'oa°w ,
r n ~(o ~ _ 40.00 e~ ~ I q~tS
V J 50-~,~ q~ (~a
~o~ o ~9Sd:a~ s o~ ~.t~on ~ 1
4.09 r ^ \ ~ \ /
~ 95~' ~H~~lo g 51.5 g I"8 56W~ q45. 5~ 1
~ ~4a 3z.~ m~ 95i`N) ~5 `Y~. j~ _
~ a 3 ~ ~46Z ' I
~ ~ ~
~ ~ I s W a 8 ~ o+~46~
_~S.~L _ ~ 0 954,1
O J ^ ~ ~ n G O . I J O
~ ~ 9sa.J ~~z ~ °N -
9.00 i+ N ~ ~
(l~ O. ' i4~;»"' ~ ~c ~ y:'' !n ~ ~ m ° I ~ J (9 K ~ I O fl~
O~~ ~~,_m~,,~ y~i 18~ ~ V``~~ `9 N
l/-~y r ry~ I m
Y 5~/ . A' ~"L' ~ ~ -7-~ Li "J ~5"~.l1 ~ ~ Y ~io ~
~ . ~`T ' 4 ~
° 9sa ~ ~o.~ s , ~
I IHVS~RVj. ~ ~ 19, / , I
~t„'-----~----~----- -~--N5 ~9`I~,`l~~
,s. ~
~Sa~~ 3.~ ~z.~ 53'$0 ~ ~
q,~~ I~q~ .1
~ L95Y;5~1 140.00 I~
~ 58938'OB"W ~ ~ I I
~ ~ I ~ 955.7'0l I
I ~
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J~ ~ ,
~
Top curb to Gar slob i~~__ ~a L -
Top block = 954, 63 GAN EN uyI;ER;TvG ~E.?i~
Lowest bsmt flr = ~ n np ~ ~r'~~ "n~-•C-'r'-,~~
o~oVu Il'.1~~`~~~Ji=~~Lli=-~V
Scale: 1" = 30' 4786 Slaters Road
DESCRIPTION
I hereby certify thot this survey, pian, or Lot 2, Biock 1,
report was prepared by me or under my direct ST. CHARLES WOOD
supervision and that I am a duly Registered
Land 5urveyor under the laws of the 5tate Dakota County, Minnesota
of Minnesota. Plot bearings shown
~ Q~~ o Denotes iron monument
~'E~l y~~
Date ~`L. 7tiL`Y 194ti Reg. No. 8140 ~ Existing j Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55306
(612) 435-1966 ~
M32-1446-9C
~ ~ LOT SURVEY CHECKLIST FOR RESIDENTIAL
~ • BUILDING PER IT AP LI ATIO
~ PROPERTY LEGAL:
~ DA E OF SURVEY: Z Z
~ ~ ~ LATEST RE1/ISION:
~ ~ ~ DOCUMENT STANDARDS
? • Registered Land Surveyor signature and company
~o ? • Building Pertnit Appllcard
O~Cy ? • Legal description
p~o ? • Address
Yd ? • North arrow and scale
? • House type (rembier, walkout, split w/o, split entry, Iookout, etc.)
~~0 ~ • Directional dreinage arrows with slope/gradient %
0% ? • Proposed/ebstlng sewer and water services & invert elevatlon
4~f] 0 • Street name
Q~ ? ? • Driveway
ELEVATIONS
F~astina
? • Sewer service (or Propose~
~ ? • Property comers
? 0 • Top of curb at the driveway
e ~ ? • Elevations of any ebstlng adjacent homes
Prooosed
[Y' ? ? • Garage floor
? • First floor
~ ? • Lowest exposed elevaUon (walkouUwindow)
~ o ? • Property comers
? • Front and rear of home at the foundation
PONDING AREA fif aoolicablel
? ~0 • Easement line
? • NWL
? 0~O • HWL
? [3~~ • Pond # designation
? • Emergency Overflow Elevation
DIMENSIONS
~0 ? • Lot IinesBearings & dimensions
CC3~ ? ? • Right-of-way and street width (to back of curb)
? ? • Proposed home dimensions inciuding any proposed decks, overhangs greater than 2',
porches, etc. (.e, ail strudures requiring pertnanent footings)
6? ? • Show aIl easemenLs of record and any Cily utilities within those easements
? ? • Setbacks of proposed structure and sideyard setback of adjacent e~dsting sVUCtures
• Retaining wall r ir , if y
Reviewed: Z ` ~
Name / Date
January 1996
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slte hddreso
• Controotor ~lO~ r/(~r.l..l~(- L(~~~~ /I ~ Phone
bulldlnq Clo~slflentilonf 'Pype nl (31nq1a Family 6~ buplex) ~
4'ype A2 (ttegldetiEiol, 7 aEorles or lese~_(over ~ etorias) (ather) ~
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1. Bulldii~g Perlmetar tt. " .
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2. Wall he~qht (qround to eave) ft. •
1. X 2. (nUove) grose wall erea ~W ~ J eq.ft.
A. Uuildlny dlmanslons (4) H(W) d ~IZ~ eq.ft.roof G floor area .
5. Sq. foot aren of Llm joist - Floor joint ize (2 X~_L~
_](L X ~(Perlmeter) e ZZZ sq.ft.
12 •
6. Doora - Arga ~ A
7'hleknesg 1h U. faator~~~f~• ~
9'ype vf Constructlon . Perimeter ft.
. tionuPacturer
7. 'Cotnl door~e perlmaEet Et.
~
LGlj4'~ 9toL-e approved
9. Wlndowaf lfnnufacturer 5UL ~
U fector .'7~/~ • '
TYPE SIZE HIiGA (Bq.Ft. ) NUFt~E12 OF TOTI~L
i~ 6~ EACII UIIIT9 9Q' FEET "
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11. Exposed foundatlont Iloiqlit X Parlmeter r~7 X~=_Lv _~q.Et.
CoIIPLBTIOIi oC TIII3 CURH IS It[~QUIRGf) FOR I~Li. tiCW Co~I9TRUC'TI011~ 11A10R
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12. Framing nron - ~Ok oC gronn wnll uraa.
1]. Oross Wnll area Z~~ 3 •yq,pN, .
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Iler wqll nroa A ~t uq,Et, U wall~ ~aY'~ Uxl~
(1~D) To9'hL . . . , . . . . . UkA ZZIi
14. Oroem wall nren x n,ll (A-1 ningle temlly 6 duplex) ellownble UxA/Code
(1~. nbave)
x 0.21 (A-2 otl~ar Yoeldentinl) ' •
x .2~ (okl~ar bulldllige)
x 28 ovar ~ ptorlen)
FlTUII muur Ue larger than o~ aaroe
A 1,C0 K U Coda. ~ ~ ~l-~ 7 °F. n~ 17U ebove
~15. Celllnq ftaming atoa (AE) aqunlu 104 oe nallLiq nrea
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15d. Jolot nrea ~AE) b lOt celll~tq arna a_~ tZ eq.fE.
15C. Ilor oalling nron (l~cl (15A - 15U) b_1L21L~~q.fr. ,
u oeill~iy x A~ ~•~V x,D~~' Z2 •
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16. Celllny nren (IrA) x o.oz5 (1~-1 eingle Eomlly i duplex)
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t r,~~
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1+ 1~7+ w x ~ Code ~UZ d~ F. ae 15p aUdVe
11o'I'BI Uee U nnil A VqLUa9 .oL~rpLI7BtI from pages 1, 3 and 4.
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CITY USE ONLY
l BL ~ , S RECEIPT ~j33LC
SUBD. DATE:-
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 557:!2
(612)681-4675
Please complete for: ? single family dwellings
? townhomes and condos whE~n permits are required for each unit
FIXTURES ~1.
Cjj ~Q, TOTAL
Shower 3.00 x _ ,0~
Water Closet 3.OD x 3 = 9-..ec~
oa~ ~ T~b 3.CC 'Z = .eo
Lavatory 3.00 x = Z,oc~
Kitchen Sink 3.00 ;c ~ = 3.90
Laundry Tray 3A~ s _ '3: s0
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :c _ ?i_6o
Floor Drain 3.00 x = 3_e°
Gas Piping Outlet ' minimum -1 3.00 :t = 3• 66
Rough Openings 1.50 :c = q,5o
Water Softener 5.0~ x =
Privdte DiSpoSal ' Dakota Cry. license 65.00 =
(new and refurbished systems)
U.G. 5prinkler * home under const. 3.00 =
Alte~ations ~ to existing 20.00 =
Water Tum Around 20.00
STATE SIJRCHARGE .50
TOTAL ~ jC~. 4`~~?
SITE ADDRESS: ~ b 5
OWNER NAME: ~10~- ~%41~-+r ~o~as`1-R~~<~- Co. Lv.r
tNSTALLER NAME: Z-~~/a,~ PI vw~e~~ F,d-ext-,
:-.w
STREET ADDRESS: ~1~~ S `~o~r~- T~^~..~ ~
CITY: ~ow~+-~ STATE: /`~N ZIP: 55C)~e~
PHONE (~,l` ) ~,a-'J--li.4~ `
~~~1;.~.~~,
OFFICE USE ONLY
L BL ~ RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: . all commercialfindustrial buildings.
~ muiti-family buildings when separate permits are II2t required for each dwelling
unit.
DATE: CONTRACT PR1CE:
vVCttKK TYPE: _ Ntvii CONSTRUC710N _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIREDT _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
V~flLL YOU BE INSTALLiNG A METFR FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUSt APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT.
FEE: 525.00 minimum fee or 1~ of contract price, whicherer is greater. State surcharge of $.50 per
$1,000 of mi fee due on alI permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURF:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
L~ gL CITY USE ONLY
_L RECEIPT#: ~~~5`~
SUBD. .~~Y1 • L~~o I~~ DATE: ~~~s`
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)687~d675
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
X New construction Add~on furnace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date: ~-/Y-l~(
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) •$~B-B6-
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) ~,W
? State Surcharge .50
TOTAL 36,~ .
SITE ADDRESS: - 'v S l~ f~d -
OWNER NAME: _.Tve fn~ ~ll~,- G~/-o,,,,es PHONE ~ 3
INSTALLER NAME: ~~-~'~`l~°~
STREET ADDRESS: ~o E~ ~e~ ~rie.
CITY: r~.~., STATE: /YlA/, ZIP: s~
PHONE ( ~~z ) YG~ ~.?z 2
~
.
cinr use oN~v
L BL RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612)681-4675
Please complete for: ? all commerciaf/industrial 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 QC 1% of contract price, whichever is greater.
~ Processed piping - $25.D0
~ State surcharge of $.50 per $1,D00 of ermit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED P~PING
STATE SURCHARGE
TOTAL
S!'PE AQQRFSS: -
OWNER NAME: TELEPHONE
TENANT NAME: ~IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
~ ~
~ ~
I i r `
CITY OF EA~iADi
8T. CHARL88 1fO0D ~~T
DBVELOPMENT CONTRACT
Th Contract, made and entered into on the 6~ aay
of , 1994, by and between the CITY OF EP,GAN,
a Mi esota municipal corporation, (hereinafter called the "City"),
vhose address is 3830 Pilot ICnob Road, P.O. Box 21199, Eagan,
Minnesota 55121, and the Owner and Developer identified herein.
A. The term "Developer" as used herein rePers to: Joe Miller
Homes whose address ie 3459 Washington Drive, Eagan, I+a7 55122.
B. The term ~~Owner'~ as used herein refers to: D.R. Horton,
Inc.-Minnesota, a Delaware corporation whase address is 3459
Washington Drive, Eagan, AII~I 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 conjuncticn with the granting of said approval, the
City requires the installation and/or availability of streets, water,
sanitary :sewer, related services, storm sewer pipes, ponds, erosion
and sediment control measures or othar Pacilities; and
WHEREAS, under authority granted to it, iacluding Minnesota
Statutes g412 and 5462,'the City Council has agreed to approve said
plat on the conditions: (1) that the Developer enter into this
Development Contract, which Contract defines the work which the
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.
8. A land covettant must be racorded that prohibits outdoor
storage within the turn-arcyad area.
5• The Developer shall meet with the residents as early as
possible bePore the item is presented to the City Council.
10. The Developer shall pay a cash trails dedication and
an eight foot wide bituminous trail connection from the cul-depsacito
an existinq trail just southeast of Highcroft Court, through a berm
designed to acC as a buffer; to the park and a 30' wide easement to
accommodate ttre trail.
~ 1 J~ , a~
zoo6 RESIDENTIAL BUILDING PE~nT arrLicnTiorr
I City Of Eagan
~r_i n~-r 3830 Pilot Knob Road, Eagan MN 55122
~ v~`~~ ~ Te(ephone # 651-675-5675 FAX # 651-675-5694
New Construc6on Reouirements RemodellReoair Reauirements Office Use~Onlv
3 registered sfte surveys showing sq. H. of lot, sq. ft. of house; and all roofed areas 2 mpies of plan showing footings, beams, joists Cert of
Survey Recd _Y N
(2D%maximum bt coverage a~owed) 1 setof Enert~y Calcula6ons for heated additions Soils Report _Y ~_N
1 Soils Report if proposed building is to 6e placed on tlisturbed soil 1 site survey tor addRions & decks Tree P25 ~Plan ReW _ Y_ N
2 copies of plan showing 6eam & wirWow sizes; poured found design, etc. AddRion - indicafe Aon-s~7e sepfic sysfem Tree P25 Required Y N
1 set of Energy Calculations On3'Ae Septic System -_Y;_ N
3 wpies of Tree Preservafion Pian if IM platted aher 711193
Rim Joist Detail Options selection sheet (buildings wifh 3 or less unAS) .
Minnegasco mechanical venGlation fo~m
(9~~aoo ~o
Aate ` / ~ / ~ lo i~ ~ Coustruction Cost
Site Address ~']8 (y S la'tr-s~ Uoit/Ste #
2r~ JS~Z
Aescription of Work ~L' ~
Multi-Family Bldg _ Y~, N Fireplace(s) _ 0_ 1 _ 2
Property Owner f~ Q,~-2S3~ y'j ~,{~,~`~.~.1J (T' Telephone k(~ J Z) 3'SO-.k~~ y
Contractor ~6 ~
Address ~ ~ S ~ ~ ~ CiTy
State ~4~Q„ ~ ~ 1 ~ z, , Zip ~+(V~ Telephone # (i~Fj~~
GSI -,2~0 - a-558
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene~gy Code C2tegory . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(~submissionlype) Submitted Submi#ed
• Energy Envelope Caiculations Submitted
In The 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 Pl~mber = 1~ ~ Telephone J
r . r,.. r
( ~J ~
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor l,`l.l- - - 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 pernut, and work is not to start without a
permit; that the work will be in accordance with the approved, lan in c e of work which requires a review and
apPrl~fm[frplax~s~1~'h~ai J
M ~c~+.-C~LU- N.~r~ .
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE ~ ~
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF ~welling ? 08 06-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 EM. Alt - SF
? 04 02-plex ? 10 08-plex ~ 18 Deck ? 23 Porch (screen/gazebolperola) ? 36 Multi Misc.
~ D5 D3-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
~ 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCemenl 'Demolition (Entire Bldg) - Give PGA handout ta applicant
DESCfIqtlOtl: Water Damage _ Yes
Valuation ~o Occupancy MCES System
Plan Review 1 DO% 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) Sheetrook
Footings(deck) ~ FinaUC.O.
_ Footings (addition) >t FinaVNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs AirlGas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath ^Brick
_ Fireplace _ R.1. _ Air Tesf _ Final _ Windows ~ ~ ~
_ Insulation _ Retaining Wall ~
Approved By: ~ , Building Inspector
-
-
Base Fee ~
Surcharge ~ r~~lG ~ L`~
Plan Review l
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Tota I
-
~ERnFicArE oF suRVEY M 32 -1446 - g 6
~ for
JOE MILLER HOMES '
~
o I ~ ~~l~p~f ~
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Q G~S~~ ~-gEpr~o
8---
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~ ~i$ T ~
~ Sa ~ ~a.~ ~ g ~
I IM1943,4 I~' I S 9, #/p, .
y~ ~
S~RV~, , I
~ 5 ~948,`1~~
~Sa~~y ,s. ~ 3z.~ ~ ~
~ q~' ~~q~ ,1
J`954_sB1 iao.oo"$o i~
~ • S89'38'OS"W ~ ~~i I I
~ ~ I - ` 955.~01 I
I ~
~
90 ~
By `
Top curb to Gar slab ~?y__ 1)a e~_~ L
Top block = 954_63 ~A~ .li~~,+ yAy~ r~,~i '
F'
Lowest bsmt flr = "f , s"
~
~Y~O O ~~~i:l! ~~~i'i~..~tLi~ 1~Ly~ni~
Scale: 1" = 30' 4786 Slaters Road
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct Lot 2, Block 1,
supervision and that I am a duly Registered ST. CHARLES WOOD
land Surveyor under the Laws of the State Dakota County, Minnesota
of Minnesota. Plat bearings shown
~ o Denotes iron monument
' Date 2Z 7 ~~4' 199(, Req. No. 8140 ~ Existing~ Proposed
BRANDT ENGINEERIIdG & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55306
(612) 435-1966 ~
I M32-144~-96
.
a~~
! L~'~j7 Zoo~ RE5IDENTIAL BUILDING rE~iT nrrLtcaTTON
~ ~ ~ City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Te?ephone # 651-675-5675 FAX # 651-675-5694 dAN $ 6 2007
New ConsWC6on Reauiremen5 RemodeVReoair Reauirencents ~~~a
3 registered ate surveys showing sq. ft. of IoL sq, ft. of house; and all mMed areas 2 copies of plan showing faotings, heams, ~orsts C~it of SuNBy R~Cd Y_ N
(20 h maaimum lot cove29e a0owed) 1 set W Energy Calculations for heated addi6ons SRils Report . _Y _ N
1 Soils Report'rf propose0 building is lo be placetl on disWr6ed sdl 1 site survey for additio~ 8 decks ~fae
PlC.a PIa11 ReE:d~ _Y _ N.
2 copies of pian showing heam & wintlow sizes; pouretl found design, etc. Atldition -irrclicate if on-sife sep6c system TfBe Pres R6qUired~ Y-N
i set of Energy Calculabons 0lis%6 SeptiC S%s~em _ 7_ N
3 wpies of Tree Preservallon Plan if IM platted after 711193
Rim Joist Delail Op6ons selectian shcel (buildings wM 3 or less unAS)
Minnegasco mechanical venfilation form
Date f I_ 7 O_ l~ y q Constructiou Cost Ct ~i
SiteAddress ~~~~~~'y\C2- ~~~C^ UniUSte #
c~" G c S 2,'z._
~ ~
DescriptionofWork I-!l~i5~ ~uSP~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 ~ 1 _ 2
~ (!(r
PropertyOwner p~J~ ~ ' G«2\17 ~ Telephone#(~o(~L ) 0 SO `~~~I`1
i
Contractor ~OIr~eOC 1~fL(~,~i
Address C~ry
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CON8TRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential VeMila6on Category 7 Worksheet • New Energy Code Worksheet
(d submission type) Submiried Submitted
. 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 plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone ~
Mechanical Contractor Telephone )
Sewer/Water Coniractor Telephone # ~ )
I hereby apply for a Residential Building Permit and aclaiowledge 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 palmit, 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 ca f work which requires a review and
approval ofplans. '
d Y)~ ~fKPel ~ ~ ,
ApplicanYs Printed Name Applicant's S~gnature
,
DO NOT WRITE BELOW THIS LINE
Sub Tvoes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF ~welling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt-Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 D2-plex ? 1D OS-plex ? 18 Dedc ? 23 Porch (screen/gaze6o/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Oamage
? 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 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bltlg) - Give PCA handout to eppficant
DBSCfIptIOO: WaterDamage_Yes
Valuatiom `~j o 0 D Occupancy /2 -~J MCES System
Plan Review _ 100°/a or _ 25%
Census Code ~ Zoning City Water
SAC Units ~ Stories Booster Pump
# of Units U Sq. Ft. PRV
# of Bldgs ~ Length Fire Spnnklered
Type of Const 6` ~ Width
REQUIItED INSPECTIONS
Foo[ings (new bidg) _ Sheetrock
Footings (deck) Final/C.O.
_ Footings (addition) ~ Final/No C.O.
Foundation HVAC
Drain Tile O[her
. Roof Ice & Water Final _ Pool Ftgs Air/Gas Tests Final
? Frarning Siding _ Stucco Lath _ Stone Lath _Brick
~ Fireplace _ R.I. _ Air Test _ Final _ Windows
~ I~sulation _ Retaining Wall
q_v'?
Approved By: h~~~ Z , 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
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4786 Slater Rd
Lot: 2 Block: 1 Addition: St. Charles Wood
PID:10- 65870- 020 -01
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Basement Fixtures
Meter Size Meter Type
Comments: Molly Fuglseth 265 County Road 110 North Mound, MN 55364 952- 472 -9200 to nkaplumbing @fron
Fee Summary:
Contractor:
Tonka Plumbing Heating & Cooling
265 County Rd 110 N
Mound MN 55364
(952) 472 -9200
Surcharge -Fixed
PL - Permit Fee (miscellaneous)
Total:
Manufacturer
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$50.00
$50.50
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Robert C Pickering Jr
4786 Slater Rd
Eagan MN 55122 -2364
9001
0801
Plumbing
EA076573
01/30/2007
ePermit
Line Size
emet.net
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4786 Slater Rd
Lot: 2 Block: 1 Addition: St Charles Wood
PID:10- 65870- 020 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Hometown Restoration
7308 Aspen Ln N #110
Brooklyn Park MN 55428
(763) 494 -8695
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Robert C Pickering Jr
4786 Slater Rd
Eagan MN 55122 -2364
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA083974
07/01/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Use BLUE or BLACK Ink
_ r
For Office Use
Permit ' 3/o o
/0s a
City of Ea ~a~ I I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: Al,
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: A-0 Site Address: ~71V0 S 4A?GIL Cs~ Unit
Name: K.ObGLT Pic. kC4 Phone: O'~b"$+SYT
Resident/ ~~11 ~
Owner Address / City / Zip: q'7sy(P -0>1f -tuft. Q►c J
Applicant is: -f- Owner Contractor
ro
Type of Work
Description of work: 15 1 t. doom Asillp Construction Cost: Multi-Family Building: (Yes No X
Company: U kC im 6,itsr"yoy dr kc2n4 n4&) Contact: Pod W C \Al rT r,
Contractor Address: 1(007 61AA OIL Std' City: rote*- L,A 41A
: Aw sti 6" Q 2 o GG 2`L ,5State Zip: Phone. ~D ~Ol7i ~ ~D~O
License 17L ~q(P Lead Certificate AT • 17,1 iwi- IL
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
i
Sewer & Water Contractor: Phone: 11 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.
_ m o..~.. . J
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.ora
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 Minnesota State Building Code must-k completed within 180
days of permit issuance.
L x3 ` x W Q..`~ i'Z x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157738
Date Issued:09/05/2019
Permit Category:ePermit
Site Address: 4786 Slater Rd
Lot:2 Block: 1 Addition: St Charles Wood
PID:10-65870-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Alex & Amanda Govze
4786 Slater Rd
Eagan MN 55122
Purpose Driven Restoration Llc
325 Main St NW
Elk River MN 55330
(763) 633-4737
Applicant/Permitee: Signature Issued By: Signature