The URL can be used to link to this page

4790 Slater Rd ~q ° 9 4 3 ~ ~b~8'~ Req si Da~e Fire No. ouqh-In Insp¢cBOnTlequi~etl Inspecllon O~her Than flough~ln (VOU musl II inspector hen reatly) ~ Reatly Now ~ Will No~ity Inspector Sept. 13, 1995 es ~No Da[eReatl I licensed contractor ? owner hereby request inspection of above electrical work at: J~~+~~ei~~S~Se~ater~~RNOad c~agan SeGion No. Township Name or No. - Range No. Counry Dakota Occupant(PRIM) Phone No. Joe Miller Homes 454-4663 Power Suppller AtltlrCS~ O O .f .Z O t h 5• T S w Dakota Electric FarminLto Elec~ncal CoMraclm (Company Name) Conhactor's License No. Midland Electric CA 01236 Mailing Atltlress (COniracror or Owner Making Inetallation) 22691 Red Fox Dr Lakeville,MN 55044 Aut~ rrzetl SignaWre (CO [recror/pwner Making Ins~allefion) Phone Number 461-1444 MINNESOTA STATE BOAN OF ELECTRICITY IIII II I II I I III I I.I I II II III ENICLOSEOCTION REQl1EST WILL NOT Carigga-Mltlway Bltlg. - Naom 5128 BE ACCEPTED 6V THE STATE BOARD 7827 University Ave., St. Paul, MN 55100 ~ UNLE55 PROPER INSPECTION FEE IS Phone (612) 89P-O800 ~ REQUEST FOR ELECTRICAL INSPECTION , See inshuc[ions ~or completing Ihis torm on back ot yellow copy. ~ ~ 9/a9/9s "X" 8e/ow N~prk~overed by This Request ~ ~ Ne Adtl Rep. Type of Builtling Appliances Wired Equipment Wired Home Raage- Temporary Service Duplex Electric Heatin Apt. Building Dryer Load Managemen Comm./Industrial urnace Other (S ecity) . Farm Air Conditioner Olher (specity) onlracbrs flemarks- Compute Inspection Fee Below: 11 Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers A6ove200_Amps Ab 700-Amps Si ns i~specmr's use Only: TOTAL Irtigation Booms O~ . Q S acial Ins ection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M HS. ~ I, the Electrical Inspector, hereby Rough~in ~ o~ L./i" cartiy Mat the above inspection has 9 J~ been made. Fina~ Date J~ C OFFlCE USE ONLV ~ This requas~ void 18 monihs trOm , Address a~9o st,nrea xoan Zip 5512? Lot i Blk i Sub sr !:FU+m.~.s umn THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: 9 Yes No Inspector: Final grade (6" from siding) Permanent steps (gazage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage yQ Porcb Basement finish Deck Please verify with the builder the eemoval of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. ConWct engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contracror Copy - - . INSPECTION RECORD . CITY OF EAGAN PERMIT TYPE: ' ~ " ~ ~ " # ~ 3830 Pilot Knob Road Permit Number. N x Eagan, Minnesota 55122-1897 Date Issued: _,'s; (612) 681-4675 SITE ADDRESS: ~ if ~ ~~t ` ~ ~1 ~ APPLICANT: i ~ : i r , . i.:~~r-~H t~1~ i, . rr,~ n?~. t; I ~ ~ . i?~I~~~i ~ ~.i ~ i ~I`~•I ~I~ . PERMIT SUBTYPE: TYPE OF WORK: , r,.~~ . . i I ~v:, ;~~IiNI!rl l 1~iri ' ;~,,r~ E 11~, 1.~.i~.if I ht~~ ~ Cl•~tll r11 I ~~Pr ~ J Ir~ 1'I r~~ ! (ri~lllli~~ t !i 1' i i 1llfi~Ri ~ (3 f~ ~ i i . ~:f . 1 I~i~ ~ ~{'~11~ ~nf'ti-'~ . I I.', lJ 1'1 ii~l. M fy Ld 41la 1 ~ I~ NFI~~ .i 1-11 It . ~tt _ ~ ` ~ s~ ; y~`~rF~ c`~'.~< - a~° s = ~ : y` l="3~ ~'C- , rt"~` .q~s.:. ~+j~- S . _ ~ ~ ~ . , . . . ~ ~rW~"ei'~...a~~:a~~...'~.`~"~V~t.. Permft No. Permit Holder Date Telephona # - ELECTRIC ~ ~ . PLUMBING ~f ~ ~ ~ HVAC 8a9 ~ Inspectioa Date Insp. Commenta FOOTINGS 3 FOUND ~I/(;~~^~ FRAMING P`~~~~s. ~ ROOFING ROUGH J~ ~S PLUMBING Q ~ ~ L1 e ~e PLBG AIR TEST ROUGH /V ~1,/~~" 1''~ S e' HEATING e e~r-C 7 , t ~ L 8 r~i !~V' GAS SVC :e TEST - INSUL / , IQ / ~uc.~ GYP BOARD FIREPLACE ~ O i1,r FIREPLACE AIR TEST FINAL PLBG _ ~J ~U FINAL HTG ~ l J ORSAT 7EST BLDG FINAL ~~,/lQ ~ ~ BSMT R.I. ~ BSMT FINAL DECK FTG ~A(,.9 t~ J DECK FINAL . ~ ~ ~ w ~ . . ~e~tc~icate ~ ~ccu~anc~ ~it~j o~ ~an . ~e~rt~nc~t o~ ~x~~ ~~~~ct~ _ This Cerrrfrcate issued pursuani to the r+equirerrients of 1he Uniform Building Code certifying that at the tinu of issuance thrs structure was in compliance wirh the various oidinances of the City regulatueg buildi~rg construction or use. For the following: ux clauif,w~oo: ewg. vr~n;~ Na. 26283 p~P~Y qYP~ u 1 Zaning pistrid n ~ Type CoMt. ~ Owvrcr of BuildioL Add~ess ~F~ ~ Qt~ B~Iding Addt~s ~i7~ ~l~' l,onlhy ~ ~ B~ ~ u~ Q~~ ti~~ ~N j ;j,j~ ~ - / ~vE~/ , I~, i ? POST IN A CONSPICl10US PLACE . l 1 ~ ~ ~ ~ ' ~ ' ; ~ ~ i L~ BL ~ CITY USE ONLY i/~~/D RECEIPT ~f ~ SUBD. ~ ~~nX2~ Wo-dtSl DATE: o ~5 1995 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 EACH NO. TOTAL Shower 3.00 x ~ _ ~ Water Closet 3.00 x ~ _ Bath Tub 3.00 x - - Lavatory 3.00 x ~ _ Kitchen 5ink 3.00 x = ~ Laundry Tray 3.00 x _L Hot Tub/Spa 3.00 x = Water Heater 3.00 x _ ~ Floor Drain 3.00 x ~ _ ~ Gas Piping Outlet * minimum - ~ 3.00 x Rough Openings 1.50 x 3 = Water Softener 5.00 x = Private Disposal * Dakota Cty. Iicense 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL JV , ~ SITE ADDRESS: 4790 SLATER ROAD OWNER NAME: JOE MILLER CaNST. INSTALLER NAME: GENZ - RYAN PLUMBING & HEATING C0. STREET ADDRESS: 14745 S. ROBERT TRAIL C~-nr. ROSEMOUNT STATE: MN ZIP: 55068 PHONE ( ) 423-1144 • OFFICE U5E ONLY L _ BL _ RECEIPT " SUBD. DATE: 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)687-4675 Please complete for: ~ all commerciaVindustrial buildings. ~ mufti-family buildings when separate permits are L141 required for each dwelling unit. DATE: _ CONTRACT 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 INSTALLED? YES NO. FAILIJRE 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 permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: 21P: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: f . L_L BL CITY USE ONLY RECEIPT SUBD.~ . ~ DATE: ga9/ps 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 • (612)681-4675 Please complete for: ? singie family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: ~ o~~ "~1-S FFFS ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) 3~ ? State Surcharge .50 TOTAL ~6 33: SITE ADDRESS: ~ 9~ sL~P"TER ~ OWNER NAME: cTOE il'IILLE~ d~FS PHONE INSTALLER NAME: L~ONTi~01~~1rI /fli~ STREET ADDRESS: a~a"~Q ~f7-TbN .~~E c~n: ~rF-~2M/NGTON STATE: MN z,P: S~Qa PHONE#: ((vla`) ~~OD ~DDa a ~ ~ ~T~NATQFf E°6F~EFf IGf 11T . CITY USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1995 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please compiete for: ? all commercialfindustrial buildings. ? multi-family buildings when separate permits are ~ required for each dwelling unit. DATE: CONTRACT PRIC;E: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: • 525.00 minimum fee QC 1°~ of contract price, whichever is greater. ~ Processed piping - $25.00 ~ State surcharge of $.50 per $1,000 of pg~ fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR LOT ~ BLOCK / SUBD. ~~,/~~X~.o C~(/~ RECEIPT•# v`5~o/ DATE 1996 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: ~~~~~g~ Commercial GPM Residential (boulevards) GPM _ Existing residential Area/address to be irrigated: 9~ ~~Q~ Installer: ~~~Z'~~~~ Owner ? Plumber~ Street address: / J ~~~~`~`~J ~ ~ L~ / / City, state & zip code: ~D~~/Y7DGC/7~ I~J~1~~J~~ne 17J~J` ~ Owner Name• Street address: ~ City, state & zip code: an Phone ? ' l~ ~/L Irrigation contractor, if different than installer. ~~/I-{~l Telephone 1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operaiional and maintenance activities to the facilities constructed under tnis permit within City property/right-of-way/easement. /.~/~~~Pc~~v A 'cant's nature Title Approved by: Date: ~ ~ PRV ? Yes ? No New service ? Yes ? No Meter Size & Cost Fees due: Calculated by: 9 ~~'-96 a ~s ~`~d V f~ PROCEDURE FOR IRRIGATION SYSTEMS - 1996 An irrigation permit j$ required - please contact Protective Inspections at 681-4675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee onl~ if new service is installed. $300.00 per tap if installed by City. Residential project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $760.00 ~er connection - WAC. $35"o.GC ~,er cor~nection - water treai~r~ent fiacility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not required if backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of $182.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $822.00. This information is to be suppiied by the designer of the system. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forvvarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be re~ched at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections vvill be accepted until 12:00 noon. , PERMIT Q2o~t~a ~7 ITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: ~uz ~ozNe Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 2 8 3 (612) 681-4675 Date Issued: 0 8/ Z 8/ 9 5 SITE ADDRESS: 4790 SLATER RD LOT: 1 BLOCKe 1 ST CHARLES W000 P.I.N.: 10-65870-010-01 DESCRIPTION: Building..Permit 7ype SF DWG Bui.lding WQ,rk Type NEW UBC OcGUpancy~_ R-3 U-1 ` Gonstruction 7`y`jS,e V-N Zoning - PD R-1 Building Lee~gth 68 ' Building Width ~ 3S BuiYding stories 2 ,~..S~qia~re F~~~ 2,146 , t: ~ l~'= ' ~E ` t, lT>; t ~ ! ~ , _ , ~ . . _ . - , - _ _ ~ - REMARKS: PRV S& W PLBR - hl & W WATER AND SEWER FEE SUMMARY: VALUATION $176,000 Base Fee $1,267.25 MISCELLANEOUS $1,892.50 Plan Review $443.54 Total Fee $4,541.29 Surcharge $88.00 SAC $850.00 5AC ~ 100 SAC Units 1 Subtotal $2,648.79 CONTRACTOR: - Applicant - sT. ~IC. pN/NER: HORTON INC OF MN, ? R 14544663 26005657 JOE MILLER HOMES 3AS9 WASHTNGTON DR 204 3459 WASHINGTON pR EAGAN MN 55122 EAGAN MN 55122 (612) 454-4663 (612)454-4663 T hereby acknowledge that I have read this application and state tMat the infiorination is correct amd agree to eomply with all apQlicablQ State of Mn, • Statutes and City af Ea-gan Ordinances. ~ ~ / ~ ~yn w-- APPLICANT/P MITEE SI RE ISSUED BY: IGNAT . . _ _ . ~ INSPECTION RECORD CITY OF EAGAN PERMITTYPE: auz~ozNe 3830 Pilot Knob Road Permit Number: 0 2 6 2 S 3 Eagan, Minnesota 55122-1897 Date Issued: 0 8/ 2 8/ 9 5 (612)681-4675 SITEADDRESS: P'I.N.: 10-65870-010-01 APPLICANT: LOT: 1 BLQCK: 1 4790 SLATER RD HORTON INC OF MN, D R ST CHARLES WOOD (612) 454-4663 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW . „ . FOOTINGS FOUN~ATION FRAMING ROOFING INBULATION FIREPI.ACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: PRV 5& W PLBR - M& W WATER AND SEWER ~ ~ ~ _ ~ ~ CITY ~F EAGAN ~ 3830 PlLOT KNOB RD - 55122 z( 7995 BUILDING PERMIT APPLICATION (RESIDENTIAL) r~~~ 681-4675 New C:+nstruetion Reouiremerrte_ . RemodellR@pair Requirements ? 3 registered sita aurveys ? 2 eopiea M plan ? 2 wp'~es oi plans (inGude beam & window sizes; pauretl fid. design; etc.) ? 2 sRe surveys (euterior addflions 8 decks) ? 1 energy celculetions ? 1 energy pleulations for heated additions ? 3 copies of tree preaervetion plan if lot platted aRer 7M/93 required: Yes _ No DATE: ~~/I~~'r.~ CONSTRUCTION COST: ~~y~ DESCRIPTION OF WORK: ~~~'~+c~f,a..~ STREETADDRESS: ' u7~U SIa-~e.~r I~.~ac~ Lo-r 1 s~ocK ~ SUBD./P.I.D. ~'~l~s tJ~~ PROPERTY Name: Phone OWNER Street Address~ City: State: Zip: c~NTw4CTOR Company: Tue, r~/,'/lea. l~,~..1~ Phone `~~-3 Street Address: 355~ 1,~s~.~.s~o.+ License ~v~~7 --~r City: rcti`.~ State: /1~.~/ Zip• SS/.~~ ARCWITECTI Company: Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer & water licensed plumber: Ma~u/ ~Gl~ ~Ct?Py. . Penaity applies when address change and lot change are requested once permit is issued. 1 hereby acknowledge that i have read this application and state that the information is correct and agree to comply with alf applicable State of Minnesota Statutes and City of Eagan Ordinances. /~~~~J Signature of Applicant ~ OFFICE USE ONLY ~ . ; ~ Certificates af Survey Received es No A~~ Tree Preservation Plan Received ~es _ No _ ~ _ ~ ~ ~ ~ ~ ~ ~ q OFFICE USE ONLY ~ ' ~ ~ `~+r.,-..,:•~- BU[LDING PERMIT TYPE ' 0 01 Foundation ? O6 Duplex o 11 Apt./Lodging o 16 Basement Finish ~82~ SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pooi 0 03 SF Additron ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Faciliry 0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscelianeous n 05 SF Misc. 0 10 _-plex o 15 Deck WORK TYPE ~1 New ? 33 Alterations o 36 Move n 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION ~ Const. (AduaQ Basement sq. ft. l SyT MCfWS System o~_ (Atlowable) Main level sq. ft. i. rn City Water UBC Occupancy sq. ft. r,..zs- Fire Sprinklered Zoning a / sq, ft. PRV ~s # of 5tories Z~s-~~• sq. ft. Booster Pump Length !o ~ sq. R. Census Code. ~ Depth ~S Footprint sq. ft. Z i,, ~llo SAC Code Census Bldg ~ ~ ~,,~r~P Census Unit I APPROVALS s~ Planning Building Engineering Variance Permit Fee Valuation: $ ~710,000 ~ Surcharge ~ ~ f ~ 77 Plan Review rn~,N ~ t ~ t` License ~ S T" MC/WS SAC ~q~ 2 x r o = z.~ sc~- City SAC = 9L8 ( z~, T~' Water Conn. ~Ca x sf~ Z X~ _ f z Water Meter ,sx 2,b7xz~,,~ ~ y Acct. Deposit SM/ Permit 15~r 3~ ~~3 L (~$~p ~ x/r ~ S/W Surcharge Zx ~3 z~ Treatment PL ~~~x ~Y ; 2 Z~ S~~ Road Unit s y Park Ded. 6 g Traiis Ded. / Other Z Copies f ?oX ?g ~ /,(Yo • sx`° ~ !o~" Total: Z X! 3~ ~7 L 7 zo~` J~ ~ sac ~.s,~Z.~~KZ.~~ _ <y ~ SAC Units ~S•93 x 7 • ~ ~ _ ~ %z~ Z~ : 3 y /,/zSl~S'~`'_ sK ~ ' lo~ ~~o' ~D, 7sD ~p Zs/1 , ~ ' CERTIFICATE OF SURVEY M32-1275-95 for JOE MILLER HOMES ~ r.... S~ ,4 ~ ~I ~ ~ i zz,s I I J I 952~$ S 89'38'08" W I - - ~ 140.00~ - r.~, ; ,9981~w^~,:. 963.55J~e.ao 963.~~ . 4 38 ~801.3 • J ~ l9. ~s _/I "I ~ u'- ~ 1 .97 r.~ x(-E-~--37° ' --~5. ` . ~9~3. aa.oo 953.Cn~ ~ 190 I I I~ ~ -o ~ ~ ,r~Cj ~ z < ~ w n I ~I Z'0° ~ o ~ I °o ~ Sp ~ a 3 N ~ ~ m ~ ~~i ~ i 'a~ zao mn $ ~,~''c 4~ ~ jN ~ ~ s v~ E"'~5Y.3 ~ ~ ~ q53.95 0 _ J - y 'B4 N ys'~- - m-r m c~ ~ '~J° co ~ N w ~ ~ x. o o l ~ g181 \ 7 5 ~ ~ t Z ~ i ,a~a, J n' D~~ zoo ~5,.5o s4.~Tj ~ ~ rn I g P.. . i ~ 957.0'~~ I~ ~ 54. zo.so q (~r SI ..,,.rt ' I pl \T ~J ~ ~ ~ ~ aG.44~ ~'t' ~ ~ ~ ~3~Z~ 129 E 06 ~ o N ~o ~6• oe S• HN ~ ~I~ Lssa3~ , 4~.-0~~ . ~do ~ , , ~ ~qGAI~ R~VlEM/ED ~a .S g EAG.~d ENG ~ E G 1~EPT /8 yr , . - e ~~~t1~_'.~,~ ~ ~o~o~ D ~ ~f Ir-.' s~aie: . = 30' 4-790 Slater Road DESCRIPTION I hereby certify that this survey, plan, or Lot 1. Block 1, report was prepared by me or under my direct ST CHARLES WOOD supervision and that I am a duly Registered Dokota County, Minnesota Land 5urveyor under the Laws of the State of M' esoto. Plot bearings shown ~ o Denotes iron monument Date Reg. No. 8140 ~ Existing~ Proposed Ev u6 9s - - BRANDT ENGINEERIIVG ~ SURVEYING 1600 West 143rd Street, Su ite 206 Burnsville, MN 55306 (612) 435-1966 M32-1275-95 W; ' LOT SURVEY CHECKL.IST FOR RE5IDENTUIL BUIL~ING PER IT APP CATIO ~ o o ~-7 J ~ ~ PROPERTY LEGAL:~~(~~~ ~~1u~ (t~ : ~ m DATE OF SURVEY: =P~9~/ `/S~ ~ ` y LATEST REVISION: ~~i~/~l ~ ~ ~ o ~ . ~ 4 Z i DOCUMENT STANDARDS ~o ~ • Registered Land Surveyor signature and company ~ 0 ~ • Building Pertnit Appflcant ~ • Legaldescriptlon ~/O ? • AddfeSs ? • North arrow and scale ~/d 0 • House type (rambler, walkouk splR w/o, splk entry, lookout, etc.) ~O ~ • Directional dre(nage arrows wiTh slope/gradfent 96 ~ • Proposed/e~dstlng sewer and water services & imrert elevetlon m~ ? • . Street name ~ O • Oriveway , . . ELEVATIONS Exisdna O~O O • Sewer service f~0 ~ • Property comers [3~0 0 • Top of curb at the driveway ~ eY ~ • Elevatlons of arry e~ast(ng adJacent homes Pr os ? • Garage floor ~b ~ • Flrst floar ~0 0 • Lowest exposed elevaUon (walkoufhNindow) ~ ? • Property comers ? • Front and rear of home at the foundatlon PONDING AREA fif aoolicablel ~ • Easement line O e NWI. - O ~ O • HWL , . , ? ~ ? • Pond # designatlon , ~ ~ • Emergency Overflow Elevation DIMENSIONS ~o ? • Lot Iines/Bearings & dimensions ~0 0 • Right-of-way and street width (to back of curb) • ~o ~ • Proposed home dimensions fncluding any propased decks, overhangs greater than 7, porches, etc. Q.e. all sVuctures tequiring pertnanent footlngs) ? • Show all easemen4s of record and any Cily utilWes withln tt~ose easemenl4 m~~ ? • Setbacks of proposed structure and sideyard setback of adjacent e~dsting structures ? 0 • Retaining wail requirem ' an . Reviewed: / Name /D ~I Juryt985 ~ - , , , . ( • ~ ~ ~Np aP-~r-~ h ~ - ~ i ~ - ~ - ~V~ ~ . ~~t~ , ~~~a aaaa.. a:~ . +~w10.?r1 L~Yf~ ~ . ~ ~ _ ~ - - - . , ' ~ . I io ' ~ _ ~o•T,y~g ~ ~ ~ ~L .~''i~` C~~ ~f~G€.P~ DO~S I~C~ i t~U~~A' ~ G ~,~t 1 ~ _1. _ .~~~;U<<RCY .OF` UTi~_IiY LOC~~10{v~ : f r, ,~,,',"3`r~i '~i~E~tJ~TIONS: THIS DAl'f-'~ i i` : n : f ' ~_~,=,r'!aii['Pa; . PURPOSES C; yY (,!:D ~ / ~ e-.:.!L+2D z ItB~: 4 ;±s~ 9`, ~`1~~. ~ l.1~t~3G IT SHOULC t,:~.: ~~c v~,. ,~.7•8! ~...s A.d.L~ ~.,a '~i~;lONTH~5ITE~ ~ F9qg.o. - .~i;Fq46,o ' 'f ~ . _ _ ~ ~ . ~c ~ _ ~ ~ ~ ~ ~ ~ . ~ ~ 3 , . . . . ~ . - . . . ~ , - _ . .~I . ~I - , ~ . ' ' . . ~ . . . , , : . - ` ~ ~ , , _ , 1 ~ 1 - ~ . 1 . i _ . . . . . ~ _ . ' . ' . . . ~ . ' . . r~ ~ . . . . _ . _ . : . . . . . . . ~ ' . . • ' ~ . . . ' ' % . . . . . , . . ' - . , _ " ~ ; n - . . ~ • ~ ' . . . _ . ~ . . _ ' ^ . ' , . . . . . ~ . . . ~ . = . ' , . . . . , . . ~ ( . ' . . . . . . _ . . . . ~ . . . . ~ ~ . . _ . . . _ . ~ ~ . . , . . . . . , _ . . + . . . ' . . . . . . . . ~ - . . . . . . , , . . ' , . - : . . . . . ' ~ . . ~ . . ~ , ' . A `t`I ' i ~ . ' ' ~ ~ ^ ~C ~ _ ~ j_11:~ f 1 p~p~ ~d ~ ~ ~ , : . . ~ . ~ - ~ .'.~i s~: , VI'iJ.lf J{ti~.^71~ YS,L. ; - . ~ - ,nd ;~o~~~ ~4„~ . : . . . . : J a . ~ . . ' . r~~. i ~d ~~i. 1.! ~ i~,.tla~.aJ ~~~~/~l % 'P.t7Gl~i~SCJS~eI /J_.. r `,'1~~~ ~,jtiS'll; ; ~vv~s~.~ 1ii:~"~ ai'~! ' ~.Z , ~ i ~:t~~~~~~ f, 1:~~ i~~7-. s~t:) ~'~vl ~ w~sws„zi p. 1 i,«J!~`~f1J. i(3Z1 aJ0 , - ? , , . . ~y;T ~ . ~ - . . . . . . p"l - t , h4~ , ~ ~ ~ L . . . . ~ ~ . . . iti`. - W _ ~ ~ . . : . . . ; . ; ;s . , . ; - . /r~z /'icSrA~v~;i,e~n , ~7f. C{~u?'1B5 ~/~~~a bcVG~ol~.rrrn~~ Lof ~i~~f ~ , R~p~.r~y Ow~z.- : m;ii~- /~~+~s Bu, ' ~~c ~'J; lle.r l~mcs ~ ~l s °v 5 ~ , ___1 0~ 7 _ Sc:Jc ~ I °a • 3 ~ ~ o~ ~ ~ ~ ~ T~t 5:.+,o~m_ c h.~.y Exisfi.~~Trea Le~cn~ ° E.r,~~-,.,~ C:~.,dJ > I. ~ve - /0 2ed 4~1f; , Sav~ _ ~ i~ Rcd Q~~k S:jn; ~icGn~ 'T.tts 7 3- 5<<ve " 2e.d D~ k N. SGVe - g;. Re.~ O,: k ~'G~`R9 ~oR~SYRV ~~V?Sb~U e~.,~,1, F,~„ s /?~.S ~SC.'7?iL7VC'~f~ a no s. S~ve D~., Duk ~r~l1~ D s~v~ _ y BI«l~ cl,~y ~V -7. S~v~ - ;a " Qc,d Olik. ~~Y~ ~ - _ /~~/~,/l / , , ,G~..r~c~ ~Cc'_ l.~C~ 5~~ n~d ' W ~ • LIIl1lIC~SiCIL.Ei'l:n'l'!:_rlll'J1SilC..SS2121L~AIdl1lL~l'.L911fl ~~~~.34Z. ~ - ~ UA9I.b UII CIIA["I'Git 8 OE' '1'lIL ~ u~iz~~e~irn~iz~ss~~~r•~=J..~~t~uu,~QU . ~ nao~r on ~~eaotlvo ~ t ~ . ownar. 1/~ir~~yN~R~ ~ ~ ~ ~~,a„e bnta ~ sttd nadrea~~ ' ' . conrrockor `.~f7C I~~~l l.~Q ~.C)1~5~ " ' Phot~a IlullJing claunlElae~.lon1 'Cypo A1 (tllliglg Famlly G buplax) ~ , '~y~~u A3 (ItemldenElal, ~ nEorla~ or leuu)_(over 9 nEories) (otlier) , 11R'1'.~1~n~ule~r~nngea~~n~LA_fita~. • ' S]CIIB1tA1~I11~521ilIAT.I.QII ~,~F ~ ~ . ~yFl EGT 1. Uulldlnq PerlmeEer ~1~~~ Er. ' 2. Nnll hal hh g (gtound Eo ~nve) EE: 1. X 2. (n6ove) gtog~ wull nted ~ I~ scj.fr, ~ A. tlulldltiq dlmenulond (L) ~ H(t9) 'J d~~'U~ .nq,tr,roo[ 6 Eloor:nrea 5. ~q. toot aren of rlm jo1nE - Floor Jolo~ Ylze `2 X'~~7 ) q ' ~ C7 x ~ls • i~~erlmeter) ~ • ~1 ery.Et.. I~ la . . G. I)voCU - ACea ' ~r ,1--7 - , " 7'hlalttlese !n U~ ~qo~:tfk' ~ . 7'ypn of connrtucl-loii ' t~or meter E~.: . IIohU[aoturar 7. 7'otal door'tl perlmc!`nr ~t. • a. HlndoNaf ItonuEuaturar ~IUSU( LSYIi ~ 9tnte apptaveQ u footor ,%SG9 • . , 7'YPE 9IZG AtICA (9~~.F~. ) 11UIIUCtt oF 7'pTAL Sy~~i p/,/ ~ 7 t,t GACII UIII'fg 9Q FEE'C G f~UrJ ~ ~ c.~ - ~ 9. matp~ ~~.et, ~ion~ ) ~ lo. Flreplnen nreal I~ldtl? H Ilaiqlit a H " ~~1•E~• , 11. Expoeed foundationt Ilelgl~t B PerlmeEer~~D~ Hlv~ ~ IZ3 eq•Et• CoIthLE'Cloll ol^ mIIIH t'ottN Icl ti~pUIttEl1 foit AL4 II~H co119TIlUeTIO11, IlAaott ItellobELllltl Alll) UUILUIIIOg tlL1110 HOVGU {911CI1[{ EIIGl1UY ~ O'CIIBII TIIAII 'CII13 IIIIIIIIAG ~ L•oUE ALLOIiAi1CC~ Ig U9GU. - , • i I -t- . • • ~ . . • • ~ ' • ~ • '1'~ • • ' ' ~ • . . - 12..,pruml~i~ nran ~ lU1 nf qrnnu wall nroa, ' ' 17. Urdau wpll nreo ~~~I~~ nq.fr. ~ ~ ~ , i~llndoW nrea A . eq.fN. U windawu d .3~ UxA n ttlm Jolet nrea A~_nq,Er, U rlm ~a1dEa-,D`CI UxA e ~ Uoor nran A. 'r71 eq.Er, ' 0 dooY atea~_1I~' UxA ~ ~ orhor door~ area AJ~ny,t~. U other doorue r 77 UxA a_ ~9 Lxpaned Ei~dt~.A_.~ v~ ny.[~. U fouiidntio~ie ,D7~ UxA m~_. Ftnming uten A y , ui~,E~, U Eraming otep~ ~v I~ UxA d 3~ IIeE wall nrnn A ~ n.q;E~, U 4ralld ~l,~f~ • Uxt~ b~~ , (1~U) ~1'o'1'AL . . . . . . . UxA = Z/7 14, tltoud 'wnll nren x b.11 (~-1 nll~gle Eamlly 6.cl~~plex) d nllowaUle UxA/COde (17. nbuva) • ' R ~.2~ (A-x aEhnr CeuldenL•lal) ' • . u .2~,(olhor uulldinge) . x .2u (ovnr ~ ukdrlon~. • ' ' U1'UII munr Ue ldrqer l-hnn or eame h 3~ u u cado ~ r~ ~F~;.• un l~u ubova 1~3. Colllny fra~nL~y' nrna (AE) dqunln 1uY nl,.aeili~~g~,nzea . 15A. dtoau aolllt~y urna e(L) ~ x(li) ~ e~ eq.E~. 1liu. ~o1nt araa (AE) a la1 csoillnq aroa b~_nry.fk: 1.~iC. Ilnt aelllliq nC,ea (AC) (15A - 15i)) d tiq.Ek,. • uca~~~~~gx~,C e~ 33.`~ x,f~Z2.~d ti9 . : : ~ .~s~~ . . U traml~~q x A E a it ,aL3 • 3 _ . ~ ~ - ' - , ' 1511. 't'~'I'AL U x A...~..........~.~.~...~~~...~~~' • • ' 16. calflny ntnn (f~s~) x o.n20 (A-1 dlligla [umlly R duplexj • ~ ° dL1bWdIJiB UX~1~~:p1~0 ~ - ~ ~ x o.n~~ (A-a oEliar re~lden~lal) x n.nc (arltor) , • I/I(? ~~•~P oFUll muer ae iBU ~uUvve~~lt or dame • A~15A) C)~~H U Cod~ . ~ Ilo'Ctll Una U and l+ valuod obtnL~od from pngen• 1.~ ~ and A. , Crll'C7~~I~11'C1Q11~ I hetnb~ tlerrlEy kl~nk i hava aalnulnrad L•ho ~'U~~ fnaEol;ti and "Il'~ vql~lon liotu~t~ und l• ~n~ Eho hu11d11ty Itoru dendklUed meeEn nr exoaadu Ehe tlEnEa oE Ill~u~euutia Lnnrgy connotvdLlon AdE.. • . bate • H g1laEUre , . • • Y • . J uw ' • / 3~2 , . . : .~e s~'~r_..---- _ . _ . . _ . . . _ c~~ ~Pn>~o w~~~ . . . Io~~7._. x ~+5~-~34f~9 ~3.__._ . . ~Qtl z . . . . 8,.~~.k(3~-r~r32~-3z). ....-----IZ3 . 3~ _ . . r_ ~ ~ ~ _ . : . . . _ . _ _ w ~D~ws . . . _ . _ _ . . _ ~(rr ~ u14~ _ . ~ ~ x = c~_~? . . . - . INt~~t- ..3t,2P =1>x_ID....._. ISO. ~ , u1~o = I Z.~xZ ?~s____ : ~ ~ _ . . . . . . . II Zfl3~ (v41. ~2---.__,.._.. . Z . ~ . . . . III ~D . ~ . . I ~~t? 1-C? _ _ t~ : . . . . ~ . ~ ~07 1 . _ . ~L2~~ . . . . . Cf°. Pa ~ ~ ~ t i Z. ~ . ' , a"' , _ 3°~TL,~~ ~,~1 Z~,(, } . . . ~ Z STL ~D(L Z- . ~ . ~ . ~ CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reoulremenffi RemodellReoair ReauiremeMs ? 3 registered site surveys ? 2 copies of plan ? 2 wpies ot plans (include beam & window saes; poured fntl. design; etc) ? 2 slte survays (ezterior atldfiona & dedcs) ? 1 energy calwlations ? 1 energy calculations tor heated addkfons ? 8 copies ot tree preservation plan i( lot platted after 7A/93 requiretl: _ Yes _ No - DATE: ~S' CONSTRUCTION COST: aa~.?U DESCRIPTION OF WORK: ~~<<~~ c. i~P~~ STREETADDRESS: ~~9~~ 5l~~y^ ICc~~_ LOT BLOCK ~ SUBD.fP.1.D. ~'~~~~~s PRCPERTY Name: Phone OWf<~R ••s• 5treet Address City: 5tate: Zip• CONTRACTOR Company: .Sr~ ~Yl ,'!~w l~va+ts Phone ~S~/-5i~G3 Street Address: 7~/_~~i !.r/as~~~c~, L~Y~vc License #~~~~yxa~~ City: ~c~~ State: i'Y1r~/ Zip: ~ s~~~ ~ ARCHITECTI Company: Phone ENGINEER ~ Name: Registration Street Address~ City: State: Zip: Sewer & water licensed plumber: . Penalty applies when address change and lot change are requested once permR is issued. I hereby acknowledge that i have read this appiication and state that the information is correct and agree ta wmply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: ~ry~~~~ ~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No NOY 1 4 1995 Tree Preservation Plan Received _ Yes _ No ~ - 't OFFICE USE ONLY ~ ' ~ ~ BUILDING PERMIT TYPE ' ` " 0 01 Foundation ? 06 Duplex o 11 Apt.iLodging o 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 _ plex ~15 Deck WORK TYPE ~ 31 New o 33 Alterations o 36 Move 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. y3~ Depth Footprint sq. ft. SAC Code o/ Census Bidg ~ Census Unit ~ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SMI Permit S/W Surcharge Treatment Pi. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ' ~ ~~S ~ aoo~ RESIDENTIAL BUILDING rE~uT arrLicaTiorr ~ G~~ City Of Eagan ~ 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConshucGOn Reaui2menls RemodeVReoair Reaui2ments O~ce Use Onlv 3 registe~ed site surveys showing sq. ft. oi lot sq. ft. of house; and all roofed areas 2 copies of plan showing footings, heams, joists Cert of Survey Recd _ Y_ N (20°h maeimum lot coverage allowed) 1 set of Ene~gy Calculafions Por heated addifions Soils Repod _ Y_ N 1 Soils Repod if proposed building is to be plaa3d on disturbed soil ~ 1 site survey for addiUons & decks Tree Pres Plan Rerd _Y _ N, 2 copies of plan showing 6eam d window sizes; poured found design, etc. Addfion - indicafe rf on-sde septic system Tree Pres Required _Y _ N 15etofEnergyCalcula6ons ~ Onsife5epticSystem _Y _N 3 copies ot Tree Preservation Plan if lot platted after 711l93 , Rim Joist Detail Options selectlon sheet (buildings with 3 or less units) Minnegasco mechanical ventilation fortn , . . Plans are considered ublic information unless ou state the are trade secret and the reason. /~1 o~ Date ~ / ~ / ~ 7 Construction Cost ~ Site Address ~ S~ a'~ A~ ~`-~OtC~ Unit/Ste # Description of Work Multi-Family Bldg _ Y/~ N Fireplace(s) ~ 0 _ 1 _ 2 i Property Owner i~''^~ S~` 5~ ~n ('V Telephone k(6S1 ) ~~'a 7 3 Contractor K-cr.~.n K `°5~~'cl~`i'~~~ ~ ~ ~ ~ Address ~93 ~oD S u~n~ ~'S ~ ~u ~ Ci[y ~•^'~5 P ti~ srare lM ~ z~p 5"5" 3 ~ 3 Telephone #(~]G j) ~ O o~ da COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 ~ Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Cetegory 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . • Energy Envelope Calculatlons Submitted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan bqsed on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) . Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and aclrnowledge 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. 2~~~,~.~,,~ ApplicanYs Printed Name plicant' S ature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O OS 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 Eut. Alt - SF ~ ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36°' Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? O6 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 ~emolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bidg] - Give PCA handout to applicant D@SCflpt1011: Watar Oamage _ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Code Edition Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. . PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIREDINSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) _ FinallC.O. _ Footings (addition) _ FinaUNo 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 _ RL _ Au Test _ Final _ Windows _ Insularion _ Retaining Wa11 Approved By: , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total CERTIFICATE OF SURVEY M32-1275-95 for JOE MILLER HOMES ~ ~ ~ I I ~ ~ ~ zz.5' ti I ~ I952~$4 S 89'38'08" W ~ ~3;~~i 140.0083.~g~ ~48.38 ~ /1 r _ q5`a.4c'~ q63.55J3e.oo ~Sa. 3Y 1 .97 ~ - - ~ ~ ~ ~ I- sf -a fN -15 I~ G y~ r~~ ~53.Cn~ ~ i~~9o I I I n ~ N w Ss~ z ~ ~ O ~ I ~?.o0 3 ~ ~z J~ ~ o I ~o ~ ,yµ Tl I ~ o d ~ I ~ "~r x.oo ~D Q o c Y m~ ~ I l n~i Vl ~ a S ° C O ~ - N .oa ~ s ~ I q63.95 95Y.3 - ~ ~ ~ ° W - ae.~o- W° m_ ° ~ N m f~~g~ 7 5 O ~w ~DWYI~ ~ ~y ~ / i ° " ,e~ J N 2.00 c v ~S~CJ O 5~1: ~ i ~ i I~ m I G ~ 8 o M i i / ~ 96 7.'~~ r ~ ^ i ~15H. ioso 9 ~s' ~u / LL il .~,n ,r ~ ~ ~ ~ F... 1q3G.4~~ ~t- ~ ~~q3,p23N ~02 29~ E 4 ~6 06 ~ ''r 5i. Har,,~~s i~ Nee~ • ~55.7~~, 4°SCc.03~ 0 o~Sb 5cale: 1" = 30' 4790 Slater Road ~ DESCRIPTION I hereby certify that this survey, plon, or Lot 1, Block 1, report was prepared by me or under my direct ST CHARLES WOOD supervision and thot I am a duly Registered Dokota County, Minnesoto ~ond Surveyor under the Laws of the State o` ~vi'- ~scta. f=ia't bearings snown Cc/~~ C/! o Denotes iron monument Date ~ AU6- (99S Reg. No. 8140 ~ Existing j Proposed Ev ~ avG 9s - - BRANDT ENGiNEERING SURVEYING ~ ~ , 1600 West 14-3rd Street, Su ite 206 Burnsville, MN 55306 (612) 435-1966 City of Eagan PERMIT Permit Type: Plumbing Permit Number: EA104906 Date Issued: 06/15/2012 Cit of 1 llmit Category: ePermit Site Address: 4790 Slater Rd Lot: 1 Block: 1 Addition: St Charles Wood PID: 10-65870-01-010 Use: Description: Sub Type: e - Water Softener Work Type: New Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Josh McGuire 1424 3rd StN Minneapolis, MN 55411 612-604-4285 Fee Summary: PL - Permit Fee (WS &/or WH) Surcharge -Fixed $55.00 $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X6I - Applicant - Owner: William S Salisbury 4790 Slater Rd Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature ces4563 0021t02 7.0: City of Emu 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 gy�vv�, vv� Use BLUE or BLACK Ink For Office use Permit #: 11-I(1)5'+ Permit Fee: Date Received: Staff: Ii%aa%i3 2013 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with /all commercial applications. Date:1 I -1.-P) _ Site Address: 4 V V Swett. Tenant; Suite #: ;lliii1IP;1l'4;Tii!;� .. • r I. . ..• • ;. ;��;iill::•;1.1,4:'' i,,, 1 'j'tii~3coi �liGrll��k'' It , i' ll4iii! ,....• • Y . ill ::• ��;r, 19';11 I� �i • j;il' i t'r `I,,; ,�=1'.lidl'r-r„ ' r ;i,r};��16k��,',11p9�' , , ri t! t....1 14, itl'.��iiililj'i'''� tractor r t �II �.1� 4 IC ;-,,,�,,�:(`i�aConta 1111!1,1,;,:!. „ , r, •11i1t i;, •• • Name: tt .* Phone: t72 � Ij 5T'8 3 :` Address /City /Zip. r , l0 = ,1er7d a /11122. Name: e, k i' r License #: Address: [428 3 i'Ity. Nt�nn alis State: Zip: 65111 Phone: 012- `�I l� - �•t.Cyl • 1 . (r'; ,1 md ' 1. E ail. r 11A C��,n1, i Cc 101(0N-0Dm );1)11 iij!I ' I I Ir,.'"'iFi �i+, T,ype;of !lig} , �rY,.r,, Wor[c•••u-: ;' ;I': �i,; ' ,,. ill,ll,;,, ,, New x Replacement Additional Alteration Demolition Description of work: ' A I,` : met aaftd 4 C. oink-, 'INOTE:, Roof mounte'd'and ground mounted:cltanical•equipment is,required�tb be Screened by,City!`;' Code.•''Pteaselcontactthe Mechanical Inmespector forinfo,rmation,on•permitted„screening methods. ii ,,,„ ,' "•Air Permit Type '!'` ' al•; y:;, ; „:1,44,1 .i`,I I1l,,; , , •• •.. ,;,;•r- , ' y.:•-,,• . li ' , I. n; • RESIDENTIAL _ Furnace ConditionerInstall Air Exchanger Heat Pum p Other COMMERCIAL New Construction Improvement _Interior Piping Processed • Gas Exterior HVAC Unit _Under/Above ground Tank (_ Install l_Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) r $100.00 Residential New (includes $5.00 State Surcharge) = $ tl� .f TOTAL FEE COMMERCIAL FEES Contract Value $ x .01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal = $ Permit Fee if contract value is LESS than $10,010, Surcharge = $5.00 = $ Surcharge' "'If contract value is GREATER -- than $10,010, Surcharge = Contract Value x $0.0005 ***f the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE 1 hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City Of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x x �Ji ants Applicant's Printed Name Appli ant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169124 Date Issued:05/17/2021 Permit Category:ePermit Site Address: 4790 Slater Rd Lot:1 Block: 1 Addition: St Charles Wood PID:10-65870-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Hesham Al-hatabeh 4790 Slater Rd Eagan MN 55122--236 The Weathermaster Co Inc 9641 Garfield Avenue S PO Box 20371 Minneapolis MN 55420 (952) 884-7663 Applicant/Permitee: Signature Issued By: Signature