4804 Slater CtCity of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit# t179141
Permit Fee:
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:6/06 Site Address: 1/320 0 7 6/ 197/EX ll � J ee`i� /9901 "AV • " D -
/v4) L.5(. 7ewe
Tenant: �/
Suite #:
RESIDENT / OWNER
Name: i /1111.) N...5* e,, e l,(Je Phone: Z,v`-1-2Y9""r3 9S
Address / City / Zip: 1/ 2 V $J,47J (. (O de IL iogAG) / 3 . .sv`—idea
Applicant is: ( Owner Contractor /Th61/ ‘-5./.,_ q71--. 7 7
TYPE OF WORK
Description of work: lC/ni5/Jrhf!g /e/Ctieit /✓/A744/2-_,r,d2'7
Construction Cost: Multi -Family Building: (Yes / No X)
CONTRACTOR
.
Name: 6 e / 1e License #:
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE
In the last 12 months, has
If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes _No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE Puns and supporting documents that you submit are considered to be pu blic information' Portions of
the information may be` classified as non-public if you`provide specific reasons that would per itt,fhe City to
_ ...,conclude that theytare:tra le secrets
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start 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 pJns.
/ n' S CA e L -e
Applicant's Printed Name
717
Appli nt's Signature
Page 1 of 2
qgog
DO NOT WRITE BELOW THIS LINE
q6/0/t/
SUB TYPES
/Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
Fireplace
Garage
Deck
Lower Level
WORK TYPES
New _ Interior Improvement
_ Move Building
Fire Repair
_ Repair
/Addition
Alteration
Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%_)
Census Code (4 3
# of Units
# of Buildings
Type of Construction v (�
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
Meter Size:
soft
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
_ Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
DemolishInterior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
Occupancy g MCES System y -e5
Code Edition -Ou 7 5 6 C- SAC Units
Zoning 12 ( City Water
Stories — Booster Pump '—
Square Feet — PRV
Length Fire Sprinklers
Width
Reviewed By:
1/1
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC U ec` 0ILL
t�" Other:
Pool: _Footings Air/Gas Tests _Final
Siding: _Stucco Lath _,_Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
CITY O~ EAGAN SEWER SERVICE PERMIT
3830 Pilot,Knob Road p~~T NO.:
P. t7. Box 21199 DA,~:
t Eagan, MN 55'~1
~i~: Mo. of Unlts:
~iome Lst~te~ -
; Addrcss: 4844 Slati~=7e Ct j~5 31 `~h:~.s^~~~-_
. Site Address~
i Plumbec , , F- _ . . . ~J
`~-•.>0-i~~ 5-'- y - ,.ri
~ n~ction Cha~e. ' -
1 yrN fe aon~fhi wW' N~t C1M ef hfr¦ Con
Oraiw~~as. Acoour+t Depo~t:
, Permit F+a:
,
SurchcrOs:
~ Miac. Choroes:
Dote of Insp.: T°t°~'
pot~ Pofd:
Irop.:
wA~ 5~~~ p~
' C1'TV UF EA~AN PERM~T
383~ ~'~lot Kn°b R°ad DI+TE~
199 U^tts'
E~
~~~N 55i 21
,'.sf atea •
Zor+i^0~ ' --c,?' T~ -
v~ ' J
O,Mnsr '
~ ; r, ' ~ ~~1~
~~r ~~,u,t ~po~,tt:
µeRa~ N~.: pesmit F~= ~
5iu: p SurcY+°rs°' ..~g.F ~
Reode~ ~ ~b. Ci~'1r ~f Mysc' CFb~~
1 s9~ tO Tota1:
~~aew ~ Pa[d:
insP.:
BY
o{ ?r+~ .
CITY OF E~AGAN ~ WATER SERVICE PERN~IT
57 3~
3g30 P~Iw`.. nob R PERMiT N4.: _
i. P.11. Box 21199 DI?TE: 3
I, ~agan, MN 55121 `
1 L 1 --~e~~~3
i toninp~ - oy,~g ~states : -:~2 ~ 1 1 ~
°,e ' ~
' QW/1ef: ~ ~~P '^rtt~~- _'~I ~S
I 4804 Slater ,1Li~~v ~A
' Sta Add~ess: t7 OOpd
?~lavlock Ylumb
Plun?be~~ . , 2 ~ ~ 76 `9°` 15 . JO d
~?eter No.: Aceour+t DePw~t~ . t F
rr
Sfze: / ~ Permit Fee: . „pc,
j R~~r to oea9h M~ C~ °f h~p Surchar9e: s: 132 O~TP
I 1.~ Misc. 6
~ d meter ~
Oriiw~na~ Toto1: ,
pa{e ~aid: ~
I g~ I~.: ~
pate of 1~P.: r, i
'
Receipt " PLUMBING PERItAIT Parmit No. " • A~
C1TY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prrnt legibly Tot.
1. Date ' 2. Installation Cost
4~ ~ a~
3. Job Address r Lot Blk.~ Tract
4. Owner
5. Contractor ~ I~hone
6. Address 1 '
7. City ~ State Zip
8. Building 7ype: Residential 0 Commercial ? Institutional O
9. Work Description: New l~ Add ? Alter O Repair ?
10. Describe
11. No. F~xtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs '~r ' Septic Tank
lavatory Softner
Shower Wel I
KitChen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slap Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
.
Signed : - t ° ' for
Rough Final
~nspections: Date Insp. i Date Insp.
This is your permit when numbered and approved.
Approved C1TY OF EAGAN 454$100
,
CITY OF EAGAN ` '',t
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 ~
PH ON E : 454-8100
QUILDING PERMIT Recefpt #
T~ M w~d fee Est. Vol ue t E• Date F; I! 19 i
Site Addreas ' Erect ~ Occupancy
Lot ~ Block ' Sec/Sub. ~ _ " Pemodel ? 2oning
Parcel No. Repair ? Type of Co~st.
Addltlon ? No. Stories
Move ? Length , ~
W Name r , Demolish ? Depth
; Address ' ` ' Int Impc ? Sq. Ft.
b City Phone 3 5' Instali ?
Approrob Ft~~
g Name
o~ Addreaa Asseument Permit
u
~ City Phone Woter d~ Sew. Surcharye
` Police Plan Review ' ~ . f}
~ Name firo SAC 5 . ~
Address Eny. Water Co~n. G' -
t W City Phone Plonner Water Meter ~ 3
Councfl Road Unit : 3
I hereby acknowledye tlwt i have reod this opplication cnd state that g~d9, pff. . ~ Tr. PL
fhe informotion is correct and agree to comply with oll applicoble APC
Stote of Minnesota Stofutes ond City of Eagon Ordinances. Parks
Var. Date ~ ~ ~ Coples
Siqnoturc of Pertniffee Total
= /1 9uilding Pertnft Is issued to: ';F~ o~ tM tx
prets tondition that
oll work sholl be dorw in xcordonte with nll opplioabla State of Minnesoto Statutes ond City os Eoqan Ordinonces.
, Buildinp Officiol '
P~rmit No. Permk Hold~r D~t~ Telephon~ ~k
Plumbirq ~ `F ~ ~ G-- ~ ~ C~- ~ t, f ~ (a ~j
H. V A.C. C~ ~~'Y' ~ YY~ Gt L l UI ~ d I(0 0
EN~vt~ / ~D Z(oZ7 ~ Z -t.(Z ~v~( ) ~ ~ ~ 5~. a a
s~«~..
In~ction Date Insp. Other
Footinys I D . ~
Footing~ 11
Foundatlon ~dlo ~
Fnminy /e 3s pf fj~~
Rooflny ~a~~s ,%v
Rouyh Plb~. ~
Rouyh Htp.
Insul. ~6~1~ 5 R t.,_(
Firoplae~
Final Hty. ~ S f~~ "
Finsl Plby.
Final
C~St/Occ. ~
as ~ ~ ~ 1 _ -
W~~ Wsc?ibs Locatio~:
W~11
Ssw~r
Pr. Dlsp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
~ ` ~ ~ ~ ~ ~ Fil! in numbered spaces S/C '
Type or Print /egib/y Tot. ~
1. Date LT 2. Installation Cost -
3. JobA~ddress S(~~'~ ~ Lot ~ BIk.L_Tract:.JHISfS?lJ~14
DS
4. Owner ~~TO l~'1 f ~.S r r7 i
f.S
5. Contractor ~ ~ UN- ~g~ Phone ~SS _ ~~~U
e. Address rx1~l A P~ D s v0
L ~
c~tY ~a~M .~c~11 P~ o~ stet~ ~~N z~P 5~~
8. Building Type: Residential !!7 Commercial ? Institutional O
9. Wark Description: New Id Add ? Alter ? Repair ?
10. Describe J~~~~U` ~ C~ ~~Q3~' /I p Fuel Type ~f~ ~ LlR1~ L C/~ S
11, No, Eflui~t 8TU - M. Ea. No. Euuiament CFM
~ Farced Air ~ ~v Air Handling:
Mfg. L`luN~~
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the abov information is true and correct, and I agree to
comply with ~lj brdi ances a d codes governing this type of work.
Signed : ~ ~~c ta'y~ for
. ough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
,
Receipt ' ) PLUMBING PERMIT Permit No. ~
CITY OF EAGAN
Fee
J~`~ ' Fill in numbered spaces S/C ~
~ Type or Prini legib/y
Tot.
~
1. Date X~ 2. Installation Cost ~l ~
3. Job Address ~u~/ SIn1~ i~'TLot Blk. Tract ~ u;~' ~,a~_
r
4. Owner ~ - ~ ~ ~i ~ '
5. Contractor 1 k ~ Phone %
6. Address j / . r; ' ~ - ~ :
7. City State ~ ' Zip `
8. Building Type: Residential d Commercial ? Institutional ?
9. Work Description: New ~7 Add ? Alter 0 Repa+r ~
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
Lavatory Softner
~ Shower
~ Well
~ Kitchen Sink
Urinal/Bidet Other
' Laundry Tray
~ Floor Drains
Drinking Ftn.
Slop Sink
~ Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspectians: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
, ~ CiTY OF EAGAN ~ 1'8" ;
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ° ~ v ~
BUILDING PERMIT Receipt #
To be used tor ~T~p~Cg Est. value Date ~x 1~ , 79 ~
Site Ad ess s~T~~ ~
Lot ~ Block 1 SeclSub. ~18P~i~ s OFFIC£ USE ONLY
Pa~Cel NO. Occupancy - FEES
'ft`~, i dc LYIiN 3CIiEiiB zoning - 25.0p ;
¢ Name (Actual) Const - Bidg. Permit
W
o AddreSS ~~10`"~~> - Surcharge ' ~
City Pho~e ~ of Stories -
Length Plan Review
YI~BSCK FI~EPLAGB -
o Name Depth - SAC, cay
~ Q Address S.F. Total - SAC, Mcwcc
~ City Phone S.F. Footprints -
O~ Site Sewage _ Water Conn
~
pj W Name On Site Well - Water Meter
AddfesS MWCC System - q~ct. Deposit
a w City Phone City water _
PRV Required _ S1W Permit
I hereby acknowlege ave read this a~ cation and stat that the Booster Pump - S/w Surcharge
information is correc and gree I~co ly' rth aN app~icab State of
Minnesota Stalutes a d ~ f Eag O irf ce .r- Treatment PI
Signature of Permitee ' ~ aPPRaVALS f3oad Unit
~I~P~C~ Planner Park Ded.
A Suilding Permit is issued to: -
on the express condition that all work shall be done in accordance with all -
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. 01t. _ Copies
~Se ~Q
Building Otficial ~ Variance - TOTAL
~ Permit No. Permit Holder Date Telephone Ilt
WATER
, SEYII~R
PLUMBING
H.V.A.C.
ELECTRIC
Inspectio~ Date Insp. Comments
Footingsl
Foundation
Frarning
Rooting
qq~gh Pibg.
Rough Hig.
Isul.
Fireplace ~ / ~ 4G
Final Htg.
Final Plbg.
Const Meter Plbg. Inspeclor - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
peck Final
Weli
Pr. Disp.
~
. ~ ~ CITY OF EAGAN
3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121
PHONE: 434•8f 00
BUILDING PERMIT Receipt #
. .
To be used for Est. Value Date ,19
Site Address ~ ~ OFFICE USE ONLY
r `-.t` ;~„-•".i~~:, ' ~ OnSiteSewage Occupancy
Lot Block Sec/Sub.
MWCC System Zoning
Parcel No. On Site Wetl {Actual) Cortst
a Name City Water (Allowable}
W PRV Required ~ of Staries
3 Address
a City PhOne ~i~ BoosterPump Length
Depth
°C Name S.F. Total
,o .
I ~ Q Address Footprint S.F.
~ City Phone APPROVALS FEES
~ ~ Engr./ASSess. Permit
WW Name
~ Z Planner Surcharge
_ ~ Address
` W City Phone Counc+l Plan Review
Bidg. Off. SAC, City
I hereby acknowledge that I have read this appiication artd state that ihe Variance SAC, M WCC
information is correct and agree to comply with all applicable State of Water Conn. I
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signatureof Permittee Road Unit ~
A Building Permit is issued to: Treatment P7
on the express condition that all work shall be done in accordance with al I Parks
applicable State of Minnesota Statutes and City nf Eagan Ordinances. i
Builcieng D#iclal TOTAL
Permit No. Permlt Holde~ Dete Telephone #
i Plumbing
H.V.A.C.
E lectric
Saftener
Inspeetion ~ate Insp. Comments
Footings I
Footings tl
Foundation
Framing ~ ~
Roofing
Rough Plbg.
Rough Htg. ~ljg~i.y~
I sul. ~~/s Ti ti G~
Fireplace
Final Htg.
Final Plbg.
Bidg. Final fJ 2~ T_ S ~ y~~
Cert. Occ.
I Temp. LP
~ Deck Ftg.
Deck Final
Well
Pr. Disp.
ie~mo~~ns~~om~tl~/.~~~'~ ~ ~'3~/l~~`~ C'~a~%~~~~~r~/C'
D 6 6171~ 5y QI h~'`~-~"'-";`~~ ~
Request Uate ~ Fire No. ' ouph-in n per.tion
L u ~l I^~~ Reqmretla ~R aAy Nuw~Will Nnlify Insoec-
r~ d'1 ~es ?Nu ~ ~or When Ready~
Licensed Electnc I Contraetor I hereby requast inspec4on of a ve
Owner eleclrical work instellatl at ~ ~
Sireet Atldres5, Boa or Rwte No. ~'~y LL
~180y 51~ E,e Cou f ~A al
ecbon o. Township Name ur No. Range No. CountY
OccuVan~IPRINTI / ~ G ~
~ m. ~h~w~ 7
~I~mFfS Ph~ N`/- S
Pow SuO~li¢r Atltlress ~ G r
~a. ~ I ou
Electncal ConVac[or ICumDany Namel Con[ractor"s License Nn.
MailinB ~+~Jress (COnhactor or Owner Makine ~~~stafla~ioM
AuMorieed nawre IConhact Owner Makin Instnllationl Phone Number
~ - ~S
MINNE A STATE eOAN OF ELECTNIGITV THIS INSPECTION REQUEST WILL NOT
~'+rige -Midway Bldg. - Noom N•191 BE ACCEPTED BV THE STATE BOAND
1827 Un~versitv Ave.. St. Peul. MN 65104 UNLESS PROPEH INSPECTION FEE IS
Phone(6121642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-ooooiQ-os
~ / See msUUCtmns for comoletng this lorm on back o~ vallow copV
q ~ /
D" 6f~171 ~~x" Below Work Covered by Th~s Request ~'s ~
Add Beo. Type ot Bmld~ng Aoo~mnces Wirad Eqmument Wved
Home Range Temporary Service
Duplex Wa[er Heater Light~ny F~xtures
Apt. BmlAmg Dryei Electnc Heabn
Commercial Bld,y. Furnace Si!o Unloader
InAustnal Bldy. Air Cond~tioner Bulk M~Ik Tank
Farm O~nei oeu v ~d+e~ ISOer.i1~1
t nr Specilv t~er O~h¢r
ompute Inspection Fee Below
M Pae ServiceEnVaneaSrza tt Fee Featlers~Subleede~s # Fee Crtcu~es
U to 200 Am s 0 to 30 Am s U tn 30 An s
A6ove 200 Amps 31 to 100 Amps 31 to 1U0'q 5
Swimming Pool Above 100_-Amps Above 100_Amps
Transiormers Irrigauon Boon~s Part~aL Other Fee
Signs Special Inspection S~Q TOTAL F
flerm rks
_ 24.
flouBh-m 1, the Ele
r ` Inspeetor, nereey
certitV ihat the above
Final ~VI I mspecLOn has been
'4 mede.
T~~aropuestvoiElBmomhafrom T
U
s~~a7/s~ 5~
'S3577 .5 ~ ~ o~.~ ~'pr7
Repues Date Fire No ~ Rough~in In ion
/ f p/~ ReQmretl'+ ? Reetly Now ~ill Notity Inspedor
~ j1, T~~ I /\J es ? No When Raedy'+
I p liceased contracror ~owner hereby request inspection of above electrical work at:
Job ACdress (S~reet, Box or Rome No.) Qty
80 I E C u~f FA rc~
Secoon No Townsni0 Name or No. Range No Counry
~~l~o+f)
OccupaN ~PRINT) Phone No
ho 4 ~ N~e ~wE 89y-aosg
Power5u001ier Atldress
0~'A ~EC 12~C
Elactrkal Conlractor(Company Neme) Conhactor5 Lmense No,
Madmg Adtlress lCOnVac~or o~ Owner Makmg Installatlonl
nutnorrzee 5 ure IComracmriOw g i allavon Pnone Nvmber
/ '
MINN p STATE BOAND ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Gtlggs-MWwey BICg - Hoom 5413 BE ACCEPTED BY THE STATE BOARO
1B21 Unlve~slly Ave., SL Paul, MN 55104 UNLESS PROPER INSPEQION FEE I$
GM~ (61]) 662-0800 ENCLOSED
RE~UEST FOR ELECTRICAL INSPECTION ~',"~l"`~~~~ ///JJJee-oaom-m
~ ~ 8ae in5'•ypYOns tor comple[ing [his lorm on pack ol yellow copy, ~,Y Q~
L /
~ 3 5«~ 7 'X" Below Work Covered by This Request
ew Adtl Rep TypeolBuilding AppliancesWired EquipmentWiretl
Home Range 7emporary Service
Duplex Water Heater Eleciric Heating
Apt. Bmlding Dryer Other (Specify)
Commllndustrial Furnace
Farm Av Conditioner
Otner (specAy) Conlractor3 Remarlcs. .1
Compute Inspecfion Fee Below: '~-C/ V ~ 0[A~C.~(J~(.~
# Other Fee # Service Entrance e Fee # Circuits/Peeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 2D0 _ Amps Above 100 Amps
S19n5 Insptt~ors Use Only ~ T~TAL
Irrigation Booms ~cJ~ I
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Ro~qn~~~ oe~e
cerUfy that the above inspec4on has F,,,ai ~ oa~
been made
OFFICE USE ONLY
This request voitl 18 months from
This repuest vo~d (yp ~ ~/~/Ci J
18 momhs fmm r O G~ O
6 617 ~ ~ ~ ~ ~ . C ~ ~lU
Hequest Oate Frre No. R uph-in Insv t on
Q Rep rtetl~ ~ ~ReaAy Now~W~ll Nobfy Insper
C ~ I Q V ~es ?No ~or When Reatly
Lfcr.'nsed Eler.tncal Contractor I herebV request rnspecbon oi above
1~4~°"^e~ eleclncal woik mstalled at:
~ Streei Address, Box or Boote No. ~iiy
Oy -~E f ~
ecuon~ o, Towns~~p Name or No. Panye No. County
- Ko~fl
Occuuant (PRINTI Phone No.
Vo~rSupo~~er ~ ~ C~G ~
A~id!¢5s
,~~EC-~~2 I C ~2 ~ n ~
Elec[ncal Contmctor ~Company Namel nhar.tor's License No.
Ma~linq Atldress ~ConVac[or or Owner Mak~nA Installabonl
Author¢ed SiB~a~ IConvacmr~Own~r MnklnH nstallabonl Phone Numbe~
89y ~
MINNESOTA qTE BOAflD OF ECTPICITY THIS INSPECTION NEQUEST WILL NOT
Grieos-M~dway BIdB. - qoom N-191 BE ACCEPTE~ BY THE STATE BOAHD
1821 Universi~v Ave.. St. Peul. MN 6510d UNI.ESS PFOPEfl INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSE~.
REQUEST FDR~ECTRICAL INSPECTION ea-ooooi-os
w/ I~ , See mslioctions lor complet~ng tM1is form on back of vellow copy ,5
'"X"~ Below Work Cove~ed by Thrs Reqi~est
C~ 66177 ~
FAd ReO~ TVOe oi Bmlding AoP~~~^cea Wired Equrpment WireA
Home Range Temporary Service
Dup~ax Water Heater Lightiny F~ztures
Apt BwlAme~ ?ryei Eiectnc He2tin
Commercial Bldy. Furnace Silo Unloade:r
Industnal Bldy. Air Conditioner Bulk Milk Tank
Farm Oinei oec~ y Oihe~ ISpecitvl
i suo~~ty omo~ n~n,,,
ompLte lnspectron Fee Below
# ~iee ServmeEnVanceSae fl Fee Faede~s~5ubleeders p Fee Cucwts
0 to 200 Am s a to 30 qm ~s 0 tn 30 An s
A6ove 200 qmps 31 to iD0 Amps 31 to 100'Am ~
Swimming Pool A6ove 100_Amps Above 100_Amps
Transformers Irri4yatron 6oorc~s Partial-'Other
$ign5 SUecial InspeCtion S~O
TOTAL Ga
Reirarks~ Un ~ ' O
V
flouBh-in ~t~
I, fha ElecVi
Inspecmr, hereby
certdV ~hat the above
Fnal ~e msOectmn ~es been
~ meAe.
Rile repueal volC 18 months from
This reques~ void / i w ~ ~O//~J'/~t
18 nwn[hs Irom ~v ~ ~ `%v
D
° ~5/~r
Ren~~est Vate / Rre No. Fough-in Inspection ww-.,nn'' •
` Requ reA? ?ReatlY Nuw ILlrvill NoLly, Ingpgo-
~~G V es ? No 7Lkor When Ready
'Lir.ensod Elecinwl ConVactor I hereby request mspecbon ul above
OwPer e~ectrical work installed eL
Street AA ss, 8a or Ro Qtv
~e~` ~"°~-~~K.. Ca~- ~ ; ~
ecupn o. Township Name or No. H.~n9e No. County
Occup ~PFINT) Phone No.
Power Sun ~er' p Atldress
~.N"~
I~
Electrical Vactor ICOmpa Namel Contraclo~'s Licens~e
7No.
G ~ ~ .~S=d'
Ma np AJ I' (COnVa~cj or or Owner Making Installatmnl ,/j~~
~ e~-~ ~dL~ee~ ~/D /CS -.~J'~
Authonz igna[ e lCont dcl O n MakinB ~nstallati I . Phone Number
1~c~- ~ ~ ~
MINNESOTA STATE BOAPD Of ELECTRICITY THIS INSPECTION FEQUEST WILL NOT
g. - Noom N•191 BE ACCEPTE~ BY TME STATE BOAND
Gr~ggs-Mitlwey Bld UNLESS PROVER INSPECTION FEE IS
1821 Univers~ty Ave., 51. Peul, MN 65704
Phone 16121297.2111 ENCLOSED.
^ REQUEST FOR ELECTRICAL INSPECTION eeI-~~oo~-oa
5~~/-~ ' See instructions for completing this form on back af yellow copy. 1/`/~~'1/~
o ' "'X"" Below WocG Co~~red by Th~s Request ~w ~
l~Ad Nep. Tyoe of Bwltl~ne AoFbancwe Wired Equiomenl Wired
Home Range Temporary Service
Duplax Water Heater Lightuly F~xtur0s
Apt. Buildlne~ ~ryer Electric Heatin
Commercial Bldg. Fumace Silo Unlo.~der
Industnal BIAg. Air Conditioner Bulk Milk Tanlc
Farm otner pecly Other (suec,fy)
tlwr Spru y Othc•r Oth~;r
ompute /nspection Fee Below ~
M Fee , ServiceEntranceSize p Fee Fende~s~5ubieetle~s b Fee Circurts
0 to 200 Am s 0 to 30 qm s ~ t~ 30 Am ~s
Above 200 Amps~ 31- to 100 qmps 37 to 100 Am s
Swimming POOI Above 100_Am s Above 700_Am~s
Transiormers Irrlgation fioorc,s Pdrtiai-'Other Pee
Signs Speciallnspection S ~ ~
Nerrwrks TOTAI, F~E~,N. /
(L/f°ui
qoue~'~n D~[e \ /
~ ~ 1. ~he E~ectrtcal
(nsPectoq he~oby
,ryrtify that the above
Final ~ naoect~on has been
r
made.
This repueat vdC 1B months irom
J
CITY OF EAGAN N°_ 1 10 4 9
3830 Pilot K~rob Road, P.O. Bax 21•199, Eagan, MN 55121
PHONE:454-8700 SS2~r1~I'
BUILDING PERMIT Receipt ~j
Te M wed Iw SF DWG/GAR Esr. Value $8~+000 pate SEPTEMBER 27 ~y85
SiteAddress 4804 SLATER CT Erect gl Occupancy R3
Lot 5 B~ock 1 Sec/sub. WHISPERING WOOD3+emode~ ? Zoniny Rl
Percel No. Repair ? Type of Const, V
Addttion ? No.Stories
HOME ESTATES INC rnove ? LengtA (g
WZ Name Demolish O oea~n 51
2 Address 2004 W B[1RNSVILLE PKWY Intlmpr. p Sy.Ft.
b ~~ty BURNSVILLEphone 435-6556 ~nsta~l ?
g Name SAME APP'OVO~~ Fae~
Address Asseument Permit • ~ ~
Water 8$ew. Sureharge 43 . 50
City Phone
Police Plan Review 19 ~ ~
~Z Neme Fire SAC 525.~~
nddress Enp. WeterConn. 500.00
~w City Phone Plonner WeterMBter
Counc7l Road Unit 2$ ~ ~
1 hereby acknowledge thot I have read this applicafion ond stofe that Bldg. Off. 9 Z(7 $ 5 Tr. PI. ~-32 . OO
the inlormotion is corrett and agree to comply with all opplicoble AP~
StaPo o4 Mmriesoto Stotutea~qqd Ciry of(Eggon Ordrtantes. Pe~
i` 1 I 1 ji~ Var. Date l 9/1 R/R
Sipnoture of Permittee iJ
~Di Copies
H0,~11E ESTATES INC 7ota~ $Z,134.50
A Building Permit Is issued to: on the express conditlon thoi
oll work sholl be done in otcordan[e with ollP licoble StoM of Min es ta Stafutes ard Ciry of Eogon Ordnwnces.
Bufldirp Offlcial A~ k, ~ciy~(}/~/
--Z~- ,
.:',.'...;:_.;~,~~y.:i.-:..;?.. -
~ ~ . . . - , . ' , . .w.,.. . :..~ti ~PERMIT# `'-'-"(JI~ , :
~ ' ' ' _ ~ . . ~ . . ' ~ ~ MECNpNICAI PEflMIT . ~ ' ~ RECEIPT ;~~~I ~ ~ .
' - - . - ' ~ CITY OF EAGAN ~ ~ ' ' , , .
~ ' ~ • ~ 3830 PILOT KNOB HOAD, EAGAN, MN 55722 ~ ~ ~ ' ~ ' ~
DATE: ~
. CONTRACTPRICE: ~ PHONE:454-8100 ~ ~
5ite Address yk'~ `1 ' ~
BLDG. TYPE WOflK DESCRIPTION ,
Lot Block ec/S ~
1.~;~. ~ Ras. New•.
r7':~
Name ~ -wt Mult ~ Add-on '
~ Comm. ~ ~ Repair '
. ~ yn Address ' ~
~ c Ciry Phona ~her " ' , - . ' ,
FEES,,; . ~ ,
Name ~ ~ wE RES. HVAC 0-100 M BTU , -$24.00
c Address ' - ~ ~~'~E~ Q-'~' AD~ITIONAL~ 50 M BTU ~`~~-t~~ ~ - ~ 6.00;,''~
o City ~`~h'~~~ phone h - (RES. HVAC INCLUDES A/C ON ~NEW
CONSTRUCTION) ' , `
GAS OUTLETS (MINIMUM - 1 PER PEFMIn 1.50 EA.
TYPE OF WORK ~ , ~ , COMM/IND FEE - 1% OF CONTRACT~ FEE~-,~ ~ , ~ ~ , _
Forced Air M BTU APT. BIDGS - COMM. RATE APPLIES ~
TOWNHOUSE & CONDOS - RES. RATE APPUES ~ ~
Boiler . , M BTU MINIMUM RESIDENTIAL FEE - ALC ADD-ON &
Unit Heater. ~ - " ~ M BTU ; , ~ " ~ ~ - . REIq10DELS ; ~ . ~ - 12,p0~: ,
Air~Cond..._-' ',~~"~~~~'M~BTU ~ . MINIMUMCOMMERCIAL~FEE"• ' `,~,-,`.20.00."':-
Vent ~ - ~ CFM ' ~ ' ~ : STATE SURCHARGE PER PERMIT. < . ~ .50
~ Gas Pi in Outlets N~ = ~ (ADD $.50 S/C IF PERMIT PRICE GOES ~,i'~~ ~
P 9 . . . , P BEYOND $1.000J ' .
Other ' . ~ ~ '
- IZ.D~ ~~y ~
FEE - r.~ Y~, ? Z~• .
- . S/C,....~ jD S~ ~ F. EE . `
Z: S?• `s
~ ~ I;,TOTAL•.,', ~ ~ ~ ~ .
. ' ~
~ ~ ~ FOR GITV OF EAGAN ' ~
, . . . , . . . _ . . . ~ .
CITY OF EAGAN Remarks~/• ~~d'~~O ~5
Addition Whispering Woods ~ot 5 sik 1 Parcel 10-83950-050-01
Owner Street 4804 Slaters Court State Eagan~ MN 55122
Improvement Date Amount Annual Vears Payment Receipt Date
STREETSURF. 523 1981 657.79 65.78 10 a„~,/ ~//~7G~,~ /a-S-~S~
STR E ET R ESTO R.
GRADING
SANSEWTRUNK 697 1982 179.39 11.96 15 %-O/ 70~ /.2-S'- S'
SEWERLATERAL 52 1$1 3.23 46.32 10 ~ Q~ /~`-„~j- ~
WATERMAIN 836 1984 87.97 17.59 5 ~7pL /a- ~5
WATER LATERAL
WATERAREA 1982 179.39 11.96 15 / p.Z /,2-$= ~
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Roa Unit .
WATER CONN, SOO.OO
BUILDING PER. ]_10t]9
SAC
PARK
~ ~ CITY OF EAGAN NO.. ~ 78~~
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 C~ g 3~
BUILDING PERMIT Receipt #
Tobeusedtor FTREPLACE EstValue $1,000 Date ~Y 16 , ~g 90
Site Address _ ~804 SLATER CT
Lat 5 Block 1 Sec/Sub.i~iISPERING WOODS OFFICE USE ONLY
P8fC21 N0. Occupancy - FEES
Zoning -
a Name TOM & LYNN SCHEWE (ACtualJCons~ - Bldg Permil 25.00
W 4804 SLATER CT
~ Address (~101"~~8) - Surcharge . SO
City EAGAN Phone 894-2058 xo~stones -
Length _ Plan Review
, o Name VIERECK FIREPLACE Depth - SAC, C~ry
~a Address 3465 NW 140TH SF.7o~al - SAC,MCWCC
~ City SHAKOPEE phone 445-5620 S F Footprints _
On Site Sewage - Water Conn
W w Name On Sile Well - Water Me~er
W
i? Address n+wCC Sys~am
ui Acd. Deposit
aW Ciry Phone arywaier -
PRV Reqmred - ~ Pe~~~
I hereby acknowlege have read ihis app ation and stat that the Booster Pump - SM! Surcharge
informauon is correc and gree to com I rth all applicab State of
Minnesota StaNtes a d ol Eag O i ces. ~ Treatment PI
Signature ot Permitee APPROVALS Road Unil
ERECK FIREPLACE Planner - perkDed.
A Bmidmg Permil is issued to:
on the ezpress wndition that all work shall be tlone in accortlance with all Counnl -
applicable State of Minneso~a Statutes and Cit~ f Eagan Ordinances Bmg Olf. _ Copies
BuildingOthcial ,1~a~n R.~;r ~ Variance - TOTAL 25.50
` ~ CITY OF EAGAN (~Ja 14 6 7 4
~ 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
~ " PH ON E: 454•8100
BUILDING PERMIT Receipt# ~1~~~
To be used tor BASEMENT Est Value ~1, 500 Date ~CH 10 ~ 9 88
Site Address 4804 SLATER COURT OFFICE USE ONLY
Lot 5 Block 1 Sec/S~b. ~ISPERING WOODS On Site Sewage - Occupancy
MWCCSystem _ Zoning
PafCel NO. On Site Well _ (Actuap Conat
a Name THOMAS SCHEWE CiryWater - (Allowable)
= AddrBSS SAME PRV Required _ # of Stories
° City Phone 894-2058 BoosterPump _ Length
Dep~h
,p Name S~E S.F.TOtal
o~ Address FootprintS.F.
r City Phone pppROVALS FEES
Engr./ASSess. Permit ~34.00
ww Name
~i Planner Surcharge _L.~
Address
aw City PhOne Counal PlanReview
Bldg. OfL SAC, Qty
I hereby acknowledge Ihat I have read ihis applicahon and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Sta~utes antl Cd 9an Ordinances
Water Meter
Signature ot Permrttee ~
TNOMAS SCHEWE Road Unit
A Building Permit is issu ' to: Treatment P1
on the express condition that all work shall be done in accordance with al I
applicable State of Minnesot tutes and C~ry aganl~ inances. Parks
TOTAL $35.00
Building Official
~3
~ • CASH RECEIPT •
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNE TA 55121
~ ~
DATE 19 ~
R6Cq~Y8 ~
(/1
AMOUN $ / ~G
~7
& DOLLARS
? CASH ECK 1 oa
row~. ' j/~~-/. 'C~'LJ7
~ J
,LI ; ~ UU f`
FUN ~ CO~E ~ AfA011NT
L'~G,~
_ ! ~
~J ~
U . l~
lJ-'CJ
/
Thank You
~ -i
N_ 56027 ~
White-Payars Copy
Vellow-POSting CopY
Pink-File CoPY
~ ~ ~i RESIDENTIAL
~ ~ ~ ~ BUILDINC PERMIT APPLICATION
cirv oF eacan~
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4875
New Conatruetkn Reauiremante HemotleUHaosir Aeaulrements o( ~
• 3 registereA s0e sunreys ahowing sq. it. of bt, sq. tt. of house; and all roofetl areas • 2 copies of plan
(20%mexinumlotcoveragealbwed) • lsetofEnergyCakulationsforheatedaAdttbns
• 2 coplas o1 plan showhig beam & window sizes; poured lountl easign, etc.) • 1 sae survey for e~lefior addabns & decks
• 1 set of Energy Cakulations • Indicate il home served by septic syslem for addilbns
• 3 caples oI Tree Presenafbn Plan % bt pletled after 711/93
• Rim,bislDetellOptbnsselectionsheet(bWgswM3orlessun~s)
DATE ~ ~2~~ VALUATION ~ ~.~~3 ~
SITE AD~
~ESS ~,'~,I
~0~~ J~ I
R7~'~' ~-fi MULTI-FAMILY BLDG _ Y~N
NPE OF YVORK~PP ~oo7C ~~~5 ~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ...L ,1
STREET ADDRESS Lz ~ S CIN~STATE ~I/~-21P,~'~
TELEPHONE #(9S?) 70 69,59 CELL PHONE # FAX #~Z
'~~YJV'G`~
PROPERN OWNER I~ ~'~1 ~Y~~ ?1 S'LGt Q w~ TELEPHONE # S~ ZC~S~
COMPLETE THIS SECTION FOR "NEW" RE5IDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RULES 7670 CA1'EGORY 1 MINNESOTA RULES 7672
(J submission typej • Residential VeMiletion Category 1 Worksheet Submltted • New Energy Code Worksheet Su6mitted
. Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone # ~
Plumbing system includes: _ Water Softener _ Iawn Sprinkl D~5 l~ ~ ~F ~~00
_ Water Heater No. of R.I. Ba AUG 1 2 2002
No. of Baths
Mechanlcal Conhacfor. Phon E#y
Mechanical system includes: Air Conditioning Fee: 70.00
_ Heat Recovery System
Sewer/Water Conhactor: Phone #
I hereby acknowledge that I have read this application, state that ihe InformaTion is correct and agree to comply
with all applicable State of Minnesota Statutes and Ciiy of Eagan Ordinances.
Signature of Applicanf ~ ~ ~ 1/l.C.~-1~'~-
.„._..._..____.._.____.._..___.._.._..w__.._.._.._~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
, ~
~ •
//v ~
7985 BUILDZNG PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL C~NTRACTORS MUST BE LICENSED ifITH THE CITY OF EAG?N
COl41ERCI9L SINGLE FAMZLY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
~ STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATZONS AND 1
SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS'
$2,000 LANDSCAPE BOND
n 8 C9C90
To Be Used For: /~a~~.Y ' Valuation: Date: ~1 ~
Site Address ~($O~ S~fi}t~0u~ OFFICE USE ONLY
Lot S Block Ereet x Occupancy
^ Remodel Zoning -I
Parcel/Sub ~~~s Repair ~ Type of Const
Addition ~l of Stories
Owner Move ~ Length CA3
Demolish Depth 5
Address Int.Impr. ~ Sq Ft
Znstall ~
City/2ip Code
Phone APPROVALS FEES
Contractor ~-~on,~ ~p~s ~,y' c. Assessments Permit 3~4',
Water/Sewer Surcharge 3,~
Address ~OOy, l.y~ ~~~ll~ ~~c,~ Police Plan Review ~
Fire SAC 52S
City/Zip Code y~w~j~~~~ ~53',~`~ Engr Water Conn 5c~,
Planner Water Meter ~3.
Phone ~y~ ~2~5~ Councfl oad Unit Z~p,
•
Bldg Off ~ts. Treatment Pl ~ 32,
Arch./Engr. ~y~ h5 ~~.,u~ APC Parks
Variance 1218 Copies
Address TOTAL ~
City/Zip Code
Phone 1~
Z2 Y~~o = Cp~b K 5c°~ = ~°0280 ' `
' l Z~ x 5E~ ° ~-222¢ ~ ~ s
2~k 2`~ •
ZO 1~24- ` 48~ x( 2 - S~c~o
oCo Z~ 4-
r
,
• ~ _ ` .
~ ,
~
k
G~ ~ . , ~
07 ~ •
~ ~ ~ ~ ~ ~
~ ~w
~ Q~~~. `•~v
~`M
~ ~
~
~
~ r E 4 9`~~"1
~9v3o 15 ~ ~y y,~~.~
~y ~
ti /C q^
~ N ~ ,~r rl ~~i ' i ~ / ~o r F~"' ~ .
Y, fr
y ~ 9 ~ ~ /
J~_p ~~i~.
s ~ 1 , 9'~•' ~
~ ~ 29, ~y,o
i.. ~9.i ~ ~
• ~ ~ y ~`,~v3• ~ i i o /r
~ ~ ti,___ N ~ ~ ~ ~
~ ~ /
~~~~J ~O ~ ~SiS ~f1 l~ i4,o r- tit'.~- ,
~ ~ I^ /
r i Q J ~ Q
' ~ `Y ~ ~ V H
p -••f-- ~ ; o ~ ~ .VI
/ ~Q D~ N i y M
/ M~~ i2~ `N x~.
~ ~ _ , ~
~`j° ~~'1 m ~GA~4~~ ~ iv., qQ'F- ~ ~hM
~ m .
n,~ o ; ; h4~8 ; o % n
~.°3n~ r ~~,`,r ~a:. -N ~ 9S ° , ~
~ ~ Z. ":.is':
/ ~ ] f ~ M .
~ S \G~,~• ~Cas~:
~ ~ ~4,o Ev~~ ~ 979
n, .
. ~ ~ F.,. 919.~~ ~ .fd~.a.
S ;r
~ J ~ y ~ 1 ',',y,e
~t O / ~ ~ / '~,i`fta,
4•os?7 , ~.a ~
Z s o v* v~,:
p"'u, q~,~. ~"~s'=;
~ _y ~ '
1 ,
~IE' 4~l,Ft'C ~10'T oF ~E~-o{'-D A'T
~AILO'fA ~o~1t1'{"/ AS O~ 8-12-3~i
DES~RtPTlou
LoT 5~ bLot1~. t~ N~Q.T N ~~r~ ~
Y-~it~,~~tt:t~~. 9t-A.t,E 1"ti 3c
AL4 ~e.a~W4s ~uM~D
~Ak.c~rA coula~r/~
MINNGS.~TA. ~ D~d'~'~S MoMUMEwY
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Suryeyor under the laws of the State of Minnesota.
Date:0.,~;.,~~ ~Li ~7%1~ ~/~~l' /~-~~-f' .
L~e.oy~ ohlen
Registered Land Surveyor No. 10795
P .
i ~ -
' MINIMUM "U" VALUE ALID R-FACTOR AT ROOF, WALL, RIM AND CONCRETE BLOCK
~
Provide insulation baffles in every' .RQO~ / L~,`L~NU ~
rafter space. ' j
~ (R) VAu
y ~ I~~TER~o(~ f:1R Fi~M . b 1
o '/L~ c~~P E~, ~ . ~s-
~ ~ ~ ~ INSULA'[laN ~z.~s" 3g.oo
O EXj6Rlaf~ AtR FI~M .61
I ~ 3 tSTiLI~ ~
/ . ~ . ~'v" = I j1z - .
o? -~oTq~ tR)= 34?`.6~
_ ,
. . -r . WAL~
~ 8 ~JAL(1~
. . QQ IN I~RIo~ AIR ~t~M
`i ~ ~Iz" GYP.' BD. ~ : . . yS
_ ~ - . . O ~ INSU[.ATtot~ siz'` / 9-'°0
• ~ ~ l~~.Il ~~l!7K~ITE /.~4.
~ QQ ~MA~r~tT~ s?n~NC~ .8a
~ ~o ~ ExiErlol~ k~ FI~NI ' ~ . b I
. . . ?I °U'~= I/R = .0;'3 ToTA~ (ic)=~~~
. ~
. ' . ` ~~M .
fz • ' ~ VAtU~
~ iz INT~.1'-IoR q~tz Flu~ .66'.
;v ~3 is 5~~Z INsULA~~o~a l9. o0
t~ ~h ~ 2` Fir~ Rx~ .So~sT 1.sY
~s 15 ~?~1~:- goi:~.-~ir~ . .
. w• N~kSar~fTE sro~r~ ~ . Sa-.
. Q ~XTEtt?oR A1R ~I~.M , ~
- . o .
. - . . Un ~ ; ,~r.~ ToTR~ (Cc)= ~Y.~ J
riQ
~ - ~o ~ f~~~ATtol~i -
. (St~ vflLUE
~ o iNTet7~otc A~rc F«t~ ,~bs
7.! ~ • ~S ~Q 3 ~/z T„f~lA~e' ai,l oo .
~ a° go~. ~ 0 . ~
' e n p,~ 2~ Cb~lG, $L~(, o~.~/~
. . ~ :z
i e • • C~ ~Xj~.Rlot~ A!R R~M . Y?
~ • u~~~ - ~~R= ~06~ Ti~TP~ (it~=~`/•33
Floors over unheated spaces must have minimum R-factor of R-20 (tuck~dec garages).
Floors over outdoor air (overhangs) must have a r~fnimum R-factot of R-38.
~
~ EXTERIOR ENVELOPE AVERAGE "U" COMP[ITATION
' (TO be submitted with building permit application) 1
One or two family dwelling ? Owner
Al1 other
site adaress yg(y-1 ~lr}r~~ C~,..~~
Contractor /~'py-t~ ~STm}f~5 ,r..,,~ Date //z `7`/dS Phone ~~5 -L.~S~rv
LINEAL FT, OF
EXPOSED WALL + + + + + + above grade = lin, ft.
TOTAL EXPOSED WALL AREA
OPAQUE WALL COIvSPRUCTION• 'U" value x area
5~ ,.~~,z ~~U~~ . 09 .x sq. ft. 19s: C= 17 .S~ (o) ca)
Sic-~.. ~JRLi_ "U"~~ sq. ft. ,4.J"J = (o4.y'S (U) (A)
Detail reference "U" x sq, ft. _ (p) (pJ
attachedmsheets Rtm ~JTa't' "U° ,..oYZ sq. ft. iS.1'.5r= ~ ~ (U) (A)
6,c~o• n~?ZO~+1C U~~ofo~< sq. ft. //~,vs = ~-oC (ul ~A)
"U" x sq. ft. _ (U) (A)
"U" x sq, ft. _ (U) (A)
WINDOWS: "U" value x area
Make & type G -2 oo "U" ,~5- x sq. ft. (38•yS = "7G+.Jy (U) (A)
„ SiflE Lt'f „U~~ i,,'. x sq. ft. (u - I/ = 3.3b (U) (A)
„ Pr,r~n t~~y ~~U„ ,~S" x sq. ft. lta. Vo = 'i4. 2'1- (ol (al
~~U~~ x sq. ft. _ (U) (A)
DOORS: "U" value x area
Make & type ~.,,ye, i)oa~'~5 "U" . /`f x sq. ft. ,37.`~ _ ~ ,Sf (U) (A)
" " "0'~ x sq. ft. _ (u) (A)
"U" x sq, ft. _ (U) (A)
TUTALS ,22,Z~"~~' Sq. ft. Z-2~,'76 (U) (A)
TOTAL (U) (A) VALUES „1~2~~~Y
DIVIDED BY TOTAL WALL AREA ~ b i~Q AVG. "U"
'2"2..' % r7
Avg. "O" Value, State Code
1tOU}:/CEl1,1NG:
'PU'CAI, Altl•:A: sii. Lt.
Uetail xeCerence "U" x sq. ft. (U) (A)
from ~1-0 ,~p" _ ~i~g'x sq. ft.~= 3_~ (UI (A)
attached sheets. "u~~,e~4x sq. ft. 1,~~0.75"= ~i,7~ (u) (r.)
Describe openings "U" x 5q. ft. _ (U) (A)
in roof "U" x sq. ft. _ (U) (A)
TOTALS ~3~ Sq. ft. `3`~{-'2X (U (A)
TOTAL (U) (A) VALUES ~ , L~ _
DIVIDED BY TOTAL ROOF/ l3~i eC~2T AVG. "U"
CEILING AREA Avg. '~U" Value, State Code, Vented
Avg, "U" Value, State Code, Unvented
MINNESOTA ENERGY CODE MAXIMUM THSS BUILDING ESTIMATED
BTU LOSS THIS BUILDING BTU LOSS
v~~2.S. ~ 2~ SQ, FT, OPAQUE WALL = ~Z 2,}'p I
/3 4~ SQ- FT. CEILING = d
SQ, FT, UNVENT CLG. _
TOTAL BTO LOSSIHR,/SQ. FT./ p? . •
DEGREE OF TEMP DIFFERENTIAL = p..J ~I'~
WALL SECTIONS "U" = 1 z
R
NOTE: Use 10~ of opaque wall area for
frame construction Construction R-Value R-Value
O 1. Interior air film 0.68 0.68
- 2• lr ~''i~ RQ _ i~S
-0 3. ~/.,.inches soft wood g~
4• 'I~" [3~I~R,t+. /.22
- ~ 5. I~i~sawzrf 5~'Dd'wE - 82.
AASIC ~ 6. Exterior ~ir film 0.17 0.17
PlALL 'rotal
_ n /d•vS'
`1
1 1
nU., _ _ ~Og 'v" _ _
k9:~a -
FIG, #1 T PPr'IBNJ OF 1. Interior air film 0.68 0.68
FAAM~ '7lALL 2. " y_ Q D. . 4s
3. 'THSc.-L_ 5~ L /4..tb
4. ~/L~~ !'3:H-Ytc. /•si.
l 5• MASe=rZrE .82.
FIG. ~ 2 ~ 6. Exterior air film 0.17 0.17
'ibtal ~
~ - i =~~/3,.U„ = i _
.i.2.~4'
^ 1. Interior air film 0.68 0,68,
- ~ 2• S~~z T'n{ su.L fi~TZaA~ ! y.Oc~
sill aesler ~ 3• ~~i-" C~r"' JpT57` /'pp
( 2 4. '/a L./ F2: t~ Z2
Peripheral ~ , 5• M~rvT'T~ . ~L
Floor '~all 6. Exterior air film 0.17 0.17
6 'i'otal
Q. o';:, o; ~~ti~~ = 1 = DYs ~~u~~ _ 1 =
~O . o'. r i~
Z 1. Interiox' air film 0.68 0.68
~ O . Y. ^ ,
~~~„~nirnri~N , -+y' ~ .~~~L~re~,+~ -
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RECORD OF COMPLAIIr'T
s-i~
Date
Complaint taken by
Type of bnilding ~ ~ ~
e
~ '
Name ~o-,~'~ y z ~cs t
1 r"
Address SCG?S6nS d
L.egal description ~~~'f--S ~S'/k / l~/6i~~,~.~ ~
Phone number /~y`f
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Action taken - ~-~c~'~ to f~1 C~`t~ c~ H % 2 93 c~ Jr- u,: S
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/ / /
~i~ ~nt~ w~ijCh S~hOG~~ L'~hcUSh,
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SPC i~ ~~e C~c~l,n f~ SA/v~ f'/,~ ~n~.
~
~
Signature ~l
~i~`'o~
fC
r~
~
1990 SUILDING PERMIT APPLICATION
CITY OF EAGAN
~ r~~~~
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
y 9
To Be IIsed For:~ Valuation: Date: ~
Site Address 7 07 ~ ~ pp~ - OFFICE USE ONLY
Lot ~ Block FEES
Occupancy
Zoning
Parcel/Sub Actual Const Sldg. Permit ~,~0
Allowable Surcharge ~ ~O
Owner Y?) ~ of stories Plan Review
/y~(~ Length SAC, City
Address dU-] Gp Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code Footprint S.F. Water Meter
Acct. Deposit
Phone ~ ~°2 VV ~ On site sewage_ S/W Permit
On site well S/W Surcharge
Contractor G~ MWCC System _ Treatment P1.
3 ./f City water Road Unit
Address ~1 ~~L Z~1 PRV Park Ded.
/~1 /,A(~ 5'~' Booster Pump Copies
City/Zip Code _e2E~~~~/J9' ~ SUBTOTAL
~//J!~- J APPROVALS Penalty
Phone / 7~ J(p~ Planner _ TOTAL ~
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
.
~ 1988 BUILDING PERMIT APPLICATION - CTTY OF E9GAN
i ~
SINGLE FAMILY DWELLINGS , / ~
INCLU E 2„SETS~OF
P~x,~3 CERTIFICATES OF SURVEY~ 1 SET OF ENE CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[JST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUZLDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS,OE PLANS~. CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.;-
- 1 SET OF ENERGY CALCULATIONS
CO[~RCIAL
IVCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: Date: j~'~pRCY1 ~ ~~~8
Site Address y~Dy ~'ArF_Q (,OUQ~ OFFICE USE ONLY ~
. l 5vo
Lot Block ~ On site sewage_ Occupancy
r ~ ~ MWCC system Zoning
Parcel/Sub ' ' ~ ' ~ ~ On site well Actual Const
City water _ Allowable
Owner PRV required _ !k of stories
~y Hooster Pump _ Length.
Address y~~sy 5/~-~~,e C~D[.c~,2 Depth
S.F. Total
City/Zip Code tJ J~,S ' Footprint S.F. '
Phone APPROVALS ~ FEES
Contractor f/)o/IIAS SCi7EW~ Engr/Assess ' Permit J,~-°
Planner Surcharge o0
Address Couneil Plan Review
Bldg. Off. G~~q SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Areh./Engr. - Treatment Pl
Parks ~
Address Copies
_ ~ TOTAL 35.
City/Zip Code
Phone II
• 1
~ r-i:~ i
C ~ i 2/84
~Y~ ' CITY OF EAGAN
I ~~'r« ~ /1
~~~i~ APPLICATI^v~1 FOR P£Ri~IIT
SES~IER AND/OR We~.TER CONNECTIODi
(PIEASE PRINT)
1) PROPER'I'Y ADDRESS: L~ -
t cr~L DESC..'4IPTIC~I: c C~ C f~G~c'_~ ~ ~C~/2~ ~~i LC~~~
(Lotl5lock/ t::.divisicn o Tati c~arcel I.D. ;•L:,~er)
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AD~4ES5: ~ J~/- C ~ U~f'- .
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PHONE: !J H~Y~ - 75.~ ~
3) PLL:34 ~7 (~PL~;,SE re~iNT)
~~~~/~OC'_~ ~J~~ ~ ~ FdR TY USE 04LY
u u~ ~.i7 O ~O
P ~BERS LICEYS :
PDC3ESS: j .Sp ~ Active
CITY. ST?TE, ZIP: ~l c~ ~~f ic~ 0 Exp" ed
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` ~L `I- ~S~ l ~Piu~eEa ~tceuse N o7 ~~/la'1 /
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4) OCCZ?PNT/C!;TIE.,'~'j (PLEnSE PRt;lT) r
N}~'''~- ~~I i'~'l F~ ~F4 fF ~ L/~~/C
ADDRESS: ~Q ~ Tll ~i ~ FC6
CIT"l, STATE, ZIP: ~U ~iL~S L~/ ~/C l7~st~ ~S~'~>>
PfiO:IE: L~.j.S - (l'_S~
5) INDZG~TE :9HICH PEFvLLT IS BEII~G RF7~UES?"T_.,7:
CG~.iVECI'IO~I TC] CITY SE;•.~
~CC:':,'E~'i'ZC;I 1b CITY FTP,TE2
? ~?ER (PT.F~ISE DFSC?SEE)
6) II:DiG,:.: C:.c: .
• ? Pr.~`,S : f?OID APPPSVp p~2NST FOR PICi:-(.'P BY CatE OF r'1FiC~7E
pI.y~'1SC. :''aIL APP~NF~ P="_•LIT TJ 1. ~ 3, 4 AF~UVE
A UVE
~ j ' (Circle one)
7) SIG:,~'IL'~: ~ <(,C~C.(~~-rCJ ~ .i~.~~~~ DATE:
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F 0 R C I T Y U S E p N L y .
PE?±-?Zm u ISSUED
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SL::L.. 1 ~I. ~ .;i.._. JL~~:.Al'lUL~
5 J!i• ~U L~ATE~ p£ZtT': (IL;CL~DE Su~C?:A:~GE)
$ G~ ~ ~J-r~ W:~TER METER/COPPERHORN/CGTS.D~ R~;-,D~R
S WAT°R TAP (INCLL'DE CORPO~„TZ0~1 STOP)
$ S~.:Pc~ Ta?
$ ~ ~ _ _..~~i;::_ .,_?GS~= - __..c3
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$ OTHER:
S TO1:,L
$ S~' r~".~7L":T PAI~ j R~~°I. SCd~ 7
n
DCES UTZ:,ZTY CO~:.IEC^.IC~ REQUIP.E EXCaVATION IN PUSLIC RIGciT OF W~.Y?
~ YES IF YES, THE2I P. "PERMIT FOR :40R5 WZTE1:1
P[IBLIC ROADT9r1Y" MUST BE ISSUED BY TF?E
~ NO ENGI:IEERZNG ?IVZSION. LZST AS CONDI-
TION.' '
SLSJLC~+ TO THE FOLLO[JI.]G CONDITIO:dS: •
/ "
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12/01/2011 02:33 6519948701
41'
Date:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
INFLOW &
JANECKYPLUMBING
puattid--bLei
A
plat‘i li/ L -f 9?7
NFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
PAGE 01
Use BLUE or BLACK Ink
For Office Use
Permit 4:
Permit Fee: 5t -5-4:)(f)
Date Received:
Staff:
(l r 3° .(7u ��
Site Address: 494-.er
Tenant:
Suite #:
C,
_
^:
Name: YYY Phone:
Address !City / Zip:
o';�
�._' ,��;�.' � ....
ry
•
.:: _ '
•
Name:4/V0- /ay ,D 11011L is -err, e#:
Address:
v 1P /s'.19 9'' 7
State://in zip'�� �' Phone; �l �"
Contact; 1. lii"til Email: Vid44YL' 1 4 - I.4r l
' "
`'' �••
�'�' "`'''{� `PLUMBING
"•
''w'
Within the building envelope)
Sump Pump Repair
SEWER & WATER (Outside the building envelope)
Repair
Other:
Other:
Description of work:
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ cs-- r v
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting yvww.citvofeaQan.comlinflow, or City Hall at 3830 Pilot Knob Rd,
CALL BEFORE YQU 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. ,gooherstateo ecall,orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start 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.
)6.V.
Applicant's Printed Name
Oct
Applicant's Si
City of Etall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I
Resident/
Owner
Type of Work
Contractor
Site Address:
i2- e,0\4/07f#f1 Pc -LL 5512i Unit #:
Name:L4Jf( (5' ThtLVt-tf '1)F
Phone:
Address !City / Zip: *bet- „A -Tr rtAjse iLt
Applicant is: Owner Contractor
Description of work: (r -r. (..(4.. -01A.5
Construction Cost:t1+ • -
Multi -Family Building: (Yes_I No
Company(' Pte rfI? C k Cr Otk4 Contact: Bekituy Fierp e,
4 02-k_Pt
Address: .L9 -t 4r> ¶T4Or City: VR-M(trkS
State: pi t...s„ Zip: t t"") Phone: t (f)‘ (pc53.y- t) r)
License #. Lead Certificate #:
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:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.clopherstateonecalloro
Phone:
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 budding permit issued in accordance with the Minnes Wing Co us be completed within 180
days of permit issuance.
Pt
C e4 -Q.
Applican Printed Name
x
---A-Pplicant's Sign
Page 1 of 3
' r- Pi)
V
?' '` For Office Use �'�
-'CEIVED i56 S/,C-�
•,� I . Pe
II ;
t Q c( jA+Ct • l S6 s/C
DO NOT WRITE BELOW THIS UNE
SUB TYPES
Foundation ____ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family GaragePorch(4-Season) Exterior Alteration(Multi)
Miscellaneous
Multi — Deck Porch(Screen/Gazebo/Pergola) _ M Ilaneous
_ —
01 of—Pies _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New ,___ Interior Improvement — Siding ^ Demolish Building*
Addition _ Move Building _ Reroof — Demolish Interior
. Alteration _ Fire Repair _ Windows T Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall 'Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation $ 3 GAS: '2--- Occupancy 2 iZC - 1 MCES System
Plan ReviewCode Edition MO Z(i 5 SAC Units
(25% 100%') Zoning R - 1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction If l3 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
—
Footings(Deck) Final/C.O.Required
—
Footings(Addition) )0 Final/No C.O.Required
Foundation Foundation Before Backfill HVAC—Service Test Gas Line Air Test_Hood
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 _Bride—EFIS
r insulation Windows
Sheathing Retaining Wail: Footings—Backfill—Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough in Final
—
Braced Walls Erosion Control
Shower Pan Other.
—
Reviewed By: i'''''') V in: 1< 1..7,4 ,Building inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies - ,c C 02- 0-0
TOTAL
Page 2 of 3
EAGAN
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-85351 FAX: (651 675-5694
builthnqInspecfionsfootvoteaqan COM
SEP 1 7 2019
I -For Office Use
7 Permit #:/5.
/20r
Permit Fee -
Date Received -
Staff
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1.11-71 fC7 Site Address: 14 4?)01-1 517)-e4/ Ca7JY3----
Resident!
Name: L1VW-1 &/i/1Jk44,..
Owner Address City / Ztp 14 @)t4 s1 qtrir
Unit a:
Phone:6251-3q1: 17 7
. Applicant is: er X Contractor
.....,,__ .....____
Type of Work .. Description of work: rtplaciriel G)fu R1110 atarif- incia-t- onilivlo a/fa-a-hi/1s
Construction Cost. 1 1 7 Mult-Family Building' (Yes I No K
Company: tAtivy }011,1.0 lyyipThutliJJ- CO. Contact L„ts.DLAc
V--063
Contractor
; Address: 3:I.1 aty ,c -i-, 0 (Ai Ci R-
.
State: MO Zip. Olea)( Phone. '1° ' '112Ernall V---1 tdiAL e ..,3v1 1C : tfYyn.
License a19-LSO(.03(11-, Lead Certificate # KPITt- - Lf) 1Le H - Z --
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes date and address of master Wan
Licensed Plumber: Phone:
Mechanical Contractor Phone:
Phone:
Sewer & Water Contractor
Fire Suppression Contractor Phone;
NOTE. Plans and supporting documents that you submit are consideredpublic information. Portions of the information may be
classified as nonpublic if you provide specific reasons that would permit the City to conclude 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.citvofeaCian.com/subscrlbe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Budding 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 4P hours before you
intend to dig to receive locates of underground utilities ,IWY.t.L.17. Siiiten!w:ca
hereby acknowledge that this information is complete and accurate that the workwffl be in confoimance with the ordinancesdJkJ codes ol the City ut
Eagan, that I understand this is not a permit, but only an application for a permit, and work is not to start without a perroil, that the work will be in
accordance with the approved plan in the case of work which requires a review arid approval of
plans
iz-a55 LeDuc
Appflcan s Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158761
Date Issued:10/30/2019
Permit Category:ePermit
Site Address: 4804 Slater Ct
Lot:005 Block: 001 Addition: Whispering Woods
PID:10-83950-01-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Lynn M Schewe
4804 Slater Ct
Eagan MN 55122
(651) 341-7757
Arko Exteriors
1840 183rd Ave NE
Cedar MN 55011
(763) 331-1511
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159896
Date Issued:01/28/2020
Permit Category:ePermit
Site Address: 4804 Slater Ct
Lot:005 Block: 001 Addition: Whispering Woods
PID:10-83950-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Lynn M Schewe
4804 Slater Ct
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174857
Date Issued:02/24/2022
Permit Category:ePermit
Site Address: 4804 Slater Ct
Lot:005 Block: 001 Addition: Whispering Woods
PID:10-83950-01-050
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Lynn M Schewe
4804 Slater Ct
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature