4859 Slater Rd INSPECTIUN RECaRD ~ ~ ~ ~ COntrol No. ~ ~ .J;
~'cirv oF EaGAw PERMIT TYPE: ~'u i~~"a~
3830 Pilot Knob Road Permit Number: ~w~
Eagan, Minnesota 55123 Date Issued: 1 F/ 9?
(612) 681-4675
SITE ADDRESS: ~ r~T , t 8 k or. K~ 1 APPLICANT:
+1fit.9 &LATf.R ItU FSPt CONS't IMC
ur~i~~rre~nr~ wvoo~ ~ra (611) a~e--~a*•
PERM~T SI~BTYPE: TYPE OF WORK:
f~~.~~ ~rt'u
.
r~~~~ 1 i Nu FRAM iNB
lNStllL ATl'AN FIMAL
I~ [R~i'L Ai.f
R~!lARY'i JG e.l CAti'i~ifiAf.TUR ~~GHULTlE'~ Pl pN
• i: _ ~ - , ; ii< ~ ~ ~Y . j~y~ ~ ~
~ _ . 1 t ~ x , tti lb~~ • . ~ ~ ~ = y~ ~
L . . ~ _ • - . 4~ uL .-.~g~ Wy•
t '
~ : ~x SC _ . 1_ ~~x _ r. ._.~s~iliE.f
~c`~.-,_.b~i.Sa,..._:Jts ~ . _ .L~ 1'~.~~:5 ,Y
' P~Rn$ NO. Pem1R HOIdN O~Ee 1~I~pIfoM #
SJVN
- PLUMBING : ' ~~J1f '
?
HVAC ~ 9~" ~'c~ - ~ 0
ELECTRIC 7/~/~ i~r~i9a c~~~
ELECTRiC ~
Insp~ctlon Dete Imp. Comm~nts
Foot~r~ ~ u)E~
Foundation
:u. ~ ~.r ~ G-~~ '
F'~ ~y 3 ~ - s
Roofi~y
Ro~9n i ~lf
- - 9
~ ! ~/~~hj - . ~:a~a~/ .
Sr ~ s~
~g~.
- - .~r~ ~ ~ - o
4~ ~ ~ ~ Llja.~.t~0 G ~..ra.
Rrep~aoe •
/ I~a ard
Flriel Htg. ~ Q/~ y / p
L
Orsat Test //Z ! fY
Flnal Plbg. ~
J /9 3 Plbg. Inspecta - NotHy Plumber
Const. AAeter
EngrJPlan
F~~ y/t~r
DeCk Ftg.
Dedc Rnal
Well
Pr. Disp.
.
- , • ~ ~ -
~ -9J~ ~ '
~r,,;.~•
~ ,
C~;e~~icate o~ ~ccu~anc~
~it~ o~
~
This Certificate issued pursuant to the requirements of tlie Uniform Building Code
certifying that at the time of issuance this structu~ was in corr~pliartce with the various
• orriinances of the City r~egulating building construction or use. Fo~ the following:
SF I7WG 1637
uu c~~u-~rio~: sa& ~ No.
occups~,~r'Iype ' zo~;,,gn;sv;ct RI ~ VN
F S B~,TION W CIY~ 42,
owner or so~~a;og nad~s,a
Buildipg Address ~5q S[1~t I~,IAD ~~ty L), 82, WEIISPFRII~ W~S 6II3
/ 04/28/q3
, ~ar~
_ ao;w~ o~cisl
POST IN A CONSPICUOUS PIACE
, ~1
e ~ . -
_.~s.~. ~ .
~1 ~D $ tsvo
io ~
= / ,6 Gc /a~ ~a ~ $'c~'~
Pepuest Oate ' Fire No Rough- nspection
12-9-92 R~°' ? Reaar Now ~ W~II Notiy Inspector
Yes G No WhBn RBetly9
I~ licensed contractor ? owner hereby request inspection of above electrical work at
Job Adtlress ~Slreet Box or Routa No.~ City
4859 Slater Road Eagan
$edion No. Township Name oe No. Rarga No. COUnIy
OccupaM fPRINT~ P~onB No.
FSB Construction
Power Suppllar Aatlress
Dakota Electric
ElecVical Conhacbr ~Gompany Name) CoMr9cimY Litense No.
Laaer Electric, Inc. CA 01110
Maiiing AdOress ~ConVacror or Owner Making installa~ion~
8383 Sunset Road N.E., Minneapolis, MN 55432
Au~horixe0 Signatvre ICOnVacronOwnar Making Installalion~ Phorie Number
784-3729
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Gtlqga-MWway Bltlg. - HOOm 5193 BE HCCEPTED BV THE STATE 80ARD
t8Y1 UnivenNy Ave.. SL Peul, MN 5510C UNLESS PFOPER INSPECTION FEE IS
Plwne (6/2) 6@~900 ENCLASED.
~ '~/9~ RE~UESTFOR ELECTRICAI INSPECTION E&OW01-OB~
71515~• $ee inshuclians br completing ibis form on back of yellow wpy s /v g 80
N
~ s. 'X" Be/ow Work Covered by This Request
ewAdtl Rep. TypeofBuiltling AppliancesWired EquipmenlWired
X Home Range Temporary Service
Duplex Water Heater Elaciric Heating
Apt.BUiltlinq Dryer Other-(Specity)
CommJlndustrial Furnace
Farm Air Corrcfitione~
Omer (specityl Comrador~ Pemarks~.
Compu[e Inspection Fee 8e/ow:
# Other Fee # ServiceEntranceSixe Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above _ Amps
Signs ~nspector§ Use only. TOTAL
vrigation eooms O6~ $86.50
Special Inspecfion b
Alarm/Communication THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MQIITHS.
I, the Elechical Inspector, hereby po~gn-m a~e~ 6,.~Z
certify that the above inspection has F~,,,,i oaee
been made.
OFFICE USE ONLY
This reques~ voitl 18 months ~mm P(.`,~.
Address 4859 SLATER ROAD Zip 5512 ?
LAt . ~1 Blk 2 Sub WHISPERING WOODS 6TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: 04/28/93 Yes No Inspector:
Final grade (6" from siding) ~
Permanent steps (garage) ~ ~
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas
Sod/Seeded grass v
TraiUcurb damage v
Porch
Basement finish
Deck
Please verify with the builder the removal of zoof test caps fmm the plumbing system and the shutoff of warer supply ro~
the outside lawn faucet before freeze potential exists. '
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~
PERMIT# I I ~ ` RECEIPTDATE:
E008 f~SID~ENTIlkI. ~PLUM$INfi ~P'~M1T ~k~~P11C~4Ti0A
crrY oF ~s~?x
s8so ~aor icivos [tn
gasnx, e~x ssiEs
ssi~~~-~s~s
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: ~`65°I 510.1~1 ~d~
_ -
OWNERNAME:: ~ahn l-Ciino,~-in TELEPHONE#: -]6`]-~14g~
(AREA CODE)
WSTALLER NAME: ~IClY11Y7~ 'IP~¢CI~LU~1 f.I lD(t~-f'GC.,~OfS TELEPHONE q5~ S~1 `1~6L~
(AREA CODE)
STREETADDRESS: Ia~"IC~ OU(~'~~I I~
CITY: BUfnSV1I~1,, STATE: ~S~ ziP: 5533`~
SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fi#ures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
~ lawn irrigation system
Replacementledditional: _ water softener _ water heater $ 15.00
= r~
State Surcharge D $ .50
MAY 3 1 Z~~Z , ,
rota~ ~,1 $ 3 ° ~
8y
I hereby acknowledge that I have read this application, stale that the informalion is cortect, and agree to comply with all applicable Cityof Eagan ordinances. il
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability tor any damages caused by the City during its normal
operalional and maintanance aetivities to the facilities constructed under Ihis permit wifhin ropertylri /tmf-
eylea~ -
L
SIG~Jd E OF PERMI'fTE tl02
P~~~Trr Control No. 1~I 9 9
11 1
~C-0T~- Jf' EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u 1 ~ t~ ti N r~
Eagan, Minnesota 55123 Permii Number: J 6 3 7
{612) 681-4675 Date Issued: l 0(16 / 9 2
SITE ADDRESS:
4859 54.ATEI~t RD
LDTe 1 BICICK: 2
WHJSPER7:NC~ WODUS 6TH
DESCRIPTION:
,-Bu~,Idfih.g Permit Type SF DWG
Buildirtg`Work Ty~e NEW
~ U~BC Occufldri~~G~y R-3 P1-1.
Constructian`'C.yPe V-N
Znning R-1
H-uildin~g LepgC~fa i 58
f
$UlZd7.f7(~., ~13.1.d'C{l 42
_
_ _ ~ ; r'
. ~w.. "
il S, _
t, v
t r
i i } i ' f 1".- ~ f t y."~.,
i~~~il I 1
~ , ' ~ i Y ~4Y ~ { i _}J ~:..f ( 3 t ~ , 7 i ':ti 7 f ~ ~ ,
~
REMARKS: C 6 a 1~~~
S& W CONTRAC70h' - 5C1^iWL'("I~5 PLF~C~
FEE SUMMARY:
vA~uarion~ ~~ua,~mm
Base Fee $793.58 MTSCELLANEOUS 1 61C7.50
~ x~...._~_
Plan Review $57.5.78 Total Fee $3.691.78
Surcharge $7Z.043
Slir $7~0.m~
SAC ~ 100
SRC Units 1
SubtoCal ~ $2,m81.28
CONTRACTOR: - Rpplioant - sT. ~I pWNER:
F5B CONST INC 1fl9~73~d00 000385 F S B CONST
2500 W'COUNTY RD 42 9 2500 W COUNTY ftOAD 42 9
~SURNSVILLE MN 55337 BURNSVZLLE MN 55337
(612) 890-3000 (61`L)89P~-908C~
~ hereby ackrtauledge that T have reaet this application anr~ stats Chat thP
inf~rmatian is curre~ct antV ~qr~e to comFly with ~lY applic~~le ~tate of Mn.
Statutes and City of Eag~n OrdSnahces.
~ -
9;^ -
APPLICANTlPEF1MITEE SIGNATURE ISSUED B'. SI 'N TURE
INSPECTION RECORD ~°~t`°' ~ ~ ~ g
CITY OF EAGAN PERMIT TYPE: ~ u z~_ ri 7~v r
3830 Pilot Knob Road Permit Number: 0 016 3 7
Eagan, Minnesota 55123 Date Issued: 1~/ 16 / 9 2
(612) 681-4675
SITE ADDRESS: ~ a r e i e ~ n c K: z APPLICANT:
4859 5LAl'Eft RD FS~t CONST ZNC ~
WHI5PERING WOODS 6TH (F12) 890-3800
PERMIT SUBTYPE: TYPE OF WORK:
SF OWG NEW
. .
FOUTI:NC~ 1=RAMING
INSWLATTON FINAL
FIftEPLACE
REMARKS: S& W CQNTRACTOR - SCHULTIES PL.BG
~ -
~ I _ _ . , . , l. . . . . _ T
1992 BUILDING PERMIT APPUCATION ~3 9~
~ ~ cmr oF ~?~ar~ C°~-C~'c~11 a/G5
REQUIREMENTS• ~9CT fl 7 Reco
SINGLE FAMILY . 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWEWNCaS 2 SETS OF PLANS, 3 REGISTERED SfTE SURVEYS, 1 SET OF ENERGY CALCS.
OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SEfS OF ARCH(TECTURAL ~ STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTYAPPLIES WHEN TYPING OF PERMfT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH RE~UEST IS MADE QB LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS fS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For: aluffiion: ~i D ~ d Date: ' ~a
Site Address -
Lot ~ Block ~ FFICE U E ONLY FE S
Occupancy Bldg Permit
Parcel/Sub ~h i 5 L~ Zoning Surcharge
Actual Const Plan Review
Owner ~J Allowable License Fee
Address a~J~d 1.~~ ries SAC, MWCC
Depth Water Conn.
City/Zip ~/j'l/~t,Q,Q,(~ ~~3~ S.F. Total Water Meter
Phone U"6~~ ~ I~DD FootpriM S.F. S~ Demo~ it
On-site sewage S/W Surcharge
ConVactor ~~Gl~}~'LP~ On-sfte well Treatment PI.
MWCC System Road Unit
Address City water Park Ded.
PRV Trail Ded.
City/Zp Booster Pump Copies
SUBTOTAL
Phone License_~5 APPROVALS Penalty
Planner Lot Change
Council TOTAL
Arch./Engr. ~j~j ~b71~j-~L~C'~i CVl ~Y1(~ Bldg. Off.
Address ~50~ V~• Q~, ~a ~ ~ variance
c~r/z~p code ~r i Ile I'Y1N 5~3'~`1
~~e # ~~1~-?~oe{D
Sewer/water 'censed nv. ~JCht,t,[~k? e5 ~Iu,Y1'~ bi I~G .Processingtime
for sewer/w er per is tw~ays once area as en ov .
~ agrees that all work shall be done in accordance with
ignatur o er ee
all appli ble State of Minnesota Statutes and City of Eagan Ordinances.
PEfcMIT CITY OF EAGAN
REACTI,vk7E 1992 BUILDING PERMIT APPUCATfON
681-4675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structurat plans, 1 set of
speclfications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date / / Valuation of work
Site Address:
STREET SUITE !
7enant Name: (cortanercial onlyj
LOT ELOCK 2 suanWH~sp~xiN~. waoDS P.I.D. N
S~ i O
Oescri tion of work:
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name Phone
Property ~ASr fIR57
Owner qddress
. ~ STREET STE N
City State Zip
Company Phone
CO~tf8Ct0~ Address License ~ Exp.
City State Zip
Company Phone
Archttect/
Engineer Name Registration N
Address
C1ty State Zip
Sewer 3 water licensed plumber . Processing time for
sewer 8 water permits is two days once area as een approved.
I hereby acknowledge that I have read this application and state that the information is
torrect and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ,
Signature of Applicant:
OFFICE USE ONLY ' ~
~
BUILDING PERMIT TYPE ~
~ O1 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ~ 17 Swim Poal
? 03 SF Addition ~ 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
'~31 New ? 33 Atterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addltion ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) ~d.1~ Basement sq. ft. MWCL System Es
(Allowablej V- N 1st Fl. sq. ft. City Water YEg
UBC Occupancy R_3 M-~ 2nd F1. sq. ft. PRV Required
Zoning R-1 Sq. Ft. total Booster Pump
# of Stories Footprint Sq..ft. Fire Sprinkler
Length On-site well Census Code / o/
Depth 4 2, On-site sewage SAC Code ~
APPROVALS
Planning Building Assessments
Engineering Yariance
RE~UIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final O Draintile ? Fireplace
Permit Fee vei~sco~: g ~ y~dp0
Surcharge C~An,~~ . 3z
Plan Review k~4= ~16~ .
License ~ ~
MWCC SAC ~
City sAC x I b= 11968
Mater Conn. C~~MT; ,
Water Meter . ab~,2ta ~ ~~6
Acct. Deposit ~y~ 3 = y2
5/W Permit Joyc3Vi =
S/W Surcfiarge g„S
Treatment Pl. ~'~K14Nti` 4. i ,
Road Unit IsTF~uorz; ~ ~rX'(y's ~(s~,r~~r -
Park Ded. , .
Trails Ded. g~T=11o~
Copies .5o tZ~1 _r
Other 1~t3~53~ 5`a~~jS9
Total:
2.~~D?
~
SAC % ~ DU ~,,jT_ ~ p ~
SAC Units rv x,3= ~y zJ
/o5q X53 = S~° 59°I
~ ~ ~ r ~ !
Y . ' ~ ° , N .
5 ~ .
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F~d y ~ 63~
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1L ° ~
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Y/l N ~ ~ R~ ~ 4t 71~9
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r~ s~. 1 ro a 111
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87, o _ ~ ` ~ o
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q~k.~7
$~~EMl~+T Cti.~ 9"!t ~!p '1'~?~ .
C~~,'+ ~
DESCR1Pr~oN ~ ~
L oT S, S~ oCK 2, ~d
WIIISPFJ7fNG I~VODS ~~QIRTEE ItdG ~~'TH
~1arrH ~4a~~rtoN, 5~,~s~
vAx o r~ t 01JNT Y, ALL B~AR~N85 ASSlrM~v
~ A~~~ I N N~ S O T A • D~NoT~t /RDN MO NuMFMT
REVIEW~D
;r ~'D'N~,
- .
,~FrE\~- I hereby cer+Eiiy ths~t this eurvay wae ~'apared by me or
under m,y direct eupervieion and that I sm a duly Regieters<
Land Surveyor unfler the lawa of the State of A4lnneeota.
Dates , g
h en
Le oy
REgietered I~nd Surveyor No. 107Q5
1'raY~. . ~90 - °1Z81 $!K7 Lo~' 1
,
L1~ 82~ W+~isl~Cn~NGCc~cx~t~ Cfl7N ~}zrDiU
~ FSB Conatruction. Inc. '
Suilder License i0003885
2500 N. County Road ~2, Suite i9 '
Burnsville, HN 55337
E%TERIOR ENVELOPE AVERAGE "U" COMPUTATION
PLAN f: 126 DATE: *10/6/92
OW1iER:FSH CONSTRUCTION
CONTRACTOR:FSB CONSTRIICTION
SIRE ADDRESS:126 NW PHONE~ "890-3000
Square "U"
Footage Factor
" 1) TOTAL ESPOSED WALL AREA 3211 X 0.11 ~ 353.21
• 2) TOTAL ERPOSED ROOF/CEILING AREA 1121 x 0.026 29.15
1~iALL AREA CALCULATIONS:
TOTAL WINDOW AREA 210 X 0.41 ~ 86.10
• TOTAL DOOR AREA 38 X 0.07 ~ 2.66
' TOTAL GLASS DOOR AREA 120 x 0.41 ~ 49.20
" TOTAD FIREPLACE WALL AREA 68 x 0.36 ~ 24.48
TOTAL YIALL FRAMING AREA 232 x 0.08 ~ 18.56
NET INSULATION WALL AREA \ 2090 x 0.0~3 ~ 89.87
" TOTAL RIM JOIST AREA 218 a 0.04 ~ 8.72
' TOTAL FOUNDATION AREA(EFPOSED) ~ 137 X 0.16 ~ 21.92 ;
* TOTAL FOUNDATION iiINDOii AREA 0 x ~ 0.00
" 3J TOTAL - 301.51
If item 3 is the same as, or less than item 1, you have met the
intent of 2 MCAR 1.16008 A and 0.
ROOF/CEILING CALCULATIONSs ,
SOTAL SKYLIGHT AREA 0 a ~ 0.00
TOTAL ROOF/CEILING FRAHING AREA 112 x 0.026 ~ 2.91
11ET INSULATION ROOF C&ILING AREA 1009 x 0.022 ~ 22.20
4) TOTAL ~ 25.11
If item 4 is the sa~e as. or less than item 2. you have fet Lhe
intent of 2 HCAR 1.160@8 A and O.
:
I hereby certify that the building here descri6ed meets or exceeds the ~
State of Hinnesota Energy Conservatio Act.
~O RZ
"Siga tu Dat
1
.
' . . . _ iw- . . .
0
~ LOT SIIRVEY CHECRLIST 80R RESIDENTIAL
t~ °w
W m j BIIILDIN(i PERMIT APPLICATI N
w r ]
a ~ m PROPERTY LEGALS ~ ~ ( ~LrPr.,~.~.~~ GJ~n~ ~ (c~
W c N
c~ s ~ Date oi Surnep: ~~l--
a z ~ ,
DOCQMENT STANDARDS
0'/? ? : Registered Land Surveyor signature and company
~ ? Building Permit Applicant
• Legal description .
0 C3 ? • Address
C~/~ ? • North arrow and bar scale
C~' • House type (rambler, walkout, split w/o, split entry,
/ lookout, etc.)
B' • Directional drainage arrows with slope/gradient
? ? • Proposed/existing sewer and water services
- ? • Street name
B" ? ? • • Driveway
ELEVATIONS
Eaistina
?-/~0 • Sewer service
f7 ? ? • Lot corners
[~0-/0 • Top of curb at the driveway
? Q? • Elevations of any existing adjacent homes
Prooosed
0 ~ • Garage floor
E~i"~ ? • First floor
Q-`/ ? ? • Lowest exposed elevation (walkout/window)
E7 ? ? • Property corners
Ct~? ? • Front and rear of home at the foundation
UIMENSIONS
t'3~~[7 ? • Lot lines :
: Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks,
overhangs greater than 2', porches, etc. (i.e. all
structures requiring permanent footings)
Show all easements of record and any City utilities.within
those easements
9' 0? • Setbacks of propos structure and setback of adjacent
existin e
Reviewed ~
,e / ate
August 1992
~
~
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PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
/ SHOWER 3.00 3_DU
3 WATER CLOSE'T 3.00 90~
BATH TUB 3.00 D o
~ LAVATORY 3.00 `~.d~
~ KI1'CHEN SINK 3.00 ?.C~~
_L LAUNDRY TRAY 3.00 CX.~
HOT TUB/SPA 3.00
~ WATER HEATER 3.00 ~ ~'"J
~ FLOOR DRAIN 3.00 3~~
GAS PIPING OUT'LET • mcNm~m - i 3.00 ~O~
~ ROUGH OPENINGS 1.50 ~f
~
WATER SOFTENER 5.00
PRIVATE DISP. • ne~.ay. u~. 15.00 .
U.G. SPRINKLER • h~ ,~a~ 3.00
ALTERATIONS • ~o ~~og 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50 ,
TOTAL: ~
STTE ADDRESS: S~F~~
OWNER NAME:
INSTALLER:
ADDRESS:
CTfY: ~i~~ a,~_p . STATE: .!~l~ ZIP CODE:
PNONE ( ~la) ~ Z~S~ - 't OC~ /
SIGNA E OF PERMITTEE
~
CTI'Y OF EAGAN
LL_ B Z MECHANICAL PERMIT RECEIPT I '
SUBD. /itJ~r~o ~ (612) 681-4675 DATE i-i~ -93
RESIDENTIAL
PLEASE COMPLEi'E UpPER PORTION ONLY FOR SINGLE FAMILY DWELI.IIHGS. ALSO, COMPLETE FOR
TOR'NHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNTf.
OWNER _ a f~ ( R FEFS
STl'E ADDRFSS: ADD ON/REMODEL (FJQSTING S I5.00
% ~ l't CONSTRUC170N ONLI~
INSTALLER: SO ~J ~Yf l HVAC: 0-100 M B1'U 24.
PHaiir'E .S ~'J ADLTfIOAIAL 50 % B1'U 6.00
ADDRES3: ~(J ~ ~(Z7 J}G! GAS OU1'LETS - MINIMUM 1 C4~ S3 EA.
CI11': ~.y ZIP: N~ i 2 SURCHARGE: $ .50
SIGNATURE: TpTpL; $ J `
COMMERCIAL
PLFASE COMPLEI'E TfIIS PORTION FOR ALL COMMERCIAIlINDUSTRW. BUII.DINGS. ALSO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILAINGS ~VHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNTf.
R'ORK DESCRIPTION: CONTRACT PRICE FEES
1'% OF CONTRACT FEE.
STATE SURCAARGE IS $.50 FOR EACH
SI,000 OF PERMTf FEE. $
PROCFSSED PIPING • 525.00
r
a
1lfINIMUM FEE - 525.00
~RNER. TOTAL: $
5178 ADDRFSS:
1'ENANT:
SUTfE
INSTALLER:
ADDRESS:
CTfY: ZIP:
PHONE CITY SIGNATURE:
SIGNATURE:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
PERMIT
City of Eaan
Site Address: 4859 Slater Rd
Lot: 001 Block: 002 Addition: Whispering Woods 6th
PID:10- 83955- 010 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
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:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
John Longtin
4859 Slater Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
$90.00
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
Building
EA086785
10/10/2008
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154199
Date Issued:02/28/2019
Permit Category:ePermit
Site Address: 4859 Slater Rd
Lot:001 Block: 002 Addition: Whispering Woods 6th
PID:10-83955-02-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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 -
Mark B Traynor
4859 Slater Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
For Office Use
*iØ
i : / 'gE AG N
__"
ll
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: A��/
(651)675-5675 TDD: (651)454-8535 FAX: (651)675-5 '�C Staff:
buildinginspectionsecitvofeagan.com JUN Q 7 2019
2019 RESIDENTIAL BOILDING PE IT APPLICATION
Date: Site Address: Unit#:
Name: Mp ( 1 t(("f NO2 Phone: (0112-S"3a -)3.93
Resident/
Owner Address/City/Zip: 7 891 S/a4cr g /1/1!J SS
Applicant is: x Owner Contractor
T e of Work Description of work: it P�+r 1,J r 0 fn:w�a� i 1 i c,t Ie r N-t,J �r / P14, �19^r
Yp ('so.L k_
Construction Cost: 3I$00 Multi-Family Building: (Yes /No )( )
Company: X---/ �j� l Oi Gf[is Contact:
Contractor Address: City:
•
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents thatyou Submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide specific reasons that would,permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.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 n. 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 plan
x QC U �1��i �- x A l l
Applicant's Printed Name Applicants ' n
/
DO NOT WRITE BELOW THIS LINE 50'6-f a C'I< , /—'; 'dee' 7
�/g
SUB TYPES
_ Foundation _ Fireplace —
Porch(3-Season) _ Exterior Alteration(Single Family)
pc Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex K. Lower Level Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding Demolish Building*
_ Addition _ Move Building Reroof _ Demolish Interior
_ Alteration _ Fire Repair )( Windows _ Demolish Foundation
Replace _ Repair _ Egress Window ,c Water Damage
Retaining Wall `Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation t 21 V"O Occupancy '5'(L-C- MCES System
Plan Review Code Edition aoic jt1 U'T/2._ SAC Units
(25%_100% K ) Zoning P- i City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction a Width
REQUIRED INSPECTIONS
Footings (New Building) _ Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) n 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
K Framing oC 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
`X Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: t- 1/ , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge A A \
Plan Review 1 cee__,
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant r'
Radio Meter Read `.)c.-31
Copies
TOTAL
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