4909 Slater Rd . . ~ INSPECTIUN~ REC~RD ~ ~
CITY AF EAGAN PERMIT TYPE: ~ ' ~ ~ ~ ~
3es30 pilot Knob Road Permit Number: '
Eagan, Minnesota 55122-1897 Date Issued: •
(612} 681-4675
SITE ADDRESS: ~ ~ . . ~ ~ ~ , ~ ~ ~ APPLICANT:
~ nrrR ni~ ~ ~
~ - . . . . ~ . . . . ' , ~ . i1 ...~.1~1
PERMIT SUBTYPE: TYPE OF WORK:
~f;
. •
~ ~ ,
~ , ,t: ~ r~ :
. .
~ . . . . . . ~ ~ . . i ; ~ . ~ ~ r! { ~ ; ~ •
~ . ~ ' I . i' . . :~1 f , I . , ~ _
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.
~ . . . ~ . . . . ~ ~
Permk No. Permft Holder Date Teiephone A
~ E~ECTRIC
' PLUMBING /7 9 81: ~ 5
Hvnc rG ~ 'I ~ - 7l(0
Inspecdon Date Insp. Comments
F0071NGS S/l( (pd ~
GO
FOUND
FRAMING , , D
r r Gl0
ROOFING
ROUGH ~ ~
PLUMBING
PLBG
AIR TEST ~
ROUGH (I.'~! /p ~ , d
HEATING l GGQ
GAS SVC
TEST O • ZZ • `l ~j
INSUL Q ~
GYP BOARD
FIREPLACE ~ -
FIREPLACE
AIR TEST
FINAL PLBG O ~/t(/
"`w/
FINAL HTG
ORSAT
TEST
BLQG FINAL ~
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
. , -----------~---'4---
a ~ s 'p
~ ~
~ ~ - ~ ~
~e~ti~ica#e o~ ~ccu~panc~
~it~ o~ ~agatt
~e~artmcat oF ~uiib'cng ~a~~atian
This Certifcate issued pursuant to the nqWiremenrs of the Uniform Buildi+~g Code
certifying that at the time ojissaance this structure was ia compliance with the various
o~innnces of tlu City regulating buildiag constructioa or use. For the following:
ux c~~r~,: ~ ewg. Na. 31803
p~y~.y ~ R3/U I za,;,,t o;sa;n R 1 _ rype co~~. ~
Bw,~;,,s F S B OU+I.SLR[1CTION 2500 W G'Pi' RTl 42, B' VII~
Building Add~~ a~11~ iv,.atv B~ ~ ~Ia7rc+su~Ra ~ ~vli1
~~1~17`{~ ~~~hSLJ I '~lL pye. ~ I
' Buildiog Olfirial
POST IN A CONSPICUOUS PIACE
Addrass 49oA starER ?toAn Zip 5512?
L.ot 2 Bik i Sub wNr.~rtTrar; [~r~s ir~rt,
THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: ~p_aLl _~g" Yes No Inspector: L_
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiU~b damage
Porch
Basement finish
Deck
Please verify with the builder ihe removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet beforo freeze potential exists.
Contact engineering division at 681-0645 before working in right-of-way or instal(ing underground sprinkler system. ~
White - City Copy Yellow - Resident Capy Pink - Contractor Copy
~i:~'e%k:~CY,i'f,ih;
;!X;Y,:~:YF~~Y,Cm:i~;F~kok YF~FY,%xt :;:~:ik?r1Y:4V:d~)k~':>$h~'.7;c
czrv o~ .r-..~at,r-,r!
C~^H:~:ET~: ..76 1'i~!~:M:f~~AL. N0~ r'~~
I+AI'E: R~.'05/':?ti3 'TTt•S~Er. i..'.S:~rt'e4.9
IT~ ~
NF~~E: 1=S~t COi!3i'hUt;T'.T.Oi! Ti~~:
2r?._i6 `.90Q:L 4^p::1 `:il._F171c.1^.' I{D 4g:~Sc,r'1
Tn':.S~.L k[[~re~1:i ~_~t P-~~mn~znt.: 4, ` >
. . J.!c:. r 1.
,s'P..9:1.f)~i.q.
IJ,v~-R 'i::C~;: JAtr
7+ p.~%. .V1~(iA.TYIt)~t~f)U)~~:N..\~~ir~~i~ ~ .:d.~%AiD~~.~ .~M ~:),:li k.X,
PERMIT
~ - CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: N ~
(612) 681-4675 Date Issued: 0 5/ 0 5/ 9 B
SITE ADDRESS:
4909 SLATER RD
LOT: 2 BLOCK: 1
WHISPERING WOODS 10TH
P.I.N.: 10-83959-020-~1
DESCRIPTION: .
~
Buildirt~~Qermit Type SF OWG
rrBuiJ:din9 We~,K'k TYPe NEW
UBC Occuparfay~^~ R-3 u-1
Constructian 7y'e V-N
Zon3:ng R-1
Building langth~ 53
, Buildir~,q Width . ~~z 56 '
Suiiding s~-Qrie~ r ~ 2
' '$'q~u:~re Feet~~-~-~' 2,004
Cens~u~:;G~6d~e 101 1- FAM. DETACH
t
sa
~ I`~„= r
,~°r a, ~ ~If, `i 't;~ I„~;,~~"' x
i ~
, ~ ~:~~t~~~r~~
~
Y _ ~
~r-~:
REMARKS:
S& W PLBR - HESSIAN PL86
PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
VALUATION $151,000
Base Fee $1,142.25 MISCELLANEOUS $1,592.50
Plan Review $742.46 Total Fee $4,552.71
Surcharge $75.50
SAC $1,000.00 `
SAC ~ 100
SAC Units 1
Subtotal $2,960.21
CONTRACTOR: - Applicant - 5T. ~zC OWNER:
F S B CONST INC' 189030@0 0@03885 F S B CONST
2500 W COUNTY RD 42 9 2500 W COUNTY ROAD 42
~URNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 890-3000 (612)890-3000
~Y her.~~bp~sck~rSOwledge thaG- X~ fi+~~e #'eat~~=thi~~ ~Rp1icA~tiP~z an~# s~~~e tktat th~
infiormation is correct end ag'ree to comply with a3i a~sp2ic'abl~ St~te 'n"F,Mtt`,
~ Statu!t~s ;and, City of .Eagan Ordin,~nces,,
_ _ _ . _ _ . _ _ _ _ . _ _ . , . _ w. - -
, c -
/y o~° ~
~IPPLICANT/PERMITEE SIGNATURE ~ ISSUED : SICaN
1997 BUILDING PERMITAPPLICATION (RESIDENTIAL) ~~,g,JZ.`~~
~ 5830 PILIOT KNOB R~N 55122 ~(J_;,''bc.'!L `t -
681~675
New Construetion ReauiremeMS RemodeURenair ReauiremeMa
? 3 rogistered sRe surveys ? 2 copies of plan
? 2 copies of plans (indude beam 8 window s¢es; poured fid, design; etc.) 2 ake suneys (extedor addkans 8 dedcs)
? 1 energy calculations ? 1 ene
igy calculations for heated additions
? 3 copies of tree presenation plan 'rf loi platted after 7H193
repuiretl: _ Yes _ No '
DATE: /1~ CONSTRUCTION COST: ~as ~
DESCRIPTION OF WORK: ~
STREETADDRESS: '7'~9 D
LOT ~ BLOCK SUBD.lP.I.D. ~`~~~r~~ GfJ~ ~~~%GGG~//~i•
2 /
PROPERTY Name: _ fl~~f~ Phone ~~~.`~y~d
OWNER ,w, ~7
StreetAddress:~~Os ~ClfJ/G1AG /'«9~0
City: ~~I~LLE State: ~ zip: ~~-337 ^
coNrRacTOR Company: FS8 ~~G~%'~sc~ Phone ~90-.~~~
Street Address: a500 v~ •~/XY~~ License ~3~~~
City: ~~k'//ti1?.4//y// State: Zip: 553~
ARCHiTEC7~ Company: ~~iL'~ C-"is~~7~ii~~irhJ Phone#: ~~'~~o~
ENGINEER
Name: `.1". /~1L.LL~ Registration r
StreetAddress: a5O0 ~ ~-~j ~
,
City: State: ~ Zip: 5a~3
~
Sewer 8 water licensed plumber (new construCGon only): /TL~.'~/~ /-uw~. . Penalty applies when address change
and lot change are requested once permft is issued.
I hereby acknowledge that I have read this application and state that the information ia correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. •
Signature of Applicant: ~ ~ ~
~ D . od~
OFFICE USE ONLY
Certificates of Survey Received Yes _ No ~
Tree Preservation Plan Received r/es _ No _ Not Required ~
I
OFFICE USE ONLY ^ '
' „
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
~ 02 SF Dwelling o 07 4-ptex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex o 15 Deck
WORK TYPE
31 New ? 33 Alterations o 36 Move
0 32 Addition ? 34 Repair o 37 Demolition ~
GENERAL INFORMATION
Const. (Actual) ~N Basement sq. ft. ~ 3~( MC/WS System ~
(Allowable) ~ Main level sq. ft. ~ 3~~! City Water ~
UBC Occupancy ~-'~.U -I 2^~ sq, ft. 8C 7 Fire Sprinklered
Zoning ~-i G~,..dL sq. ft. r.~o PRV
# of Stories sq. ft. Booster Pump
Length ~ 3' sq. ft. Census Code. ~ o
Depth ~ a' y" Footprint sq. ft. z~ SAC Code ~
Census Bldg
Census Unit l
APPROVALS
Planning Building M~3 Engineering Variance
Permit Fee Valuation: $ 1 sl ~ oov,
Surcharge F3a ,c~,~.~.~i-
Plan Review k
~
X~L~ ~
License ~ z~ ~
MCNVS SAC Lr"
CitySAC Z~y i3
~!b ~s. ~q SGO.-
Water Conn.
Water Meter 1
Acct. Deposit sw,.,., ~,(~s
S/W Permit ~3dy
2ut0
S/W Surcharge z _
Treatment PI. Z,~ ,~zy m ~6 Sy - ~ ~(4 ~ ~
Road Unit - '
Park Ded. ~ ~ > x '
~r, 3
Trails Ded. ~ s sX ~ q
zs.sxzz LFy'S
Other s ~ ,
Copies _ . 8 ~y ~ sy= s~8. -
~Total: i ' ; ~ {
% zo K 3z ~ W o
SAC e# y~` ~o i zo
'SAC Units ~ ~,y i z, v, l-
! . _____._.i((L: -
t +SD~ 03`/. -
_
a
~ 6128909281
.~_Q9/98_ THU 19:26 FAX 6128909281 FSB CONSTRUCTION IN0. f~ZJ002
CERTIFICATE OF SURVEY
For. F. S. B. CONSTRUCTION
4909 SLATER ROAD
PROPERTY DESCRIPTION: ~t 2 Block 1~11HISPERING WOODS
TENTH ADDITION Dakota Count Minnesota.
We hereby certify fhat this is o true end correct survey of the abave described property and .that it
was performed by me ar under my direct supervisian and that I am a duly licansed Surveyor
under the laws of the State of ~Ainnesota. That this survey does nof purport to show oll
impravements, easements or encroachments, to the property except as shown thereon.
Signed this 6th day of _ April ,1998. For, d es R.
; ~ , ' , ~ II1C.,
u~~,
~ Cb
By.
Norold C. Peterson, Minnesnta LS. No. 12294
-s`.!.':`iIFr:^ .
•.s. _ . . . .
Notes:
1. Building dimensions shown ore for ~ penotes set nail
horizontal k vertical of structure only. O Denotes set iron monument
See architecturnl plans for building & ~ Denotes found iron monument
foundatiorl dimCnSionS. x927.6 Denotes exisfing etevation
2. No specific soils ir~vestigation hos been ~930.00) Dcnotes proposed elevation
completed on this lot by ,lames R. Nill, Inc. Denotes proposed drainage
The suitability of soils to support the specific Sench Mark:
house proposed is not the responsibifity of g71.20 _iNy_S~a{er k Storland
James R, Hill, Inc. ar the surveyor.
3. No specific title search for existence or non-
existence of recarded or unrecorded easements Proposed Garage Floor=
has been conducted by the surve}ror os a part of FroPosed Garage TPp Block= 2.0
Pro osed House To Block= 983.4
this survey. Only easements per the recorded plat Proposed Lawest F~oor= 975.3
ore shown,
4. Proposed grades shown were taken from Hearings are on assumed datum.
the grading &/or deve(opment pfan prepored by
NYHUS ENf~NEERING Scale: 1u=~O'
Page 1 of 2
5 wo ~ a James R. Hili, inc.
w ~ ~ ~ ~ ~ ~ PLANNERS ENGINEERS / SURVEYORS
o °0 1 2506 W. Cir. Ro. 42, Suh 12t1. Bua~uF, i1N 55337
612/890-6044 Fu 890-6244
~ 6128909281
~Q~/98 THU 14:26 FA% 6128909281 FSB CONSTRUGTION INC. ~J003
. .
~ CERTIFICATE 4F SURVEY
For: F. S. B. CONSTRUCTION
4909 SLATER ROAD
Q~~°- ~
, . ~1~~~
~
y ~ ~ ~D ~ \
t;~!iLDINGINSPECE:~~~.;.' =~T. BD~PC~MSAPIKE
ELEV=977.24 r ~ ~p
\ oN,~.
~ ~
~ N aop~
~~y~ ^ ~ ~p
, J T 0'~E. ' ~.g8 / t
r-~ ~ ,
' ry .N,Q~~ ' ~ 18 _
~ 1~Z•~~ 9~9~ ~ ~ - 5---
+ ~m
r~, 9~9 / ~ ~ n ~
~
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~ g , n 28.33\ n n Z~ Q
N N 1 I n O
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3 ~ ~a N ~ o oj cv 9 i~ uwiw ~
~N ii~~ a ~d° 28.0
W za x \Mn, r~f
~ M Zw v. O~ M \ 4 N m !PROPOSE~ !
DRIVEWAY ~
~ ~ I\ ~ J ao x ~ so. ~ ~~r ~ -!ao-- _
q ~ mi a
v A/
~ S ~ ~ ~ ~ ° 20. 3 a I.l~
- - 981.2 78 I ¢ ~
~ I~>9.80 51.12t' 1 o i.v.o Z
3.5 ~ 980.4 ~ a+ o ~
- M.H. 56.35 - ~2E.40 n ~ ~
' 142.46 / N89°47'10"E u? ^ ~ _ t/~
83. ~ I ~ x ~ v,
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~ h~ ~ n T
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479.1~C Y i~w - -35--
~ o ~ ~ BENqi MARK
~ g TOP OF SPIKE
ELEV=981.05
~
~
0
0
m
Scale: i"=3o' Page 2 0! 2 James R. Hiil, Inc. a
,
~ ~
LOT SURVEY CHECKLIST FOR RESIDENTIAL
B DING PERMI APPLICATION
PROPERTY LEGAL: N-~ ~
C~~~~m
~ ~ ~ATEOFSURVEY: ~~y~~~p~'i
~ ~ ' LATEST REVISION:
~ ~ ~
~ m
~ ~ 40CUMENT STANDARDS
? • Registered Land Surveyor slgnature and company
~
0~~ ? • Building Permit Applicant
~l ? ? • Legaldescripdon
~ ? • Address
? o • North arrow and scale
B~/O ? • House type (rambier, walkout, spiit w/o, split entry, lookout, etc.)
.0" ? • Directional drainage arrows with slope/gradient 96
fd' ? ? • Proposed/ebsting sewer and water services & invert elevation
~ ? O • Street name
? • Driveway
ELEVATIONS
E~dstinn
? • Sewer service (or Proposed)
~ ? ? • Propefty comers
C~~ o • Top of curb at the driveway
? ? • Elevations of any e~dsting adjacent homes
ro sed
U ? ? • Garage floor
e~ ? ? • First floor
~/o ? • Lowest expased elevation (walkouUwindow)
o ? • Property comers
~o O • Front and rear of home at the foundation
PONDING AREA fif anplicable)
? ~ • Easement line
? ? • NWL
? • HWL
? Q' O • Pond # designation
? C~ ? • Emergency Overflow Elevation
DIMENSIONS
o ? • Lot IinesJBearings 8 dimensfons
s~ O ? • Rght-of-way and street width (to back of curb)
? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
a~o ? • Show ail easements of record and any City uutilities within those easemenTs
C~ ? ? • Setbacks of proposed structure and sideyard setback of adjacent e~dsting structures
? ~ ? • Retaining wail requireme , ' any
Reviewed: ~ d ~
ame / Date
January 1996
CMMit BB6~BLDGPRMf.fM
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FSB Construction, Inc.
Builder License #0003885
2500 W. County Road 42, Suite #9
Bumsville, MN 55337
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
PLAN #5801 DATE:4/8/98
OWNER:FSB CONSTRUCTION INC.
CONTRACTOR:SAME
SITE ADDRESS:4909 SLATER ROAD PHONE:890-3000
Square "U"
Footage Factor
* 1) TOTAL EXPOSED WALL AREA 2066 x 0.11 = 227.26
* 2) TOTAL EXPOSED ROOF/CEILING AREA 1496 x 0.026 = 38.90
WALL AREA CALCULATIONS:
' TOTAL WINDOW AREA 192 x 0.3 = 57.60
* TOTAL DOOR AREA 82 x 0.07 = 5.74
" TOTAL GLASS DOOR AREA 41 x 0.41 = 16.81
' TOTAL FIREPLACE WALL AREA 38 x 0.36 = 13.68
TOTAL WALL FRAMING AREA 149 x 0.08 = 11.93
NET INSIJLATION WALL AREA 1342 x 0.043 = 57.70
* TOTAL RIM JOIST AREA 148 x 0.04 = 5.82
' TOTAL FOUNDATION AREA(EXPOSED) 74 x 0.16 = 11.84
* TOTAL FOUNDATION WINDOW AREA 0 x 0= 0.00
3) TOTAL = 181.22
If item 3 is the same as, or less than item 1, you have met the
inteM of 2 MCAR 1.16008 A and O.
ROOF/CEILING CALCULATIONS:
TOTAL SKYLIGHT AREA 0 x = 0.00
TOTAL ROOF/CEILING FRAMING AREA 150 x 0.026 = 3.89
NET INSULATION ROOF CEILING AREA 1346 x 0.022 = 29.62
4) TOTAL = 33.51
If item 4 is the same as, or less than item 2, you have met the
intent of 2 MCAR 1.16008 A and O.
I hereby certify that the building here described meets or eac the
State of Minnesota Energy Conservation Act.
4l8/98
i atu Date
i
~
1 / ~j CITY USE ONLY r~,/
~ 2~ B~ ~ ~ RECEIPT#: T~~
SUBD. ~~,U RECEIPT DATE: 7 n1 O
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3@30 PII,OT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTl1RE5 EACH # TOTAL
Shower 3.00 x _ .3
Water Closet 3.00 x _ ~
Bath Tub 3.00 x ! = 3
Lavatory 3.00 x _
Kitchen Sink 3.00 x _ ~
Laundry Tray 3.00 x _J__ = 3
Hot Tuh/Spa 3.00 x = ~
Water Heater 3.00 x _
Floor Drain 3.00 x _ ~
Gas Piping Outlet ' minimum - t 3.00 x I =
Rough Openings , 1.50 x _
Water Softener "for dweltings under construction 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sprinkler * for dwelling under const. 3.00 =
U.G. Sprinkler 'forexistingdwelling 20.00 =
Altefations ' to existing residence 20.00 =
Water Tum Around 20.OD =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ~ Abandonment 20.OD =
}2PZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL I , S ~
I hereby acknowledge that I hava read this appliption, state that the infortnetion is arrect, and agree to compty with all applica6le City of Eagan ordinances.
It is the applicanYs responsibiliry lo notity the propeRy owner thatthe City of Eagan assumes no liabiliry for any damages caused by the City during its
nortnal operational and maintenance activ@ies to the facilities construded under this permd within City property/right-of-wey/easement.
SITE A~~RESS: `i ~ V s ~ • ~ ~
OWNER NAME:
INSTALLER NAME: I~ 2SS r TELEPHONE#: CO ~Y- Uo( ~J a-
STREET ADDRESS: °1(a ~ 1 ~ s-~ ~ ~ ~ S~-~ T ~ ' ~ ~
cirv: T. c~. 1~ ~ 1ti+,? s s ~ STATE: 1~ N ziP: SSo 7'~
~v i~-~?~'
,
SIGNATURE OF PERMITTEE
CD/PERMIT FORMSIRPLBG PERMIT (RES) - 1998 -
V CITY USE ONLY
LOT ~ BL ~ RECEIPT 7~~/~ a
SUBD. W~ . (it/d~{)4~ ~U ~ RECEIPT DATE: ~~7~0
199$ M£C~ilkNIC~L f'£fiMIT (!t£SID£NTIlEL)
crrY oe ensnA
S$SO PILOT KPO$ RD
£AfiAN MA S51EY
~ (6iE) 68~-a6~5
Date• n
Complete this section onlv if you aze installing HVAC in single fanvly, townhomes or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU `~~8-'
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Surcharge: ~ .50
. TOTAL: ~ * `~~U
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical pemvt is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace _ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS: ~/O I 1 L~ ! f~
~~~A ~
OWNERNAME: I^ ~ I) ('ni.ic j~t~ ~i~~l PHONE tl: C1 ~,`ZOUCJ
INSTALLER NAME: ( ~S / PHONE 7~SS' ~
STREETADDRESS: . Cd ~CC'L -
CITY: I^{)/ I' STAT'E: ~ ZIP: +.S `~r~ Z~
TJ
IGNATURE ERMITI'EE
ISlFORMS BLDMIECH PERMIT (RES) - 1998 ~
CITY USE ONLY
L BL _ RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: ,INSPECTOR
1998 M£CfilkIVICAL ~£lZA~I1T (GOMM~tCIi4L)
C1TY OF ~AfiAN
3$SO ~ILOT KNOB itD
£AfiAN,1NN 551 EE
(61E) B$1-4675
Please complete for. all commerciaUindustrial buildings
multi-family buildings when separate permits are not required tor each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: I% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per 51,000 of~ fee due on all permits.)
TOTAL ~
STI'E ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS ONLl~:
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
C!tyofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: f/
r
Use BLUE or BLACK Ink
For Office Use
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Permit #:
Permit Fee:
5, as
Date Received: j I A4
Staff:
13
JSite Address: ("
2013 RESIDENTIAL/'y (�%
BUILD( G PERMIT APP (CATION
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Type of
Name: CO(7
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Address / City / Zip: 2q 76 g„,,,{6,1 czcLpect,fru,3--5-3?=7
Applicant is:
Owner {^Contractor
Description of work: e.__0)X (�ee91✓1
Multi -Family Building: (Yes / No )
Construction Cost:
Company:
Address:
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City: em
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State:. ,/t/ Zip: j�^ Ol Phone: fJ// / 0 --olo 0 -F
License #: ep S 3e--0 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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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:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be pubh
the information may be classified as non-public if you. provide specifi s tha
are tradlesecre.
nformation..
ould permit
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuan
rcis
App icant's PMinted Name pplicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146661
Date Issued:11/06/2017
Permit Category:ePermit
Site Address: 4909 Slater Rd
Lot:002 Block: 001 Addition: Whispering Woods 10th
PID:10-83959-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Replacing water heater & shower faucet
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Federal Home Loan Mortgage Corporation
5000 Plano Parkway
Carrollton TX 75010
Larson Plumbing
3095 162nd Ln NW
Andover MN 55304
(763) 427-7680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149624
Date Issued:05/31/2018
Permit Category:ePermit
Site Address: 4909 Slater Rd
Lot:002 Block: 001 Addition: Whispering Woods 10th
PID:10-83959-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Bonnie Bowman
4909 Slater Rd
Eagan MN 55122
(701) 361-6084
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153821
Date Issued:01/24/2019
Permit Category:ePermit
Site Address: 4909 Slater Rd
Lot:002 Block: 001 Addition: Whispering Woods 10th
PID:10-83959-01-020
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Bonnie Bowman
4909 Slater Rd
Eagan MN 55122
(612) 518-6474
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature