4921 Slater Rd . . INSPECTION REC~RD
CITY OF EAGAN PERMIT TYPE: ' ~ ' ' °
3830 Pilot Knob Road Permit Number: ~
.
Eagan, Minnesota 55122-1897 Date Issued: " ~ '
~612} 681-4675
~ i i . . i , .
SITE ADDRESS: ~ , , , , APPLICANT:
. ~ l1Tf 17 M~I1 'v .1 Mr ~'r14?P
I . i , , „ i . 1 , . ~ l ! '
PERMIT SUBTYPE: TYPE OF WORK:
~ ~
. .
~ ~ ~;iir;,~,~ i ~ ~
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;l .i~l r~, i I ~,Fa { ; ~;s ~ ~ ;,t ,
~i~l~,i~ I(t 3 i. I~ ~I~.i~ 1 rl ~1 l i,
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' t~(~F~6 '~1 {~1 llMi~~ . 1~! I i ~ ~ . I:i i, ~ t~~: i I'f l I~~ :s{ I'; 1 t)r~ ~ I Ili WAh~~I~rl~~
~ ~
~ - ~J
. Permit No. Permit Holder Data Telephone ~
~
ELECTRIC S~~ , ~ 3°~
PIUMBING ~ ~y S~a- ~~Yi
HVAC y~ ~~j
Insp~ction e Insp. ,Commenta
FOO71 NGS
FOUND 5~ ` ~
/vy~
FRAMING Y1z~
ROOFING
PWMBING G"o7y-~ G.-~5 .
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL 7_ /
GYPBOARD
FIREPLACE
FIREPLACE /y~
AIR TEST ~ 7 i I~
FINAL PLBG ~E'
FINAL HTG '
ORSAT
TEST
BLDG FINAL ~ , ~ y F,~,~
-L
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
~ _ , % , l„ ~ ~ _ . _ _ . _
1.-.
r
C~~;e~~icate n~ ~ccu~anc~
~it~ o~ ~agan
~cpart~acnt oF ~riti~g ~x~recr~ox
T7tis Certificate issued parsuant to the r~quiren~ents of the Uniform Building Code
certifying that at the time of issuance this strr~cturt was in compliance with the various
o~inances of the City regrdating building constntction or use. For the following:
ux c~f,w;w,: S F Di~IG / GAR ewg. ~,m;, No. 2 9931
~r 7YP~ ~-3 U-1 zoning District R-1 rype Const. V~A
~~8,,;~;~ BUTLER HOUSING nam~ P Q BOX 24597, APPi.F vet.t.Fy 55124
4921 SLATEB RD ~~cy ~•S, BL,~~ SPF j Wr wnnns lOTH
~
, , _l
~~%7
? B~~ ~
PosT iN a coNSPicuous ~.ncE
~
AddiOSS 4921 SLATER RD Zip 5512 ?
LAt~ 5 Blk 1 $Ub WHISPERING WOODS lOTH
TbIESE ITEMS WERE / WERE NOT COMPLETE AT THE TTME OF E FINAL INSPECTION.
Date: ~ 97 Yes No Inspector: f
Final grade (6" from siding)
Pemtanent steps (gatage)
Permanent steps (main entry)
Permanent driveway •
Petmanent gas
Sod/Seeded grass
TraiUcurb damage f
Porch
Basement Fnish ~
Deck
Please verify with the builder the removal of [oof test caps from the plumbing system and [he shut-off of water supply to
the outside lawn faucet before freeze potential exists. ~ -
Contac[ engineering division at 681-4645 bcfore working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
US~N~s reqcest~ m%~~m wlidolio~~ ^ O ia 6ox.
IIII I IIII III) III IIIIIIIIIIIIII IIII III IIII ~9 / e[.
* 0 4 4 4 5 L 7 7* pLEASE PHINT OR TVPE
Reqoest ~ Ro„BM~ ;,,:~o~ .ey~~rcaa va. ? Na Inxpaclim OlF.er ihon Ro~ghln: ? Ready Now wai con
~You muslcallllie inrpaclor ready) Dak Ready: -
I, licensed conhacfor ? owner hereby requesl inspecfion of Ihe above electrical work ol:
l06 Addrev ISbael, Bo., ute Ciy Zip Code
Seclion Na. Township Name or No. Ronga Nn Fre No. Coony ^
Occu ~ ~ Phon .
P~ ~ .
onkoclor ~C«npan Nome~ Conhacbr L' nse . hbaler lk. No. (Plam Elat Dnly~
-r L ~c ~c~a?~
Mofltng Address ~Conh«tor or Qmer Perlormiig Inslpllofian~
°3 ~,U ~J'~ 1`c~1~ S~~ ~
ontra erPerf ming I Ilafion~ Ph No. ~
~ ~-3~
EB00001A-I 1 8 96 gTATE BOAFIU COPY - SEE INSTIiUCT10NS ON BACK OF YELLOW COPV
REQUEST FOR ELECTRICAL INSPECTION ' ~
4 4 4- 517 ~ Minnesota State Board of Electriciry
1ffii Universiry Ave., Rm. 5-128, St. Paul, MN 55104
5 a 7 Phone (612) 642-0800 '
~Home Duplex Apt. Bldg. Other: New Addn
Commerciol Indushiol Farm Remod Re ir
Air Cond. Htg. E uip. Wafer Hlr. Load Mgmt. O~er:
Dryer Range Elec. Heat Tem . Sarvice
°X" obove fhe work covered by fhis request. Enter remarks in this space and on the back of Ihe white copy only.
Calculata Inspeclion Fee ~ 7his Inspection Requesf will nof be accepted withouf ~he cofrect lee:
Other Fee # Service Entrance Size Fee R Circuits/Feeders Fee
Mobile Home Park Stall ' 0 to 200 Amps / ~ 0 to 100 Amps , Q
Streel Ltg./TraRic Sig. Above 200_Am s Above 100_Amps
Tmns(ormer/Generalor INSPECTOH'S USE ONLY TOTA S
Sign/Oudine Ltg. Xfmr.
Alarm/Remote Conkol
Swimming Pool i he. cen~ ~hai i~~: ihe i' desc~~bed m o rcs ~mred
Irrigation Boom Ro„9ha„ (p ~ Z
Special Inspection
Final Dare~ g
Investigative Fee
THIS IN5TALLATION MAY BE ORUERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
~~~~~~~~~m~~~~~~~~~~~~~m~~~~*m~~~~~~~~
CITY pF EAGAN
CASHIER: S 7ERMINAL N0: 34
DA'fE: 05/16/9i TIMEa 15:11:00
II~ :
NAME: E~F HOIL~ING r0
??.`~E. 3C701 4321 SLATER RD 4rS89. i i
r
Tota1 KecPip+, Amoi.an4,: 4~58~.'i.
CRUi4041,
l1SE:R [G. NANCY
k~~kx~%~~~~km~kX~%~#~Xc~cX~~k%~%c ~X~F~#%t~X~~k~X~k ~c#X~~k~k%~~k~c~k~k~kkc
- PERMIT
~C CITY OF EAGANO
3830 Pilot Knob Road PERMIT TYPE: a u r ~ o r n ~
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 9 31
(612) 681-4675 Date Issued: 0 6/ 1 5/ 9 7
SITE ADDRESS:
4921 St~ATER RD
L,Q7~: 5 C3LOCK: 1
6JHISPERING WOODS TENTH
P,I.N.: 10-8395S-~D5m-B1
DESCRIPTION:
~ n~' ~
~~a,~€~r2~~wPermiC Type SF DW~
~ t~3~~~~A~k~„t~,~~k Type NEW
~l8L: 3~~~4i1:'aa~~}~~ R-3 U-1
~ ~~'I~~r~€~'~~}3~[ ~ e VN ~
ar.
~uli`i.~i9 R-1
~
<< ; ~u5,3d,~t~g 1.^~tt~#'~}~ r;"~~ 3z
~ ~ ~ ~+~~;~~1~~~-~a~dxh ~ 5a
~ ' ~ 1,01 1 - FflM. DETACN
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a ~ ~-_~."r
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v~ E'" ,rs ~ ' ' y~"'^~ *
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~~~~.r~,g~,~~
REMARKS:
S*W PLUMBER = WELTER & BLAYi_OCK PROVIDL` DRIVEWAY TIJRNAROUN~
FEE SUMMARY:
VALUATIOM $167,000 ,
~ase Fee $1,222,25 MSSC FEES $1.539.5m
plan Ravisw $794.45 Tata1 Fee $4y589.71
Siarcharge $83.50
SAC $950.P~P~
SAC ~ 100
5AC Units ~
5ubtotal ~ $3,~60.21
~I CONTRACTOR: - App~icant - sT. ~IC.OWNER:
6iJ7LER HOUSII~G GORP 14314132 @0d1715 BUTLER hIUUSTNG CORP
P 0 BOX 24597 . P q BOX 29597
C~,PPLL•" VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-~4132 (612)405-666~1
~ ~YeA`fzb,y' ~~i~i~z1W,~~d~~ "~i1~~1`C`~ ~ h~V~ ~~z~d ~l~i~~ ~~p1~~C~aCks~#fi ~i~~ '~hhfi~~ ~he.
~ ~ ~n-~aran~~~~.~~ .~s ~a~~~~~ t~aa'd ~e,~~~ ~~~~~~tp~~ ar~~~a ~g~r#~~~~'~~,~ Mr,'r ~ ~
SLt~~`~~e~„~~d ~f ~,~4.#~~ 1~r-e~~rr~r~~~~~ ~
~ ~ _ ~ ~ _ _ _
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O.[ ~
~ LICANTIPERMI SIGNATURE . UED BY: SIGNATURE
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)~~~~~j ~
p~~ ~ 3 r CITY OF EAGAN /
3830 PILOT KNOB RD - 55122
681~t675
New Construction ReouiremenTS fiemodaVReoeir Reouirementa
? 8 registered ske surveys • 2 copies of plan
? 2 copies of Dlans pndude beam & wirWow staea; poured fid. desipn; etc.) ? 2 site auneys (exterlor adEitiona 8 decks)
? 7 energy calculetlans ? 1 eneigy eelwlatlons for heated eEtlRfons
? 3 copies oTtree rvatlon plan H lot platted after 7/t193
~equired: ~Yes _ No '
DATE: ~ ~ CONSTRUCTIONCOST: ~
DESCRIPTION OF WORK:
STREETADDRESS: ~7'"1~ SL.~~~Z. ~{~D
LOT ~ BLOCK I SUBD./P.I.D. ~
~
~ '
PROPERTY Name: ~~'e r~~~~ Phon~ I~ Z'
~
OWNER w* ~ ~~~.1 vo~cc~ in~i~
StreetAddress: ~
City: ' ~ ~ ~'E'i State: `V Zip: T ,
~
CONTRACTOR Company: °~`i~"~ '`":~~EY ~
~ Phone
Street Address: 1'- License ~ 7
Ciry: ~ 1 'e~' State: ~~~N ~ Zip: ~
~ " , .
ARCHITECTI Company: ~~d r ~ ~ ; ~ ; ~ ~Phone
ENGINEER
Name: ~Q q
1 i'Y~..~~' ftegistration #:~Lf?
RECEIVED
iNAY 0 6 1997 Street Address: ~~1b~ ~
C ~
, ~
BY: City: State: ~ ~ Zip:..~~~ZZ
~ , ~ ~ ~ .
Sewer & water licensed plumber (new construction onty): ~I~ t~ ~+~-Penatry applies when address change
and bt change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is wrtect and agree to wmply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
-d
Signature of Applicant.
,
OFFICE USE ONLY
Certificates of Survey Received Yes _ No
Tree Preservation Plan Received ~ Yes _ No _ Not Required
I
OFFICE USE ONLY
SUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
~ 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex n 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-piex ? 14 Fireplace n 21 Miscellaneous
0 05 SF Misc. 0 10 = piex a 15 Deck
WORK TYPE
~ 31 New o 33 Afterations o 36 Move '
n 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. _lll~- MCNVS System
(Allowable) Main level sq. ft. ,S City Water
UBC Occupancy I ~a~sq. ft, 1B+vZ-~T.7'S Fire Sprinklered
2oning ~sq.ft. Co3Z•S- PRV
# of Stories t sq. ft. Booster Pump
Length 'I sq. ft. Census Code. /0/
Depth Footprint sq. ft. ~ 32 SAC Code ~i~
Census Bldg
APPROVALS Census Unit ~
Planning Building Engineering Variance
Permit Fee Valuation: $ ~
Surcharge
Plan Review
License ,~l~~~I~VT - ~`IA//S/~~ - 7~x~ S _ a ~ /~75, ~
MCNVS SAC )
city sAC - UrvFi.v/st~~ ~ f.s--,~• /S 9ZS, oa
Water Conn.
Water Meter
sn~iv~P
em~t tt `~/~K'~ - ~O ~2 , s~ X> 6=/D~ i2o, 32
S/W Surcharge
Treatment PI. 9-,~ZiY S~ =~l~ ~D$ . 0 0
Road Unit
Park Ded. l'7, ~x l/~ 7r~s ~
Traits Ded.
Other
Copies
Totai: ~'A h.-Dd2 ~ I Z2S. 75,1' s`7~ ~P (p~ f~O. ~
% SAC
SAC Units
C~~,~ i~'~t~ °~.~.~v~vv.~~v~, 82
ENERGY CODE WORKSHEET FOR 1& 2 FAMILY DWELLINGS
SZTS ADDRH9S ZI S ~S/r'Ti+~ ~CITY T"-!~~
COMPLSTBD 8Y: u ~ ONH ~ I~ ~r DATS ~
HIIILDING CLA59IPICATIONs ? aatsgory 1(muat include ventilatioa) or 0 catsgory 2(ataadardl
1[INZMVM CRITBRIA
Foundation Insulation-R10 Walla 4 Wiadowo Roof Attio Iaeulwtioa~
(See table on reverse side
Slab on Grada Inaulation-R1D for allowable percentages) R99-With Attic No Heel
Floor over unheated epacee-R24 ~ R38-With Attic Raised Heel
Foundation Windowa 1/2" R38 & R5-SOlid Raftere.
ineulated Glaes.
-Wood or Vinyl Frame
8T8P 1 Wiadow i Door Area STSP 2 Calculats area as a perceat of wall
A. Total Wlndow & Door Area in 8q. Faet
WINDOWS (Including Fo',uqndati~on eW~i/~ndowa):
WIDiDOW MANUFACTURB NAMBs W(„~~`x'"-' C. From Step 1 divide 6ox A(Window & Door
't~,,A,'O'~D VV Area) by box B(total wall area) timee 100
WINDOW MANUPACTURB TYPBt~r+yc~~r equals the window and door area ae a
percent of wall area (6ox C).
WINDOW 2SANU8ACTURB II PACTOx: " ~~Z'~L
R, p, Quantity eq.ft.Area HoX A X 100 = C= f~'~(~4
SOX B ~ v
Dlmeneione ~S~y~ ~
g 9TSP 3 D~aign Featuree
X ASSEMBLY
X ~ FRAMIN6 TYPS: Xp~
X STANDARD FRAMING "/v s[uds 16" o.c..
X . ADVANCED FRAMING etude 24" o.c.
. X CAVITY INSULATION ~ ~
X SHEATHING TYPB:
X LESS THAN < R-5 v
x R-5 ~ OR MORE
x U-FACTOR u~
OOORS: From the table, (reverse eide) determine the
maximum percent window & door,aiea for the
deeign options selected and enter the ~ value
x in Box D below baeed on the window mfg. U-
factor:
3 D
X ~
Total Area of Ao eq.ft.
Windowe & Doors
B. Total Wall Area in Sq. Ft. The ~ value from the table in Eox D shall be
equal to or greater than the t in Sox C
Wall Total Height Area
Perimeter
f Q
Total Arua of W:+llo B= sq.ft
4
Page 1 OF 2
BUTLBR HOUSING CORPORATION
AD_DRS88; 4921 SLATER ROAD~ .EAGAN_R HN... 55122
WINDOW RND DOOR SCHEDULE
QUANTITY TYPE SIZE FACTOR WIN~OW
4PENING
0 BASEMENT 27 X 14 2.60 0.00
2 PATIO DR 6 X 6 36.D0 72.00
0 CASEMENT 14 X 38 3.70 0.00
0 CASEMENT 20 X 48 8.54 0.00
0 CASEMENT 20 X 60 10.89 0.00
0 GLIDER 26 % 48 8.60 0.40
0 CASEMENT 24 X 42 9.04 0.00
1 DBLE HUNGS 30 % 16 6.60 6.60
3 USLE HUNGS 40 % 26 14.40 43.20
9 DBLE HUNGS 32R24/36 15.80 142.20
2 OBLE HUNGS 20824/36 8.33 16.66
3 DBLE HUNGS 20 X 22 7.90 23.70
9?BLE HUNGS 32 X 2b 13.60 122.40
0 DBLE HUNGS 24 X 24 10.20 0.00
0 SIDE LTS. 1% 1.3 6.20 0.00
29 T~TAL GLASS AREA: 926.76
DOOR SCHEDULE
QUANTITY TYPE SIZE FACTOR DOOR
OPENING
1 THSRMATRU 3'-0" X 6 19,00 19.00
1 THERAtATRU 2'-8" % 6 16.80 16.50
O.DO 0.00
0.00 0,09
0.00 0.00
0.00 0.00
TOTAL DOOR AREA: 35.80
TOTAL WALL WIN?OW AREA: 354.76 U-VALUE 0.361
TOTAL PATIO DOOR AREA: 72.00 U-VALUE 0.367
T4TAL 8A56MENT WQW AREA: 0.00 U-VALUE 0.921
TOTAL WINDOW AREA 426.76
TOTAL DODR AREA: 35.80 0-UALUE 0.066
v
Page 2 OF 2
TOTAL AREA- WIND4WS & ?OORS: 462.56 [A]
TOTAL AREA OF WALL: 3,356.50 [B]
ACTUAL. WDW & DOOR AREA AS $ OF WALL: 13.78~ [A] ~[B]
ST 0 WA~LI ~RAl4IN0]
S~IHATHING >R-S. IN804~ I~~9y WINDOW U.36 = 14,00~ MAX WD~V~DR AR6A
r.-~_......~....-_.~_......
BUTL~ HOUSING CORPORATION
AD~8E88_ 4921 SLATBR ROIlQ, BAGAN~ MN•_ 55122
~ ~ Surveyor's `Certificate
~
SURVEY FOR : eut~er
DESCRIBED AS ;Lot S, Block 1, WHISPERING WOODS 10TH AD~ITION, City of Eagan, Dakota
County, Minnesota and reserving easements of record.
_\C~~
~ Yr~
S~~
~
~
~37.33-~
1
-VkCANT- 14.6 22.6
~
q24.5
89'47'10" W 142 46 Gsz.4 4s33
- s wm m~. m-- 30.0 9~-~ I
I~ a 9-r7.6 ~
~ 9° _°i~982.9 _ ~ n
1 r-- ---ol --o -
~ 2
POND II I °o °o~ ~ Iap„°K, ~ r,~
AP-3Q3 i x ~ x 980.3 2s. s 98l~~ IxN~e „f `h .
~ ~ Nw~-915.0 ~ 91b.b ~ .9 ~ ~
HWL'915.7 ~I ~ ~1~ c,+ AI I ~ ~ I
p ~ ~ o Proposed a w~ I ~ ~ ~ y ~
X ~ ° 2-Story i"„ c~sq ~ i ~-~1
(J~ 4169 ~ ~l. 12cs. w/o I I - I I
o ~ ~ w z.ao I _ ~ N
Deck Ga~ ~ I
m ~ ~ m s.oo ~
(p I q8~ m 30.0 98.
B.o .
(P . I
i 12."n7 Garage ~ 9~. ~ ~t7
=6 X I X N I I ~
0 916.5 ~ 8. p, ~ 2A ~ . .
~ ~-V~ ~ ~ b ~
q7 ~ ~ 9gq.4 20.s7 .
~ a w 989. ~ ~ io I
L---- I ol _~-w - -J I
--ai- o.o ss
9~13 S 89'47~10~~ g142.46 ~o.l ~q9o~.1 a89.5
917.3 ~ r-- ~
: ~
~ ~
~ e,~,t. Ho~.
~ r.e. = 44~,.80 ~
LOT SQ. FpOTAGE =i 1, 533
L- ,
I
I
~~,~J~~,JA`~ ~
~tiuJ~~ L ~v
( ) ~ N~ ~l~,A"~^~o .v .
.~~i.~.;~-_ . i :~~j\~r: r~.T r,,7x.,
. .P T 3?. x•
PROPOSED ELEVATIONS
BE~ICHMARK,
Top of Foundation = aao.o
Garage Floor =98?.~
Basement Floor =qgi.q
Aprox. Sewer Service = q~~,.2 MIN. SETBACK REQUIREMENTS
Proposed Elev. _ ~
Existing Elev. = front - zo House Side - io
Drainage Directions = Rear -4o Garage Side-5
Denotes Offset Stake = • SCALE: t Inc~ = 30 reec
JOB N0:
I HEREBY CER'f1FY 1MAT THIS IS A iRUE AND CORRECT REPRESENTAiION 9~R-~13
OF 'fHE 80UNDARIES Of THE ABOVE DESCRIBED PROPERN AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AN~ DOES NOT PURPORT TO BOOK: PACE:
PLdNNING SNCIN6ERING SURV6YINC SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
e
2005 Pin Ook Drive ~
Eagon, MN 55122 DATE ~/~=9/G? -.f.`~~ ...{~~.,~.r..... CAD FILE:
Phone: (612) 405-6600 / ~ D. LINDGREN, LAND SURVEYOR
Fax: (672) 405-6606 l~~' MIN OTA IICENSE NUMBER 14376 OuNer q~
~ LOT SURVEY CHECKUST FOR RESIDENTIAL
. BU DING PERMIT APPLICATION
` PROPERTY LEGAL: ~ O T-L-rG'~~-~f
~ ~ DATE OF SURVEY: ~ z
~ ~ LATEST REVISION:
~ ~ m
~ ~ DOCUMENTSTANDARDS
s
~o ~ • Registered Land Surveyor signature and compa~y
~ • BuUdingPertnitApplicent
~ • Legal description
rr~a ? • Address
~ • North arrow and scale
~ • House iype (rembier, walkout, splft w/o, split entry, lookout, etc.)
~ ~ • Directional dreinage aROws with slope/gradient %
~ • Proposed/ebstlng sewer and water services & invert elevatlon
~ ~ ~ • Street name
~ ~ ~ • Driveway
ELEVATIONS
/ -9
Q/j ~ • Sewer service (or Proposed)
C~g ? • Propedycomers
~ ~ • Top of curb at the driveway
~ ~ • Elevations of any e~dstlng adjaceM homes
Pronosed
~ • Garage floor
? ~ ~ • First floor
~ 9 ? • Lowest exposed elevation (walkouVwindow)
~51 ~ • Properly comers
~ ~ • Front and rear of home at the faundation
PONDING AREA fif aoolicable)
? • Easement line
~ ? • NWL
? ? • HWL
g ~ ~ • Pond # designation
~ ~ ~ • Emergency Overflow Elevation
DIMENSIONS
~ ~ ~ • Lot IinesBearings & dimensions
? • Right-of-way and street width (to back of curb)
~ a ~ • Praposed hame dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footi~gs)
~ • Show all easements of record and any Ciry utilfies within those easemenTs
? • Set6acks of proposed structure and sideyard setback of adjacent e~assting sVuctures
~ ~o • Retaining wall requirements, if any
Reviewed: ~
ame / D t
January 1996
CRAIOI BOQIBL06PRMT.FM
Cities Di ital uality Control
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CITY USE ONLY
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LOT r BL ~ ~~E~r 7"5/5
SUBD.(~/ O ~ RECEIPT DATE: /9 ~
1997 MECAANICAL PERMIT (RESIDENTIAL~
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
/ /O~ n~ (612) 681-4673
Date:
Complete this section onlv if vou are installine HVAC in ain¢le familv. townhome, or condos that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00 ~
ADDITIONAL 50 M BTU 6.00'~
• Gas outlets ( minimum of one required @$3.00 ea.) ~1~,3 = l~~
• State Surchazge: • .50
• TOTAL: ~
~
Complete this section onlv if you are remodeling addine to, or reaairinQ eaistin~ sinQle family
dwellings, town6omes, or condos.
_ Add-on furnace _ Add on air conditioning
_ Add-on 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
Totai: $ 20.50
SIl'E ADDRESS: I
OWNERNAME: ~f LI ~~1~ PHONE#:
INSTALLER NAME: . E L~L O PHONE Q/~ V'C~7 G~
STREET ADDRESS:
CI7'Y: / ~ ` STATE: / ' ZIP:
SIGNATURE OF PE ITT'EE ~
R
CITY USE ONLY
~ _ BL _ RECEIPT#:
SUBD. RECEIPTDATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CiTY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 ~d675
Please complete for. . all commerciaUndustrial buildings.
~ muiti-family buiidings when separate permits are ~ required for each dweliing
unit
DATE: CONTRACT PRICE:
W04K TYPE: NEW CONSTRUCTIOPI iN i ERIGR INiPROVEMENT
DESCRIPTION OF WORK:
~
FEES: ~ $25.00 minimum fee ~ 1°h of contract price, whichever is greater.
? Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of pg~ fee due on all pertnfts.
CONTRACT PRICE x 1 °/a
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLI~
INSTALLER:
ADDRESS:
CITY: STATE: ZIp;
PHONE
I
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY ~y~~p~~
l. .2 BL ~ RECEIPT .L7~~~
SUBD. W~. DATE: 9 7
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 551:!2
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos whcan permits are required for each unit
FIXTURES EACy b.Q. 70TAL
Shower 3.00 x ~ _ . oa
Water Cioset 3.00 x ~ = d, o 0
Bath Tub 3.00 x .2 = (o, d o
Lavatory 3_0~ x b = g,oo
Kitchen Sink 3.00 ;c i = 3, o0
Laundry Tray 3.00 :c 1 = 3, o0
Hot TublSpa 3.00 :c =
Water Heater 3.00 :c 1 = 3, o0
Floor Drain 3.00 = 3, B o
Gas Piping Outlet ' minimum -1 3.00 :t o 0
Rough Openings 1.50 _
Water Softener 5.00 x =
Private Disposal ` Dakota Cty. I(cense 65.00 =
(new and refurbished systems)
U.G. Sp~inkler ' home under const. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL S'7, Sa
SITE ADDRESS: y 902 I ~ l a~e ~ /(~c~ .
OWNER NAME: ~u ~'/e ~ ~o at s i~ ~
INSTALLER NAME: f e~' °F- ~7 Ia a c/F', ~i
STREET ADDRESS: ~Sv ~ ~ /~li; , ~
CfTY: /~cr i^t~S ~i STATE: ZIP: S~ 3 3 7
PHONE ((o/~ ) R S' ~ - cS' (0 8/ ~ ~
G~
. ,
OFFICE USE ONLY
L _ BL _ RECEIPT •
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
C1TY ~F EAGAAI
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ~ all commercial/industrial buildings.
~ muiH-family buildings when sPparate permits are 94S required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK: _
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING~
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLEDI YES NO.
FAILURE TO PRaVIDE THIS INFORMATION WILL RE3UL1' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY POR A SEPARATE U.G. SPRINF(LER PERMIT.
FEE: $25.0o minimum fee or 1~0 of contract price, whiche~~er is greater. State surcharge of $.50 per
$1,000 of Qermit fee due on all permits.
CONTRACT PRlCE x 1°k
STATE SURCHARGE
TOTAL
clTFpnnRFSS .
TENANT NAME: STE. #
OWNER NAME:
lNSTALLER:
A~DRESS:
C~TY~ STATE: 2~P:
PHONE SlGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4921 Slater Rd
Lot: 5 Block: 1 Addition: Whispering Woods 10th
PID:10- 83959- 050 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Pronto Heating & Air Conditioning
7501 Washington Ave. S
Edina MN 55439
(952) 835 -7777
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
Segundo Simbana
4921 Slater Rd
Eagan MN 55122
$50.00 0801.4088
$0.50 9001.2195
$50.50
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
Mechanical
EA084051
07/07/2008
ePermit
Use BLUE or BLACK Ink
r
I 411k For Office Use
r,, I
n -1
City of Ea afl ; Permit#:
J I I
I Permit Fee: 105. a.5
I
3830 Pilot Knob Road I y~ I
Eagan MN 55122 Date Received:/
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name- 12'zo , hart Phone: C~ 7 SZ- 2/0^ y2
Resident/ - 11~~ l
Owner Address/ City/ Zip: Y?Z / ~.`S`4 T-e Zoo,/
Applicant is: Owner ~'C Contractor
Type of Work Description of work: t"2 ('15 CP Construction Cost: 75-0 Q . Q ( -14
Multi-Family Building: (Yes / No )_t)
Company: J. e/2SBr? ~~f clro Contact:
Contractor Address: 2 3 {J Goy d~ City: Sf . L o Let, S, Stater Zip:;jj7 y2 (v Phone: /JZ^•-
License &00 7 7V® 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: Phone:
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 they 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.gopherstateonecall.org
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 issuance.
X. Cry e x 4~~
Applicant's Print d Name Applicant's gnature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147691
Date Issued:01/26/2018
Permit Category:ePermit
Site Address: 4921 Slater Rd
Lot:005 Block: 001 Addition: Whispering Woods 10th
PID:10-83959-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Joseph L Strande
4921 Slater Rd
Eagan MN 55122--236
(952) 210-4231
Tri County Water Conditioning Inc
325 Third Ave NW
P O Box 65
Huchinson MN 55350
(320) 587-2950
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167581
Date Issued:03/22/2021
Permit Category:ePermit
Site Address: 4921 Slater Rd
Lot:005 Block: 001 Addition: Whispering Woods 10th
PID:10-83959-01-050
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 -
Joseph L & Abigail E Strande
4921 Slater Rd
Eagan MN 55122--236
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature