4925 Slater Rd INSPECTION RECORD
C1TY OF EAGAN PERMIT TYPE: ' ~ " ' ' r'" `
3830 Pilot Knob Road ° Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: 4'~~ %"a
(612) 681-4675
SITE ADDRESS: ` ~ ~ " ' ~ ~ ~ ~ ~ APPLICQNT:
i u ? , 7~ ~
? ' ' ~ { F4 ~ ~ i: ~ i ; : 1 i ~i ' ~ ~ ~ i ~ i : ~ i.i , - ~ ; ~ : i ~ i ~ . . ~ i ~
i f.~ I,! I llt: I li~llli . 1 ti~ 1 il i~ 1 , ~I' „i± . 1
PERMIT SUBTYPE: TYPE OF WORK:
r!; I I~~t, ;1 t; f,~~rl
• •
. .~~I ~ LI:. ~ l'~l' iil . ! 1 ;i:A
~;~Illi~~~ ~ I`~ S' ( P:~. ' I 7 i~'.
~ " ~
~ ~
Permit No. Permit Holder Date Tetephone M
ELECTRIC
PLUMB(iVG
HVAC
Inepection Date Insp. Comments
FOpTINGS
FOUND
FRAMINC~ /
b
ROOFING
ROUGH _p_/'~ ~
PLUMBING J
PLBG
AIR TEST
ROUGH 6
H~ATING (,Q
GAS SVC
TEST
~NS~~ 1 ~s
=~3~~6 ~
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINALPLf3G G~~/q/
G (v
FINAL HTG ~~/Q! j ~ k
( !O ~K!
ORSAT
TEST
BLDG FIIVAL
BSMT R.I.
BSMT ~INAL
DECK FfG
DECK FINAL '
- ~ . _ _ -T
~ . .
~'1'-~~ _ t-,~~~-~~ a~ ~
- -
INSPECTION RECORD
~ CIT~`OF EAGAN PERMIT TYPE: `
3830 Pilot Knob Road Permit Number: ~4
Eagan, Minnesota 55122-1897 v Date Issued:
(612) 681-4675 .
. ,
SITE ADDRESS: ~ ~ ~,.i : ~ r . • , APPLICANT:
`i aTC- k ku ;~~~rti . ~ p~~ .,~~rr~A~
~
~ i;I ~ t E,;~ ~ I~~~~~~ . ~ 4, ; 1. ~ i ,.;c; , r
PERMlT SUBTYPE: TYPE OF WORK:
.~i~,i. WI t~
• •
, ~ i~~a~. . ~~~~~F~{~!1 i 1 t+Pl
~ , ;;~k~ t Ni~ "r.,,, • , . ; ~~~~I 1 r~~a
~ 1;•.fll ft 1 1 ~~P~ • 1 i f f t I;`~,~ {
: t~ll~tt! 1 f~ 1`1 {tl, ' 1~~11i~~1 I 11 li I~,
tl~~! I I I`•~~ i I Dal11
.~;,(~.Rl' . ~ F1 f~; i{I 41r1 I i tt: ~ i t~r;rJ I~ S 1~~.~
)
. ° " ~
~ ~
Permit No. Permit Holder Date Telephone ~1
~ ELECTRIC 5' ~'Q~ ~ //oQ$ ~y(p ~ ~D
• PLUMBI q~,~.+ ~ ~ ~ 3'~~
HVAC ~ / ~L ~ ~
Inspectio~ insp. Comments
FOOTINGS f~~ L~
<
FOUND d~ 2 o~a~ „ ~Q
.7 3' f 4~i
~9G h~ ~ .~aa r.L.~~
>
FRAMING I7~ Q ,¢~~c~V
L
ROOFING
ROUGH y~~
PLUMBING
PLBG kr
AIR TEST
ROUGH / ~
HEATING ~~-lyJ ~ 5 9b - •
GA5 SVC ~I~ /
TEST E
INSUL ~G' ~
O o~
GYP60AAD
FtREPiAC~ ~r~~
q~p
AIR TEST E ~'Y'"~O il~
FINAL PLBG ~`p~~ ~
0
FINAL HTG lfJ/ ~~~f
'zy
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL
•~i~L~- ~
(~e~~cate o~r ~ccu~anc~
~i~ ~
~epiart~acRt e~ ~~t~~ng ~»~ccrion
This Certificate issued pursuan~ to tfu requiremerets of the Uniforrn Building Code
certefying thar at the tinre of issuance this stnectuir was in compliance with the variour
or~inaRCes of the City riegulating building canstruction or use. For the following:
Utt Classificatiac ~P 1I+~~ Bidg. Permil No. uTl ~
p~Ky 7y,p~ _~,'~[J ~ T~oing pistria Type Cons~_ ~
Ow~raFBuilding iYN _~9fN F~'M!~'S Address 4fi'~9 ~17ft QTiY3? AAr~.eu
&riWing Addrcss Q ~ ~~NY
" ~ d
~ ' - u~:
, ` s~~ ~
POST IN A CONSPICl10US PLACE -
r
1
~
L._ .
Address 49z5 s[ar~a ~oao Zip 5512~
L,ot ' 6' Blk ~ Sub WHISPERING t~mnS IorN
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: , ~ ~J'~ Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage) ~
Permanent steps (main entry) r/
Permanent driveway
Pennanent gas
Sod/Seeded grass ~
TraiUcurb damage
Porch ~ .
Basement finish 1~
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the oufside lawn faucet before freeze potential exists.
Contad engineedng division at 681-4645 before working in righbof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~
2 5 2- 7 0 3 ~ OFFl E US NLY This reqoesl vaid 18 months (mm volidafion date pnnled in fiis boz O~
,~a5~~ 5a~'
O
PLEASE PRINT OR TYPE ~'~1's~ ~
Reqyit
Dok~4 Roogh-m Inepection mquimdi Yes ? No Inspection Olher Than Rough-In: 0 Ready Now ~+Will Call
~ ` (You masr mll the inspecbr when rwdy) Dule Ready:
I, ~ li e nhador ? owner hereby requesi inspedion of }he above elecfrical work at:
Job s , oe, or Rauk No.) Ciry Zip Code
5~z~.~' Jl.~t~~~ .e-~g~ ~~~s~ :~s1~/
Satlion No. Tawnship Name or No. Range No. Fire No. Covnry n
~!f !
p Phone No.
~~n ~'oh.~r-.~.n ~ <.s ~S~^ o ~"'S0/
PowsrSupplier Mdress
~?,4IL0 fi.e F~u~' ~-3~°~;:~ ~ ~
Elacfiml onrvacior ~Company Name~ / Contmcbr mnse Na`. ~ Maskr bc No. (Plant Elxt Only~
^Jfi ~/~~/~i~. ~~14~~
Moiling lddress (Cammctor or Pwoer Pedorming InsMllanon~
Z~'oY~' ~',x ~~~c ~vc. 2.9 k~o; /1~ ~i.9 ,f~ s%~
A~Iho' Si naNre~CommMr~rOwnerPeAormirg~ PMneNo.
32z-~~~9
EB-OOOOIA-10 6/95 SiATEBOAIIDCOPY-SEEINSTHUCTIONSONBRCKOFYELLOWCOPY
I II I II II IIIII ~I I II ' RE~UEST FOR ELECTRICAL INSPECTION.Sc~
Minnesota State Board of Elactricity ,
1821 University Ave., Rm. S 728, L Paul, MN 55104 J`.~
* 0 S 2 7 0 4* Pno~e (si2) saz-osoo /QI~'
Home Duplex Apt. Bldg. Other: New Addn
Commercial Indusfrial Fartn Remod Re air
Air Cond. Htg. Equip. Wafer H}r. Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
'X" a6ove fhe work crnered by fhis request. Enfei remarks in fhis space and on the 6ack of }he whife copy only.
Cafculate Inspecfion Fee - This Inspecfion Requesf will noi be occepfed wiffioui ~he corred fee:
OHier Fee d~ Service EMrance $ize Fee 3F Ciraiils/Feeders Fee
Mobile Home Park Stall / 0 to 200 Amps fJ^;y~ 0 to 100 Amps -.U
Sheet Lig./Traffic $ig. Above 200 Amps Above 100 Amps
Transformer/Generafor INSPECTOR'SU3EONLY TOTA~j
Sign/Outline Lig. Xfmr. ~/9 CJ J~
Alarm/Remote Control v ~
Swimming Pool I hemb ~an~ fia~ i m: ~~d mo.ien
~ ~oewllo ~ < ~b o~+~e dere..w~<d
Irrigotion Boom Ro~9h-In k^~ p
Special Inspedion ~v
Final Dah
Investigative Fea - 'Q
THIS INSTAWITION MAY BE ORDERED DISCONNECTED F NOT COMP ET 18 MONTHS.
PERMIT ~ ~'S~~°~
~ ~ CI7Y OF EAGAN
~ 3830PilotKnobRoad PERMITTYPE: auz~ozNs
Eagan, Minnesota 55122-t 897 . Permit Num6er: 0 2 715 2
(612) 681-4675 Date Issued: 0 3/ 14 / 9 6
SITE ADDRESS:
4925 SLATER Rp
LOT: 6 BLDCK: 1
WHISPERING WOODS 10TH
P.I.N.: 10-83959-060-01
DESCRIPTION:
~j-~_
Build g,Permit Type SF DWG
~Huild3,r~g ~W~_rk Type NEW
~~UBC Qeeupano~°~ R-3 U-1
Construct3on T`ype V-N
/ Zaning R-1
f , Buil~l~n~ l,~ht~~ki 64
~ 8uildirig Widtih ; 50
t-, 6uild'i,ng stories f-'F 1
~`"_~--~~S~~are Fee~t...,~;--~ 2,217
~G~`.[~~,~~i~,.~aite'' 101 1 - FAM. DETACH
j{ ~ Gx r^
r
~ i ~ ~ 7i~~~ ~ I
~ `z~ ~ ~ k ~ ~j~ ' 4, -_....J ~ .
v ~
~~~a'.."`-+,.' u ,
REMARKS:
S& W PLBR - MATTHEW DANIElS PLBG
FEE SUMMARY: •
VpLUATION $120,000
Base Fee $967.25 MTSCELLANEOUS $1,923.50
Plan Review $493.63 Total Fee $4,364.38
Surcharge $60.00
SAC $900.00
SAC ~ 100
SAC Units 1
Subtotal $2,440.88
CONTRACTOR: - Applicant - s7. ~zc.OWNER:
JOHNSON HOMES INC, DONALD 14560034 0001603 DON JOHNSON HOMES
4639 PARK RTD~E DR 4639 PARK RIDGE OR
EAfiAN MN 55123 EAGAN MN 55123
(612) 456-0@34 (612)456-0034
Z here~~~~by acknsawledg~_~hat S'~have r~.ad thi~ appli~~~~a~tipn ~rtd sCa~e tMa~ ~he
information is correct and agree tn comply with a11 applicable 5tate nf Mn. `
Statutes and Cit of Eagan Ordinances.
~ _ . ~ _ . _ _ _ .J
~ (~Plf! ~1~D,t~ ~ ~
APPLICANT/PERMITEE SI TURE ISSUED : SI ATURE
` CITY OF EAGAN ~a~
3830 PILOT KNOB RD - 55122 ~ ~
7996 BUILDING PEFtMIT APPLICATION (RE5IDENTIAL)
681-4675
New Construdion Reauiremenls RemodeVReoatr Reovirements
? 3 registered sRe aurveys ? 2 eopies ot plan
? 2 copies of plans (inGude 6eam & window sizes; poured fid. design; etc.) ? 2 site surveys (ezterlor add8ions & decks)
? 1 energy ealculatfons ? 1 energy caleulatlons for heated additions
? 3 wDias of tree servetfon plan H bt p~atled aRer 7/1/93
required: Yes _ No .
DATE: s21~s7Slo . CONSTRUCTtON COST:
DESCRIPTION OF WORK:
STREET ADDRESS: ~9~~~-~-
LOT ~ BLOCK ~ SUBD./P.I.D.
• ~ii.B~ryr,a~a..w uJe-x-d~-o~ /0 S~
PROPERTY Name: ~~0~" Phone
OWNER "
Street Address
City: State: Zip:
CONTRACTOR Company: ~~P""~-"~ ~ Phone `p03 Y-
Street Address: ~ License ~bd~
City: ' ti'-~ State:/~~ Zip: ~z'
ARCHITECT! Company: IJ~-~-~-~' Phone h`-SL 07L~
ENGINEER `
Name: Registration
Street Address ~~`''`b~'~`
City: G~-~- State: Zip:~~L z
Sewer & water licensed plumber. ~Z+--~-1~~1 ~~c.,~.-:-'L- • . Penalty applies whe~ address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
appliqbie State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE L1SE ONLY ~
Certificates of Survey Received _ Yes 5 1996
Tree PreservaGon Plan Received ~ Yes _ No
L~.~a'4V
OFFICE USE ONLY "
BUILDING PERMIT TYPE `
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
~02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. a 10 = plex o 15 Deck
WORK TYPE
~31 New ? 33 Aiterations ? 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. S~ ~ MC/WS System o~-
(Aliowahle) Main level sq. ft. i, s~ City Water
UBC Occupancy /~-3 sq. ft. Fire Sprinklered
Zoning !L-/ sq. ft. PRV
# of Stories /f~s~ sq. ft. Booster Pump
Length ~ sq. ft. Census Code. la/
Depth 5~ Footprint sq. ft. Z-, z- ~ 7 SAC Code ~
~ ~ Census Bldg _1_
Sr~ 3° Census Unit
APPROVALS ~
Planning Building Engineering Variance
f
Pertnit Fee Valuation: $ oa~
Surcharge ~~'~N
Plan Review
License Yx ~
~ ~j"' ~
Mcnrvs sAC yK Zy = 96 5~~~
Clhl Sl4C ~_,Z X /f.S ' /7 ~ J
water Conn. _ /5' ~zF ~ s~ _
Water Meter /O F~'s ~~o ~ I~ b~
Acct. Deposit K r-
SNII Permit ~ X ~J~ ° 9yD ~S- ~
S!W Surcharge 36 ' ° / 5'6/~
Treatment PI. 7 = 3 f 3~//S
Road Unit 3.-X ~ 7 = ~5" ' ~ '
Park Ded. ZX iv = z~
Trails Ded. ~y `,~2~ .
Other ca"r / x
Copies i, s~~ xsy` Z~ k 3 0 va
~
To~~: (o Y7 . 5 3 X G = yo
2 x T~ -
% SAC Z7 = C'/~~
SAC Units `G "
l ' 67S ~
/G =
~
!~T•d'L : ~l~ p/~
~ ~
F'tB 28 '96 16:~9 TO 4560051 Fi<OM PROBE ENGINEERING T-972 P.02
.
CONSUlTINO EN3 NlfBS ~ONlllO (~O.y1L5'A(1 /~ES '
AQ~E PIpNHEliS ond ~AND 3upVEYO1IS ppo~ecrwo. 7243,d/
EN61t~EERING B~~K
COMPANY, INC• PAGE 4-
~ iQ00 EAST 1461h STREEI. BURNSVILLE, MtNNE30TA 553i~ PM 432-3000
CERTIFICATE OF SURVEY
Legal Description: ~ ~
(~g~,o`) DENOTES EXIS7ING ELEVATION
( 996.0 ) DENOTES PROPOSED ELEVATION
996~
33 = FtNISHED GARAGE,O
OOR EI.EVATIONRAINAQE
87. = BASEMENT FLOOFi ELEVATION
~ = TOP OF FOUNDATION ELEVATION
AG~RESS: 4925 SL4r~R ,t'A4D `
SCALE : r = aa -T,Uy ~r c~r s ~.e ' .
~fVCfl /h/~K ~ E[~El,. = 99/, 9 /
~ ~~~g` '
S' g'~~
v
,o ~ ~acn,-r
ORA/NAEE AND ~ SETF,3~1CK LJN~
~T/4/7Y E~S~'1~1/T ~ ~ ,
t _ ~ ~ - 35. ao
q'll 1~1, 89'4'7~ !0~ Nu¢= 991,lz. 96~~7
s^oaK 142~ 46 qas~oo ~9 a'~°' i~~ i*l
911~9i ? ~
o^ N ~481,~4 BJL92 --8 " ` ~ i ~ ~~Y
~ ~ ~ i = 940. ~ ~ 0 14~0
5 ~I1~Cl~Y '9' ~ qO~OD ~ ~1 • ~ ~~^~AKIm ri
~~q°caC3.~9 'J n z.ao ~g i
3 ~ Sc0 M ~ 5 ~ 0
e .
= L4„ '3e4=~a1 ~o~~, ; , (qq6,o~ I~3~ ~ ~
p I ~ ~ d ~~,I~
g' ~ '~'46.d+ ~ ~
41 ~ ~ g ; = , 30,33 ~ tct
~ m rl4.oo 4 N i~~ ~
~1 .
~1 4 I`~~ ty I ~i i, i'' o° m lti o ^i `^i
D a. ~ lo,ao ~ ~U~~a n, 6.89o a` $ ~ 1~
~ I ~ _ 90,1) g I ~,•2.00 ~ ~ ~ ~
~ ~~r.O K - 987.~ 9'.t~ g 8 ~ ~ ~
I ~J ~a•~oq~c q~~,p ~o Zo,H3 ~ ?9~~
5 ig~~°'nK .L96.o~ $ 99d.o~~on~ ~1~ 'd~
a~ ~ K . ~ ~ ,M~
~ ~ 8
/~B~,TC; tn N =
Z~~~b7~oo ~n 'm~ ~ini
q s4 p,~o• I 42 , 4f~ o~.~ ~~~~1~ ~~j
C ~~ur~=998~36 ~4~~~
' 0 E
h1 89 ° ¢7 ~ ~
~ ~ , ~ rr) -7-' `7 [ , .
R E V Vd E D L~-' ~ ~ g3~
_ _ ' 1) Z G
. . .
}v . 7EAGAN ENGI1ll~ERIIVG DEPT
. Z ~ ~
I hareby cartify that this is~a tY'ue and CorXeCt repzesentation oE a traot of
re ared by me this /.Sr~ day of
land as shown and described hereon." A~ P P
~~tS~iAPU _ r 19~--. e
2-l9-46 rMO~v~~"Ti°"S AO.G~,~,!'`~~~^-c~'~ Minri. Req. No. 9~~~0
wE~ PRoPo~ ~'E o F? ~.Cg---
2.1~~9107 I? _ _ ~ _ er neeemFii7. . ~ . , . ~ , . , .
, LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPU ATION
.
PROPERTY LEGAL: Q
~ ~ DATE OF SUR . .S- ^
~ ~ LATEST RE1/ISION: ~
~ ~ ~ I?OCUMENTSTANDARDS • .
(9~? O • Registered Land Surveyar slgnature and company
~ • Building Permit ApplicaM
a~o ? • Lepal descdpdon
~ e~ O • Address
0~y ? ~ North arrow and scale
f_
~ ? • House type (ram6ler, walkout, split w/o, split entry, lookout, etc.)
m' ~ ~ • DirecOional drainage arrows with slope/gradient %
e o 0 • Proposed/ebstlng sewer and water'services & irnrert elevatlon
~ ~ 0 • Street name
~O O • DriVeWey
ELEVATIONS
/ ~QS
ta' a o • Sewer service (or Proposed)
~ ? • Property comers
O • Top of curb at ihe driveway
~ ~ • Elevations of any e~dstlng adJacent homes
ro
? ~ • Garage floor
? o • Frst floor
0% 0 • Lowest e~osed elevation (walkoubwindow)
? • Property comers
? • Front and rear of home at the foundatlon
PONOING AREA Cd aoolicablel
~ ~ ~ • Easement line
? ~O • NWL
O C3~ O • HWL
~ ~ • Pond # designatlon
? ~ o • Emergency Overflow Elevation
DIMENSIONS
' ~o ~ • Lot Iines/Beadngs & dimer~sions
~o ? • RiBht-of-way and street width (to beck oi curb)
O • Proposed home dmensions includinp any {xoposed decks, overhangs greater then 2',
porohes, etc. p.e. all struclures requirinp pertnaneM TooUngs)
~ • Show all easemerns of record and any Cily Wlitles wilhin tlwse easementa
O • 5etbacks of proposed strudure and aldeya dc of adjaceM e~datlng structures
o a~ • Retaining wall requiremenb
R~~: i~ C
N e / te
,hnwry 1 ~DB
awo~aue~oonn?rt.~
Cities Di ital ualitv Control
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8iqnificant Traea on Lot e Blk i,
Whispering Wooda lOth Add., Eaqan
Tree ~ speciee DBH Condition
~ White Oak 36.0 save
2 White oa3c 14.0 remove
3 white Oak 1~.0 rearove
4 Elm 10.0 remove
5 Cherry not e~gnific$nt/not in lot 6
6 White oak 24.0 save
8 whits
oak I0.0 save
9 Elm 10.o eava
10 Cherry 9,0 save
21 Che~Y 10.0 sa~~ .
12 White Oak 24.0 .,.~ave .
13 white oak 14.0 ~save
14 White Oak lB.o save
15 White pak g,0 save
16 White oak 10.0 remove
17 White Oak 24.0 remove
18 White oak not significant/not in lot 6
19 Chex'Ty 19.0 rempve .
20 white oak not significant/not in lot 6
21 Cherry has beea removed
Total significant trees pn lot 6 blk 1 are: 17
Signi#icant trees that have to be semoved are:Trea /~2,3,4,16,17,19
Replacement trees: 2 9&S Balsam Fir (6 feet): 1,2
2 S&B xoney Locust (2 1/2"): 3,5
2 B&B Suqar Maple (2 1/2"): 6,7
2 Basewood (2 1/2"): 4,8
707RL PAGE,04
,
~ Ramblers
Donald L. Johnson Homes, Inc..
Energy Code Woricsheet
Name Skogen, John 8 Judy
Address 4925 Slater Road
Contrador ponald L. Johnson Homes, Inc..
4639 Park Ridge Drive
Eagan, MN 55123
Phone 456-0034
Building Classification: Type A(single family)
General Information:
1 Building Perimeter- See Worksheet
2 Wall Height - See Woricsheet
3 Gross Wall Area p747,g7
4 Square Foot Roof Area 1612.00
5 Square Foot Rim Joist 148.00
6 Doors - Area 34_2p
U Factor 14 * .47
7 Total Door's Perimeter
8 Windows - See Worksheet
9 Total Square Foot Glass 123.60
10 Fireplace Area -0- Clearance
11 Exposed Foundation .67 *161 99.16
12 Framing Area = 10% of Gross Wall Area
13 Gross Wall Area 2747.87
Window Area 123.60 0.36 44.50
Rim Joist Area 148.00 0.04 5.92
Door Area 34.20 0.14 4.79
Other poor Area 0.47 0
Exposed Foundation 99.16 0.14 13.88
Freming Area 274.79 0.10 26.10
Net Wall Area 2068.12 0.043 88.93
184.12
14 Gross Wall Area 2747.87 0.11 30227
15 Gross Ceiling Area 1612.00
Joist Area 161.20
Net Ceiling Area 1450.80
U Ceiling 1450.8U 0.02 34.82
U Framing 161.2 0.02 3.71
38.53
16 Ceiling Area 1612.00 0.03 41.91
Page 1
~ Ramblers
Donald L. Johnson Homes, Inc..
Energy Code Worksheet
Name Skogen, John & Judy
Address 4925 Slater Road
Contractor ponald L. Johnson Homes, Inc..
4639 Park Ridge Drive
Eagan, MN 55123
Phone 456-0034
Worksheet
47+40 " 8.33 724.71
47+40+27+34 2023.76
total 2747.87
Roof 1612.00
Windows
2636 1`5.01 5.01 1
2040 0'2.78 0.00
Zsao o•a.ss o.oo
3050 1*11.65 11.65 1
2050 2'3.37 6.74 2
1636 0*1.83 0.00
2646 6"8.35 50.10 4+2
2650 6`8.35 50.10 2+2+Z
total 123.60
Doors Atrium
6'0 Patio 34.20 1
total 34.20
I hereby certify that I have completed the above
infortnation and that it complies with the
Minnesota State Energy Code.
Johnsori
PERMIT ~~~g~`~
¢ CyT`Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u z ~ o z N ~
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 2 2 9
(612) 681-4675 Oate Issued: 0 4/ 0 3/ 9 6
SITE ADDRESS: '
4925 SLATER RD
IOT: 6 BLOCK: 1
WHISPERING WOODS 10TH
P.I.N.: 10-83959-060-01
DESCRIPTION:
Building-~Permit Type BASEMENT FINISH
(Btri~,ding W3p~,ky Type ALTERATION
, Census Code , 434 ALT. RESIDENTIAL
1
`
i ~,c ~ . ~ ~~zl .
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as'a5'.s~~x.~.,~~,~~..~`" - s' wa'v' ~
REMARKS:
FEE SUMMARY:
Base Fee • $50.00
Surcharge ~.5e
7ota1 Fee $50.50
CONTRACTOR: - ,qpplicant - ST. ~IC.OWNER:
JOHNSON HOMES ZNC, DONALD 14560034 0001603 DON JOHNSON HOMES
4639 PARK RID~E DR 4639 PARK RIDGE DR
EAGAN MN 55123 EAGAN MN 55123
(612) 456-0034 (612)456-0034
I hereby acknowledge that Z have read this application and state that th+e
information ~.s correot and agree to comply with a~,l app2icable State of Mn.
~ SCatutes anc~~Ci ' of E~ga~n Ordi~ienc~~~'s. ~ ~ ~ ~
. ~¢~,~7I~
APP ICANTlPERMITEE S TURE ISSUED BY: IG TURE
, CITY OF EAGAN ~ O o~o
3830 PILOT KNOB RD - 55122
1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
681-4675
m r Re
? 3 registered aite surveys ? 2 copies of plan
? 2 coprea of plana QnGWe beam 8 window sizes; poured fnd. design; etc.) ./2 site surveys (ecterinr addiHons 8 decks)
? 1 energy celalafbns ~ 1 enetgy calwlations for Yiealed additions
? 3 eapiea o1 hee preservation plan B lol platted afler 7!1/93
requlred: _ Yea No ,
DATE: ~~Z~I GI ~O CONSTRUCTION COST:
DESCRIPTION OF WORK: ~ ~'~~-r%!~'~ ' -~Q Q~'~'~~ ~ ~
STREET ADDRESS: T 9L ~ c~-a~. ~
LOT BLOCK I SUBD./P.I.D. ~t1 / Z~7
~~l
PROPERTY Name: Phone
OWNER
Street Address~
City: State: Zip:
CoN7RaCTOR, Company: .~~~~n- PM~ ~ dd
Street Address: ~1.~~~1 mn.lc ~Gt ~ License
City: G~ State:~lt~ Zip: ~L 3
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address'
City; State: Zip:
Sewer 8 water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
t hereby acknowledge that I have read this application and state that th '~fQrmation is arrec~f'e d agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applipnt: ~
OFFICE USE ONLY ~
Certificates of Survey Received _ Yes _ No 2 g~ggg
Tree PreservaGon Pian Received _ Yes _ No
OFFICE USE ONLY
~ ~•sa;
~ ~
~
x~ ~
BUILDING PERMIT TYPE "
0 01 Foundation o O6 Duplex ? 11 Apt./Lodging Basement Finish
0 02 SF Dweliing o 07 4-plex ? 12 Multi Repair/Rem. ? 17 5wim Pool
0 03 SF Addition ? 08 S-plex ? 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 _ plex ? 15 Deck
WORK TYPE
? 31 New ~-Alterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMAT(ON
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq.fl. Census Code. ~5!
Depth Footprint sq. ft. SAC Code o/
Census Bldg i
Census Unit o
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Suroharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S1W Pertnit
SNH Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
CITY pF EA(:,AN
~ASHT~I,: ,?S TI"FiMTNAL NOe i58
C~A'iE~ Oi/2E,f'~3 i7Ml': il]~ci3:i8
IC~:
t~At~E~ JOhR1 D. SY,f1GEN
321U ~q[]1 49i5 fiLA7Efi Fit~ 6U.(70
2i.:~5 9UJ1. 49E25 SLATE:h f'tLi 0.~0
~
Tn+,a7. FEaceip+, Att~o~.~rtit: 6!1.50
Cfii iA?£?9
l.1SG:~ Sf..i: JAN
~ ~M~*~~kX~ Sc~CXc~~k**~C~~ ~ %k~F Xc~ Mm ~k ~k ~%kt hC~C~CXt~C ~C~~Y~kc
~ 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
• 3830 PILOT KNOB RD - 55722
651-681•4675
New Consh~ictlon ReauiremeMs Remodel/Reoah ReauiremeMs
? 3 regisfe~ed sHe surveys showing aq. X. ot lot, sq. ft. of house 2 copfes of plan
and g,~ roofed areas (20% maximum lot coveraae allowed) 7 sEt of energy calculaHons lor heaFed addMlons
? 2 copies ot pla~s (show beam a wtndow stzea; poured (nd. design; etc.) 1 sHe s~rvey for e~cferior add8tons i decks
? t set of energy calculafions
D 3 copies of hee preservaflon plan M lot plalFed afler 7/1/93
DATE: 7- rg ~ q! CONSTRUCTION COST: 3~C'•C~O
DESCRIPTION OF WORK: ~1~ N L~'~`~~T~~~" ~1'-'U5~
STREETAQ~RESS: "7-lzS~ SL~I"~s~ KD t~~~ E~~
LOT: BLOCK: SUBD./P.I.D.#: wiSP~~?~ ~W(~~ ~N~ ~D~~f`~'J
Name: SKOG-C.~I J(9~{`n~ Phone#: ~&SI-~07-9/US~ C~"j°N~~
PROPERTY tasl Ftrst (Q
l~~a~
OWNER
Street Address: zS $~A~~~ R`D
cily LZkf3 Ft~1 State: l~'v Zip; S~f22
Compcny:~-f~°~ ) Phone
[area code)
CONTRACTOR
Street Address: Ucense # Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company:_~E~~ Name:
Telephone area code ( )
Shee"t Address: Regishation
City State: Zip:
Sewer 8 water Iicensed plumber re ulred f r new conslrucfion nl :
,
PehaNy cpplfes when add~ess change and lof change is requesfed once permiF Is issued.
I V:Qreby acknowledge that I have read this dppllcation, atate that the informatlon Is cart ct, and ree to comply wffh all applicabl
Stafe of Minnesota Statutes and Clty of Eagan Ordinances.
Sfgnafure of Applicant: -
. OFFICE USE ONLY
Cert~cates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
> ~ e
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ~ 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ~18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
~31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
d 33 Aiteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' n'•. y-+n.r n nr ~e i i n iT
~~.a °~A, h?n~.,:: ,o ,.,.li..s,.t f,.. _ riol'f:or , em?..
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code °/3N
(Allowable) Main level sq. ft. SAC Code ~
UBC Occupancy sq. ft. No. of Units _~L
Zoning sq. ft. No. of Bidgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building 'lN Engineering Variance
Permit Fee ~D..S~d Valuation: $
Surcharge
Plan Review
ticense
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge ~
Treatment PI. ~
Park Ded. "
Trails Ded. ~
Other
Copies ~
Total:
SAC Units
% SAC
, • • AGYJRESS ~ 411Z5 S[Air.,r Ku~ni
SCALE : t' = 30~ q7 ~T 5 6~K ~
~81/CN M'~ ' EGEY. = 99/. 9l
.
, , '
- 30 FT ~KqV7
Or?A/NA6E A~VD 5~~1GC L1N~
UT/L/7'Y E.~S~?E7~/T , , _ r
;
c. _ r ~ 35, o0
~q~~ N e9° 47' ~o" E~_ ~z. S~s~.~ ~
~grt7 9: g"04K . l42~ 4b m4s~oo 9~) a'~°' i~~~.
0" 11) ~q~l~T#~ ~ffj_92 . ~:a-_ ~ 6 ~ ~ ~ „D/
\7
' ~ _~yI 19~0
5 ~ ~II'CN6~r ~ ~.9.~z:~~ 8 4p~0o ~ 9~ 17"uAK ~~K
` ~9$7•~ ~ _ -z.~ - - I~!y ~
3 .F9n~W~9 4~ ~ srn ~ ~ ~ c
$ o. ~
~ ~ L4"~ ~e4=,.a~~ f~4t0o~~ i:i ~o ~ ~99b ~o~ I~ a c
~;;.ao
~ c
.l ~
` - - ~ ~ I_.. g $ - ~3 ~33 - ~ ~ _
- , .
` ~ I~ m) l.ao oN i~ c
~ ~ ~
~1 p ~ ° ~ ' ~j ~ p n, N o ~~.,;,~1
~ : ~ ~o.oo $ ~ ~ ~ . 6.890 ~ 1
~i ~ $ M
r- I ~ 2.00 0~. ~ :
? ~ q- ~
~ ~~1q"'A9~ 9'•67 $ t11 $ u t
I 1 Q _ `g 20,33 ~ ~8~
- o ~13 ~ ~ _
1`J~ ~
5 ~B "°'K ` ~ , $ 99d• o an
I ~4"oflK . B
,p~ _ . . ~ " "o . `e~'nl '
, ~ ' ~ ~ i i
~~6~,~1. tn Nv 9Z~~a6eAK Cs~3a.oo rcjq~;l~ ~°'i
~ ~q84~~ 14Z,46 , ffurs=~98,',6 ~97~~
N89°47 j0~ ~
~ . , : ~
~ F 1"- I ~ 'I ~ .
~ ~ ~ ;....-~`"i ~ ~ . . ' BY Z ~o
,i . . Z
, . I3~ E~G.I
: ,J ~A1~i ENG
4(~ , ~ ~
~nz~ Z ~ b ' ' ` . '
...,,.+.a f~. that tkiis is 'a true and Jcorrer~,-pa~~bvemeathis
CITY USE ONLY
L BL RECEIPT ~a ~
SUBD. ~v~ DATE: 9~/
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
• (612)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
A -l..1 .e 'r .1' ' : A ' . ~ ' ~ I a., -'i eC
.,,.,:-;.,,a~. V~{IV~tso.~,~;y n~d,~:~s~~e.:~h~r;y~~,,.a.~a~eE~ys~a~~.,e~..
Date: 7~.~~rc! 22, !99l0
FFFC
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 4.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) -oD
? State Surcharge .50
TOTAL .33-.so
SITE ADDRESS: Sla~er ~a~d. EA~IOi~, /~i?
OWNER NAME: ~or/A/~ . ~hruon~ PHONE ~36 - oGL~~
INSTALLER NAME: ~Q~heu~. ~o~i Is .Z~i?c .
STREET ADDRESS: ~~~-3O roi~SP I y~~ ? ~a5e.~'loun~ Mi? 55~0~8
CITY: ~~emn~in~ STATE: ZIP: 5~Q~8
PHONE ) ~`~r~-~3~0 .
> . ~
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buiidings.
? multi-family buildings when separate permits are ~ required
for each dweiling unit.
1~i~
Y
C. l'Vf~ 1([Tl+ t~R~NC:
WORK TYPE: _ NEW CONSTRUCTION iNTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~$25.00 mfnimum fee g~ 1% of contract price, whichever is greater.
~ Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of oermit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SiTE A~DRES~: _
OWNER NAME: 7'ELEPHONE
TENANT NAME: (IMPROVEMENTS ONLI~
INSTALLER:
ADDRESS:
C~N: STATE: ZIP•
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
L ~ gL CITY USE ONLY RECEIPT ~a
SUBD. ~~sd l~~ DATE: I ~ 9
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
383~ PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH T1Q. TOTAL
Shower 3.00 x _ ,3.Qo
Water Closet 3.00 x ~ e.oo
Bath Tub 3.00 x 2 = 6•oo
Lavatory 3.4n x _ .ao
Kitchen Sink 3.00 x = 3.00
Laundry Tray 3.00 x / = 3.Qo
Hot Tub/Spa 3.00 x =
Water Heater 3.a0 x / _ .3,00
Floor Drain 3.00 x / = 3.00
Gas Piping Outlet' minimum- ~ 3.~0 x =
Rough Openings 1.50 x .3 = .So
Water Softener 5.~0 x =
Private Disposai " Dakota Cty. license 50.OQ =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.D0 =
Alterations " to existing 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL ~l. e~
SITE ADDRESS: '~9~ 5~a-~r ~O°"a
OWNER NAME: ~~~a~~ Jehnsarl
INSTALLER NAME: ~'~d~"f~eMl ~aniel5, .~raG•
STREET ADDRESS: ~O~~I wa~
CITY: ~as2?nO~ln~' STATE: /~Jl~ ZIP:
PHONE ( /~/2 ) ~a~~-3730 ~ .
y
~
I
OFFICE USE ONLY
L _ BL _ _ , RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
FJ~GAN, MN 55722
(612)681-4675
Please complete far: ~ all commercial/industrial buildings.
~ multi-family buildings when separate permits are ~t required for each dwelling
unik
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO:
IP SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 7°/a of contract price, whichever is greater. State surcharge of $.50 per
$1,D00 of pg~pliY fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITF A~DRESS~ _ _ ~
TENAhtT NAME: STE. #
OWNER NAME:
INSTAILER: ~
ADDRESS:
C~TY: STATE: ZIP:
PHONE SIGNATURE: •
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: 4925 Slater Rd
Lot: 6 Block: 1 Addition: Whispering Woods 10th
PID:10- 83959- 060 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Ed's Heating and Air
1099 Pelto Path
Woodbury MN 55129
(651) 775 -7490
Quesetions regarding elec
952- 445 -2840
Ed Pelto
1099 Pelto Path
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
cal permit requirements should be directed to Mark Anderson, State Elec
- Applicant -
Owner:
Christopher J Jessich
4925 Slater Rd
Eagan MN 55122- -236
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$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
EA092289
12/11/2009
ePermit
cal Inspector,
Date:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Oface Use
Permit #:
Permit Fee:
/ca vscJ
_s (DO
Date Received:
Staff:
2Q11 RESIDENTIAL PLUMB NG PERMITAPPLICATION
Site Address: 7 f2 S/4 K7,/
Tenan
1
Suite #:
RESIDENT / OWNER
Name: cPL$4 �eP - ;d/I Pho45/ rya •9227
Address / City / Zip: /•59(1yr,a
CONTRACTOR
Nam-. J 4, Iii ., , A /a i IA ‘''' License #:
40 / $ a i�
Address: _ .• A./
State. Zip: 637-/21 Phone: ! /p-6 SS / 6ss .�
Contact hyt Jf . Y Email:
TYPE OF WORK
New /Replacement Repair Rebuild Modify Space Work in R.O.W.
_
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Softener
/Water
Heater
Add Plumbing Fixtures ( Main / Lower Level)
Lawn Irrigation (_ RPZ / PVB)
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES.
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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 riot tort witho t a permit; that the work will be in
accordance with t approved pan in the case of work which requires a review and approval of g
'NA= n it wee
Applicant's Printed Name
FOR OFFICE USE
Required Inspections: Under Ground
X
Appli
Reviewed By:
nature
Date:
Rough -In Air Test Gas Test Final
Use BLUE or BLACK Ink
For Office Use
Permit
O1f Eapn I
City I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 1 Date Received:
I I
Phone: (651) 675-5675 1 Staff:
Fax: (651).675-5694 I
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: _ ~~_7 J 1 fe-11~ C~
Tenant: ,p Suite
FReideiit/IOwne, Name: Phone:
Address I City / Zip:
Milbert Company Inc dba Cullign Water
address: 180150t Street East City: Inver Grove Hgts.
Contractor
State:. M~N_ zip: 55077 Phone: 651-451-2241
Contact: William: R'Milbert. Email:
Type of Work - New replacement _Repair -Rebuild - Modify Space -Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation RPZ PVB)
Permit Type Septic System Add Plumbing Fixtures (-Main / Lower Level)
-
New Water Turnaround
Abandonment
RESIDENTIAL. FEES: -
.$60.00 Water Heater, :Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn '~Irrigation: (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water turnaround (add $200.00 if a 5/8" meter is required)
$115 00: Septic System New($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.ora
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.
Y _ -
x~1Xx
Applicant's' Printed.Name Applicant's Signature
r
FOR OFFICE USE Reviewed By: Date:
Required Inspections. Under Ground= Rough In Air Test: ` Gas Test Final
Meter Related Items. Meter Size Radio Read- Staff..
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146765
Date Issued:11/13/2017
Permit Category:ePermit
Site Address: 4925 Slater Rd
Lot:006 Block: 001 Addition: Whispering Woods 10th
PID:10-83959-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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 -
Jessica J Gylsen
4925 Slater Rd
Eagan MN 55122
(612) 423-9934
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156085
Date Issued:06/14/2019
Permit Category:ePermit
Site Address: 4925 Slater Rd
Lot:006 Block: 001 Addition: Whispering Woods 10th
PID:10-83959-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Jessica J Gylsen
4925 Slater Rd
Eagan MN 55122
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158339
Date Issued:10/09/2019
Permit Category:ePermit
Site Address: 4925 Slater Rd
Lot:006 Block: 001 Addition: Whispering Woods 10th
PID:10-83959-01-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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 -
Jessica J Gylsen
4925 Slater Rd
Eagan MN 55122
All Craftsmen Exteriors Llc
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature