4928 Slater Rd IN~YL(;1'tUN KLC:UKl)
~~.ITY OF EAGAN PERMIT TYPE: , ~ ~ , . ~
3830 Pilot Knob Road Permit Number:
~ , .
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: , ~ ~ i , APPLICANT:
, , , , , , ~ i~;,~?i
, ,
PERMIT SUBTYPE: TYPE OF WORK: .
~ .
. .
. ~
t~itil,~ , f i ~ ..i~ll: ~ t:~~ { ~~i~ilf
~y a3/ys' ~
~ ~ . ~
Permit Holder Date Telephone ~
PLUMBING
HVAC
Inepection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARO
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIViTv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
j-_.
DECK FTG
~1~~ .
DECK FINA~
_ _ --T . ~
l i~ : Y INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: r~''
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: "
(612) 681-4675
SITE ADDRESS: ~ ' ~ # ~ ~ ~ i~ ; APPLICANT:
~ 1 i~ i: r+n . ~ ,
„ r ot , . ~ , , ~r
PERMIT SUBTYPE: TYPE OF WORK:
~ . ~~i ii
• •
, , , .~i~lai~:~ ~
~ i~, I i=i~i
I f% I i i 1 i, i J i~1~ '
i~l~i;;~ ~!t ~ i:~; i itlli,~t 1)1 I!
I l i 1 1 ~ i~~: `
{~i;'I IiM!1t 1' ' ~ ~ i I!•~
1 ~
L- _ _ ~
' PertnR No. P~rtnit Holder Date Talephone ~
y , ELECTRIC y/g~"~p~ y/U ~
>
~ PLUMBING ,j ~
~,lf
HVAC 3~~g 7 -
Inapsetlon Da I p. Comments
FOO7INGS ~ Q7
FOUND ~~?.Ol~7 /u~ ~^MS ; ~
FRAMING jU~~~, ~
ROOFING
ROUGH
PLUMBING / GO y ~ CKJ
AIR'TEST ~~O ~ ~
ROUGH G~
HEATING
GAS SVC
TEST ~(p ~
~NSUL / ~5 9~ ~ ~voncE ~n~,
/
GYP BOARD
FIREPLACE ~
jq ~
FlHEPLACE ~ ~ ~j / 97
AIR TEST I!(~ o ~
FINAL PLBG
6/
FINAL HTG ~
ORSAT
TEST
BLDG FINAL ~ o/
l
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
- d ~
i
~e~ti~icate o~ ~ccu.~anc~
~it~ n~ ~agan
~flepaatmeut a~ ~~iibing ~u~~cctiua
This Certrficate issued pursuant to tfee requirements oj ~he Uniform Building Code
certifyeng ihat at tfie time of issuance this structurr was in compliance wirh the various
ordinances of tke City ngulating burldiRg construcrion or use. For the fo!lowing:
ux c~~~~~,: sbg. roo. 2q605
o«,~o~y ryv~ R3~U 1 ~~E o~;~ R~ T~ ca~~. ~
o~. ~r s~~w;~ RYI~ID AQ~S ~em~ Q00 E 7~i ST, MPLS
6i~a;,,g ~a~ 4A28 SLAIER ~AD L I, B2, (~Dl~.R HEI(~i15
e~~a~ orr~
POST IN A CONSPICUOUS PLACE
C _ J) FI_CE USE ON~hi~ueslv '
lry(1 8,~nanihs 6om wlidahon d~~ in ~
x.
Q"~LFiC_{.i'.r ~ f~ +~lZr ~A%.wA:, `l" 5
.Je~l{~,~
IIIIIUIaIIIIIIIIiU~lllUlllllUlll~ullll ~o~~ /G~
* 0 4 1 8 5 6 0 9* pLEASE PRINT OR TYPE ~6 Q~J
Reqoest D e Rooghin inspecilon requiredz ? ? ry~ ~~~on Olher Thon RougMn: ? Reody N ill Cdl
G, 7~You mv9 call Ihe inspecror dy~ Oore kvndy:
I, icensed wnkacror ? owner hereby request inspection oF the above elechi<al work at: -
mh ada C ~src~r, eo., o, eare No.l ~~J a z~P cede
°Z~''~Y~-~--~ lr~C~C~
Seclion No. Township Nome or Na. Range Na Firo No. C n ~
~E,~ P~y ~`3
Power Addr
L
ol C r ~Comparry mel ~ ~ogk«~~ li nse N ~ Master lia No. (Plonl EIM. Only~
L ~
'li~g dress (Conrcacror or Pef,arm~rg 1 sallaion~ /
l~~
~ L
Aolhor ~Co^rc Performing Inslal lion~ ' Phone No.
r ^ i ~
!L
E A- e/9 STaTE Banno COVV - SEE INSTF1UCnoNS ON BACK OF VEL COPY
y/D/J ~f REQUEST FOR ELECTRICAL INSPECTION rO~ 3
/1 p J L+~(f ~ Minnesota 5tate Board of Electriciry -
O C~ U 7821 University Ave., Rm. S-128, St. Paul, MN 55104
Phane (612) 642-0800
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Re ir
Air Cond. Htg. Equip. Wofer Hfr. load Mgmt. pther;
Dryer Range Elec. Heaf Temp. Service
"X" above ~he wOrk cover d by fhis request Enfer remarks in fhis spoce and on f6e bock oi fhe w6ite copy only.
/"~C~/J ~ 2l~
~-~~Qyr~7 2
Cofcu~~ tion Fee -YhiSlnspeclion Requesl will not be occepred without fhe mrrecf fee:
O[her Fee k Service Entrance Size Fee # Circuits/Feedere Fee
Mobile Home Park Sfall 0 ~0 200 Amps 0 fo 100 Am s
Streel Lig./Tmffic Sig. Above 200-Am s ps
Transformer/Genemfor INSPECTOB'S USE ONLY j ,n
Sign~OuAine Lfg. X(mr. V
r
Alarm/Remote Conhol
Swimming Pool i here ~en~ ~ha~ i~~s a+il,a dare::~med
ore
Irriyatian Boom Rougl~ln " ~re~ Z~
Special Inspecfion
Investigotive Fee F~~al ~a
THIS INSTALLATION MAY BE O ER D DIS NNEC IF NOT COMPLETED WITHIN 8 MONTH .
Addres~5 492s stt~~a xoan Zip 5512 2
Lot t Blk 2 Sub ~oAtt t~icc~rs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: jv2 . rj Yes No Inspector: ~
Final grade (6" from siding) ~
Permanent steps (gazage) ~
Pertnanent steps (main entry) ~
Permanent driveway
Permanent gas
Sod/Seeded grass f/
TraiUcurb damage
Porch r/
Basement finish i/
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing sysrem and the shutoff of water supply to
the outside lawn faucet before freeze potenlial exists.
Contact engineering division at 681-4645 before working in righFOf-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
:':~:7k1~7IC ~ '~l7~fM1{I~.'*h..::~47G'7k*91**.7~CAI7X7k~f%'7~k7lC1t~.7~'!.'71!
~ITY 9F EAGAh'
C~SF~I~ite S ?ERMINAL i~'J: 55
1xiTE- O~.~iS/97 TIMEe '.~:'5:+4
.ry 1
Np~E: RYLAND
c'256 9001 4922 5LATER R~ ' k,300.95~
34°_2 90t1: 4S2E S_ATF_~ e~b 4p2.11 ~
~
i
~ .
.
,j
To:a?. R~r~ipt Amo~~r.t: 4~7Qa.07
f~i0713^a3 •
'JBSR IAe NAt2CY
^R~~Pl:~~' 1~A5•T~~T4~TS~`*TTT•}TT~+:J~~TMITMT'PTWTw
` ~ BL 6~ CITY USE ONLY RECEIPT#: 70~
SUBD. Ot f C 1`E' 1 C~~ RECEIPT DATE: I /"G ~
CJ ~ + ~ ~y ~
PERMIT# ~
2000 PLtJMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, IMI 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? 6ackflow preventer for underground sprinkler system
FIXTURES EACH ~i TOTAL
Alterations to isting dwelling - mini u fee ` $ 30.00
Describe:~ ~
o.., v U o w-~
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pipin outlet ' minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavatory 3.00 x = $
Se tic System newneturbisned ' requiree MPC lic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new instaltation/repaidrebuild 30.00 X = $
Rough opening 1.50 x = S
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Undergroundsprinkler rfexistingdwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under conswction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water tumaround 30.00 x - _ $
State Surcharge 50 $ .50
Total
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
-
I hereby acknowledge that I have read this application, state that the infonnation is corted, and agree to comply wRh all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notify the property owner Nat the City of Eagen assumes no Ilability for any damages wused by the City during its
normal operational and maintenance activities to the facilitles wnstructed under this permit within City propertylright•of•way/easemant.
SITE ADDRESS: `'t l~~ J I 0.-}2"r ~ t~
OWNER NAME: ~~S~r TELEPHONE ~ SI p OO l/~ LP S
- (AREA CODE)
INSTALLERNAME: ~'"'"~`-n'~c`S*-~ TEIEPHONE#: ~S1 ova'S~~S
STREETADDRESS: 7 1~ J~~~~ I~~ ' AREACODE)
CITY: ~ STA r ~ IP: SS/~ .
SIGNAT R RMITTEE
t a. ; PERMIT
CfTY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: s u i ~ o z N c
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 6 0 5
(612) 681-4675 Date Issued: 0 8/ 1 B/ 9 7
SITE ADDRESS:
4928 SLATER RO
LOT: 1 BLOCKs 2
CE~AR HEIGHTS
P.I.N.: 10-16725-010^02
DESCRIPT{ON:
u~~„7.~yti~~' Fermit Type 5F pWG
~~t~,~d~ar19 °,W!~S~ TYPe N~W
g E~~~',t~CC~.i~?zitY~~?~°~ R3~U1
~ i° ~GrtS.~t'L1Gt36,Yt "i~y . VN
Z~na.ng R7.
~ 8~3~~i,~Yi~~l~,e-rlg'~Fr ;'a~ 42
Bu~ ~dfi.~ lJ~d~'~i T 36
~~~1~~~~~s~~'~~s 2
9+~~~ fie~:;~"s~ay„'~"' 1,321
Ce~'nes~~~t~e 101 1- FAM. ~ETACH
~
~
~ ~t ~i'S~` ~ e~i ~i.,`s~" ~v'4: ~ .~'.y`° !
~ ~ ~ ~ f~~
`~q ~~;~-:~-f~ p~~'~~~_~ ~ ~
REMARKS:
S&W PLUMBER: STAR PLBG
FEE SUMMARY.
VALUATION $134,900
Base Fee $1,657.25 MZSCELLANEQUS $1 539.50
Plan Review $687.21 Total Fee $A,300•96
5urcharge $67.00 .
SAC $950.00
SAC ~ . 100
SAC Units 1
Subtotal $2,761.46
CONTRACTOR: - Applicant - sT. ~.zc OWNER:
R~LflNp HOMES 18546363 20035R4 RYLAND HOMES
900 E 79TH ST 191 900 E 79TH ST 101
BLOOMTN6TON MN 55420 MPLS MN 55R20
(~12) 854-6363 (612)854-6363 •
~ ~a~ .r , : t . ~ ~ • . . .
I t1~r' 'k1y a Iit~wl,~d' th~~~.~ hdveY r~~d' ~h~,s ~~i{~l~ta`~C~.~h ~~Ci s`ta~e ~hat tF'€a
~,in~ r~` ~s, is' c4r`,.~~ ~z?~~I agree L~s ~rzt~~,~~ w~~F~~a~k ~pp~~it~'abl~ ~~a.~~~. n# t6~.,
~~~~~a l~, ~ z• d S ~.ty ` ~~~;f ~a+~s~~' ~r~dinaq~e~ ~ ` =
~ ~ . ~ ~ . ~ ~ .
_ _ _ .E...._~ .uE.~e.. ~
~ P A RMITEE SI NATURE ~ SSUED BY~SIG RE
qloDS ~~~o0 9~
! l CITY OF EAGAN
/'X
~ 3830 PILOT KNOB RD - 55122
1996 BUILDING PEFtMIT APPLICATION (RESIDENTIAL) ~
681-4675
New ConsWdion Requhements R modeL~eoair Reauiremenh ~
? 3 registered sRe surveys ? 2 copies of plan
? 2 copiea of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addiHOns & decks)
? 1 energy calculations . ? 1 energy calculations for healed additions
? 3 copies of tree preservetion plan ff lot plaHed aNer 7!1/93
required: _ Yes _ No
DATE: ~ lri ' 1 r CONSTRUCTION COST: ~ ~
DESCRIPTION OF WORK: ~
STREET ADDRESS: ~
LOT ~ BLOCK ~ SUBD./P.I.D. r t~'^- ~~5
PROPERTY Name: r ~11 I(l fY Jl I'~ I~ Phone g~ ~~J' ~
OWNER T~ unnT rixa.
Street Address~ ~I ~n ~ h L~ ~ • ~ ~ ~ -
City: State: ~ Zip:
CONTRACTOR Company: ~ p-~~ ~~-^~U~ Phone
Street Address: License ~003J~~
City: State: Zip~
ARCHITECTI Company: ~~LXYLQ ~ ~ Phone
ENGINEER
Name: Registration
Street Address•
City: State: Zip:
Sewer 8 water licensed plumber: ~ I Q,P~ ~ I L~., ~ Penalty applies when address change and lot
change are requested once permit is issued. U
I hereby acknowledge that I have read this application and state that the inform~on is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. /
Signature of Applicant:
OFFICE USE ONLY gECEj~D
0 1997
Certificates of Survey Received Yes No
Tree Preservation Plan Received _ Yes ~No~ ~ BY'
r
OFFICE USE ONLY ~r • ~
~ ; , + ~„u
• ~ ~
BUILDING PERMIT TYPE
? 01 Foundation ? O6 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
p'~ 02 SF Dweliing ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
o p4 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
~31 New ? 33 Alterations ? 36 Move
o. 32 . Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) JN Basement sq. ft. ~4~ MCIWS System
(Allowable) J"+ Main level sq. ft. G i I City Water
UBC Occupancy ~l 2'"tl sq. ft. i23o Fire Sprinklered
Zoning 'R - i [',a.w,e sq. ft. ~i i O PRV
# of Stories Z ~ sq. ft. Booster Pump
Length <<Z sq. ft. Census Code. io
Depth 3 S' N'" Footprint sq. ft. ~ 3 21 SAC Code r~ 1
' Census Btdg ~L
Census Unit ~
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $ ~ 3 N oov, -
Surcharge ~?x~~'~-
Plan Review 4z u W. ~ ~ L
License za• `~x i+- 3t/ zs~
MCNVS SAC ~ t. z s x z z 2. S
CitySAC ---8~iS• is = ~L, k3z.so
Water Conn. i ~
Water Meter -
Acct. Deposit sa,,,,e p!~ s $F~ s
S/W Permit 6+~ z ~ a
SNN Surcharge z• S u 2 s i 3
Treatment PL -
Road Unit Sy ~ y~f, r7 t,~/c
Park Ded. wi x~ ~
2u iJ. 67 ~v 6G
Trails Ded.
zi.
Other 8. s,~ s ~t z. s
Copies ~ i ~
z~.z~lp~s~/= ~~,v~9.zo
Totai:
% SAC zo ~ zv, >
SAC Units f y~`} = ~,sr.
t 33, i7y, rv
N~Ccheck COMPLIANCE REPORT
1992 Model Energy Code Permit #
MfiCcheck Software Version 2.0
Checked by Date
CITY: Minneapolis
STATE: Minnesota
FIDD: 8010
CONSTRUCTION TYPE: Single Family
DATE: 6-13-1996
DATE OF PLANS: 3-1-96
TTTLE: SAVANNAH 5704 MINNEAPOLIS
PROJECT INFORMATION:
b'UI,L WALL INSiJL AT S' SSMfTT WALLS, WALKOUT BSMNT, 4' FAMSLY RM EXTENSION, MASTER
COMPANY ZNFORMATION:
RYLAND HOMES
COMPLIANCE: PASSES
Required UA = 490
Your Home = 480 ~
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value W?.
CEILINGS 12~5 44.0 0.0 34
WALLS: Wood Frame, 16" O.C. 24~7 19.0 1.4 ~ 131
WALLS: Wood Frame, 16" O.C. 270 19.D 0.5 15
GLAZING: Windows or poors 426 O.S80 204
DOORS 44 0.190 B
DOORS 15 0.620 9
FLOORS: Over Unconditioned Space 273 19.0 13
BSMT: S.0' ht/'7.0' bg/8.0' insul. 1168 11.0 66
H~IAC EFFICIENCX: Furnace, 80.0 AFUE
COMPLIANCE STATEMENT: The proposed building desi.gn represented in these
documents is consistent with the building plans, specifications, and other
calculations submitted with the permit application. The proposed building
has been designed to meet the requirements of the 1992 CABO Model Energy Code.
suilder/~esigner r ~ ~li/ `i~--s Date 6/~- 9~
_ .
~
I. ~equipment efficiency must be clearly marked on the building plans
or specifications.
DUCT INSULATION:
Ducts in attics, crawl spaces, exterior building cavities, or
outside must be insulated to R-8.
Ducts in unheated basemenCs must be insulated to R-6.
DUCT CONSTRUCTION:
all transverse joints must be sealed with mastic, tape, or mastic
plus tape. The HVAC system must provide a means for balancing air
and water systems.
TEMPERATURE CONTROLS:
Thermostats are required for each separate HVAC system. A manual
or automatic means to partially restrict or shut off the heating
and/or cooling input to each zone or floor shall be provided.
MTSC REQUIREMENTSc
Refer to the MECcheck Manual for requirements relating to swimming
pools, HVAC piping conveying fluids above 120 F or chilled fluids
below 55 F, and circulating hot water systems.
----NOTES TO FIELD (BUilding Department Use Only)-------------------------
' ~ TOTRL P.004
03/0'(/1997 12:07 7887602 KURTH SURVEYING INC PAGE 01/02
Q
{
PLOT PLAN
' THIS IS NOT A 80WJD~IRY SURVEY '
FOR RYLAND HOM~~_ KURTH SURVEYING, INC.
. PROPOSED 4o0Z JEfFER50N ST. N.E.
i rer~r ee~Tir~' nuT niia a~m ruu u~s nq~~ntu ar,n GRADES COLUMBIII HEIOH75. A4J. Ss~~i
OF U08t W DIPECT ftFEAV181Q! , 1HAT 1H18 PLM7 COppEC1L'f (8121 7e0'07BB FAX (817I 108-780~
~Wi 7NE PUItBi@ff OF A PpW06~ BUIlDINO p1 7HE IANp
~ a~av~era nvs
~ ni~ aT~r~ u~ ~uo ona~oe s~ne . ~ o0 3•L DATE 3 ~ ~ ( 91
I TOP OF a~ock • \OO3 ~5 0• IRON MONUMENT
~195•S BEARINOS ARE PER PLAT
~ AIIf~JESOTA UC N, B~3BAEN7 FLOOR • • • SPIKE SET
3 ~oovUxlT W~~ 999•O ~ ~(1571N0 ELEVATION
t ~ • PROPOSED ELEV.
ADbRL-sS; 492-a 5~AYL- P~, CZpAy\ E- ~ DRA I NAOE ARROV
Ak~A o~ Drz~vc auOV1~.l' 1soo~~ 0 30
! AmEA oF se~ sNOV,t~'
SCA~E IN FEET
~
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A~., v s efl'1e~i7•u iee.et• C~ooa`~
~h~~ ` qQd'`~ 9a-r.s `009 V,
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„ r-- ;,4 , 7 J
. ~ o~
~ :IM~ 9~_~
~ ~ ~q~~ ~ ~999 . /
~ °m w9 • L•O,W1 ~
~ ~ ~ C i~7!~~2a °i~1B~5 ! ~~iov~-~UOO~ /
w ~ w '\:1 w, Z4
~ • v rl ~ L'' /
~ ~ ° I ^
r n $ a ~ ~f ~I oU
a N
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. l\~~t'/ : °n ° c!1, : ~ ~ a i _ _ ti AC1
~ 004.1 1
o x ~ O ~ ' ~H~ v~ ~n CLL~.~ . ~ _ ~ ~~~a/}
a r1 O 1002.0 v~ _ r~.G,1t1~7.WIIV
9.
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~ DA
BUILDIf~G I~ISPECTIOf~S DEPT.
~ ~ , t IoiS_~'
< ~o~s.s~
~y ~ LOT 1, BLOCK 2,
° CEDAR HEIGHTS.
~G~~ Ei~~~v~Exu"G ~E~a' DAKOTA C0 MN . ~
w
Sn.ia.r.le.~AN L3 .P
3 R"
o cr
- _
~ r LOT SURVEY CHECKLIST FOR RESIDENTIAL
B ILDING PER ITAPPLICATION
PROPERTYLEGAL: 2
~ DATE OF SURVEY: ~
~ o ~ LATEST REVISION:
~ ~ m
~ ~ DOCUMENT STANDARDS
~
? • Registered Land Surveyor sipnature and compaay
? ? • Building Permit Applicant
~ ? ? • Legal description
O ? • Address
~ ? ? • North arrow and scale
fY ? ? • House type (rambler, walkout, split w/o, spiit enby, lookout, etc.)
? • Directional drainage arrows with slope/gradient %
? • Proposed/e~assting sewer and water services & invert elevation
Gl~/ ? o • Street name
~9' ? ? • Dfireway
ELEVATIONS
E~dstlna
? • Sewer service (or Proposed)
~o ? • Property comers
• Top of curb at fhe driveway
? ~ • Elevations of any e~assting adjacent homes
Pro
~
? ? • Garage floor
? • Firstfloor
~ o • Lowest exposed eleva8on (walkoutNvindow)
n~~' ? • Property comers
C~i' o • Front and rear of home at the foundation
PONDING AREA (if aoolicablel
? [~~7 • Easement line
? Q~/ ? • NWL
? ~ • HWL
? ~ • Pond # designation
? ? • Emergency Overtlow Eievation
DIMENSIONS
~ ? ? • Lot IinesBearings & dimensions -
? • Right-of-wey and streetwidth (to back of curb)
Pl ~ ? • Proposed home dimensions inciuding any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
? • Show all easemenfs of record and any City utiliGes within those easements
? • Setbacks of proposed structure and skleyard setback of adjacent ebstlng structures
? • Retaining wall requiremen , if any
Reviewed: 5 ~d 7
Name / ate /
January 1986 ~
CXAN310BdBLDGPRMf.FM
~*~~z~~~~~~~~~~~~~*~~~~~~~~~~~*~~~~~~~
CITY OF CAGAN
CASHIER: S TF'ftMINAL NOe +al
DA7E: 0'/ii/j8 TIME: 15:42:58
IDe
NAhfE: F'AU~A E KASTEF:
3210 9001 4'328 SL.ATER f~D 50.00
~Lj.JJ 3001 4328 SLATER RD 0.`i0
3430 9C101 4328 SL.A7F_F hD 0.25
`
Total Feceip+, Amo~ent: ~0.75
Ck095L1`.;3
USER IU: NANCY
~t%~X~~c~#X~X~ ~~k~X%~#~X~kk~#%c~Nca~~t~kXc#*~~X~~k~~cXt~c ~kr%~%#~X~X
: : ~ PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: s u z ~ o z N ~
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 5 31
Date Issued: 0 7/ 17 / 9 8
(612)681-4675
SITE ADDRESS:
q928 SLATER RD
L07: 1 6LOCK: 2
CEOflR NEIGHTS '
P.I.N.: 10-16725-010-02
DESCRIPTION:
.
B~fildin'g Permit Type DECK
~uilding~'G7ork Type NEW
~^Ce.n~a5~s Co~dt~ 434 ALT. RESIDENTIAL
/
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t
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i ~
~ p,..JC^x,3 C " -
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t
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REMARKS:
PLAN REVIEWED BY BILL BRUESTLE.
FEE SUMMARY:
Base Fee $50.09 COPY $.Z5
Surcharge $.50 Total Fee $50.75
Subtotal $50.50
NER: - App icant -
I CONTRACTOR: OW
KASTER PAUL
q92g 3LA7ER RD
. EAGAN M~
I ' (651)808-9665
. . . .
T hgreby knowledqe that I have read this a:pplicaCion and state that the
information s carreot and agree to comply with all applicable State of Mn.
' StaCutes and C~ty f Eagan Ordinancss.
~ ~1 ~
/ n ,
~~5~~~ ~
LICANT/PER EE SIGNATURE ISSU Y: SIGNATURE
' ' 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL~~~v ~S
~ ~as a ~ ~~~oF~G,~ r/
3830 PII.OT KNOB RD - 55122 C I~Q~ -l -(~~a
681-4675
New ConshuGion Reauirements RemodeVReoair Requirements
• 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam 8 window sizes; poured fid. Cesgn; etc.) ? 2 site surveys (exterior add'Rions 8 decks)
? 1 energy caleulations ? 1 energy nlwlations tor heatad atldkions
• 3 mpies of tree preservation plan if lot pWtted after 711/93
required: _ Yes No
- ~
DATE: CONSTRUCTION COST; ~T~
DESCRIPTIONOFWORK: ~UI~D ~ ~OX~D ~,~G~
STREET ADDRESS: / ~ S«~~- N/~~
~LOT: / BLOCK: ~ _ SUBD./P.I.D. ~D~ ~~Gfi~TS
Name: ~ Phone O~/~
PROPERTY ~t First
OWNER 1~~ ~/P'~~ K~fi~~
Street Address:
City ~!i [i~ State: ! Zip: J`S/ Z Z.
Campany: ~~y Phone
CONTRACTOR
Street Address: License #
Ciry State: Zip:
ARCHIT'ECT/ /
ENGINEER Company: ~7~~ Phone
Name: Registration
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (new conshuction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
i hereby acknowledge that I have read this application and state that the infortnation is corte gree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of App'
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required BY:~
1 ~
r
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dweiling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ~ 21 Miscelianeous
? 05 SF Misc. ? 10 = plex ~ 15 Deck
WORK TYPE
~6 31 New ? 33 Afterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demoiition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Sfories sq. ft. Booster Pump
Length sq. ft. Census Code. ~
Depth Footprint sq. ft. SAC Code ~
Census Bldg
Census Unit ~
APPROVALS
Planning Building i" Engineering Variance
Permit Fee Valuation: $
5urcharge
Plan Review
License
MCNVS SAC
City SAC
Water Gonn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Oed.
Trails Ded.
Other
Copies ~
Total:
% SAC
SAC Units
d7 12:07 7887692 KURTH SURVEVING INC PAGE 01/02
,
f
PLOT PLAN
' 7HI S I S NOT A BOINJDARY SURVEY •
FOR KUR7H SURVEYING, fNC.
PROPOSED 4001 JEFFERSqJ ST. N.E.
I IBt~Y G91TIF! 1FY1T 1H15 PLOT P~MI Yht PqB~p[~ 9y yE GRADES COLUMBIA HEIp{TS. MJ. Ss~Zi
. m uO9~ W DIpER s~ndrvl81p1, tHAi T+it Pl.hv cMpECTIr iaiz~ ~ee-a~ae FAX 16171 7!A-7B07
O~i 7ME PLACBIBlf pF A PpW06~ BUiLDINO ON THE LMD
~ a~m~ia°Efauro~~
TM~nvni
or~~ erau.r~i~a,: ~u~ OnRAOE s~ne - ~003 ~Z- DATE 3 ~ ~ ( 91
I TOP OF BLOCN • \00j .5 I RON IAONUMENT
~~5,5 BEARINOS ARE PER PLAT
~ MI~dJESOTA ~I N, y` i i Bnsse~T FLOOq • SPfKE SET
3 ~ooxAUT W~~ 999•O c.~ ~ EXISTINp ELEVATIpN
AoeRLSS; 49Za S~AYC (Zp~1 t~° PAOPOSED ELEV.
AP~A OF DR~VG 5F10v1A1~~1400a~ F' • DRAINAOE ARROV
A~A ~F ~O~ SNOv.l1J ' 0 30
SCALE IN FEET
~
~~1 Q~O~' ~ ~ ~WO64)
( ~5%,~t'~~~~~~~ •
`v~ S efl:2A't7'U I8B.81' r~yo'g,`~
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e~ ~ BY
~ DA7E i/-9 7
3--;, ; , ~ ~ ,n l,o`ss~ BUILDING INSPECTIONS DEPT
: ; - <,a,5.5~
- LOT 1, BLOCK 2.
_____._._.~3~~~~___,~ CEDAR HE I GHTS .
~ _ . _ ,...~,u ~.~4~ DAKOTA C0 . . MN . ~
u
3
~~4 ~ AN D a
e~`~= o._
v ` CITY USE ONLY
L BL _
L~ RECEIPT#: ~~S~v 7
SUBD. RECEIPT DATE: `3 a~ ~J
1997 PLUMBING PERMIT (RESIDENTIAL)
CfTY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 687~675
Please complete for: . single tamily dwellings
~ townhomes and condoswhen permits are ~equired foreach unit
. backflow preventer for underground sprinklersystem
FIXTURES EACH ~
Shower 3:00 x ~ _
VV-aier Closei 3.Oi, x - ~
Bath Tub 3.00 x ~ = f~
Lavatory 3.00 x = 1~
Kitchen Sink 3.00 x = ~
Laundry Tray 3.00 x _L =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x / _
Floor Drain 3.00 x ~ _
Gas Piping Outlet ' min~mum- ~ 3.00 x =
Rough Openings 1.50 x ~ _
Water Softener ' for dweliinge under construction 5.00 x =
Water Softener ' Por existing dwelling 20.00 x =
U.G. Sprinkler for dwe~sng under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Tum Around 2D.00 =
Private Disposal System * Dak Cty ~iu 65.00 =
(new and refurbished systems) ~ ~
Private Disposal Systems ' nbandonmenc 20.00 =
STATE SURCHARGE .50
~
oTni ~Q Bv
I Mrehy adcnowledpe.that I have reed this epplication, state~that tAe infortnetlon is~cortect,~and egree to~compty wkh all applicable City~
of Eagan ordinances. It Is the~applicant's responsibiliry to notiy the pmperty owner.Mat the Ciry of Eagan-essumes no liabtliry far.any ,
damages caused by the Ciry during its nortnal operetional and malMenance ectivities to.the faGl~ies consWded underthis permB within .
Ciry propertylright-of-way/e~ ent. ~ ~
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME: GENZ-RYAN PLUP'IBING TELEPHONE _423-1144
STREET ADDRESS: 14745 So Robert Tl
CITY: Rosemount STATE: MN Z~p; 55068
IGNAT E OF PERMITTEE
OFFICE USE ONLY
/
~t -
L~ BL ~ CITY USE ONLY RECEIPT ~~5~ rI
SUBD. l c.~ RECEIPTDATE: 3a5 97
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, N!N 55122
(612) 687~d675
Please complete for. ? single family dwellings
? townhomes and condos when pertnits are required for each unit
New construc6on Add-on furnace
Atlri_rs~ air ~!inriiti~ni~a ACI(~-f1;t AII 4X[ hAf~ yQ~(y 1,4, ~IA~!?_p cVC}P~rls P#(~.
Date: ~~~~/9 /
~
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outiets (minimum of 1 required ~$3.00 each) v~
? State Surcharge .50
TOTAL " T~i -
51TE ADDRESS: ~v~ < ~/Q~
OWNER NAME: / ~ 7/lJ~YI~S _ _ PHONE#~~~1~~~
INSTALLER NAME: GINZ-RYAN HEATING PHONE 423-1144
STREET ADDRESS: 14745 So Robert Trl
CITY: Rosemoimt STATE: ~ ZIP: 55068
~
IGNA RE OF PERMITTEE
q
CITY USE ONLY
L BL _ RECEIPT#:
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)881~4676
Please complete for. . ail commerciaUndustrfal buildings.
? mutd-family buiidings when separate permits are ~ required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: .$25.00 minimum fee Qr 1% of contract price, whichever is greater.
~ Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of nermit fee due on all permfts.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE AuDRESS:
OWNER NAME: TELEPHONE#:
TENANT NAME: (iMaROVennErrrs oN~r~
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE -
SIGNATURE:
51GNATURE OF PERMITTEE C1TY 1NSPECTOR
~ I~Q~ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ b~, ~
cirr oF ~?caN
3830 PILOT KNOB RD - 55122
ss,-sa,-as~s , Cd~~ 1~(qloo
New Consfnrctlon Reaulremenfs 1~~ Remodel/Reoair Reauiremenh ~
? S registeretl siFe wrveya showing sq. fl. ol bt, sq. tt. of houae ~J 2 copies ot plan
and pll roofed areas (20% moxlmum loi covaraae allowetll a`r 1 sat of energy calculatlons lor heafed adtllfiona
? 2 copfes of plans (show beam & wintlow sizes; pouretl fntl. ~algn; etc.) 1 alfe wrvey for e~Aedor addlHons 8 decks
> t aet ot energy ca~cu~anons
D 3 coples ol hee presenatlon plan H bt plc~tetl aHer 7/t/93
DATE: I~/ ~ CONSTRUCTION COST:
DESCRIPTION OF WORK: ~"~`r 5~ N mulH-lamily bldg., how many unlts?
STREET ADDRESS: ~~0~ 0 5 ~ 0.-~/' ~u u-Gr
LOT: _L BLOCK: ~ SUBD./P.I.D. C~C~Ar C~ fiS
Name: 1~~~ ~-r ~ Pnone p: ~e ~f pD~- ~(Q S
PROPERTY ~ Flrst
OWNER ,IGa~ Sl~,~,~--
Street Address: ~"t l ~
c~N ~-D~^ s+~re: /ti'IN ~,p: S~S/ az
Company: ~e' ~ Phone t:
(area code)
CONTRACTOR
Sheet Address: License Exp.
CMy Stafe: Zip:
ARCHITECT/
ENGINEER Company: Name:
Teiephone ( )
Sheet Address: Regisfratbn I?:
City State: Lp:
Sewedwater licensed plumber (H installina sewedwaterl: ione tk:
I hereby acknowledge fhat I hwe read Mis cpplicatbn, stafe Maf the infortna ' s
c~and agre mply wilh all appikable Stafe
of Minnesota Statutes and Cify of Eagan Ordinances. ~
Signaiure of Applicant ~
OFFICE USE ONLY
Certificates of Survey Received ~ Yes ~No 3
Tree Preservation Plan Received _ Yes _ No v Not Required
~
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex O 21 Porch (3-sea.) ? 31 Ext Alt - Multi
O 02 SF Dwelling ? 08 O6-plex ? 17 Garage p 22 Poroh/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 03 01 of _ plex ? 09 07-plex O 18 Deck ? 23 Porch (screened) ? 36 Muw
O 04 02-plex ? 10 OB-plex ~ 19 Lower Level ? 24 Storm Damage
O 05 03-plex ? 11 1O-piBX Plbg ~YOr_N ? 25 Miscellaneous
O 06 04-plex ? t2 12-plex ? 20 Pool ? 30 Accessory Bk1g.
WORK NPE
¦ 31 New O 36 Move Bldg. O 43 Reroof
? 32 Addition ? 37 Demoiish (Bldg)• O 44 Siding
? 33 Alteration ? 38 Demoiish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code ~ # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings 1_ Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Aliowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
0 Stucco/Stone
APPROVALS
Planning Building ,~Q Engineering Variance
Permit Fee Valuation: $ ~'3 ~D
Surcharge ~ y~ ft x p ; f/3~~
Plan Review
License
MC/ES SAG
City SAC '
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other I ~-.-~'~p t
Copies ' '
Total:
SAC Units
% SAC
~D~7~7 ~'o- ~
2007 ~SIDENTIAL BITILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCfion Reouuemenls RemodeVReoair Reauiremen~ INfice Use OnN
3 regislered site wrveys showing sq. ft. of lot, sq. R of house; and all roafed areas ~ 2 copies o( plan showing katings, beams, pisis CeR af Suney Recd' _ Y_ N
(20%maximum lat corerdge allowed) 1 xt of Energy Calculations for healed addUOns Sals Repat _ Y__ N
1 Sols Report it pmposed 6uilding is to be placed an disNrbed soil 1 site survey for addifions 8 decks Tree Pres Plan Recd _Y N,
2 copes of plan shovnng beam 8windowsizes; poured found desgq etc. AddiEron-indwafe il oo-site sepb2 system Tree Pres Reqmred , _Y _N
1 setof Eneryy Calalations On~siEe Septic System ~~_Y N
3 copies of Tree Preservafion Plan H lot plaGed after 7M/93 .
Rim Joisl ~etail Options sdectian sheet (6uildings with 3 or less unils)
Mnnegasco mechanical ventilation fam
Plans are considered ublic information unless ou state the are trade secret and the reason. ,
~ mo
Date / ~ ~ n Construction Cost ~O~ ~ ~ ~
Site Address l'f'__~~~~.~~ K~ UnitlSte #
Description of Work ~ ~ ~h4 ~o~~
Multi-Family Bidg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Praperty Owner p~/~ ~/~UY~// X Telephone # f~,~Z )~~D Sfo~~
T~!'~T. /i/ 17~vnl~l~~/" /i ~ ~~Y ~ ~ .
Contractor ~,tir 7/ iv v
Aaaress 9~Do /3 ~/r` ~v N City ly/.l'~1dvT~`
r
State .+.1.// Zip,L~_ Telephone #(76~) S~//- O~ o~/
~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672
Energy Code Category . Residen6al Ventilation Category 1 Worksheet • New Energy Code Worksheet
, submission type) Submitted - Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 months, has ihe City of Eagan issued a permit for a similor plan based on a master plan~
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone # ( ~
Sewer/WaterContractor Telephone ~
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 ofplans.
e G P .de" ~~~.~~L-
Applicant's Pririted Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
? Ot Foundation ? 07 OS-plex ? 13 i6-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MWti
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebofpergala) ? 36 Multi Misc.
? O5 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 37 New ? 35 Int Impravement ? 38 ~emolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
- ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement •Demolition (Entlre 81dg) • Give PCA handout to applicant
~BSG~IpttOfl: Water~amage_Yes -
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaVC.0.
_ Footings (addition) _ Final/No C.O.
Founda[ion HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
_ Framing ~ _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Re[aining Wall .
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connectlon Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies I
Other
Total
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157511
Date Issued:08/23/2019
Permit Category:ePermit
Site Address: 4928 Slater Rd
Lot:1 Block: 2 Addition: Cedar Heights
PID:10-16725-02-010
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 -
Brian L Murphy
4928 Slater Rd
Eagan MN 55122--236
Mayday Restoration
18062 Judicial Way N
Lakeville MN 55044
(651) 253-4085
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177728
Date Issued:07/14/2022
Permit Category:ePermit
Site Address: 4928 Slater Rd
Lot:1 Block: 2 Addition: Cedar Heights
PID:10-16725-02-010
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 -
Kelsey J Moore
4928 Slater Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature