4929 Slater Rd INSPECTI4N REC~RD ~
Cf~'~Y OF'1EAGAN PERMIT TYPE: ' ~ ~ ~ ~ ; ' ~ ~ .
3$30 Pilot Knob Road Permit Number: f s-s
• Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SlTE ADDRESS: ~ ~ { ~ , , ~ ~ ~ . • ~ ; ~ ; APPLICANT:
~ ,s ~ ~,r ;
1 A9f~Ft it11 .~id It~~biS ' IMi i~u~JA111
s~, i;,., t~i~„~, ~,.~:1 i 1~t~... ;,ab, .:y
PERMIT SUBTYPE: TYPE ~F WORK: ~a ~ ~ ~
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,~~i I Nt~ i.~~r~i I i~~~
V c! ,11i ! I~+Ii I I I ! I I r1~ i
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i~r [~n~zk~~,f ~ ~ r~,, ~~;,i~ ~ ~ i~t~~
~ _ ~
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Permft No. Permit Nolder Date Telephone #
EL~CTRIC a~' , a G ~
PLUM61 G 7 G ,3
~~~U
HVAC ~ ~ oZ (r ~ - ~3V
~ I~spection ate Insp. Comments
FOOTINGS d , , /D
b G'7 L(~V
FOUND ~ ~~~Q~ ~
FRAMING 3
ROOFING
ROUGH ~
PLUMBING
PLBG
AIR TEST ~ °f~
ROUGH
HEATING
GAS SVC
TEST a Z
INSUL ~
GYP BOARD
~
FIREPLACE C~_
FIREPLACE
AIR TEST ~
FINAL PLBG ~ ~ Q ~F
FINAL HTG G
ORSAT
TEST
BLDG FINAI r~~~_,l`
BSMT R.I.
BSMT FINAL
DECK FtG
DECK FINAL
, ~
. . , . o.~.-=w . . . . .
- ~~`{~Jt~'`~
~ .
_ . _ -
0,
C~;e~ti~icate d~ ~ccu~anc~
G~i~j o~ ~agan
~r~rtacar o~ ~x~[~ing ~a,~cctieK '
This CertifecaJe issued pursuant to the req~rirements of the Uniform Building Code
certifying thal at rhe tinee of issuance this structun was in complrance with the various
ordirrances of tlu Cily regulating building eonsiruction or use. For the follvwing:
u~ c~;ts~;~: SF DWG swE. r~,,,,;~ r,a. 28343
o~.,~y Ty~ R-3 U-1 ~;a ~-1 Tr~ c«~~. ~-N
~~8,,,~ DON JOHNSON BOMES 4639 PARK RIDGE DR. , EAGAN, MN
A~ 4929 SLATER RD L7, Bl, WHISPERING W04DS lOTH
i~-u-~.. - F-~ r~- n,~: ~„~,t'"'vti-, J~ r~
.b~ ~
POST IN A CXHNSPICtJOIJS PLACE ~ ~
1~ ~ . '
- - _ _ _
Addiess 4929 St.nTER ~tu Zip 5512
Lof ~ Blk 1 Sub ~ISPERING WOODS lOTH
THESE 11'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: I I Yes No Inspector. ~
Final grade (6" from siding) /
Permanent steps (garage) /
Permanent steps (main entry) /
Permanent driveway /
Permanent gas ~
Sod/Seeded grass /
TraiU~~b damage ~
Porch /
Basement finish /
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the autside lawn faucet before freeze potential exists.
Contac[ engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White • City Copy Yellow - Resident Copy Pink - Contractor Copy
PERMITp ~ ~ ~ . RECEIPTDATE:
200~ #~FSIDENTi~L ~LUM~IN~ #'~$MIT ~k~"i'L1C~'~710N
CITY OF £~kfiAN
3$SO fILOT KNOB !tD
EAfiAN, MN 851 EL
B51-B$1-4s75
Please complete for: single family dwellings, townfiomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: ! 9~~I S~G ~P ~
OWNER NAME: : //I' C~y? J aS~~s ~~A `~r/F~" TELEPHONE 6SJ - g`f S-~.ZS3
(AREA C~E)
INSTALLER NAME: ~ ~ F l `O~D er TELEPHONE ~~S` ~~S-;
/~d S.lu P? ~p~, (AREACO~E)
STREET ADDRESS: ~
CITY: GFq STATE: ZIP: Ss/~-a-
~
SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATIONIALTERATION TO EXISTING UWELLING UNIT, INCLUDiNG:
X Adding fixtures to ower level r room additions, excluding water soReners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
_ RPZ. new installation/repairlrebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ 50
rotal $ 5~ 5~
I hereby acknowledge that I have read this application, statethatthe informatinn is conect, and agree to complywRh all applicable Cityof Eagan ordinances. It
is the applicanPs responsibilkyto notity the praperty ownerthatthe City of Eagan assumes no liability for an da used by the City during its normal
operational and mainteriance adivities to the Bcildies construded under this permit vathin ' rty/r t- y/ ement.
~
SIGNATURE OF PERMITTEE t702
RESIDENTIAL
? BUILDING PERMIT APPLICATION
~ I ~ J~ CITY OF EAGAN ~ ~ ~ S
~ 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 ~ n
~-ex
New ConeVUetfan Reauiremente HemodeVRenalr ReauhemeMe j~
• 3 repl~ered stte surveys showv~g sq. tt. of b4 sq• ri of house; and ~ rootatl areas • 2 capies of plan
(20%maximumbtcoveragealbwed) • lsetotEnerpyCa~ulatbnsforheatedadditlons
. 2 coples of plan showinq baam 8 window sizes; pouretl found design, etc.) • 1 sNe survey lor ezterior additions & decks
• 1 set ot Eneigy Calculatbns • Indicete il home served by septic system for adtlAbns
• 3 copies of Tree PresBnaUOn Plan M bt pleded after 7l1/93
. RFn Joist Oetall Optlons selection sheet (bklgs w~h 3 or less un~s)
DATE ~I SIO ~ VALUATION
SITE ADDRESS y9a g SIu~Pr Jlp~.,,~ MULTI-FAMILY BLDG _Y u N
TYPE OF WORK ~w'~'r GPvr n+s ~i FIREPLACE(S) _ 0 X 1_ 2
APPLICANT ~'/'~ch4el 4~SG~c..p~c ~o° E'r
1A ~ STATE m/VZIP SSL7z
STREET ADDRESS ~ 9~~ SIti e. ~aa • CIN
TELEPHONE # GSl- ~''IS-S-2S3 CELL PHONE # 6~-~"~gS~G6s6 FAX #
PROPERTYOWNER ~~chtiP~dS~~FH~~ Ca%~,pr TELEPHONE# L'`~-&9S-~r.zS3
COMPLEiE THIS SECTION FOR ~NEW~ RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 ~'j~}J''~}~~" S~'
submission typa) • Residential Ventllation Category 1 Worksheet Submitled ~~Code Works ~ Submitted
• Energy Envelope Calculetions Submitted J U N 0 5 2002
Phone # B ~
Plumbing Coniractor:
Piumbing system includes: _ Water Softener _ Lawn Sprinkier Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Conhacior: Phone #
Mechanical system includes: _ Air Condirioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor. Phone #
I hereby acknowledge that I have read ihis applicatlon, sTate ihat the informatlon is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. A/,
SignalureofAppl~ant ' "
_~r.
OFFICE USE ONLY
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ uPdaced aloz
OFFICE USE ONLY `
? Ot Foundation ~ 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E~ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 p&plex ? 8 Deck O 23 Porch (screened) 0 36 Multi
? 05 0&plex O 11 10-plex ~9 LowerLevel ? 24 StormDamage
? 06 04plex O 12 12-plex PIbg~Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
~ 33 Alteretion ? 37 Demolish (Bldg)' O 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demalition (EMire Bldg only) - Give PCA handout to applicaM
Valuation o U O Occupancy 2- 3,,, ' MC/E$ System
Census Code 2oning City Water
SAC Units ~ Stories . Booste~ Pump
Nbr. of Units G Sq. Ft. PRV ,
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ~ ~ W idth
REQUIRED INSPECTIONS
_ Footings (new bld~ Final/C.O.
_ Footings (deck) ~ FinaVNo C.O.
_ Footings (addiNon) ~ Plumbing
_ Foundation ~ HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs _ Air/Gas Tests Final
7J Framing Siding Stucco Stone
Y Fireplace ~ R.I. ~Air Test ~ Final Windows (new/replacement)
~ Insulation _ Retaining Wall
!~-IV-Uy
Approved By 'S ~ , Buflding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies , '7.5
Other
Total
, . PERMIT C~'~a~
- CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u z ~ o i N ~
Eagan, Min nesota 55122-1897 Permit Number: 0 2 8 3 4 3
(612) 681-4675 Date Issued: 0 7/ 2 4/ 9 6
51TE ADDRESS:
4929 SLATER RD
LOT: 7 BLOCK: 1
WHISPERING WOODS 10TH
P.I.N.: 10-83959-070-01
DESCRIPTION:
~U~1di.ilg,,Permit Type SF DWG
l$~liilding i~ork 7ype NEW
!~U~$C Q~cupdf~oq~ R-3 U-1
~r" CnnsCructi~tn T'~pe V-N
J" 2oning 7--~ti R-1
' Building Lenqth ' 64
~ ' Building Width 36
1
L 8uil.ding stories 2
+.~i._ ~+~~ara Fes~. _ ~.794
, ~ S
C§ns~.r`s~,C.o~ 101 1- FAM. DE7ACH
~
r 7
~~f 3~ (`~~~"~t~j r~.l ~~~r~' ,'.~i
i ~ ~ ( r
.~-,3_ f'~.~ - .
REMARKS:
S& W PLBR - MATTHEW DANIELS PLBG
FEE SUMMARY:
VALUATION $157,000
Base Fee $1,172.25 MISCELLANEOUS $1.923.50
Plan Review $586.13 Total Fee $4.660.38
Surcharge $78.50 .
SAC $900.00
SAC ~ 100
SAC Units 1
Subtotal $2,736.88
CONTRACTOR: - Applicant - sT. ~~c.OWNER:
JOHNSON HOMES INC, OONALD 14560034 0001603 DON J'OHNSON HOMES
4639 PARK RIDGE OR 4639 PARK RIDGE DR
EAGAN MN 55123 EAGAN MN 55123
(612) 456-0034 (612)456-0034
I hereby acknowledge that I have read this application and state that the
infa~rm~stiar~ is c,~t~rrect arr~~l agr~~e tst aamply +~ith all appl,~cab1~ Sta~~~e o~ Mn.
Statutes and City of Eagan Ordinances.
L _
~ ~1 ol,~a f ~'h. -
AP IC T/PERMITEE SIGNATURE ISSUED BV: IGN TUR
CITY OF EAGAN ~
3830 PILOT KNOB RD - 55122 4~~~"~~
~ ~ 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) zz
681-4675
New Conshudion Reouiremente R>model~eoai~ Rea~iremeM=
? 3 regislered site aurveys ? 2 copies ot plan
? 2 wpies ol pians (indude beam 8 window sizes: poured fid. design; etc.) ? 2 slle surveys (exterfor addkions 8 decks)
? 1 energy calcuiatlona ? i energy ealwlatians for heated additlons
? 3 capks of iree preservation plan N lot plaHad after 7/1/93
required: _ Yes _ No .
DATE: 9~ CONSTRUCTION COST:
DESCRIPTION OF WORK:, " ~
STREET ADDRESS: ~'9°2 g s~J ' "
LOT ~ BLOCK ~ SUBD./P.I.D. ~
~ ~
o ~z
PROPERTY Name: Phone
OWNER ~~a~
Street Address•
~ity; State: Zip:
CONTRACTOR Company: Phone
Street Address: G£. License ~~Od3
/
~ity;~ State: Zip:
ARCHI7ECT! Company: Phone
ENGINEER
Name: Registration
Street Address•
CFty: State: ZiP~
Sewer 8 water licensed plumber. ~~~~.•~-A-~ . Penalty appiies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the infmmati n is co d and agree to comply with all
a licable SWte of Minnesota Statutes and Ciry of Eagan Ordinances. _
PP
Signature of Applicant: ,
~
OFFICE USE ONLY ' / ~(€~;(C~~~`U/~D
Certificates of Survey Received Yes _ No .j ~J ~'j ~ f~~~
Tree Preservation Plan Received _ Yes ~o T
OFFICE USE ONLY . ` ~',1
>
BUILDING PERMIT TYPE
? 01 FoundatiGri ' o~,~p~plex ? 11 Apt./Lodging ? 16 Basement Finish
~02 SF Dwelling ?`~Z:,:~4-piex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o~~~Gg,,plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF PoroF€: ~~0$-~i12-plex ? 14 Fireplace ' ? 21 Miscellaneous '
0 05 SF Misc._ ? 10 plex ? 15 Deck ~
WORK TYPE
~31 New 0,,3~~terations ? 36 Move ~
a 32 Addition :e o 34 $gpair o 37 Demolition ,
GENERAL INFORMATION
Const. (Actual) . Bacement sq. ft. / Z 6 MClWS System ~
(Allowable) 71_-~~ M~ Main levei sq. ft. /,,~~G City Water T
UBC Occupancy ~~NS sq. ft ~Ja Fire Sprinklered
Zoning /2-/ _ sq. ft. PRV
# of Stories Z<~r,,,. sq. ft. Booster Pump
Length t~_ _ sq. ft. Census Code. o/
Depth ~c Footprint sq. ft. l. 7%`/ SAC Code 0/
~ Census Un 9
APPROVALS r,~~S,c~~e ~q
~ 33
Pianning *~,Bp~ding Engineering Variance
Permit Fee Valuation: $ ~S~p6o ~ ~T~9L ' lS~, 33~
Surcharge
Plan Review j~~/~_ Z N~
License - o
MCNVS SAC . _ ~Sn 75' ~ ~ /,S~ ~s = /o
Cit SAC o0
W
terConn. ~ /Y x S~J ~ 7 ~o~ So = G°°O
Water Meter /Z ,r 1S. s' °`~Z~ ~ x 3Y = z~!
Acct. Deposit _ `9,~r 2~ ~ " z ~ ~ _
S/W Permit~ CF~s. z y 7 " / y
S/V1/ Surchar~e 230 ,r SY=
Treatment PL /~O~O " ~ - - ~ )
Road Unit ~2 ~'~y yL/
Park Ded.
~f~^
Trails Ded. ~
C pies
. Ji/xs0 = ~ov ~ ~ ; /~07
Total:_ . . I Z x?s' ~
Yf- ~z y z ~Z y,
~qp ' L
%SAIi /,(z~0 7C/~~ Z~7~0 1/ ~
SAC Units ~ ~ l~ b~ G~
°~y
~
, J~L' 10 '96 16:1A TO 4560a51 FROM PROBE ENGINEERIhIG T-480 P.02
caHSVITIqo tNO Ntens OONALD L JONNSnu unnnFC ~
~O(3E PIOHNEOS and ~OND 3UOYEV00f ~ppOJECTNO. IS66,01 ~
ENGIN6E(iING ' BaoK ~,z
~ COMPRNY, INC• PAOE ~5
1000 EAST 1~81h lTPEfT, BUrtNSVILLE~ MINNEl0T0. 75D51 PM ~J2-3000
'CERTfFICATE OF SURVEY
Legal Description: COT 7, BLOCK 1~ WNfSPE'RlN6
~ Ui100D5 TENTN ADDITION,, Dakota C~vn-~~~MiNn.
~LG'~?1...-r~.) DENOTE8 EXI3TINQ EL~VATION
(/OV3.7 ) D~NOT~S PF~OPQSECI ~LEVA710N
- N - INUICATES DIqECT10N OF SURFAC~ DqA1NAG~.
/G04~GY~ = pINIBHED QANAG~ FLOOR ELEVATION
, I 99fe~ 29 = BASEMENT FLOOH EL~VATION
0 4, 33 = TOP OF rOUNDA710N EL VA7ION
SCALE: 1' = 3Q' r Ir F~ ~
~f? y ~ Q ~
rl . ~D ~ o ~ 35
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M~ a~ L.OT 7 0$~•wn -~a' ~.40
N~ w~ V_ m~ N~ a - Goo3;~ ~ I`fl O
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V1 ~ Y rT i.,. ~ ~ 1 ~ r- ~o.o w~ ~
' 1' ~ s O °
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~ A ~ fM ~~~c. C996,o~ - ~ ~ z.o g ~ _ _ ~,~J
o ~
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RE~!{ u'".~ ~ ,ti~~~ ~pg~~ , ~~s,4~'ZS.a~n ~ ~
r~ ~y~ ~ ~ i"~~`
' sY. ,~~P ` ~ o r
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~v = g9/, 9/
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I liereUy certify that tliis is a i:rue and corrent representation of ~tra~~ of
Land as shawn and desoribed liereon. As prepared by me this /0 Y
?v-,~ - ~ 19~~L'• ' ;
.p~ / ~ G/ ~-Minn. Reg. No. ~1~Ofi'~
' , LOT SURVEY CHECKLIST FOR RESI~ENTIAL
BUILDING PERMIT PLICATION
PROPERTY LEGAL: ~
~ ~ I DATE OF SURVEY: 7//u / 4~
~ ~ ~ LATEST REVISION:
~ ~ m
m DOCUMENTSTANDARDS
~
o% ? • Registered Land Surveyorsignature and company
q~~ ? • Building Permit Applicant
G7~o O • ~egal descdption
B~~ ? • Address
e~? ? • North artow and scale
9~ O O • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
e"~? ? • Directionai drainage arrows with slope/gradient %
B~o ? • Proposed/ebsUng sewer and water services & invert elevation
~o ? • Street name
? ? • Driveway
ELEVATIONS
F~astina
~o ? • Sewer service (or Proposed)
0" ? ? • Property comers
D~ ? ? • Top of curb at the driveway
Cf~? ? • Elevations of any e~sting adjacent homes
Prooosed
~ o • Garage floor
~ ? ? • First floor
? ? • Lowest exposed elevation (walkoutlwindow)
Q~" ? ? • Property comers
O~~ ? • Front and rear af home at the foundation
PONDING AREA (iF aoolicablel
0 ~ ? • Easement line
? ? • NWL
? L~ ? • HWL
? ~ ? • Pond # designatlon
? ? • Emergeney Overflaw Elevation
DIMENSIONS
~ ? O • Lot IlnesBearings & dimensions
? • Right-of-way and street width (to back of curb)
C~ ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all structures requiring pertnanent footings)
? • Show all easemenfs of record and any Cily udlities within those easements
? • 5et6acks of proposed structure and sideyeM sefback of adjacent e~assting structures
? • Retaining wall requirem ts, if any
Reviewed: ~
ame Date
January /996
cwvataaera~oovaMr.~
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, . , 612 484 9114
' ~ JUL t S ' 95 l3: l5 I HE~ihi [ ~~S;Eri RF+ G PqGE . 65
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' L qD0 {pT N~11 ~111L l~ \W1M~YILLi. MIMNp0i6 6~N1 ~N ~i~•~OYY
E 4~ICA'FE O~ SURVEY ~
~ AN APP~
8~ su 1 Des 1 tlon: ~~r 7 PLOCK 1~ WFliSPERlNG _
1Af0oD5 nfTH ADD?TtON Dako ~M~+
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rtf.KK INDICA7E6 DIqECT~ON .Cl' BURFAC! DAAtNAa~
s••-~a ~ Q9 e FINIBMED CiNRAC~L fltl'OH f:LL'VATION
n 9ASEMENT FLOOq ELEVATfOH
~ ~ TOP OF POUNDATION 8L VA710N
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.
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lana a~Y ~1+oww ann d~oor boa naraon. nr yrsD~=~p dY mo ~1t1° ~ any ue
Ju~, . ~.~,9~.. ~ ~ /J ~ ;
/(/,(,l•1,p~f;Y b/~fn.~rMinnTOTRL PAGEp~05
. , ~ 612 d94 6114
' ~ ~ JU~ (8 '96 14:47 I HENNIPIGSEN RR fa pqaE.03
?
. 30~ , Y: t~ `
. . , • 1. $ ~ ~ ~ 3 g
.
y r~t~ 1.~~9°4'7'to"~ o ~ ~ ~9,~
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~ S/ M M ~ ~ a~t . ~ ~a! ~
: ~ 14 ~ p.. Zb. ~.'3 r9gZ , i "
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f~~ LOT 7 0 $~~c+~ ~~~4
o ~ y~ a ' ln u°~ cQ. o ~(f
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:eby asrtiEy '~hw~ ~lti~ i~ a txun and do~reoG repreeett~~~ioit o! a
a~ shown ar?d • dasOr~bad lier~on. I~~ praparad by me ~l:ie ~O'~'
/i./ . 1S 9 . ~ ~
. , 612 484 0114
~ . JUL l8 '96 14:48 [ HENNINGSEN RG q PRGE.04
Significant Trees on Lot 7 alk 1,
Whispering Woods lOth Add., Eaqan
TrOe y Species DBH Conditiori
1 white oak 23.4 remove
2 eur oak 14.5 remove
3 Red Oak 9.5 remove
a Red oak 9.3 remove
5 White Oak 30.5 save if not Oak Wilt
6 Cherry 8.6 save
7 White Oak 2U.4 remove
8 White Oak 10.5 save
9 white Oak 16.3 save
10 White oak 28.8 save
Total aiqnifiCant trees on lot 7 blk 1 are: 10
Significant treea that have to be removed are:TreeO 1,2,3,4~7
ReplaCement trees: Options (Category is 5 trees or Categoiy II: 10
trees or Cateqory III: 20 trees~
Species recommendation: White Spruce, Sasswood, 3uqar Maple,
Balsam Fir, Green Ash, HoAey Locust
Place trees where homeowner desires.
Save small clump of Aspen if wanted, on south aide of property.
i
TOTAL PRGE.04
. 612 484 0114 Y
~ • JUL l9 '96 14:47 f HENNINGSEN RA R PAGE.02
lnspcctcd Date~ 12-96
~ ~~Y; Lee Schoenecker FORESTRY EVALUA710N
~ IDa~ Co~tacC Jeanni Johnson
Address•i'°t 7 Blk i of, Donald Johneon Horaes
Whieperinq woods lOth Add. Phone:456-0034
Eaqan
Front of lot faces to the east.
Notes:
Lot is heavily wooded and slopea downward from front to rear.
Prnperty Description: ~
white Oak, Cherry; Red oak, Aspen
Forest/Tree Destription:
The tree protection placement is on the map 8nd on the site. If
Recommcndations:
there la any.woundinq of oaka, tree wound paint will need to be applied. So as
no o ntro uce t e poseibility of Oak Wilt. ~
T ere might be Oak Wilt on the eite already. Tree #5 is showing eiqna~
kiowever there ~hould be a eample taken, for positive'identifiCation.
:
Two Story
Donald L. Johnson Homes, Inc..
Energy Code Wo~icsheet
Name CartwrigM, Bob & Susan
Address 4929 SIffier Road, Eagan
Contractor ponald L. Johnson Homes, Inc..
4639 Park Ridge ~rive
Eagan, MN 55123
Phone 456-0034
Building Classification: Type A(single family)
General Infortnation:
1 Building Perimeter-See Worksheet
2 Wall Height - See Worksheet
3 Gross Wall Area 2328.16
4 Square Foot Roof Area 1257.00
5 Square Foot Rim Joist 124.00
6 Doors - Area 68.40
U Factor 14 ` .47
7 Total Door's Perimeter
8 Windowrs - 5ee Worksheet
9 Total Square Foot Glass 178.61
10 Fireplace Area -0- Clearance
11 Exposed Foundation .67'161 83.08
72 Framing Area = 10% of Gross Wall Area
13 Gross Wall Area 2328.16
WindowArea 178.61 0.36 64•30
Rim Joist Area 124.00 0.04 4.96
Door Area 68.40 0.14 9.58
Other poor Area 0.47 0
Expos~ Foundation 83.08 0.14 11.63
Framing Area 232.82 0.10 22.12
Net Wall Area 164125 0.043 70.57
183.16
14 Gross Wall Area 2328.16 0.11 256.10
15 Gross Ceiling Area 1257.00
Joist Area 125.70
Net Ceiling Area 1131.30
U Ceiling 1131.30 0.02 27.15
U Framing 125.7 0.02 2.89
30.04
16 Ceifing Area 1257.00 0.03 32.68
Page 1
? ' ` ~
Two Story
Donald L. Johnson Homes, Inc..
Energy Code Worlcsheet
Name CartwrigM, Bob 8~ Susan
Address 4929 Slater Road, Eagan
Contractor ponald L. Johnson Homes, Inc..
4639 Park Ridge Drive
Eagan, MN 55123
Phone 456-0034
Worksheet
26+50'8.33 633.08
(26+50+14+3q)*13.67 1695.08
total 2328.16
Roof 1257.00
W indows
2636 4*5.01 20.04 4
2040 2'2.18 4.36 2
2640 7'8.36 58.52 7
3040 1*11.65 11.65 1
205012'3.37 40.4d 12
1636 2'1.83 3.66 2
2036 3'2.18 6.54 3
2650 4'8.35 33.40 4
total 178.61 35.00
Doors Atrium 34.20
6'0 Patio 34.20
total 68.40
I hereby cert'rfy that I have completed the above
infortnation and that it ~mplies with the
Min a S ergy Code.
Jeann Johnson
?
Page 1
CITY.OF EAGAN
CASHIER: JS TERMINAL NO: 767
DATE: 04/24/00 TIME: 07:28:20
ID:
NAME: MICHAEL ALAN COOPER
3210 9001 4929 SLATER RD 60.00
2155 9001 4929 SLATER RD 0.50
i
Total Receipt Amount: 60.50
CR127095
USER ID: JAN
**~~**~+********~***x,r*+~***~**~*******
~ yDN g3 200p gUILDING PERMIT APPLICATION (RESIDENTIAL) ~ 6D. 5D
. ' ~ cinr oF ~?caiu
~ 3830 PILOT KNOB RD - 55122
651-881-4875
New ConsfiucHon Reaulrements Remadel/Reoair Reauiremenh
n 3 registered ~Ile aurveys showlnq sq. fl. ol bf, ~q. 8. d houae 2 coplea d pla~
and g~ rooled areaa (20% mmdmum lot coveraae albwa~ t set ol energy caiculaflons la nealed adtllnons
> 2 coples 8i pfaiu (ahow bernn & wlndow alzes; poured Axf. design; etc.) t site wrvey for e~ctedw adtllMOna ~ deeks
> 1 sel ol energy calculaNOns
? 3 coples ol hee pre~ervatlan plan tl IW platted alter 7/1 /9J
DATE: ~ I DO coNSrnucnor, cosT: 3 3G0
DESCRIPTION OP WORK: ~eCK
STREETADDRESS: ~F9c~~) 51~1'G~?' /~OaG
. LOT: 7 BLOCK: ~ SUBDJP.I.D.~: W~+~sper7n~ WoodS Te~7~+ nrAa~T~On
Name: ~00,~~" ~ic h a e ~ Pnone 61 85y -~9 /0 ln4y ~
Pao~rm F~~ 65~- 89s -ss~s3 1~~,~)
OWNER m /
Sheet Addresa: ~~a q 5~4 ~2r n oa c{
~~ry ~u~~ ~ _ sta~e: ~ti ap: ss~aa
. Company. Phone 0:
(area code)
COMRACTOR
Sheet Address: License # ExP•
CMy Sfafe: ZiP:
ARCHITECT/ Name:
ENGINEER Company:
Telephone ( )
Sheet Addresa: RA9~p~~
Cily Siate: vp~
SewerAvater licensed plumber pf InsWllina sexrer/water): Phone
I hereby acknowledge ihat I have read this applicaNon, sfate that ihe infortnation Is cortect, and agree to comply wHh a0 appOCable State
of Minnesota Stalutes and CHy of Eagan Ordinances. °ii' G! ~~tiei+~~
~ Signature of ApplicanY.
,
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan ReceNed _ Yes _ No _ Not Required 1 7
OFFICE USE ONLY • "
BUILDING PERMIT SUBTYPES
? 01 Foundadon ? 07 05-plex ? 13 1&plex ? 21 Porch (3-sea.) ? 31 ExL Alt - Multi
? 02 SF Dwelling ? 08 O6-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF
? 03 01 of plex ? 09 07-plex ~i18 Deck ? 23 Porch (screened) O..3fz_ Mutti
? 04 02-plex ? 10 08-plex ? 19 Lower Level O 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous
? 06 04-plex 0 12 12-plex ? 20 Pooi ? 30 ' Aa;essory Bldg.
WORK TYPE
31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition O 37 Demolish (Bidg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolitlon permit
GENERAL INFORMATION ~
SAC Code # of Stories sq. ft.
No. of IJnits ~ Length Sq, ff.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code U~N
(Allowabie) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq, ft. Booster Pump
PRV
Fire Sprinkiered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone ~
APPROVALS
Planning Building ~ G Engineering Variance
Permit Fee ~ 6 0.SU Valuation: $ 1 2 G G
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. ~
Park Ded. .
Traiis Ded.
Other '
Copies
rotal: ~ 6 a. s o
SAC Units
% SAC
, , .
,
~ ~
w ~ ~ , £F~S/
` ~ ~
~
\ ~f,'4~s
I ~ 3~t%fn
I ` ~ y~~
~ w ~
^'V ~ ~ _ M ~ ~S
` 1 e _
~ I ~ M1 „
S "n
~ ~ ~
Si ~ ~'3 ~ _
-r- I ^ g _ ,r ~o
o~ n w
d ~ I N .y :
Vl ~i , •
~ ~ sy j
~ j I
~
a- ,oi
_ _ . . .
,9b ehl
M
L H gL CITY USE ONLY RECEIPT ~ ~
/
SUBD. ~ DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612)681-4675
Please complete for. ? single family dwellings
? townhomes and condas when permits are required for each unit
x New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: August 27, 1996
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24A0
Additionai 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) ~O•o0
? State Surcharge .50
TOTAL 30 • 60
SITE ADDRESS: 4929 5later Raad
OWNER NAME: ma~ald L. Johnson xa~es PHONE 456-0034
INSTALLER NAME' ~tthew naniels. inc
STREET ADDRESS: 15z3o carrousel way
C~Ty: xos~t STATE: ~ ZIP: SSn~~
PHONE ( 612 ) 423-3730 ~l~ .
rrl. .
~
I
CITY USE ONLY
L _ 8L _ RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CIN OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? all commercialfindustrial buildings.
? multi-family buildings when separate permits are 1~t required
for each dwelling unit.
~AT~: ~C~~!TRACT pP.lCF:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~$25.00 minimum fee 4L 1% of contract price, whiche~er is greater.
~ Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMIITEE CITY INSPECTOR
CITY USE ONLY
L ~I BL RECEIPT ,~D? ~
SUBD. ~~J~ DATE:_ ~/9~
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 551.".2
(612)681-4675
Please complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
FIXTURES ~A~i N~ TOTAL
Shower 3.00 x / _ oa
Water Closet 3.00 x 3 = 9. ~
Sain i
ub 's.00 x ~ = G.oo
Lavatory 3.00 x = J.2.00
Kitchen Sink 3.00 ;c / _ •oo
Laundry Tray 3.00 :c / = d.oo
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :c / = 300
Floor Drain 3.00 :c = 3oa
Gas Piping Outlet ' minimum -1 3.00 :c / = 3 00
Rough Openings 1.50 ;c 3 = ~
Water Softener 5.00 r = ~
Private Disposai ` Dakota Ciy. lice~se 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations " to e~sttng 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL ~o. aa
SITE ADDRESS: 4929 slater xoad
OWNER NAME: ~'ald L.Jotuison Hanes'
INSTALLER NAME: ~iels, inc.
STREET ADDRESS: 1523o carrousel wav,
CITY: xosemount STATE: tYII~ ZIP: sso6s
PHONE ( 6i2 ~ 423-3730 ,
OFFICE USE ONLY
L 8L RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please Complete for: . aii commerciaVindustriai buildings.
~ mulfi-family buildings when separate permits are pQt required for each dwelling
unit.
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 FLUSHOMETER:i TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU 6E INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
7F 50, YOU MUST APPLY FOR A SEPARATE U.G. SPRINF(LER PERMIT.
FEE: $25.00 minimum fee or 1°/a of contract price, whiche~~er is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1°k
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: ~ INSPECTOR:
~~a~~
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction ReQUirements RemodellReoair Reauirements Ofice.USe Onlv
~ 3 regist~ed site surveys shovrinq sq. R. oi lot, sq. ft. of house; and all roofed areas 2 wpies of plan showing foo6ngs, beams, joisLS Ce~t MSUrvey ReCtl Y-`N
(20%mazimumlotwverageallowe~ 15elMEnergyCalwlationsforheatedaddi6ons SoilsReport I _Y _N
1 Soils RepoR if praposed building is to be placed on disturbed soil 1 site survey for addi~ns & decks Tree Pfes Plan Recd _ Y_ N_
2 copies of plan showing beam & window s¢es; poured found design, elc. AdtlPo'on- indlcafe i(oo-srfe sep5c system Tree Pres Reqmretl~~~ Y_
N
t set of Energy Calculafions Ortsite SepticSystem Y_ N
3 copies of 7ree Preservation Plan R Id platled after 7Al93
Rim Joist DeW~ Optlons selection sheet (buildings with 3 or less unit5)
Minnegascro mechanical ventilation fam .
Plans are considered ublic information unless ou state the are trade secret and fhe reason.
Date /,~L / Construction Cost~~> ~p~-
~ r
Site Address y g ` 9 q'~L y(F ~ UniUSte #
Description of Work 7f/~K f~~~
al?il i~G f~d~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
~ Property Owner ~/T~!! X S'~~O ~P y Telephone lt (~Z y/
Contractor Vt/~TU ~iU ~00~~ ~/,Q//l/~ yy~/
Address ~Jc70 /~r~ ~Vf~ ~ ~ City~ .
State {Ll,(/ Zip,~!'~ Telephone #(~6~ ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilafion Category 1 Worksheet • New Energy Code Worksheet
submission type) Submitted Submitled ~ ~
• Energy Envelope Calculations Su6mitted
In the last 12 manihs, has the City of Eagan issued a percniT for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masier plan: .
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor 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 of plans.
6vu~'~U/~ '~J'~~< ~ kmJ"~
ApplicanYs Printed Name ~ ApplicanYs Signature
DO NOT WRITE BELOW TffiS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
~ 03 01 of_plex 09 07-plex. ? 17 Garage ? 22 PorohlAddn. (4-sea.) ? 33 Ext. Alt-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gaze6o/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 1D-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex 25 Miscellaneous
Work Tvoes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Wndows/Doors .
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applieant
DBSG~ipflOn: Water Damage `Yes
Valuation Occupancy MCES System
Plan Review 100°/a 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
REQiJIItED INSPECTIONS
_ Footings (new bidg) _ Sheetrock
_ Footings (deck). _ Final/C.O.
_ Footings (addition) _ Final/No C.O. .
Foundation HVAC ~
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ RL _AirTest Fina1 _ Windows
_ Insulation ~ _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~ Fo7,Offii~.Use
City of E~~~Il ! Permi~ # S I ~v v j
~ Permit Fee: ~ ~
3530 Pilot Knob Road
Eagan MN 55122 j Dale Received: j
Phone: (657 ) 675-5675 ~ ~
Fax: (651) 675-5694 i stan: ~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: i ~~~~/Q r Site Address: / ~
Tenant: i2~~' ` ba ~8~~+~ Suite
RESIDENT / OWNER Name: S~~~t.c%~<. ~f'~ i Phone: 45 ~~Z 7~S S f ~
Address / City / Zip: Z~' S~~' f - l f-~ ~l/~ n S.f`/ Z~
x J
Applicant is: _ Owner / Conlractor
TYPE OF WORK Description of work: ~~~'v~ ~ ~z~P~~ ~ ``~f
Construction CosC i$ U U U Multi-Family Building: (Yes No ~
CONTRACTOR Name: ~/fR ~x -~T~ ~ License ~ d ~ 2 c/ ~ ~'-'L-
Address: ~ ~ ~ ?~i G~Ci~~~~n ~
c~ry: (--l ~i state: ;
~In/ rp: S
r~
Phone: dJ I"~~,~I~~JG>C Contact Person: 7~- JT"'~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ven~ilation Category 1 Worksheet • New Energy Code Workshee~
C8t6gOry Submitted Submitted
(l~ submission fype) • Energy Envelope Calcula~ions Submitled . .
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 oi master plan: ~
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Waler Contrector: Phone:
' NOTE: Plans and supporting documents-thaE you submlt are considered to be publlc lnformation. `Portions df
the in(ormatlon may be classified as non-public if you proyide specific ieasons.that would permlt the City to;,,
conclude that the are trade secre~s.
'I hereby acknowledge ihat this information is complete and accurate; ihat the work will be in confortnance wi~h the ordinances and codes of the City ot
Eagan; ihat I undersland ihis is not a pertni~, but only an application for a permi~, and work is not to s~art without a permit; [hai ihe work will be in
accordance with the approved plan in the case of work which requires a review and approval ot plans.
x/!~Z/irt2i. ? ~rh~f~ ~ '
ApplicanYs Printed Name an igna e
. ~ Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-piex ? 16-plex ? Accessory Building ? Pool
~3' Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ~
? 01 of _ Plex ? 07-plex ~ ? Garage ? PorcM1 (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Dack ? Porch (screenlgazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
. ? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding . ? Demolish Building'
? pddition ? Move Building ? Reroof ? Demolfsh Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
Reptacement ? Egress Window ? Water Damage
~ ' Demolilion (entire building) - give PCA handout lo applicanf
DESCRIPTION:
Valuation Occupancy MCES System ~
Plan Review Code Edition ~ SAC Units
(25%_ 100 % Zoning City Water
Census Code Stories eooster Pump
# of Units Square Feet PRV
# of Bui~dings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) FinallC.O.
Footings (addition) Final/NO C.O. ~
Foundation ~ HVAC
Drain Tile Other. '
Roof: _Ice & Water _Final pool: _Footings _Air/Gas Tests Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _AirTest _Final Windows
_ Insulation Retaining Wall
Reviewed By: , Building Inspector
RESIDENT/AL FEES:
Base Pee
Surcharge ~
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
OA
�, For Office Use sI I
. ' t r ; . Permit#: ! / Q 70 �i��
E AG A N
Permit Fee:
RECIEVE:D Date Received: '/3 /r
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 f
(651)675-56751 TDD: (651)454-8535 I FAX: (651)675-5694 APR 13 2018 Staff: -lag
buildinqinspectionscityofeagan.com L
2018 RESIDENTIALL BUILDING PERMIT APPLICATION
Date: - \ L
C Site Address: -( ` es``)- ec d Unit#:
Name: `J P Y)hCC ..k- Cc�Y\ C .(c Phone:6 LI I _ 330- OI L
Resident'/
Owner Address/City/Zip: $V
( -ter- Q. JCC 6 hI n f55 I
-) ,-
Applicant is: Owner Contractor
Type of Work Description of work:_ _ t ' ) 6 -'C ` - �,• /G / 0 VZ s.'a ' k G
yp CO a=_ I�S
Construction Cost:IS'5 7 C Multi-Family Bui ding: (Yes /No )
Lop:AL C6(\\ era , �V
Company � �i�, '�'� - ontact:
1 v
3 Contractor Address: �� ,�(C I t ` �� ..„0 City: C � �
State: /4 Zip: Phone:`'` 5>736-5 ail: AACt ( 1 (4PCI• .6C
License#: ��V�� Lead Certificate#: V
If the project is exempt from lead certification, please explain why: E
. AdiI7 /N c?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I 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:
I
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression 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-•ublic if ou •rovide s•eciffc reasons that would •= mit the.Cl to conclude''that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
ac clan e wit the approve an in the se of work which requires a review and approval of plans.
051,-\\
Applicant's Pr' ted Name Applican 's Si nat re
DO NOT WRITE BELOW THIS LINE LI' q' 5(1 ±ii l / e -70
SUB TYPES
Foundation Fireplace Porch(3-Season) _ Exterior Alteration (Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration (Multi)
Multi ei Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
— 01 of_Plex _ Lower Level —
Pool _ Accessory Building
WORK TYPES
New — Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
41 Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
04
Valuation Occupancy ,ZAG.-/ MCES System –.
Plan Review / Code Edition ,tvli SAC Units
(25%_ 100%_) Zoning it–/ City Water
Census Code 113`/ Stories Booster Pump
#of Units / Square Feet PRV –'
#of Buildings / Length Fire Suppression Required --
Type of Construction 1'1) Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) , " Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _-Final Pool: _Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick—EFIS
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES -3 3r o @ /6-1 ✓ 70 i
Base Fee // r � "
Surcharge
Plan Review 74
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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APPAWs: ¢929 ..5'x.9 ARAI
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By -iv-
EAGAN EP i GINEMING DEPT
hereby certifythat this is a true and correct representation of a tract of
.and asshown nd described hereon. As prepared by me this 201_ day of
thty , 19 •
i
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'
-41-1f ` ,e—Minn. Reg. No. � 0�
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150210
Date Issued:06/26/2018
Permit Category:ePermit
Site Address: 4929 Slater Rd
Lot:007 Block: 001 Addition: Whispering Woods 10th
PID:10-83959-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jenna A Shatek
4929 Slater Rd
Eagan MN 55122
Uptown Heating & Cooling
3110 Washington Ave N, Suite 100
Minneapolis MN 55411
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177240
Date Issued:06/21/2022
Permit Category:ePermit
Site Address: 4929 Slater Rd
Lot:007 Block: 001 Addition: Whispering Woods 10th
PID:10-83959-01-070
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 -
Jenna A Shatek
4929 Slater Rd
Eagan MN 55122
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature