4940 Slater Rd c ~ ; 1N~YL(:'1'lUN KL;~;UKI~
CITY 4F EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Nusnber:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
t:<~~,~, c,r~~,
SITE ADDRESS: , , , ~ : A~'PLICANT:
~ , , , , ~i i~;,r~i ~~i ~
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PERMIT SUBTYPE: TYPE OF WORK:
. .
. ,
; I `11it~~ ;:i,~11 tNt,
r ' - ' ! i~l`~ i 1 I ; . { . ~
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.
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~ ~ ~ . . . . . ~ . ~ . ~ . . . . . ~ ~ ~ ~
.
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Permit Holder Date Telephone # .
~ PLUMBING ~ ~G 9 ~79
Y HVAC ~ ~~C~
Inspection Date Insp. Comments
FOOTf~tGS
FOUND ~y /Q p~ , I ~
( c? I~~
FRAMING
ROOFING
PL~UMBING S~ d/~
PLBG ~
AIR TEST
ROUGH ~i
HEATING ~p 7~~ L
GAS SVC
TEST ~
INSUL ~a~q~ ~
GYP BOARD
FIREPLACE
FIREPLACE
AIR T~ST
FINAL PLBG
FINAI HTG « <1
ORSAT /t
TEST
BLDGFINAL fo~j/~/G f~~
.~•i 7
~onnESric
METER
IRRIGATION
MET~R
FLUSH
MAINS
corvoucTivirr
TEST ~
FiYDRpSTATIC
TEST ~
BSM7 R.I. I
BSMT FINAL I
DECK FTG ~
DECK FINAL 1
J
•
t
~L`tt~tCQt¢ d~ ~CC1t~Q1iC~
~it~j vf ~agan ~
#1e~artraeut oF ~xi[bing ~~ection
,~..M
77ris Cerrifcate issued pursuant to the requirements of the Unifor?n Building Code
certifying that at tke time of issuance this structter~ was in compliance with 1he various
ardinances of tlre Crry ngulating building construction or use. For the following:
SF DWG 31994
uu cisss~r~ion: ew8. aR,m~ r+a.
oa„p,,,~y Type R- 3 U- 1 za,;ag o~tr~c R- 1 rype ca,s~. Vn
o,~,,,~,~B,,;ia;,,6 MERLYN OLSON HOMESnoa~ 1'i'i5 S BLAINE ~:T_, SaVAGE, MN
B~. -~E 4940 SLATER RD ~;ry L1 B2 WHISPERING WOODS lOTH
~ ~ / l- ~
~ ' ~ B~~E o~rw;u ,
I
PpST IN A CONSPICUOUS PLACE
~.ddre3s 4940 SLATER RD Zip 5512~
IAt ~ BIk 2 $llbWHISPERING WOODS IOth
THESE ITEMS WE / WERE NOT COMPLSTE AT THE TIME OF THE FINAL INSPECfION.
Date: /D / Cv J Yes No Inspector:
Final grade (6" finm siding) j/
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ~
SodlSeeded grass v
TraiUcurb damage ~
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutroff of water supply W
the outside lawn faucet before freeze potential exists.
Contact engiaeering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
- White • City Copy Yellow - Resident Copy Pink - ContracWr Copy
~x*~*~*~~x~~~~~***~x**~~*~s*~*~
CITY OF EAGAN
.CASHIE.R: 3 TEFMIkAI_ N0: ~39
DATE: 06/16/98 TI~SE: 16:47:09
ID S
NA1~E: METtLYN OL5~! COI~PAN:ES INC
2?56 9001 494U SLATER RD 47439.46
~r '
.
~
a ~
s~
Total Receipt Amuvnt: 4.439.46
CR093S39
U5ER ID: NANCY •
%ok~~t~b*~k.kM~*~k~k~k#~k~kAnk*~p$#:K*~Aok
PERMIT
~ £i~Y OF EAGAN
, 3830 Piiot Knob Road PERMIT TYPE: e u z ~ o z N G
Eagan, Minnesota 55122-1897 Permit Number: 0 319 9 4
(612) 681-4675 Date Issued: 0 6/ 1 S J 9 8
SITE ADDRESS:
4940 5LATER RD
LOT: 1 BLOCK: 2
WHISPERIN6 WOOD 10TH
P.I.N.: 10-83959-010-02
DESCRIPTION:
8u'il'dirrg`permit Type 5F DWG
;6uilding Work Type NEW
~'UBC Occupency.., R-3 U-1
f' Con5truction Type VN
Znning i R-1
Building Length 44
? buildirig Widtli 61
Building stories 2
.~~LLare Fee`~ 1.929
Ceri~~s Cq;d~e-` 101 1- FAM. DETACH
:w -
i . r
f;i '
° / i = r A' : t . e
, ~ . . . . . .
::.."r:.,'kli,,'`~; •
REMARKS:
S&W PLUMBER = ALTA MECHANICAL. PIAN REVIEWEO BY MIKE BARCK.
FEE SUMMARY:
VA~UATION $138,000
Base Fee $1,077.25 MISC FEES $1,592.50
Plan Review $700.21 COPIES $.50
Surcharge $69.06 Total Fee $4,q39.46
SAC $1,000.00
SRC ~ 100
SAC Units 1
Subtotal $2,$46.46
CON7RACTOR: - Applicent - sT. ~zC OWNER:
OLSON HOMES, MERLYN 18959974 0003162 MERLYN OL50N HOMES
b3355 EIAINE CT 1335 S BLAINE CT
SAVAGE MN 55378 SAVAGE MN 55378
(612) 895-9974 (612)895-9974
' I hereby acknowledge that I have read Chis application and state that the
infoe~mation~ Ls corree~t and ~gres to camply with akl applicable State pf Mn.
Statutes and City of Eagan Qrdinances.
~ ~ ~ ~ ~ ~ ~ ~
A ICANT/PERMI A RE I SU D BY: IGNATURE
~ ~5 ~ ~
, . /1998 BiTILDING PERMIT APPLICATION (RESIDENTIAL)
Q 9 ~ CITY OF EAGAN ~
~ ~ 3830 PII.1lT KNOH RD - 65122 `Z,
681-4675
J~
New Conshuction Reavirements RempdeVReoair Reauirementa
? 3 registered site surveys ? 2 eoPies of plan ~
? 2 copias of plans (InGude beam & window sizes; poured fnd. design; etc.) • 2 sRe surveya (exterior addiGona 8 decks)
? 1 energy celculations ? t energy calwlatlons for M1eated addftbns
? 3 wpies of tree preservation plan H Iot platted after 7l1/93
requirod: _Yes _ No
DATE: CONSTRUCTION COST;
DESCRIPTION OF WORK: ~ p'~ c~ VV 2 l-t~
STREET ADDRESS: i~`~ ~ ~ l~fi ~ r I~
~x~d
LOT: ~ BLOCK: ~ SUBD./P.1.0. W k c s n-e v~ ~Ou ~ ~p Th
8 3
Name: ~ ( ~ ( ~ , ~P Phone 7 S~"' d ~ 2(~
PROPERTY Last pirst
OWNER
Street Address:
City ~
z~ Z rr-- Stace: N~ Zip:
~21~
Company: J'( 2'~"~ ~ Dj~ lTrJYY`~' Phone 7S~ - 7S ~ S
CONTRACTOR
sveet ,4ddress: ~ 3 3 S S ~ t 1 i v~ 2 ~T • License ~t 3 l(~ Z
Ciry S~ U a~2~ State: Zip: ~a b~~~
aRCx~~cTi CD Ff
~
ENGINEER Company: ME'~~ y~.-~ Q ~ So ~`T'~"~/` °s Phoneil: b~~ " l!~~~
Name: ~ `OI ~ v~ SD~- Regishation
Street Address: I~~ 5~ ~ ~ a i v~ ~ '
City ~ a-V z~i 2 State: I u-- Zip: ~S 3~~
Sewer & water licensed plumber (new construction ony): ~f fi~ e~~" ~e a~ , 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 intortnation is cortect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan OMinances.
Signature of Applicant:
OFFICE USE ONLY I D
Certificates of Survey Received ~ Yes _ No 5~
Tree Preservation Plan Received ~ Yes _ No _ Not Required
r~ ~
OFFICE USE ONLY . •
BUILDING PERMIT TYPE
O 01 Foundation ~ 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
~f 02 SF Dwelling ? 07 4-piex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? U3 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Firepiace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
~ 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~nl Basement sq. ft. i 2yo MC/WS System
(Allowable) y_(_ Main level sq. ft. ~25~ City Water
UBC Occupancy 'Q~3,J-r z°> sq. ft. 7ud Fire Sprinklered
Zoning ~-1 ~L sq. ft. ~ ~l PRV
# of Stories Z sq. ft. Booster Pump
Length N~l , sq. ft. Census Code. ia i
Depth Go , U" Footprint sq. ft. i G 2 y SAC Code i
Census Bldg i
Census Unit 1
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $ ~3~, ~o. -
Surcharge ~Nr
Plan Review 2 ~14~
License Y 1 ~l
MC/WS SAC ~I~_
City 5AC
Water Conn. ' 'S = ~ 8, ~ov, -
Water Meter ~
Acct. Deposit
S/W Pertnit s~~c PLJ$ i24~
S/V115urcharge zu~+ ,v
Treatment Pl. ,$y r~ 9 s y= ~ 1, 4 3 z.-
Park Ded. 2~,
Trails Ded.
Other 3 i u ze~ ~w</ ~ Sy = `~o~ e 71e, ~
Copies ._~SL)
. ,t 6i.xz w~i ~
TotaJ~ 3 0. s x 2 Z ~
~71 ~b~ i(m = l0,-~~~_
°k 5AC ;
sAC'UniYs . ~'~7, kq~{. -
}~,.1~.
~ R
~ " ~ CERTIFICATE OF SURVE~~~,~
For. MERLYN OISON H E~,~ ~.,~~-N
,i~ v ~~~`~~C~
4940 SLATER ROA? ~A
B' ~
Uti'~ E `'f
isUIL'JING INSPECTIONS ~EPTJ _
PROPERTY DESCRIPTION: ~t 1, Block 2, WHISPERING WOODS
TENTH ADDITION, Dakota Countv. Minnesota.
We hereby certify that this is a true and correct survey of the above described property and that it
was performed by me or under my direct supervisian and that I am a duly Licensed Surveyor
under the laws of the State of Minnesota. That this survey does not purport to show all
improvements, easements or encroachments, to the property except as shown thereon.
Signed this 18th day of March ,1998. For: dames R. H111, IIIC.,
_ ~ ~ ~~a ~
~
_ BY
_ ~
~f..~,~ a Harold C. Peterson, Minnesota LS. No. 12294
~.~:~i3 Eid~ CsuST`a: F
`RL~?L~' ~
Notes:
1. Building dimensions shown are for ~ Denotes set nail
horizontal & vertical of structure only, o Denotes set iron monument
See architectural lans for buildin & ~ Denotes found iron monument
P 9 x927.68 Denotes existing elevation
f0undation dlmenSions. (930.D0) Denotes proposed elevation
2. No specific soils investigatian has b2en - Denotes proposed drainage
completed on this lot by James R. Hill, ~nc, eench Mark:
The suitability of soils to support the specific g7~,20 -TNH-NE auad Storland & Slater
house proposed is nat the responsibility of
James R. Hill, Inc, or the surveyor.
3. No specific title search for existence or non- Proposed Garage Floor= 1~»•~
Proposed Garage Top Block= 1D17.5
existence of recorded or unrecorded easements proposed House Top Block= ~~22•2
has been conducted by the surveyor as a part af Proposed Lowest Floor= 1014.1
this survey. Only easements per the recorded piat Proposed Top Block at
are shown. Deep Window= 1017.3
4. Proposed grodes shown were taken from Bearings are on assumed datum
the grading &/or development plan prepared by Scale: 1~~=30'
Page i of 2
w
~ m m o
" ` ° James R. Hill, inc.
p ° o ~ ~S ~°y ~ a
~o ~ ° y o ~ o ~ PLANNERS / ENGINEERS / SURVEYORS
~ o uZi ao ~ 2500 W. Cn Ro. 42, S~uh 120, Bu~svni~. MN 55337
~ 612/890-6444 Fuc890-6244
~
~ ~EI~TIFICATE OF SURVEY
For: MERLYN OISON HOMES
4940 SLATER ROAD ~
M
a,•
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~.e'~ PROPOS l 1015.3 0 o a r°~ I N EXISTING
SERV. INV. .~a pR~~WA~~ x r-'~ ~ ~ HOUSE
ELEV.=1~05.31 \ ~ ~ I ~
~ 30~\ ~(1019.5 6.0~ 4.O~o ItO N
y/ 1014.9x 20.0 a o 3 0 1022.6
N ~ N ^
~ ° PROPbSED N ~
^ry \ ~ N HOUSE ~ p~ 9.6
1 I
~ / lp i 44.0 -~V. x1021.4
, / ~ ,0,9.5 i~~
o ~ ~ ~ ~ i
ry ~ ~,O ' I ~%~15.00~=~~`~ I
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BENCH MARK ~~y \ ~ 7p~ ~
TDP OF SPIKE } oJ p \F Ss Ss~89 I
ELEV=1015.90 ~ Z' ~ s~S~ 2~]8.~3 ~ I~
~ q~'vc ?J•• hJ5 ~
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Scale: 1"=30~ Page 2 of 2 James R. Hill, Inc. ~
. ~ LOT SURVEY CHECKLIST FOR RESIDENTIAL
' UILDING PE T APPLICATI ~"°T / -
PROPERTY LEGAL: ~ ' z ~y
~ ~ DATE OF SURVEY: d
~ ~ ~ LATEST REVISION: Z`L/ ~
~ ~ DOCUMENTSTANDARDS
~ ~
• Registered Land Surveyor signature and company
6' O O • Bullding Permit Applicant
[9~g.. ? • Legal description
[[3~p ? • Address
~SI ? • North arcow and scale
? ~ House type {rambler, walkout, splR wJo, sp1'R entry, lookout, etc.)
? ? • D(rectional drainage arrows with slope/gradient %
GY~ ? • Proposed/epsting sewer and water services & invert elevation
o • Street name
r3 ? ? • Driveway
ELEVATIONS
E~dsBn
? • Sewer service (or Proposed)
? • Property comers
p'/ ? ? • Top of curb at the driveway
ef ? ? • Elevations of a~y e~dsting adJacent homes
~ Prooosed
~ ? • Garage floor
~ ? • First floor
e'/ ? ? • Lowest exposed elevation (walkouUwindow)
ef/ fl ? • Properly comers
6 ? ? • Froni and rear of home ai the foundation
PONDING AREA Cf a~olicabiel
? ? • Easeme~t line
? O ? • NWL
? ? • HWL
? Q/ ? • Pond # designation
? ef ? • Emergency Overflow Eleva6on
DIMENSIONS
n • Lot IinesBearings & dimensions
~g ? • Right-of-way and street width (to back of curb)
[3~0 ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
/ porches, etc. (.e. all structures requiring permanent foo8ngs)
0~ ? • Show all easements of record and any Cily utilities within those easements
[3' ? • Setbacks of proposed strudure and sideyard setback of adjacent e~dsting strucWres
? C~ ~ • Retaining wall requiremen if any
RevieWed: ` ~ ~
ame / ate
January 1996
CRNG19Bd8lDOFRMT.FM
FROM : Pandsonic TRDiFqX PHONE N0. . Nov. 14 1996 62:07RM P1
~ y9 ~o ~'~.~..~v ~v.~..~..~, ~,v~
~o~-~:~~.~.
MNCheCk COMPLIANCE REFORT'
Minnesota Prnergy Code rermit #
MNCheck BoPCware v~srsion 2.0
Minnesota Depa~'tme~nt oE Public 5exvice
1-612-296-5175 1-8o0-657-3~10 Checked by Date
COUN't'Y: DakbCa
STATE: Mini~e6oCa
ZON&: 2
CONSTRVCTION TltPTi: Single b'amily
DATE: 3-19-1997
DAT& OF PLANS: ~
TITL~:
'
COMPLIANCE: PASSES
Raqixired UA m 377
Your xome = 3s6
Area or Znsul Sheath Glazing/DOOr
Perimeter R-Value R-Value U-Value VA
CETLING6 u 1308 44.0 0.0 36
WALLS: Wood Frame, 15" O.C. 1513 19•D a•~ 78
GLAZING: Windows or poors 350 0.280 9g
DqOR3 60 0.35a 28
40
HBMT: 8•0' ht/7.5' bg/8.0' insul. 768 11.0 76
sI,AB FLOORS: Unheated, 42•~" insul. 110 10.0
HtTAC TCFFICTENCX: Rurnace, 80.0 AFUE ,
COMPLIANCE $TATEMI:NT_ Th~ prop68~d building d6sigx~ repr~sented iri these
documents is cona:istent with the building plans, specifications, dnd other
calcu7ationa subm:itted with the permit application. The proposed building
has been designed ~o meet the re irem s of the Mlnnesota Energy Code.
Buiider/Designer_ Date ~ ~ ~
FROM ; Panasonic TADiFAX PHONE NO. . Nov. 14 1996 02:07RM P2
N&W HOME FIELA INSPECTIDN
ENERGY CHECKL15T
PAGE 2
MSNIMUM RE4UIREMENTB OPTIONAL
(CATEGORY 2) (CATEGORY 1)
IN$ULATTOA7 :
t ] vapar barrier installed
[ 7 =nterior foundation wall:
( y Vapor barrier inetalled
( ) Tnsulation installed: R-
( ~ MoisCure barrier inetalled
[ 7 AtCic ineuiation installed:
12-
Attic card posted with proof aP
bags insCalled
[ ] P'loor insulaCion installed:
R-
C] Wall ni
eulation installed:
{ )R-19 ~ )R-21 ( Y R-
WTND WABA SARRTERS:
Wind wash barYier installed at A11 exterior joints in
attic edge building envelope sealed
[ ] Overhangs (cantilevered floors
and bay windowe)have wind wash
barriers
MFCHANICAL:
Ducts running outside conditioned Residential mecnanical
apaoe sealed and insulated ventilatioi? sYstem
with minimum of R-8 installed iMandatoXy iE one
Returne in sam~ sPace as furnace or more item in Chis column
sealed is checked)
[ ] DuCts in unheated spaCes
[ ] waCer heater has ~ipe insulation
or heat traps installed
[ ] Furnace AFU~:
[ ] C~ntral Atr S~ER:
^
----NOT~S TO FIELD i$ui.lding Department Use Only)---------"'
FROM : Pdndsonic TRD/FRX PHDNE N0. ~ Nov. 14 1996 02:08RM P3
NfiW HOME FIELD INSPECTION
ENERGY CKECKLIST
MINSMUM R$¢UIREMENTS OPTIONAL
(CATEGORY 2) (CATEGORY 1?
F~UNDATION:
[ ] Exterior foundation wall
iasulation installed:
R-
[ ) Slab-on-grade insulation
installed: R-
[ ] DuCtB iTl ~labs have R-5
insulatiors bottom and ~ides
PEfIETRATI0N8 :
window and door frames sealed [ J Foundation rim joist sealed
airtight
[ 7 Framed wall openings into attic [ J Upper story band joists
sealed sealed airtight
[ J other join~s in wall sealed
Dropped ceiling air-blocked ceiling poly sealed to top
oE inC.erior partition walls
[ ) nlumbing penetrations sealed
[ ] ExCerior walls behind tub -
and shower sealed
{ } Plumbing vent stack sealed
chisnney flues sealed at aeiling
~ ~ ~registera sealed to vapornd
barrier
( ] Flectrical service sealed
Recessed light fixtures sealed Electrical boxes sealed to
wire penetrations into actic vapor barrier
sealed
[ ) Telephone, cabie 'P~
penetrations sealefl
Fans sealed where vapor barrier Fan housings air sealed
penetrated
FROM : Panasonic TRD/FAx PHONE NO. . No~. 19 1996 11:O1PM P2
. ~Y . . . .
CERTIFICATE OF SURV~Y ,
For: ' ` MERLYN OLSON .'HOMES
, ~
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~
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i SERV. INV. ~ !)RIV~WAY ~ ,
~ ELEV.~ . - ~ ~ - - A.O I ~ x ' p~p
. . ` Jp ``'-`(1019.5 m _ , N . .
. . . . . \ • ~6 022.
~ 1074. M ~ ui i~^ 6
1i , . . 20.0 r
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. . BENGf7 MARK ~~r~~ \ ~ ~~7 8 ..C
fOP dF SPIK . -P ~ o `F~
S62~ S~a \ i, I
e«v=~o~s ao `F z\^ skr~b,y 18• ~ ~
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scalai i"=3o' Page 2~ oE:.2 James R. Hi.ll, Inc. 4
, . ~..._...._.._------_..~-___--1
~ ~ ~ . ~ ~~r~;.,'z.71~-~.
FROM ~ Panasonic TADiFRX PHONE N0. • No~. 19 1996 11:01PM PS
~ a ~ rtE6 N ovF
TREE PRESERVATiON PI.AN
LOT 1, BLOCK2, WHISPERIN('r WOODS. 10TH
4940 SLATER ROAD
OWNERt YIFEN LIN
BUILDER: MERLYN OLSON HOME5
812-781-7595
E%ISTIN3 TREEB
Slze SpeGea 9tatus Area
1 10" Oek Remove Driveway
~ S" Oak Remove Ddveway
3 T Oak Remove House
4 7" Oek Remove House
5 7" Oak Remove House
8 14" Oak Remove Hause
7 9" Oek Save
8 8" Oak Save
8 7" Oak Remove House
10 8" Oak Remove Mouse
11 8" Oak 8ave
12 22" Oak Save
~3 13" Oak Seve ~
14 9" Oak Save
15 8" Oak Seve
18 78" Oek 3eve
17 18" Oak Save
18 24" Oak Save
19 10" Oak Remove House
11" 08k Save
y 8" Oak Seve
7" Oek Remove D~i+reway
~l$ 24" 08k SaVe
WOODLANd AREA
TOTAL WOODIANp AREA 19876 S.F
WOODIANp REMOVED 3~15 S.F.
96 REMOVED 22~+
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, ciTV aF Eacar~ •
CASHIE4~ JS ' TERMI1~iL NOo 7S1
.iIATE~ 09/20/99 TIMee 1Ue31:01
~IDa •
NAfiE~ KI(~ CON6TRl'JCTID~ CDI~AN1'
3210 ~J001 4940 SLATER RD 50.00
E~55 9001 4940 3LATER RD 0.50
• , . •
. ,
Takal Reeeip# Ann7unt: . 60.50
'CR1~7182
U5ER ID: JAN , •
~k~~K~klr~~~Iq~ac+Ak*~k~~1#~:wt~:%&~*.qk
1999 BUtLDINC PERMIT APPLICATION (RESIDENTIAL)
3-~ CITY OF EAGAN Q S~
3830 PILOT KNOB RD - 55122
` " ` 651-681-4675 ~J
C~_~G-~/
New Conshuefion ReauiremeMs Remodel/Reonlr Reauiremenh
D 3 regisfered siM surveys showing sq. N. of 101, ~q. X. ot house 2 coplea of plan
and JI rooled areaa (20~ mmcimnm loi coveraae allowed) 1 aet of eaergy cakulallons for healed addHlons
D 2 copies ol plans (show beam 3 window ~izes; poured fnd. desfgn; eic.) 1 ille survey for exteda oddiNons 3 decb
D 7 sM o( eneryy calculations
D 3 copiea of hee preaervaHon plan Q Iot plaMed aker 7/1/93
DATE: g" 9~ CONSTRUCTION COST:
DESCRIPTION OF WORK: X x-8 D~=~
STREET ADDRE55: ~/Cf S,~ ~9 TC f~ /2~~D
LOT: ~ BLOCK: SUBD./P.I.D. \ ~~~J~~4 n . ~Ci-U ~ I ~
Name: L/ N y' Phone - di7~Z ~i 02D
PROPERTY lart Flrst
OWNER
Street Address: ~~1 y~ -S L-'~ j~ ~GG fI0
City ~~GA"~ State: Zip:
Company: ~~~iG ~~ti>~, C ~ , Phone ~ `~~y S~'~ y
(area code)
CONTRACTOR c t~
Street Addresz: - l z- 3~ 6 m ~h ~ J~ ~ License #~~3 Exp, 1~ 9/
City ST •~a H~ State• /f?h Zip: S.~/O ~
ARCHITECT/
ENGINEER Compcny: Name:
Telephone area code ( )
Sheet Address: RegisfraFion
City State: Zlp:
Sewer d. water Ilcensed plumber (reauired for new constructlon onlvl:
.
pet~ply applles when address change and lot change is requested once permM is issued.
I hrreby acknowledge thaf I hme read ihis application, state that the IMormafton is correc , d agree to comply with all applicabl
Slate oi Minnesota STatutes and City of Eagan Ordinances.
Signature of AppltccnY.
OFFICE USE ONLY
Certficates of Survey Received _ Yes _ No i
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
~ s ,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ~ 18 Deck ? 23 Porch (screened)
? 04 2-piex ? 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
?~-1 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 5iding/Soffits/Fascia
~~32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish 61dg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code ~13'-I
(Allowable) Main level sq. ft. SAC Code o I
UBC Occupancy sq. ft. No. of Units 1
Zoning sq. ft. No. of Bidgs _ C
# of Stories sq. ft. MC/ES 5ystem
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
~PRV
Fire Sprinklered
APPROVALS
Planning Building .~G Engineering Variance
Permit Fee 6 f~ . S G Valuation: $~,2 CJ (1. Ou
Surcharge ~
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
,
Treatment PI. ;
Park Ded. ~
Trails Ued. %
Other
Copies
Total: 6 0, S cl
SAC Units
% 5AC
~ ~
0
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. o:- . ~
: / ° .
rn
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m\ ~ '..w 1" /
~ . ~ ry . I ~ ~ ~ 4 0
' ~ a PHOPOSCD 1 101x.3.~, o~ Q n I N [XVSTING
SERV. INV, pR~~µ,~Y ~ c~ ' . HOUSE
~ IiLEV.=1005.31- ` . ~ ~ ~ I d- ~
~ 30~ (1019.5 _ 4.0 ai. x ap
m I fD N
~ { ~6.0 1~; ~
y/ ~ co ~ a : ° . 1022.6 .
1074.i3x 20.0 µ/p ~ ~ N o
--c a7 0 1 . I ~ . . . .
ry / \ PROPOSED N I
. ~ ~ N HOUSE ~7019.6
~ ~ ~ ~ yp ' 44.0 ~I. I x1021 4 .
~ . , / _ . _ \ . 101 i ~ ~
I
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/ ,v ~ -F6~ . z101~ , ~ . ~ i0.. .
/ ~
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~ J o• \ ~ oo,o2i.ax i
\ i
C~LNCH ldARK 1 ~ a \ ~ ~0~ I j
TOP OF SPIKE / ~~yOJ\ _0 `F S6' o S6~9 1 ~ ~
ELEV=70i5.90 4~ ~ ~`~S~ 2]~;?,~ ~ 1 3
\ c q~~ ~ 2~ F h s i ~
~ T /
I \ / ~ ~ '
m ~r m
o c ;
~
I v E
Scale: 1°=30' P~ge 2 0~' 2 James I~.. Hill, Inc. ~
~`O~OSGP !/GG~ I/X~i.S
~f 9 yU SL.9T6.e /zo/~~
? CITY USE ONLY
LOT ~ BL ~ RECEIPT C ~ ~ O~~
SUBD. l~t/ D~ RECEIPT DATE: ~"~o o
1998 I+~CHANICAI+ PERMIT (RESIDENTIAL)
CITY OF &A6AN
3830 PIIAT IINOB RD
EAGAN D41 55122
p ~ q~ (fi12) 681-4675
Date: /y ~ /
Complete this section onlv if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITTONAL 50 M BTU 6.00
• Gas outlets ( minimum of one required @$3.00 ea.) ~ ~ ~ d
. 5tate Surcharge: .50
• TOTAL: ~
~
C7
Complete this section onlv if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
_ Install fiunace _ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge .50
TotaL• $ 20.50
SITE ADDRESS: / / 7 D ~/C~~r ~ ~~Y _
OWNERNAME: ~/~I ,~t/ ~jSdN /~d/„L°o~ PHONE#: ~~S- ~ / 7~
INSTALLER NAME: a, LT~ PHONE `7 / 0-. 37'7~
STREET ADDRESS: 7~Pl~ kS~i~ ~,L~ /C~ct~ -
CITY: ~ f d r~~ STATE:/~ ZIP: ~S~_
SIGNA O PERMI E
15/FOILMS BLDlINECH PERMIT (RES) - 1998
CITY USE ONLY
L _ BL _ RECEIPT
SUBD. RECEIPT DATE:
1998 MECHANICAL PERMIT (CObII~RCZAI,)
CITY OF EAGAN
3830 PILOT lQ708 RD
LAGAN, ~J 55122
(612) 681-4675
Please complete for: all commerciaVindustriai buildings
muiti-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WOF.K TYPE:? I+TEE3~ ~OT.~IST2Ur'TION ?NTEF.IQR IMPROVEMEIVT
DESCRIPTION OF WORK:
FEES: I% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00 .
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE (5.50 per S 1,000 of cem~it fee due on all peanits.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IIviPROVEMENTS ONL~:
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
?
y CITY USE ONLY ~ ~ ~ ~
L ~ BL RECEIPT C ~
SUBD. ,`it/ ~A~' V-'~~~-~.~ ~Q ~ RECEIPT ~ATE: ~ CS
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT I4~08 RD
EAGAN, hd1 55122
(612) 681-4675
Please complete for: ? single fdmily dwellings
? townhomes and wndos when permits are required for each unit
? backflow preventerforunderground sprinklersystem
FIXTURES EACH # TOTAL
Shower 3.00 x a =
WaterCloset 3.00 x -3 = 9.04
Bath Tub 3.G0 x ~ _ ~•c~n
Lavatory 3.00 x ~ _ ~.o~
Kitchen Sink 3.00 x / _ '~,od
Laundry Tray 3.00 x / = 3,r~3
Hot TublSpa 3,00 x ~ _
Water Heater 3.00 x / _ .o 0
Floor Drain 3.00 X ~ = 3oa
Gas P'tping Outlet " minimum - ~ 3.00 x / = 3• D~5'
Rnugh Openings 1.50 x ~ _ ~.caD
Water Softener ' for dwellings under construction 5.00 % _
Water Softener ' Tor exiating dwelling 20.00 X =
U.G.Sprinkler "fordwellingunderwnst. 3.00 =
U.G.Sprinkler "forexistingdwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System " MPC iic. 75.OD =
~ (new and refurbished systems) ~
Private Dispo5al Systems ' nbandonment 2D.00 =
STATE SURCHARGE .50
TOTAL
- - -
I heraby adcnowledge that I have read this application, stata thatthe information is conect, a~d agree to comply with all eppliwble Ciry of Eagan ordinances.
It is the applicanYs responsibility to notity the property owner that the City of Eagan assumes no liability for any dameges caused by the City during its
normal operational and maintenance activities to the facilities construdetl untler this permk within City propertylright-of-way/easement.
SITEADDRESS: ~/7~ ~l a~'el~ ~
OWNER NAME: `E'f ~ rid"" P~
INSTALLER NAME: d?"~ ,/iT~S TELEPHONE 7~'..3~7 /
~~~~y/ /
STREETADDRESS: ~-I~~PC~ /~t KSl~~a~~
CITY: /~l f6 ~r v~ ~~~`e STATE: ZIP: S3~
SI ATURE O P RMITTEE
JS/FORMS BLDGlPLBG PERMIT (RESIDENTIAL) 1998
i
City of Ea~a~ 2009 ; Pertnit~: ~g ~ 4~ j
3830 Pilot Knob Road Permit Fea: I
I
Eagan MN 55122 ~ Date Received: c~
Phone:(651)675-5675 j I
Fax: (651) 675-5694 ~ Sta~: I
/~2008 RESIDENTIAL PLUMBING PERMIT.APPLICATION
Date: I IZ~I I~/ I SiteAddress:
_ Susan Larkin
Tenant:. 4940 Slater Road
Eagan, MN 55122 suite
RESIDENTIOWNER Name: 6518825170
ione:
Address / City / Zip:
CONTRACTOR Name: ~ License ~ ly ~ ,
Address• ~-I D~ ~Qir~ p~ /~i ~I
City:_ State:~Zip:~(~
Phone:~ W I2~ ~~i~ •~f033 Contact Person: ~e~J S
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descriptlon of work:
PERMITTYPE RESIDENTIAL
X WaterHeater WaterSoftener
Lawn Irrigation Add Plumbing Ffxtures '
RPZ PVB) Main _ Lower Level)
_ Septic System _ Water Tumaround
New
Abandonment
RES/DENTIAL FEES:
$50.5D Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Piumbing Fixtures, Septic System Abandonment, Water Turnaround* (fncludes $.50 State Surcharge)
*Water Turnaround (add $136.00 if a 5/S" meter is required)
$100.50 Septic Systerrl New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, duchvork, etc.) (includes $.50 State Surcharge) 50
TOTAL FEES $ S~ ~
I hereby acknowledge that fhis informaUOn is compiete and accurate; that ihe work wilt be in con ance with the ordinances and codes of the City of
Eagan; that I understand this is not a pertnit, but only an application for a permit, and xro s not to start wi ut a permit; that the work will be in
. accordance with the approved plan in the case of work which requires a review and appro of pl
X~ ~e~'~e.t~1 L. N oY b! om. X
ApplicanYs Printe me Appl anYs Signature
^Yxn<~srn~:, "`~.rq~rvxi.'s +k.GU ro . .
F4~,;Q~FL~,~~~ ~'~E';~;x ~~rx~°~~ ~~'~~d:8~~ ~ ~ ~ `
~ ~~-c'p Aer~~~~+w~l ~t ~ ,~~e _
.k~.'~ -0' 'e~' i
~~~q~,~
a ~~~~'~~x~~~~~~.. j T a9 ~
- s'~ ` . ' ~ ~ N3.
PERMIT
City of Eagan , Permit Type: Building
3830 Pilot Knob Rd 4 � ;�`s E AGA Permit Number: EA149080
Ea an, MN 55122
g - � -_, Date Issued: 05/04/2018
(651)675-5675 Permit Category:ePermit
g
www.ci.eagan.mn.us
Site Address: 4940 Slater Rd
Lot: 001 Block: 002 Addition: Whispering Woods 10th
PID: 10-83959-02-010
Use:
Description:
Sub Type: Windows/Doors Construction Type:
Work Type: Replace
Description: Two or More Windows/Doors
Census Code: 434-Residential Additions,Alterations Occupancy:
Zoning:
Square Feet: 0
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
Fee Summary: BL-Base Fee$4K $103.25 0801.4085
Valuation: 4,000.00
Surcharge-Based on Valuation$4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Renewal Andersen Susan Tste M Larkin
1920 County Road C West 4940 Slater Rd
Roseville MN 55113 Eagan MN 55122
(651)264-4777
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.
Applicant/Permitee: Signature Issued By: Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151757
Date Issued:09/11/2018
Permit Category:ePermit
Site Address: 4940 Slater Rd
Lot:001 Block: 002 Addition: Whispering Woods 10th
PID:10-83959-02-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:Stucco Repair
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Susan Tste M Larkin
4940 Slater Rd
Eagan MN 55122
(651) 895-0814
Cross Ties Construction Inc
1998 Hoyt Ave E
St. Paul MN 55119
(651) 231-0286
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151770
Date Issued:09/11/2018
Permit Category:ePermit
Site Address: 4940 Slater Rd
Lot:001 Block: 002 Addition: Whispering Woods 10th
PID:10-83959-02-010
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 -
Susan Tste M Larkin
4940 Slater Rd
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166116
Date Issued:12/14/2020
Permit Category:ePermit
Site Address: 4940 Slater Rd
Lot:001 Block: 002 Addition: Whispering Woods 10th
PID:10-83959-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Susan M Tste Larkin
4940 Slater Rd
Eagan MN 55122
(651) 895-0814
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature