4403 Slater Rd
EqG" . Permit No: ' Date: -
CITY OF,. ¢
~ 4
3a30 PIIOt~Cnob Road B/P No: Dete:
~ P.O. ~x 21199 ,
Eglsn,11I1N 55121 ,
~ ~ -%oan E ro s .
Owner. 'K b3 Slater Roa? I.27 B2 Cicmamun
~ Site Address:' ±
.
Plumber. K &
~
MWCC: 550 : J4?c? Zoning~ 100 i City Chg: No. of Units: ~
t ~ syreg la comPlY wlth the CIly of Eaqm '
; Acct Dep: r j
' Permit Fee: , ,•,nc Ordfnances. i
~ Surcharge:
Misc.: By i
;
~ SEWER SERVICE PERMIT
, °47-j Datec
CITY OF F.A(3AN Permit No:
3830 Pllot Knob Road Meter No: SiZe'
' P.O. Box 211l9 Reader No: Datec
, Eagan, MN 55121
Owner. Z&cbvAn Bx'oa.
Site Address: '44d3 Slaier &oad L27 B2 Ginnamon Rd 3rd
Plumber
Conn. Chg: SSt~.00pd Zoning:
Acct Dep: No. of UNts:
1,).OOp
Permit Fee: d y~ C~y ot Eaysn
Surcharg~ I ayne to comp~y
Tr. Plant 204 .40pc1 Ordinances.
Meter.
' Misc.: BY
WATER SERVICE PERMIT
~ qn
i--17- .
Date:
CjTy OF EAGAN . Permit No: ,S Size
Date:
3830 Pflo1 Knob Road Meter Na
P.~ &w 21199 Reader No:
EagAM MN 55121
^zc`nman Bros. ,.~L n on Pd 3r t
oW^er 4403 Slater I'o4 "
Site Address & r & ~
Plumber
55o.OOpLi 1
Conn. Chy:
nccc. ~ i mg ca o°cui u ~ s
oep: ~ ~n
,
Permit Fee: Z~~".,y A" ~~nPlY wilh th~ G~Y ~ E
' Surcharge: ^.')4. C; ~~n 1 Q~
' Tr. Plant ~r
I
Meter.
% Mi~~ u WATER SERVICE PERMIT
BLAG PERMIT N0,
y,-~( ! ^-~/1 I
'C~ 1~.:~ =a
01-3210 Bldg. Permit oU ~
01-3422 Plan Check OU ~
;
~ 01-3445 Surch./Adm. La~ ~
~
01-3446 SAC/Adm.
i
01-2155 Surcharge ~ 1 3L.0
~
-73-3860 Road Unit ~ Z 1~
20-2275 SAC
20-3665 Water Conn.
20-3868 Water Trmt. oL)
20-3716 Water Meter
20-2252 Acct. Dep. ~
20-3713 Water Pexmit ~
i
20-3743 Sewer Permit
i
, 79-3866 Sewer Conn. CJ
,
-IS-3855 Park Ded. ~
~
TOTAL OU !
~ CASH RECEIPT ~
r'
CITY OF EAPAN
, 3830 PILOT KNOB DOAD
EAGAN, MINNESOTA 55122
a?TE K
- ~
~ -
ar+ourrr
~
a oouAFIs
,00
? CASH CHECK
FM
i i _ ~ - •
1i\~!l-~•
FUND OBJECT AMOUhfT -
Thank You .
. ,
i BY s.~
wnna--a8yere coPy
I-fq0 C) ~ q Yala~os,lrla Com, „
P+rik-Rle couy
~ ~
• • , f
~
j ~
~ ~ +
~
" • . . v ~n . . f+'+.wi•!i w _ w -'I.r+'.f^'+'^~~-r-"~ .
CITY OF EAGAN
3830 Pllot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 ;
PHONE:454•8100
BUILDING PERMIT Recetpt ~ -
To be used for ~/GM Est value =64,000 Date APItIL
Site Address 4403 MATR 9"D OFFICE USE ONLY '
~'"3
Lot 27 aiock = secis?,b. Ci~ RI~ 3 OnSReSewage Occupency MWCC Syatem x Zoning RP'1
Parcel No. On 31te Weil
(Actual) Const Vot
a Name '~N BMU8RS City Water X_ (Allowable) vu
; Addrees W. 7~ s? -01E14 PRV Required ~ +M of Stories
~ City Xfll~ Pnone 893-0755 g~8ter Pump Length ~
' Depth ~
a Name ~ SwIIB S.F. Total
.o
•
~ t Address Footprint S.F.
~ City Phone APPROVALS FEES
~ W ~ Engr./Assess. Permit 4~•~
Name
~t Address Planner Surcharge ?2•~
~ Z City PhOne Council Plan Review Z~.~
~ W Bldg. Off. SAC, City 100.00_
I Oereby ackno%kPedpe that I heve read this ion and state jhat the Variance SAC, MWCC 590s00
inbrmation ie corr9ct and agree to p y with aTt appllcablpState of Water Conn. 550.06
Minnesota Statutesland City of Eaqan Qrdinances. Water Meter 67.00
i'
SigQature of Permfttee -T Road Unit 325.06_
A Buiick~ng Permit ia issued to: iAc%4AN Treatment P1 21114*00^
on the express condition that all work shall be done in accordance with all
applicebleZState of Minnesota Statutaynd Ciry ot Eagan Ordinances. Parks
Building Oflicial TOTAL 2,473.00
~
w ~ . . . . . : ...~.z.....,... - . . x..w. _
, - CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 53121 ,
PHON E: 454-8100 I
BUILDING PERMIT Recelpt
To be used for ~F `"'~;JCAR Est. Value ~6~' p ~ Date APFIL 11, ~19
t~1++''1 SI.AT':!t RnAD ~
Site Address OFFICE USE ONLY
2 ,RI~NiF. 3F lOnSits3ewa9e Occupancy R-3 I
Lot ~ BIoCk SeC/Sub. MWCC Syatem ~ Zoniny ~
Parcel No. - j
Vn
On Site Weli (ACtual) Const
a Nen1@ P. ~(1'('.~?t~~ Clty Water X (AllowaWe)
= Address 7 ' 1~~ '~r - PRV Required K ~ of Stories
~
City " ';r Phone ~"u' S BoosterPump Lenflth
Depth 4 ~
, o Name S.F. Total
o ~ Address Footprint S.F.
U~ City Phone APPROVALS FEES
~a
• ,1" EngrJAssess. Permit
yVj W Name
= Z Address Planner Suroharge
~ W City Phone Councll Pian Review 71 s•~'',~
~ BId9. Off. SAC, Ciry 1 70.Q~
t hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 5 150 • r('
information is correct and agree to comply with all applicable State of Water Conn. ~ 4~ f~
Minnesota Statutes and City of Eagan Ordinances_ f~
Water Meter ~ • ~
Signature of Permittee Road Unit ~
A Buildinq Permit is issued to: Treatment P1. = •'on the express condition that all work shall be done in accordance with all
applicaWe State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL n ~ .
6ullding OHicfal
Permft No. Prrmk Holdor Date TNophone ~
Plumbing
H.VAG
Electric (t ~ ~ .g 8' e
Softener
Inspection Date Insp. Comments
Footings I
Footinfls II
Foundation
Framing y
Roofing
Rough Plba )
Rouflh Htg.
Isul. Z ~.S A e-~t " fy,~
Fireplace n/ 'sr ?ir~i G. r3 vs. 1`.
Final Htg. / S y 2 U..~ .
Final Plbg. -134'
Bldg. Final ~
Cert Oca ~j
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
~
(Itxti#tra#t uf (Orrupariril
titp of eagan
11owdmwl pf suId'mg jwPrthit
This Cernfuate rssued pursuant lv the requfremenu of Section 306 ojthe Urdform Buildiag
Code certijying tliar ar the time of issuance lhis structure was in compliance with 1he various
ordinances of the City regulating building conshuction or use. For the following:
u,e amfimtk, S'r UdG?GAR ft. PbnrA No. 148U9
O-JP-IY TYPC R3 Zming Dis= R 1 T~w r.,w Vn
o,,,na of &Nkt% ZA[RlAtd ffiM. Addr,. 4620 W. 77IH ST., IDINA
&u'kbng A4*= 4403 s[A'PFR ROIAD LO,W I.27, B2. C]MMM RM 3RD
p„, MAY 191 1968
e.Idiot Offidwr'"".
POST IN A CONSPICUOUS PLACE
. . `1~'; _ : • ~ MECNANICAL PERMIT PERMIT #
r' k
- CITY OF EAGAN RECEIPT M~~ 29~'~ 3$30 PILQT KNOB ROAD, EAGAN, MN 55122 DATE: ApY'il ~ J.469
CONTRACT PRICE • 67,t PHONE: 454-8100
Site Addr ~ BLDG. TYPE WORK DESCRIPTION
Lot Block Pec/Su~ Res New v
: ~ t~ ,
Name @pen e ltelfxug y n Mult Add-on
oon p s v. Comm. Repair
m Address
c City oon P B Phone 757-5040 aher
ac n mes FEES
Name RES. HVAC 0-100 M BTU -$24.00
3 Address • 77tli t. ute 104
ADDITIONAL 50 M BTU - 6.00
p City M ~ Phone _ (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEFMIn - 1.50 EA.
TYPE OF WORK ( COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 75•BTU 24 • 00 AP7 BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M 8TU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater nMBTU REMODELS - 12.00
Air Cond. ~'~"M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # 1 BEYOND $1,000)
Otl1et
FEE 25.50 ` j i 1 .1~.I> 11
S/C: • 50 SIGNATURE OF PERMITTEE
- roTaL ?6 . rio
FOR: CITY OF EAGAN
. , ' , . . PERMIT #
PLUMBING PERMIT ~ i
CITY OF EAGAN RECEIPT ti
3830 PIL07 KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Ad~ress jn3 > la Pr kOad BLDG. T~~~PE WORK DE$CRIPTION
L9t Blook ~ ec/Sub Res. New A
Mult. Add-on t~
~ Name P Comm. Repair
a Address Other
S U) ciry D_C~ Phone477-53505 RES. PLBG. ONLY - COMPIETE THE FOLLOWING:
NO. FIXTURES TOTAL
f Water Closet -$3.00 t-
Name
ZZICEPan
Bath Tubs - $3.00 3 Address 462f) * Lavatory - $3.00
p Ciry nA Ptaone 822-075; Shower -$3.00
__j-Ki!chen Sink - $3.00 ,
FEES Urinal/Bidet - $3.00 -
COMM/IfVD FEE - 196 OF CONTRACT FEE ~-Laundry Tray -$3.00
APT. BLDGS - COMM RATE APpLIES ~ Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES ~ Water Heater -$t.50
MINIMUM - RESIpENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Z- Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S!C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
- Pfivate Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
srarE sic:
t
FOR: CITY OF EAGAN GRAND TOTAL: 2
INSPECTION RECORD
L~F EAGAN PERMIT TYPE:
30 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
;IL, .i r;Ii fi~'~
+ I I'JFilI ;:j I I N I I- I, f ~r ( t', 1? ~ li~l?; .~,~)4+}`
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
~ ~
P.m?n Ho. wrmn Holaa o.a r.leph«M 0
ELECTRIC
PLUMBING
HVAC
Inspwlion DEb kwp. Conunwh
FOOTINGS
FOUND
FRAMING jJF,~V N 14145
S /
ROOFING ~`q T~'v41
ROUGH
PLUMBIN(3
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PIBG
FINAL HT(3
ORSAT
TEST
BIDG FINAL
BSMT R.I.
BSMT FlNAL
DECK FT(3 Y~~(F QO 41-/3_~ eL jC
- DECK FINAL
ICITY OF EAGAN Remarks
Addition CINNAMON RIDGE 3RD ADDN Lot 27 RIk 2 Parcal 10-17402-270-02 -7e,
~I Owner Street 4403 SLATER ROAD State EAGAN NIIV 55122
Impravement Date Amount Annual Years Payment Receipt Date
STREET SURF. 0
STREET RESTOR.
GRADING
SAN SEW TRUNK -
SEWER LATERAL 34, 53 ----566.90_
WATERMAIN
* WATER LATERAL X 19851
WATER AREA ~
~
STORM SEW TRK ~ 1979 381.69 19.0 20
~ STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGNT
WATER CONN.
BUILDING PER.
SAC
PARK
Thic renuest void /~~/~j ~
18 momhs Imm /f CI
E 2561,,, 3"' ~
Reques~ Da~e Fire No. Rouph-inI nsoer.I ioh ~
ReqvireA~ Fleady Nuw WiII Nnu/y InsPeo
U Yes ?No ~ tar Wh¢n ReaAV
LicenSeA ElecVical Conlractoi 1 hereby reQUest insoection ol ebove
? Owner elecVical work installad at
$veet Add/ress. Boa or floute No. GiY
~l 7 5LJ% / L~-~L (c^ ll rSJ7?
eclmn o. Township Name or No. Range No. Counly
OccuWent (PRINT) Phune No.
7-4(
N~r~.Vi~ ~tnTfffiGS ~9 3- 0 7S~
Power SuuOlier Atltlress
Ak~~• ~~f cT2/ G /L~ni,•c~~=Ta~~
Eleclncal ConVactor (Company Name) Conlmctois License No.
//J.957fvz e z- -1: 6 I c- I °1n7~/P-3
Mailinq AAJies's IConVactor or Own¢r MakinB [nslailaUOn1
~`7(v ~NP 7CJ ~i~'Tif
AuthoFized Si nawre (GOnhactor/Owner Makmg Installatmn) I Phme Number
efo - ss~
MINNESOTA STATE BOAflO OF ELE TNICITY THIS INSPECTION NEQUEST WILL NOT
Gri6es-Midwey Bldg. - floom N•191 BE ACCEPTED BV THE STqTE BOAND
1821 Universih Ave.. SL Paul. MN 55104 UNLFSS PROVER INSPECTION FEE IS
Pnnnwieigi e47-nann ENCLOSED.
J
ECT ; SQUESTUFOR E LECTPo CALg I1NSPo m oiObsck ol vellow ooov.
~
E 266 1 "X" Be/ow Work Covered by Ihis Request '
Home Runye Tempprary Scrvice
mo,o,te HeO. TvOenin0 AuPlioncef Wned Equiumeiv Wired
Duplr,x Wate, Heate,r Liyhtinp Fixiuies
Apt Bwldfnc~ Dryei Electric HeaUn
Commercial 81dy Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk T;enk
Farm Ott+r. oe,:. v .ihev ISUCUIVI
i e. Sueulv ther Othw
lnspecuon Fee Below
N Fee Sarviee EnveneeSixe n Fee Fexdaes/5ubleedc1s b Fe:o Cireurts
1 A-- U to 200 qm ~s 0 tu 30 Am s Y/` 0 to 30 Fl mn-
Ahove 200 qinps 31 to 100 AmPS h /o ~ 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormer5 Irriyation Booms . 1~0 011ber e
SignS $peciallnspeChon
$ u? 5-L~ TOT L F ~
Remarks ~ •N~
tM1e
~ soector, heroby
Rough.m 474~de.
ri,fy thei Me above
Final "ir spection has been
t1118!lQO89t v01018l110011151lOT
CiTY OF EAGAN N°_ 14 8 0 9
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDI PHONE:454•8100 Receipt u ~ $a/_~~ q~
NG PERMIT
Tobeusedfor SF DWG/GAR Est.Value $64,000 Date APRIL 11, 19 88
Site Address 4403 SLATER ROAD OFFICE USE ONLY
Lot 27 Block Z Sec/Sub. CINNAMON R1DGE 3R OnSiteSewage _ Occupancy R-3
R-1
MWCCSystem X Zoning
ParCel No. On Site Well _ (Actua1) Const Vn
a Name ZACHMAN BROTHERS Cirywater X (Ailowabie) Vn
z Address 4620 W. 77TH ST -#104 PRVRequired X uofSrories
1
o CitEDINA phone $93-0755 BoosterPump _ Length 36
Y Depth 461
, p Name $({p]E S.F.7otal
~ a Address Footprint S.F.
~ City Phone qppROVALS FEES
ww Name SAME Engr./ASSess. Permit 430.00
~i
Address Planner Surcharge 32.00
i-
aw City Phone Council PlanReview 215.00
Bld9 Ofl. SAQCity LQQ..Q~
I herehy acknowledge ihal I have read this ion and state at e Variance SAC, MWCC 55Q..QQ-
iNOrmahon is correct antl agree to pty with a a a I t e ot WaterConn 5r20..00_
Minnesota Statutes and City of E an rdinanc . Water Meter _67..00-
Signature of Permittee Road Umi 325..OQ__
A euiltlin9 Permit is issued ro. AA~,HMAN BR S. Treatment P1 20-4..00 on ihe express contlihon that all work shal I be tlone in accortlance with al I
Yof Ea9an Ordinances. Parks
applicable State of Mrm.nesota Statu'~?G
Building Official_~SJ c ~ TOTAL 2.473.00
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 O ~o
Telephone # 651-675-5675 FAX # 651-675-5694
New Construqion Reouiremenls RemodeN2eoair Reauirements Otfica.tJse Only
3 registered sile surveys showing sq. ft of lot sq. ft. of house; and all rookd areas 2 copies of plan Ced Of~uiiiv,ey Reed = Y~''N
(20°hmaeimumlotcovewgeallowed) 1setofEnergyCalculationsforheatedaddih'ons GT{e"sN
2 mpies of plan showiig beam & window sizes; poured found desgn, etc. 1 sile survey for addNOns & decks Tree P25Required£3 ,;.=Y,'_N
15etofEnergyCalculations Addifion - indlratei(on-sifesepticsystem
3 copies of Tree P2servalion Plan'rf ht platted aRer 711193
Rim Joisl Detail OpGons selecGan sheet (bldgs wiN 3 or less un'Rs
Date ConstructionCost 5000oQ
Site Address /Cvl- UniUSte #
Description oC Work 7/'1a1,- (jZ: /~L / l dd,( k)U,s ~fr_~Prf' ,yGY!'Q `Lf,
Multi-Family Bldg _ YeN Fireplace(s) _ U _ 1 _ 2
Property Owner G~I f- lVUlde ''1 Telephone # ( ~l ) - ~ yo ~
Contractor A) Qj',e MC-)Ck ~F
Address City~~`~~J~r p-
State ~.t.(Oi1 Zip 1,11/Z Telephone j/}_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previousiy constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone J
Sewer/WaterContractor Telephone R
U'
I hereby apply for a Residential Building Permit and acknowledge that the informa LB-J&aa complete and ac rate;
that the work will be in conformance with the ordinances and codes of the City oe_Siatae MN
Statutes; I understand this is not a permit, but only an application for a permit, and s not to s tart 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.
Applicant'S Printed Name pplicanYs Signa e
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
D 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 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 (Entire Bldg) • Give PCA handout to applicant
Valuation Occupancy MCES System
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) Final/C.O.
_ Footings (deck) _ Final/No C.O.
Footings (addi[ion) _ Plumbing
Foundation _ HVAC
Drain Tile Other
Roof Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
_ Framing _ Siding _ Stucco _ S[one _ Brick
_ Fireplace R.I. AirTest Final Windows
Insula[ion _ 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
e
' R
' 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
? y~~09
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOA/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS t1 OF UNITS
INCLUDE 2 SETS OF PLANS, CEHTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT,,
1 SET OF ENERGY CALCULATIONS
CONAIERCIAL
IiVCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: o'(~ l Valuation: Date: L
Site Address OFFICE USE ONLY
Oon
Lot J-7 Block On site sewage_ Occupancy
MWCC system ? Zoning R- )
Parcel/Sub On site well Actual Const V-N
City water ? Allowable V-N
Owner PRV required of stories
,y~ Booster Pump Length 36'
Address & q,-+" bt Depth y6'
S.F. Total
City/Zip Code yi /y~ /~'n Footprint S.F.
i
Phone C (z APPROVALS FEES
Contractor Engr/Assess Permit y30.00
Planner Surcharge 32, aU
Address Council Plan Review ZI 00
_ Bldg. Off. SAC, City 100,00
City/Zip Code Variance SAC, MWCC S50,00
Water Conn 55 ~100
Phone Water Meter o7, 00
Arch./Engr. Road Unit 32KS Treatment Pl O ,Oc7
Parks
Address Copies
( TOTAL ~ 73 00
City/Zip Code ~
Phone #
VA L~A.4:r i pN
GARaUG- , , '
ZD x20 = 400 X ly = SGoo `
~-I D U SE
z6x3G=~j36X 62= S~v3z
G3-_
EY.TERIOR F::]VCLOPE AVEFiAGE "U" CO?SPUTATIOtI _
or~t:ER Mathew & Jayne NOLDEN
SITE ADDIct:SS 4403 Cinnamon Ridge Trafl Eagan, MN
,
G'ONiRACTO?2 ? q c NiyqnV 0ZO5 DATE 2/- $ f P1I014E F7-7` 0 7S--5-- _
Deterniine wor.king squarc footagc of each.
1. Total er.posed r:all area / 7 7 g sq. ft. X ~~.r• s~
2. Total roof/ceiling area f/Z sq. ft. X•aZ~
A. Total wall windo:a area ~D s
B. Total ooor arna 3 7- 7_
C. Total sli.ding glass door area 40.0
p. Total. fireolace wall area
E. 1bta1 wall framiny area (avera(je 10%) . . / 3 4;-- - 0
F. Total Rim joist arca............ G o, O •
G'. ToL-a1 A'ct wall area above fioor. • • • • • • • • • ~ Z/f' 7 7
Total ex?osed foundation a=ea
~
H, Total fcu:dltion tiir.do.: arca
1. Totul ret foundation area abovc gradc........... $`B, oe .
Detei-nine "U" value of cach wall sec,ment.
a. 1_5- x"U,- `f 7 = Jr/• 3 0 .
b. 37.7 X--ul- ~y 7 = s~G
c. ¢0. XolUll . SS- = Z 2, o?
d. X 'lU•l -
e._ 133'•o x "u" • og = /o. $o
f. ~Ge, d X„U,, , oYy 7- /3 c
g. /2 15 • 77 x.,u,. , 0¢77 s7• Y,
. , h.
i.
17 77,7/ -7'
3 TOl:.l1 G_1~~ --Ci-
* / / .7 ,
If iLt•in !13 i:: tLc.r.nino as, 01' lc,:e; lhan itcm iU, )'i,u llavo mot tlio inCCUt ot
: Isf' 60O1'• (c)
c
Total c>:poscd roof/ceiling area = Z
J. Tol-al skylioht arca °
k. Total roof/ceiling framin, aroa (average 101)...... 2-
1. Toial net insulatccl roof/ceiling area $ 2 O. S
Determir.r_ "U" value for each roof/ceiling segment.
J. X "U.• s'
k. q~• 2 .1U.6 7
i. ~ZQ•S _x „U„
' 4 .....................................TUta1 = Z 2 ~y
If total of 444 is the same as, or less than #2, you have rat the intc:nt of
S3C 5006(c)1.
Alternate Builcling Envelopa D2sici
To u`iiize the toCal envelopc system r,:ethod, thc valups ^qt1b].ished
SV5:1 0= itcrs n3 an3 #4 shali r.ot be yreater thD-n the sun oi `:i ancl 1t2.
1. + 2.
3. + 9.
.
. • . , : .
City OF EDEN -f,L2IE bN' E3GY
F:: G:.•,L"s~~,i c'~„yu, .•.ill : r, ,or .
fr,i:^ co~i~;iluction Cnn::Cruct ion R-Vnluc
CO
0_ 1+3
~ 2~ Gvp. Board, .
3. 3z" ~ inct~cs sofr. ~;nc.A .38
3 4. -3j4-' Thermax Sheathin .00
S. Jf 101, Hardboard Siding . 7
3IC 6. F.xtc•rior ~~ir film - 0.77
4LL I 7'otal _ 12.35
U = .08
fi1 T0PVrL;1 oF . .
FF:N1E idALL 1. Tntcrior air film 0.68
• 2. 2 o Gyp. Board _ .45
3. R- 13 Fiberglass Eatts 13.00
q, 3" Thermax Sheat}iing 6.00 .
io. 5. 7/ 16" Hard?~oard Siding 6Z
1~- 6. 13xCcri0r. air film 0.17
1~-- ------1~ 7•otal 20.97
FIG. ~.'2 U = .0477
~~I}--"-"~~ • 1. 7ntci-ior air iiln 0.63
~ , A- 13 °iberglass Batts 13_00
Z
Jst. Sofftwood 1_88
3-JL" Thermax Sheathing. ~.00
;
S, 7 1" Hardboard Siding .67
7«~1 EY.LC1]ol air ,`:ilm 0-37
•,~.,71~ rY~`:J. 0 ,•otai 22.40
U = .0446
i'• d ~
. f~'Z--•A y - --Q
~ • • : ~ - . 1, Intcrior air film O:G:i
2, IZ" Thermax Sheathing 10.00
Slock 1.11
?TICTt A • " Conc.
c
L 4\ . , • ~ ~ . •
5.
;
cj'~ •r.,' r ' G. Ewter.ior a:r Silm 0.17
~ Total 11.96
[I = .0836
• . .
• SLTB ON G PUME
. ~ , , ~ . ~ . ~ ~ ~ S
~ ` r - ~ I!(.• • '
` y , ' : ?rl , ~ • ' 6 • ' ,1+ -
f,•.. . % ~ . ~ • • ~/`1=
,
Y-- • j~l . /ll ' • /i/
} 7G. V4 !/l ' t~ • • , p
113 = , • ~
_ _lyl . • P nna•c. •..n:...~..`ivn..!t:^ v_11111_ .40nth :111d
; .
• •'rU~; /Ci,l~.l::G , CTTY OF EDEN PRI:L4IE E1+ERGY CAI.C.
1:_V:~luc .
~i Con_ C~'uciio~i (Usc foc Itctn L)
~ J 1, Inlcr..ior air Cilm ~ O.C.1
2. ~8~ Gvp Board ~9
~i:~ ~-•,%t_i-•
1,~•_
fii~•S:1('II~I4lit~~~I l11 3•
4 71::CCric,r nir li1 m (::t:ill) Q.~1
~:~l • Tocal .
4(- 9l
'PLiI <i% --Q~ ~ ~ u = , o 2-3
CI,G. FLAM!r:G(fise Eor Item K) ' .
llca t flov
~~~~d f• 1. Interior T.ir film. 0.61
uP
~ 2. 5/810 Gyp. &>ard .69
• 3. Inch^s soft wood 3 2n
FIG. q, Tnchos insul aUove fra-nina
• S. 7+ir Film 0.61_
'3~t-~1
~ in'cerior air fil.- Y 0.61
i~ _ • ' -
2.
~1 3.
'~~~I~~~~~i'~`~ , • .
i
4. E>:terior a=r film (sr,ill) 0.61
'
To ta l
. . .
1 2 3
~ ~ .
.
1?ent ;lov up ventea
. ~
FIG.
film O.Gl_
t 2.
'::.,••.3 S. -
w
.`,,e~~`.•.~: ......~r
-1 ir fil:a Q.1'7
;...i: _ ; rr.. :•:-~:Y ~ ,i S. Out :idc
; ~ / _
~ ' • / (
v .
~
. ~ l• r-i .
, \J ~
~ '
VOLC: Sbi.Ct::s' 1L PXIi': 15
ftir Ortnil:: ind caltu?aLiunn.
up . .
,
~ survelloras Ccrtificatc
SURVEY FOR: Zachman Brotliers ;
DESCRIBED AS: Lot 27, Lot 2, CINNIU?ON P,IDGE 3RD ADDITTON, City of Eaf;an,
Dakota County, r;innesota and reserving easements of reccrd.
I
i
i
i
~
i
I
• I
~
i
N93°pz•1/7„w
OUTLOT D yP ~o a, , nc.zg ~
ho
9~5. 4
op / ~0 'pQ ;
~ R Q~ ~ , 916.y I
~ Sr J. \.y 9~t.c A \0 0 ~
~
_ I
i
~
I
~
s I
~
~
pR0?O$£D ELEVATlCPdS 10
BENCHMSRK, !
i
Top of Foundation . 911.3 ~
~
Garope Floor 0116.41
Baeament Floor :'lly,l
ApproR. Sewer Suvice Elev.. g~•~-- I MIN. SETBACK REOIREMEN7S
ProOOsed Elwotions ~ ~ '
Eaislinq Elwatlon¦ . Frootc-~o Houts Slde - lo m!
DrainaQt Otrecllons Reor -$O 6aroqe Slde - la p I
Dsnores Of/sat Stake ~ O SCALE: ! Ineb • 30 Feet , ;
I
I neney e.rtvr mot mi$ .urvor. olan a repert wos onporoa sr m0 JOB NO.: i
HEDLUND or under mr aincI superN,im onE thol 1 am a Auly RoOisbnd C~ D„~
LanA Bvroyp unAer the laws e} tAo sTOte ef 1AIn~~~ela. ~t~~~ ~
8001(:
P/anning EngineeKng Surveying
m1 !wl 8bpnY'M lM~4. M~Ma4 Yfl1A
fMyloNA1l~N~UL~
ODOIe: 3, 31 , BB PAOE:
JOV@ I qr*n. Lle"s N0.14378
OFRCE OF THE COUPITY ~111ieo-Davb Co . Mlnne~polb
Fam No. 31•M-GUIT CLAIM DEED ~7mnnote Unitorm conve~. RECORDER-OqKOIq ~N7y, MN. Y~ Yy r?~t./,~(
Coryoretion or Pettnership
to Corporation or Pertnarship CEFfTIFlED THAT THE WITHIN
INSTRUMEMT WPS FlLm FOR ~
RECORD IN THIS OFFlCE
No delinquent taxes and transfer entered; Certificate pN pNp q7 '
~ of Real Estate Value ( ) filed ( - ) not required NZ,?
~ Certifica -R.eal Estate Value No.
~ ~ ,19~ MaY ~ 42
781774
~ I OOC. NO.
I County Auditor
~ by By' ~O oEaurv
Deputy FEE
CASH ? CHECK C3'CHARGE ?
j STATE DEED TAX DUE HEREON: $ 2.20 RCE~ p~OM
Date: April 7 , 19 $7 ~
~ (reserved for recording data) _i
i FOR VALUABLE CONSIDERATION, Ruscon Homes Inc. ~
, a corporation under the laws of ~
I MinneSOtd , Grantor, hereby conveys and quitclaims to {
I Builders Develo ment & finance Inc. Granteei
a corporati0n under the laws of Minnesota , real property in ~
Ddkota County, Minnesota, described as follows: i
i Lot 27, Block 2, Cinnamon Ridge 3rd Addition ~
I COUNTY CONSERVATIONFEE5300 k
~lh mm~~Y (1~~°~ I
pAKOTA COUNTY TRcASURER
I ( I f 'V ~
~
I (if more space is nreded, continue on back) ~
I togetner witn all herediLair.e: ts anCi :yp1:t..C'.^,'_^C?4 be!^'-?$EP_g thP.T0t0. ~
~
Riiscon
~ I
STATEOF
ti ~ dl.:,1"f~111~..1
N , T*Et~linnesota- Bv ;
_ DEED Its i
o STAMP NAY'7'87 = O 2. 20
_ I
TAX P.B.10818 By
~ - Its ~
~ STATE OF MINNESOTA
SS. ,
~ COUNTY OF Dako a I
I The foregoing was acknovylpdged before me this ~ day of ~ 19-L ' I
! by D 1 1 6- and
~ the / L) E.u and ~
of Ruscon Homes. Inc a cornnration ~
under the laws of Mi nnesnta , on behplf of the I
; NOTARIAL STAMP OR SEAL (OR OTHER TITLB OR RANK)
I 7 I6NATVRE OP PE&BON TAKINO ACICNOWLED6MENT
i r~~ c~7 cea r. cVCt/C~R Tu Btaamenfa fo: tM wal DroDoKY descAbed In thb Inttrument sEOUld
a: be wnt ta finclude nam@ and aQdreu ot 6:mtaa):
' NUTARY %111IC - MINNISOTI 1
Oa7-01n COUNIY
I MY commisuon s:piras Apnl YIr 1990
euILDERs oEVEi.ovME+r a AUuMwc.
- - - 111aaa c wAnz?TA eLw.
ITHISINSTRUMENTWASDRAFTEDBY(NAMEANDADDRESS): wAYjATA 6EM IMMi1
~
I BUIIDERS DEVELOPMENT 3 RNANCE,pIC.
1066 E WAYLITA BLVD.
PO. BO)I W7
WAYLITA, MN 661Y1 4y3.01*
PPPP~
CTTY OF F_AGAN
CASHIER: .1S TERMINAL NOa 45
DATE; 05/09/97 T'IMI_: 16:09e36
ID:
NAME: JAYNE R NOLOEN
3210 9001 4403 SLATEf: RD 50.00
2155 9001 4403 SLATFfi RD 0.50
3430 3001 4403 SLAT[fi RD 1.00
7oi:a1 h'eceip+, Amount: 51.50
CFni3581
IJSER ID: tAN
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 029912
(612) 681-4675 Date Issued: 0 5/ 0 6/ 9 7
SITE ADDRESS:
9403 SIATER RD
LOT: 27 BLOCK: 2
CINNAMON RID6E 3RD
P.I.N.: 10-17402-270-02
DESCRIPTION:
~
Building..Permit Type DECK
guilding 4Jork l'ype NEW
/-Census Code 434 ALT. RESIDENTIAL
~ i
. f-
,
• : :i , .
REMARKS:
FEE SUMMARY:
Base Fee $50.00 COPIES $1.00
5urcharge $.50 Total Fee $51.50
Subtotal $50.50
CONTRACTOR: OWNER: - Applicant -
NOIDEN JAYNE
~ 4403 SLATER RD
' EAGAN MN
(612)895-5008
I hereby acknowledge that T have read this applicetion and stete that the
information is correct and agree to comply with all applicable State ot Mn.
Statutes and City of Eagan Oi•dinances.
A PLICANT/PERMITEE SIGNATURE ISSUED BV: NA7URE
1997 BUILDING PERMITAPPLICATION (RESIDENTIAL) CITY OF EAGAN
3830 PILOT KNOB RD - 55122
68,~6~5 ~b
New Gons:rudion Reauirements RemodeV!?eoeir Reauircmenh
? 3 registered a8e surveys ? 2 copies W plan
• 2 copies of Dlana (InUUda beam 8 window saes; poured fiE. tlpipn; etc.) ? 2 site surveys (exterior atlditions 8 tledcs)
? 1 energy wlalations ? 1 energy calwlations tor Matetl additions
? 3 eopies oi tree presarvation plen H IM platted after 7l1193
required: _Yes _ No '
DATE: CONSTRUCTIONCOST:
DESCRIF'710N OF WORK: cM a JtCI`
STREET.4DDRESS: _`-I ~7O 3 ` ~1C.Vt e,C ~ i ( : GL~. 1 Y-\+
LOT ~ BLOCK SUBD./P.I.D. /Gt-~
PROPERTY Name: N a IC/1 e?-~ avn P Phone -U qs `,S0CS-
owNER 1~ yyo3 Sla,4ec
Street Address:
City: G.u-~ State: Rr- Zip:
CONTRACTOR Company: Phone
Street Address: License
City: State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
CEIVED Name: Registration
Ei9 i9~i 0 A 1997 .ciiiE@iAfi:ffEoa:
BY:~ City: State: Zip:
Sewer 8 water licensed plumber (new construction onty): . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances. ~
Signature of Applicant:
OFFICE USE ONLY
Certificates oi Survey Received _ Yes _ No
4~~
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
r -
BUILDING PERMIT TYPE
n 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex o 14 Fireplace n 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex ~ 15 Deck
WORK TYPE
~ 31 New o 33 Akerations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/W5 System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code ~
Census Bldg ~
Census Unit
ARFRu Ji, LS
Planning Building ~IN Engineering Variance
Permft Fee Valuation: $ / ZGb. a0
Surcharge
Plan Review
License MCNVS SAC
.iiji $n.r.
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/VN Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies ~
Total:
°r6 SAG
SAC Units
~
.
, .
\ ` , • 011 STAIHS Of FOtlR OR MORE pISERS, ,
AORIPABIE HAlIORAA EQUIYAlENi TO
~ f=112'102'OtAIIETERANOMOUNTED
'
,
, ~ ' il'1038'ABOVETAEAD
i8 i~qlIRED ONATIEAST QNE
M06w
SID~ Of 1HE S1uR3
. . ~iY•..~ • ~ . _ ,
pC~n~n\~e. ~-~CSa~~~~~~~ ~'~~~X~4`•~
• c', _
~ .
;
_ ~ ~s ~r~? .~8" ri~rr~na,~ .
, , p?~:~-ti•!!: b~ sr~-r~-S
-
+~rxxxsxxxzxx xxx x rx:x~:x~x::a:xr+n^sia
C I TY O F E A A f~f.. **.aOT": rAn~rr oF ~Ax Tn.E: *
~ aPPLscATxox DoFS Wr
AEPROVAL OF PERMIIT. • ~
APPLICATION FOR PERMIT *INSpDLTZON OF SEFhER A6D/Q2
Ti1RTATS.ATT0NS WII,I, N.7S' BE SCEIED
~ SEWER AND/OR WATER CONNECTION ~ULED Umm Pm:tMLT HAS EEM
. ' • • • : ~ APPFtovEO.
' ~****~********.***+*+*#**~~-r,r**t,t+: ' P ease Pr1.nt
.:1) PROP£RTY ADDRESS:
4403 Slater Road
, . , LEGAL DESCRIPTION:
, Lot B ock Subdivislon or Ta:c,Parce ID
- IF EXISTING STRCMME, DATE• OF ORIGINAL BL'ILDING PERMIT ISSCANC'E:
(bbn Year
PRESENr ZONING/PRCPUSn [7SE: ' [D C0.MMEFtCIAL/RETAIL/OFFICE R-1. SINGI,E FAMILY
. ~ II,IDUSTRIAL r-I R-2 DLPLEX (Ttao Cfiits)
INSTIZUTIONAL/GOV~T ~ R-3 4DWPIIiOL~SE (Three + Units) ( Brtits)
,
? f.:.: .
R-4 APAR'IMEDTP/COAIDOMiNI[.T1 Units )''.:',.r,
,2) ' , - '>~F.-'•:
NAME: K and K Heatinq and Plumb'rnq, Inc..
ADDRFSS: 6011 Lone bak Road' • -
CITY, STATE, ZIP: Rockford, MN 55373
~
PHONE: 477-5505
s.3) For Glty Lse4<:~Jf
, NAb7E: Same as # 1 i Plunbers License•-i ;s;;,
' ADDRE55:
} ".y
CITY. STATE, ZIP:
PHONic: b1A5'iER i.SCE1VSEiF R72099
• S 7siittal't
. . . ,.,x,.,.~~.
• i~•
Ne,c.rc: . Zachman Brothers, In.c •
aDOxFSS: 4620 West 77th Street Sui te 104
CITY, STATE, ZIP: Edina, NN 55435
_ PHONE: 893=0755 • ~
5} n v • i r: : o • a~ ::~~?e`:~4,
mrs~x.-rioN zci cizy sZM p corrNnc,ziON Tu CiTt wr+xER p art~Ex
. . .
6) ~ PLFASE HOLD APPROVEU PERMTT FOR PICK-UP BY ONE OF }IBWE `..--•--';';i,`
PI,EASE MAIL APPROVID PEMIT 1)2, 3, 4, AB'JVE =,si• ' . ~(Circle one)
v. r ~ ~~~~~n •~l~F1I,?1L~ ~ 4-13-88 ~
C, ' Y' • Y' l: ~ ' • ~ 1m ~ I' • ~ ~1' , j
1 I. x. . ~ ' • ~ 1. N • ~ ~ : ? M'I. •.tlJ~ 1 1 1 JI' • ;A' • ~ -
{e''' . . . '
i.~, ~ ~ . ~ ~ ~ ~ • . ~ ~:~:c`~~ i3~r~.
Y,.. ' ~?''~Y;;<:rfi:
'•r,
FOR CITY USE ONLY
` . ~ . . . . ~ .
PERMIT # ISSUED
Pd w/Bldg. Permit FEESo
SEWER PERMZT (INCLUDE SORCHARGE),
$ WATER PERMIT (INCLLDE SLRCHARGE)
(2 $ WATER METER/COPPERHORN/OC'TSIDE READ
-c. ~ . . . . :
; . • $ WATER TAP (=NCLL'DE CORPORATION STOP
~r~t . . . . ~ . .
. • $ SEWER 'TAP'
ACCOUNT DEPOSIT - SEWER
6 t)' ACCOL'NT DEPOSIT - WATER -
WAC .
s ~v ~ oo s sAC
f...
$ TR[)NK WATER ASSESSMENT
TRONK SEWER ASSESSMENT
~
' • LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER •
$ WATER TREATMENT PLANT SURCHARGE
OTHER :
~
k :
:x
r=i„-$: ./"V-7I' Ly D $ TOTAL ~ .
~0?7LI V
' kECEIP'f 'e RECESPT
,'m::•.
~
~'DOES UTILZTY CONNECTION REQUIRE EXCAVATION IN PLBLIC RIGHT OF WAY?
'
YES ZF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
~ `:lys€
'SUBJECT TO THE FOLLOWING CbNDITIONS: ~ ''t
. . , . . . . .~.}'rt
APPROVED BY:
TITLE: :
DATE:
2006 RESIDENTIAL BUILDING PEUMIr nrPLrcnTioN
City OfEagan ~
3830 Pilot Knob Road, Eagan MN 55122
Telephone i! 651-675-5675 FAX # 651-675-5694
New ConsWCli~on Reouirements RemodeVReoair Reauirements Office Use Onlv
3 regatered site suneys sharring sq. ft. of lot sq. ft of house; and all roofed areas 2 copies of plan showmg footirgs, beams, joists CeA of Survey Recd _ Y_ N
(20% maximum lot wve2ge allowed) 1 set ot Energy Calalalions for heated addftions Soils RepoA Y_N
1 Soils Report if proposed building is to be placed on distur6ed soil 1 site survey for add'Aions & decks Tree Pres Plan Recd Y N
2 copies of plan showing beam 8 window sizes; poured found design, etc. Adddion -indicate ilon-sde septic system Tree P25 Required Y_ N
i set o( Energy Calalations Oo-sAe Sep6c System _Y _ N
3 copies of Tree Preservatan Plan A lol platted afler 711193
Rim Joist Delail Options selection sheet (buildings with 3 or less units)
Minnegasco mechaniralventilationfotm
Date rg /I-~J / Oln j~ Construction Cost c~ C70~ .vv
SiteAddress yl-~(~~ t-~6 . UniUSte #
Description of Work IVQ\t ~V-~
Multi-Family Bidg _ Y X N Fireplace(s) _ 0 _ 1 _ 2
Property Owner i V() 1(-1 £1(1 Telephone )
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv l Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • Nevi Energy Code Worksheet
(q submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master 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 far 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.
ApplicanYs Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 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 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo/perola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 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 Windows/Doors
? 34 Replacement 'Demolitlon (Entlre Bidg) • Give PCA handout to applicant
DesCflptlon: WaterDamage_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) _ FinaUC.O.
_ Footings (addition) _ FinaUNo C.O.
Foundation H V AC
Drain Tile Other
Roof _ Ice 8 Water _ Final _ Pool Ftgs AidGas Tests Final
_ Framing _ Siding _ S[ucco La[h _ S[one Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge • .
Plan Review
MC/ES SAC t
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4403 Slater Rd
Lot: 27 Block: 2 Addition: Cinnamon Ridge 3rd
PID:10- 17402 - 270 -02
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Permit expired without required inspections. 3/30/2009 CE
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.50
Owner:
Mathew Nolden
4403 Slater Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA084584
07/23/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
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