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4407 Slater Rd i W.acM 7D tCxt BLsMM 8/29/89 CITY OF EAGAN AiE~C S[~ M-1 ' . 830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 i PH ONE: 454-8100 -BUILDING PERMIT Receipt . ~ To be used for SF VI-X/GAR Est Value t71 ~:10~ Date SEP'YZ'SBU 27 ,19$L- Site Address ~`?a7 3L,A'0~R '~ti' OFFICE USE ONLY t:"1 lot - Block - ~2 Sec/Sub. ~~~N~-"'~ R;~E 3A OnSkeSewage Occupancy -I rfl MWCC System X Zoninp Parcel No. On Site Well (Actuap Const V-N a Name 4ACfI:iAl1 S.Wii7Y,R; CCbNS'fRL'C1'IDN Citywater (E??lowable) V- = Address 4620 77i f' 5 a S!1'T$ 104 PRV Required x of Stories 3 ~~~Q~ss BoosterPump Length 1~~' o Ciry F_, I,+;, Phone. Depth 4i] ` , p Name S.F. Total AddresS - Footprint S.F. ~ City Phone APPROVALS FEES ~a EngrJAssess.- Permit ~`5Y'•`j~ W W Name 35.5~:? ~Z Planner Surcharge _ - Address aW City Phone Council _ PlanReview 239•00 t Bldg. Off. SAC, City 100+~ I hereby acknowledye that 1 have read tAis application and state that the Variance SAC, MWCC 350• 00 information is correct and agree to comply with all applicable State of Water Conn. 350. QJ Minnesota Statutes and City ot Eagan Ordinances. Water Meter (07. Signatureof Permittee ~ Road Unit 325•k A Building Permit is issued to:7-AC1~-N Bi'~~~~ CONST Treatment P1 204• on the express condifion that all work shall be done in accordanCe with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks ~ SiS. SO TOTAL 2 Building Ofticial Permit No. Pormit Holder Date TNephone t Plumbing .6114 H.v.ac. ~ ' • ~c , E lectric Q 4"l/_t~,..i Inspectlon oats Insp. Comments Footings I Footings II Foundation Framing 11121 Roofing Rough Plbg. Rough Htg. Isul. Fireplace T - Final Htg. / Final Plbg. ~ ~ Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ~ 1 s + ' , ~ w « h ' i (Itrtt#otrate of (Orrupanry titp of Cagan oppurtmrtt of 3iuitmng jwrcnon Tiiis CerJificale issued pursuant to !he requirements ojSecdon 306 of the Uniform Buildiag Code certifying that at tlte time of issuance thu slructure wns in conepliance wllh the various ordinances ojthe City regulating building constnrction os use. For the joUowing: u.e aasirrauoo SF DW-/G1R e1e& rtrn,ie Wo. 15654 o-„war Tra , R3/P'1 1 z0688 n;w;a PD rya c.OUu. VN o,yo« cr ewlding 71ACEiHltiN BR[IMRS OONST. Add„ 4620 W. 77IH ST. SIE.1 ~ 4407 SIAlER %lAD Lmaty L25, B2, G'IlMM RIDGE 3lal ~ o.te: AiIC~IST 14, 1989 ' ~ ` . POST IN A CON3PICUOUS PI.ACE ~ ~ t - - - - f.. - ~ - - - - .t~ ` ' ~ _ ; _ ;7 ~~,~;v y , ~ ~ %.y4.t •1d30 JNI833NION3 `J 1DViN03`S11MI!!3d !l3M3S IIIIdO1S klOd 'JNI5S3306d li0:J SAVO JNDIliOM ONLL MOIIV 3SV31d :3NOHd . diZ 31tIlS 'AllD 03f1SSl a313W N313df11VNJIS ;S53aa4y ~ 7 ~ t ~ ~ , ~ i . ~ : , :a3NM0 :3NOHd I :S33N1/NIadO 31V1S 'AllO N1fJV3 d0 JWO H11M AldIN0'lr01I3~~~1,,~ ~ vt 0~ . lJ~ i i. A, =SS3Haat/ Q'11 ~a38Wflld l" . JNIlSiX3 - M3N ]V-- '3NOHd /0 dIZ ~ ~ J ti C ~ 31tIlS `J1t1:7 lVI1N3oIS37tJ3.IVVM - -ONI/WWOO - ~ 1-h :SS3d~]U1/ ~ Sdbl ki3M3S I a :1NVOIlddd - p ens/03s--r.F)10o1e7a 101 ' 431S3f1~3a 111Mtl3d L,*~, SS3Ha0d 311S dWfld H31S009 - AFid - 311/0 3f1SSl £L£Z 0" :Z3I30:+H M'PS 3ZIS d313W 88 L 3.Ltl41d1333ti 'd'8 #~,30k9~i ~[[g # ld13D3!!'d'9 p ~ L # a~w lZLSS NW 'U~6~3 llWti3d a3M3S wllWa3d a31VM 66l lZ ~9 ~O~d 4s~oi 'pa aou)l iond oese 5$ / 9/ 9 31F/a lIWli3d NVV3 ~0 AllO AINO 3Sf1331~0 llWa3d a31~MT b3M3S INSPECTION RECORD^~~~~ CITY OF EAGAN PERMIT TYPE: N', 3830 Pilot Knob Road Permit Number: 7 3 t Eagan, Minnesota 55122-1897 A~~„ l y Date Issued: f'' ` (612) 681-4675 SITE ADDRESS: " 1 N 41 1 ~ ~ . I III ~ APPUCANT: li l tr~ t. I ATt R Rh PERMIT SUBTYPE: TYPE OF WORK: ~ INSPECTION D• • D• ~ ~ ii~; i{ fVi,'. I 1 I'J•,i ~ ~ . f ~ ~ I~-~ - - - - - - 1 Pern,n Ho. wrmn aaaer oate Telephone # ELECTRIC PLUMBING I HVAC I Inspection Dato Insp. Commenb I FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBQ AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FlREPIACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST I BLDG FINAL I ~ BSMT R.I. I BSMT FINAL I DECK FTG ~ I DECK FlNAL I ~ ~ - CITY OF EAGAN Remark: Addition CINNAMON RIDGE 3RD ADDN Lot 25 Rik 2 Parcel 10-17402-250-02 ~ Owner Streec 4407 SLATER ROAD State EAGAN NW 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. D 1 STREET RESTOR. GRADING SAN SEW TRUNK 1973 22 *SEWEii LATERAL 1985 ~4.53 6.90 WATERMAIN *WATER LATERAL 1985 WATEii AREA / 1971 131.44 8.76 15 STOFiM SEW TRK 1979 381 .69 19.08 20 *STORMSEW LAT 1985 I CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 #44480 7-2-84 WATER CONN, 470.00 BUILDING PER. SAC 525.00 PARK ~/a9/8y (7 ~&.2 o, E 95974 au,6a Requesl Dale ///111 ' Fra No. RougMn InspecGOn Reqmretl? ? Reatly Now -YJI Notily InspeMor ~ es ? No When Reatly'+ I p licensed contractor Q owner hereby request inspection of above elecirical work at: Job Atltlress (Slreetr, 'B'ox or Route No,) Qry , .3L14 T '~1 V 4~i~, i? 56c4on N. Township Name or No Rarge No. County ~ C-1- i~iV1 lI/1G1 71~?' • Occupan~ (PRIPIT) Phorre No .S~ ~~i1W,~ jo9 id'.P3 Power SuOdier ~ qddrm AKe Ti~ Li[l ; ,rI c lectrCel Contraclor (COmpany Name) Cqnlractor5 License No. C°) GtJ AI'e-'-' ,C' Matlmg Aatlress (COntraqtor or Pwner Making Installalion) ~~1~ ~ Au orizetl Sg Nr onVeclorlOwr/repM2klry(Ij~S(allatqn) Plione Numpar C.~ G ~ MINNESOTA STATE BOARD OF ELECTq THIS INSPECTION REQUEST WILL NOT GdggYMiCwey Bldg. - Hoom &173 BE ACCEPTEO BV THE STATE BOARD 18Y1 Univerelry Rve., St. Geul, MN 55104 UNLESS PROPER INSPEGTION FEE IS Phona(612)6C2-0B00 ENCLOSED. 9/ ,yq REQUEST FOR ELECTRICAL INSPECTION es0000,-07 / If, See insVUClions for compleLng this lorm on back ol yellow copy. E 9 5 9 7 4 ~X"-Below Work Covered by This Request e Adi: Rep ' TypeofBuilding AppliancesWired EquipmemWired Home Range Temporary Service Duplex Water Heater Elecinc Heating ApL Building Dryer Other (Specity) Comm./Industrial Furnace Farm ' Air Condnioner Olher (speuty) Conlraclor5 Pemar~CS~~~f Compufe Inspection Fee Below: N Olher Fee # ServiceEntrancaSrze Fea # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs inspecwr§ use Oniy TOTAL ~ Irngahon Booms ~v Special Inspeclion . AIarMCommunication Other Fee I, the Electrical Inspector, hereby RougRin `~^l oaiap-~ C+~' ! certdy that the above inspection has been made. OFFlCE USE ONLY ihiS request vqE 1B months Iran CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15654 BUILDING PERMIT PHONE: 454-8100 Receipt u 9270A, Tobeusedtor SF DWG/GAR Est.Value $71,000 Date SEPTEMBER 27 ,1988 Site Address 4407 SLATER RD OFFICE USE ONLY OLot zs Block z SeGSub. CINNAMON RIDGE 3 nSite Sewage - Occupancy R=3 M-1 MWCC System -X- ZonmB PD Parcel No. On Site Well _ (ACtual) Const V-N a Name ZACHMAN BROTHERS CONSTRUCTION CiNWater _x (Allowable) V-N w PRV Requiretl xL_ # of Stories z Address 4620 W 77TH ST SUITE 104 o Booster Pump Length 4.(}' City EDINA Phone 893-0755 - Depih 40' ,p Name SAME S.F.TOtal o a Addf0S5 Footprint S.F. U w - City Phone APPROVALS FEES '-a Engr./Assess Permrt 458.00 uw Name ~w Planner Surcharge 35.50 i~ Address Councd Plan Review 229.00 a w CitY Phone 100.00 Bldg Otf. SAQ City ~ Q QO I hereby acknowletl9e thac I hav is apph abon antl sta hat the Variance SAC, MWCC ~ 5intormation is wrrect andp ee to complyy~ ic State ol Water Conn. _5-5Q._Ofl Minnesota Stawtes and ~ity of Ea Or ,r(a . _~Z Q9 Water Meter Signature ot Permittee - Road Unit -325...00 n Budding Permit'is issued to _ZACHMAN_BROTHERS_CONST_ I ireatment Pl - -Q4, 90 on the ezpresscondition that allworkshall be done in accordancewith all applicable State ol Minnesota Statutes and City of Eagan Ortlinances. Parks -Ip TOTAL 2~518.50 Bwlding Ollicial~ 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConstmUion Reauirements RemodellF2eoair Reuuirements Offce Use Onlv 3 registe2d site surveys shaving sq. ft. of lot, sq. tL of house; and all roofed areas 2 wpies ot plan Cert of Survey Reoi _ Y_ N (20°k mazimum lol coverage allowed) 1 set of Eneqy Calculafions for heated addNons Tree Pres Plan Recd Y _N . 2 copies of plan sMwing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y N 1 sel of Energy Calculations Addrtion - indicefe Aon-site sepfic system On-stte Septlc System _ Y_ N 3 copies of Tree Preservation Plan if lot plattetl after 7M193 Rim Joisl Detail Options selection sheet (buildings with 3 or less un'AS) ~ 6D . 0 D Date u1V / ds Construction Cost ~ Site Address / 410 7 ~,(J ~"Cd Unit/Ste # Description of Work !~~l- o~,C ooqc &5,~ ok vcil-q-oye- Multi-Family Bldg _ Y~N Fireplace(s) _ 0 _ 1 _ 2 Property Owner / V eJ~6 p / Telephone # (65( ) l7 ( ? ~ l ~g ~ Contractor A ~e' %odCle, I:f Address City F-TQ% State Zip )410L," Telephone # $/;i_ v Uc{!- ~bA7'{D NN COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan6 _ Y _ N If so, 25% plan review fee applies. 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. Applicant's Printed Name T- Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 70 08-plex O 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous Work Types ? 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 WindowslDoors ? 34 Replacement 'Demolitlon (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 (addition) _ Plumbing Founda[ion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ 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 ~ c=(Z5.~5(~0 ~ CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027331 (612) 681-4675 Date Issued: 0 4/ 2 2 J 9 6 SITE ADDRESS: 4407 SLATER RD LOT: 25 BLOCK: 2 CINNAMON RIDGE 3RD P.I.N.: 10-17402-250-02 DESCRIPTION: _ Building Permit Type DECK ,'Building Wo,rk Type NEW Census Code ~ 434 ALT. RESIDENTIAI ~ \ \ C ' . REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: OWNER: - Applicant - ALLY SOBHAN 4407 SLATER RD EAGAN MN (612)895-1883 I hereby acknowledge tha°t I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City ofi Eagan Ordinances.. sz~ APPLICANT/PERMITEE SIGWRE ISSUED eY. IGN UF CITY OF EAGAN S0 3830 PILOT KNOB RD - 55122 7- ~ 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 6814675 NeW r.nnntmction Reaufremenla RemodeUReoair Reaviremeots ? 3 registered eite surveys ? 2 eopies of plan ? 2 eopies of plans (Mdude beam R wlndow slzes; paured fid. desfgn; etc.) ? 2 sfte surveys (exterior addRions 6 decks) ? 1 etrergy cakuletiona ? 1 energy ealculations (or heated additions ? 3 copies of tree preserveHon plan H lot platted efter 7/1193 requlred: _ Yea _ No . DATE: ~S• CONSTRUCTION COST: DESCRIPTION OF WORK: > > STREET ADDRESS: yy~7 ~~~~TZ~ 2~12,L0 12~~lJ LOT BLOCK c>2-- SUBD./P.I.D. PROPERTY Name: ~J- ~ 1?1/ax) Phone OWNER ~ Street Address- ZlU 2a TF/~ ~/I - City: 161 State: Zip: -Si/ L Z CONTRACTOR Company: Phone Street Address: License City: State: Zip: ARCHITECTI Company: Phone ENGINEER Name: ~ Registration #Street Address- City: State: Zip: Sewer 8 water licensed piumber: . Penalry 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 fhe information is correct and agree to comply with all appliqble Sfate of Minnesota Statutes and City of Eagan Ordinances. Signature oi Applicant: ~~~~d v ~ OFFICE USE ONLY Certificates of Survey Received _ Yes No APR ~ 5 t~gfi Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = plex ~15 Deck WORK TYPE ~31 New ? 33 Alterations ? 36 Move 32 Addition ? 34 Repair ? 37 Demolition ? GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Y~Y Depth Footprint sq. ft. SAC Code o/ Census Bldg _L Census Unit ~ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/V11 Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units . r CEZRiIf=1C1`,'iE . . O F Engineenng ~ 'n.nnesou 55344 G-'-^. ~r^r-~ land Surveying ieu) sa...z.z p p SURVEY lanGSCaDeArchrtecwr= Planning Survey for: ZL~GNW1ArN 6QdS . Job No. °~y? I Bk. _ pg. _ pRo?o5E0 ELc U.=77101VS YXY - OeNoTES E,0571NG ELEV,47-/o11I` !_cr~EST ccz - 9~yo ~~~Fy (X,YY) - OENOTE S P2oPOSE0 E4EYt17-10N -.Oc'JVOTc'S D/,PEC?/oN A= FGOW ~GRC~ FouNo,a'ricN- 9~So oF S'?RFACE D.eA/NP.G~E. 93.op (E;r~ ~ $9~ y I°oA i o p,~6 , O , P , v ° ~~9/7. s~~ y 19o/.g 4O~s~ ~D y O 9/4. ~ 1 EiP~ I ~ ' a 4 ° . ' `80 " 9/s.1i ~`~`S 9~kr9'> o ~ •~s~~,~ . ~~1 ~Oi ~iPSR°"i fiFc./y~ 5°' ~1' • ou7L0-T AoN ~2 j i~ w5E D ylg 8 I 915 91F.3 ~ q~{..93 nc 1 Uo1E'•U~.¢tFl' SERJICL~EL~tfk~fL6T'`P~Q'•; ,•7 '(u fooTiNb loniStiL i ~]~p . T yC3. r'L_S:~G D^ P.R .Ye ~ ~ _ . i~ ~ ~ IHEREBYCERTIFYTHATTHISISATRUEANDCORfiECTREPRESENTATIONOFTHEBOUNDARIESOF LoT ZS . 3L~~tc 2 GINAIAmON Rtn6E 3 RP AOOITtD hJ , DkKD TY, MINNESOTA. SURVEYED BY ME THIS DAY OF ~pTEMBE.e ~y AS O$TATE REGISTRATION NO.14J]4 li 1= 1l 1 1 I- 1 l~li 1 C J• L _„_'_7 : . .::o ~•:e:~acawa O F Engineeriny r rn,nesoia 55341 R V EY Land Surveying SU0 0 Lantlscape Architectur - Ie1z197..a24 p p . • Planning Survey lor: gV-d'- . Job No. !by-1I Bk. _ Pg. _ ~~oPO5E0 c'Lc'U~T/ONS YXX - 0E1'107E5 EXlST/NG ELEVf17-/o/J LOyJEST F! CO.~° - (XXX) - DENOTE S PROPOSED ECEY,qT/Oh~ -.Oc'NoTc'S D/REC'T/o,~l cy= FLOW ; c~ c~ FouNO.aT/cN- 9/So cP. -5'?RFAcE D.eA/NAG~E . P~ 93.00 " gqvY y 0 Ainc a a`~ p yo s~ y 9ol.g 6?17 ~ ~ „ ti gry~ ~?o M- ~y~.~, ° ~/l( y> Tp3Ro^~ ~kyPS H^' ~r9~ .-%%qrF7 o 16>' q! S yo=- 4( °a y t• ouTLo"F `e.y`''o ~2 :ro~s aoA P SE d D gJS qt6.3 yrh nc ~ No2TH tJo1E'U~¢iFi SERJ!(t~EIE~fA~ILaI~P(~fbQ'. ~ ~s~a~:l'•30' Tu FDDfIfJb LONSTle-L(. : .r•, ~ 'u_ ~ z,-•Y'.~ L~:~.;~1~~~L .11QG Dr.PT. Y.~ lJ:1i a., ,~y- ~ P.R.V, ~.i, - ~ - . ,Ji; 3~o~ic IHEREBYCE~RtTIFYTHATTHISISATRUEANDCORRECTREPRESENTATIONOFTHEBOUNDARIESOF LoT 25 . 2 GINNAMOAi RLo6E 3T AoOITtDhI , DkKu TY,MINNESOTA SURVEYED BY ME THIS 157W DAYOF 'l~"GrEMBE,P ,19 es . ONALD .KRUEGER STATE REGISTRAiION Np 1431A . . , • tc~h8 i,USL:Ii?:G :'i:i,;'.IT AiYL?CkTICI; - CITY Ci' c71GAN 'p. SINGLE FA14ILY D'rIELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERCY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICA ADDRESS IS DESIAED. NO CHANGES WILL HE ALLOWED ONCE BUI[.DING Pr.RMIT IS ISSUED. 14ULTIPLE DWELLINGS AENTAL UNITS FOR SALE DNITS 4 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COPi4E RC Z AL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS ~CEP ~ 1~68 To Be Used For: SinQle-Familv Valuation: $47-~5tO-00 Date: 9/29/88 ' Site Address 4407 Slater Road 91000- OFFICE USE ONLY I~ Lot 25 Block 2 On site sewage Occupancy R-3 M'1 N,WCC system ? Zoning PD Parcel/Sub Cinamon RidQe 3rd. _ On site well Actual Const V-N City water ? Allowable V-l4 Owner Zachman Bros. Construction. Inc. PRV required t~ # of stories _T Booster Pump _ Length Address 4620 W. 77th St.. Suite 104 Depth 40' S.F. Total City/Zip Code Edina, Mn., 55435 Footprint S.F. Phone $93-0755 APPROVALS FEES Contractor Same as above. Engr/Assess Permit 5G,0 Planner Surcharge 35.SD Address Same as.above. Council Plan Review Z 2q, o 0 Bldg. Off.'?13 SAC, City UI d,Ov City/Zip Code Same as above. Variance SAC, MWCC OD Water Conn Phone Same as above. Water Meter ,oo Road Unit 32 S. 00 Arch./Engr. Same as above. Treatment P1 2.vLI,O~ Parks Address Same'as above. OTALg City/Zip Code Same as above. Phone 0 Same as above. ~ _ _ ~ _ ~ . - - , • - VA L U AT? dN . ~ GA . ~ c2oya2~ _ qqox/y= 616v ~~xtic~ = l04o x~Z= Gy4( n . , CERTIFIC/~-.1"E . r----r-~ ` <.:i.o v:anace Auaa O F Engineering Ocn Piante, Minnesota 553A4 Land Surv¢ying rr-wmv-" III S U RV EY landscape Architacture (612) 934-4242 K= ' Planning Survey for: ZAG{dW`l b~d6 . Job No. 9y2I Bk. _ Pg. _ ~?OPO5E0 ELEUf~'T/ONS XXX - OENo7E5 EX~57/NG ELEVf17/o/J (,OVJEST FLGl~.-°- y~y0 v~>' ~XXX~ - pENOTES PROPOSEOEGEYA7/Oh~ C-1 ,24 G= 917-7 - pC/VoTES 01,PEC7"101J c7= FLOW 7"0~ aF FouNo,ar/oN- 9/S o oF. S?RFAcE D,eA/NAG-,E. 93.ob ~ S ~OQ qq" / O O a. P y xsE °o ~9r7s~ s 9a/.g 1 o y~ ',5~ ~OS S~p o a~~P 4 0 IV v ti grY4 ~ro M/~y,° /R g! TPSaa'' ~ q:'PS tiN 9 -%/J 9ti~ ~ -•'r1 ,~0~ 1(G io O, o ouTLo-F' ~'lysa 2~ ' ~~is aoA ; / Nlby r°P w5E D 9~s q~c.3 q~~n~ 1 No27H 1JO1E'-UFktF7SEQa~c~e~EVa~i~anl'?PR~°¢ . ~lscsu.e:l`-30"fu FOOfW6 !nn! A-~ By Dn_~___--g EAGAIN INEE, DERT• P.R.V. RUtUIRED IHEREBYCERTIFYTHATTHISISATRUEANDCORRECTFEPRESENTATIONOFTHEBOUNDARIESOF LoT ZS . 3L~cIG 2 cwAmo?.r Ro6E 3IUP AOOtTtOh1 , DhKn ITY,MIINNESOTAIA. 1c7,y S~oTe~neE,e 88 SURVEYED BY ME THIS DAY OF ,19 . K RUEGER STATE REGISTRATION NO, il774 ''y u li HALtLWVVU ~ . EY.TERIOR F.NVtii.OPE 71VGRAGE "U" CO`SPU'ii,1'10:7 TUCKUNDER OF]I:ER SITC ADDIcL:SS~ I_4te r~y coN:rtncroR ZACHMANN BROS DnTE 8-24'88pjIoNE 893 - 0755 Detcrmine wor.king squarc footagc of each. 1. Total er.posed wall area 22 S 4 sq. ft. X•11 2. Total roof/ceiling area ~ 0 S~ sq. ft. X•O26 Z7, A. Total wall window area I2- Y• S B. Total door area 7'J~ S C. Total sliciing glass door area ° D. Tota] fi-eplace wall area - E. Total wall framiny area (average 109.) / <-6 t 7 ' F. Total Rim joist arca............••••••••••" s G'. Total r'et ~.all area above Sioor. • • • • • • • • "-L " ' f ~ q/V-T J- CH n~. TuLC ~3 • t Total ex-.)oseo foundation area - H. Total fcur.dztion wir.c]ow arca I. Total ret foundation arna abovc gradc...........~ S d- 3,0 Deteinine "tl" value of each wall seS.nent. a, / 2, s x"U" = G 0- S L b. 37 - $ X..u,. ,08 = oz- o. 40, d X,,U.. .`f 9 = ( j. G " d _ X „U„ _ e. X ,.u,- :O$ _ 73 f. I ~s• 9`1 x..~~~ g. ,0477 's 'f 3 x .,u„ 031 -3 7 s I2 S 3 ...............~.~.g.°............ Tot11 Z5-0.Bg If ilrin t+3 is t4c sau:o as, or ihau il'em tll, yi;u La~•~~ n:"l Lho intcut of Total ex.posed roof/ceiling arna = ~ G ~ g j. Total skyliaht arca - k. To[al roof/ceiling frlmi.n7 arca (ave_agc 101)...... / 0~• S ~~2 1. ToLal nct insulatcd roof/ceiling area Determinr "U" value for each roof/ceiling sagm_nt. j, X "U., k. IoS 029= 1. 9 S2. v X„U„ 0 2 y- _ Z 2,~S . . 4 .....................................TOta1 = 2 S• ~ ~ ~ 2 7.s2 If total uf ;=.J is the same as, or less than 42, you hnve mat the intent of S3C 6006(c)1. Alternate Builclir.g Envelopo D25ign To ut::izc tiic total en•aelopc system r.:ethod, thc 1,alur's o~tlblishrd cun oL itens r3 arn e4 chnli not be grcater than thc aun oC ~i aiiQ 1!2. 1. + 2. 3. + 4. - - 1989 HIIILDIFG PERMIT APPLIC1iI0N CTIT OF EAGAN Li ~ c~6 ~ ) SINGLE FAMILY DWELLIBGS !lOLTIPLE DiiELLINGS COMMERCI6L 'TS OF PLANS 2 3ETS OF PLANS 2 SETS OF IACHTIECPUR9L ;ISTEAED SI'IS SOBYEYS SEGISi6RED 3IlE 30RVETS - i SiBOCPIIRAL PLANS n sET OF EREAGI CLI.(S. (CHEC% IiTfH HLDG DIY.) 1 3ET OF SPECIFICATIONS 1 3ES OF EAERGS CAI.CS. 1 3Ei OF EAERGI CALCS. MULTIPLE DIiELLINGS RENTAL IINITS Ym 5AL8 OO1LS 1 OF D6ITS : lDDBESSBS TOH CQRASR L073 - COATB?CiOR/6M0iiAER lWSr ~'SIGAATE UHICH IDDAFSS IS DFSIAED. HO CHENGES iTII.L BE lLLOiTED WiCE BIIII.DIIiG PERHZT 23 2330ED.. SEHER 3 1iATEA PERMIT FEFS lND ICCOUNT DEP03IT lEES 1iII.L Bfi IACLIIDED IiITH iSE BUILDINO PERMIT FEE. PAOCFSSING TIIME FOA SENEA lFD Y?TER PEIMIIS IS TNO DATS ONCE A PERMIT HAS HEEA COMPLEfED IRDICATI1iC A LICENSED PLOlMER. PENALTY APPLIFS WHEN: PERMIT IS NOT PAID FOR ZN SAME MONTH IT IS REpUESTED. LOT CHANGE IS HEQUESTED ONCE PERMIT IS ISSUED. To Be Used For: 4 Ni N£D lsn q/j Valuation: IJate: •JSr Site Address qLI orl 5CATe2 R-0 OFfICE OSE ONLS QA Block ~ Occupancy FEFS AI Zoning rareel/Sub uWramla'n A 1~Aa,3,cGL Actual Const Hldg. Permit Allowable Surcharge Owner ,em Hi9/c1 1 of etories Plan Review ' Length SAC, City Address yda~ TS,p ~ Depth SAC, HWCC ~ S.F. Total water Conn City/Zip Code e69F,a,J 55/~y Footprint S.F. Water Meter D Acet. Deposit Phone ~T'Jr ~4603 On aite eexage S/W Permit On aite xell S/il Surcharge ntractor !lYCC System _ 2reatment P1. CiSp vater _ Aoad Unit Address PA6 requSred _ Park Ded. BoosLer Amp _ Copies City/Zip Code 3QBTOTAL APPAOVALS - Penaltq ~ Phone Planner TOSAL Council Arch./Engr. Bldg. Off. Yariance Address City/Zip Code Phone 1 h CITY USE ONLY L OI ~ BL ~ RECEIPT ~ r~ SU60. DATEAL~ 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD I~,3z- EAGAN, MN 55122 (612) 687-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACtj ~LQ TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lava•.o^,r 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = H 3.00 x = Water Heater 3.00 x = TTdarofain~ 3.00 x Gas Piping Outlet " minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal " Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under wnst. 3.00 = Alterations ' to existin9 20.00 = 7- Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL ~ SITE ADDRESS:RLL4 HRFEE200N 4407 SLRTER ROFD I EFlGRfi , MN 55122 OWNER NAME H sss- isss w J INSTALLER NAME: ~ V6NTGO~ B•(~~. • ~ ..MPLIANCE INSTALLER3 1! r!T-IO;i3.- STREET ADDRESS: DQA MINNEAPOLIt. AAN 65{ps CITY: STATE: ZIP: PHONE ( ) f OFFICE USE ONLY L BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ~ all commerciaVindustrial buildings. p multi-family buildings when separate permits are aM required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REFAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. iF SO, YOU MUST APPLY POR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or t% of contrect price, whichever is greater. State surcharge of $.50 per 81,000 of permit fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTAILER: . I^• ~ i3~Jtiii,?, 3:INAlARA AB0 ADDRESS: ~uvo ~ EG«da MM ,8IJ04A34414IM CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: ' DATE: INSPECTOR: 767i `25~n- 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone il 651-675-5675 FAX 4 651-675-5694 New ConslNCtion Reauiremenis RemodellReoair RenuiremenLS Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq ft. of house; and all roofed areas 2 wpies of plan CeA of Survey Recd _ Y_N (20%maximum lot coverage allowed) t sel of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N. 2 copies of plan showing beam 8 window saes; poured found design, etc 1 site survey tor additions & decks Tree Pres Required Y_ N lsetofEnergyCalculatbns Adddion - indkateifon-sttesepficsysfem On-sileSepticSyslem _Y _N 3 copies of Tree Preservation Plan i(bt pWtted atter 711193 Rim Joist DetaB Option5 selec6on sheet (bWdirgs wilh 3 or less units) Date01 /13 / d.$' ConstructionCost~Z(oUb , 00 Site Address t{ O-7 S LA-T1,;JZ `2~Q UniUSte # F-'.Q'CrA 0 'M N !~TI Z1 (vu o k.N~.-l. -rv Descrip[ionofWork .LHSiA-u ~3) /?~cJ I~e(~~tic¢w~~.•-~ +wsv iikiSl1n,G- DQ(ryi.~(r Multi-Family Bldg _ YKN Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner 5v6/{Aj ~LLy Telephone#(LS-1 ) $j) , l$g3 ~rUwFi. ZIA,vtWtCrKT fR~~"-~~S ~~6e•~pO9ov~7 Contractor ~C-IA)4-5 r~STA ~ Address S J I2, Lfd(2U,_~P ;Av P City State Zip ST Y 1 / Telephone # (%3) g-37 - 77 ,vS COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minneso[a Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitled , In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8 _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ) Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 1- Avi N A86,J 4t 5FZ,AW4 ~Cv~~~kl"?~~ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 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 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-piex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_v or_ N? 25 Miscellaneous Work Types ? 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 (EnUre Bldg) - Give PCA handout to applicant 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) _ FinaVC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Founda[ion _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Pinal _ Windows Insuiation _ 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 zoos RESIDENTIAL PLUMBING PERnniTaPPUCarioN C1TY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 'lease complete for modificaiions to existing residential dwellings. iatej l/ ~ ~iteStreetAddress ATOP Uniti! ,roperty Owner Telephone # 9S y,~~ 78'~O :ontractor P •«,s / Telephonets C ( ~ kddres State Zip 37 "he Applicant is: _ Owner ~Contractor _Other >eptic System _ New _ Refurbished Submit 2 sets ot plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 1lterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. !f you are installing onl a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. Septic System Abandonment Water Turnaround (add $130.00 if a 5/8" meter is required) Other: ~(WaterSoftener _WaterHeater SrP $ 15.00 T new replacement •1 = _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ '50 7ota1 I hereby apply for a Residential Plumbing Permit and acknowledge ihat ihe information is comple[e and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordan with the approved plan in the event a plan is required to b reviewed and a proved. Appli a Ys Pnnte NamSe App ic Ps Signature (Iq ~ 2_ ~s-, 6z) 2007 RESIDENTIAL PLUMBiNG PeRMiT,aPPUCATioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 1 1 _1~_ I I~I Site Street Address "L o 7 $14~( 0• 0. \A, Unit # Property Owner /'t jl 4 J Telephone # ( ~ ~b Contractor Telephone# (1C.SI) `1G3~~dII Address 4 D s o^~ la. w S~, W_ City 1~til``^ i'"~ {"a bl State_LA~ Zip ~ The Applicant is: _ Owner XContrector _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener ~ Water Heater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 , Total ' ~ ~ • Q I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to b/e~ reviewed~an/dJ approved. ° ' ~e ~ I~ ~ ~ O~Sc+h / ~!i VI Applicant's Printed Name Applicant's Signature To: Page 2 of 5 20'13-08-22 '15:27:27 (GMT) 173A46aolos From: Harvey Pack Use SLUE as BLACK Ink I; For office use - i l [ t' m l . Permit I I Permit Fee: v I a Uap a 3530 Pilot Knob Road 7 Date Received:a 113 I Eagan Rohl 55122 Phone: (661) 675-5515 I 7 4 `Staff: Pax: (651).675Z$9 - J 2013 RESIDENTIAL UILDING PER IT APPLICATION Date: Site Address: 01 L4 -r-~ .Mv -IJnit# Phone. - Name: Resilient] Owner r Address./ City 1.Zip: A.P s Applicant is _ Owner °'v` Contractor yllAlpa~ 14(!Q~ e44?~ 1~ B~ts~69_"a.. T~ of Fork Description of work: - - Construction Cost Multi-Family Building: (Yes J No 9 ~ c sr~. a? i a~ ~ ~ ,rte CorttaGt: 1.1 L ~V Company a l Address: City: Contractor _-)1' 14 - "1 L4 I'D ° State' Z1ip: Phone. - License. C S t Lead Certificate If the project is exempt from lead certification, please explain wh`y (see.Page 3 for additional information) COMPLETE THIS AREA ONLY IF :CONSTRUCTING A NEW BUILDING° Y In the last 12 months, has the City of Eagan issued a permit for a similar plan used an a master playa? 4 Yes No If yes, date and address of master plan: i Licensed Plumber; Phone i Mechanical Contractor: Phone:. Sower ~ Water Contractor: _ Phone: and supporting doc umeFats that you submit are considercd to be public infonnagiorr PairP ors d the information may o cla.ssrfl~-d as nort-public if you provide specific reasons that would permit the City to t conclude that the are trade secrets. a CALL BEFORE YOU DIG. Call Gopher State One Call at (6151) 4544002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive Iocates..of underground utilities. a~ww.ao~herstateonecail orct 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 Fagan; thatl 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; Exterior work authorized by a buildirtg permit issued in accordance with the Minnesota Statepuilding Code must be complated within 180 clays of permit issuance. x V" Alsfalip nfs Print d Nance Applicants ignature Page 9 of 3 To: Page 5 of 13 20'13-1 0-15 '15:33:'18 (GMT) 173446801 OS From: Harvey Pack 'Use BLUE or. For. Office Use - - - ~ Lk ,cA Permit t I.. t permit Fee: 3830 Pilot Knob Road Date Received:, Eagan MN 55122 l Phone: (651) 675-5675 { 1 Staff: 1 Fax.: (651) 875694 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address i 4 4✓ a Untt # u...., , w. v Phone Name:,~!✓r3►~ Resident! p l~k.~'s . Address/ City Zip:. L( Owner Applicant is Owner Contractor - Description of:work.r'yYt.e+~~M.q.~ 't'ype of Work ~ a Construction Cost: o MUIU Family Building (Yes /,No ?,ant s Contact, Company City: Address. , Contractor f7 Phone- X40 d \ : State:. C- Zip: i License Lead Certificate # # 1 If the project,is exempt from lead certification, please explain why:.(see Page 3 for ;additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the 18St 12, months, has the City of Eagan issued a pormit fora similar plan based on a master ptart? I y{ Y Yes No if yes, date and :address of master plan: " 1 Phone: ensed Plumber: P Phone Mechanical Contractor: Sewer & Water Contractor phone NOTE; Plans and supporting documents that you submit are considered.. #o'be public information. Portions of the information may be classified as Wort public if you provide specific reasons that would permit the City to conclude that they are trade secrets CALL BEFORE YOU DIG Call Gopher State one. Call at (651) 454-0042 for protection against underground util ty dam agP:. Call 48 hours before you intend. to dig to receive locates of underground utilities.. ) mot_ nQh istateorecal_-ory hereby acisnowledge. that this information is complete and accurate; that:the work will be in conformance with the ordinances and. codes of the City of I it; that the work Will be in Eagan; that :understand this is not a permit, but only an application for a. permit, and'wort is not to start without a..perm accordance with the: approved.pian in the case of work which requires a review and approval of :plans. the Minnesota State Building Code must be completed wifhin 180 Exterior work authorized.by a building permit issued in accordance with days of permit issuance. applicants Print Name Applicants S gnature Page 1 of 3 . Use BLUE or BLACK Ink i For Office Use RECEIVED4 /L( 7 7/ City of Eakaii Permit#: o DEC 2 1 ID 0 3830 Pilot Knob Road L.v u Permit Fee: (.L/ Eagan MN 55122 /a -.)-i-/i Phone:(651)675-5675 Date Received: Fax:(651)675-5694 Staff: ...q .., 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 12/19/17 Site Address: 4407 Slater Road Tenant: Suite#: Resident/Owner Name: Theresa Dayee Phone: 651-230-3185 Address/City Zip: 4407 Slater Road Eagan, MN 55122 Name: Metro Heating & CoolingLicense#: 20090002249 1220 Cope Avenue East Maplewood Address: City: Contractor , State: MN Zip: 55109 Phone: 651-294-7798 Carle care meroean Contact: Y Email: iY@thtigcom NewReplacement Additional Alteration Demolition Type of Work Description of work: Replace existing furnace NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL Furnace I New Construction Interior Improvement Permit Type Air Conditioner Install Piping Processed I Air Exchanger Gas Exterior HVAC Unit Heat Pump i Under/Above ground Tank ( Install I_Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge $100.00 Residential New, includes State Surcharge =$ `Q 0 •v0 TOTAL FEE I COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee 1 I =$ Surcharge I Surcharge=Contract Value x$0.0005 t If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE 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 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. x Carley Ferrie x Applicant's Printed Name Applic s Signature FOR OFFICE USE Required Inspections: Reviewed By Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening