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4416 Slater Rd - WATER SERVICE PERMIT r CITY OF EAGAN 4 5~7 7 3830 P+,lot Knob Road pERMIT NO.: 7 j P. O. Vox 21199 DATE: up ~ ,I Eagan, MN ~2121 No. of Untts: , ~ Z°"i"°' schman cmes ac ; awner: ~ Addross: 1 later o , nnamon ! Sft~ Addross: Westoukka Ptumber Connection Chorge: • µet.r No.: Account Deposir: 10.00 P . p - Size: Permit Fea: Racder No.: Su.charoa* p meter ~~yrM to eoinvh? wMh ew CiM ~ Mlsc. CFaryes: 0,4I"SI TotoL pote Poid: By pate of I nsp.: CiTM OF WAQAN SEWER SERVICE PERMIT 3745 Nia! Keeb RsW PERAhIT NO.: Eapn, MN 55122 DATE: _ ,~a-,},, Zoninp: p" No. of Unlts: Ov, ar. Address: , a - Site Addross: Plumber: Lotl''a • 1:~iJ.00 l~d y_.:.'•3 aE:,.~7 ; I .on.. !a eswvhr wN6 t6. cih? ef !e/e• C.or+?uctlc^ a?aroe: Winamps. AOCOw+R DepOSit: pertnif Fee: SYPChOfQe: r n+ BY nnisc. c+orpes: Dote of Insp.: Totol: Inw: pote Pald: CfTY OP EAGAN SEVNER SERVICE PERMIT 3795 ?Net Kwor Red PERMIT NO.: Eegsn, MN 55122 D^TE: Zontng: j No. of Units: ~ 0,'snlex Owrnr: i:ir.ti:na:: ;:azues Inc Address: Slte /lddross: •+414 la';.e•1 tOad L1=3 Ci^.ram Plumber. ` :;'.:Q9; I00.00 0f} 1 Ne« ee e..py w1& tV C*y oi gaven ConneeNon Cheroe: 425 . DO OrdimneM. Acoount Deposit: I Permit Fae: Surchorpe: . - I gy Misc. Choroex Data of Irup.: Totat: i„s,.: om. Pae: II f,ITY OF EAGAN WATER SERVICE PERMIT ~ 3630 Pilot Knob Road 1. 7F P. O. Box 21199 PERMIT NO.: 13 Esgan, Mt' 55121 DATE: Zoninq: No. of Units: 31 duplEx Q",. :ACtriRaII $OmQ8 IIIC Add?w: Sia ltiddress: 4414 Slater Road, L9 B3 Cinnsmon Ridge 3rd , Plunber. 14e4 t onk& AAeter No.: Connection Charpe: 450.00 pd Size: Aaoount Depostt: Reoder No.: Pe?mit Fee: _ 10.00 pu 1 NrM h es~pllr wil6 tbe Citp of Eayen Surchorpa: • 5'~ e_ OrJiM"as. Misc. Cho?pes: 60.00 pd meter Totnl: BY Doft Puid: Oate of Irap.: Inap,; ~ CASH RECEIPT ~ CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RtCt1 V [D PRp.~ AMOUNT $ I . . ~ R DOLLARf e• E] CASH ? CHECK.. FOR ' 1..-~ FUNO CODE AMOVNT Thank You BY ~ White-PeYers Copy Ysllow-Postinq CopY Pink-File Copy +I CITY OF El1GAN Remarks Adb'ition L%ZMAMN RIDGE 3RD ADDN ~ot Pt Of 9 e~k 3 Parcel 4414 SLATBR RAAU EAGAN hIN 55122 Owner ' • L Street State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 867.69 C009881. 11-13-84 STREET RESTOR. GRADING SAN SEW TRUNK 9 1973 P d under ! inal aI' @ - SEWER LATEFiAL 621.03 C009883 11-13-84 WATERMAIN WATERLATERAL X 1985 529.12 105 529.12 C009883 11-13-$4 WATER AREA rc 1989 337.60 67-52 337.60 C009883 11-13-84 STORM SEW TRK 1979 Pai r ori- ina ce STOFiMSEWLAT 1985 941.86 188.37 5 941.86 C009883 11-13-84 CURB & GUTTER SIDEWALK STREET LIGHT WATEFi CONN. 450.00 11 BUILDING PER. saga 5AC PARK I CiTY OF gAGAN Remarks c~} Addition CTMVAMON RTDGE 3RD ADDN Lot pt og 9 elk 3 Parcel OJvner I IS 4L G' ! f'b1-j46ireec 4416 SI.ATER ROAD state SAGAN hW 55122 improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 5916 1 $6].60 C009472 9-7-84 STREET RESTOR. GRADING SAN SEW TRUNK p SEWERLATERAL 1985 621.03 124.21 621.03 C009472 9-7-84 WATERLATERAL X 1985 529.12 105-8 5 529.12 C009 7Z 7-84 AREA Spryiees X 1985 337.60 67.5 5 337.60 C009472 9-744 STORM SEW TRK STORMSEWLAT X 1985 941.86 188.37 5 941.86 C009472 9-7-8 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 450.00 n n 9UILDING PER. 9089 SAC ~t t1 PAR K , • cIrr oF EAc;AN 3795 PMW Kwo6 Rmi Eepw, MN 55122 PHONEs 454-4100 BUILDING PERMIT Receipf ~ r-•' To weved ier 112 DUPI.EF & G:A:%' Est. Volue $34,000 pa1e June 1 _ 19 83 Site /ddnss 4414 Slater Rnaci (Unit Ereo %C Ocwpor+cY - ^"A . l.or a Block _3_ S.c/S„b,Cinnamon P.idrze 3rd Alcer p zor,ing (pn) R--2 P~roei ~t 10 17402 090 03 Rapair ? Flre Zone `1A Enlorpe ? Type of Const. v W Nome Zachman Homes, Inc. Move p ories ~ ,~~s, 7750 ~titchell Road pe~ii,t, p ~h_24~ C; :den Prairie pF,o," 937-9520 Grods ? Depth «~Sq. Ft. ~ hJam OWller AVVrovab Foas o~ Address Asseument Permit 211.00 v ~ Ci phone Water & Sew. Surchcrpe ll_ Oil Police Plan check t d5 _ 5Q ~W Name Fih ~C S? 5_ Db ' z Addross Eny. Wnter Conn.l~~ , ~ W C~ ph~ Plonner Woter Meter 6'3• a0 Council 4._ Road Unit 1 5 0. 00 1 hercby acknowlsdye thot 1 how read this opplication ond stote thot Bldp. Off. the informetion is corred ond ogree to tomply with all opplicuble $1fi1~.~0 Stota of Minnesoro Sfatutes an~'i. ~ of Eo9on Ordinonces. A~ T~Ql Siynoturc of Pertnitta + ~,aa tiomes, Ittc. i A Buildiny Pennif Is issusd to: Lacl o" tiw express condiNon thni oll work shali be done in ocoordonce with oU epplioobla 5tate `of Minnesote Statutes ond Cify of Eogon Ordinonces. 9u{Idinp Official - - ~ r Permit No. Permk Holder Mise. Pwmit No. Holder PWmbin9 J& as ~EA z -7z7 -t3 N.vJLc. 71v~0 -19 vwn VYowr Dbp. Swwsr eWee?+c woVyBL1 G *a?r. 94c? -14~3 lMV.ction D.ft lMV. ocr+.. Footinps Foundwtfon Fnming ~ R°ua, Pwq' Rough HV Insuhtlon FirMl P16p. ~j Final HVAC Final wirtw DNeti6w LoeWon: Yw11 Somr Receipt MECHANICALPERMIT ParmitNa:=' CITY OF EAGAN Fee 20.50 Fill irr numbered spacea S/C . 5c; Type or Prini lagibly Tot. 20.50 1. Date 2. Installation Cost ~E~ ~ ~ 3. Job Address 4414 #r ~ Bik. ~ Tract ~ 4. Owner ZA1101i I'dLii b. Contractor Phone 6. Address 4637 Chic,,:.,,;n :-ve. 7. City .%7.:• State Zip r547 ~ J 8. Building Type: Residential 29 Commercial D Institutional ? ~ 9. Work Description: New f] Add ? Alter 11 Repair D ~ 10. Describelr1JLU1 force, aur flirnac'e Fuel Type .:<,t F-... ~ 11. No. Eaujpment 8TU - M. Ea. No. Equiament CFM ~ ForcedAir 00 10 AirHandling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. ~ Gas, Piping Outlets i ~ 12. I hereby certify that the above informatiqfi is true end correct, and I agree to ~ comply with $H ordiry*ce;;mnd codes go4eming this type of work. Signed : for . . ' Rough Flnal Inspections: Date Insp: Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464,8100 Recaipt PLUM ING PERMIT Permit No. CIOF EAGAN Fee - - ~ fill in numbered spacea S/C ~ Type or Prini legibly Tot " , i 1. Date 2. Installation Cost ~ C 3. Job Address ~ LotBlk. ~ Tract < _ ~ ~ 4. Owner 5. Contractor ` • Phone • - - ~ ` ~ 6. Address 7. City ~ State 2ip ` 8. Building Type: Residential 13 Commercial ? Institutional O 9. Work Description: New~,O Add ? Alter O Repeir ? 10. Describe ~ 1 11. No. Fixtures No. Fixtures 7- - Water Closet Cesspool/Drainfield ~ Bath tubs Septic Tank Lavatory Softner ~ Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray ' Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby oertify that the above information is true and oorrect, and I agree to comply with all ordinances end codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Dete Insp. This is your permit when numbered and approved. Approved . CITY OF EAGAN 454,8100 ~ CITY OF EAGAN ~ ~r ~ . 3795 NN ~Cne? Rod Esoan. MN 95122 . ~j g v ~ PHONE: ~S4-i100 I BUILDING PERMIT Rece;pt Te be awd for 1/2 DUPLEX a GAP, Est, Value $34,000 pOTe June 1 I q 83 Site Addrcu 4416 Slater Road (Unit A) Enict XX occupo?,cy R-3 Lot Block_.3..,_ Sec/SubCinn.smon Ridv.e 3rd /11ter p Zonlnp (PD) R-2 parcet # 10 17402 090 03 Repoir p Firc Zane NA Enlorpe 0 Type of Const. _ V W Na,~ Zaehman gmneA - Inc. Mov* O # Stories z Add,ess 7760 lfitchell cZd. per,wl;sh p Length_24_ p den Prairie pE,or, 937-9520 Grnde p Depth44_Sq. Ft. ~ Npwm 0'Wller Avvrovols fees Zp~ ^~mn Assesunent Pertnit 211. 00 F ci Woter a Sew. Surchor~ 17.00 Polite Plon theck 105.50 ~z Nome Fin SI~C 525.00 Add?ess Enp. Water Conn. 450 • 00 <W Ci phone Plonner Woter Meter 60. QO Council Rood Unit 2 50 _ (10 I hereby ocknowledfle thot 1 how read thls appticotion ond stote that Bldp, pff, tlx intormotion is wrrecf and agree to comply with oll applicable Taa~ $161$.5~i Stote of Minnesata Statute: ond Ciry of Eoflan Ordinonces. Sipnoturc of Pemdtte* ac n Homes, Inc. /R Building Permit is iuued to: on tfie expross condiHon thai all worlc shall be done in oocordonce with oll opplioable State of Minnesota Statutes ond CiTy of Eopah Ordinances. Buildinp Offlciol ~ , Permit Na. Pe?mit Holdsr M'ne. P~rmit No. Holdsr P~umbirw !1Z - 7-27~ H.~.~.~. 3~7Co? e. 7 3 w.~~ w.~. Disp. Saw~r e~.~ t~s~,49r(.'1 1 6ro.t&. tjjc, g-it-1173 lrop.csion oaa lrnp. ocn.. Footinps Foundation Fnminq Rauoh Plbp. ~ ~ • RoulPh HVA Inwl~tion -iq-~ ~ Final Plba Final HVAC 9 Al' Final Mlst~r Dueribe Loeation: YIMII . 5w~r Pr. DNP. • -r~ ~ ~ ~ a]1~3YL~[fBZN ar.~ cnwaP ' . t'.~a•.-r t~c. _ :i -rv~~~ v;o~4_ _ ss:ac ~:_r t _~_'`r's.~~ ~::r~ ac~.-'_~~i~~~~'re~"kCS~~ . Cgtr#ifirttte uf Orrupttnry titp of (f agan ~ . ~ . Bp#tMl'fl'ItPltf of B1tilbirig J2wpFt#it1t1 ~ Tbis Ccrafr'caic isrucd pwJi!411C 10 IhC fCqu1ItAmIJ Of Scction 306 of the Uniform Buildin ~ ;.8 Cndc urtifyrm8 that at thc timu of irtxanu thil itrxurerr wa.r in corn pliancc with tix variaua ordinaruu o f tfxCit y rc guhuin g btriJdin g coanruttion or utt. For tix follourin g: 1/2 DUPLEX & GAR 8089 oo,,,P„h,7yP• R3 TyMCa„„W,ia, V Fi.1 NA yorft wuk, (PD) R2 '~'r 7760 Mitchell Rd. , Eden Pra~ 1i OwmOfWAd,,~Zachman Homes, IncA4d.~ WAd,,AM.4416 Slater Road ,,a,,;,yLot 9,Block 3,Cinnamon Ridg. by: 3rd ~,,~Q~ ~~`-""'&A"& Offtw Ate. September 29, 1983 , ~ ~1 ~O~i IN • OOYVIGYOY~ IiIAGf - . ' ' ~ ~„~,~,~1'j~ p,-~t~ ,~s,~ ~.~~~`,~.~?~1, ~.r,-~ .,~J"~~' ~~~1 ~ ~ Receipt MECHANICAL PERMIT Permit No. ~ 7 CITY OF EAGAN Fse 20-00 . ' , Fill in numbered a,paces S/C • S0 , Type or Princ IeglWy Tot. ~~'.t;.SC ~ 1. Date 7-18"8-3 2. Installation Cost c__ r 1 3. Job Address "aCot~_Bik. ~ Tract 4, Owner - ~ • ~ - . - Phone 8''5-"z'~'7 I 5. Contractor .f N. 6. Address /,~37 ChiCzigo -v'e. 7. citw scate zip 5'47 I 8. Building Type: Residential lS Commercial ? Institutional O 9. Work Description: New 0 Add ? Alter O Repair ? I 10. Describe ~ lrlatF~L forced f11I~ hE:~ -Tilr: Fuel Type .J$t gFt:; II 11. No. Equepment STU - M. Ea. No. Equiament CFM ~ Forced Air 80j.000 Air Handling: Mfg. Boilers Mech. Exhaust Mfg, Unit Heater Mfg, Other Air Cond. Mfg. ~ Gas, P'iping Outlets 12. I hereby certify that the above information is true and oorrect, and I agree to comply with all ordinanfles and codes.ynvetning this type of work. SignedC• for Rough j Finel Inspections: Date Insp. ' Date Insp. This is your permit when numbered and approved. Approved CITY OF EACAN 464-8700 Receipt J~~ f I PLUMBING PERMIT Permit No. CITY%F EAGAN Fee . ~ Fill in numbened spacea S/C 1 Type or Pr1nt legiWy Tot • 1. Date 2. Installation Cost ~ ` 3. Job Address #4 LotBlk. ~ Tract 4. Owner _ 5. Contractor Phone 6, Address 7. citv state zip 8. Building Type: Residential D Commercial O Institutional ~ i 9. Work DescriPtion: NewID Add ? Alter ? Repair O 10. Desaibe J ~ 11. No, Fixtures No. Fixtures ~ - ~ ~ Water Closet Cesspool/drainfield Bath tubs Septic Tank ~ - Lavatory Softner ~ Shower Well ' Kitchen Sink Urinal/Bidet ~ Other Laundry Tray ~ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above infwmation is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rouqh F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8100 "btTY OF EAGAN Remarks Addi i~ CINNAMON RIDGE 3RD ADDN Lot 9 Rik 3 Parcel 10-17402-090-03 Owner Street 4414 4416 SLATER ROAD State EAGAN hIIV 5512 Improvement Oate Amount Annual Years y Payment Rece" Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 .22 6.81 15 50 A013181 11-15-83 SEWER LATERAL .10 WATERMAIN ' WATER LATERAL WATER AREA 1973 131.44 8 15 26.32 - 3 STORMSEW TRK 1979 381.69 19.08 267.21 A013181 11-15-83 STORM SEW LAT i CURB & GUTTER SIDEWALK STREET LIGHT ool WATER CONN 900.00 n n SUILDIN R. SAC 1050.00 " K 18imont~hsiromd W064867 g'°do Re est Dale Fire No. Poueh-in Inscection lteq retl~ ~Neatly Nuw XWill Notity, Inspec- u(l Yes ~NO tor When Ready ~ LicenseA ElecVicai Contmctor I hereby mquesa insDection ol obove ~ ? Owner elechical work inptelled ac . Street Atldress, eox or Route No. Cny -4 14 SGp~ <F^ G.a•J ecLon o. Township Name or No. RaneeNO. Coumy aKovA O uVent IPRINTI cPh~one No. v , n.C Power $uPplier AdEress K~`I 5 R N 6 ~ Eleclncal Con[ractor ICompany Name) Contmctor's /L^icenso No. ~Q A Mailing AdJress onVacmr or Owner Ma g Instailatia l 0 j0, o«Aj cs ~ vL, cS k ss93 Au or¢ SiOnawr ICO c~odOwner MakinB Ins~allatio 1 Phone Number ^ 2rYl MINNESOTA TATE BOAflO OF ELECTHICITV TMIS INSPECTION PEUUEST WILI NOT Griges-Midwav BltlB. - poom N•191 BE ACCEPTED BV THE STATE BOAFD 1821 University Ave., St. Paul, MN 66704 UNLESS PNOPEX INSPECTION PEE IS ENCL(1RFfl. REQUEST FOR ELECTRICAL INSPECTION f EB-00001.04 Sea inatruclions lor com?lelirg lhis fmm on bee4 oi ~Vellow copv. ~ ~64867 3 ~ "X" Re/ow Wark Covered by Thrs Request AAd Reo. TyOe ot 0uiltlin0 APOlinnces Wired Equipment Wired es, Home Range TemporaryScrvice Duplex Water Hea[er Lightiny Fixtures Apt. Building Dryer Electric Heaun Commercial Bldg. Fumace Silo Unluedcr InAustnal Bldg. Air Conditioner Bulk Milk Tank FTrm oeci v ihcr Ispeutyl t n.r ycufy [hcr Oihi_e Compute Inspection Fee Below N Fee ServiceEnVenceSize b Fea Feeders/SUbfeetlerm b Fea Circwtg 0[0 200 Am 5 0 to 30 Am s a tn 30 Anir)s Above 200 qmps 31 to 700 Amps -21 M 31 to 100 Am s $wimmin Pool Above 100_Am s Above 100_Amps Transiormers Irriga[ion Boorts Partial•'Other Fee Signs Special Inspec[ion flemqrks S ~0TOT V Q ~ lx~ HouBh-in 1O I, tha Electricxl • ~~a~ ~n=oac,o.. he,obV certily lhat the above Final inspection hes been meEe. Thla rnnunnt voltl 1N mon[Itl 1lOT CITY OF EAGAN ~T 8089 3795 Pllof Knob Rmd Eagan, MN SS122 1~? - ' PHONHs 434-8100 BUILDING PERMIT ReceiPt Te 6e und fer 1/2 DUPLEX & GAR Est. Volue $34, 000 DOte June 1 19 83 Site Addreu 4416 Slater Road (Unit A) Erect M{ OccupancY R-3 Lot 9 Block 3 Set/Sub.Cinnamon Ridge 3rd qlte, 0 Zo~ing (PD) R-2 Porcel # 10 17402 090 03 Repoir ? Fire Zom NA Enloroe ? Type ol Const. v m Name Zachman Homes. Inc. Move ? # Stories z Address 7760 Mitchell Rd. Demolish ? Length 24 Ci den Prairie Phom 937-9520 Grade ? Depth 44 gq, Ft.- w Name OwReT ADDrorab Fees 0 o" Address Asseument Permit 211.00 u~ Cif Phone V?oter 8 Sew. SurcFwrpe 17.00 Police Plan check 10$.50 Gw Name FZ Fire SAC 525.00 ma Addreu Erp. Water Conn. 450.00 iW CI Phone Planner WoterMeter 60.00 Council Road Unit 250.00 I hereby ackrwwladge ihaf I have reod this oDPlicotion ond state thot Bldg. Off. 1he information is correct and agree fo wmply with all opplicuble $1618.5~ $tate of Minnetota Stotutes and City o} Eoqon Ordirwnces. APC TWOI Sipnolure of Pertnittee ac man Homes, Inc. A Bullding Pertnil Is issued to: on the ezpress condiHOn Ihni oll vrork sholl be done in occordo wifh all oppl' le Sfate Minnewto Stafutes and City of Eopon Ordinonces. Bulldin0 Officfol . - . . . . . . . . CITY OF E?CtlV Inclu3e 2 s2ts of plzn s, 1 site p1an or/elevaticns & BUILDI~G PERMIT PPPLICATIO~V 1 set oi er.ergy calcula;ions Z. Zb Be Used For d60 ' Date Site Adasess: C.~L~ I( V~~ . OFFICE USE GAY IntC Blodc3_ Sec./Sub. Erect x Occiipancy Parcel 1v 17qe) 2 040 03 A1ter Zoning. Rei..-air Fire Zor.e Q„mAr- zachman xomes, Inc. Enlarae _ Typ° oi CorLSt. pdd.cesg: .7760 Mitchell Rd. tbve r Stories ~De;olish fYont g £t.. City/Z].o COdz- Eden Prairie, Mn. 55344 ,Grad°- ~ DeothA/4--ft. Phor.e _ n z 7-a S 2n APPRuw~LS F-cES . Contructor: _ame as abovP Assesszrents pennit Nddress: h'ater/Sex-er Surcnarce ~ 7 m Police Plan C:~edc City/Zio Coce: Fire SAC Phor,e ; : EncI= t9ater Ccrn. y~5`O PTanr!er [•7ater !-!ater GO ~ F1rci1./I!ng.: same as above Council P.oad Unit aS'D Fc.'dress_ Bld4- OfE. - ADC " g,so / , ~ . ~ . ~ ~ ~ ~ ~ a ~ ~ Q ~ d RESIDENTWL BUILDING Permit Application City Of Eagan ~ 3830 Pilot Knob Road, Eagan iVln 55122 ~ Telephone # 651-675-5675 FAX # 651-575-5694 New Constmchon ReawremenLS RemodeVReoair Reamrements ONCe Use Onlv 3 registered site surveys showing sq, ft. of l04 sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addihons Tree Pres Plan Recd 2 copies of plan showing beam 8 window srzes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd 1 set ol Energy Calculations AddRion - indicafe 6on-mfe sepfic system _ Omste SepGc System 3 copies of Tree Preservallon Plan d lot platted after 711193 Rim Joist Detail Options selechon sheet (bidgs wAh 3 or less units DatePLP / 11 / 0?_ t Construc[ionCost2 00c)' ~ Site Address L4 l 1-~ Q ~ UniUSte # Description o( Work ( Multi-Family Bldg Y_ N Fireplace(s) _ 0 _ 1 _ 2 r Property Owner V ~ ~{OA~ 1' lL-t bg~ ~ Telephone # (ioo1 ) !/L' 1A 23 , Contracror Address Citv State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category i Worksheet • New Energy Code Worksheet (JsubmissionType) Submitted Submitted • Energy Envelope Calculahons Submitted Licensed Plumber Telephone ) Mechanical Cor+tractor 7elephone ) Sewer/Water Contractor n R(r~ rS el phone ) JUNi7 ruJ LJI I I hereby apply for a Residential Building Permit and acknowledge that tfie information is complete and accurate; that the work will be in conformance with the oPdinances-an8 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 Keof work which requires a review and approval of plans. ~ 1i1, P_ Appl' nt's Printed Name Applic t's gnature OFF[CE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Firepiace ? 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 ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int lmprovement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) • Grve PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Boaster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Canst Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaVC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addi[ion) _ Plumbing Foundation HV AC Drain Tile Other Roof Ice & Water Final Pool Ftes AidGas Tests Fina] _ Framing _ Siding Srucco Stone _ Fireplace _ R.I. _ Air Test _ Fina] _ W indows (new/replacemen[) Insulation _ Retaining Watl 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 12ESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reoui2menfs RemodeVReoair Rcwuirements Offce Use Onlv 3 registered site surveys showing sq, ft. of bf, sq. ft of house; and all roofed areas 2 copies of pWn Cert of Survey Recd (20% maximum lot coverage allowetl) 1 set of Energy Calculations for heated additions Tree Pres Plan Reotl 2 copies of plan showing beam 8 wmdow srzes; poured found desgn, etc. 1 site survey foraddihons 8 decks Tree Pres Not Reqd isetofEnergyCalculations Additlon-indicafe6on-sdesephcsysfem _On-siteSepLcSystem ~ 3 copies of Tree PreservaGOn Plan d lot platted after 711193 Rim Joist Detail OpUons selection shcet (bidgs with 3 or less units Date (6 /_LL_ /n_3_ t Construction Costi (q j o1 o o SiteAddress 41 ql (p~yyf q $14 4 G! P,O ~EAOw#'1+ IV S~WAUniUSte # i~ Description af Wark W l„Ao w g lti2 <q~ y~A ntip Multi-Family Bldg X Y _ N Fireplace(s) A 0 _ 1 _ 2 PropertyOwner '~'°e, SG;1qOGf ' Telephone#((ps! ) 8'8'A• b3a'~ f$$a,'S 7a Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minneso[a Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submitted • Energy Envelope Calculahons Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone # , ~~1~JUN 1 1 2003 I hereby apply for a Residential Building Permit and acknowledge that th ib ormation is comp te and accurate; that the work will be in conformance with the ordinances and codes of t City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a pe ~it~ and workl5"not"to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. See srtiabe,.~,&rlc.Rudal~ ApplicanYs Printed Name Applicant's Signature CALVIN H. HEDLUND 7726 MORGAN AVE. SO. MINNEAPOLIS, MINN, 55423 Lona surveyo. tlvll Enpln•er PHONE NO. 866-2523 surrve~or~s G'ertlf "~cate A- So4 JOB N0. B" 505 SURVEY FOR: Zachman Homes Inc. OESGRIBED AS: Lot 9, Block 3, CINNAMON RIDGE 3RD ADDITION, City of Eagen,' Dakota County, Minneaota, and reserving easementa of record. I Nor}hern l?aF4ral Gas Co. Pipe/ine I 9143 ~ I914.6 94.37 N48•3z'35"F 410•0 30 Q U) (r io - - - io ~ r ~ I I 3 N I I rn N p N ~ ~ 5 G Top of Foundafion - 416.6 ~ Baseme.+f f/oor= 916,6, ~ Q 24 1 z C;ar~ge F/oor a"91b.2J Z r 07 - I ~ Ea~,swD. ~n5swo.~ - _ _ 10 _ Prcposed Elevdtions ~ V a' I 57pKE5 4 u '\~~A`f /0 STAKES -EXi3fin9 E/EVdlio/Jt, _ Drdine9e Oireclion i DEnofts LoO Corner O 20-1 20-I ~ o ~ 15 ~ - - 64 1 : > > ~ '913.6J 60 A P J io m ~Q 4:BSo ° ~413.2~~ 3Z 3 47.00 N48°32'3S"E 4414 44)b O M ~ SLA7ER ROAD x- t913.o'~ 9i2.9~ CEHTIFICATE OF SURVEY I heraby eertify thot on 5-2o-83 I surveyed the qoperty deseribed obotie ond that the abov ploti• a correct reprosentation of sold survey. -~~-;--W. 591-CdU4~~ Colvin N. Ntdlund, Minn. Rep. No. 5942 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-689-4675 New Construction Reauiremeots RemodeVReoair Reaufremenh . 3 registered sile surveys shovring sq. ft. of lot sq ft, of house; and all roofed areas • 2 copies of plan (20% maximum lot croverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showirg beam 8 vrindow sizes; poured found design, etc.) • 1 site survey for exterior addi6ons 8 decks • 1 set o( Energy Calculations . Indicate'rf home served by septic system for additions • 3 copies ot Tree Presenatbn Plan'rf lot platted after 111193 . Rim Joist Detail Ophons selec6on sheet (bldgs with 3 or less uni(s) DATE 3 - S O,;i-, VALUATION I'~-0 C) JOB SITE ADDRESS q LI )(o S J Gk 7 Izj IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER 6` 0 ISO/1 TYPE OF WORK 1nry~.2 Q.oo ~ FIREPLACE(S) _ 0_ 1_ 2 APPUCANT -TraC~j O/SJ/) PHONE# (,S/- ~90 3G bd ADDRESS ZIP CODE SS) 2Z _ PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY ener9y Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventila[ion Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbfng Contractor: Phone Plumbing System Includes: _ Water Softener _ Lawn Sprinl:ler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Hcat Rccovery System Sewer/Water Contractor: Phone # { , . All above information must be submitted prior to processing of application. R 0 5 2002 I hereby acknowledge that I have read this application, state that the information is co @gt an with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Receiv _ Not Required _ Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entlre Bldg only) - Giva PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ F[gs _ Au/Gas Tests _ Final _ Frammg _ Sidmg Stucco Srone _ Fireplace _ R.I. _ Air Tes[ _ Final _ W indows (new/replacement) _ Insulation _ Retauting Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit R Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Ll'1'Y ur tHw-Uv CASHIER: JS TERMINAL NO: 947 DATE: 04/07/00 TIME: 11:33:11 ID: NAME: MORNING SUN INVESTMENTS INC. 3210 9001 4414 SLATER RD 69.0i 2155 9001 4414 SLATER RD 1.01 1 Total Receipt Amount: 70.0 CR125680 USER ID: JAN *****************+Ft**+++_~+~+','s+a,a+.+++ ~ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ~vio .0 O 651-681-4675 n_G _ v O New ConsfiucHon Reaulremenh RemoCel/Reoatr Reaulre n S refllsteretl We wneys ahowiny sq. fL ol bt, sq. H. ol house 2 coplea ol plan and gfl rooled areas (20X maxlmum bl coveraae altowecl) I set ol eneryy calculaHons tor heated atlElflons > 2 coplee of plana (ahow beam 8 window aizes; poured fnd. tlesfgn; efc.) 1 sfte wrvey fw extedor addlNOns & decks > 1 aef ot enerpy calculaflona > 3 coplea ot hee rea waMOn plan it lol plaMetl atler 7J1/93 DATE: "~'v CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: LOT: ~ BLOCK: J' SUBD./P.I.D. f: ~nnvLQ. ~nA Pi,~ n ~ p 3 rc~ ~ Name: Phone N: PROPERTY la:t Firsi OWNER Sheet Address: ciy State: zip: Company. _ _Phone i.: _ (area code) COMRACTOR / Sheei Address: / License # ExP. Ciry Sfate: Zip: ARCHITECT/ ENGINEER Company: me:-r_--- Telephone g: ( ) Sheet Address: ' Regishaflon a: Clty ~ State: 7J p: Sewer/water licensed plumber (if InsWllina sewer/waterl: Phone L~ I hereby acknowledye Ihat I have read thfs appltcafbn, sfafe Maf fhe informatlon is cortecf, and agree fo comply wilh a0 appAcable State of Minnesota Statutes and Ciy of Eaflan Ordinances. • Signature of Applicanl: ~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No Not Required ~ OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mutti ? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext, Aft - SF ? 03 01 of _ plex ? 09 07-plex p 18 Deck ? 23 Porch (screened) ? 36 Muki ? 04 02-piex O 10 08-plex O 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 17 10-plex Plbg _V or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-p(ex ? 20 Pool ? 30 Accessory BWg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof D 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATiON SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint Sq. ft. Const. (Actual) Basement sq. ft. Census Code (Altowabie) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SIW Permit S/W Surcharge Treatment PI. ' Park Ded. ' Trails Ded. Other Copies Total: SAC Units % SAC PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA123054 Date Issued:05/28/2014 Permit Category:ePermit Site Address: 4416 Slater Rd Lot:092 Block: 03 Addition: Cinnamon Ridge 3rd PID:10-17402-03-092 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Ashley Orman 130 Plymouth Ave N Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Luciana Davidson 4416 Slater Rd Eagan MN 55122--238 (612) 481-6591 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129536 Date Issued:02/19/2015 Permit Category:ePermit Site Address: 4416 Slater Rd Lot:092 Block: 03 Addition: Cinnamon Ridge 3rd PID:10-17402-03-092 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Applicant: Troy Good 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Luciana Davidson 4416 Slater Rd Eagan MN 55122--238 (612) 481-6591 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature Use GLUE or BLACK Ink ----------------- For Office Use Qt f Eajan �� l I Permit#: % _...7 I Permit Fee: �- 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 I I Fax:(651)675-5694 1 Staff: I I I 2f016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ^ '/6 Site Address: 4Y/6 Unit#: Name: L)C(At CJ/Qc Phone: Owner Address/City/Zip: I a Applicant is: Owner /I Contractor Description of work: Construction Cost: �"" Multi-Family Building:(Yes /No ) Company: �� ear L-Z-6. Contact: C4f1t!` t4r Address: City: IA&_ _ Arezlel State:ail)Zip:;12 TPhone: 062-'3?ZRmail: License#:{�� (? / 2, Lead Certificate#: I—��.3/dam—�l 2 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTR CTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: i Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: k T CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecpll.ora I hereby acknowledge that this information is complete and accurate;that the work will b in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit, but only an application for a permit, and,work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior worts authorized by a building permit issued in accordance with the Minnesota State Building a ust be completed within 180 days of permit Issua Vie. x*11cant's LG/�► x A Printed Name Apollcirirs Signature Page 1 of 3