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4421 Slater Rd CITY OF !-:AGAN SEVVER SERVICE PERMR 3830 R;' ?t Knob Road P. O_ 4 21199 PERMIT NO.: '~~b c::5':a] Eagan, MN 551~~ DAT'E: Zoninp: No. of Units: ' Owner Keyiae:i Const tnc /lddress: ~ Site Address. •5421 Slat4r Road LZG 62 Ginria-ion Ridge 3rd ~ ~ Plumber: .r a't; a`> id i 10-3-33 36991 100.00 o ! I .,n. !e eavi.y .rub H. cN,? of Logs. connection acrp.: 425.00 ~ ' OrJlmnar. AccourM Deposit: ~ Pennit Fee: 11l _ ~ i Surthorge; Q i' u ~ i gy Misc. CFwrpss: ~ Date of Insp.: Totnl: I I nsp.: Dah Paid: ~ CITY OF EAGAN WATER SERVICE FERNT 3P30 Pifot Knob Road pERMIT NO.: P. O. Box'±1199 ' Eegan, MN 55121 1 2oning. Ri Na. of Units: Owner. 1:c -r~on Const Inc _ ~ ~~~~~Slat~aa L20 8< Cinnanon '•ticl~~. ~ru Plunbsr: 450.00 :?..t ~ Meter No.: Connection Chorpe: Size: /lcoount Deposlt: Readsr No.: Penr+it Fee: ~ .5 t) 1 prw !o eswiih? wah tM Ci17r ef 111"Pe SurcF?arge: 6o.00 pd tpetCl OeJi~enaM. Misc. CFarges: Total: BY Dats Poid: pele of Insp.: Insp.: CITY Q' EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P:'D. Box 97199 PERMIT NO.: 5253 Eagen, Mhl 55121 DATE: _ 1-6-,34 ~ Zoniny; R1 .Np,_of untts: 1 pM,rer• _ Ka;men ('nncf Tnc ` Addrosa: , R 51b Addrcu: 4421 Slater Rn3rl ja70 ft? c.innar:nn '.ticige ircl Piumbsr. p; Met~r No.: Connection Charpe: d;n _ tlO y)ci Size: ~ ' Acwun! Diepoalt: ~ dsr N. Parmit Fee: 1 ~.00 I)d IyrMtet" l14- U16EtCSurcharos: S0 ~c'. orrt LCFI1~ ~vE - E. ~u:c. Chaross: r;n r"n ~~,etez I ~ r -Ar AWotai: I By Dote Poid: Date of Insp.: Irup.: _ - - ~ CASH RECEIPT ~ CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DA7E 19 ' I RtCqV[D FROM AMOUNT $ I ~ DOLLARS ioo ? CASH ? CHECK FOR ' r ~ FVND COOE AeAOUNT I ' Tha ou . BY ~ 4Vhite-PaYers CoPY Yellow-Posting Copy Pink-File CoRY ~...,...T~...T..-~ . . . . . . . . • CITIf OF EAGAN r: ~ f~ ~ ~ ~ } 3793 rMet KwA Read Eogan, MN 55123 . - ' PHON[: 434-8100 ; BUILDING PERMIT Reuicr # i Te M nwA hr SF DWG/GAF. Est. Value $52,000 Date Octobet 3 _ 19 33 Sjte Addmss 4421 Slater Roa Erect • R-3 TPD R--1 Lot 20 Block 2 Sec/Sub. Cinnataon RidRe 3rd /11ter ~ ~u Zoninp ~ ? 10-17402•-200-02 Repoir p Ftro Zone '1A Paral ~t Keymen ConsCruction, Inc. Ery. p Typs of Const. v at Norm move ~ # 1 S1 Excelsior 31vd. ~ Stories llddrcss Demolish p Length 58 G Mtka. 55343 Phom 935-1906 Gmde p Depth 24 Sq. Ft. ~ Name OWLIer AVProvoh Feas u~ ~r~ Assessment Permit F Ci ~e Woter 6 Sew. Surcho ~ 144 Pollce Plan chetk .50 rW Nome Fln 5/1C 525.00 I~ddnss Eno. war.? Conn. 450. 00 '4W C" pForm Planner Water Meter 60.00 Countll Road Unit 250.00 1 hercby acknowiedqe thot I have reod thls applicotion ond state thot BtdQ. Off. the inlormotion is torrecf ond agree to comply with oll applicoble $1~44.5(~ StaN of Minnesota Statutes ond City of Eagan Ordinonces. A~ Totol Sipnoture of Permiftee eymen onstruct on, tlc. A Bulidirg Permif is issuad to: on !he oxprcu tondifion t1xat oll work shoil be done in accordorxs with oll oppliS,oble State of'Mintsbsoto Statutes on4 City of Eayon Ordinancei. Buildfrq Officiol f Pvmit Na PKmit Holder Misc Permit No. Holdsr Plumbiny C)~ ~JZ ~ ~'n 31Z'p H.V.A.C. 3 ~ Z 11MNI W~r D'ap. Swwr Elect.ic o`a GR.o~ h3 8~}0.ao InapecNon Dab Imp. OthN Footinqt Foundation Fnminp Rouoh Plbo. Rouyh HVA ImulaRion . Firnl PIb4 . Firnl HVAC - -,f Final I Waar DNeribe Loeation: M11 . SftNr Pr. Disp. Receipt MECHANICAL PERMIT Psrmit No. CITY OF EAGAN • FM , fill in numbered spaces S/C Type or Prinr /egiWY Tot. 1. Date ~ 2. Installation Cost !,.~r 3. Job Address Lot -~)Blk. - Tract 4. Owner - r,1.~..( , 5. COf12f8CLOf - 1''~+--- Ph0n8 12 6. Address -7 ~ i ~ ~ / „ ~-.I~ 7. City `.a'~~...,'l- State Zip 8. Building Type: Residential C3~ Commercial ? Institutional ? 9. Work Description: New C~ Add ? Atter ? Repair ? 10. Describe Fuel Type 11. No, Epuioment 8TU - M. Ea. No. Equiament CFM ' Forced Air ~ -Air Handling: Mfg. Boilers Mech. Exhaust Mf9. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes goverPing this type of work. Signed : for Rouph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN _ , , - Fee Fil1 in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost ~ . •r; ~ 3. Job Addr ss Lot ~ J Blk. Tract 1` 4. Owner 5. Contractor Phone = ~ _.r.- 6. Address .7~' ~T 7. City State / •r Zip - - S. Building Type: Residential Commercial ? Institutional ? 1 9. Work Description: New.. `Cl Add ? Alter ? Repair ? . 10. Descri be 11. No. Fixtures No. Fixtures .2. Water Closet Cesspool/Drainfield ' Bath tubs Septic Tank Lavatory Softner Shower 1Nel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink ~ Gas Piping Outlets 12. I hereby certify that the above informetion is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Sig"Bd ' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 l CITY OF EAGAN Remarks Addition CINNAMON RIDGE 3RD ADDN Lot 20 Qlk 2 Parcel 10-17402-200-02 Owner Street 4421 SLATER ROAD State EAGAN MW 55122 Improvemeni Date Amount Annual Years Payment Receipt Date STREET SURF, 890 STREET RESTOR. GRADING SAN SEW TRUNK I-ql 1973 102.22 6.81 15 20.50 A013937 5-23-84 SEWEFi LATERAL WATERMAIN WATERLATERAL X 617.30 0 9459 -7-84 WATER AREA 1973 131.44 8.76 15 26.32 A013937 5-23-84 393 87 C009459 -7-8 STORM 5EW TRK 1979 381.69 19.08 20 267.21 A013937 5-23-84 STORMSEWLAT r 198 1098.83 219.77 5 1098.83 C009459 9-7-84 CURB & GUTTER SIDEWALK STREET LIGHT 250.00 1 10-3- WATER CONN. 4SO.00 is BUILDING PER. SAC lpq-ita ti PARK ~Y REQUEST FOR ELECTRICAL INSPECTION r ee-ooooi.oa ' See instructions lor complaLng this torm on back of yellow wOV. .7 ~ ""X" ReJow Work Covered by This Request C,1 ~ YL AAtl'Rep. Typo ot BwltlinU Appboncas WneA EquiVn,ant Wved ' Home Ranye Temporary Scrvice Duplex Water Heater Lighiiny Fixtwes Apl. BwlAinq Dryer Electnc HenLm Connnercial Bldy. Fumace Silo Unloader InduStrinl BIAy. Air Conditioner Bulk Milk Tunk Farm Onho, oer.~ v .~hm (5urr,ily) tvir Sueu y ther pihni ompute lnspecuon Fee Below p Fee ServiceEntrenca5ize h Fae Fexders/Subteednrs n Fev Crrcaits ~ b to 200 Amps 0 to 30 Am 5 0 In 30 Am> Above 200 Amps 31 to 100 Ainps F 31 to 100 qm s Swmmiiny Pool Abovc 100_Amps Above 100_Amps Transtormers Irrigation Bonms artial.'Other Fee Signs SUecial lnspection T~ Remnrks Q.~ FouBh-m D lG I, ine E icxl Inspectoq heroby certily that the abovo I Final ViP~~ J,/J inspection has been J ~ mda. Thla request vmE 18 momhs Irom lhis request voiE 3~~3^ D y D ~ • O• U O 18monthsfrom ~ ~~~~•~`O~~ ~R~ ~~w~~ LA .5 ~ Request D2te Rre No. RouPh-i Insper.bon Feqwred~ ReaAY Nuw 0 Wfll NnUfy Inspec `v Yes N. or When ReadV Lir,enseA Elecvical Convactor I hereby requestins0ection oi abova ? Owner elec[ncal work mstalled at. SVeec Atldress, Box or Route No. Ciry S T-(O~ -c-A G-4-~.' ecu n Nb. Townshio Name or No. Range No. Counly Oc:apantlPRfNT) ~ Phona No. E; ~ K- ~ o N~-M(J Uw - (P wer Supplier n AAAr IJ C_~SL'SO ~ iN G~6 r' Electrical Coniracror (ComVany amel Contrar.tor's License No. ~L ~ O D Mailmg AAdress ICon[rac[or or Owner Mak~nB I stailauonl NN QQU S Auth zed Sie~~awre'ICo vactodOwner Maki y InstallaUOnl Phune Number^ y~_ _ \ ! MINNESOTA ST E 80/1HD OF ELECTNICITY THIS INSPECTION flEQUEST WILL NOT Griggs-Mitlwey 61dg. - Noom N-191 gE ACCEPTED 9Y TNE STATE BOAPD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS PMnne 1612) 297-2111 ENCLOSED. CITY OF EAGAN N? 8539 9793 Pllef Knob Read Eagan, MN 35122 PHONEs 434-8I00 BUILDING PERMIT ReceiPt # To ba wed !or SF DWG/GAR Est. Volue $52,000 DOte October 3 _ 1983 Site Address 4421 Slater Road 20 2 e Erecr occuPancy R-3 Lot Blxk Sec/Sub. Cinnamon Ridg 3rd Alrer p Zoning (PD) R-1 Parce1 # 10-17402-200-02 Repoir ? Flre Zone NA E rc Norr,a Keymen Construction, Inc. ~large p Type of Consr. ~ Move ? # Sfories z Address 14517!1 Excelsior Blvd. Demolish p Length 58 ci Mtka. 55343 Phom 935-1906 Grode ? Depth 24 Sq. Ft.- rc OWI10T ADDrorals Fees o Name o~ Address Assessment Permit 289.00 u~ Cif PMne Woter 8 Sew. Surcharge 26.00 Police Plan check 144.50 Gw Nome Fire SAC 525.00 Address Enp. Woter Conn. 45f1 _(1(1 <W Ci phone Plonner Woter Meter 60.00 Cauncil Raod Unit 250.00 I hereby acknowledge fhot I have reod this application and state that Bldg. Off. the inlormation is correct and ogree to comply with oll opDlicable APC Totol $1~44.50 Stote of Minnewto $tatutes and City of Eagon Ordinontes. Slpnoture of Permiffee A Buiiding Permit is issued 10: Keymen Co s uction, c. on the express condiHon thnt oll work sholi be done in occordonce with oll pl' b Stote a$latutes an Ciry of Eagan Ordinances. Buildinq Officiol CZTY OF EAGAN Include 2 sets of plans, Li- q1 site plan w/elevations s BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For 6 G~Valuation C7 Date Q',' lq -Y3 Site Address : 444 Z( 5 LA-r GjZ- 12nAJ . OFFICE USE ONLY Lot 7-0 Block 7-_ Sec./Sub. C:vk n~ "--`~-Erect -K Occupancy X3 Parcel 1-7~OZ - Zoo - p 2 Alter Zoning e/ - Repair Fire Zone owner: Enlarge -Type of Const. ~ Move # Stories Pddress : 1145 i i % F_- KCe_ i31 JJ • oerrolish Front S- ft. City/Zip Code: /yJ-~-l-~~ . i m nl • Grade Depth ~ t ft. Phone 935-/~'ID P.PPRDV11iS FEFS Contractor: S~Jvn G~ Assessments Permit V$? 9~ Water/Se.aer Surcharge ct/ Pddress: Police Plan Check /L/ Y S= City/Zip Cade: Fire SAC tr,'z 6, ~d Enq. Water Conn. Yb ~ Phone Planner Water.Meter (dJ ~ Arch /Eng : Council ad Unit 26 Bldg. Off.~ -y/-- Pdclress: APC City/Zip Code: Phone # : 'ibTAL , ` .r . `~l ~ ~ ~ ~ ° t~ ~d~ C/1 LVI N H. H E D L U N D 7726 Morqan Avenue soufn aicnti.la,Minnssoto 55423 Land Surveyor Clvil Enqineer Pnone : 866-2523 survewres G'ert~~'te JOB N0. 95~' SURVEY FOR: Zachman Homes Inc. E. huyroen Construction Inc. DESCRIBEO AS:Lot 20, Block 2, CINNAPtOLd RZDGE 3RD ADDITION, City of Eaqan, .Dakota Colinty, Minnesota, and reserving easements of record. ~ io7,o n ~ ~~R3s 9 e R ~Va R_ ~ a~ N ~ 915.8 v~ ~ 10 Q STA KES `z o~ NM 's S Q 7TR K E,S e=s~ o `117,2 ` 44.8 i \ \ SLATER RoAD ~ Top of block = 918• 43 Qy , ~ anseme~t ~loo~ _ `j15.(~ V' Gn~o9C ~~oor ~ q18-4 Pro~o>ed Q l¢v. o0 Exi~+in~j e~ev. 900 Orw;nwye dkrQe+ton Dena+es lo+ icon o CERTIFICATE OF SURVEY I hereby certity ihot on 9/(0 /83 I surveyed the property described above and ihot the above plot is o correct representotion of said survey. -6a~w. ~.-.~..Q Calvin H. Hedlund, Minn. Reg. No. 5942 (,(i00 ll h'UR 5 T ~ - FIlmL ~ RESIDEP~TIAL . MI~~ OTA STATE BUILDING CODE DIVISI - EXTERIOR ENVELOPE AVERAGE "U" CODIPUTATIOIJ owNER Z RG l1 M fl N HQ M ES ZN C SITE ADDRESS UIDODffURST SE - CONTRACTOR Z H C H MR N H D/YES 7:NC DATE 2-9- 51 PHOIiE 137' 9SZ0 Determine working square footage of each. 1. Total exposed rrall area 6 6 sq. ft. x = 307,10 o~F 2. Total roof/ceiling area g(, ¢ sq. ft. x' = 3 g- J~G Total exposed wall area above floor /S 40 a. Total wall window area . . . . . . . . . . . . . . . 137. 9 2 b. Total door area. . . . . . . . . . . . . . . 3 7 • S~- c, Total sliding, glassdoor area. . . . . . . . . . . . ¢a . oz- d. Total fireplace wall area. . . . . . . . . . . -o - e. Total wall framing area (average lOn). f 2 8•ao f. Total net wall area above floor. . . . . . . . . . . //,SG .fs g g. Total rim jaist area. . . . . . . . . . . $o . o0 Total expos d fo nda ion area = $ o, o 0 ~izol'6G.5 _ h. Total foundation window area . . . . . . . . . . . -o - i.' Total.net foundation area above grade. . 80, au Determint "U" value of each wall segment. a. /37 • 32 X "U" g-a = 7/ •'f/ b. 3-7-sz X~~U" ../37 = S, /s c. ~G . 0 2 X~~U" .5-5- = 2 2-`i/ • d. -a- X lsuii _ o - _ -o - e. / 2 g, oo X"U" , 0 9G = / z. z y f. x„u„ ds3 = G/. 31 y, go, 6v x'lull _ Zg h, -a - X liuls -o - _ -o - i. SO , ou X"U" ,~7S = 46' • 2g . 1laCO ,oo ~•<<, 3 . . . . . . . . . . . . . . . . . . . . .Total = 223 ,/8~ /G ~/D . if item #3 is the same as, or less than item #1, you have 'met the intent of SBC 6006(c)2. ~ .i v . :,,:.r.: ~ .;c;:~a5.•'~`v: . . . _ . . _ . . . .._........ex. wuuurruic--;oi L 4. ° . FILE" c~ < < Total exposed roof/ceiling area = 8~¢ j. Total skylight area. . . . . . . . . . . . . - k. Total roof/ceiling framing area (Average 10%). . G-¢ o~ 1. Total net insulated roof/ceiling area. Determint "U" value for each roof/ceiling segment. j. X toull k. fG. -f o X „u,, ,03~- = 2.7e 4-8 l, 77~• 60 g"U's -026 = 20. z/7G q u~ ~l 4. . . . . . ¢ . . . . .Total = ZZ• 9S _ (p2GG~< .O'g-- S G g" . If total of item #4 is the same as, or less than item #2, you have met the intent of SCB 6006(c)l. Atternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and a4 shall not be greater than the sum of items #l and #2. 1. + 2. _ 3. + 4. _ . +r+ - . ..s. . , , - . wuuu nu rc 5 i ' FP.A-MING ADJUSTMENT FCC,pAQUE WALL ~ (9 1'0% 16'~ OO..CC. 7x 24 COySTRUCTION R-VALUE O.C. ~ 1 INTr.RIOR AIR FILM 0 68 TOP VIEW Z~1 2 ypsum oar QN wALL 4 0~ o woo . . - s p 5 ar oar s i ing 6 d 6 EXTERIOR AIR FILM .1 N TOTAL R..-LZ. 3 5 ' ~n nUu f1R1 7 INTERIOR AIR FILM 0.68 a ev 8 sum Board 0.45 9 Fr~rtinn fit Tneil~ryn~ 11.0 ~ASIC WALL ~ ~ 10 4!' Foi - aced_ iJrethane Foam !i_.'QO " a 11 7,16 ~ u 12 EXTER OR AIR FILM . PCRIPHERAL ~s TOTAL R . 18.9~ foto .F ~R U OS_ µ M 13 INTERIOR AIR FILM • ~s 14 31~' Prirt-inn . 0 15 so twooa F,_3/4" Foam 6.0 41 16 ' hnrdbnqrfi • • u 17 EXTr.~ IOR A IR . F LIM .1 TOTAL R ZO. 4 ro v . uUu 06049 ~9 ~ 18 INTERIOR AIR FILM . 68 C'OUNDAT ON • c • ~O ° 19 13°'f.onc:-B3ock----- i:-0~J- 20 +JALL p zi au 21 EXTERIOR AIR FILM 0.17 ~ TOTAL R 1.73 0.578 UNDE. 0 ~'aAnTILE~IER a o 6y ~ - 22 9 22 INTERIOR AIR FILM 0.92 23 3k" Friciinn fit 11_0~ xe 24 ~ 25 EXTERIOR A R FIIM V' TOTAL R 72.76 ai~It BIUNI 0.799 ~ z o 26 EXTERIOR AIR FIL*t (STILL) 0.61 zi •4J 2.7 To b'IUwn Ins uT~ n - ' q 7. 0 0 u 2 q 376""bypSumbSar v~ 29 I;ITIItIOR AIR FILM n FA TOTAL R 38.98 'i "U" 0.026 ~OOF/CEILIN K /09o fRNN//V( R = 3/.oG 3 Z 30 EXTERIOR AIA FILM 0.17 s• ~I 31 32 ss 33 34 A R SPACE ST LL J ROOF/CEILING as o 35 I ; 36 7 ~37 N ERORARFI . ~n TOTAL R R, (1+ _ . i. ' . . ' . : _ . . . ' - ' _ _ . . . . . . . .v..~'..•.::wti:~:_~ ~ . ._.:t.. PERMIT# S7~i n RECEIPTDATE: PXSIDFIVTL4kL PLUM$1Nfi PERM1T APP11CAT10N crrYoF FAsnx 5830 PILOT KNOB RD f.A6ikA, MN 551EE 651-881-4675 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: ~~l ~ ~ (S l l~."f lN ~(1V OWNER NAME: : ~ Aih N I Y~~~" J TELEPHONE g( (AREA CODE) INSTALLER NAME: TELEPHONE 967) STREET ADDRESS: _ ~ uvjqj (J Idad~ (AREA CODE) CITY: l"A w STATE: MkN ZIP-?U0 u4 Piace a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water tumaround ~ . ~r-- Nature of work: Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ 50 Total Reminder: Be sure to schedule inspections of alteretions, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state ihat [he infortnation is correct, and agree to complywith all applicable City of Eagan ordinances. It is the applicant's responsibility to nolify the property owner that the City of Eagan assumes no liability for any tlamages caused by lhe City during its normal operational and main[enance acfivi[ies to the facihties constructed under this permit wilhin Ci prope right-of-wayf sement. ZIZV I49IG-NATURE OF PER ITTEE Updated 1101 ~ 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for. smgle family dwellings & townhomes/condos when permits are required for each unit Date Site Address y""( 9' v 1 44 PX/ Unit # Property Owner y K ~ Telephone # ~ ~ Contractor vuV n 5'~) t t StreetAddress 3 5 W w~ jl dPN" City ~wY176V f ~ ~C State I n Zip S~3 3 Telephone it ( 9~J ~ S Bond OS'f S 10 / Expires: The Applicant is _ Owner V Contractor _ Other Add-on or al[eration to existing dwelling unit $ 30.00 V furnace _Additional _Replacement air exchanger airconditioner _New _Replacement other State Surcharge $ .50 Tatai s D ..5 D I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of [he Ciry of Eagan and with the Mechanical Codes; that [ understand this is not a permit, but only an application for a permit, and work is not to start without a permir, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. B ti14n N i ~ k~Ys~ l6e4-h I~I ~ ~ k~ rsrm Applicant's Printed Name Applicant's Signature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings multi-family bwidings when separate permits are not required for each dweiling unit Date Site Street Address Unit iS Tenanf Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contrac[or Street Address City State Zip Telephone # ( ) Bond Expires: The Applican[ is _ Owner _ Con[rac[or _ Other Work Type New Construction _ Underground Tank _ Install ,Remove "see below Interior Improvement _ Install Piping _Processed _Gas Nature of Work: '*When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspector Peimii Fees: $7050 Undergmund tank installation/removal 550.50 Mireineum (includes Staie Surcharge) or Contract Value $ x I% Permi[ Fee • [f ep rmit fee is $1,000 or less, add $.50 =1 $ State Surcharge If pe rmit fee is aver $1,000, add $.50 for every $1,000 ep rmi[ fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowiedge that the information is complete and accurate; that the work wil{ be in conformance with the ordinances and codes of the City of Eagan and with [he Mechanical Codes; [ha[ I unders[and this is not a permic, bu[ only an application for a permi[, and work is not m s[art without a permit; that the work will be in accordance with the approved plan in [he case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Da[e: 7qows _30,5D 2006 RESIDENTIAL MECHANICAL rERvuT ArrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete fot. smgle famdy dwelhngs & townhomes/condos when penmts are required for each umt Date l~l o /6 Site Address y- ~ °1v Unit # Property Owner Telephone #((A[) 6C7(3 74J I4 Contractor BURNSVILLE HEATING & A1C INC. 3451 W. Burnsville Parkway Street Address SUIf@ 120 Cit3' Bumsville, MN 55337 ~s'~ ~~j y ~005 State Zip Telephone # Bond p:- b J y.~ / eZ9 Eapires: ~-~"0b ~ The Applicant is _ Owner -7)( Contractor _ Other Add-on or alteration to existing dwelling unit $ 30 00 _ furnace Additional )4Replacement_ New _ air exchanger ~`r ~ I I ~ air conditioner JUN 2 7 2006 D I _ heat pump other State Surcharge $ .50 Total $ 30• I hereby apply for a Kesiden[ial Mechanical Permit and acknowledge that the information is complete and accurate; tha[ [he work will _ be in conformance with the ordinances and codes of [he City of Eagan and with th ec an' al Codes; derstand this is not a permit, but only an application for a permit, and work is not to start without a p rmi[; tha[ the work ill be i accordance with the approved pl n in [he case of which requires a review and approval of plans. ~~S ~l C) r Applicant's Printed Name ApplicanYs Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116535 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 4421 Slater Rd Lot:201 Block: 2 Addition: Cinnamon Ridge 3rd PID:10-17402-02-201 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Tony Anderson Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sang T Nguyen 4421 Slater Rd Eagan MN 55122 Pro Custom Builders 16231 South Hillcrest Ct Eden Prairie MN 55346 (612) 250-1814 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116535 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 4421 Slater Rd Lot:201 Block: 2 Addition: Cinnamon Ridge 3rd PID:10-17402-02-201 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Tony Anderson Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sang T Nguyen 4421 Slater Rd Eagan MN 55122 Pro Custom Builders 16231 South Hillcrest Ct Eden Prairie MN 55346 (612) 250-1814 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLAGK ink r—————————————————� I For Office Use � �f�1• ' �� d �� I V�� Ut �� s .N �k .,, ,*} � Permit#: � � � � I � � � � � � � 1 Permit Fee: ��' I 38so Piiot Knob Roaa � ,.. ��1" � 7 2014 ; � Eagan MN 55122 y ` , "'' � Dafe Received: � '� 'f I Phone: (651)675-5675 ` �,, � � Fax: (651)675-5694 ��.�___.._._�..�. __...____. � I Staff: L----------------I 2014 RESIDEN�'IAL�PLUMBING PERMIT APP�ICATION � �► L ` r ��,!''�.��p � �^�,� Date:� � � Site Address: � `� �� 1��%� �`�`� � Tenanfi � Suite#: � ._ . . .. � � Name: Phone��!� � �"� �� t � �@��ii�I�1�' �; �" �--1 ��.. 6?C�� `�S�� } Address/City/Zip: � � ��, ,.�, � . . ,��„�� .�,�,�. .,... .�. . . �,� � t C i . ( �4 �. � - : Name:��'� �� License#: � "� l L�� : Address: "l � �� City: ��.�11��.�1'"1 �� e � ` � " State: � . Zip: � � ��.P � Phone:� �- )�� lU� � � � .P � . � , n :. _ . ,. . � � f � Contact: �� Email: � � �� ` �2 New �Replacement _Repair _Rebuild _Modify Space _Work in R.O.W � � ��1�� ` F .t � \ . . . . a.x.e„x�:e� + # > � Description of work: , ��;��. �� . ��- . 4; r ; ' RESIDENTIAL � � , t r , t � � ` Water Heater � � � Water Softener � � f �awn �rrrgallon(_RPZ/_PV8) ��'�� ` t Add Plumbing Fixtures�Main/_Lower Level) � � 5eptic System �'• � f Water Turnaround � � � _New � � ; . _Abandonment �� ,� A�,y�,.� ' ��,�� . �� ... f..� RESIDENTIAL FEES: � � � �, $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) �F $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) � $60.00 Add Plumbing Fixtures, Sentic Svstem Abandonment,Water Tumaround*(includes$5.0o State Surcharge) � "`Water Turnaround(add$200.U0 if a 5/8"meter is required) � � $115.00 SeptiC SYStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) /, �� TOTAL FEES$ v. �,� �,�,�.. .�. .,�..�. _ . . . . , CALL BEF�RE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against un�erground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances arrcl codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is rrot to start wittrout 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 plana � � x �� /`-�- ApPl�cant's Prented Name Ap cant's Signature �5`. _ _ :Y�" _ _ - — ,.:a<: y_ - �:a;E - r - •aT: .;�:.i "::-j. f' \ 5 { „iy.; �. . . ::y<�� j,;;` .f.,, `''. ;i'y::> - �iw - `�-....._., y� �+� .t', _ ^-s=., `z< ;.�`. i� :::;�"( �;5i:.i .t?<i`,- ' .i' y _ _ *��. a�w:`:'�.:.°-:;..i:�F::;cei . �7:: �.. - ?`:4:= ' � e4. � _ l'. �� ..�4 .�� ..� ,� .�. ,'��.. .:r�,,h....:.. r , . . .:v_..3v�1+,.`'.t. . . ,:.;_.•,,, ., • �1�.��f-#..�x3".�. 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