4423 Slater Rd
CITY OF EAGAN OWN SUIVXZ PERM
3830 Pilot K+nob Road , ~ .
P. O. Box 21199 PERAAIT NO.:
Esysn, MN 55121 W1TE:
Zordr+0: No. of Units:
Owrnr.
/lddrrss:
5(tr Addraim Poad I..19 ° . 41.,-....
< p.
Plunber. ~ , , •
1 Mm h wnwlf wiN /M dly of frpa Conrrctlan Chorpr.
Orikwer. Aeraount Deposit:
Permit FM:
Surdwrpe:
By Mlw. CMeom
Dote of Insp.: Totol:
Irop.: Doft Po1d:
CITY OF EAGAN
3830 Pilot Kiob Rosd WqTER SERVICE PERMR
P. O.`8ox 21199 PERMIT NO.: 7b
Epan, MN 5S121 DATE: '
Zoning: ' Na of Unrta: '
OwrNr, - •
Addear.
Ske ronPlurriber.:
AAetrr No.: C-wwctlon Charge, = t
Size: Aoooimt Depoalt: 71 ~
R~od~r No.: Wnnit Fee:
1 M @oneNf T?MM !w qh, of ywa
ordhmm" S„Charg*, ~
Mitc. Chorw 0'.)n
By TotaJ:
Doh of Irnp.: Daft Paid:
Irnp.:
; CITY OF EAGAN
,
3830 Pilot K-wb Road WATO SERVI~p(Rw ~
P. A.`b,,,e 21195 PERMIT NO.: 7,076
~
I Eppn. MN 55~31
ZoOATE:
f '
f +~rg: . ~ No. of Unitx:
f pwne,; :.act~:::an I3ros. j
~ Addnss: ~
Sfh Addnsr 4423 Slater J:oad L19 ~2 Cinnamon rd~, 3rd I
Pfun+b~~ ~r I' Pllit~bl.nQ
Mehr No.: 4,
Slu: ectiT awrg.. _ 5~0. onpc~
~ 10ebuliliUEPCwt; 15 , uo a
io ~c~pa- '
.510 a
E i3z.0opa rP
Totcl: 63.00 nd meter
Doh of Intp.: Dote Pbid:
Irnp.:
~ CASH RECEIPT ~
~
' CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 65121
DATE ' 19
IKC[!Ym
rROM
AMOUNT $
%
d ooLLwws
,o.
Q-CASM QtHECK
POR 3 o Z ay
,
/UMO COD[ AMOUNT ~
~
~ .
.
Thank You ,
BY
White-PsYers CoDY
Yellow-Postinp Copy
Pink-File Copy
INSPECTIUN REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 6$1-4675
SITE ADDRESS: APPLICANT:
~ areR Hn
PER ~~(QE• TYPE OF WORK:
~~;ITriS~,,.Tra
INSPECTION .
a: I
F ~
I L
~
Permit Holder Date Telephons f
PLUMBING
HVAC
Inspection Date Insp. Commenb
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONWCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAI
DECK FTG
DECK FINAL
~
, CITY OF EAGAN
. • 3830 PNoI Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt 1i ,
To m used 1or SF DWG/GAR Est value $ 50, 000 Date DECEMBER 3 19 85
Site Address 4423 SLATER RD Erect liX occupancy R 3
Lot 1~elock 2 secisub. CIr+NAMON RIDGF Remodel ? Zoning
Parcel No. 3RD Repair ? Type of Const v
Addition ? No. Stories
W Name 2ACHMAN BROS CONST CO Move ? Length 36
~ Address 4620 W 77TH 3T. i 3TE 104 ~molisn ? Depth d6
° EDIN,~ 893-0755 ~nt~mpr. ? sq.F~
Ciry Phone Install O
¢ o Name SAME Approvals Fws
< Address Assessment Permit • 00
• 00
City Phone Water & Sew. Surcharge 30
¢ Police Plan Review 0 0
~ W Name Fire SAC '
z
5 g Address Eng. Water Conn. • 00
5F City Phone Planner Water Meter 00
I hereby acknowledge that I have read this application end state thatthe Council Road Unit '
4 O
B~dg.Off. 11 ~ ~ 8 Tr. PI.
information is correct and agree to compty with all applicable State of
Minnesota Statutes and City o( Eagan Ordinances. APC PBrkS
Var. Date Copie
Signature of Permittee Total ' . 50
zACxi~N BROS coNST co
A Building Permft is issued to: on the express condition that
all work shall be done in accordance with all appliclofe State of Minnesota Statute; and Clty of Eagan Ordinancea
Building Official f ' ~
Pr.mlt Ma Pwn* Mo1dK OoN TNophorN M
Pfumbinp
H.V.A.C.
mecw 9 9 8 3
sonww
in.p.euw wa I.P. co~nwa
Foounw 1 .4
Fo~ 11
FoundMloe
Fwminy ~1.2 7 L!~
Roolk~p
ROUO PNa -ld-9'G / /b-~
R-0 F+ro• Srb 'Of a - -
Insul. - ~dC
Fkeplac•
Flnal Mlp. Id. FkW Plbg. 2
Bldg. Finel c«,. oa. ya' . Q 4,5
D4ek Fly.
poek Frmq.
DMCr10e LoCalbe:
Ylldl
Pr. Dimp.
Raaipt " pAECHANICAL PERMI7 Pwmit No. ~
CITY OF EACAN
FN
i F!N !n numbwrd q»ca S/C ,
' TYPe or Prinr Iplbty Tot '
1. Date 2. Instellation Co:t ~
• J , ~ , . ~ •
3. Job Addreu Lot Blk. . Trm
4. Owner , .
6. Contnctor PhoFw . ' . '
6. Addnss
7. City ' c oI i P 1: Ststs ' i' Zip
8. 8uildiny Type: Residentisi M-• Commeraal ? Irutitutional ?
9. Work Descxiption: New Add O Alter O Repsir O
10. DescNbe Fuel Type
11. Njo FqujpmnL 9TU • M. Ea. No. Eauioment CFM j
ForcedAfr
Air Handling:
Mfg•
Boilan
Mech. Exhau:t
~ Mfq.
' Unit Heatsr
~ Mfg. Other
Air Cond.
Mfp.
Gas, Piping Outlats
+ E • -
i
12. I hereby certify that the above informetion is true and oorrect, and 1 ayree to
comply witb all ordinanoes and codes goveminy this type of work.
Sio"ed' for
Rouph Final
Intpections: Date Insp. Date (nsp.
This is your parmit when numbered and approved.
Approved CITY OF EAGAN 46"100
J
Reosipt PLUMBING PERMIT Permit No. - -
CITY OF EAGAN FN ~
~
Fill in numbered s,paces S/C
~ TYpe or Prini legibly ToL '
1. Date 2. Installation Cost
3. Job Address LotBlk. Tract
~
4. Owner
5. Contractor u',(1-L-H; /NG Pt?one 7 7 ~5~f
6. Address ~t%ll _~?ic ~ ~ii k ,4~4). i
7. City State Zip
8. Buiiding Type: Residential ~ Commercial O Institutional 0
9. Work Description: New Add ? Alter ? Repair ?
10. Describe ~
11. No. Fixtures No. Fixtures
~ Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tenk
Lavatory $oftner
Shower Well
~ Kitchen Sink
~
Urinal/Bidet Other 2 'Ll~;./_~
- Laundry Tray ~
_L Floor Orains
Drinking Ftn.
Slop Sink
Gas Piping Outlets ~
12. I herebY certify that the above information is true and correct, and I agree to ~
comply with all ordinances and codes governing this type of work.
Signed: for
Rouph Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
4
~
CITY OF EAGAN Remarks
Addition CINNAMON RIDGE 3RD ADDN l.ot 19 Rik 2 Parcel 10-17402-190-02 Sjt.
Owner Street 4423 SLATER ROAD State EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. O 1012-20 209-44 9 O I/S 3 io J~
STREET RESTOR.
GRADING
SAN Sew TRUNK T7102.22 6. 81 1$ //S ya SEWER LATERAL 198 . 3 566.90 , 0•~ .s 3 x+ ~i6
WATERMAIN
• ~
WATER LATERAI loArs,
WATER AREA Z-Di 3 131.44 8.7 is .YO d~ -3 Zo ~(o
p
STORM SEW TRK ~ 1979 381.69 19.08 L -7a C'~ ~-T-/ 3-Zp 6
~
STOFIM 5EW LAT ~ 1985
CURB & GUTTER
51DEWALK
STREET LIGHT
$280.00 57977 12/3/85
WATER CONN. 500.00 BUILOING PER. 113
SAC 525.00
PARK
REQUEST FOR ELECTRICAL INSPECTION ~ es-ooooi-oa
N'
O~~~~~ See inslructions for completing this form sn back of yellow coOV.~
o Below Work Cdvesr.d 6y Thts Requesf
ae aea rvoa of sunaine apoho.s m.ae eauiun+ant wi.ed
Home Range Temporary Service
Duplex Water Heater Liyhhny Fixtures
Apt. Building Dryer Electnc Heatin
Cominercial Bldy. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm O[nr. Soe,v Oihnrf5ucr,Ilvl
t .r Succifv O[her Othi.,r
oompute Inspection Fee Below
N Fee ServiceEnfrance5iza d Fae Feetlers/5ubfeeders # FAa, C,rcuits.
U 0 to 200 qm 5 0 to 30 a tn 30 Fan+, os
Above 200 qmps 31 to 100 Amps D 31 to 100 qm s
Swimming Pool A6ove 100-Amps Above 100_Amps
Transiormers Irrigation Boortis , rjD Partial; Other Fee
Signs Specialinspection 5 i
Remarks ~ TOTAL ~l `
( '~l ~
Rough-in D^t
~ I, the Ele
r Inspector, M1ereby
Fnal cerhty tha~ the ebove
insoection nas bean
V made.
TOis raquest voltl 18 montlss Irom
ThiS request void
18 months Irom j ~ (3 J
M 088823 L,I G',,,,
Rriquest Date Fire No. Re4Vh-iti?lnsPection 011eady Now ill Nntify, Inspec-
~ ,y C es ?Nu r When fleady
CLicensed Elecvical Conlnctor t herebv noauest mspeetion ol abova
~O 0.ner electrical work instelled at:
Sveet AdAress, Boz or Rovte No. CIty
ecuon o. Township Nnmo ur No. Ranqe No. Cnunty /
D/% `'/1 7l~
Occopant IPpINTI. Phone No.
Fawer Supph¢r . AAdress
~.er4
Elecln I ontractor (COmOa` y Namel / Conv.~cnur~'js Lic{ernee No.
~Y %/'riy~ C/~f 4.7/%Ci Q / ~ / ~G ?
Ma0in9 Adcress (Contrmctor or Owner aklnp Instailation)
-
~+o[horrzed 5~ mre IC mractodOwrer akmd InsG~llatio Phone Numb¢r
~ ,
MINNESOTq STATE BOAoomOF ELECTHICIT THIS INSVECTION REQUEST WILL NOT
Griggs-MidwaV BIaB. - N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ava., St. Peul, MN 5510 UNLESS PflOPEH INSPECTION fEE IS
Phone 16121 297-2111 ENClOSED.
t CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 11367
PHONE: 454-8100
BUILDING PERMIT Receiptp
~
Tobeusedlor SF DWG/GAR Est.value $50.000 Date DECEMBER 3 19 85
SrteAddress 4423 SLATER RD Erect QY Occupancy R3
Lot 19 glock Z SeciSub. CINNAMON RIDGE Remodel ? Zoning Rl
Parcel No 3RD Repair ? Type of Const. V
Addition ? No. Stories
w Name ZACHMAN BROS CONST CO Move ? Length 36
z 4620 W 77TH ST., STE 104 Demolish ? Depth d6
o Address Int.lmpr. ? Sq Ft
Ciry EDINA phone 893-0755 Install ?
o Name $AME Approvals Feea
$Q nddress Assessment Permit $ 313.00
~ Ciry Phone Water 8 Sew Surcharge 30 . 00
~Q Police PlanReview 156.50
Fw Name Fire SAC 525.00
Address 500.00
~ i Eng Water Conn.
aw City Phone ~ Planner WaterMeter 63.00
~ Council Road Unit 280.00
Iherebyacknowledgethatlh ereadt p hcat an stateihatt e gldg.Off. 1~12/a Tr.PI. 132.00
mformation is correct and a ree b co ~ p_icable Sta _of. i
Minnesota Statutes and Crt of Eag O' n QC Parks
°
Signature of Permittee Var. Date Copies
Total $1 ,999 . 50
A euilding Permrt is issued ro: ZACH B$O ONST CO on the express condition that
all work shall be done iri accordance wrth all lic le State of Minnes ta Statut and Ciry of Eagan Ordinances.
Building Official
z/Ba
~ LLEM j CITY OF EAG ,`,N
, APPLICATION FOR PE8i~1ZT
SEY7ER aUD/OR WATER COVUECTION
(PLEASE PRIHi)
1) PF.OPF_T7!Y P.L`D?.=SS: ~ ~ ~a C
rFr=+L DSSCaT'JiTCV:
I
(I„- c:k/Suz<aivisicn or Tat Parcel I.D. L4i.-.-x---)
' T'r r:•:I ::=:G S=:=:cE, CAi:. 0-' CRT_='.aL uiII.DL`:G =_:S: ISa.':=:
PP-=S=- C7S] ~ R-1 SD.GI.:.. r: `•STLY
? R-z CcrPJ.c c~:a LMTs)
? P-3 'ICi•~\L';:C.:S= ('iR-=c. _ L-.rTS) L~7T:S1
? P~4 [iY:v Tr/n•T/~"~`:~.t.iT~~7-\1 \ tliilTJ)
? CCIR~C_~.1./z..~~~YCiL:?~
? 1~'DLS1R-~Si
2) APPI.-C=-'T IPLEaSE PRI;tJ ~`-r---• S. C~
I~~-`
CT_^'• S'=:__, ZL?: L-~t N v\ G
PHC~.L.: '93-0~~~ .
3) PLu.73:7 (PLEASE PRL4i)_ FOH CITY USE 09LY
PLl1':BERS LIC:55E:
- , r~=zss: ~a/r Lori~ ~ a«~~~
, CI'P_'~ S''_^~', ZI?: R QC'JC'..~{j~(D 1+\1`~ 5 SJ '-f 3 ~ Expired
" i~'icr. Q Hot of Record
- PEC`+c: ~ ~~-SOSJ PLIINBER LILE4SE # t~
arr,L inlcl~j
4) OCC[J?FiVi/C?:~:~ (PLEASE PNINO
bTi+i']E:
A^DRESS:
CITL, STA':E, ZIP:
5) INDICATE S;'HICH P=--•iTT ZS BEIi`jG RF~,U"'STIID:
. ~ CY':uP'r.C^'IGN 'it7 CITY SEL7ER
-=1ICM 'IU CITY WATER
MI'~t` (PLEF,._c' DESCPSBE)
6) ~:DIG+ ~ C:.~: ~ •
PI='-i : f?OLD ?,PP?"OlED PEFctitLT fl7R PICi:-UP BY ONE OF t1Bc1/E
? PT +SE kaiL APPTUVFD PER:-LIT 'PJ 1'. 2. 3, 4 A50VE
(C'v-cle one)
7) SIG~TLI~E: ' t]ATE:
r 1• e _.~i- e~ •~u•.o r e~• a ai:•
u ~a• ' y• i r. ' a•a~
• ~ ~ ~ r. e~ • 1:r~ 1 b:F •.n~~ t ~ I y~' U eq/3w : , ,d
W U.Q ViA.~ .fe N c~ c'a. ci Jo- atf V s¢ em w rs_a a.~.ba a'r w m w, eu azn .s m na r.e w~~.e aa oyrm r+~ r~ a c sa e c cas
. . ' " •
FOR C I T Y US E ON;,y •
P7_7-%tIT ISSUED
~ .
F°_°S: $
~a S~FicB P°,~'tT' SURCStARGG)
p-_~R,,t?m (Ii:CL16DE SiiRCHARGL)
$ 630' ' WATER METF'R/COPPEFHORN/OUTSI'JE READER
$ {YAmrR TAp (INCLUDE CORPORATIO:] STOP)
$ $z:'icB Ty?
~
AC.:OUVT Dc?OSIT - 4iAT°_R
$ •JOZ~ WAC
S AC
$ TR[i`]K t,1ATER ASSc.SS;+.E:iT
S TRu:i{ S£::c.R ASSE55i•i-Ei•iT
S LAi °R,L BEi•;Ec ZT/TRU.'1K 5-_?' ~,_R
S L.,TERaL BE=IT/TRU`:K :•:nT_°R
1dATER TREAT,;ENT PLANT SURCHARGE
. $ OTHER:
S T0;>L
5-7oa
At~]Ot;\T PAID/REC°I?T
DOES UTILITY CONNEC.ZON REQUIRE EXCaVaTION IV PUBLZC RIGHT OF I4AY?
L, YES ZF YES, THEN A "PERC•]IT FOR :JORh WITHIN
PUBLIC ROAD;vAY" MUST BE ZSSUED BY THE
NO ENGI.`IEERZPIG DIVISZON. LIST AS A COP;DI-
TION.
SUHJECT TO TE1E FOLL0WING CONDITI!J":5: •APPnOVED BY: ~
TI:Lc: '
DAT°:
G P-T_] Ck~] W e9 37 e31ei Ro exl +~.1w Ri_~ Da 5i R~iV RA CLa QtV {+l m $7 Gt1'Y Gi-O pF Rf R P j"0 ~l+il R C] pC 6JV Ev ~
. ~s~_: . Fc_ . _ . . . . . . . _
PERMIT
GlTY OF EAGAN PERMITTYPE: euxLorruG
f 3ti30 Pilot Knob Road
Eagan, Minnesota 55122-1897 Permit Number: 032313
(612) 681-4675 Date Issued: 0 6/ 2 2/ 9 B
S1TE ADDRESS:
' 4423 SLATER RQ
L07: 191 BLOCK: 2
CINNAMON RIDGE 3RD
P.I.N.: 10-17402-191-02
DESCRIPTION:
Buildin`g..Permit Type STORM DAmAGE
Building Work Type REPAIR
/"Census Cqde 434 ALT. RESIDENTIAL
` i
r
~
_
v .
REMARKS:
FEE SUMMARY:
CONTRACTOR: OWNER: - Applicant -
DETERS JOHN
4423 SLATER RD
EAGAN MN 55122
(612)304-7906
I hereby acknowledge that I have read this application and state that the
inPormation is correct and agree to comply with all applicabie State af Mn.
Statutes and CiCy ofi Eagan qrdinances.
APPLICANT/PERMITEE SIGNATURE ISSUED BY. SI NATU
998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITS' OF EAGAN
~ 3830 PII.OT KNOB RD - 56122
681-4675
New Construction Reauirements Q RemodeUReoair Requirements
I
? 3 registered site surveys ? 2 eopies of plan
? 2 copies of plans (inGude beam 8 window saes, poured fid design; etc.) ? 2 ske survays (exterior addltiona 6 decks)
? 1 energy calculations ? 1 energy calwlations for heatetl additions
i 3 copies oi tree preservation plan if lot plaWed after 711/93
required: _ Yes No
DATE: 612 Z/g6 CONSTRUCTION, COST;
DESCRIPTiONOFWORK:
STREET ADDRESS: L? q Z 3 SI 0.+Er A d
~T: ~I BLOCK: Z SUBD./P.I.D. #:"MA v06V.-~ ~ADY )
r,, 30/q -790~ (a~~-
Name: De~l5 f~ V` Phone n /
I`~ - SS J 7(PV2 J
PROPERTY Lwi etrst
oVNER yy2~ S(a~ea' Rd
Street Address:
Ciry c N State: / (AJ Zip: Z z
Company: ~ Phone
CONTRACTOR
Street Address: License #
Ciry State: Zip:
ARCHITECT/
ENGINEER Company: P6one q:
~ Name: Registration k:
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and sfate that the infortnation is correct and agree to comply with all applica6l
State of Minnesata Statutes and City of Eagan Ordinances.
a -
Signature of Applicant:
OFFICE USE ONLY CEIVED
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required BY:
,
OPFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Mufti Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace 21 Miscellaneous
? 05 SF Misc. ? 10 _-piex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main Ievei 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.
Dep1h Footprint sq. ft. SAC Code
Census Bldg
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/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for: single family dwellmgs & townhomes/condos when penmts are required for each mut
Dxte / I tD_ / C5
Site Address L4 `-I a 5 1 Q -}'C,r P) !1, rj Unit #
Praperty Owner ~ L) t" ] o 1Dt*C,' Y"5 Telephone # ( (p I ) lo 3 "rJ g 1i
Contractor ~ ()n`1"r p 14 i
Street Addmss a I I-7 C) ~e.-6n A)e 5 u, J--&- A cicy Fo n
State YY-) 1~ Zip 55oa~ Telephane #((05 I> ti 00- b0aa
Boud Expires:
The Applicant is _ Owner V Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
fumace _Additional ?4eplacement
air exchanger
? air conditionerI New Replacement
other ~1(J m i al I r I-C~I-
State Surchargc $ 50
Total S3 U.5 a
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate, tlmt the work will
be in conformance wi[h the ordinances and codes of the City of Eagan and with [he Mechanical Codes; that I understand diis is not a
permit, bul only an applicahon for a permit, and work is not [o staR without a permit; that the wnrk will be in accordance with the
approved plan in the case of work which requires a review and approval of pl
inC~ L~ ~ieh~G~
Applicant's Pri d Name App i rt's Qn re I 1_1,~ ~
li SEP I 9 2005 D
IL"- I
i13v ~
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please completc for: commerciaUinduslrial buildings
multi-(amily buildings when separa[e pennits are not required for each dwelling uni[
Date
Site Street Address Unit #
Tenant Name (ifapplicablc) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Band Expires:
The Applicant is _ Owner _ Convactor _ Othcr
Work Type
New Construction _ Underground Tank _ Install _Remove "see befow
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
*'When installing/removing underground fank, call for inspecfion by Fire Marshal and Plumbing Inspector
PC.^.T.7: FCBS: $70.50 Undergrcund:ank instellaiion/rcmoval
$50.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1°/o Permit Fee
• If pCItnll fec is $1,000 or less, add $.50 State Surcharge
If pC[Rlil fee is over 51,000, add $.50 for
every $1,000 perntit fee $ Total Fec
I hereby apply for a Commercial MecUanical Pennit and acknowicdge tlat the infonna[ion is complete and accurate; Uiat dhe work
will be in conformance wi[h thc ordinances and codcs of thc Ciry of Eagan and wifli the Mechanical Codes; that I understand ihis is
not a permit, but only an application for a pennit, and work is not to start without a perntit; that the work will be in accordance widi
the approved plan in the casc of work which requires a rcview and approval of plans.
Applicant's Pnnted Name ApplicanPs Signaturc
Approved By: , Inspector Date'
1 ~ .
. 1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED IiITH THE CITY OF EAGAN
C0141ERCIAL SINGLE FAMILY DiIELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS'
$2,000 LANDSCAPE BOND
To Be Used For: 5 1 ValuationIss0.~~ Date: -005~
Site Address OFFICE USE ONLY
Lot ~ Block z Erect x Occupancy K•3
Remodel Zoning ~l
Parcel/SubCW-MM() ` -e' Repair , Type of Const
6~ S~r ~ Addition ~ II og Stories
Owner . Move 1 Len th 3Cn
( Demolish Depth q-~
Address ~(,(,c'b Int.Impr. , Sq Ft
s 0'1 Install
City/Zip Code ^ ~.v\c ~~LY1 55 y 3~
Phone APPROVALS FEES
Contractor Assessments Permit ?j13.
Water/Sewer Surcharge 30.
Address ~ Police ~ Plan Review ISb.W
Fire SAC
City/Zip Code Engr Water Conn 5(p
Planner Water Meter (03,
Phone Council Road Unit 2
Bldg Off Treatment Pl ~
Arch./Engr. APC Parks
Variance Copies
Address TOTAL 79 50
Cfty/Zip Code
Phone 0
2C~ 1C 3Co `l3fo K S8 '.5q2B~ ~ , . 1
~LC7 ~2-U
s~ c~gS
C A L V 1 N~H . H E D L U N D 7726 MorQan av.nu. sourn
L Rlchfield, Minnesoto 55423
LcAA Surwyor Clvil Enpineer Phone: 966-2323
surver~vr~s G'ert~f "~cate
JOB N0. 5-15
SURVEY FOR: Zachman Brothers Construction
DESCRIBED AS: Lo.t 19, Block 2, CINNAD40N RIDGE 3R.D ADDITION, City of Eagan,
Dakota County, Dlinnesota and reserving easements of record.
914.0 583' 34,'14~E J31.00 ~-9~-
- - ~n
-7 /
~ rn '~V 1S ~ /`~~~oe
lo'SJ stk~ces ~ , . IT~y
,
i L1 , ~e ~a~ ~ •-r ;
- ~ ' a_'-• ~ L'
> N
~ v
~ 3$
~ ~47•25 ~
Top of Fowndot%oq= 9 19•I
\ $osemeni F/oor= , .It5.9
SLATER ROAD Ccraye F/oor.- ~118.7
~ M Proposed E/e?ac~on: v
Ezistiny E/evQ,r;ows
-Dra;noye D; re c'C ;or+s
Zenotst Lot Coe~+aw- O
CERTIFIGATE OF SURVEY
I hereby certify fhat on rol 9 /8 4 I surveyed the property described above ond thot
ihe obove plot is o correct representation of soid survey
' A' GTGN 17-
E:'~ERGY REQU1REi;EIr'TS '
inis `orm to ue r_orqpleted and submittod wiLh buiTding pet-init applications
EXTk:RIOR ERVCLOPE AVEP.RGE °U" C011?UiAi10N
Oi•";ER--- za
SITE A.DDRESS - - -
CONTRACTOR Lcrc~%=•'.•'-='.=r,~_ DA rE_ PHONE `/,~i•G%~~
Dzterinine ivorking square footage of each.
1. Total exposed t;all ama 7~~ sq. ft. x
a /
2. Total roof/ceiling area sq. ft. x 0_.026
Total exposed wall area above floor li 78O j
a. Total wall windo:,+ area / G 9.~1S
b. Total door area
`f ~
e. Total sliding glass door area
-
d. Total fireplace t•;all area -
9
e. Total wall framin air_a (avera9e 10%
f. Total net %:,all area above floor g. Total rim joist area /6 tT
Total er.posed foundation area
h. Total founoation window area '
i. Total net foundation area above grade Determine "U" value of each svall segment.
a. /0 i. /r X~~u" 7= i
b. 0, 0 x,iu„ 7=
c X~lull 5S z Z- -
d. - X <<ual - - -
e X .1 U.1
77 X -,u„
9 -----/6 ~1 X „1ill p. Gs Y of 6
h. X „usi
l. 90 X "U° O./`fl _ ///SZ
3 ............................................Tota1
If item ;3 is the sainz as, or less than item pl, you have met the intent of
~ Mrno i cnnr. In ~J
. (
• , ~ . . /-l
,
TO::~1 !?"J'•L;rd TpOfjrCll]ll<3
- U
a:ea (rrverage 10?.)
iGCal ll(.:L lll'SUIati)(j 1'OOi/Crllin •
<J .IiCB
, Detern;ne "U" v.,1Ue :or each roof/ceilir,c
~ ' X U v ----V ~
Y---'-- Z X G. ? ;"7 _ ~ C' z -
- - - ~
t'-----szp` g x^~" - vi zO,Sz
TOtal = c~ 3.y y
If total of ;:4 is th^ ...']=e as, or less Y_ban ~2, you h.-,ve ;.et the intent of
S3C E.OOu(c)I_ -
Alt.crrate 3ei'_dir.q En%•elope Design
':o u; i? ize Lhe •.oCal r-r.,elotie sysS.,:-n r,-~~thcd, tbc
;.~lu~s ~c~ablis'~ed
suio of-i:`-.^:.s =5,ar.d i:4 a.:all r,ot he greater tnen the se7,1 of I--
, ~ i and =7_.
. ~
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s
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, 2
2007RESIDENTIAL BUILDING rERMIT .arrLicaTtoN
~ City Of Eagan 6'9-kA4'
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtan Reauirements RemodelReoair Reauiremenfs Office Use OnN
3 registered site surveys showiig sq. N. of lot sq. ft. of house; and all roofed areas 2 oopies of plan showing fooGngs, beams, joists Cert of Suney Recd Y_ N
(20°h mazimum bt coverage allowed) 1 set of Energy Calculations lor heated addihons Soils Report _Y _ N
1 Soils Report d proposed building is to be placed on disturbed soil 1 site survey for additions 8 decks Tree Pres Plan Recd Y_ N,
2 copies of plan showing beam 8 window sizes; poured found design, etc. Add'N'on - indicafe i(on-sde septic system Tree Pres Reqmred Y_ N
1 sel of Energy Calculations On-site SepUc System _ Y_ N
3 copies of Tree Preservatlon PWn if bt platted afier 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanipl ventilation form
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date 06 / 0J / P17 Construction Cost ~SDDC_10
~qo?3 Sl,q&r R~l UniUSte #
Description of Work I~e 51 dG
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 X 2
PropertyOwner JOnn ~ Clncl4 Qc2+~?$ Telephone#( 651 )Vy^ SS'D-]
Contractor l[ rc, S Se-r-Jt CeS
Address ydfr~, ST Wt-S"fCity ' 1,.alZevlI I e.
Stare Mlnnesuf'eL Zip 550`{4 Telephone#((Aa )4l8^7633
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) ' Submitted Submitted
. Energy Envelope Calculations Submitted
In the lasf 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone ~
Mechanical Contractor Telephone )
Sewer/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 ofplans.
tru; Q.
Applican' Printed Name Ap ic t's ignature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 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 E#. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-piex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Inlerior ? 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 'Demolition (Entire Bldg) - Give PCA handout to applicant
DOSGfIptlOn: Water Damage _ Yes ,
Valuation Occupancy MCES System
Plan Review 100% or 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Sheetrock
_ Foo[ings(deck) _ FinaVC.O.
_ Footings (addition) _ Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ S[one Lath _Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
Insula[ion _ Re[aining Wal]
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2007RESIDENTIAL BUILDING rExMiT arrLrcATiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ~
Telephone # 651-675-5675 FAX # 651-675-5694 ~
Nevr Construction Reouirements RemodeUReoair Reauiremenfs Offce Use Onlv
3 registered sile surveys showirq sq. ft. of lot, sq. 8. of house; and all roof rea 2 copies of plan showing footings, beams, joisis Cert. K_ N
(20°h masimum lot coverage allowed) si lof ~e~-Si#m9c tions for heated addifions Soils Re'port .•-~_'Y'_N
1 Soils Repod if proposed buildmg is lo be placed on d~sturbed soii D s~rey ns & decks Tree Pre's PWn Recd,`, =Y N.
2 Copies of plan showmg beam & window sizes, poured found design, etc. Addifron -mdicat -sde sephc sysfem Tree Pres;Requiied' Y=N
15etofEnergyCalculations AUG 1 4 ZQQ) On=siteSe pticS ystemY•_N .
3 wpres of Tree PreservaUon Plan iGlot platted after 711193
Rim Joist Detail0ptions selecUon sheet (buildings wilh 3 ot less unhs)
Minnegasco mechanipl ventilation form /J•
Plans are considered ublic information unless ou state the are trade ~~'~fr a4th~bElson.
~ !L b
Date ~ l~ l_ZUJ~ Construction Cost T0 c>a X--•
Site Address ~'y" 7-3 ,S L.RTiK O.gvJ Unit/Ste #
-r-,,
Description of Work (Ut-?odA d- 12iFi30LcZ~ °l:!~
Multi-Famity Bldg _ Y Y N Fireplace(s) _ 0_ 1 _ 2
Property Owner ?akl M * GdM17'J' V.L ! AF/Zs Telep6one # e'/5F - ~-5 02
Contractor 12/iG'e f/JpoR C i-r•E C
~r~ ?/}La~~'
Address G/ DO S% City
State Zip Telephone # (%s-4-) 102 - /cF~YK
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Ene~gy Code Category . Residential Ventiia[ion Category i Worksheet • New Energy Code Workshee[
(J submission type) Submitted Submitted
• Energy Envelope Calculations Supmitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan: • ,
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/WaterContractor Telephone#~ J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wiil 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 appxoved plan in the case of work which requires a review and
approval of plans.
/~AyZzi~:X-/ne9~
Applicant's Printed Name ApplicanYs Signature
r ~J
DO NOT WRITE BELOW THIS LINE
Sub Tvqes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. 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 0 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvemenl ? 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 'Demolition (Entire Bldg) • Give PCA handout to applicant
DesCt'iptlon: WaterDamage_Yes
Valuation 3. avo Occupancy MCES System
Plan Review 100% or 25% Code Edition -T-12C olob(o
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Y a Width
REQUIRED INSPECTIONS
Footings(new bldg) _ Sheetrock
7cj Footings (deck) _ Fina11C.0.
r_ Footings (addition) ~O FinaUNo C.O.
Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final _ Pool F[gs Air/Gas Tests Final
Framing _ Siding _ Stucco Lath _ S[one Lath _Brick
_ Fireplace _ R.I. _ Air Tes[ _ 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
EACPAN
REVIEW ~ •
S//bla~ -7)
SUcLDoN#a owsPecvcOMS ~t~eASa02~
107,
583o 36"140E 13I.00 S.4 : q tia
N'~\ ' ~ ~III/ ?O /lb00^
~
~o~J staKes ,n ,
` . . ° ~ .
• \
ig GAi? _
, ~ •a $ ~ C a_ i ~
~ 38.
Top of Fo.endot%on-- 919 l
$oaement 'Floorc ,.IIS-9
SLATER ROAD C~ryyt Floer- `118.7
~ p proposed E/eroe;on: O
O ~ +R, 46"00 Exist;ny ElCVq.t"isAj
Z ' Dra;noye D; re ct ;or,s
.Denoter Lot O
CERTIFICATE OF SURVEY
I hereby certify thot on lD/ °J 184 I surveyed ihe property describeC above ond that
ihe obove plat is a correct representation of soid survey ,
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA168287
Date Issued:04/15/2021
Permit Category:ePermit
Site Address: 4423 Slater Rd
Lot:191 Block: 2 Addition: Cinnamon Ridge 3rd
PID:10-17402-02-191
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John & Cindy Deters
4423 Slater Rd
Saint Paul MN 55122--238
(612) 804-9356
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA168288
Date Issued:04/15/2021
Permit Category:ePermit
Site Address: 4423 Slater Rd
Lot:191 Block: 2 Addition: Cinnamon Ridge 3rd
PID:10-17402-02-191
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Exchanger
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John & Cindy Deters
4423 Slater Rd
Saint Paul MN 55122--238
(612) 804-9356
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179632
Date Issued:10/14/2022
Permit Category:ePermit
Site Address: 4423 Slater Rd
Lot:191 Block: 2 Addition: Cinnamon Ridge 3rd
PID:10-17402-02-191
Use:
Description:
Sub Type:Gas Line
Work Type:Alteration
Description:
Comments:Please call for a Rough In and Air Test, prior to the Final Inspection.
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
John & Cindy Deters
4423 Slater Rd
Saint Paul MN 55122--238
(612) 804-9356
Muska Companies
1985 Oakcrest Ave
Roseville MN 55113
(651) 286-0056
Applicant/Permitee: Signature Issued By: Signature