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4425 Slater Rd CITY OF EAGAN SEVVER SERVICE PERMIT 3830 Pilot Knob Road . K -;1 P. 7. Box 21199 PERMIT NO.: Eagan, MN 55127 DATE: ; Zoninp: RI No. of Unlts: 2 pwf1er Exceptional Carp Address: 5ift Address: 4425 Slater Itaad L18 B2 cinnamon Fidge 3rd Plwmber. Abxghamson Ga tti ExCSVat rig 7-2-8 4 44479 . p 1 Mm h ewalft wllr 11» CIti ef Iepw Conrnction Chorpe: 425.00 pd p,ri•ane" Acaount pepodt: 15.00 pd ~ P.n„k F.a: IO.OOpd Su?dwrpe: .50 d BY Mire. Chorpm Date af I rop.: Totol: i Insp.: Dah Paid: ~ CITY OF EAGAN WATER SERVICE PERMff 3830 Pilot Knob Road pERMIT NO.: 5 G/i I P. O. Box 21199 , , Eayan, MN 55121 DATE: Zoninp: F•l No. of Units: 1 'I ~r, Exce tional Co Address: ~ 4425 5later Road L18 B2 Cianamnn Rid a 3rd ~~rMetir , No~rs amson Ga at D cav,ating ~ Connection Chor9e: 470.00 d . r Si:e: /?ooourn Deposlt: Raadsr No.: Pem,ir Fee: • p ~ Z)lj . 1 pns M aomvh? wMl~ tlw Cihr ef a~s Surcfiarfls: p I Misc. Choroes: 63.00 pd meter ~ OraiMSOM. ~ Total: I By Date Paid: Dote of trup,: I^sp.: ciTV oF EncAN WATER SERVICE PERMIT 3830 Pitot Knob Road pERmIT NO.: 564 2 P. O. Box:21199 13 Ebgan, MN 55121 DATE: 1 . Z~~~: gl No. of Units: r. Exce tional Cor Address: P ~rd - , to ~rc~; 4425 Slater Road L~~ B2 C~°0 ~~ber. Abrahamson (Gallati Bccavatin ) 470 OQ~~~ Connection Chorye: ter No.' 15.00 pd - ri Atoou^t Depositt 14.00 pd Size: Reader o.: Permit Fee: , 50 pd I Nno to ooe+vh w" NN CiM Of zopn Surchorge: 63 O~p.~~~E Misc. CFwryes: O~Jieo Totcl: Date Pofd: By . oota of lnsp.: ~ ~nsp.: ? ~ CASH RECEIPT ~ CITY 4F EAGAN P. 0. BOK 21-199 EAGAN, MINNESDTA 55121 ~gF, ~ \ RtG61YED J FROM AMOISNT Is y(/ o v D' DOLLARS '+oe ? CASH Q_CHECF4 FUNO CODE ' AMOUNT Z ~ U U ~ .30 1 D ? u p u Z 3 S o0 G 3 oJ / Than u B Y White-Payen Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN ~ 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 N? 926 r ' PHON E: 4548100 eUILDINO PERMIT Re«ia # 4` 14 T• M 10801111 fer SP nth G/,", x Est. volus "16 3, G 0 0 Dare J U L Y 2 lq Fs 4 Site Addrest 4425 SLt~'i ;zU Erect a'u R3 Lot 18 Block3 ~c/Sub. CIr~ J ~ZIi~G:~ 3 Alter ~ Zoninp Rl ? varcel No. 01-1 ? 4 U 2-1 8U- U 2 Repoir ? F1re Zone N A ~a~ 0 TYPe o{ Canst. V N~e ZACHMAN HOMES INC ~ Move, p # Stories 56 ~ Address 4520 W 77TH ST., STE 104 p~~~ish 0 Length ~ City ED I NA Phoae $ g 3- 0 7 5 5 Grode ? Depth ~g Sq. Ft. 5AME APProvalf Eeet Narne . 00 u Addren Assessrnent Pennit 91 ~I F_ City Phone Water b Sew. Surcharqe 31. 50 PoHce Plan check 161.00 W Name Ftn 5/hC 525.04 P~~ Addresa Enp. Woter Conn. 470.00 tW City Phone plonner WaterMeter 63.00 Council Rocd Unlt 260.00 1 hercby ocknowladpe thot I haw reod thfs opplication ond stafe thot Bldp. Off. fhe inlormation is torrect and ogree to comply with oll oDP~~cabla 1-73-3 2.5 V Stofe of Minnesota Statutes ond%JEity. of Eoqon Ordinonces. APC Taal S{pnaturc of Permittee - /1 Building Pertnit ls issutd to: on tM expresi COnd(tlon thnt oll work shall be done •in aCOOrdorrC! with QII opptiooble Stote of Mlnnesota Stotutes ond City of Eapon O.dinm?ces. Buildinq Official ~ i PKmit No. Permit Holdsr Misc. Psrmit No. Holdsr PlumWny r, H.v.ac. 31G, 120 ~ g w.n w.c.. Disp. S~vwr Elect.k I-h l3fgY 36.00 lnp.ction om losp. oene. FootinqB Foundation Framina Rouyh Plb¢ ~ Rouqh HVA . ~ t Inwistion Final Plba Final HVAC ~ • , - Final y ~ Wour Doscribo Location: YWII Sevwr Pr. Dhp. iieceipt ~ ' ` ' • PLUMBING PERMIT Permit No, CITY OF EAGAN Fee I Frll in numbered spaces S/C ~ TYPe or Prinr leg?dly Tot-, v r~ 1. Date 70 F" 2. Installation Cost /cf/Jn. ~ 3. Job Addresslf c1f2 SLATI-:eCdt~Blk. ~ Tract' 4. Owner rx,.f= dl"ie.& AL ~_/Cr'7 5. Contractor 44_4J1 c, 44l~ Phone 'i yte =3 6. Address .4~d .Y 019- N 7. Cit-f State /}l iy Zip 53 ac ~ 8. 6ui4ding Type: ftesidential Commercial ? Institutional ? ~ 9. Work Description: New Add ? Alter O Repair O ~ 10. Describe 11. No. Fixtures No. Fixtures / Water Closet Cesspool /D rainfield l 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 information is true and correct, and I agree to comply with all ordinances and codes governing this tYpe of work. Signed: for Rou9n F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Recsipt MECHANICAL PERMIT Permit No, CITY OF EAGAN - ' Fes Fill in numbered spaces S/C Type or Print /egiblY Tot 1. Date 7<<': - ~ 2. Installation Cost 3. Job Address ~ S.SLRrBlk. TraiR 4. Owner E r~Tj e,r AL rr~P ~ Dr D a•v v r_' if5~ .v 5. Contractor rG ~ r„~ Phone tif N-'~ 3 S3 8, Address 7. city;' scate rp ~3 0~ 8 8. Building Type: Residential Commercial 13 Institutional ? 9. Work Description: New Add O Alter O Repair ? 10. Describe Fuel Type 11. No. EqLioment BTU - M. Ea. No. Equiament CFM Forced Air Air Handling: Mfg. CG..rr, r~_, Tnn ~`r" r j Boilers Mech, Exhaust Mfg. Unit Heater Mfg, Other Air Cond. Mfg. / Gas, Piping Outlets 12. I hereby certify that the above information is true and oorrect, and I agree to comply with all ordinances and codes governing this type of work. , Signed : /,,..L -~I a40sa1 for Rouyh Final tnspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 - INS1'ECI'1r0N I~~~~R1D- CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. :3 ? 7 4 .1 ' Eagan, Minnesota 55122-1897 Date Issued: 07 I+ 10<{ (612) 681-4675 i SITE ADDRESS: APPLICANT: ~ ~ , ~ F ~ „i? ~ , ~ , PERMIT SUBTYPE: TYPE OF WORK: ~ INSPECTION DA • I I I ~ ~ Permi[ Holdar Dste Telephone # i PLUMBING H VAC Inspection Deta Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD ~ I- iFIREPLACE FIf~EPLACE Alfi TEST Fi vAL PLBG FiNAL HTG ORSAT TFST I BLOG FINAL DOMESTIC METER I IRRtGATION I ~w1ETER FLUSH I, MAINS ')NOUCnviTv 1'rST , s rnR0.STATIC 7 ~,T ~ BSMT R.I. ' B MT FINAL I CFCK FTG DECK FINAL ~ ~ INSPECTION REC~RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: "4 Eagan, Minnesota 55122-1897 Date Issued: ~ (612) 681-4675 SITE ADDRESS: t APPLICANT: PERMIT TYPE: TYPE OF WORK: INSPECTION D• • D. r ; ~•.rl I ~ Pxmk Holder Data Telephone # ' PLUMBING ~I HVAC I Inepection Date Insp. Comments I FOOTINGS I I FOUND I FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAI PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS conioucnwTv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition CINNAMONR RIDGE 3RD AUDN Loi 18 Rlk Z Parcel 10-17402-180-02 I Owner Street 4425 SLATER ROAD state EAGAN NIlV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1985 1012.2 202.44 S ~P, ,.Zd C a 0 zcf- a ~ STREET RESTQR. GRADING SAN SEW TRUNK 1973 102.22 6.81 1$ SEWERLATERAL x 1985 2 5 WATERMAIN * WATER LATERAL x 1985 WATER AREA 1973 131.44 8.76 1$ *services A 1985 STORM SEW TRK qDl 1979 381.69 19.08 20 ~cSTORM SEW LAT 1985 CURB & GUTTER SIpEWALK STREET LIGHT ROAD UNIT $260.00 #44479 7-2-84 WATER CONN. 47 0.00 " " BUILDING PER. #9265 SAC 5Z5.00 PAR K ? . CITY OF EAGAN *T 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ir ? 9265 PHONE ~UILDING PERMIT :454-8100 ReceiDt # To Ea and for SF DWG/GAR Est. Value $63,000 pate JOLY 2 19$4 Site Address 4425 SLATER RD Erect R3 6 Occu Lot 18 Block 2 Sec/Sub. CINN RIDGE 3 qlter p Zoning Rl ParcelNo. 01-17402-180-02 RQ N A poir ? Fire Zone Enlarge 0 Type of Const. V W Name ZACHMAN HOMES INC Move ? # Stories = Address 4620 W 77TH ST., STE 104 pemolish ? Length 5-6-- ~ City EDINA phona $93-0755 Grode -~g ? Depth Sq. Ft.- ~ S1~ME ADDrovuls Fees p Name oU Address Assessment Permit 322.00 u~ CitV Phone Water & Sew. Surcharge 31 . 50 Police Plan check 161 . 00 ~w Name Fire SAC 525.00 Address Enp. WaterConn. 470.00 'W City Phone Pinnner WarerMeter 63.00 Coun[il Road Unit260.00 I hereby ucknowledge thof I hove read this uppiicotion and state that Bldg. Off. the inlormation Is correct and o ree to tomply with all opplicable Z rj~ APC Totol Sfate oi Minnewlo Statute~ ity of Eog ZACHMAN rdin nces. HOMES INC SiBnoture of Permiftee -~A A Buifding Permif Is issued fo: on the express tordition ihn, oli work sholl be done in occorda e wi I oppliwbl Sq tote o in ewto Statutes ond City of Eogan Ordinances. GlX{ ~ y~J i,- . ,=:aa.a= d qq-, oZ --11(31$ y ,e,~ or, A 0 5; 73 LI 6 b-a- G4, 3 ~c. av Nequos D'e[e Fire No. HouBh-in Inspe on Q Repuired7 C] Ready fww W1Nbf oy, Inspec- Yes ONO [or^!When Peady ~LiCensed ElecUical ConVactor I hereby requeat inepection of nbove ?Owrner alechicel work inetelled or. Shaet Address, Bax or Route No. C.ty ~ ~ 2-- -g 4 ecbon o. Tawnship Name or No. ange o. C A~U Ti9 Occupdnt IPflINT) Phone No. Power Sup er I Atltlress ~J E ((J. DD E[ Ue. e o_ Iectrical,Conv (Company Ne ConVacmr's License No. 03 MailinB Address ( ntrac or ner MabnB Instailation) Autho ` " ipnnture ICOnvactor O ar Making Ins[alla 'on) P na Number MINNESpTA STpTE BOAFD OF ELE TPI THIS INSPECTION FEQUEST WILL NOT Grigps-MitlwaY BId9. - Aoom N•191 BE ACGEPTED BY TME STATE BOAND 1821 UrriveraitY Ave., S1. Poul, MN 55104 UNLESS PHOPEP INSPECTION FEE IS P1nre 18121297-2111 ENCLOSED. Thisre9uestvoiEjo~1~ 7,~ 343(oq 16 immhs (mm ~ / z . SO A n8492 Ro quest Uate Fire No. flouph-inInsV.cnon p Feqm~ed7 ReeAV Now ~ Will Notity Insoem O3 ?~es No Wr When Ready ~ Licensetl ElecUic. I Convactor 1 hereby request insVection oi above ' ? Owner olectncal work inslallad ur $veet Address, Bo. or Route No. ~ ~ ct on o. Townsh,p N;imo m Na. Range No. County O0~ IPRINTI Phnn, No. 6 P e r Supplier / Atltlress K o C i.J G ~1 Electncal Comracmr IC ~pany Namel ConV;cmr's License No. LC d yo C 6v ~ Mai ina AdJiess Convacmr or Owner akinp I stailaIionl N 0 j o i L) AW ized S,Bna ure onva r Owner Making InsC+IlatmN Phone Nwnber MINNESOiA ATE BOAND OF ELECTNICITY TMIS INSPECTION HEQUEST WIIL NOT Gri9es-Midwey Blda. - poom N-191 BE ACCEPTED BY THE STATE BOANO 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Pnn... 16121 297-2111 E NC LOSED. eEQUEST FOR ELECTRICAL INSPECTION ~ ^EB-00001-04 See instrue4ons br completiny this form on beek ot vellow copy. b Fy 7 "x, Below Work ~'avered by This Request Hdd Ibp. Typa of BwlEmp Aoolmncee Wirod EquiVment Wired Home flange Temporory Service Duplex Water Heater Lightmg Fiztures Apt. Bmldmg Dryer Electric Heatin Comme.cial 81dg. Fumace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tdnk Parm othe, pea v therl5uerilyl t r Suecify t er Othor ompute lnspec[ion Fee Below p Fee ServiceEnVancaSize b Fee Feeders/Subfeedere N Fee Circuits ~ 0 to 200 Am s O,to 30 Am s 0 to 30 Am Above 200 qm s 31 ro 100 Amps o0 31 to 100 A s Swinming Pool Above 100-<1m s Above 100_Am s Transiormers Irrigation Boorcis Pertial- Other Fee Sigis Special InspecLOn S ,i 5d TO AL fEE Rerrerks ? / (J /0. ~ flovBh-in ctncel ~ specbq hereby certity thet the above Final ~ Dale I~n~O ection has bee~ fpSde. 1Uy rtpueal valtl 18 montla Irom REQUEST FOR ELECTHICAL INSPECTION E8-00001-04 w: , See instructiens (or complating this torm on bac4 of Vellow copv. ~ nRA52 X" Be/ow Work Covered by This Request 3~ 3(01 Hnv nap. -z ryoe of ertiianite ApOliancanWned Enuiomant Wi.ea t Home Range Temporary Service Duplex Water Heater Liyh[iny Fixtmes Apt. Bwlding Dryer Electnc Heatin Commercial Bldy. Fumace Silo Unluader IndusVial Bldg. Air Conditioner BWk Milk Tank Farm tn, ueci v ~he.. l5necif~.. I ipr SuoufV ticr Othcr ompute lnspection Fee Below p Fee ServiceEntrnncaSae k Fee Faxdms/5ubtaeders N Feo Cvcuits U 0 to 200 Am ps 0 to 30 qm )s 0 to 30 Am Ds Above 200 Amps31 to 100 Amps 31 to 100 Am s Swimming Pool Above 700 -Amps Above 100_Ampti Transtormers Irrigation Booms Pa~rtfial-'Other Fee Signs Special lnspecuon OT /~EE ~ Ne.rks ily 3Y ~ qouBh-m Oate 1. tha ee rieal Inspector, M1enoby ce"ilV that tM1e above Final ( Di~F inspectmn has been , ~ r ao ~3 sooda. fhla rapuesi voiE 18 monitu Irom . . . . . . ~ ` , . ~ - - . . CITY OF Er?GAV Inc_ude ? sets oE_n7z,s, ' . ' 1 site plan w/elevat~'.cns & . ~ BUZLDING PERMLT APPLICATIO~V ~ 1 set oi enesgy calculations. F. pWL?. /UAI~• lo3.o~ro.- - n Zb Be [Jsed For - Valuation Date site Address: c1%~< <~ee ~2~° ~txr~ oFFICE USE ONLY ~ Lot Block -J Sec./Sub. ,nG,ro/) Erect X occiipancy {~-3 Parcel' 'Alter 2oning R- I ' Re~.~air Fire Zor.e 4_I A awn°-r: 24cHman #OmP r, o~n G Enlarae _ Zype oi Const. Move r Stories Address: ~(~L /0 r~ ,p&T-olish Front ft. City/Zio Code: Grade Depth ft. Phone 1: 893-075 ~ APPROVa[s F~s Contractor: Assessnents Permit Address: hTater/Sew-_r Surcnarce "3 I • - Poli~ Plan Check. l Co i.°-` City/Zip Coce: Eire SAC S4ater Corn. - Phone_ ~4- Planner Sdater ?Ieter Arch./Ehg.: Council Rnzsl Unit 2InU. Bldg. Off. Address: APC ~ a • Cit1/Zin Code: 24 r~~ ~2x 5~- = 49z48 106 X q~ 2~~x 2$ = 128 n _ ~008 , 42~~~ (o2 r c"30~,~ , PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: ggjy$11\113 Eagan, Minnesota 55122-1897 Permit Number: (612) 681-4675 Date Issued: 0 7/ 31 J 9 8 SITE ADDRESS: 4425 SLATER RD LO'f : 18 BLOCK: 2 CINNAMON RIDGE 3RD P.I.N.: 10-17402-181-02 DESCRIPTION: , OECK REPLACEMENT Building Permit Type STORM DAMAGE Building Work Type REPAIR ~ Census Code ' 434 ALT. RESIDENTZAL A REMARKS: REPLACE OECK DUE TO STORM DAMAGE. FEE SUMMARY: CONTRACTOR: OWNER: - Applicant - MEYER JONATHAN P 4425 SLATER RD EAGAN MN 55122 (651)882-0477 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable State ofi Mn. StaCutes and City of Eagan Ordinances. APPLICANT/PERMITEE SIGNATURE ISSUED BV: SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOS RD - 55122 3a~ y3 681_4675 New Construetion Reouirements RemodaVReoair Reauirements ? 3 registered site surveys • 2 eopies of plan 0 2 copies at plans (inGutle beam 6 window sizes; paured fid. design, etc.) ? 2 site surveys (eztenor adORions & decks) ? 1 energy caleulations ? 1 energy wlculations for heated add'Rions (30 • 3 eopies of Vee preservation plan if lot platted after 7/7/93 ct ~ ~ O 0~J reQuired. _Yes No -(D DATE: 70 Iy tH ~O CONSTRUCTION CO T; lkt-Ep DESCRIPTION OF WORK: STREETADDRESS: c~ LOT: BLOCK: ~ SUBD./P.I.D. C~~nv\o. V~o N ~ Name: Phone 6~1 a O J / T PROPERTY 1-ast Fvst oWNER Street AddTess: ~05- slA-7T)F_' 1~046 City FfiCA-A-) State: - Zip: Company: Phane CONTRACTOR Street Address: License # Ciry Stare: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City Stace: Zip: Sewer & water licensed plumber (new construction onty): 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 in rtn tion corr and agree to comply with all applicabl State of MinnesoW Statutes and Ciry of Eagan Ordinances. Signature of Applicant: ~ OFFICE USE ONLY 19 Q~ m v L9 ji 3 01998 Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required P' r , OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex p 11 Apt./Lodging ? 16 Basement Finish D 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace O 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE D 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Adual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % $AC SAC Units " ~ PERMIT CITI)F EAGAN 3f~7o P' Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 033491 (612) 681-4675 Date Issued: 0 9/ 2 8/ 9 8 SITE ADDRESS: 9425 SLATER RD LOT: 181 BLOCK: 2 . CINNAMON RIDGE 3RD P.I.N.: 10-17402-181-02 DESCRIPTION: REPLACE WINDOWS Building'Permit Type STORM DAMAGE Building Wbrk Type REPAIR ~Census Code , 434 ALT. RESIDENTIAL i , ~ ~ „ ' , .i , . " . . . . , REMARKS: FEE SUMMARY: CONTRACTOR: OWNER: - Applicant - MEYER JONFlTHAN 4425 SLATER RD EAGAN MN 55122 (651)862-0477 I hereby acknowledge that I have read this app.l.ication and state that the infiormation is correct and agree L'o comply with all applicable State of Mn. Statutes and City oP Eagan Ordinances. L J APPLICANT/PERMITEE SIGNATURE (j-WUED BV: SIGNATU E ; 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 - a~_9 681-4675 New Construction Reawrements RemodeVReoair Reauirements ? 3 registered sde surveys ? 2 copies of plan • 2 copies of plans (inGude beam 3 window sizes: poureC fnd. design; etc.) ? 2 sile surveys (exterior addkions 8 tlecks) ? 1 energy calwlations • 1 energy calwlations for heateE additions ? 3 copies af tree preservation plan if lot platted after 7/7/93 required: _ Yes No DATE: CONSTRUCTION COST; 3 DESCRIPTION OF WORK: S'FREET ADDRESS: 3- J.n~ v't C~ w~~-- LOT: BLOCK: O~ SUBD./P.I.D. C~_q e 3~ Name: o,vqrHfto ~ • Phone -;Z PROPERTY Lazt First owrrEx Street Address: City ~~Gw State: Zip; Z Company: Phone CONTRACTOR Street Address: License # Ciry State: Zip: ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zi : Sewer 8 water licensed plumber (new construction only): . Pe Ity applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the in rtna ion is rtect d agree to compry with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Stli L 8 1998 Tree Preservation Plan Received _ Yes _ No _ Not Required z ~G OFFICE USE ONLY ' BUILDING PERMIT TYPE ? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 S-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE O 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCIWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq, ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permlt Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 657-687-4675 New Conshuction ReaulremeMs Remodel/Reoair Reaulrements D 3 registered sMe surveys showing sq. H. of lof, sq. R. of house 2 coples ot plan and ay rooted areas (20% maximum lot eoveraae allowed) 7 sef o} energy calculatlons lor heated addNions D 4 coples of plans (show beam 3 window slzes; poured fnd. design; efe.) 1 aHe survey for exAerior addHlons a decks D 1 sef of energy calculations ? 3 coples of hee preservatlon plan N lot ploMed aHer 7/1/93 ~ DATE: CONSTRUCTION COST: ~~OO DESCRIPTION OF WORK: CLL-te StO(-rYti STREET ADDRESS: ZS~ LOT: BLOCK: SUBD./P.I.D. Name: Phone PROPERTY Lan Ftrst OWNER StreetAddress: 4`cZ,~s s1cA-rP-~ Ro-4UL City ~ci- esCJ..?-\ Sfate: Zip: ~v, ZZ Company: Phone (area code) CONTRACTOR Street Address: License # Ecp. City State: Zip: ARCHITECT/ ENGINEER Company: Name: ielephone k: area code ( ) Street Address: Registration ik: City State: Zip: Sewer 3 water Iicensed plumber (reaulred for new construction onlv Penalty opplles when address change and lot change Is reques}ed once permff Is Issued. I hereby acknowledge that I have read thls applicatlon, stote that ihe fnformalion is cortect, and agree to compiy wHh all applfcabl Siate of Minnesota Statutes and City of Eagan Ordinances. Signafure of AppllcanY. ~ - - . OFFICE USE ONLY Certificates of Survey Received _ Yes _ No XL Tree Preservation Plan Received - Yes _ No _ Not Required ~ v , OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex 0 11 10-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actuai) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC . CITY USE ONLY L I g~ BL RECEIPT 9 ~ l~-,. 44=j r DATE: ~ . SUBD. 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACJi NQ. TOTAL Shower 3.00 x = . V1,'ater Closet 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x Laundry Tray 3.00 x = a 3.00 x INater Hleater *3,100 x~ i~ _ ?0•00 3.00 x Gas Pip'ing 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 eonst. 3.00 = ARerations ' to existing 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TQTAL . tIEYER STRCY " SITE ADDRESS: 4425 SLRTER RORD EfIGRN , 55122 OWNER NAME: I H 882-0477 w I ~ NORBLOM PLUMBING CO- INSTALLER NAME: STREET ADDRESS: AvF. 80. .......r.dr uN iim ~ CITY: STATE: ZIP: PHONE ( ) ~ /v ~i3- %7 1~K .03 r.7411HMtlJq MG~c,•,~..rl WaA-VS$ ;S; C) .02 .3VA NAIRAAeJ ?m &0W 14MAtJ09A31414M .~14 city of eagan engineering division Customer Request Form Date: 7-o,a~7 Time: /p Taken By: 2~~ Received Via: Phone 1-1~ Letter Other c/id"ne) Name: -7'0'2,f• -279,e4,Phone (Day): d y77 Address: S ~c~ • Phone (Eve): City: ~ State: Zip: Re: items Discussed: ~ ;;a4 ~ Priority: A. Immediate B. Within a Week C. Other (Specify) Comments/Action Taken: cc: By: 97 LTSA4/CUSTSERV.FRM cb PERMIT #J156.65 CYCLED A/C B& L ELECTRIC, INC. BEVERLY GUSTAFSON EDIYARD LANGE 1689 COVINGTON LANE 4684 RIDGE CLIFFE DRIVE EAGAN, MN EAGAN, t4N ARNOLD DUEiBELDE JOHN DETERS 4425 SLATER ROAD 4423 SLATER ROAD EAGAN, F!N EAGAN, P1N CHARLES SHIRROPI BRUCE CROSBY 4714 PJ, lJItvD TRAII. 1761 WALNUT LANE EAGAN, FIN EAGAN, IfN NORI4AN PETERSON F;OY CREELh1AN 4337 SEQUOIA DRIVE 1883 BEAR PATH TRAIL EAGAN, NN EAGAN, IIN JAPiES DAHLBERG TERRY DAVIS 1641 MALLARD CIRCLE 4895 SAFARI PASS EAGAN, MN EAGAN, MN I lI CITY OF EAGAN 2/84 APPLICATION FOR PERMIT i SEWER AND/OR WATER CONNECTIOrT (PLEASE PRINT) 1) PROPEFYPY ADDRESS: I Frnr' DESCRIPTION: ~ ~ 7- ~s~' [ • (LOt/lock`j5iibdivision or Tax Parcel I.D. NLmiber) ~ gEXiE':'= :G STF2(;CPL:E, Drl'T 0F ORIGINAL ciIILDL`;G c~ ( ~b.^. Y FdT l ~ PRES~~T ~„IPX:/Pr?OFOSr.~ L~S=: J~ R-1 SL`~G7.; Fp!,tTLv 10R-2 DUP={ (`R•:O U.iITSi ? R-3 ZC7riNH0iJSE ('I'HREE + U!SITS) ( UNITS) ? R-4 APAR'IP=/CGNDCMINICM ( U[VITS) ? COMIMERCIAL/REPAIZ/OFE'ICE Q INDL'STRTAT, Q INSTITUTIONAL/GOVERAII= 2) AppLICAIVT ~ (PLEASE PRINT) NAME: i AnDREss: ,:L ~ ~ ~ ~1 - • o , CITY, STATE, ZIP: PHODIE : YJ ~ ~ ~ ~ • 3) PIJJmBER ? PLEASE PRINT) ~FOH CITY USE ONLY cJ PLERS LICENSE: ADDRESS: Active CITY, STATE. ZIP: b Ezpired MASTER Not Record PHONE: 92 pLUMBER LICENSE a nitia 4) OCCUPANT/Gf^7NEE2 r (PLEASE PRINT) ~ ~t~- ~ r~DREss: CITY, STATE, ZIP: A)L~ f7-4~ PHONE:~~. 5) INDICIITE WHICH PEfN1IT IS BEINC; RFQUESTID: Vf QONNECPION 'Ib CITY SEr7EP, ~ CONi~EX.`PION 'Ii7 CITY WA`I7 R ? dI'HII2 (PLFISE DESCRIIIE) 6) INDIGI:E 0NE: ~ PLEASE HOLD APPRQVID PERMIT FOR PICK-UP BY ONE OF ABOVE ? PLF.4SE_MAIL APPROVm PERhIIT TO 1, 2, 3~ (Circle one~ 7) SIGNA'IURE: ~i DATE: ~ w wae,ws.w i~ m ri a~m+n i~ es~isar•a:~ ~~a ~ ~;sa:a:a ~.it rt~t+~::a~~ ~ ~ ae ~sai~:as~:a s . F O R C I T Y U S E 0 N L Y PERMIT = ISSUED F°ES: $ SE:•iE.°, P°RPIT_T (INCLGD: SUP.CHA??GE) $ ~ O•~° WATER PERI4IT (INCL'JDE SURCHARGE) $ ~aJ'. WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (ZNCLUDE CORPORATION STOP) S°_71ER lti? $ /S-ACCOUNT DEPQSIT - Sz'idER $ 1~• ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRliNK WATER ASSESSMENT $ TRUNK SEIdER ASSESSMENT $ LATERAL BENEFIT/TRUNK SE:4ER $ LATERAL BENEFIT/TRUNK IdATER $ OTHER • $ TOTAL S ANIOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ~ PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVZSZON. LIST AS A CONDI- TZO[V. SUBJECT TO TfiG FOLLOWING CONDITIONS: APPROVED BY: r~XL& TITLE: DATE : . . . . . . . . . . . . . . . . . . . . . . . 7?3 2007RESIDENTIAL BUILDING rERvuArruckToN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauiremenfs RemodeVReoair RequiremenLs Office Use Onlv 3 registered sile surveys showing sq. R o( bl, sq. fl of house; and all roofed areas 2 copies of pWn showing (ootirgs, beams, joisis Cert of Survey Recd - Y N (20% mazimum bt coverage allaved) 1 set of Ener9y Calculations for heated additions Soils RepoR _ Y_ N 1 Soils Report if proposed building is to be placed on disturbed soil t site survey for additions 8 decks T2e P25 Plan Recd _ Y_ N, 2 wpies oi plan showing beam 8 window sizes; poured found design, elc. Addition -indicate ifoo-sde septic sysfem T2e Pres Requlred Y_ N 7 set of Energy Calala6ons Onsite Septic System _Y _ N 3 copies of Tree Preservation Plan if bt platled after 711193 Rim Joist Dehag Op6ons selection sheei (buildings wM 3 or less unils) Minnegasco mechanical ventilation form Plans are considered ublic information unless ou state the are trade secret and the reason. Date 9 Cons[ruction Cost SiteAddress ~c1~ ~oc~,_0\ ~cC~2?\ UniUSte wv\j Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner e- Telephone # ( (CSkj) i h~ - ) C Contractor C~'SD 'h~~'~\ \ ~ ~L X~ I C> Q..S Address City State Zip Telephone p((p(Z) l(/ C. I I tX (;:~V a~a7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet (~submissiontype) Submitted Submitted _ Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of.master plan: Licensed Plumber 2~ Telephone J I ~ u Mechanical Contra I. t) _ Telephone ) ~ H" " - Sewer/WaterContractor Telephone#( J 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. ApplicanYs Printed Na ApplicanYs Signature V DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweliing ? OB 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex O 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvaes ? 31 New ? 35 Int Improvemenl ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Founda6on ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' O 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement 'Demolition (Entire Bldg) - Give PCA handout to applicant D@SCflptlOn: WaterDamage_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 Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock _ Footings(deck) _ FinaUC.O. Footings (addition) _ FinaVNo C.O. Foundation _ HVAC Drain Tile Other. Roof Ice & Water Final _ Poo] Ftgs Air/Gas Tests Final Framing _ Siding _ S[ucco Lath _ Stone Lath _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 IbA Lv I N H. H E D L U N D 7726 Moroan qvenue soutn , Rlcnfield,Minnesoto 55423 ~Land Surveyor Clvil Enqinaer Phone : 866-2523 sairver~orfs G'ert~f`cate Joe No. 510 SURVEY FOR: 7,aclunan Construction Co. OESGRIBED AS: Lot 18, Jslock 2, CINNAMON RT1X;P; 31ZD ADD'I'PTON, City of Eagan, Dakota county, Minnesota and reserving easements of record. Top of Foundat'lon= 9)9.1 Exist7n9 E/evoc;ons Basement Floor, 9/5,9 7)rn;neye D;rect;ons , raoroye Floor: `)/5,7/ DQnotes Lert Corn,er O Proposed E/e vatlons CD 9ib.g _ ~.J4S'12'SD'~E /03.0$ 913.0 ~S' s W N ~ q/' _ 0~ ~001~ ~ .u,n 9~8.4 L, \ 31 \ o kn r \ ~G V _~:.9. ~ - J~: No, F;< - - , - \ SLATER ROAD ~ ~ofA3o CERTIFICATE OF SURVEY I hereby certify that on S/17 /84 I surveyed the property described obove and thot ihe above plot is a correct representotion of said survey. . ~j ? \ . _S H -C.cv^~^^^ ~ Calvin H. Hedlund, Minn. Reg. No. 5942