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4427 Slater Rd CITY OF EArAN yrATM SUVICE PERMlT ~ 383Qirilot Kriob Road P. O. (3ox 27199 PERMIT NO.: - 264 ' Eagan, MN 55121 + D^TE: _ 1- 4 Zoninp: i•l No. of Units: 1 Owr,er: Keynen Const lldd?ess: ~ -Ld I ' Sih /1ddr+ets: 4 R-ag-Il ' 2 O Td ~ plumber. te on t^y ~ I lTef N$. : y l1A • I .i DVIOTe gfn ~~M ctlon Cho?ye: 450.00 pd j.~Ize. C'. i)r2 U l I ~ ~ ~i,.~ DeposiY: ~ ' r No.• -~k4eh+ti5ft Fee: 1 f1 17) 0 ' Ge"" to ~~yry~prpe: S 0 pd ~f i~c CFar~pes: 60.00 i7 d Ir or., 2 T ol: B1' Doft Poid: ~ Date of Inap.: ~ I , nsp.: , CITY UF EAGAN 3830 ?;lot Knob Roed WATER SERVICE PERINR ( P. O. 13ox 21199 PERMIT NO.: j264 Eagan, MN 55121 i Zonl R1 DATE: 1-6-34 ~ owner: xe en No. of Units: 1 CoASt Add,ess: 1 sia Addre,.; 4 27 at oa L17 B2 Cfnnmo» Rid e 3rd I Plumber: Weatonka S A/ ~ ~ Mater No.: i ' Stu: Cor+roect1«, Chorga; _ 4 50 . 00 nd i Account Deposit; i Rsoder No.: Permlt Fee: IQ 0Q pd I I elme !e ooiwply wilh li0 Citi oi Ep"¦ Surchoroe: _ 50T)d I ordhmbem 00 nd ~aeter~ Mi,c. Chorges; I B Total: Y Gats Poid: ' j Dote of I nsp.: + ~ 1nsp.: ~ ' CITY OF EAMN 3830 Pil.,t Knob Rwd swo SUVICE PERMR P. O. Box 21199 PERMIT Np.: 6352 ' Eagan, MN 551 ~11 py,TE; 1- G Sd ' ZoWng' No. of Units: 1 I Owrnr: K Addrosx Sih Addre,s: - 4427 Sls er Raod Ll7 B~ s Plumber liestonka S 3.d 12-2-83 40213 ONiw~.e~. ~•~n CornNCtbn phoe~: 425.00 ~d Aocount DepoWt: Pam+lt F«; 0.00 BY Surehorge; . ~p i Mtac, Cho~ of Insp.: Total: I Date Pold: - _ - ~ ~ CASH RECEIPT ~ CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE I9 RiCt1VtD ` FROM AMOUHT $ ~ 4 DOLLARS 100 ? CASH ? CHECK ROR " t ~1~ _ FUNC CODE AfAOUNT a You ~ BY White-PeYera CoPY Ye11ow-Posting Capy Pink-File Gopy cirr oF IIAw?N $6:}~ • =796 'ilet Kwe? Rae~ Eason, MN 55122 ' ?HONEs 454-t100 [ ~ oUILDING rERMIT Receiot Te M wmd fer SF DWG/GAR Est. Value 57,000 Da1e 12/2 19 83 SiM Address 4427 ater . 17 2 Cinnamon kidoe 3r ciE~ ~ ~"'pO"~' R3 Lot Blotk /~y 111ter p Zontnp rRl-PD Parcel # 1 0~ 170-OZ' Repoi? p Firo Zona NA e yme n o n s . n c. E^iaMe O Type of Consr. v W NaR1e Move ? # Srories ~ Addre 14517 Excelsior Blvd. pe,r,olish [3 Length 40 Ci Mt a• phona 933-1906 Grode p Depth 44 Sq. Ft. 8 Appeorals Fees ,g Name uU ~mu Assesunent Permit Zt3. SO G Water b Sew. Surchorpe Police Plan check 15 2.OU GW N°^'e Firo y~C 525.00 /lddress Enp. Woter Conn,450.00 iW Ci PFwne Plonner Woter Nkter 60•00 Council Rood Unit 2 50. 00 I hereby ocknowled9e thot 1 have reod this application ond stote Nwt Bldy. Off, f1?e inlormation Is correct and ogree to wmply with oll opplicabie ~ 1 769. 50 Stote of Minnesoto 5tarutes ond City of Eoqon Ordinonces. T~al Sipnoture of Permi A Buildiny Pertnit 1 i /fo: - on ths express condition tlxa+ oll work shall be ~ th- aft applicable Spl~vi of innesoto Statutes ond Ciry of Eapan Ordinances. Buildinp Officiol { Permit No. Permit Holdsr Misc. Pwmit No. Holder Plumbinp ( ~j S ~GPit d H.v.n.c. " w.u riKer Di~P• Sew~r ENepie Infqction Date Insp. Other Footinqs ~ : { Foundrtion Framinq 3` - ! A~ Rouqh Plb¢ G- fc~l~ r•, Roud+ HV Inwlation Firnl P1bq. Final HVAC Find LL&L w~ D~wib~ Location: YWII • S~vNr Pr. Dbp. RecNpt MECHANICAL PERMIT Psrrnit No. , CITY OF EAGAN Fn - , . Fill in numbered s,pecea S/C Type or Prin[ legibly Tot 1. Date 2. Instatiation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address ~ • { , y: 7. City State • - - 2ip ' 8. Building Type; Residential Q Commercial ? Institutional ? i" 9. Work Description: New O Add ? Alter O Repair ? 10. Describe Fuel Type 11. No. EqWpnleni 8TU - M. Ea. No. Eauiament CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby oertify that the above informetion is true and correct, and I agree to comply with all ordinances and codes goverrung this type of work. Signed : for Rouph Finel 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 aF EAGAN Fee Fi!l rn numbered spaces S/C Type or Print legibty Tot 1. Date 2. Installation Cost • L~.G R- 1; • 3. Job Address Lot~LBlk. d Tract 4. Owner 5. Contractor Phone ' 6. Address 7. City State Zip 8. Building Type: Residential Commercial O Institutional ? 9. Work Description: New 11 Add ? Alter ? Repair O 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank - Lavatory Softner Shawer Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor drains Drinking Ftn. 51op 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 , Rough F inal Inspections: Date Insp. Date Insp. This is your per, It when nurtlbe~re-d and approved. Approved?L_u-itlt-i-i CITY OF EAGAN 454-6100 _ CITY OF EAGAN Remarks Addition CINNAMON RIDGE 3RD ADDN Lot 17 Rik Z Parcel 14-17402-170-02 Owner Street 4427 SLATER ROAD State EAGAN NIIV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Q STREET RESTOR. GRADING SAN SEW TRUNK 1973 102.22 6.81 15 20.50 A013960 5-30-84 SEWERLATERAL x 1989 724.53 144.91 5 724.53 C009458 9-7-84 WATERMAIN WATERLATERAL X 1985 617.30 123.46 5 617.30 C009458 9-7-84 WATER AREA 1973 131.44 8.76 15 26.32 A013960 5-30-84 X 1985 393.87 78.77 5 393.87 C009458 9-7-84 STORM SEW TRK 1979 381.69 19.08 20 267 . 21 A013960 5-30-84 STORMSEW LAT 1985 1098.83 219.77 5 1098.83 C009458 9-7-8 CURB & GUTTER SIDEWALK STREET LIGHT 250.00 40213 12-2-83 WATER CONN. 450.00 It It BUILDING PER. 8684 SAC 25-00 PARK Vfhis request oid y yo.ov 18 nwnths tmm CIN~•~DG.3~~ ~vZ -0•14- fl`"fl7fl Z,ii Re t 6ate Flre No. flooqh-in inspecnon Requ retl> 1QReatly Nuw ~ Wiil Nuu1y Inspeo Yes ? No tor When Ready ~ Licensed Elec ncal Con acmr I hereby reques[ inspecEOn of abova Owner electncal work mstallad ac SVeet Address, eox or Route No. Ot ;2 ~ ~<A Vt~1L ~ 'ClGq a St!dt'lP, o. iownsM1ip Name or No. Ranye No. County D x ov~ Ocv ant IPRINT) Phane No. N 1' lCi) Power $vppl ier Atl ss A L C t<AcS&-- I HAR rwGC"G^~ Electncal Con« actor ICo ~ny Name) Contracmr's License No. -r ~L E' ~ C L d 16 Mailinp ddress omracior or Owner MaWny Instailavonl 3 U ~ a< 000 t N+J. 1s ~ 32 u~ rized SiB^alure IContr a t r/Owner Making Installationl one Number r7 ~ MINNESOiA S TE BOARD OF ELECiNICITY THIS INSPECTION FE ST WILL NOT ~ 'Griggs-Midway Blde - Room N-191 BE ACCEPTEO BY THE STATE BOARD 1821 UniversitY Ave.. St. Paul, MN 55104 UNLESS PFOPEF INSPECTION FEE IS \1hnnw 16121297-2111 ~ ENCIOSED. , CITY OF EAGAN Np 8684 ' ` 3795 Pilot Knob Rrod Eogan, MN 55123 , . PHONE: 451-8100 BUILDING PERMIT Rece+Pt # To M wed lor SF DWG/GAR Est. Volue 57,000 Date 12/2 _ 1 q 83 Sife Address 4427 S1ateL Rd. Ere<r XX Occupancy RI Lor 17 BI«k Z Sec/Sub. Cinnamon Ridge 3rdAieer ? Zoning rRl-PD Parce1 # 10-1 7 402-1 70-0 2 Repalr ? Fire Zone NA Enlarge ? Type of Const. V a Name Keymen Const. Inc. Move Z ? # Stories ~ Address 14517~ Excelsior Blvd. Demolish ? Length 40 ci Mtka. Phom 933-1906 Gmde ? Depth 44 Sq. Ft.- Numa Same ADVrorals Feet 0 o~ Addreu Assessment Permct 304.00 V~ Cit Phone Water & Sew. Surchorge 28.50 F Police Plon check 152.00 ~W Name Fire SAC 525.00 ~Z Addreu Enp. Water Conn.450.00 iW Ci Phone ` Plonner WaterMeter 60.00 Council - Road Unit 2 50.00 I hereby acknowledge that I hove read this apDlicohon ond state that Bldg. Off. L 1-22-$3 the intormotion is mrrect nnd ogree to wmply with nll oDPlicoble APC Total _ 1 7F,9 - 5~ State of Minnesoto Statufes and City of Eogan Ordirances. SiOnoture of Permittee A Building Pertnif I on the exDresl COndifion Ihni cll work sholl be d n cor le St te f Minnewta Statutes ond City of Eogan Ordirwnces. / Buildirp Official , CITY OF EAGAN Include 2 sets ofbP& 9LP ' 1 site plan w/eIevations & BUIIDING PERMIT APPLICATION 1 set of energy 0 ca1cij~Lati6ns. - at- vaiuarion It" Date I ltI l Z~ Zb Be Used For Sbwi iz FAmi Lv It Site Ptidress: q-q.Z't SLI>7Ep_ RD. OFFICE USE ONLY triY\O.N.~ph- I,ot I sloc~x 'Z sec./sub. £rect -4 Occupancy Parcel J-7o- 0 2 ~~r zoninq Repair Fire Zone ~ Oomer: Enlarge _ 'Ime of Const. Nbve # Stories Address: Demolish Front y~ ft. City/Zip Code: Grade Depth ft. Phone # : APPRL7UAIS F'EES Contsactor: j?.,C-y 1ytC-t_l C6 N ST, T 1i C Assessments Petmit ' .90 t I Water/Sewer Surcharge 28 Address: 1451 Z 2 L xC F, L_, P>Lv,0. Police Plan Check City/Zip Code: j`.tTKA., Il,~,l. 55Ti43 Fire S]1C Phone l 9~710 ~g• Water Conn. {/S-o G' Planner Water Meter (00 -a+ h./Eng : Council ad Unit a.~ Bldg. Off. /J--.X~-010 ess: APC Zip Code: TdPAL \ ~ . . ` . ~6 ~ s ~ S' ~ ~ `z°~ ~y' , ~ ~ ~ . i ~ For Olllce Usa ~ i Pern,ii ~ - i Clty of Eap gj, qD~e ' 11110, ~ i 3830 Pilot Knob Road IPeri„n ree Eagan MN 55122 i Phon@: (651) 675-5675 I oale Received Fax: (651) 675-5694 C-C I - 2008 RESIDENTIAL PLUMBING PERMIT APPLICAT Date: ~ Site Address: ~L( -C-~---) e2 ~I OCT 15 2008 Tenanl: D DL4V \ u Sulle p RESIDENT / OWNER Name: _ ~l 1 3~ ~ -Ir_~ Q 1 n Address / City / Zip: ~_~o E 2-.Ll.~_ CONTRACTOR L~~ Address~ Cily: Slate. ~ L)\- Zip Phone. ~l l.f1l(1~ Contacl Person. - TYPE OF WORK _ New Replacement _ Repair Rebuild _ Modity Space Work in R.O.W. r~ Descrl Ifon ol woik:.~ PERMIT TYPE RESlDENTlAL , _ Waler Healer Water Sollener . - .i i . , . , Lawn hrigalion . Add Plumbing Fixtures RPZ PVB) Main _ Lower Level) _ Septic Syslem Waler Turnaround New Abandonmenl RESIDENTIAL FEES: $50.50 Minimum Water Heater, Waler So(lener, or Water Heater and Soltener (includes $ 50 State Suroharge) $30.50 Lawn Irrigalion (includes $ 50 State Surcharge) $50.50 Add Plumbing FixWres, Septic Syslem Abandoninent, Waler Turnawund' (includes $.,o State Surcharye) 'Water Turnaround (add $136.00 il a 5/8" meler is required) $100.50 Septic Syslem NeW ($10 00 per as built) (includes County lee and $ 50 Slate Surchaiye) $90.50 Fire Repair (replace burned oul apphances, ductwork, etc ) (includes $.50 St21e Surcharye) TOTAL FEES $ I hereby 2cknowledge Ihat Ihis mlonnahon is complele and aceurate; Ihal Ihe wmk will be in r,onfonnance wilh Ihe ordinances and codes ol lhe Ctly of Eagan; Ihai I undersland Ihis is not a pernnl, bul only an applicahon lor a pemnl, and work is nol to slarl wilhoul a perrnil, Ihol Ihe work will be in accordance wilh Ihe appm ed plan in Ihe case ol work which requnes a rpview ind approval of a s ~ Applicanl's Printed Name Ap lic Ps Signature FOR OFFICE USE Revlewed By: Date: Required Inspections: _Under Ground _Rough-in _Air Test _Gas Test Final ~ ' I For Offce llse ~ City of Ea~aIl j Permit# 175, ~6 ; I ~~97 ~ i PermR Fee: i 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received. ~Q "JI ~ Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: ~ I I 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: % -d-7 - D D Site Address: `f '7"d / 61a` u /?C~~ Tenant: Suite RESIDENT / OWNER Name: Phone: Address ! City / Zip: Applicant is _ Owner _ Contrador TYPEOFWORK Description of work: ~.JeCo~~ /Au~~5 Construction Cost: Multi-Family Building: (Yes No ~ CONTRACTOR Name: 1aA1~A1t_ License#: ;2 Q / L12 9 12 Address, J /T-1--/] k-( ! PAI'L City: ~ ~ State: Zip~v ~z ~ PhonebI <90 / Yc7/Contact Person: 7,5~TEe COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category i Worksheet . New Energy Code Worksheet Category Submitted Submitted (4 Submission type) • Energy Envelope Calculations Submitted 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: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public informafion. Portions oi the information may be classified as non-public if you provide specific reasons that would permit fhe City to conclude that the are trade secrets. I hereby ackrtowledge thaf ihis information is complete and accurate, that the work will be in confortnance with the ordinances and codes of the Cdy of Eagan; that I understand this is not a permd, but only an application for a permit, and work is not to start wdhout a permR; th the wo will be in accordance with the approved plan in the case of work which requires a review and approval of.~x x ApplicanYs Printed Name Applicant's Signature L Page 1 of 3 DO NOT WRITE BELOW THIS LINE ~ SUB TYPES ? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. AIL - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? OS-plex ? Deck ? Porch (screen/9azebo/pergola) ? Multi Misc. ? 03-Plex E) 70-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building• ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement O Egress Window ? Water Damage ' Oemolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation ~ • - Occupancy ( ~G . t MCES System Plan Review Code Edition YNII LB°7 SAC Units (25% 100%~ Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length ~ Fire Sprinklers Type of Const. Width • . REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: ~ Footings (deck) Final/C.O. Footings (addition) ~ Final/No C.O. Foundation HVAC Drain Tile Other: Roof: Ice & Water Final Pool: _Footings _Air/Gas Tests _Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _AirTest _Final Windows Insulation Retaining Wall Reviewed By: , Building Inspector - - - RESIDENTIAL FEES: Base Fee F F-ec Surcharge ~t ~ r 3 e) e..t, Plan Review jj i nDs+~ 5 ' MC/ES SAC Z) -clo City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant Copies Total Page 2 of 3 C A L`! 1 N H. H E D L U J 7726 Morqan avenua sou,n RlcAfield,Minnesota 55423 Land'Surveyor Civll En9ineer Phone : 866-2523 Srirvevor`s eert~~'ate xx<40F . JOB N0. 2~07 SURVEY FOR: zachman Homes and Keymen construction Ine. DESGRIBED AS: Lot 17, Block 2, CIcRd~.riC~~; RIIiGE THIRn ADDITION, city oF Eagan, Dakota county, Minnesol-a an,a jus,:rvinr; ea:>ements of record. 9 Top of Foundoriv.?= `lrG.4 ~o 2 ' o Base.nenc F/ooi= ?/4 aoroye F/oor- 9/8.0 , ~ Propos~a/ E/~ vdt%ons O / Z. ti \ Sa E x i st:ny E/cvor;ons ~ Drainaqe V1rec-t%0ns a / 8+~ DenA<~s Let Corn~r' O 1/ s11 ` ~ ~ 1 C'', \ ( ~ 7 i' ~ ~ 6•s ~o ~gk'yqry \ ~ • r~' -C)`:)c 13 _ ~ • 1 q%-, ' ~ • ~i V ~ 35. 7 r , r c~16•~ \ p:441P51'~2~ 9i6 ~~c30 `r'i',::. SLNTE2 GQ3EM~~~ED Iffiv:~ yvt ; f$UILDIft1G IWSPECYOORiS D9VIVAM9 CERTIFICATE OF SURVEY I hereby certify that on /O /81 I surveyed ihe-property described obove and ihot .the above plat is a correct representation ot said survey. , Colvin H. Hedlund, Minn. Reg. No. 5942 \ I For Offce Use ~ Clty of EapIl j Pertnit # I ~ I PertnitFee: 3830 Pilot Knob Road / ~ Eagan MN 55122 ~ Date Received: (I~ -17 ~ Phone: (651) 675-5675 Fax: (651) 675-5694 i Staff. ~ i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Q6 lJD _ Site Address: 11161o27 544e2 40 ef - ` ~ . Tenant: Suite RESIDENT / OWNER Name: Phone. Address / City / Zip: Applicant is: _ Owner ~ Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building (Yes No ~ e~ v CONTRACTOR Name Lc~ License Address: C S- / Z (.V~'•~.~v-¢--~r~,v- A)Q . N. City: State: /YI(J Zip: S S J~ ~O ' Phone: -7 1~1-77 -ea_0-0 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: NOTE: P/ans and supporiing documents thaf you submit are considered to be pu6fic information. Portions of the information may be classified as non-public if you provide specific reasons that wou/d permit the City fo conclude lhat the are trade secrets. I hereby acknowledge that this information is complete and accurete; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permR, and work is not to start without a permiY, that the work will be in accordance with the approved plan in the wse of work which requires a review and approval of plans. : x ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 2007 RESIDENTIAL MECHANICAL rERmiT nrpLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 . PIL•se wmplete foe single family dwellings & townhomes/condos when perniits ure required for each unit . ' Date Site Address ~~~~%-(cr Unit # Property Owner l-VI I I' I r Telephone #(!(/J fV?/ f ~ Contractor Ron's Mechanical, Inc.. StreetAddress 12010 Old Brick Yard Road ciry ' Shakopee State MN Zip 55379 TelepheneN.( 952) 445-8585 RondRLI 561164 FaP~res: 8-13-07 The Applican[ is, _ Owner V/11'c~on[ractor Uther Fire repair (replace burned out appliances, ductwork, etc.) ' $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-qn or altera[ion [o existing dwelliog unit $ ' 50.00 _ furnace . . _Additional _Replacement New air exchanger ~ air conditioner heat pump otner State Surcharge $ .50 To[al C:71\. ~ I hereby apply for a Residential Mechanical Pertnit and acknowledge that the infotmation is'comple[e and accurate; that the work will be in confortnance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that l understand this is not a permit, but only an application for a permit, and work is not to start without a pertnit; that the work =2007 cp~yv approved plan in the case of work which requires a review end approvzi of plansU l-lY1C~rL ApplicanPs Printed Name Applicant's Signat r • ' BY . 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ~ 1,~C/ I GT ~ Site Street Address Z/ 6/a 7 Unit # Property Owner Telephone # Contractor ~csC,12; Telephone# Address 41 4'PCity State-t/ ZiRSa The Applicant is: _ Owner XContractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener ~ Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RP2_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a p n is r uired to be viewed and approved. ~ 4 ~ Applicant's Printed P(afiie ApplicanYs Signature , ~ ' . t ' . . HIMst PINECtJPOD F- R s Pc IT , . . ' . Ei:'CGRIOF li:1VEl.GPE 11Y:i2~GG "U" CO:-c UiA'1'f021 o;:;a;;n ZACNMIiN HOMES _ -TNC szre „ourEss P/NEGVODD S PC / l LE(UEL ccNTrAc^.o?i 9-3 7 - 9SzQ ~ Deter.nine working square footage ol' each. ' L Sotal exposed wall area Za 9 g 7( sq. f". X./a 2. Total root/cciling area ~I 3G sq. ft. X• 04" - I 3 7'• A. Total %~rall window area . . . . . . . . . . . . . . . . . ~ S'j-• B. Total door arca 57, 8 Z . D 2 C. Tet<.1 sli,3in9 g].ass door area 4-0 D. Total fi.reolace Mall area.....• O E. Total wa'_1 framiny area (average 10%)............. /C S.3 7 GG7l.- P. otal Rin j-oist arca. .'....~(1_3g~ S9- 37 G', iotal Net wall ama above tioor. • • • • - • • • • • • - - • • s~ S' 3 9 Total exuoseo Foundation area - g 9- 3 7 (G6 -7J t?, ToLal fcundation wir.do:a area . . . . . . . . . . . . ~ 2. Total r.et fomndation area above grade.. E 9~~ 7 Determi.ne "U" value o_° each wall sPgment. a. l S4-•4Z X,-U.. ..~D = 77 . 2/ b.37 ,gz x,137 c. 40. 61 a"U., O/ X "U.. x^u" f.x.,u„ , 053 = 4. -2 3 g. S. 3 ,,U,, . 0-1-9 = 7 g~ z S ' h. 6 x „u„ p = p _ i. S`1-37 x~,u-- ,57T = s/,CS' . - ~ur ~ 2o q1•76 ~ 3 ...................................Total Zoq9-•7L IL il'^m 0 i.^. tltc szmc ao, or lr_so tnan itcr.i iil, you havc iricl' the intcnt of ~ SRC GOCG(c)2. , • - - . . - , . ' _ . . ; : ~IN~(,UDQD F- (K SPC~T . . , - - 7bta1 c>:posed roof/cciling area = I-3 6 'T7 j. Total sb:yJ_ivht area 6 k, Tot:il roof/ceilicg frami.ng irca (avcrayc 10't.)...... 93-6 7., 'POCal rn~t insulated roof/cciling arca $ 42 • 4 D-ztermine "U" value for each roof/ceilir,y- segm•_nt. j d X~lull _ 6 = O- k. y3•c x „U„ ,0~2 = 2, qq i. S 4'2. 4 x„U,l , o ZC = 21 . 9 6 - RUE U 9 .....................................Total = Z 4•$ y 0 2 O 4- If total of PM is the same as, or less than 42, you have mat the intent of S9C 6005(c)i. Alternate Bu.ilding Envelope Design To u`ilize tiie total en-.?elope system method, the }-aluPS eGtaLli=he9 suin o: ;tFr.is 43 ar-c :;4 shal:l not be greater than the sum or ~t..-n ~[1 aa3 ri2. Z, + 2. _ - 3. 4- • . ' _ - r~l N C GIJpU U r ~ FFRAi'rtli~G ADJUSTi~iENT F~ OPAQllE ~+'ALL L7 109. 16" O.C. 7~ 24" O.C. ~.ONSTRUCTION R-VALU' r ~ I E1 IhTERIOR AIR FIL'-t 0 68 Z •1 2 -5 ypsum boara . ! TOP VIEW g OF WALL ~ 3 ~ oitwoo .3 4 4 ~%T` IIbq "Fo~rcTo coedar llr scth~n ing Fnam 5 ~ 5 ~ l~a .5T 6 ffi=lOR AIR FILM .1 • TOTAL K • ~i lrUn flRl ' F 7 INTERIOR AIR FIIM 0,68 b N 8 Gvpsum Board 0.45 9 G 4 Frir*inn fit T,yLZiylnt1RT1 11.00 BASIC WALL ' 10 314" Foil-faced iir.t.hanP Foam fi..'RO +11 7 16" C' n 12 EXTER OR AIR FILM , PERIPHER.AL TOTAL R 18.97 FLOOH G U 11 053 µ 13 INTERIOR AIR FZL*t 0,68 'S 14 3io; 16 0 15 soztkooa f, 3/4" Foam 6.0 • 1-r 16 " a T 7 • ~ u~ 17 £XTr.~RIOR AIR FII2d .1 ° U) TOTAL R ?.0",4 is a nUu 0.049 13 INTERIOR AIR FIIM Z.6$ FOUNDAT ON o zo o 19 }2°-EQnc.--Biock----3 AALL ' n zi 41 20 " 0.88 9 ~ 21 EXTERIOR A R FIL*t 0.17 U) TOTAL R 1.73 l'U" 0.578 UNDERSIDE 0 CANTILEVER r n , 6z Ln 22 r_ 22 IyTERIOR AIR FILM 0,92 23 3i" Friction fit 11 00 ze N Zq 7116" Hartiheard ,u 25 EXTERIOR Alft FIIM TOTAL R 17.76 eLq uUn p.7R9 ~ z6 0 26 EXTiRIOR AiR FIL'~f (STILL) 0.61 - z, ~ 7 To` u uT~ i o n - • n u 90 )'p um n r . ~tn 29 I;iTERIOR AIR FILM n_ F,R Z9 ~ ,j TOTAL R 38.98 ~ "U" 0.026 ROOF/CEILIN , - 1 2 IDfo ff_'ri~~~Nr 2= 31, o~ 4f = , 6 3 Z ' 30 E?CTERIOR AIR FIL*i 0.17 - • • . , ei 31 32 y 33 s4 ~ 34 A R SPACE ST LL 15.92 ROOF/CEILING ~ 0 35 : 36 7 v 37 N ER OR A R FI ~ TOTAL R F Ult . ~ ~~i Do:lU h Ug S T FiLE - - - - - . _ - - - - - - . 1 RESIDEPlTIAL h7IN( OTA STATE 6UILDING CODE DIVIS1 • EXTERIOR EP;VELOPE AVERA6E "U" C01•iPUTATI0tJ o41NER Z RC N!`f fi N HQ MES TN C SITE ADDRESS L(l0 0 D HQ R 5 l S E COIdTRACTOR Z H C l'f NR N HOMES TNC DATE 2-9- $ 1 PHONE 137 - 1S7,0 Deterinine working square footage of each. 1. Total exposed wall area 4, O sq. ft. x = 307,10 O¢ 2. Total roof/cei 1 ing area 6 sq. ft. x~ = 3`f - SG Total exposed wall area above floor = /SGO a. Total ti•iall window area . . . . . . . . . . . . . . . 137. 32 b. Total door area. . . . . . . . . . . . . . . . 37, S'z c. Total sliding glass door area. . . . . . . . . . . . ¢o . Oz d. Total fireplace wall area. . . . . . . . . . . . - o - e. Total wall framing area (average lOri). I 2 g. ao f. Total net wall area above floor. . . . . . . . . . . . g. Total rim joist area . Cv).(1399 . : . . . . . . . . $O-oo Total expos(l~d forndation area = 8'0, o 0 ZOl6G9 _ , h. Total foundation window area . . . . . . . . . . . . --o - i, Total net foundation area above grade. $o, o0 Determint "U" value of each wall segment. a. /37 • 32 x"u" 5-0 = 7/ •--f/ b. 37- 8 2- x°u" 3 7 = S, c. 11 G. 02 X~,u,- .5- 5 = 2Z• 5`/ d _ o _ X l.ull e- 129,00 X"u" , 0 9G = / z, z y ~I f- 11.5-G• 3,4- x"u" 3/ y. ' S o. 6v x„U,~ ..Otf_ h. ~-O - x flull • 2g ~ i. ~O , oo g "U" , 5 7g = 46 filv `0 3 . . . . . . . . . . . . . . . . . . . . .Total = Z Z3. oS - =.I3 C , /8ir;- /l 60 ' If item n3 is the same as, 'or less than item #1, you have met the intent of SBC 6006(c)2. ~ - LUUDU ff Ule ST ~ FILE i ( Total exposed roof/ceiling area j. 7ota1 skylight area. . . . . . . . - k. Total roof/ceiling framing area (Average 10Y). 40 l. 7otal net insulated roof/ceiling area. 7 7. j; o Determint•"U" value for each roof/ceiling segment. j X liuii k. 1~6 .I~ xliuii 2. 7G~8 1. 777, '0 X~, r -d2G = 20. 217G ~ ' y uc ~l , 4. . . . . . . . . . . .Total = 22• yS- (.0 26 6 C O~ If total of item 744 is the same as, or less than item n2, you have met the intent of SCB 6006(01. Alternate BuiTding Envelope Design To utilize the total envelope system method, the values established by the sum of items 913 and II4 shall not be greater than the sum of items #tl and W2. l. + 2. _ 3. + 4. • wno~ ri u R s i F~.'rtING ADJUSTMEP7T FO. PAQUE WALL ~ 10X' "lb° O.C. O.CO.C. 7x 24~ CONSTRUCTION • H-VALUE 'E I 1 INTERIOR AIR FILM 0 68 t ~ 2 ypsum oara . ~ TOP VIEW 3 c 3 Y o twoo OF WALL 4 0 4 - - „ - o s 4. 5 ar oar si ing 6 n~, 6 EXTERIOR AIR FILM 4~ `n TOTAL R " 'lu" nRi 7 INTERIOR AIR FILM 0,68 b 8 -'y5~"-~ -G-v~um Board 0.45 9 ~ 9 f~1 Frir'tinn fit Tncnlatinn 11.00 ~ 10 3/4:' Foil-faced_ ~lrethane Foam fi..'O.D BASIC WALL Y 11 7 16" ~ 11 1z ~ 12 EXTER OR AIR FIIM , TOTAL R : 18,97 pERIPHERAL ~s 'G ^ "U" 053 ~FLOOR ~ 13 INTERIOR AIR FILM . 0 15 I~1'rsottwooa F,i3/4nSFloam14n 6.0]Q1.66 17 16 7/161, 41 haTdbnard ~ 17 E?CTr~t I OR A LR F LI2~t . 1 TUl) TOTAL R 0. 4 ~a v °U° 0.049 119~ IS INTERIOR AIR FILM 68 rOUNDAT ON o 2° ° 19 i2"-Eanc.--Biock----- i:A-q- [JALL 20 y u 21 EXTERIOR ALR FILM 0.17 V) TOTAL R 1.73 "U" 0.578 UND£RSIDE O GAnTILEVER Gy ~ zz r4 22 INTERIOR AIR FILM 0.92 23 .315" Frictinn fit 11.00 ze 24 7116" HaTdboaTd 25 EXTERIOR AIR FIIM ,u) `D TOTAL R 12.76 o.7eq ~ - z o 26 EXTERIOR AIR FILM (STILL) 0.61 n lo" wn n u~ io~n u 2- 37~b' uypsum nib~dr . o v, 74 I~IT~IOR AIR FILM n.FR TOTAL R 38.98 n "U~' 0.026 ROOF/CEILIN K /09o F2ANifyc R = 3l. aG u = o3Z 30 EXTERIOR AIR FILM 0.17 31 ' 32 33 . C 34 A R SPACE ST LL ROOF/CEILING ~ 0 35 36 7 w 37 N ER OR A R FI to TOTAL R eIIn ' • L Cr A L`,l N H. H E D L~ • 7726 Morqan Avenue South Rlchfield,Minnesoto 55423 Land Surveyor Clvil Enpineer Phone : 866-2823 survqo?r`s G'ermficate JOB N0. <N07 SURVEY FOR: Zachman Homes and Keymen c:)nGtruction Inc. DESCRIBED AS: Lot 17, Block 2, CINb?I1,MON RZGGE THIRD ADDITZON, city oP Eagan, Dakota county, Minnesota and res<:r.ving easements of record. y Top of F0un0'4tion= 9~9.9 0 ,G o Bosem enr F/oor' '714- 9 y~~ 'LR Goroye F/oor= 9/8.0 ^ Se ti~1 ~2 ~ropos~o~ E/evaTio~s O 'b ~ \ d`o_ Exrst:ny E/cvar:o.it a \ Dra%nage ~i/ec"t:ons A~ / a+~ Den~<^s L>t Corner O / w, QC~• .10 \a'o ~Crn',~i z .F N c . \ / i - i.. 0~ ' _ ~ . , 9j6•0 ~ 0_ 44 54. l~ No~TN q ZZ'r 9. 30 4Z7 SLATEf'` RpA~ CERTIFICATE OF SURVEY I hereby certify ihat on /O /63 I surveyed ihe property Gescribed obove and thar /ihe above plat is a correct representation of said survey. - fy/c.; ~ Colvin H. Hedlund, Minn. Reg. No. 5942 SUBTERRANEAN ENGINEERING INC. 't.. 7415 WAYZATA BLVD. vnone sse-sase ~ . }-L :.~.1 DqTE MINNEAPOLIS, MINNESOTA 55428 oz,ax/lwy~3 EARTH WORK OBSERVATION REPORT OBSERVED Job Marne Job No. EXCAVATION: Job Locetlon_~£~f_~P~~~Y• 77~EOys /1~w~.. LOt Ea.thwork Block Contractor,2/--~ !r„~'fCllent 2dCXJaaft¢~raG~ plat t,rrlve Job Mileage Total 2 3 N FILL PLACEMENT: e• Dr~na~t Job Travel Time LJ~ Chergeable Lot 3~ Hours Lab. Tlme 9 Block 'I otal 4ioura On Job peport Time Rev ew 7ime P~at Summnrv ol Technical and /or Englneering Servlcea pertormed Including Fleld Test Data, Locetions, F.lovotions, and Depths are estimated. THE LIMITATiUN OF LIABILITY STkTEMENTS CN THE REVERSE SII)E OF THE COMPACTION OUALITY CONTROL TEST REPORT CONSTITUTE AN INTEGHAL PART HEREOF. _ feet deep teet deep 1. Excnvatinn is at end , grading to at end _ Elevatlon Elevatlon 2. Side Slovos are apprax.: vert. ? 1/2 horiz.: tvert. ? i horiz.: 1 vert. ? 2 horfz: 1 vert. ? tlatter than 2:1 other _ E 3. Consiruction Staking Is: adequate ? not availabfe I] Incomplete ? X 4. Excavotion is oversized }eet outside of bullding linea. c 5. Excavatlon (s: dry ~ wet ? A 5a. W3tar is seeping from v Sb. Depth o( water In excavatlon approx. _ A 5c. Dewatering Is: neceseary 13 not requfred ? T s• Excavation is with : dragline ? backhoe ? scraper O dozer ? 1 7. All unsultable soils have been excavated. YES ? NO ? c 7a. feet ot - eoit remalna to be ramoved. N B. Solt at excavation base is: Silty Clay ? Sandy Clay ? Clayey Slft 0 Sllty Sand 0 Clayey Sand ? Clean Sand ? Oiher 9• :eat ot !il! :equt:ad !a :aach rlaslgr auograde. 10. Excavation is: Approved ? Not ADDroved ? for flll plecsmsnt. 1 1. Fui is -0 4.-~ LL ~yEY S'.a.vo w/ ro.yE' G.P.fvE (tras ot son) 11a. Imported On-site borrow +0' 11b. Compaction la wit sheepsfoot roller ? manual tamper ? vlbratory ? F Gi~/t.s ~ O.it'' . amootA drum roller ? selT-propelled ? non-vlbratory O I 12. Fer/ormed 3 fleld density teets. See Compactlon Ouelity Control L Teet Report No. ~-.L L 13• feet ot tm remains to be placed. ~ ' 14. Denslty tests meet colnpactlon spsdilcatlona. YES NO Q 14a. Test No's, dld not mset c paction epecifleetlons. _ 1S.Additionai obearvatlona nd/or teate are re uired. S NO ? FROST p DFWATEHING:/ PROTECTION: SADJACENT TRUCTURES• ~MEATHER CONDITIONS: v N well points straw blank O Hot ? Ory [y~ ~ ~deep ells ? looae soi ? Warm @~ Raln ? I j aPen tch ? frost r ping ? within 20 feet ? Co01 ? SnOw ~ ~ N sump~pump ? tem . heat ? 20-40 feet ? > 32'F ' ? S oth ? o er 4n o. mora teot ~ er SUb-(T002IRg ? FIECQMMENDATIONS/SUMMARY/WORK PROGRESS: - QfnniiX y T~Sf! 204 -'--'•H~Lc~:oi. S l -7' '7oAf. i DI^1'ftI8UT10N: r.t: _,/VUO .'l r,c: _E ~-'i~~~?9 ~h~- ~ 7~ - cc: yY cl"~~ cc: _ G~y^fr ~{y-.,•~%' ~'/,,~,~;e~~ E~ SUBTERRANEAN ENGINEERING INC. THESE LIMITATION OF LIA8ILITY STATEMENTS SHOULD BE CONSIDERED TO BE AN INTEGRAL PART OF THIS REPORT: 1. In perForming our profeuionel ssrvius wifh rsgerd 4o sarthwork fnspsction and queGfy aenfrol, our findings will be obfained and our rxommsnda+iom made, in aeeordanq wlfh qemnlly aceeptsd onginesring principln and precticei. We will obwne, monl4w ard fMf fhL work, end mey adria or make ncommandetions, buf we us nof quannFon. Thit warcanfy li in Qsu of aII ofher wamntia eifha srpnued er Implied. 2. Subhrnnwn Engineering Ine. doa mf pnefiu In the fleld of land sunqnp, and is nof rnponuble for the ecaurary of grede deka end/or building loeefion dakw d fhis jobsife. Thers mud be adequafe comfruc4ion dekn, clNrly merked, fo snable our wll tropec4or M propsrly awu fhe eacavsfion. We will no} bs raponiible (or arry hum= ful wmeqwnut ntuking from improper or inwrrecF wndruction tfekirvg. 3. The field domify ted de+e prosented wifh fhis roport npnsonls the veluei af par- Hdar bul'wd poinft within the earfhwork. Alhouqh fhii is bsGevsd }o be hirly npw anfaHvo of the wndifion of the fiill pleoed end wmpeetsd on fhis defe, condifioro af ofha butions erd elsvefions in fhs fill mey very, and wa do raf wertent or yuarafise uniform All dsntifiss. 4. We eennot eertiiy, eifhsr e:prouly or by implfution, the quel'ify of erry work on Ihit projee4 whieh we did not have fhs opporfunify fo observe ef fin} hend. IropseFien o4 thb Nrfhwork projecf a4 irteguler irtMrvak does nof psrmit the impec+or }o awss the fup scope of the ernhecior's ecfivi}im. 6. If the tfrucfure is rodadgned in uie end sMpe, or if if is otherwiss moved wbspwnf fo our iropecfion, we should bs nofiAed w thaf we cen aueu if eddiiionel inspsefion work G nquind, or sugged wund engineering eMemetivei. We ero mf rmpomibb fw atry wil•foundafion cysfem wharo the sfruc+uro hes been relocefed wi4h rypecf to eacavafion end fill erae, subsequen} fo our iropsdion. . . iUBTERRANEAN ENGINEERING INC. ~j1"r_. MINNEAPOUS, MINNESOTA PHONE 546-6938 `1~~L"• COMPACTION QUALITY CONTROL TESTS Project _ Cinnamon Ridee 3rd Addition Report No. 54 C11.17f Rct. F, Hwy. 77, Eagan Job No. 5-8134 Sand Cone Method Er Indicated Percent Compaction: ASTM PJuclear ? K' Max. Modified Proctor Dry Density D-1557 Other ? Max. Standard Proctor Dry Density D-698 ELEV. AND/OR DEPTN BELOw Wel Densll Fao~in y Dry Density Mazimum Dat2 TPSt DI Tolal MOISTURE Laboroto °o No Floor Grade SamDle CONTENT ( Correcled 7 Cortpactioa RECOMMENDA710N5 REMARKS Desi n Grode For Sione ) Dry Density ~~01 Surloce (Induamg5toro) % pc} Aug.l] 273 - S ' 138.4 4.6 132.4 133.8 98.9 Meets specs. 198 3 4].:." 7-0' 138.0 5.7 130.5 133.8 97.6 912' s -D.5' 140.0 5.4 132.8 133.8 99.3 cilZi . NOfES I.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLE. ^ 2.1 APPROXIMATE DENSITY TEST LOCATIONS ARE SHOWN BELOW. ~.t put ~ ~~9 7 ~ • _ Q • i ~ f / ~ . RECORD OF COMPLAINT DATE: cs i COMPLAINT TAREN BY: NAME:-- J co-f~ A~ CUfC~~o~, ADDRESS: / 2) la~e~ R~ PHONE NO.: . ~i Z 2 - ySZS COMPLAINT:--- Pooh-------- ACTION TAKEN• w ek f ! n q 7"o jLie /~icvse oa ObSed'v~-W itie - ~ bP COMMENTS: ' TYPE OF BOILDING6 - % I ~ - LEGAL DESCRIPTION: f . SICNED: - - - - - - - - - - Q0 2007 RESIDENTIAI, BUILDINC~i PERMIT APPLICATION City OtEagan n~~-- 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements RemodeVReoair ReamremenLS Office Use Onlv 3 registered site surveys shovnng sq. ft. of bC sq. R of house, and all roofed areas 2 copies ol plan showing footings, beams, joists Cert of Survey Recd Y_ N (20%macimum lot cwerege anowed) 1 setof Energy GalculaUOns for heated addihons Sods RepM Y_ N i Sals RepoA if proposed building is to be placed an disWrbed sail i stte survey for addNOns 8 decks Tree Pres PWn Recd Y_ N. 2 copies of plan shovnng beam 8 window sizes; poured found design, etc. Addifion- in0cate i/oo-sde septic system Tree Pres Required Y N 1 set of Energy Cakulations Oo-site Septic System _ Y_ N 3 copies of Tree Preservahon Plan il lot platled after 711193 - Rim Jast Detail Ophons selec6on sheet (bu0dings wilh 3 or less units) Mmnegasw mechaNcal venfilation form Plans are considered public information unless you state the are trade secret and the reason. Date 127 l U 7 Constructioo Cost g- 7000• e--> Site Address fVG? ~-'cJtii:n_ Rp UniUSte # Description of Work ~ - jl: Multi-Family Bldg _ Y~C N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone tt ( ) Contractor ~j'L~/~1T?(r2~) ~~DYr•F % ~.~cy.•~ .~,,-_rS Address City Z~')SScz> Sta[e !ryl-m/ Zip Telephone 4 (7(o j) ~(2 q - ZS'7 9 2b01 ~fy(~~j COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilalion Category 7 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitled Suhmilted . Energy Envelope Calculalions Submitted In ihe last 12 months, has fhe 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/Water Contractor Telephone # ( ~ I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. / Applicant's Printed Name App ica ' ure DO NOT WRITE BELOW TffiS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg 0 02 SF Dwelling ? OB 06plex O 16 Firepface O 21 Porch (3-sea.) ? 31 6ct. Alt - Multi ? 03 Ot of _ plex 0 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/gazebolpergola) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvemenl ? 38 Demolish Interior ? 44 Siding ? 32 Addition 0 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaC2menl 'DemollUon (Entire Bldg) • Glve PCA handout to applicant DBSCrIp210f1: WaterDamage_Yes Valuation Occupancy MCES System Plan Review _ 100°h or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ SheeVOCk Footings (deck) _ FinaVC.O. Footings (addition) _ Final/No C.O. Foundation _ HVAC Drain Tile Other Roof Ice & Water Final _ Pool Ftgs Air/GasTests Final _ Framing _ Siding _ Stucco Lath _ Srone La[h _Brick _ Fireplace R.I. AirTest Final Windows Insulation _ Retaining Wall Approved By: , Building Inspedor , Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total PERMIT City of Eagan Permit Type:Building Permit Number:EA115344 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 4427 Slater Rd Lot:171 Block: 2 Addition: Cinnamon Ridge 3rd PID:10-17402-02-171 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Jeff Tatur 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 - Cathy N Pham 4427 Slater Rd Eagan MN 55122--238 Advanced Home Improvement 9 Central Ave Osseo MN 55369 (763) 424-2979 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA115344 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 4427 Slater Rd Lot:171 Block: 2 Addition: Cinnamon Ridge 3rd PID:10-17402-02-171 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Jeff Tatur 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 - Cathy N Pham 4427 Slater Rd Eagan MN 55122--238 Advanced Home Improvement 9 Central Ave Osseo MN 55369 (763) 424-2979 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA124355 Date Issued:06/30/2014 Permit Category:ePermit Site Address: 4427 Slater Rd Lot:171 Block: 2 Addition: Cinnamon Ridge 3rd PID:10-17402-02-171 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. 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 - Cathy N Pham 4427 Slater Rd Eagan MN 55122--238 (651) 882-8371 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature