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4431 Slater Rd CITY OF EA(iAN WATER SERVICE pEiW11T ~ 3830 Pilot Krrob Road ~ P. O. Box 21199 PERMIT NO.: 5265 ~ Eagan, MN 55121 DATE: 1-6-84 , , Zoninp: _ R 1 No. ot Units: i ~ Ownsr, t , Mdross: i site Addross; 4431 Slater Road L1S 82 Cinnamon Ri e 3r wumber: westonka S W 1 ; AAstor No.: ~~~i~ 450.OQ p ~ Size: Acoount Depoall: I i Reoder No,; Permlt Fee: _ 10.00 Ucl ~ ~ ao~Vif wi1i~ !IM Cfhr oi lo9e¦ Surchorge: ~ .~0 pd Misc. aorpe:: - ~~•00 pd ~ater Totol: { By I Dats Poid: Date of Insp.: Imp.; - ~ , . . - - - - - -.~._r.~•.-.4 CITY pF EAGAN sWa s~~~ PNM 3830 Pilot Knob Rwd P. O. Box 21199 PERMIT NO.: 6353 Eegsn, MN 557~11 DATE; 1-6-$4 ~~+0: Na of Units: pw,nr Kereen Const Mdress: Srr. AAddnm 4431 Slater Road L15 B2 Cinnamon Ridgc 3rd Plw„b.r Westjnka S IS w 12-1-83 XIDI UI 40212 100.00 pd 1sww !e aewply wNw !Iw Ciep of io"m CcnrMCtlon Owrpr J2 S- ~Ll nil OellNSam AcaouM Depalt: Pom~it FN: 10.O1? pd Su.dw~; . 5 0 c>d By Misc. Chomm Dah of I nrp.: Total: Irop.: Daft Pbid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilsi Knnb Road 5265 P. O. ~ox 21199 PERMIT NO.: Eaon, MN 55121 DATE: 1-6-b4 , Za+?ng: RI No. of Units: 1 r :iciyMen Const ~ Si~ 4431 Slater Road L1:~ Cinn~.~ron Ridgc~ 3r~I umbar. W hr N Connectlon Chargs: 450.00 n d Size: No.Q ~ ~r iiliC~°u F D°p°'It' 10.00 j~« I qne fe es~l~, C Oi Ea~r SS- Lu~?~chorye: 50 Dti Of?IN f~C~I~RE~D BY LArW. 60.00 pd inter TOfOl: BY Dota Pold: Date of Insp.: ~ (rMp.; 4- ~ CASH RECEIPT ~ CITY QF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DA76 19 ~ RUcRivm rwaM ' AMOUNT $ , I 8 DOLLARS "o ? CASH ? CHECK row FUHD C006 AtAOUNT T n ou . ~ i er J I~ 1Nhite-Peyers Copy Yellow-Posting CopY Pink-File Copy • . . ~ ~ _ ..p:~ A~~ . , ' • ti w~ , CITY OF EAGJ?N-"-.- ' ~t + 37lS Nlet K.or Resd Ee"e,. MI!!. SS122 ?HONEs I54-a180 QUILDING PERMIT Rece+p+ # Te M wwd fer SI' D(;G/GAR Est. Value 58,000 Date 12/2 19 8 3 Stte /1dcpss •n.Rige r Eroct ~ Occuponcy , n _ Lot BIp4k T~= ,Sp~(Sy~ /11ter ? Zoninp 1 U t ~l: ~t Repctr ? Fire Zone Paresl # Neyfllt!ll . LUC;. Enlarpe Q Type of Const. ~ ie move xce s or t v. ~ Q # Stor ^ lish p Length G 1 t ca. 933-1906 Phone Grade p Depth Sq. Ft. ~ Nonm ~ Approvob Feas /lddress Assessment Permit u~ Woter 6 Sew. Surchorpe CI Pf1O^° Polica Plan check 00 bW Nome Fin S/~C ~ Mdress Enp. Water Conn. 00 < W CI Phane Plonnar Water Meter Council ~2.$3 Road Unit 1 hercby ackrawledge thot I how rcod this application ond stote that gldg. Off. the inlormotion is wrrect ond ogree to camply with oll npplicoble 74• Stote of Minnesoto Statutes ond City of fagan Ordinonces. APC TOtOl Sipnoturo of PermittPs - A Bulldiny Pertnit Is isuied to: on the express condition thn+ oll work shall be d irda all opplimble Stotdyf M newto Statutes ond City of Eayon Ordinonces. Buildinp Offlciol ~ 'f,~ l Permit No. Pamit Holder Misc. Permit No. Holder Plumbiny ~ V H.V.A.C. 4±zw.u Wobr Disp. So~ E''mic 7 ~ito N Im{wetion Dm Insp• Other Footinps I ~ - FoundKion Fnmino ~ Rou~ PIlq. Rouph HVA Final Plbo. Final HVAC F{nal W.~.. ~ - `b Y -3 e~-~EJca~R. S~w~r to i G1. 7) rk St ~i-5- Pr. Di~p. 5 ~;-r ~q4 O r; 55 5 Rscaipt MECHANICAL PERM17 Permit No. CiTY OF EAGAN Fee Frll in numbered;oaces S/C ` Type or Prrni /egib/y Tot. 1. Date ` 2. Installation Cost - . ~ 3. Job Address Bik. Tract 4. Owner 5. Contractor Phone ` Ti 6. Address 7. City State Zip 8. Building Type: Residential ~ Commercial ? Institutional O 9. Work Descriptian: New -Q ' Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Enuioment BTU - M. Ea. No. Evuiament CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg, Gas, P'iping Outleu 12. I hereby certify that the above informetion is true and correct, and I agree to camply with all ordinances and codes governing this type of work. Signed : - , for Rouph Final InsPections: Date Insp, Date Insp. This is yaur permit when numbered and approved. Apprnved C1TY OF EAGAN 454-8700 Receipt L' PLUMBiNG PERMIT Permit No. CITY OF EAGAN - Fee fi!l in numbered spaces ~ S/C ~i Type or Print /egibly Tot. -20, _5~ II 1. Date 2. Installation Cost I . , . 1 . _ t . r , . • s's-_ ~z C_ ,I 3. Job Address Lot ~ B I k. - Tract 4. Owner 1' - e =_T 5. Contractor Pf10RE 6. Address ..r_ 7. CitY State 2ip ` - ~ 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New Add El Alter 0 Repair ? 10. Describe 11. No. Fixtures No. Fixtures • ; Water Closet Cesspool/Drainfield i Bath tubs Septic Tank Lavatory Softner `T Shawer Well Kitchen Sink Urinal/Bidet Other i.aundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby oertify that the aboue information is true and correct, and I agree to comply with a, FI ordinances and Codes governing this type of work. Signed: - for Rough Final Inspections: Date Insp. Date Insp. This is y,our permit vyhen numbered and approved. Approved rCITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition CINNAMON RIDGE 3RD ADDN Lot 15 e1k 2 Parcel 10-17402-150-02 owner Street 4431 SLATER ROAD 5tate EAGAN hIN 55122 I Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 8L~() 1985 1012,20. 202.44 1012-20 9-7-8 STREET RESTOR. GRADING SAN SEW TRUIYK 1973 102.22 6.81 15 20.50 A014009 SEWERLATERAL 1985 724.53 144.91 5 724.53 C009456 9-7-84 WATERMAIN WATERLATERAL 1985 617.30 123.46 5 617.30 C009456 9-7-84 WATER AREA 1973 131 . 44 8.76 is 2• 6-8-84 1985 393.87 78.77 5 393.87 C009456 9-7-84 STDRM SEW TRK 1979 381.69 19 . 08 20 267.21 Aa 14009 6-8-84 S70RMSEWLAT 1985 1098.83 219.77 5 1098.83 C009456 9-7-84 CURB & GUTTER SIDEWALK STREET LIGHT RO 250.00 40212 I2-2-83 WATER CONN. 4SO.00 19 of BUILDING PER, 8685 SAC n n PAR K This reauesl vo-E y 0• QQ 18 monphs trom L~ A d71 ~-1 S? ~ 2, C) .1.ll~l„JD G-E 3Rb V* Re uest aie ~ Fire No. Houph-in InsUer.uon Renuvetl, OReady Now;~Will Nolily.ln " spee- sss~~~ 1 k Y oNO ~1tor When ReadV W Licens-ed Elecviwt Contnr.mr I hereby roquest inspecpon af above ~l Owner electrical work instnlled ac 5lreei Address, Boz or ftowe No. Ctv 3 sL49'C (f-- G,s ct on o. Township Name or No. Rnnpe No. C`o~ i~y l/A1c6 O~r.ypan[IPflINTI Phona No. K ~ V G ( d ~vL ~ Power $upVl er /AAdr ~ G 7'0 ElecVical ConVactor ICompany Namel Cnntrar.tor's License No. C Mailm AdJress IContractor or Ownor Makinp Ins ilationl n. OCl klAi .3L A[h ized SignaWre C mrnct /Owner Makiny Installati 1 Phone Numbe,r m - 2 b' / MINNESOTp ST E 80AND OF ELECTRICITY THIS INSPECTION flEQUEST WILL NOT Grie9s-Midwey Bldg. - floom N-191 BE ACCEPTEO 6V THE STqTE BOAPD 1821 University Ave., St. Peul, MN 55104 UNLESS PROPEN INSPECTION FEE IS Ppone (612) 297-2111 ENCLOSED. Z._(,S-gy~REQUEST FOR ELECTRICAL INSPECTION ee-ocwm-oa 31 ' Sea mstructions for comDlelinB this form on back ol rollow copy. rO ~j "'K" Belaw Work Covered by Tiris Request A Rb ~ AAd J Type oi 0uiltling Applionces WireA Enuipmem Wired Home Range Tertqmrary Service - Duplex Water Heater Lightiny Fixtmes Apt. Building Dryer Electric HeaLn • Commercial Bldg. Furnace Silo Unbader Industrial 61dg. Air Conciitioner Bulk Milk Tank Farm Othe, uec~ ~ ther ISpnr.flv) tuor lsucci v I or O~hu~ ompute lnspection Fee Below p Fee ServiceEntrenceSize fl Fee Feetlers/Subleeders Y Fee Cvcuits 0 to 200 qm ps 0 to 30 Am ps 0 tn 30 Fam ps Above 200 q~»py 31 to 100 Amps 31 to 100 qm s Swimminy Pool Above 100-Am s A6ove 100-AmUs Transrormers Irrigation Booms a tial.' Fe Signs Speciallnspecuon A ~ Remarks TO A~.F E 00 -72 ( Vw RouBh-in • ~ ,th I nl nspectoq he~oby certify that the nbove Final ~ re inspaction has been - j . ereda. TMS repuest voi018 monttu irom s reques~ void 18 rtqnths Irom ~ ATr` 9 57 s h c~ ; r~r. ?2.~ , ~~fl , Reques[ Date Fire No. Peqphea~ nsUection [3peady Now ? WiII Nolfly. Inspec ?1'es ?No lur When Reatly ? Lice ed Electncal Conuacror I herabv raQUest insoaction ul above ner eleevical wwk iectnlleA ac Sbe c AAdress, Box or fiov e No. Ci~ ~~3! S ~a a ecuon o. Township Name or No. I RanBa o. Cownty 11 Occ p nt IPRINTI ft.~~e N+. iK S hl)~DQ f9- 7D3 ao e, $upplie~ , naa.oss Elecvical CoMractor (Company Namel Contraclor 5 License No. MailinB AdJress IConVecmr or Owner Makine Instailatmnl Authorized Signatura (Conhacmr Owner Makinp Installationl 7M1one Number TMIS INSPECTION REQUEST WILL NOT MINNESOTA STATE BOAND OF ELECTHICITY G,iBes-Mitlwey Bldg. - Xoom N•191 8E ACCEPTED BY TME STqTE 60ARD 1821 UniveraitY Ave., St. Paul, MN 56104 UNLES$ PROGEN INSPECTION FEE IS Pn.na 16121 297 2111 ENCLOSEO. ! ~ A Y~ REQUEST FOR ELECTRICAL INSPECTION Eg'00D01-04 Af ~ •z4 See inStruCtionS for completirig lh.s form on baCk Of VBliow coPV. 1~ ~i 79626 "'X" Below .York Covered by This Request Nina, HAd ep. TVOe of Builtling APPliantes WneA Eqwoment WireA Home Range Temporary Service Water Heater Lightiny Fixtures Dryer Electric Heatin Fumace Silo Unloader Air Conditioner Bulk Milk Tank Otner Peu v tner Isuccifyl =FS,, Otner Oth.r Campute lnspecti on fee Befow p Fea ServiceEnbanceScte 4 Fee FeaEars/Subieeders N Fee Circuits U to 200 Am s 0 to 30 qm s 0 to 30 Am s Above 200 qm ps 37 to 100 Amps 31 to 700 Am - Swimming Poal Abave 100-Amps Above 100_Am " Transiormers Irrigation Booms ^U Partial: Other Fee Signs SUeciallnspecuon Remarks $ ~Z TOTA} FFsE ( ~ PouBh-m /J Oate 'Ze Electural/ ~7 -7 I^sOecbr, he~eby c~SHfy Nat the above Final t Date inspeclion has been ~de. / Thlarepueatvo101Bmontlialrom ( CITY OF EAGAN Include 2 se'g ~f pU,"--~5 site plan w/elevations & ' BUILDING PERNffT APPLICATION 1 set of energy calculations. 4-6a" r 15r 'Ib Be Used For St n16~Z- F Ik Ml L`4 Valuation 60-~) Date i 1( Site Pddress: 443 ( S L A 7 E L i2 D. OFFICE USE ONLY Ivt 1!5_ Bloc]c Z sec./sub. Erect occupancy Parcel # : Lb - ( ~l ~(G Z -1 S U - c~ ? Alter zoning Repair Fire Zone Owner: Enlarge _ Type of Const. r Move # Stories Pddress: Demolish Front 0-Y ft. City/Zip Code: Grade Depth 129• ft. Phone APPFmVALS FEES Contractor: ILEY M L N. CcyNST. Lni.C Assessments Pexmit ?Q 7`a 'fWater/Sewer Surcharge a9 l~ddress: ~¢S lZ z. cx.cc~. Bc.va Police Plan Check City/Zip Code: M.TV-A. Fire SAC Phone 933 ` 19 Olo . Eng. Water Conn. 6b a' Planner Water Meter 6 0 Arch./Eng : Council Road Unit ~~o ~ Bldg. Off.I Address: p,pC ~ City/Zip Code: 4 Pnom a: "TarAL ~77 .50 1 . ~ ~ ~ oo\ ~ ~ G ~ 4.y ~ ~ A~~ ~ ~o ~ ~ ~ ~r r , CITY OF EAGAN N~ 8655 3795 Pilot KnoE Road Ea9an, MN SS122 / I BUILDING PERMIT PHONE: 454-8100 Rece+Pt # r Q~ ~ • Te M used fer SF DWG/GAR Est. Value 58,000 Date 1212 , 19 83 Site Address 4431 Slater Rd. Etett R3 ~ OtCUponcy lot 15 Block 2 $ec/Sub. Cinn.RidQe 3rd Alrer ? Zoniog R1-PD Portel # 10-17402-150-02 Repuir ? Fire Zone NA Enlorge ? Type of Const. v e Nome Keymen COnstl. Inc. Move ? # Stories Z Address 1451712 Excelsior Slvd. Demolish ? Length 59 ~ ci Mtka. phom 933-1906 Grode ? Depth 28 Sq. Ft.- o Name Same Approrala Fees Z~ Assessment Permit 307.00 ou Address V~ Woter & Sew, Surchurge 29.00 Cit Vhone 153.50 Police Plon check ,r~„w Name Fire SAC 525.00 ~z x~Address Enp. Water Conn. 450.00 u iW Ci Phorx Planner WaterMeter 60.00 Council Rood Unit 0•n0 I hereby acknowledge that I have read this opplicotion ond state that Bldg. Otf. 11-22-83 the inlormohon is correct and o9ree to comply with oll applicable State of Minnesom Stotutes and Ciry of Eogan Ordirwnces. APC Total $1774.50 $ipnoture of Permift A Building Permit Is ssue on fhe express condifion thnt oll work sholl be do in rda pPlicabia Stat Minnewtu $tatutes ond City of Eopon Ordinances. Building Officiol 4t (0~12_~ 40> ~ Fo%OBice se ~ j City of Ea~~n Permit#.~ l~~~~ I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 - - - i sratr•-•-- ~ - Fax: (651) 675-5694 i i 2008 RESIDENTIAL BUILDING PERMIT APPCICATION Date: Site Address: q~~~ ) C~Q Tenant: Suite RESIDENT / OWNER Name: Phone: - 3(Q Address / Ciry / Zip: i Applicant is: _ Owner Contractor TYPE OF WORK Description of work: Construction C0st`f2v ! 1( J Multi-Family Building: (Yes _ I N ~ CONTRACTOR Name: j' 1 License n rxl(~ i U~ Address: C City: i State~_ Zip Phon Contact Person: - ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 EnBfQy COde . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category submitted submined (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 putilic information. Portions of the intormation may be cfassified as non-public if you provlde~specific reason~s that wou/d permit, the City to ' conclude that the, are trade.secrets. ' I hereby acknowledge that this intormation is complete and accurate; ihat the work will be in conformance with the ordinances and codes ol the Ciry of Eagan; Ihat I understand this is not a permit, but only an application for a permi6 and work is not to start withoul a permR; Ihat [he work will be in accordance with ihe approved plan in the case of work which requires a review and approval of plans. X X Applicant' rinte Name ApplicaM's, g~ature Page 1 of 3 RESIDENTIAL S,w n~ L~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 Naw Construction Reuuiremenb RamodelfReoair Reauiremenri • 9 registered sfle surveys showing sq. ft. of IoL sq. of house; and all mofed areas • 2 copies of plan (20°h maiiimum lot coverage allowed) . 1 set ol Energy Calculations far heated addiGons ~ . 2 copies ol plan showirg 6eam 8 wiMax saes; poured found design, etc.) . 7 site survey lor e:tenor additions 8 decks • 1 sel ol Energy Cakulauans . Indicate if hane served 6y sepGc system for addifions • 3 copies of Tree Preservation Plan it bt platteA after 717193 • Rim Joist Oetail Oplions selec6on sheel (bldgs wBh 3 or less units) 0 Q DATE ~O`l y'Oa VALUATION LI ~D v SITE ADDRESS 7/~1 JI<}-I C/' AD MULTI-FAMILY BLDG Y N TYPE OF WORK fIREPLACE(5) _ 0_ 1_ 2 APPUCANT 11"15 114 lNinc~t% STREET ADDRESS .Z:Z7/C %2 a /-Z12 ~i CITY ~ ~^a STAiE_ZIP iELEPHONE # CELL PHONE # FAX # PROPERTYOWNER_~~ll/r/'I ~iqOG TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNE507'A RULES 7670 CA'CEGOl2Y I NI ~7~g( l~~7rI Workl~+~ 7 p'_I (J submission type) • Residential VenUlation Category 1 Worksheet Submitted • Ehe~y COde s~eat bmitted • Energy Envelope Calculations Submitted JUN 1 4 ZOOZ I~ Plumbing Contractor: Phonc # B Plumbing syslcm includcs: _ Watcr Softcncr I.awn Spriiiklcr Wrcc': 79(T"( Wa[cr Heatcr No. of R.I. I3a[hs No. oC Badis Mechanical Contractor: Phone # Mcchanicd systcm includcs: _ Air Conditioning P'cc: $70.00 Hcal Rccovcry Systcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read ihis application, sTate ihat ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordingc3ces. Signature of Appllcant - - - orricE, usr, ovI.Y Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updatetl 4102 OFFICE USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08•plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Baoster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bidg) _ FinaVC.O. _ Footings (deck) _ Final/No C.O. _ Foo[ings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total / / 7726 Morqan Avenue SouTh Richfleld,Minnesota 55423 ~ ~ t t t t x t--•'•i Civll Enqineer Phone 1 866-2623 survel or`s G'ert~~'~cate JOB NO. SURVEY FOR: Zachman Homes and Keymen coristruction Inc. DESCRIBED AS: Lot 15, Block 2, CINNAMON kIDGE THIRD ADDZTION, city of Eagan, Dakota county, Minnesota and reserving easements of records. ~ 30 ~ o 96.~-1 `~/Q,Oo p 9/2.9 N 41 Z7 2 6 W , - - ~ll 'L 5'o~~SY"4CG5 ~ ~ lU_J~ "C4KGS ~ ~S7 rJ~~i~~~f4wl \ N O~ M . . a..vr Nz . 9/3./8 ~ 537°43 2911E 9 5.4/ 9/4 85 1 Q ~ N 443] I ~ S 9/z•82, SLATEr, RD. 914.10 914.ss tn -foP of 'Foundotion= ~7/f~•`~ 3~ $asement F/oor- ~ Garaye -Proposed E/eubt''or+s O Ex;stin9 E/evortions Dr6:r4ye- 77i recti ons Dene-res Corne/' O GERTIFIGATE OF SURVEY I hereby certify ihat on lU I surveyed the property described obove and ihot ihe above plat is a correct representation of said survey. Calvin H. Hedlund, Minn. Reg. No. 5942 a ~~`i~~s E pL @7 P f; IZ k LI~DUJ~ . S Pc iT L ECeL CU1 `f 0'P 09NT/UUE/L TO 2EfllZ . ENERGY REQUIREMEfVTS This form to be completed and submitted with building permit applications EXTERIOR ENVELOPE AVFRAGE "U" C0I4PUTATION oWNER 2 a C H MfiN H O HES ZN C SITE ADDRESS P19 2KLZROD u// 96M CBj(/7 CONTRACTOR DATE PNONE ~ Determine working square footage of each. 1. Total exposed wall area /,s y`~~ "'I'sq. ft. x .185 = 9 2. 7ota1 roof/ceiling area / p Z$ sq. ft. x .04 = Tot,al exposed wall area above floor = , . a. Total wall window area / o Z• ou ~ b. Total door area 3 7. 8 z c. Total sliding glass door area • o z d. Total fireplace wall area o e. Total wall framing area (average 10%) /Zo.. G/ f. Total net wall area above floor 70~7 7 . 5--5L g. Total rim joist area Io, 7 0 ~yz ,t 'I cRtYr go, ob' Total exposed foundation area = $ S. 3 7 h. Total foundation window area D i. Total net foundation area above grade g S 7 Deterrnine "U" value of each wall segment. a. / o Z, oo X~~U" , Sa = S/, 60 b. 37 • S 2 xIv, . 07 = s/S c. ~ G x ~'U-- , SS = Z 2, o/ d. o X"U" 9~ = v e. I2D _ G/ x"U'. , 0 8/ = 93 f. /0 7~• Sg x„v, , 0 5-3 = -5-7, / o q. 96. 7 6 x ~v, ~L p p. 66 11Uii •07g Z ~ 1. $5.37 X "U° ?S7S = `j9•3 is94, ol- 3 ............................................Total = ~ 01-. 71- S o If item #3 is the same as, or ]ess than item 1I1, you have9met the intent of 2 MCAR 1.6005 (4.3) , - FILE PAQKGUODD w/ 9 a 1/! C AMTIG/ UE/L -TV Total exposed roof/ceiling area = ~0 2 g j. Total skylight area d k. Total roof/ceiling framing area (average 10%).... / 0 2. g 1. Total net insulated roof/ceiling area ..........._y Z s. z Determine "U" value for each roof/ceiTing segment. j p Xolu.. Q _ Q k. / 6 2, S X 11 Lill ~ 0 L = 3• 2 g , 1. 9 2s. Z x "U-' o zG = Z~f . o s , - 4 ..........................................Tota1 = 2 7 • 3 ¢ _ _ / o ZS ' If total.of n4 is the same as, or less than N2, you have net the intent of 2 MCAR 1.6005 (4.3.2.2) Alternate Building Envelope Design To utilize tht total envelope system method, the values established by the - sum of items n3 and #4 shall not be greater than the sum of items #1 and 9'2. 1. + 2. _ 3. + 4. _ K• - • PI~ R It LcJ p0 D ~ FRk."ili~G ADJUS'P.;LNT rC OPAQUE "'.4LL • = T~ 10,A. 16" O,C. 7:. 24" O.C CONST3UCTIOti • F.-VALUE O.C. ~ n 1 IhT-7RIOR AIR FIL"1 0 68 z 2 Y`-`bypsum oara . ~ TOP VIEW 3 c g 3~5 Sot twooa v.~ OF WALL a 4 314"~=o~1-f~aclroThane Foam -fi s 5 //TSr ar boar siding ~.b7 6 ~ 6 ~XTf'`~ZOR AZR FZ1~i .1 • . _ _ `n TOTAL R 72J 35 I'U" flRl ' F 7 INTF~IOR AIR FILM 0168 b N 8 Lim Board 0.45 9 r 9 Frir-r;nn f;r T~+~1atj.r~p 11.00 BASIC F1ALL ° 10 3/4" 1=oa]-faced iJ_r.~~,h~n F~~am _h- ~D , ~ 11 7/16" Harrihnarrl Cidinn_ _ -p~ ~z ~ 12 EXTER OR AIR FILM pERIPHERAL 5 u~i TOTAL R R.97 FLOOR U 053 13 INTERIOR AIR FILM 0,68 ~s r 14 3h;; . . 0 15 1 sottwooa f, 3/4" Foam 6.0 '-r 16 /16" h 7 17 ',?CT KRI OR A IR F I IM . 1 a ~ ° r cn TOTAL R 20,4 "U" 0.049 is ~I13 INTERIOR AIR FIL"t 68 zo 0 19 gZ"-Eonc-.-Biock-----3:~9- rOUNDAT ON o D zi 20 " ~.4ALL 9 ~ ~I21 EXTERIOR A R FILM 017 TOTAL R 1. ~ .73 "U" 0.578 - ~ UNDERSiDE O C.4N TIL:VF'..R ~ - 6z ~ 1z G 22 INTERIOR AIR FILM 0,92 23 3y, Fri(-tinn fit 11.00 - ze +24 / " Hardbnard au, 25 EXTEtIOR AIR FILM c JI) TOTAL R 12.76 ~ L 4 nUn 0. 789 ~ - 26 0 26 cA~L-~~t IOR AIR FIL*t (STILL) 0.61 Io 1 Kn n u~ io n- U 20 J~r~P~Ulll bs'~-id . b cn 29 IYT_~-RIOR AIR FILM n_fig TOTAL R 38.98 - K ikUll 0 .026 ROOF/C:--:ILI:V f~r7y~N~ o ~ ~a1, 2 = 3~• 4 = , o ,j z , 30 EXTFRIOR AIR FILM 0.17 o-. 31 32 33 34 A R SPACE 5T LL 0.92 ROOF/CEILING 55 0 35 . 36 ' 7 v 37 N ER OR A R FI , N - TOTAL R E Qll I FoiOffice Us~ ~ Clty of Ea~an ; Permit # 117 oc I ITP I Permit Fee 3830 Pilof Knob Road ~ Eagan MN 55122 ~ Date Received: ~ Phone: (651) 675-5675 i ~ Fax: (651) 675-5694 I Staff: I I 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION bate: I I b 6 IO k_ Site Address: 4 S~r kd. ~..ci fl v, yli( /U 5-6-7 Z Z ~ Tenant: Suite RESIDENT/ OWNER Name: 41 La1/0 ec1111. Lc- DlG~(r,.~ Phone: GS-7 -kFi':2 -H Z7G. addressrciry/ zP: u44i Slf L`rOW 5-57 zZ Applicant is: -A- Owner _ Contractor TYPEOFWORK Description of work: & pZwc./ nci ~?~nC/J•aS ~ Construction Cost: k6vU _ 6-p Multi-Family Bwlding: (Yes No i CONTRACTOR Name: License#: Address: City: State: Zip Phone: Contacl PersonCOMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 CateqorV 1 Minnesota Rules 7612 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submiried 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 Contrector: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be c/assified as non-public ii you provide specific reasons that would permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; 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 permit, [hat the work wtll be in accordance with the approved plan in the case of work which requires a review and approval of plans. cT ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 ~ _ - SUBTERRANEAN ENGINEERING INC. MINNEAPOLIS, MINNESOTA PHONE 546-6938 COMPACTION QUALITY CONTROL TESTS Project Cinnamon Ridge 3rd Addition Report No. 55 Cli..f:f Rd. and Hwy. 77, Eagan Job No. 5-8134 , Sond Cone Method w Indicated Percent Compaction: ASTM Plur,lear ? Mox. Modified Proctor Dry Density D-1557 Other ? Max. Standard Proctor Dry Density D-698 - ELEV. AND/ON DEP1H BELOW wef Denslt Y Dry Denaity MaRimum ~;71r ~e st 01 Totol MOISTURE Laborolo % Floor Grade ( CorreCled ry RECOMMENDATIONS REM4RKS No. Somple CONTENT Dr pensil Compattion De;SnGrade Fo. Stone) Y Y Fill Surlace 11ncludinqSlone) °/a pcf ~IRqiYqlY S~O~pa S~~ . 1 >>lm'• <<'- Does not 1 'Y; ylZ' 126.7 5.8 119.7 133.8 meet specs. 89.5 Retest - .-2 - - °-~7 9141' 133.6 5,7 131.2 133.8 98,1 D7eets specs. •-I.5' =%ti J1,1, 135.0 5.8 127.6 133.8 95.4 ,-2.5' 279 914133.4 4.4 132.5 133.8 99.1 " -Z.S' 280 914137.4 6.4 129.2 133.8 96.5 -3' 281 914' 134.6 5.2 128.0 133.8 95.6 5+ , =8- 141.8 6.1 133.6 133.8 99.9 •m.~a..a.... .e. rJ!j iES: i.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLE. 2.) APPROxIMATE DENSITY TEST LOCATIONS ARE SHOWN BELOW. r G'Ck r - o~fG, • 9 ~ - - ~ I ~--I ~ , - \iI THESE LIMITATION OF LIABILITY STATEMENTS SHOULD BE CONSIDERED TO BE AN INTEGRAL PART OF THIS REPORT: 1. In performing our profeuionel sarvica wifh regerd +o eerfhwork Inspeciion end que8fy eonkol, our findings will be ob4ained end our rxommende+iom msde, in auordance wMh qonerelly eecepfed engineering principles end precfiaes. We wlll obferva, monkor and 4m} fhG work, end mey edrise or meke naommandetioni, buf ws ara not querenMn. Thb warnn4y li in Iteu of aII ofhn werronfiei eifhar exproued or fmplied. 2. SubMreneen Enqineering Inc. doeg m4 prec+(ce in the fleld of Isnd survsyinq, and is nof respondble for the eacurecy of grede dekes end/or building looeffon dekss e} fhL jobdfe. There muA be edequate consfruc+ion sfakes, okarly merked, fo enabls our wfl tmpeefor fo propsrly ewu 4he ezcevation. We will not be rssponfible for erry herm: ful wntpuencss resuking from impropor or incorced wnsfruetion tfekiny. 3. The Asld domity tsd de+e prosented wifh 4hit report nprnsrrh Ms velues a+ par- Hckr buliud poin4s wifhin the eerfhwork. Alhough fhii is beGeved fo be feirly ropw ssnrteHve of fhe wndifion of 4hs fill pleud end compected on 4his da+e, eonditiom ef ofher I«e4ioro end elevefiom in the fill mey very, end we do not werrenl or guerartfss unifortn $p deroifies. 4. Ws cenno4 eertify, eifhsr e:preuly, or by implioe4ion, the quelify of em/ work on ihit projecF whioh we did nof here the opporfunify fo observe e} fint hend. Impedion of fh4 earfhwork projecF ef irreguler irrtsnab does no4 permi+ the impeeMr fo ausu the full scope of the con4reefor': aetivitix. B. If the rtruefure is redeugned in si:e and sMpe, or if i4 is otherwise movod subssqueni to our fiupscfion, we should be notified w+hef we can aswu if additionel in+pscfion wak $ roquirod, or wgges4 wund enginaering akemefives. Wa ere not rmporoibb for erry eal-founds+ion syrFem where the druefure hes been reloeeted wifh rospac} to exeevstion end fill eree, subuquan} to our iinpecfion. SUBTERRANEAN ENGINEERING INC. ~':T%;*• 7415 WAYiA7A BLVD. rnon• 54e-e93e `i•~`-1'~]' MINNEAPOLIS, MINNESOTA 55428 D~TE /~m EARTHWORK OBSERVATION REPORT . ry OBSERVED i,,._ar... 1.. `p/1.L J o b Neme Job No. s T EXCAVATION : Jab I..ocallon ~ _v~i?_ ~L~-X_~]~ ~lw.. • Lot Eai thwork Block ConUactor[e,Zt- CllentAs~ ~ o rf hc. _ Plat Arrlve Job -/-:/_C2:* Mlleage ~ Total ~ FILI PLACEMENT: ~ Decart Job Travel Tlme Hours [42 Lot '~a}/.f Lab. Tlme /~9 ~ Block _a Totel Houre Eng'r 1 Plat On Job .L Repurt Tims ~ Revlew Tlme Suinmarv o1 7echnlcal end /or Englneering Serrlcea Deriormed Includina Fleld Tsst Deta, Locatlona, Elevatinna, end Deolhe are entimated: THE LIMITATION OF LIABILITY STATEMENTS ON THE REVERSE SIpE OF TH'c G'OMPACTION pUALITY CONTROL TEST REPORT CONSTITUTE AN INTEGRAL PART HEREOF. feet desp feet deep 1. Ercnvation la Elevatlon et end , grading to Elevatlon et end 2. ;Icie SIOD95 are aDProx.: vert. ? 1/2 horiz.: lvert. ? 1 horiz.: 1 vert. ? 2 horiz: 1 vert. ? flatter than 2:1 ? other _ E 3. Conslruclion Staking is: adequats ? not avelleDle ? Incomplete ? x 4. Excavallon le overeized feet outaide ol building IlneiL C 5. F.acevetlon fe: dry ? wet ? n 5a. Water ie aeeping }rom v Sb. Depth of wetsr In excavatlon aoprox. A 5c, Dewatering le: necsssery ? not requlred ? F g, cxcaratlon fe wlth : dragllne ? backhos ? screDer p dozer ? 1 7. All uneulteble solls have been exeavated. YES ? NO ? 0 7a. /set of s0i1 nmelne to bs removed. N S. Soll at excavallon baee Is: Slity Clay ? Sandy Clay ? Claysy Sllt ? Sllty Sand O Clayey Sand ? Cleen Send ? Othsr feet of tlll requlred to reach deelgn subgreds. i0. ExCavntlan Is: Approved ? NOt App?OVed ? for }III plaeement. 1 t. Fill Is',C.Jic'?,! CL.~YEY .1'Ai.-o tr/ 1'0/1~' E~At~L (tYPs ot soll) l ta. Imported ? On-sit* borrow I?' 1bf Compactlon Is wlth hsspstoot roller ? menuel tamper ? vibretory ? (G~e/~.,Arzt~ f ' •mooth drum roller O •elf-prapslled O non-vlbretory ? I 12. Performed _-7-._._/leld denelty tests. See Compactlon Ouallty Control L ~ Tsst Rsport No. ~s 13. _I~AJc 3 feet o1 Ilil remalns to bs plaesd. 14. Danslty tnete moet cofnPection speelfleetlons. YES O OO 14a. Teat No'a. ~76 dld not mset actlon speeltleetlons. 15.Addltlonel observetlons nd/ t t a? rs ulred. S NO FHOST ADJACENT DE'NATERING: PROTECTION: STRUCTURES: WEATHER CONDITIONS: P N well polnta atraw blanket ? s~1~ Not ? Ory L7 ~ deep w~s? loose eoll ~ ~ Warm ~Raln ~ ~ . ~ ope~n dtt'en ? Iroet rl Inp ? wltnln 20 rs•t ? Cool ? snow ? ~ 0 nvai ~ ~pump f_] temq h~et ? 24-60 tcet ? > 32'F ? c~ o)Der .O ot ei ? 40 or moro feet Q~ Sub-heezlnp? i I1fC'OtdlAENDATIONS/SUMMARY/WORK PROGRESS: rPrt °M7>6 Fi?'/<~ C~w.~i ?~~oq wi// Al, C HC7~C1'7~Cs~ I' reiS7 RIDUiION_ oo: _~,~!fz?_,Lf`G~~ / ~ . c:: _.~~_y r„_~1_~_fr~~ • 1.k.p>` • . c^_: _~dc~n.wn 1!~Pj bY c-: .G'Y~~fivee~_~~~!I1n:w g~ fq ~r • SUBTERRANEAN ENOINEEHING INC. ~ c ~ o nJ''~wCTioA City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Use BLUE or BLACK Ink For`Office Use Permit#: /oa 5—&Q /hj Permit Fee: L` �/ `7 �—/ Date Received: Staff: INFLONFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water t G 11 Site Address: t1 -L J C Tenant: Suite #: RESIDENT / OWNER Name: >-/A k i '4tl A - L AI o Phone: 7 _ 6-1/ _.4_j (.< Address / City / Zip: 1.1-51-3 / S LA 7E )'? 0 Name: License #: Address: City: y State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the Sump Pump Repair building envelope) SEWER & WATER Repair (Outside the building envelope) Other: Other: DESCRIPTION Description (i Cl i (('P --L' 6 of work: ---6(( _14 yf AO (..., 46 -- FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; 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 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. x 1/1.1)-1/1)--011 Applicant's Printed Name x Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Final Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I ~ Permit City of Ea ~a~ Permit Fee: (0 I 3830 Pilot Knob Road Eagan MN 55122 Date Received: ! Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 't 2. - ( Site Address: 947)1) Unit Name: G1 k"C' Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: 22~ N0aA1-.'A- "A, Construction Cost: Multi-Family Building: (Yes / No/ ) Company: :A- S4 k kAn'~ Contact: ~C \ Contractor Address: MY-J City: C State: 1 V " Zip: SC_ Phone: n ( _ g~ `p License Lead Certificate MV-1-1- If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; 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 permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building ode m t be completed within 180 days of permit issuance. X_ x Applicant's Printed Name App ' Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA116133 Date Issued:10/03/2013 Permit Category:ePermit Site Address: 4431 Slater Rd Lot:151 Block: 2 Addition: Cinnamon Ridge 3rd PID:10-17402-02-151 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Kris Oien 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 - Hakim A Lado 4431 Slater Rd Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature Sarah Brandel From: Karen [Karen@championplumbing.net] Sent: Thursday, October 10, 2013 9:51 AM To:Sarah Brandel Subject:cancelling a permit and applying it to another installation Oct. 10, 2013 RE: 4431 Slater Rd Permit Number: EA116133 CANCELLATION OF PERMIT AND SWAPPING TO A NEW ADDRESS ATTENTION: Sarah To the City of Eagan, We pulled a permit for a plumbing install (Softener); unfortunately the customer has cancelled the installation. We are asking for the permit to be cancelled and then swapping this permit to another address when a new installation comes up. Thank you for your help. If you have any questions, please call our office at 651-365-1340. Thank You, Karen Kruse Champion Plumbing Accounts Receivable B PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA116133 Date Issued:10/03/2013 Permit Category:ePermit Site Address: 4431 Slater Rd Lot:151 Block: 2 Addition: Cinnamon Ridge 3rd PID:10-17402-02-151 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Kris Oien 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 - Hakim A Lado 4431 Slater Rd Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature Sarah Brandel From: Karen [Karen@championplumbing.net] Sent: Thursday, October 10, 2013 9:51 AM To:Sarah Brandel Subject:cancelling a permit and applying it to another installation Oct. 10, 2013 RE: 4431 Slater Rd Permit Number: EA116133 CANCELLATION OF PERMIT AND SWAPPING TO A NEW ADDRESS ATTENTION: Sarah To the City of Eagan, We pulled a permit for a plumbing install (Softener); unfortunately the customer has cancelled the installation. We are asking for the permit to be cancelled and then swapping this permit to another address when a new installation comes up. Thank you for your help. If you have any questions, please call our office at 651-365-1340. Thank You, Karen Kruse Champion Plumbing Accounts Receivable B PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA121301 Date Issued:03/24/2014 Permit Category:ePermit Site Address: 4431 Slater Rd Lot:151 Block: 2 Addition: Cinnamon Ridge 3rd PID:10-17402-02-151 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. Kris Oien 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 - Hakim A Lado 4431 Slater Rd Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA121342 Date Issued:03/26/2014 Permit Category:ePermit Site Address: 4431 Slater Rd Lot:151 Block: 2 Addition: Cinnamon Ridge 3rd PID:10-17402-02-151 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Kris Oien 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 - Hakim A Lado 4431 Slater Rd Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature