4437 Slater Rd
i CITY OF EAGAN
, 3830 Pilot Knob Road WhR SERVICE PEWYIIT
P. O. Box 21196 PERMIT NO.: ti ?,:;g S
, Eagan, MN 55121 pATE; ~
- - ~
i tontnp: gl No, of Units: 1 ~
Owr,er. Kaym n Gons t Inc
/lddress: ;
stre Add,eu: 4437 Slater Road L14 132 Cfnnamon Rid e 3rd '
Plumber. ° 'A1
10-3-S.s 38993 100.00 p ,
I N" ro eenNP wNb ei. Cirr ef [agen Connection Choroe: _ 425 . 00 pd +
Ordiw~na~. Acwunt Depodt: i
P.nntc F.e: _ 10.40 pd I
Surchorpe: , 50
BY Miae. Chorqes: j
Date of Insp.: Totah ~
~ Insp': - Doh Raid: - - ~
cirv oF eacAN WATER SERVICE PERMIT ~
3830 ?tiot Knob Raad
P. O. Box 27'99 PERMIT NO.:
Eagans MN" 55121 DATE: I-(; -.i Q
2oniny: ^ 1 No. of Units: 1 ;
~
dM/I1Er: .j~v_o~sn /'nnct i?tC _ i
~ AdCI?QES: ~
Stre wddress: 4437 Slater itoad L14 l32 CinFZamon l:idQe 3rd '
Plumber. ~'•'est.ti;t~.a :i ~ 4
AAeter No.: - - Connection Chorpe: 450.00 P:1
51xe: AocourM Deposit:
Reoder No.: Permit Fee: 10.00 j'
I eorN to oon+Pyr wkk !M Gry of Eaqa¦ Surcho?ge: •50 i)
CrJieano... Misc. CFarpes: G0.II0 7d acte
Total: j
By Date Poid: {
Dote of insp.: Insp.: i
CITY OF EAGAN WATER SERVICE PERMR ~ .8830 Pilot Knob Road
P. O. Box 21 199 PERMIT NO.:
Eagan,-MN 55121 3. DATE:
Zonlnp: - y; j _ No. of Units: 1
Owper:
ress:
~ te Ilddross: 4437 -Jar aT ;toia-= 1,14 i? ; rF,amon Ri dge 3rc?
lumber.
AAeter No.- G oZ Connection Uwr9e: 45Q. CO
~Size: If
Acoourrt Deposit:
Reader o.: 8a6 Permit Fee: 1 Q. 0~ i;,ci ,
1G'm lo n Surcharye: ..~r0 uc~I , j
o~ ~e ~~ing call fcr.zl utilitiasMIK. ct,aign: 60_ Qrill m.*e~i
LCHI !~f~L • ~ ~ Total: 1
B ta Poid: i
Dote of Insp.: `C nsp.:
7- y
~ CASH RECEIPT ~
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
wiecrvKo
lrROM
AMOUNT $ I
aa DOLLA(iS
too
? CASH ? GHECK
ro~
FUHD CODE AtAOUNT
Tha ~p
.r e Y
~ .
~ White-Payers CovY
Yellow-Posting Copy
Pink-File Copy
DATE: 5/21/91
RECEIPT: 101477
SITE ADDRESS 4437 SLATER ROAD Unn # permft # 13020
L 14 B 2 Sect./Sub. CINNAMON RIDGE 3BD
WOHLERS SO THSIDE - 31-7099
INSPECTION INSPECTOR DATE COMMENTS
L A-v
INSPECTION INSPECTOR DATE COMMENTS
PERMIT#
PtUM9lNG PERMIT RECEIPT # ~~`'I 1 V 1
CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 OATE:
CONTRACT PFiICE: PHONE: 454-8100
Site Address l CZ2 BILDG. TYPE WOiiK DESCRIPTION
Lot 81ock SeciSub Res. New
Mult. Add-on ~
~ Name Comm. Repair
~ Address ~ Other ~u,
c Gity ~ Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
~ Name Bath Tubs - $3.00
~ Address Lavatory - $300
p Cily Phone Shower - $3.00
KitChen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 146 OF CONTRACT FEE Laundry Tray -$3.00
APT. BIDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/fND FEE -$20.00 Gas P+ping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
_ Private Disp. - $10.00
/ Rough Openings - $1.50
SIGNAT' E OF PERMITTEE FEE: ~ v _
STATE S/C: . S J
FOR: CITY OF EAGAN GRAND TOTAL SV
. . . . t .
cIrr oF Er?cwN
• ~ 3795 Wef Kneb Roea 164ee, MN 53122
PHONEt 4544100
BUILDING PERMIT Reuipt
To wv@W fo, SF DWG/GAR - Estyoulue $53,000 pafe October 3 19 83
Site Addrcss 4437 S ater Roa E R-3
14 2 Cinnamon P.idge 3rd rect Occupanc~yP1
Lot Block Sst/Sub. Alter ? Zonlnq -
Pa~~ # 10-17402-140-02 Repotr p Firo Zo~e '
Enlarpe p Type of Const.
ee Nome eymen onstruct on, nC. move
W ` xce a or v. O # Srorie1
~ /dd~'lt ~y a. 55343 _ Demolish ? Length-=
G Phoiw Gmde p Depth sq• Ft.
Nome er AWorals F~es
o
s~ Address I\ssessment Permit :
~ Cit phom Water & Sew. Surchorfle
Police Plan check~~
t°C Nome Fin SAC
~W 50.00
/lddross Enp. Water Conn.
Ci p~ Plonner Water Meter ~
Council Rood Unif
1 heroby ocknowledQa thot I haw reod this application cnd store thot BIdfl. Off.
the intormotion is correct ond ogree to comply with oll opplicable Totol 41 .
Stote of Minnesota Stotutes ond City of Eegon Ordinonces.
Sipnaturc of Permittee KUY17tSLI , Inc.
l1 Buildin9 Permit Is issued to: 1 on the express tadition Ihni
oll work sholl be done in occardarxe wlth oll applicable Sjqtr-otw~ote Statutes and City ot Eayon Ordirances.
i Buildlny Officiol ~ ' ~
4
Permit No. Psrmit HoltMr Mim PKmit . No. HoIdK
Plumbinq ~~J ~ Z ~ "173 O
H.V.A.C.
NNII
W~
D'sp.
S~w~r
Electric y D GI-o N.1 .
Irqpoction Wa Insp. OthK
Footinys
FoundaNa?
Framinq
Rou~ PIlq. ~
Rouqh HVA
Imulation
Fiml Plb4. _ ZA) 9;~
Find HVAC sg
Finsl
wow Dftwibe LocaRion: ,
1M~11
I
S~w~r ~ I
Pr. DLp.
Receipt ~ PLUMBING PERMIT Permit No.
CITY OF EAGAN
F"~
~ Fil1 in numbered spaces S/C
Type or Prini legibly
Tot. !:;D
f 1. Date 2. Installation Cost
~ 3. JobAddress%T37 SL1`7'~'~Z'jQtCLLq Blkc~- Trk A4 'i
~ 4. Owner y49t7c, eV $Zoe lev ~Z e/J ~ I
i 5. Contractor Phone ~Y~25
6. Address / yZ</ S
7. CitY 05Z-WDU/t~ State /t/ ZiP
I r I
l ~ Commercial ? tnstitutional ?
8. Building Type: Residentia / '
9. Work Description: Nevp< Add ? Alter ? Repair O
i .
~ 10. Describe
~
: 11. No. Fixtures No. Fixtures
G Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
~ lavatory 5oftner
Shower Well
~ Kitchen Sink
Urinal/Bidet Other
~ Laundry Tray
~ Floor Drains
Drinking Ftn.
T_ 51op Sink
' Gas Piping Outlets
~
' 12. t hereby certify that ttae'above jnf mation is trye and correct, and I agree to
comply with al1 ordnances des governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered spaces S/C
Type or Print /egibly Tot. ,
1. Date 12. Installation Cost
3. JobAddress "Lot~Bik. Tract
4. Owner
;
5. Contractor Phone • ~ ; ,
- , I
6. Address ~ • • yt,: .t~~- , w...~
7. City • t -fiu ~-T State Zip
8. Building Type: Residential Q Commercial ? Institutional ? I!
9. Work Qescriptian: New Q Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. Equinment STU - M. Ea. No. EQUipment CFM
Forced Air "A
Air Handling:
Mfg,
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mf9• Other
Air Cond.
Mfg.
Gas, Piping Outlets
L-
12. I hereby certify that the above information is true and correct, and 1 agree to
compiy with alf ordinartces and codes gouerning this type ot work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
CITY OF EAGAN Remarks
Addition CINNAA'ION RIDGE 3RD ADDN l.ot 14 Rik 2 Parcet 10-17402-140-02
Owner Street 4437 SLATER ROAD State EAGAN MN 55122
Improvement Date Amount Annual Years " Payment Receipt Date
STREET SURF. ~
STREET RESTOR.
GRADING
SAN SEW TRUNK .1973 102.22 6. 81 15 20.50 A014049 6-13- 4
SEWERLATERAL 8389 21 1985 724-91 144-91 5 724.53 4 -7-84
WATERMAIN
WATER LATERAL X 1 85 617.30 123.46 617.30 C009455 9-7-84
WATER AREA 1973 131.44 8.76 15 26.32 A014049 6-13-84
X 1 85 393.87 78.77 5 393.87 C009455 9-7-84
STORM SEW TRK 1979 381.69 19.08 20 267 . 21 A014049 6-13-84
LAT 1985 1098.83 219.77 S 1098.83 C009455 9-7-84
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 4SO.00 of
BUILDING PER. 8541
tt n
SAC 525,00
PARK
This request votA
18 momhs fmm
847 L? dt Ctn/N. ipG£ 3Rb y~1SU3
R e,~~~s~ete Fire No. Rouph-i Inspec'ion
/ ~ R• Iretl~ ~flendy Now NWill Nulily. Inspcr.-
/ Y¢s ~ Nu Lor When ReadY
~ Lroa65eA Elactricol ConVac[or 1 horesy repuest mspecnon ui ebova
? Owner elecvical work installod er.
SVeet Address, 6ox or Route No. Ci
~ ~ S Q 6,2 ~ c~0~
ct on o. Tuwnship Name or No. N:myu No. C un~y
A 0
O Gan~ IPRINTI Phonc Nn.
k. ,33-~ ~ G
Po~1}~ r $upVlier Addr s
?J ~LCsCA' ~Cl,' 0 2 wG PdXv
Electncal Comracmr IC mpany Nume) Contraclor's license No.
` O V
Mai m~} Addre s IConVactor or Owner ak InStailau 1 C'
.J N ~(A u Nr 4S 7 3-2
AIW
Au[ho ed Signamre IC lract /Owner Makmy Ins Ilutionl Ph e Number
MINNESOTA ST E BOAHD OF EIECTNICITY TMIS INSPECTION HEQUEST WILL NOT
Griges-MiAway Bldg. - Poom N•191 BE ACCEPTEO BY THE STq~ BOAPD
1821 Univers~tV Ave., St. Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone (812) 297-2111 ENCLOSED.
REQUEST FOR EL'ECTRICAL INSPECTION Ee-°"°°'-°'
z
' See insvuctmns br comoletinq mis form on back ot Yellow coov.
Qa _MOn "J(" Below Work Covered by This Request
HAd Peo. TvPO ol Buildinp Aooliunces Wirod Equipment Wired
Home Range Temporary $ervice
Duplex Water Heater Lighting Fixtwes
Apt. Buildmg Dryer Eleciric Heatfn
Commercial BIAy. Fumace Silo Unloader
InAustnal Bldg. Air Conditioner Bulk Milk Tdnk
Farm OTn,n Spe Y ihm ISner.ilyl .
t er Sucutv Ot ui Oih,:r
ompute lnspection Fee Below
N Fee ServmoEnhance5ixa 11 Fee Feetle,s/5ubleaders N Foa Circuils
, LV 0 to 200 qm ~s 0 to 30 qm u 0 tn 30 Am s
Above 200 q~r~ ~y 31 to 100 qmps 31 to 100 Am '
Swimming Pool Alwve 100-Am s Above 100_Am
Transrormers Irrigation eoorrs Pertial: Other Fee
Signs Speciallnspection $
1 G
Reavr4s O FEE
i
flouBh-in ~ Dj
1 the Elect ' al
I , heroby
certify thea tha nbove
Final Dn~e ingpection has been
1. • ~ -(a ~rede.
fhm repuest voiC 18 manlhs tmm
This request voiA
1$ O1pO1h5 fIOT .
4 4 2 8 2 Li4 '9-
Haquest Uate firo No. Rouph-in Insuection
Hequired~ v ~Ready Now ? Will Nnufy InsPec-
~ /'L 97 aa yes ?No Wr Wh" Reatly
? Licensetl Electncal Gontnctor I heraby request inspecbon oi aEOVa
~ Owner eleclrical work instelled at.
Street Atldress, Bon or Route No. City
a-
ect on o. Township Name or No. Range No. Coum
OccuGanl IPRIN Phone No.
A-an
Pow¢r SupVd~er Address
C
Elecvical ConVaclor (COmpanv Nume)
Convar,to~'s Lroense No.
MailinB AdJress IContractm or Owner Making Instailauonl
Authonzetl Signatore (ConvactodOwner Making bnsullatioN Phone Nwriber
MINNESO A STpTE BOAqD OF ELECTNICITY TMIS INSPECTION NEQUEST WILL NOT
Cr-gBS-Midwey Blde. - Aoom N-191 gE ACCEVTED BY THE STATE BOAflD
. 1821 Univarsity Ave.. St. Peul, MN 55104 UNLESS PPOPEH INSPECTION FEE IS
Phone 1612) 291-2111 ENCLOSED.
REQUEST FOR ELECiRICAL INSPECTION ~ EI'B~-0D0'0/1-04
Ii, See instrucbons br campletinp lhis brm on beck ol vellow copy
4 4 Z H 2 F Be18W Work Covered by 7his Request
Nev4Add fleo. Type oi Builaing Aoalioncm Wiretl Equinment wi.ed
Home Range Temporary Service
Duplex Water Heater Liyhliny Fixture5
Apt. BuilAmg Dryei Electric Heatin
COminercial Bldy. Furnace Silu Unbader
Industrial BIAy. Air Conditioner Bulk Milk Tank
fTrm 01hei Per., y .iher ISpor,Ifvl
t 11 SUCm y thcr Oinie
ompute Inspectlon Fee Belaw
p Fee ServiceEnVancaSize tl Fee Faxders/Subleaders Y Fnx Cvcuits
0 to 200 qm s 0 to 30 qm s 0 in 30 Am p
Above 200 qinps 31 to 100 qmps 31 to 100 Am s
Swimming Pool Above 100_Am2s Above 100_Amps
iransiormers Irrigation lboms Partial. Other Fee
$igns Special inspection S 7)
S TOTA F
Pertwrks ~ ` /
Nouah-m Da~e I. tne E 1
~nsoackar, heFaby
~ certi/y thet the above
Final ~ ,G i^y0ec[ion hes been
~ I~~G~/1.2. J / mntlo
Thb raduest vmC 18 mon1M Imm
//r/ V io/ vs~7
g 21007
Request Da:e ve No RougRm InspecUOn
) ReqwreCl dl Reatly Now ? Ylill Nohh' Inspector
«7 ~ ~ Ves C When ReatlY?
I:vficensed coniractor 0 owner hereby request mspection of above electrical work at.
JaD Adtlre s (SVeel Bo+ or Route No 1 Qty
_ 3'7~1~~ 6.~.c1
Senion No ~TOxnsM1ip Name or No Range N. Counry ~
Q
Occua'r~.IPRINTI
ll PhoneNO
~ U! I
Pawer Sup,o//ier Atltlress
Eieancal Comraaor tComoany Name) Comractor's License No
Mettler Electric 042252
Moihng Adaress iGomrecror or pwne, Makmg Installalion,
1240 - 46th Ave. N.E.
AN~onieC SgwWre iGanbaCO,Omner Maang Instal uon) PM1One Number
Michael L. Mettler ~ 574-9744
NNESOTA STATE BOARD OF ELECTRIpTY THIS INSPECTION REOUEST WILL NOT
Tiggs-Mleway BIEg - Boom 5-173 6E 4CCEPTEO BY iHE STqTE 90ARD
1821 Unrvcrsity Ave.. St Paul. MN 5904 UNLE55 PROPER INSPECTION FEE I$
Phone (612) 643-0800 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION es-ooom-oe
? See msimctons lor UmpleUng ihis torm dn back of yellow copy
`"X" Below Work Covered by This Request
I
ew'Add Rep. TyOeofBwlding AppliancesWued EqmpmemWired
Home Range Temporary Servme
Duplex Water Heater Elechic Heating
ApL Builtling Dryer Other (Speafy)
Comm /Indusinal Fur w
~ Farm ir Condrtioner
omer Isyecdy) Convactors Remarkr
CortTpute lnspecUOn Fee Below:
x Other Fee # ServiceEn7ranceSze Fee o Qrcuns/Feeders Fee
Swimmmg Pool 0 to 200 Amps o to 700 Amps
Transbrmer5 Above 200 _ AmpS Above 100 _ Amps
Slgns Inspector'sUSeOnly OTAL
l ~
hngahon Booms
Special Inspection ~
Alarm!Communicauon I THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Elecincal Inspector, hereby Ro,nm oaie
cerhfy that the above inspechon has F,nai - oai y d/
been made. ov ~C
OFFICE IISE DNLV
This raquasivaitl 18 manlM1Sirom
CITY OF EAGAN
lr ? 8541
x 3795 Pilof Knob Rood Eogun, MN 55122 *7
PHOME: 451-8I00
BUILDING PERMIT Reteipt # ~
Te bs u"d ier SF DWG/GAR Est Value $53.000 Dote October 3 19-83-
Site Address 4437 Slater Road Erect gg Occupancy R-3
Lot 14 Block 2 Sec/SubCinnamon Ridge 3rd Alrer ? Zoning (PD) R-1
Porcel # 10-17402-140-02 Repoir ? Fire Zone NA
Enlarge 0 Type of Const. V
m Nome Keymen Construction, Inc. Move ? # Srories
z Addreu 14517'2 Excelsior Blvd.
Demolish ? Length 38
c. Mtka. 55343 Phom 935-1906 G.ode ? Depth 44 Sq. Ft.-
p Name Own2i ApDrovals Fees
Address ASSessment Permit 21112.00
~ Cit Phone ~Nater 8 Sew. Surchorge 26.50
Police Plon check 146.00
FZ Name Fire SAC 525.00
~W Address Eng. WalerConn.450.00
< < Ci Phone Planner Woter Meter 60.00
Council Rood Unit 250.00
I hereby ackrwwledge fhat I have read this applicofion ond stote thnf gldg. Off.
the infarmation is correct and agree fo comply with oll applicoble APC Tofal $1749.50
Stafe of M,nnewtu Statutes and Cify of Eagan Ordinances.
Sipnolure of PermiMee
Ceymen Coirstructi Inc.
A Building Permil is issued fo: I on fhe expreu condition thot
oll work sholl be done in accordance with oll ic6,l Sf e o fatutes ond City of Eagan Ordinances.
Building Of(iciol ~
CITY OF EAGAN Iriclude 2 sets of plans,
1 site plan w/elevations &
'BUIIDING PII?NIIT APPLICATION 1 set of energy calculations.
To se osea For GO`~ valuation "v~3, D() o _ Date
Site Pddress: 41y3-7 S LaT~,2 kC2AA. OFFICE USE OrII.Y
Lot I`{ sloclc sec./sub. CG nh,'(Z ,3~ ect ~ OccupancY
Parcel [o -(-?4 0 2- I 4 0-o Z Alter 2oning
Repair Fire Zore AIR
Oaner: K~ti ?nrd.J ~cUS~-• • Enlarge - Type of Const. _ ,
Nbve # Stories
Pddress: ly5 17 ~z_ E-xCe I~IJcI Denelish _ FYont 39 ft.
City/ZiP Code: lYl-1+s r1 . i~-1 nl . Grade DePth ft.
Phone 1CI(Il~ APPROVALS FEES
ContractAr: SAha Assessments Pezmit c299 ~
Water/Sewer Surcharge '24 Address: Police Plan Check -V(~
City/Zip Code: Fire SAC as'"
gnq, Water Conn. ,5 0
Phone planner Water Meter 60
Council Road Unit
Arch./F1zg.:
Bldg. Off. - Zl-
P,ddress: APC
City/Zip Code:
Phone T=
~ ~ ~ ` ~
04/23/2008 08:10 FAX . 0 001/002
~ ~!':;S~II69'+UBB
nii n a: ga 7' 3
I
City of Ea~a
I Paanit Fee: 90. oa ~
3830 Pilot Knob Road I i
E2gan MN 55122 j Date Received: j
Phone: (651) 675-5675
I i
Fax: (651) 675-5694 I Statf: i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION -
'
Date: ~'oZ3•09 SlteAddress: ~Tenant: ~
Sulte ti:
RESIDENT / OWNER Name: ~,~'J Phone:
Addiess / City / Zip: Z
Applicant is: _ Owner ~ Cpntracroi s~ ~ ~ -f qa `
TYPE OF WORK Descrlption of work:
ConstructionCost: ao° Multl-Famil Buildin ~
y g:(Ves_/Noij
CONTRACTOR Name: UNM)9 6pWo[J /IJi/JlvESf jQ/r License _aC,.T a1y 8.~
Adtlress: ~sS i/y~/w
Ciry: _ State: ~ Zip: f~l y~?
Phone: _Q32A/>/ - o/ pO Contact Person: low Arll--
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUlLDING
Mi~sota Rules 7670 Cateaorv 1 Minneso las 7672
Energy Code . Residentlal VenGlation Category t Worksheet • New Energy Code WO~kaheet
Cet6gory submitted Submitted
(4 gubmisslon type) • Energy Envelopo Calwlations SuGmltled
In the last 12 months, has the Clry o} Eagan Issued g permlt for e Slmflar plen based on a mester plan?
_Yes ,_No If yes, Oate and aderess o( master plan:
Llcensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Weter Contractor: Phone:
NOTE: P/ans and supporting dxuments that you submlf are conaldered to be public In/omtatlon. PortJOns of
the Jntormalion may bc classlfled ay non puDlic H you prov/de speclHc reesons rhat woWd permlt the C/ty ta
conclude fhat the are trade secrets.
I hereby acknowladpe Ihai thls informfltbn Is r.omplete and axurele, thal [he work will be In rqnformance wlth the ordinance5 and codes of the City of
Eagan, that I understand Ihis Is not a perma, but Onty an appllCdtion for a parmit, and werk 18 not to slart wllhoW e permll; thal the work wlll he m
eccordanr.e with lhe approved plan Ir Ihe case W worK which requlr69 a review and approval of plane
x _ ~c,m~~ x ,
;
ApplicanYs Prlnted Name Appllcont'a Slgneture
Page 1 of 3
\
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN ~-)0,06
3830 PILOT KNOB RD - 55'122
651-681-4875
New CanshucMOn Reaulrements Remodel/Reoalr Reaulremenh
> 3 reqlstered Yfa wrveya ahowlnp p. fl. of lot, sq. N. ol houae 2 copies ot plan
and gfl rooletl areat (20% maxlmum lot coveraae allowe~ 1 aet o1 energy cdculallons for heafed addiflons
> 2 coples of plans (show beam S wintlow sizes; poured tnd. deslyn; etc.) 1 site wrvey tor exteda addiflons e decks
> 1 fef of enerpy cdculaMOnt ~
: J coples of tree refe aflon plan if lot plcfttl after 7/1/93
P 6
DATE: C CONSTRUCTION COST: 1
DESCRIPTION OF WORK: ~
STREEi ADDRESS:
~'Y1J
LOT: -LA- BLOCK: SU6D./P.I.D. N: ~
Name: ~Pnone
PROPERTY laat Flrst
OWNER
Sheet Address:
CBy Sfate: Lp:
Company:
(area code)
CONTRACTOR
Sheet Address: Llcense # Exp.
City State: Zip:
ARCHITECT/ ~
ENGINEER Company: _Name.~-
Telephone ( )
Sheet Addresa: ReglshaNon
CHy State: Zip:
Sewerlwater licensed plumber (If Inatallina sewer/waterl: Phone
I hereby acknowledye Ihaf I have read this applicatbn, slafe Mat Me Infortnation is corteca9ree to comply wNh atl ppOcable State
of Minnesofa Stalufes and City of Eaflan Ordinances.
Signafure of Applicanh
, • OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes _ No _ Not Required
i
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext Alt - Mutti
O 02 SF Dwelling O 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Aft - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutti
? 04 02-plex ? 10 OS-plex ? 19 Lower Level ? 24 Storm Damage
? OS 03-plex ? 11 10-plex Plbg _YOr_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE '
? 31 New ? 36 Move Bidg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to appllcant for demolition pertnit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee L9. U v Valuation: $
Surcharge 1.
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: -I0 -G6
SAC Units
% SAC
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 014
DATE: 04/04/00 TIME: 13:38:12
ID:
NAME: MORNING SUN
3210 9001 4437 SLATER RD 9.50
Total Receipt Amount: 9.50
CR125556
USER ID: JAN I
i i i} y i i i i i i 1 1 1 1 1 1 1 1 1 1 1 1 1 a
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 014
DATE: 04/04/00 TIME: 13:38:53
ID:
NAME: MORNGING SUN INVESTMENTS INC
3210 9001 4437 SLATER RD 59.50
2155 9001 4437 SLATER RD 1.00
Total Receipt Amount: 60.50
CR125557
USER ID: JAN
~~~.~~~.~+++++t++~++++++++:t++t:+++t+*~
.
C A L Y 1 N H. H E D L U N D »zs Moroan Avsnue sou+n
' RIeMiNd,Mlnnssota 35423.
Land Surveyor Clvll Enqineer Phone : 866-2523
surveyor"s G'ert~fkate
jjj~ SINERIUS
JOB N0. 95¢'
SURVEY FOR: Zachman Homes Inc. and Keymen Construction Ine.
DESGRIBED AS: Lot 14, Block 2, CINNAMON RZDGr JRD ADDITION, City of Eag ,
Dakota County, Minnesota and rescrving easements of recgrd.
~
Nf!°2 "Zs"W I
79.32 30
- - - - - -----7
. ~
o~Q~ r Q
• ~ , ~ _ ~ 0~/ I o
SfakeS ti A~S`C6 ~ 9 N ~
• ,q ~ I ~ Z
j° .~q4'< n'o I V)
°•p~`~ _ i,~ y~~l J ~ ~S IO ~OO S4ake5 ~
~Q~`- - ~ -------J 30
. 2~ ~Z i~.. \ 73.4Z
-111,y N9-r°z7't5'"W 9133
- - -1'
i
SLR rER ROAD
i
Top oF block 9/6•4- Orainase d%rectian I
Gara9e Poor Proposed e%Y. oo (
Basemenf rloor 915.2- E xist~ny e!e?. 900
Zenofes /of iron o
}
CERTIFICATE OF SURVEY
2 hereby certify ihat on E? /do/ $3 I gurveyed ihe property described above and thot
fhe above plat is a correct representotion of sald survey.
Caivin H. Hedlund, Minn. Reg. No. 5942
• . . . . - _ ~-{~:r k : .
. , , " " , . . ' . _ . ' . . c•-
~ , ' ' . • . . . . " . , - '
. 1,. . . . . . . . . ' . i~Ye~
• ~ ' . 7 . , . . - . . _ -
, `~,1 ~ . . . . . ' .
. E'/.TERIOI'. ETJVBLOPE AVlii2AGE "U" COFSPUTATIOtI
aW,as:r. Z~ICN~NIiN HONES I-NC
5I7E ADDRESS P/ Al EWODD S P[ t% LEUEL
CO41TFiACTOR DTtTE,,~-- -S.°7 3 PHO;v1•' t7.37'- ~JSZO
• Detemine working square footage of eaCh. '
1. :otal esposed wall area Za 9 g7~ sq. ft. X•~g
2. Total roof/ccilinq area 1.36 sq. ft. R• d¢ - I 3 7'• 7TH1
A. Total %rall viindow area...... I S9-• B. Toi•al door arca......... 37 gZ-
C. Total slicling glass door area ¢0. 02
D. Total Fireplace wall area....................... O
E. Total wall framing area (a erage l0e)........... /C g.3 7
F. Total Fim joist area..~~G77(J3¢J,,,,,,,,,,,,,,,, $ y- 3 J
~S~T' 39
G'. Total Net wall area above floor.................
Total exoo edGGfoundation area -$9•3 7
~
F:. TotaZ fcun3uti.on wir.dow area ~
1. Total r.at £ounrlation area above grade........... 'r 9•P 7 •
Determine "U" value of each wall sPgment.
a. x°o" . So = 77 • 2/
b. J/• g2- x nUn
C. 40 . 6 1 g-U- O/
d. 6 x soUl.
e. GT, X -,u--
f. 37 x^u" , 0 53 = 4•73
y. ISlS.3 a„U,- , ogy ~ 71-, ZS • h. 6 X„u,l p = p
g„U" _5-7 S
20 gg-•76 3 ...................................TOta1
. Zo%¢•7L
Ic it-em !73 i:: th^ szmc an, or lr_ss tiian it,ero U1, you have met: the intent of '
SRC GOOGM2.
. . . - . _ _ .
. . . ~ . . . ~l_._~ tv.• ..-+~.vt~!w~~ ~.ti.
. ~ . ' . . . . _ . .
I ~ { ~ . ~ ~ ~ . . . . . _ . . . _ _ - ~-'v+
. . '
~ - -
. . ' .
Total cr.posed roof/cciling area
j. Total sF:y7.iaht area
k. Total roof/ccilin9 frami.n9 a:ca (avcragc lOx:)......
1. Total net insulatecl roof/ceilinry arca $ 42
' Determine "U" value for each roof/ceiling segment. .
'6 X nUn Q n a '
k. ti3•c „u„ 0~2 - 2~ q9
. $¢z. 4 X„u.. , o Zu- n Zr .~9 6 -
_ , AUE 4
4 Tuta1 ° 7-4• $ / : (0 2~!/~
/
9 3c '
If total of 44 is the same as, or less than #2, you have net the intent of
SsC 5005(c)1.
Alternate IIuilding Envelope Deaign _
To u`ilize tiie total E11Ja;lo};e system method, the ualuPS cgtablisheS :Y._
sum of items 43 ar_d i-.`4 shall not be greater than the sum of :t.=.rr. :1 and jp2.
+ 2. "
3. ' + 4- a ~ .
. . . . I - '
i
~ .
i _
. i
.
I FRAMING ADJUSTMENT -FO?. `OPAQUE WALL FILE C
107. 16" O.C. CONS'IRUCTIO:I R-VALU
7% 24" O.C. ~ a
I ~ 1 INT:RIOR AIR FILM 0 6
~.n t 2 ypsum oara .
TOP VIEW 3
q 3, 11 o woo .
OF WALL ' q o 4' _ - r
sv 5 ar ooar siuing
.l
6 N 6 ~FRTqR AIR FILM
: TOTAL R~
; y ~ liUn ~
' F 7 INTERIOR AIR FIIM 0.f
b 8 411 G_vpsum Board 0•4
9 c g 3~«Fr"r*inn fif T 1orZ,pn 11.
BASIC WALL ' ° 10 1/4" Foil-faced ~ire;hane Foam h_.r
'I a~ 11 7 16"
l2 ~ 12 EXTER OR AIR FIIM .
PERIPHERAL R ,t ~ ~i TOTAL R _ 18.
FLOOR °U" 0
µ
N, 13 INTERIOR AIR FILM .
'S ~ 14 3 • Tneml fit
'6 0 15 sottwooa & 3/4" Foam 6.0 •
~T Y 16 7/16^ harrlhnard n~ 17 EXTr.~ IOR A IR F ILM • . 7
I' cn TOTAL R 7L4
ta v . nUu 0.0
.
13 INTERIOR AIR FILM
zo 0 19 4R°-F.oncc-R}e_k----- i:49-
FOUf1DAT ON • n ; 20 "
14ALL a U 21 EXTERIOR A R£ILM 0.88
.
cn TOTAL R 1.
°U" 0.5
UNDERSIDE O CA~'TILEVEFt ~ n
6z
Ln
0.~
2z ~ 22 INTERIOR AIR FILM
° 23 31,11 Frirtion fit 11.(
ze 24 IlarA
~ 25 EXTERI0~2 A R FILM
a ~ TOTAL R 12.76
" ~ °U° 0 789
~
z o 26 EXTERIOR AIR FIL*t (STILL,),T 0.(
zi ~ ~7 lo k~n n uTa ion
u 21R 518 yp um n r
tio 24 INTe.~i IOR AIR FILM n
TOTAL R 38.9
29 ~ ~1
. . ~ Itull 0.0
ROOF/CEILIN
1011 r-p- 1111"v~ 2 = 3i. oc
4 = .o3't
30 EXTERIOR AIR FIL*t O.i
o- 51 31
32
53 33 .
ss 34 A R SPACE ST LL `
ROOF/CEILING 3s o 35
; 36
7 ~ 37 N OR A R FI . t
v~ TOTAL R
A IItl
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, HN 55122 PERMIT a13o~Z U
PHONE: (612) 454-8100 RECEIPT #
MECtiANSCAL, YERMST DATE :
RE$IDENTIAL:' PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLZNGS &
. . .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUZRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMUM
ADD ON HVAC 0-100 M BTU 24.00
REPAIR _ ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OWNER NAME: Lt OL k OF 1 PER PERMIT
SUBTOTAL: $ /S • o d
SITE ADDRESS:_ yy 3 7 f2 y- Q d STATE SURCHARGE: .50
IAT: /H' BLOCK o2 SUBD. ~ TOTAL: $,-/S•S(~
INSTALLER: ~/_Q h S Sc~ c2f ~y cf
! L>
ADDRESS: 30 ~ii,- I LICo J`~ • SIG ATruas oF PERMITTEE
CITY4~ 610,&=4~e ZIP: SS/a r/
PHONE 113 ~20 94
COMMERCIAI:1...
. ND..IISTRIAL..
. E. : PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRI6L bUILDINGS,
~ I::...-..
.
.
.
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: _ F9CH $1,000 CF P£RMIT FEE.
PROCESSED PIPING - $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PF30NE
(SIGNATURE)
FOR:
CITY OF EAGAN ,
i ~
THESE LIMITATION OF LIABILITY STATEMENTS SHOULD BE
CONSIDERED TO BE AN INTEGRAL PART OF THIS REPORT:
1. In performing our professionel services wi+h regerd 4o eerthwork inspection end quel'i1y
corrtrol, our findings will be obtained end our recommendetions mede, in eeeordence
wifh generelly eueptad engineering principles and prectices. We will observe, monNor
end +es} #his wark, end mey edvise or meke recommende+ions, bu+ we ere not guerenMn.
This werranh/ is in Geu of all ofhar werren}ies either eapreued or implied.
2. Subterrenaen Engineering Inc. does not pree+ice in the field of lend surveying, end
it nof responsible for fhe accurecy of grede stekes end/or building lotation sfakes et
this jobsifa. There mus4 be edequate eonsfrucfion sfales, cleerly merked, fo eneble our
wil inspecior to properly auess the exuvafion. We will no4 be responsibla for erry herm-
ful consequences resuking from impropsr or incorrecf wns4ruc}ion sfeking.
3. Tha Aeld densi+y ted defe presenied wifh fhis report represenls the velues et per-
fieler locelized poinh wi+6in +he eerfhwork. Alhough }his is believad to be fairly repw
seirtefive of the eondifion of the fill pkeed and compeeted on +his defe, eonditioro e}
ofher loeafions end elevefions in fha fill mey very, and we do not werrant or guerantes
uniform fill densifies.
4. We cannof certify, ei4her e:preufy or by impliee+ion, the qualify of any work on fhi:
projecl which we did no4 have the opportuni+y to observe et fin} hend. InspeeFion of }hu
eerihwork projec# ef irreguler iirtarvals does no+ permi+ #he inspecFor io estess fhe full
seope of the confrec+or's ecfivitias.
5. If the structura is redesigned in siza end shepe, or if i# is otherwise movsd subsaquenf
to our inspecfion, we should be notified w 4he+ we cen essess if eddifionel impecfion
work is raquired, or sugges} wund enginaering ekemetires. We ere erof rosporuibb
for any tal-foundetion sys4em where the strudure hes been reloeeted wifh respecl 40
exeevefion and fill aree, subsequenf fo our inspecfion.
~ SUBTERRANEAN ENGINEERING INC.
~ -
7415 WAYZATA BLVD. vnon• 6ee-ee38
•,•~DATE
MINNEAPOLIS, MINNESOTA 55428
EARTH WORK OBSERVATION REPORT ~f
OBSERVED
Job Name Job No. EXCAVATION:
Job Locetlon rl;f'~' Lt~~ fLro•=7~i- ...1/Y;~„ Lot -
Esrthwork Block
Contractm ~-L•~- ('...rf• Cllent~dE~cr-l1'~!r^~'_'i_ Plat
Arrlve JobMlleage -g^"Total FILL PLACEMENT:
Dsoert Job Travel Tlme Ch ou
s^/ eeIe
Lot
Leb. Tlme H 4
Block ~
Totel Houre Eng'r P1et 3_-
On Job Report Tlme Revlsw Time
Summarv of Technlcel and /or Englneering Servlces Derformed Includina Fleld Tsst Data, Locetlone,
Elevetlone, and Deothe are eetlmated. THE LIMITATION OF LIABILITY STATEMENTS ON THE REVERSE
SIDE OF THE COMPACTION OUALITY CONTROL TEST REPORT CONSTITUTE AN INTEGRAL PART HEREOF.
feet deep et feet deeD
1. ExeavaUon Is Elevatlon end , grading to _ Elevatlon at end
2. Slde Slopss ere apDrox.: vert. ? 1/2 horiz.: lvert. ? 1 horiz.: 1 vert. ?
2 horiz: 1 vert. ? 1letter than 2:1 ? other
E 3. Constructlon Staking la: adequate ? not available IncomDlete ?
X 4. Exeavatlon ie overslzed feet outelde of bullding lines.
c 5. Excavation Is: dry O wet ?
A 5a. Weter le eeeping }rom
v 5b. Dspth o} walsr In excavatlon aoprox.
A Sc. Dswatering le: neeessary ? not requlred O
T 8. Excavetlon is wlth : dragline ? backhoe ? acraper ? dozer O
I T. All unsultabls solls havs bsen excavated. YES ? NO ?
0 7e. fsst of soll remalne to be romoved.
N S. Soil at sxcavetlon base Is:
Sllty Clay ? Sandy Clay ? Clayey Sllt ? Sllly Send ?
Clayey Sand ? Clsan Send ? Other
9. fsst of flll reQUlrod lo reech deelgn aubgrade.
10. Eieavatlon Is: Approved ? Not Approved ? for flll plecement.
11. FIII I• B.'rrn Gl~rP-y• f.•,l Wl.f~in. c ("v~.. ~e% (type Of sOII)
1 ta. Importsd O On-slts borrow [Er
11b. Compaetlon Is wlth eheepsfool roller ? manuel tempsr ? vlbratory p
L../r,r t Oost~
F smooth drum roller ? self-propellsd O non-vibretory O
1 12. Performed~tleld dsnsity teste. See Compactlon Ouellty Control
L Test Rsport No. -77a
L 13. }eel ol }III remalne to be pleced.
14. Density tsste meet colnPection spscillcetions. YES NO ?
14a. Teet No'e. did not meet eompaetlon clfieetlons.
15.Additlonal observatlons nd/o t ts are rs uired. YES O
ROST ADJACENT WEATHER CONDITIONS:
~ DEWATERING: PROTECTION: STRUCTURES:
P N well polnts etraw blank a? S/~~ ~S Mot Dry B'
_dseo w Is? loose eol O Werm O Raln ?
1 T open ch O }rost r ping O wlthln 20 }sst ? Cool 0 Snow ?
A N~u pump ? tam . hsat ? 20-40 }eat ? > 32' F ?
S er ? er ? 40 or more fest feY Sub-ksezing?
RECOMMENDATIONS/SUMMARY/WORK PROGRESS: Dcnr~~r ~ri'~i' /`Jrel'
TP/' ~4 V4,1 766 41 A~ -le-i 74 ot T~i t T 63- rii t s1317
~~J ~(~!1'~ Of Tflf
DI3 RIBUTION:
c c: 6a- -
_Z_ cc: Z__010. /~-~0~/~-
/ cc: bY ~ ~GT?L~~Gy~:r/fr~!
~ ct: ~r~o_r/ /~i^^'^7 d~h i• SUBTERRANEAN ENOtNEERINC, IHC.
/ CC__L/•L_/{• CChrTINt~JO/~
SUBTERRANEAN ENGINEERING INC.
MINNEAPOLIS, MINNESOTA PHONE 546-6938
COMPACTION QUALITY CONTROL TESTS
PfOJ2C1 ('innamnn RiApa 'ird Add'tlOn Report N0.
~'li££ Rd_ rc Hwy_77 Eaaan. Minnesota Job No.
Sand Cone Method ~ Indicated Percent Compaction: ASTM
Nuclear ? 2r °/a Max. Modified Proctor Ory Density D-1557
Other ? Max. Standard Proctor Dry Density D-698
ELEV. AND/OR
DEP7H BELOW ,yet Denslt
y Dry Density Maximum
Test F0o1in Qf ToiQl MOISTURE Laboralp %
D01@ n' RECOMMENDATIONS REMARKS
Flaor Grade ( Corrected
N0. Desi nGrade Sample CO ForSione) Dry pensity ~ompaciion
Fill Surfote lindud'mgSlone) ~ NT ~oENT Dt1
>ept.27,
1983 366 917' 136.0 8.0 125.9 133.8 94.1 IMEETS SPECS etest of
363
11 '
367 15' 137.7 8.4 127.0 133.8 94.9 MEETS SPECS Retest of
# 364
368 915.5' 137.0 6.1 129.2 133.8 96.6 MEETS SPECS.
" 369 -~l
916' 135.6 9.1 124.2 133.8 92.8 MEETS SPECS
f
370 916.75' 144.7 13.8 127.2 133.8 95.1 MEETS SPECS
" 371
916.75' 137.5 7.9 127.5 133.8 95.3 MEETS SPECS.
" 372 916.5' 142.0 14.7 123.7 133.8 92.5 MEETS SPECS.
373 916' 138.0 7.0 129.0 133.8 96..9 MEETS SPECS
" 374 915.5' 140.9 11.0 126.5 133.8 94.6 MEETS SPECS.
" 375 914' 142.2 7.8 131.9 133.8 98,.6 MEETS SPECS.
NO TES: 1.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLF.
2.) APPROXIMATE DENSITY TEST LOCATIONS ARE SHOWN BELOW.
~lo~k g`ec
~
Ou~B 3 ~ Q~
~9 • :1 r ~ ~ I
6 ¢ ou o~ ~ ~513
t
•
cAa
S~ T~R '
PROPERTY OWNER
CAni,nvn (Z;6Lj L4P
Name: S he. �rp r cx,�kL Phone:
Address / City / Zip: 7C 9Y 5 &+Pr koc,„4 F&9 0A, /71 llf C57;2.2
Applicant is: Owner ,X Contractor
TYPE OF WORK
Description of work: k6-koo 4 4o4 , 8t„, - , y a- 6 L s
Construction Cost: 3 O
CONTRACTOR
Name: v ► e4A Co(yp Al (..)-( /nt va ✓!C License #: / 7
Address: 3 FS" / O AA a V. City: o /G/el "
Vu, 1 ie y
State: M i v Zip: Shy.,? Phone: C7b) c — /3
Contact: -C S ? I I n JL Email: eft t s. e G t eJ $dt c C9 - L®rv
ARCHITECT /
ENGINEER
Name: Registration #:
Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing
new sewer /water service: 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.
*° City of Eagan
Tenant Name:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Former Tenant:
x � t Spron
Applicant's Printed Name Applicant's Signature
C
X337
Permit Fee: I .
Date Received: y —
Staff: G�
Permit #:
2010 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: 4633 6 1 rd
L / 3 7 (Tenant is: New / Existing) Suite #:
Use BLUE or BLACK Ink
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.gopherstateonecall.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.
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4437 Slater Rd
Lot: 14 Block: 2
PID:10- 17402 - 140 -02
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: Exp
Fee Summary:
Valuation: 3,000.00
Contractor:
United Exteriors Midwest
7455 France Avenue South
Edina MN 55435
(952) 881 -8700
Addition: Cinnamon Ridge 3rd
Applicant/Permitee: Signature
PERMIT
City of Eaan
ed Permit - Closed w/o Required Inspections. Letter sent to CONTRACTOR & copied the homeowner. 1/15/09 pf
When installing ventilated soffit material, remove existing soffit material (i.e. debris that could block vent openings) and
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Total: $90.00
Owner:
Brad A Thompson
4437 Slater Rd
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA083903
06/30/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Date:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: /D6«D-3
Permit Fee: L(e.. • v -3
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION 16
Ql r' I —1
D / 2 8 / / Site Address: 44 ; � S \tX � eN R$ Unit #: � 2
RESIDENT /
OWNER
Name: :rte\ii\.C�-\--,>�l ..�C'-"- Phone: C2-4sI-G- —
Address / City / Zip:
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: V. .L' �d ' = r(_ W i ` � 'N eitAD c w• t (A
v
Construction Cost: ` R 0 0 Multi -Family Building: (Yes / No X)
CONTRACTOR
Company: L \C VA) ifr e I ii\C-, Contact: (csz i 2 0l -Si tc\ 4LL
4
Address: Q2 Lti C S}r.l.v t us k....1.-\. City: Eerie v ? V Q(v 1 Q.
State: N Zip: S S3 -t'1 Phone: 54w1e
License #: 1bQ_ `'deet aT -S ( Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Pag for additional information)
C i,� C4( 14- iq, ----
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building C.;
days of permit issuance.
App tt's Signature
e must be completed within 180
71 I
Applicant's Printed Name
Page 1 of 3
4-437 S( it apo NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Sheathing
Sheetrock
Reviewed By:
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings Air/Gas Tests _Final
Siding: _Stucco Lath Stone Lath Brick
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
YIC
TOTAL
'°
Page 2 of 3
CALVIN H. HEDLUND
Land Surveyor Civil Engineer
7726 Morgan Avenue South
c Richfield, Minnesota 55423.
Phone ; 866-2523
Surc'eqor's Certificate
/(„/6 Z5 D
SINEIt ILLS
JOB NO. 954 -
SURVEY FOR: Zachman Homes Inc. and Keymen Construction Inc.
DESCRIBED AS: Lot 14, Block 2, CINNAMON RIDGE 3RD ADDITION, City of Eag
Dakota County, Minnesota and reserving easements of record.
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1010
S -Fa kes
911,,1
R FS
N41'27`25"W
9i3.8 79.32. 91t. 30
c
0 /-----,._ ---1
/
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X
F,;
WO Stakes
Top or block 919.4-
(14i-case
19.4Garage iC/oor
Basemen+ floor 9;'5.7..
r.l `t14.4
73.42-
N
3.42N 4,'27`15"I~/
J
5 L.. ,q TSR RDA b
a
J
'606'
3c ,
D\i\j\\
913 .3
prernase direction
Proposed a/eV .DO
E xrst;ny elev. q00
l ra'ofes hof iron C
CERTIFICATE OF SURVEY
I hereby certify that on e /do/ 83 I surveyed the property described above and that
the above plat is a correct representation of said survey.
Calvin H. Hedlund, Minn. Reg. No. 5942
J
46*
City of Eaall
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
For Office Use
Use BLUE or BLACK Ink
Permit #:
Permit Fee: _
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
2 g Site Address: `'( C(3 S e,f/- Unit #:
meq, (7'
l t
RESIDENT /
OWNER
Name: _-"\--6.9,:\O i\ (2 9. ( LA j` 0A e L3. Phone: q — k -i 5 F _ C .
Address / City / Zip:
Applicant is: Owner )( Contractor
TYPE OF WORK
v�
Description of work: 1 O C l.0 i OL2- W :' S -Q ` ` 1 0 4 ""
Cii
Construction Cost: Multi -Family Building: (Yes / No )
CONTRACTOR
Company: L- C. LtovA..eS 3 v e Contact: Al-Q_%N
Address: Cu. 4 S- owl cc Li, City: E `' U , Q.
t If 1
O
State: N. i Zip: 5-1-S 34 i Phone: (Ck, s a) Q 0 i^ S-1 k C\
License #: `5Q g Z 5..6 Lead Certificate #:
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information.-Portion"s 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.gopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildi
days of permit issuance.
Applicant's Printed Name
x
Code must be completed within 180
0-ityprir
AppliSignature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125993
Date Issued:08/11/2014
Permit Category:ePermit
Site Address: 4437 Slater Rd
Lot:14 Block: 2 Addition: Cinnamon Ridge 3rd
PID:10-17402-02-140
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Ryan M Weninger
4437 Slater Rd
Eagan MN 55122
Norwest Contractors
8469 Zanzibar Ln N
Maple Grove MN 55311
(612) 859-8517
Applicant/Permitee: Signature Issued By: Signature