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4445 Slater Rd . • CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHONE: 454-8100 eU1LDf NG 'ERMIT Rece+vr ~t T. M wd fe. Sr' Dt•JG/Gr.R Esr. Value 60,000.00 pme .iGLY 13 19 u4 Stte Addrea 4445 SLATFR ROAD Erect 13 Occupancy Il3 Lot Block Swrlsab, rZtUC~t~ 31tD Remodel ? Zoning fZl Parcel No. 1 v 17 4 10 U u.'. Repair ? Type of Const. V Enlarge ? No. Stories W Name ZACIiI4AN 1LC)i•]h;:>, 1~4C . Move ? Length y ~ Addrass 4620 W. 77`nt SU1`'L 104 Demalisn 0 Dsptn citv EDINA pnone 593 0755 Grade ? Sq. Ft. Neme ApPro•ob Foos ~ ,.1 1? Address /lsseument Pertnit '41'1 ()0 City Phone Woter a, Sew. Surchorpe Q Police Plon check 1- E~ 4-, 5 p Name Fin SAC q--)q 00 Q '13 Address Enp. Woter Conn. _47p of Z. City Phone Plannwr Wcter Meter _63 jj Q Countil Rood Unit -4.~ f~vo Q 1 hereby acknowledfle thot I hove reod this oppliwrion ond state thot Bldg. Off. Parks the informotion is oorred and o9ree to comply with all applicoble Stote of Minr?esota Stotutes ond City of Eoqnn Ordinonus. APC Total ~ s; 7, ~1!~ ~ Var. Date Sipnatun of Permitta* `LACI-Uu1i1 llOiIi_:S, L1C. /1 Buildinp Pennit is issucd to: on t1N express tondition thot oll vrork aholl be dore in nccordnnce vrcith all appiiaoble Stote of Minnesoto Sfatutes cnd Cify of Eoqan O?dinonus. Buildinp Officiol ' Pamit No. Pamit HoldW Data Plumbing H.VA.C. D 2 T~; . ENetric m ~ ~ ? I ~ ~ l~ . e~ 8oftenw Irqpoction pate Insp. OthN Footin9t Foundetion Fnminq Flouah P16p. ~g Rough HVA inwlation Finmal P16q. Finsl HVAC Fina! Grt/Occ. Wm. W"uiba Locstion: - NNII SowN Pr. Dhp. CITY OF EAGAN 3EVVER SERVICE PERMIT 3830 Pilot Knob Road Ea~~ PERMIT NO.: _ P. O. Box 21199 DA'TE: Eagan, MN 55121 Rl No. af Units: , Zsehman Homes . pwrwr: Addres`: 44S Slater Road L10 B Cinnamon R ge r Sit° Addrom~ Wrstonka Plb ; Plumbar. 7-13_84 4 712 ~ i lon Choros: 425.00 pd M esMpy w1lh !M CRY of gmp' Comect • OrdiM~as. AccouM Oeposit: ~ Ponnit FN: ~ surtmrge: Miac. Charoew 8y Total: Date of InsP.: paft Paid: , Irop.: - . - - _ - ciTY oF EAGAN WATER SERVICE PERMff 3830 pilot Knob Road PERM17 NO.: - , P. O. 8ox 21 799 DATE: Eegen, MN 551R21 1 Na. of Units: ZD"i"9' Zachs~ Homes ~I p"17er: B2 Cinnan~on Ridge 3t'd i • N,ddreis: glater Road tl Site Mdreas: esto s 9 . 0 pd I Plunibsr. Cor?nectlan Gharye: ~ pd Meftr No.: ',,coount DePcslt: .0 P Slu: Pennit Fee: pd Rsoder No.: Surcharoe: 3.• Pa met 1 M~N tO aomPh? ~"iM' ll~0 Citv ~ misc. Gwryes: , "Neaw Totcl: I pate Poid: ~ ( By Dote of Insp.: - - - I ~ - - _ - - 4. I ' CITY OF EAGQN 3830 •PilotKnob Road WATER SERVICE PERMIT P. U. Sax 21199 PF-R1u41T 5680 Eagan, MN 55121 N~.: Di1TE: , Zon(np: I Owner. ZaC}1 of Units: 1 tiODle 6 /lddross: I Stte I+ddres=; 4445 L1 2C A a d d ~ Pfumber: r No.: I Si~; ~eectlan Chcrye; 70.00 Ad , r o.: Account Deposit: 15.00 nd , I tho ' wm t Fee: 10 00 d Om/i"'°°m tf's SuRho roes: 63. .00 50 d M?sc. Cho nd meter : 8Y Totol: Date of Inap.: Doh Pbid: Insp..................................................................... - _ ~ OtT34QF EAGAN 3830rPilot K WATER SERVICE PERMIT nob Road P. C). Box 11199 PERM1T NO.: 5680 Eagan, AAN 55121 D/1TE: - - 2oniny: - R 1 No. of Units: j Owner; _ Zachman Homes Addreu: Stte Addrcs,; 4445 Slater Road L10 JB2 Cinnamon Ridge 3rd Plumber: Westonka Plbg ~`~Mater Nv.: 33 2 ~Z .P S? Connection Charpe: 470.00 Ud S1:e: /,L Accourn Deposit: 15.00 vd ~ Readsrj{Vo.: a~L- t~ _5/ O 2J Permit Fee: 10.00 vd I pwe re eeisply wM6 tlw Cih of Eeaaw rchorge: .50 Dd Misc. Ci,orpes: _ 63.00 pd mete Totol: BY Date Paid: Dote of Insp.: 1nsp.: . ~ ~ CASH RECEIPT ~ CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 1 DATE ~ i 19 ~ wccKrvco FROM t ? AMOUNT / i 6 DOLLARf ~eo []CASH ? CHECK I ' /OR L10 8 a r'nn n id ~ /UNG CODi AMOUNT I ' i Than u BY White-PaVers Copy Yellow-Postinp Copy Pink-File Copy Receipt 1(%~ L J PLUMBING PERMIT Permit No. J CITY OF EAGAN Fee Fill in numbered s,paces S/C Type or Print /egibly Tot 1. Date 2. Installat+an Cost 3. Job Address , Lot ' Blk. r Tract 4. Owner h f1~h~• • ~'~'7a .5 5. Contractor ~~r? .A r- ic.,'~! . Phone ;7,4 544 - 6. Address " 7. City -z'~•-"~/~': l State ~ i`' • Zip S~ O r. -7 8. Building Type: Residential 0 Commercial 11 Institutional ? I 9. Work Description: New ~I Add ? Alter ? Repair 13 ~ 10. Describe 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield ~ 'Bath tubs Septic Tank r Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other / Laundry Tray ~ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby oertify that the above information is true and correct, and 1 agree to oomply with all ordinances and codes governing this type of work. , Signed : for Rouqh F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Recsipt MECHANICAL PEHMIT Permit No. V CITY OF EAGAN Fes Fil1 in numbered spaces S/C Type or Prinr legib/y Tot. 1. Date 2. Installation Cost 3. Job Address _ ~ /•/S ~:/~~l..: i-: ~ Lot ! ( - Blk. Tract, 4. Owner 5. Contractor A1c Phone 6. Address ~ 7. City State ~ j! Zip 8. Building Type: Residential O Commercial ? Institutional ? 9. Work Description: New Lrl Add O Alter O Repair ? 10. Describe • r . + j Fuel Type 11. No. EQui!?!!'!P^! 9TU • M. Ea. No. EQUipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater , Mfg. Other I Air Cond. v Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply wi" ordinances and codes 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 464-8100 CITY OF EAGAN Remarks Addition CINNM+ION RIDGE 3RD ADDN Lot 10 Rlk 2 Parcel 10-17402-100-02 Owner Street 4445 SLATER ROAD 5tate EAGAN PM1 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. -1012.20 C009608 10-1-84 STREET RESTOR. GRADING SAN SEW TRUNK 1973 102,22 6.81 15 20.50 C00 609 10-1-84 SEWERLATERAL 724.53 C009608 10-1-84 WATERMAIN WATERLATERAL 1985 123.46 617.30 C009608 10-1-84 WATER AREA 26.32 C009609 10-1-84 q,-ryfcP-q 1985 i x 77 393.87 C009608 10-1-84 STORM SEW TRK qOl 1979 381.69 19.08 20 267.21 C009609 10-1-84 STORMSEW LAT K 1985 1098.83 219.77 5 1098.83 C009608 10-1-84 CURB & GUTTER SIDEWALK STREET LIGHT Roa Unit 7-11-84 CONN. 4925-00 70.00 " BUILOING PER. ~ TSAC ~PARK , ,h,s aatias .~id ~I G '6 l r Y( S~l 18 rtpnths Irom A .077564 Reu Flra No. {loupMin liscect Re ~f~a0y Now Will Nolih. Inspec- du~ ed? es ?No ~ vjhe^ ~'bv Licensed Elecbical Conunctor 1 MroE • request impec~im oi obova ? Owner ebchicat sairk imfallad oc Street,/tld'r/ess. Box or Routo N/o. / GitY 7~7' l.f~ / er ~Ol2O' Q ,m eclion yo. Townsh.D N~m/a or No. ~nge N. Cou~ / ~7 d ~/L l. rn /1~ e3~ 4Ke7~4. Occuo.~~~ ;7I L./ Rewie No. /?~rn~ ` aiv Power $upPliar Atltlress k o A Ele trical ConVamor ICompen Name) _ 1 Cantractoi s License No. 6 0 7 -3 Mailinp AdJress (Contrectot or Owner MakinB ~~sW~~ationl Authonz Sipnatur (COntmc r/Owne, Makmp InsLillationl Ptrme Non4er 0-35 MINNESOTA STpTE B AND OF ELECTNICITY TM~ IMSPECTION REGUEfT WILL NOT Grigps-MiAwev BIdB. - Mom N-191 gE ACCEVfED BII THE STATE BOARD 1821 Univereitv A.,ire., St. Pool, MN 65104 UNtES3 PqOPEp INSpECT10N FEE IS Fnn.w 18121 29]-2111 ENClOSED. C{ ~49 -7 REQUEST FOR ELECTRiCAL INSPECTION E&°°°°'C-'" , See imtruchons for complelim thi¢ivm m Oock of rsil. capv. Y/ A 07716 X"' Below Work Covered by This Request da Rap. TYpe al Builtlinq Apoliarces WirW Equipmnt Mired Home Range Temporary Scrvice E Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bidg. Air CoMitioner Bufk Milk Tank Farm ther oec.1`0 Gthc. lsoecihl Othor uoci v oo ae.c. Oonpute Inspecbon fee Below p Fee ServiceEnbortcaSisa k Fae FeedenBubfeetlen P fee Circuita d 0 to 200 Am s 0 to 30 A 2 0 tn 30 Above 200 qm n 31 to 700 Amps lJ 31 to 100 Anim Swimmin Pool Above 100_ A6ove 700_A Transiormers Irtigation Boorrs Parti 1=0th~-F~e¢ Signs Special Irts~ction S J T TALkE~ r Rama,ks flauph.in Da[e I. ecv:tsl Impecta. hs.aby wniM1 11et the abnve Final Dinepectim bs besn setda. 1TIs rpwst vo1018 manlb Irom ` - CITY OF EAGAN ~4;~ / i~ . ° 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT ReceiPt # Te 6e uted fer SF DWG/GAR Est. Volue 64 ,000• 00 pote JULY 13 19 $Q SiteAddress 4445 SLATER ROAD ' Erect EX Occupancy R3 Lot 10 Block 2 Sec/Sub. CINN_ RIDGE 3RD Remodel ? Zoning Rl ParcelNo. 10 17402 100 02 Repair ? TypeofConst. V Enlarge ? No. Stories d Name ZACHMAN HOMES, INC. Move ? Lenqth Z Address 4620 W. 77TH ST SUITE 104 Demolish ? Depth 28 ~ City EDINA Phone 893 0755 Grade ? Sq.Ft. ~ Avvoralf Fee. o Name 2~~}g O~ Address Assessment Permit_? ~ QQ u 1- City Phone Wafer 8 $ew. Surchor0e ~„n ~10 G~ Police Plon check 15,~.6 SO Name Firo SAC 925 _ 00 Address Enp. Water Conn. 470~0 °CZ t"' City Phone Plonner WoterMeter.63 . p Council Road Unit260.v0 I hereby acknowledge fhat I have read fhis applicahon ond stofe fhat gldg. Off. Parks tha inlormation is correct and agree to comply with all opplicable State of Minnewto $totutes and Cily of Eogon Ordirwnces. APC Total i o c 0 Var. Date ° Sipnofure of Permiftee A Building Permit Is issued to: ZACHMAN HOME$, INC. on fhe exO2ss tonditlan thot nil work zholl be do70 in a/cIcordance ith all opplicoble Stafe of Minnewta Stalutes and Ciry of Eaqon Ordinances. BuildinpOfllciol ~~4'r ?m~ 'Ll.d' Q2 F EAGAN Include 2 sets of plans, ` 1 Certificate of Survey & BUILDING PERMPP P,PPLICATION C)w 1 set of enerqy calculations. F Gi. ~VIA2. - ?b Be Used For vatuation .6G', e, pQ nate Site Address: wa, OFFICE USE ONII,Y Lot /8 Block Z Sec./SUb. Erect X Occupancy R-3 Parcel I U I~ y 0~ (i O o~ Alter Zoning R- I Repair Fire Zone N A Enlarge 'Iype of Const. $t Raner: z d G.~lrslaar /~{oas ~ r, C. Mpve # Stories Prldress: `f~2'p 6c/, 2`e Demolish Front 57 ft. City/Zip Code: Grade Depth 28 ft. Phone APPYOVAIS FEES Contractor: zcr C4n~.a~vr Oa,,V P-c. /V c AssessntnLS Permit Address: Spy~-p- Water/Secaer Surcharge 3U.- - Police Plan Check~l City/Zip Cocle: Fire SAC ~ Phone Eng. Water Conn. ¢70. Planner Water Meter !o';j . Council Road Unit ~ Zlcp Arch./Eng.: Bldg. 0£f. J' Address • -e_ ApC City/Zip Codec Phone # : TOTAL 1, Y17 - J~ d Zo ,c 2~ ~ 52v x~54 = ZSoBo igx2~ = 4t~8x 41 2~.x zo - 4qo x~( = 4040 ~2 I n 8 ~ . . C A L~! i?~1 H. H E D L U N D 7726 Morqan Avsnue south Richfield,Minneaotu 55423 Land Surveyor Civfl EngineerPhone : 866-2523 surveydr`s G'ert~fitate JOB NO. SURVEY FOR: 7.achman liomes DESGRIBED AS: Lot 10, IIlock 2, CINNAMON RIDGF. 3P.D P.DDI7'ION, City of Eagan, Dakota County, Minnesota and reservinq easements of record. I ' ~ I I 93 N2040'32"kI 92.00 ~ • 2~ ~o~ ' ~q A ~ q~ ~a ~ ~o 57 ,,,_4 i sI\ 11 ro'&~) sraie cs ~ A 'voR rfl ` ~c =30 19 ' - 5r4Ke. s a\ 9,0 s Top of Foundat;on 9/9:-7- ~'k-, t-~`~ i Bosemen~ Floov • f cnnr ~ ' ; : • VI ?"~$.rOO53.~ „ 9 proPesec/ F/?vn'Itons So~p r-xrst;ny FJEvr.tiont ~ ~lo~ D. 9i7.b y, DrainocJe IJ~reCYiont ~ Cj`l_4445 ~ DenoYes Lofi Cerner5 O SLATER 'R oAD CERTIFICATE OF SURVEY I hereby ceriify ihat on 7!oI surveyed the property described above and ihai ihe above plai is a correct representation of said survey. Colvin H. Hedlund, Minn. Reg. No. 5942 2/84 J ~ CITY OF EAGAN ~ APPLICATION FOR PERMIT % SEWER AND/OR WATER CONNECTIODT (PLEASE PRINT) 1) PROPER'I'Y ADDRESS: OcI y S ZUpc,4 T.FrAL DESCazprIOV: Lt?'f" 10 gibGlL 2 (Ir ~~.7o,aGhO/Z /ZKI~u i I i_ 3t/Block/Subdivision or Tax Parcel I.D. NLUnber IF W{IST--:G STRL'C^'CTZE, DAT' OF ORIC^SAL ~ ~ PRESc ^ Z:^~11 X;/P?OFOS'7e C~SE: Q R-1 SLTGLc FF3•1rLv ? R-2 DG= ('Ii•:0 UiN-ITS) • R-3 7(YriiIOUSE (TFIlZEE + L'NITS) ( UNZTS) ? R-4 APART^G:NT/C0i:IJCilINIL^4 ( UNITS) ? COMmEF2CSAL/REPAII,/OFFICE ? LNDUSTRIAL ? INSTITUTIONAL/GOVERDIIMQPP 2) pppLICAN•I, (PLEASE PRlNi) MMIE: c.VesjV%.k-A P~.g~ . ADDREss: 6 s0 P~ e.0 2d ~ S crrY, sraTE, zzP: ~-,~-io~~.~ Y?-t,-~ . 5-s-364 PxoiNE: 7.2. _ (1R S 3) PLUMBER NA1vE- PLEdSE PRINT) fOR CITY USE ONLY PLUMBEAS LICENSE: ADDRESS: / ~ i • i ~ Active CITY, STATE, ZIP: 0 Expired MASIER Q Not of Record PHONE: PLUMBER LICENSE J/ U a nitia (PLEAS PRINT) 4) CCCUP~~/Cr.„R,ER NAr~: ~ !'l 14,n 5oi~ r _ ADoREss: _ t/[,zo U.) . 2 &tS s fi.~/ - CITY. STA'I'G, ZIP: ~C4 ( -7 ,A 6~1 $1 y~ S PIIONE: ~?j 3" d 7 5) INDICATE t+iHICH PERMIT IS BEINC; REQUESTID: [yCONNECfION 'IO CITY SES^]ER g?'C'OfN~ fX.~I'ION 'IO CITY WATER ~ dI'[M (PIT.ILSE DESCRIBE) 6) INDIG;;E O:VE: LFASE FIOLD APPR(7VID PERMIT FOR PICK-UP gY ONE OF ABCTn/E ? LEASE MAIL APPROVID PEfLRIT 'Iq 1, 2, 3, 4 ABC7JE (Circle one) 7) SI(ZdATL'RE: ~ c~w~"~ DATE: ^ 0 gla/lA:wiN lE.lo;pMitIWi:lN~WM~Ri'aii _ ' . F O R C 2 T Y U S E O N L Y PERMIT ' ISSUED F°GS: $ /o . S o gFryEo ArRi:IT_T (I:dCLGDE SUP.CHaRGE) $ /o. S-O WATER PERP1IT (I*ICLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TRP (INCLUDE CORPORATION STOP) $ SEiVER TA? $ ACCOUNT DEPOSZ`I' - S°S•iER $ ACCOUNT DEPOSIT - WATER $ WAC $ SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSi1ENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER • $ TOTAL $ ADIOUNT PAID/RECEIPT DOES UTZLI~kY CQNNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ' ES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ~ NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO TEiE FOLL0WING CONDITIONS: APPROVED BY:~ TITLE:,_-,/~ DAT E : - --1 9 "~'i t ss~ ~es ~e ~~~~.c~ w Ew Ra w~ w~:w ws~ w4a s~ wt ~ se w~ w,a ~a sw ~ ~ g~~ M MN i Fo OfFice Llse 7~6 DEC 1 1 2008 ~i 411~ j City of Ea~a~ T~, , BY i Pertnrt Fee: 3830 Pilot Knob Road Eeg80 MN 55122 j Dale Received: j oi ~ Phone: (651) 675-5675 i ~ Fax: (651) 675-5694 I Statt: i L_____________ 2008 MEC ICA~P RMIT APP,LICATION Date: " Site Address: k-_l Tenant: Suite RESIDENT / OWNER Name: C' "dju Phone: ~ n Address / City / Zip: Ul ~ ~ CONTRACTOR Name: ~74n License m Address: ~ City: ~ State: 7N// Zip: ( Phone: . Contact Person: TYPE OF WORK - New Replacement _ Additi~on2al _ Alteration D(e`m~olition Descrlption of work: NOTE: Both roof mounted and ound mounted echanlcal equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for lnformation on ermitted screenin methods. - PERMIT TYPE RESIDENTIAL CO MERCIAL _ ~Furnace _ New Construction Interior Improvement Air Conditioner _ Install PipingPrwessed Air Exchanger _ Gas Merior HVAC Unit 7HVAC units must be screened Heat Pump Under / Abov gro nd Tank nstall / Remove) Other " When installing/removing tank(s), call tor inspection by Fve Marshal and Plumbin Ins ector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) _ $90.50 Fire repair (replace burned out appliances, tluctwork, etc.) (includes $.50 State Surcharge) $ OTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1/ $50.50 Minimum (includes State Surcharge) Permit Fee - if Permit Fee is less than $1,000, surcharge is $.50. - if Permit Fee is > E7,000, surcharge increases by $.50 for each State Surcharge $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). $ TOTAL FEE - - I hereby acknowledge Ihat Ihis infortnaM1On is complete antl accuiate, that Ihe work will ba in conformance with the ordinances and codes of the City of Eagan; ihat I understand Ihis is nol a pertnR, but only an application lor a permi[, and work is not to start wilhout a pertnit; hat Ihe work will be in accordance wRh Ihe approv 6j plan m the o wo which requires a review and approval of plans. x x A plic Y rin ed me , Applicant's S gna re OFFICE USE Reviewed By: Date: - Requfred Inspections: _Under Ground Rough In Air Test Gas Service Test _In-floor Heat Final ~----------------i ~ For Otfice use~y/J~~-~ ~ ` City of Ea~an ~ Permit ik 7~ 7~ ~ j I Pertnil Fee: ~ 3830 Pilot Knob Road t i Eagan MN 55122 ~ oate aeceived: !I!N a o 2no i Phone:(651)675-5675 Fax: (651) 675-5694 i stan: L 2009 MECHANICAL PERMIT APPLICATION Date: (Al W0 Site Address: Ycil Tenant: Suite tt: RESIDENTfOWNER Name:Cb ~~~l(1 CnYldClSrl Phone:-V~'-IiPI"' 2)\y` Address / Cily / Zip: I`ocxa CONTRQCTOR Name: - 'l License Address: : J City: ~„11r1 l5I )L' State: _fAll"i_ 2ip: 5 S5 ) T Phone: Q'a. 1I 1~~. IL' V V Contacl Person: TYPEOFWORK _New ->~i Replacement _Additional _Alteretion _Oemolitian Description ot work: NOTE: Both roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector or one of the Planners for /rtformatlon on ermJtted screen)n methods. PERMIT TYPE RESIDENTlAL COMMERCIAL Furnace - New Canslmction - Interiar Improvement --,~AirCondilioner _ Install Piping _ Protessed Air Exchanger _ Gas _ Exterior HYAC Unit _ Neal Pump _ Under / Above ground Tank ( Install Remove) " When instellinglremonng tank(s), call For inspedion hy Fire Other Mershel and Plumbing Inspector RESlDENTIAL FEES: $50.50 Minlmum Add-an or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair ;raplace Ecmetl aut appEances, d;xbvork, etc.} (includes $.50 S1ate SurGharge) ~ $ ~ T07AL FEE COMMERCIAL FEES: $70.50 Underground tank installalionJremoval OR Cantract Value S x 1% E50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit En Is less [han $1,000, surcharge is $.50. - If rtni Feg ly > E1,000, surcharge increases 6y E.50 for each 5lete SurCllarge $1,000 Pertnit fee (i.e. a$1,001-E2,000 Permit Fee requires a $1.00 surcharge). $ TOTALFEE I hereCy xfcnovAeOge Ihal lhis Infortne4on le camplete and acwrale; Ihet tRe work will be in wnformance wiln Iha ordinances antl cotles ot lhe Qty oi Eagan, Ihat I underslenOlhw R nIX a pertnit 6ut Dnly an appllealiDn Por a permlL antl work i5 nol lo slarl vAlhaul a pertnll: lhal NB wofk will bB in axoNante vnth iNe apOrovBtl plan In lhe case of work whicn requlres e revlew and approvat of plans. x X ApplicanYs Printed Name Applieant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspectlona: _Under Ground _ Rough In Air Test _Gas Service Test _In-flaor Heat _Final Exterior HVAC Screening Inspedion 2'~ 5 I ~I *° CityofEaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 4/1/ Tenant: d 6 Use BLUE or BLACK Ink r -, Permit#: ✓W v Date Received: —01 Permit Fee: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION i v Site Address: ✓1 z:;:(1,2) re) 9914s S /a -der / 5c o/ f'Qget.„ c5I2Z. Suite #: RESIDENT / OWNER Name: (CL (-1-1/'0. COVt C. 0 r-) Phone: kc i -A 7) - q) -7 Address / City / Zip: 4-11-P-15 C) a 6-1 lh d a d A—aSa i S s i a 2. Applicant is: K Owner Contractor TYPE OF WORK Description of work: Y p ce C-CNY,.e rt 't 7 ( c rt i c ©O` Construction Cost: Multi -Family Building: (Yes / No ) CONTRACTOR Name: SP if License #: Address: City: State: Zip: Phone: Contact: Email: COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE Plans and supportingtdocuments that you submit are considered to be public information =`Portions of the information maybe classified as non-publicc; if you provide specific reasons 1hat would permit the City to �, ;nT ' "* ' ..,.r concludethat 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 j 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 appro of p,y.. 4/(% / n. Applicant's Signature x l_plci �li� ( ©odor Applicant's Printed Name Page 1 of 2 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4445 Slater Rd Lot: 10 Block: 2 Addition: Cinnamon Ridge 3rd PID:10- 17402 - 100 -02 Use: Description: Sub Type: Work Type: Description: Comments: Fee Summary: e - Water Heater New Water Heater Meter Size Meter Type dean Kamrath 13791 jonquil Inn dayton, mn 55327 Contractor: Adam's Anytime Plumbing & Water Heaters 13791 Jonquil Lane N Dayton MN 55327 (612) 205 -6060 PL - Permit Fee (WS & /or WH) Surcharge -Fixed Total: Manufacturer 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 h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number Owner: Robert W Condon 4445 Slater Rd Eagan MN 55122- -238 $50.00 0801.4087 $0.50 9001.2195 $50.50 Issued By: Signature Plumbing EA088092 02/02/2009 ePermit Line Size PERMIT City of Eagan Permit Type:Building Permit Number:EA138042 Date Issued:08/04/2016 Permit Category:ePermit Site Address: 4445 Slater Rd Lot:10 Block: 2 Addition: Cinnamon Ridge 3rd PID:10-17402-02-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Rodigo Y Pantoja Martinez 4445 Slater Rd Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA164121 Date Issued:09/21/2020 Permit Category:ePermit Site Address: 4445 Slater Rd Lot:10 Block: 2 Addition: Cinnamon Ridge 3rd PID:10-17402-02-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Rodigo Y Pantoja Martinez 4445 Slater Rd Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature