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4100 Beaver Dam Rd2007RESIDENTIAL BUILDI14G PExnziT arPLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New CansWction Requirements 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and ail roofed areas (20°k maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, eta 1 set of Energy Calculations 3 copies of Tree Presenration Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form RemodeVRenair Requirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate if on-site septic system office use only CeR of Survey Recd _ Y_ N Sotls Repart _ Y _ N Tree Pres Plan Recd _ Y_ N. Tree Pres Required _ Y_ N Onsite Septic System _ Y_ N Plans are considered ouhlic information unless vou state thev are trade secret and the reason. Date Site Address ? Co t ction Cost Unit/Ste # Description of Work w./ ? -? 0-&J0 Multi-Family Bldg _ Y 'N _ Fireplace(s) _ 0_ 1 _ 2 Property Owner Tetephone # (?5"/ ) Contractor Address State 2?&? City _ ' Zip ' Telephone #6,01) 6157'- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted . 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? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete anct accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. - - ? Applicant's Printed Name Applicant's Signature AA .- ?. i CITY QF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4100 E3ERVER UflM RO I.OT: 17 EiLOt;K: 2 CIIFFLEY L'OMM01V5 8uilding Permit 'Typs [3uilding Wor•k 1"Ype UBC EJccupanry Constructi,nn Type Zoning Buiiding Length L3tii.Ldinq Wicith Builditig stories Square Feet 12-PLEX NFW R-3 M-1 V-1 HR F'D Ft-4 160 71 2 :16,9tdfb Control No. ? 1 C, 2 BuILDrNG 00150<? 0s/z4/92 REMARKS: ? 6 ?, ) `r ? IhlCLUDES 4102 4104 4106 4108 4110 4112 4114 4116 4118 4120 4122 BkAVFR L)RM FEE SUMMARY: Base Fee Pl.an Review Surcharge S 1^I l. 5AC % SRC Units Subtntal VAI.URTION $2n312eGJ0 $1?503.13 $295.50 $(J 9 "F Pl Y! . 0VJ 100 12 $12,511.13 $591,000 CITY SAC Wfl7ER CONNECTIOiV S s W PERh1IT S & W SURCHRR6E 7RERTMENT PLAIdT ROAD UNTT l"otal Fee $1,200.00 $8, 1Vr0. Ch0 $3ro e ee $e50 $3,600 >00 4,56?asq $30,0tl1e63 COIVTRACTOR: - fl p p 1 i c a n t - ST < Lz pWNER: 1'HE ROTTLUND CO INC 15710304 000133 THE R077LUNU CQ INC 5201 E RIVER RD 5201 E RTVER RD FRIDLEY MN 55421 FRIDLEY MN 55421 (612) 571-9304 (612)571-0304 301 L- I hereby acknowledge that I have read this application and state that the information is correct and agree to camply with al.l applicable State of Mn. St 'utes and Gity a'Y Eaqan prdinances. r ? fi,MA APPLICANT/ RMITEE SIGNATURE I ED BY: SI NATUAE Control INSPECTION RECORD No. CITY OF EAGAN PERMIT TYPE: B tJ -1 t- 01 N Li 3830 Pilot Knob Road Permit Numher: o 0 -i B 0 1' Eagan, Minnesota 55123 Date Issued: 09I?41/92 (612) 681-4675 SITE ADDRESS: L 0 T : 17 B L O C K : 2 APPLICANT: 4100 BEAVER DAhi RD THE ROTTLUND CO TPlC DIFFLEY CQMMQNS (612) 571--0304 PERMIT SUBTYPE: 12-P LEX TYPE OF WORK: NEw INSPECTION FU07:CNG D• . FRAMING .• INSULATTQN FINAL FIREPLRCE REMARK5: INGI.UDES 4102 4104 4106 4108 4110 4112 4114 4116 4118 4120 4122 [3EAVE_R DF 1- ? - -_ PERMIT,J . fE 150 ? . _._$30,?01.1?3 CITY OF EAGAN rF- : 1992 BUILDING PERMIT APPLICATIO ` r 681-4675 ` SEP 2 f i?''' . ? SINGLE & MULTI-FAhtIIY 2 sets of plans, 3 registered site surve , energy . calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of eriergy calcs. . Penalty applies when typing of permit is requested, but not picked up by last Morking day of month in which re uest is made r lot chan e is re uested once ermit is issued. Date 2- /l?-?'Z / / Valuation of work vov a` - 'tioo? 4/o2 i 4/0d,1? yloG, ql03 ?r?I o, i 72? 5!y! ; Site Address: - 411 ?-- -4I l L? ?it?,?.F??•(1?? STREET STE 9 Tenant Name: ?v?? / ,??vf3`???t.,?? • LOT ? BLOCK ? SUBD. / ), lr&v ?Ioxmw. P.I.D. # Descri tion of work: The appl i cant i s: 13 Owner 0 Contractor O Other coescribe) Name Phone ?5"?l/?03 od Property IAST F3RST Qwner Address 500i ? 2?? STREET STE * City State wljlJ Zip s??f2-/ Company 94L::?_ aPhone . Snf - a3D4 COr'itt'BCtOt' Address , VPA-l -- License #Exp. 3_3h? City ? State MKJ Zip ?..? Company ?Phone ?? ?- b3D ?- Architect/ . Engineer Name Registration # Address City State ZiP Sewer & water licensed plumber ? . Processing time for sewer 8? water permits is two days once area s een approv . 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. , . Signature of Applic ? vrri%.;r uat unLY BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg O 09 Basement Finish ? 02 SF Dwg. 0 06 Garage/Accessory ? 10 Swim Pool O 03 Two family ? 07 Fireplace O 11 Res. Add./Porch ?04 Multi-fam. T.H. ? O 08 Deck ? 12 Comm./Ind. WORK TYPE 0'31 New O 34 Repair O 37 Demolish D 32 Addition D 35 Tenant Finish ? 99 Undefined ? 33 Alterations ? 36 Move _ GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) lst F1. sq. ft. UBC Occupancy ,? h,--I 2nd F1. sq. ft. Zoning pp R-?I Sq. Ft. total 00 # of Stories z footprint Sq. ft. ,6 ?o Length (o o On-site well Oepth On-site sewage APPROVALS Planning Building Engineering Yariance REQUIRED INSPECTIONS 0 Site O Footing ? Framing ? Wallboard ? Final ? Draintile D Insulation ? Fireplace Permi t Fee .23121 5-T) Surcharge a q !5.:56-- Plan Review ? So3, ??_ " License r--? MWCC SAC t oo,oo Cit SAC Water Conn. ? oo , o 0 Water Meter Acct. Deposit --- S/W Permi t D, r,o S/W Surcharg e .s? Treatment Pl Road Unit Park Oed. Trails Ded. Copies Other Total: SAC X ! ?9 SAC Units vatu.tian: s _91l, oa J ? - , . O A 6'4 cr ?9 r?li1 O 15 Miscellaneous MWCC System City Water ? PRV Required 8ooster Pump Fire Sprinkler Census Code C; SAC Code (_ f'i'47?ST-SC-,jt,UtNGS + ec?a,5us Z-- Assessments . „ , "rM5 P-OTSUN1a C?v . . EXTERIOR EtNELOPE AVERAGE "U" COMPUTATION oWNM SITE ADDRESS CONTRACTOR ' DATE PHONE ' Determine Working squase footaqe of each. 1r2_ SQ. ft. X O, (? a 1 l I. I? l. Tote1 exoosed wall area .. 2. Total roof/ceiling area sq. ft. x ?? Zc, _ ??'• ?? 3. Tota1 floor/.e?.Ce.?rea ?? sq. ft. x Pc.? ? ?! Ll.? . ? . N `A' Ur?lT. Total exuosed Wall erea above floor ' ??'? ' - a. Tote.l uall xindoW area . . . . . . . . • ' b. Total door• area . . . . . . . . . . . ' . ? • c. Total sliding glass door area .,•• ' d. Total ffreplace uall e.rea ..•••• e. Total wall fresning area (averaAe 10%). • 5y f. Total net Wall area above floor ... 38 ` • g. Tota.l rim joist area . . • • • • • • • ? ? Total exposed foundation area = h. Total foundation windou a.Tea ..... i. Total net foundation area above Arade. . Determine "U" value of each wall segnent. • X ItU„ o , 4? = 31 ? ?? ? - a. b. 3Z7.11 .X ?lUll X ltUlt 17 , 02- - X ,lU„ d. flUff O = l ?i? ? ( e. X . - t t. 3g G{-r?•• x „Uit 4. = t -, f . lvS G x „U?? n o - ?? I S• ' _._ x loUs, h . ,.. i - X flU ff --- . ? k. SUBTOTAL TOTAL If item #4 is the same as, or less than item !!l,'you have met the intent or sBC 6006 (c) 2. a `VP\ . 142 Total exposed roof/ceiling area 3. Tota.l skylight area . . • • • • • • • • • • ' ' ' ? k. Total flat roof/ceiling framing area .••••• ? 1. Total net insulated flat roof/ceiling area ••• ? M. Total vault'roof/ceiling fra.ming area .••••• r n. Total net insulated vaul'v roof/ceiling area .•• Determine "U" vzl.ue for ep-ch roof/ceiling sekznent . . ? • _?' X iiUn _ X k.' 1 X ifU„ ;wv-- . X flUl, m . J. n X ,fU„ _ , - . . . . . . . . . . . . . . . . . Tot a1= 2 ? . ? -1 ?, . . I!' total of #5 is the sz*r.e es, or less than R2, yoit have met the intent o: SBC 6oo6(01. Totzl e•r.,oosed floor/eBAt- area ?? f 2 0. ( averaqe .10?) • ,? Total fli,?? framin re v. Total net insulated ? ?area . • • . • • Detez-mine "U" value for eac:i floor/cant. segment o. 2q'- r) X +,U„ 0.0'*a - (, 4- Z? . X„U,, a, 0 z, q- p . -7 3 . ' 77 6 . . . . . . . . . . . ... . . . . . . . . . . . . Tot a1= -7. If total of #6 is the se.-ne as, or less than #3, you have met the intent of S3C • 6oo6(c)3• A.LTT-RPtATE BUILDITrG EWELOPE DESIGv To utilize the total er.velooe system method, the values established by ths s•.:n ' of items #4, f 5, aad #6 shzl not be gxeater th4n the sum of items ?l, #?2, ??? #3- Ct7, 3. ?. 0`f I l. 2 ?. . •17 /?6.o u. 13?, II 5, 2.1, 11 6 7 q ??3v--- , , P-?-Z' : . . • • . . ' • ? ?j? (J? l ? . EXTERIOR E;tn1EL0?E AVr^,RAGE "U"_COMPUTATION OWNER ' `?? ? c lu?? ?? - , . __ . . SITE ADDRESS _ • ' . , ? . ? ; , y . CONTRACTOR ' DATE PHONE . Determine vo:king square footage of ezch. 1. TotaZ exnosed xall area . . sq. ft. x 2. Total roof/ceiling area .. sq. ft. x'o, OZL = ?19-P •S ? 3. Total floor/_e-&r t:?P r'e?a? ft ?' ., . . . sq. . x Total exposed u211 area eoove floor • a. Total Wall xindov a: ee . . . . . . . . . . b. Total door-area . . . . . . . . . . . • c. Total sliding glass door z.: ez . .. d. Total fireplace v211 arez . . . . - • e. Total uall franing area (average 10%). . 7Cr - f. Total net uall area above flaor ... ZO. ?(, g. Total rim joist area . . . . . . . . . ( , ? Total exposed foundattien area = h. Total foundation winccv ar ea . . . . . . Total net foundation area ebove Arade. . Determine "U" vaiue of e ach wall segcnent. . a. q Z-, G 7 X?lull 'Z ' b. 3 . -71 -x Iluit 34 . C. X ofLll d. ? X ,fUll _ e . / ?-+- ? , i.+ X "U" f. /3 Z a, 8 G X.,U„ 9'- x IfJll h. X nUll _ ? . 1 . ---- X itun , S U'z ?'OTAL = • 4 OTAs T • , Zf item nb is the same as, cr ?ess than item #l, 'you have met the intent or sec 6006 (c) 2. ' ?% ' ,'• ? ??..? ' Total exoosed roof/cei? ing a-rea J. Tota1, skylight 2rea . . . . . . . . . . . . . . . k. Total flat roor/ceilinh frzming area ...... "71. Z l. Total net insulated f1et rco?j/cei? ing area ... ra . Total vault'roof/ceilir.z ;rprning area . . . . . . --- n. Total net insul-ated vauL? -66 roof/ceiling arez ... Dete mine "U" vp-lue ;or e=ca roof/ceil ing seg;aezt . { • X ttUtr aJ k. - --j( ??- X lfUlt 0. 027 = l.? Z- _ . 1• ??. ? X„U„ , oZZ = J 4.Oa m. x flUf, n. x "U" - _ -' 5. . . . . . . . . . . . . . . . . . . . . . . Tota1= If tota? af #5 is the same as, c_ less than #2, you have met the Z1IVZ:lb o_' :.BC 6oo6(c)z. Totas e-r.:oosed area 0. Total fr ?? T? ? ea ( a-rerzge .10%) . . p. Totzl r.et insulated _..j'r, -_.,. area ...... 1 3 G, 5' Deternine "t3" value ror e_c: =loar/cant . segcnent 0. X ?iU- V p. 1 3?.c x liUlt ? 6. . . . . . . . . . . ... . . . . . . . . . . . .Total.= If total of #6 is the szze as, c= ?ess than #3, you have met the intent c: SBC • Eoo6(c)3. r?1T= --U_=•DiivG EilVELOPE DESIGv 10 Llt1l? Ze t[1°_ tOt.Zl E.^_'T°lC;:° :. _'°_: iT.°thOCi , i.::° V2lU°S es taolishec b,',+ t::° e= Of 1yi.eE:S A, ns, Z'7C1 rs 5ne:-.! ' 1?? eg="eZte'_r than 'Uhe sum Of lte^1S Ri, 527 ?.? ?3• Z. ???. G? ?. {?• ?? 3 ?%,Z = 2? ?•?i 4. l 2 ?? -7? ;. l ?- Q ? 6• r 4; ? ?? . ?* * PIONEER ? engineering u * Cert?ate of Survey for: ?';,°'?+,ailr?? ?: 625 Highwoy 10 Northeost Blaine, MN 55434 p2? n y; 88? na? 7?-, 883 19 2422 Enterprise Drive Mendota Heights, MN 55120 • qVIL ENqNEERS (612) 681-1914•Fax 681-9488 • LANOSCAPE ARCHIlECTS The Rottlund Co Beartngs shown are assumed • 900•0 Denotes Existing Elevation •? Denotes Proposed Elevation Denotes Drainage & Utility Easement ? Denotes Drainage Flow Direction -o- Denotes Monument Ei_ Denotes Offset Hub PROP05ED HOUSE ELEVATION Garage Floor Slab Elevatlana North Unit: 889• 5 South Unit. 899,5 S 89'59'40" W w ? i 46 ?N a m No c) LOT 17. BLOCK 2 DI FFLEY COM M ON S DAKOTA COUNTY. MINNESOTA I hereby certify that this survey, pian or report wes prepared bV m/ or under /my direct supervision and that i em duly Registared Lend Sutveyor under the lawn of tha State of Minnesota. Dated thisday ofA.D. 19?_. S C a I e. l'nCh -6 O101 ROBERT B. SIKICM L.S. REG. NO. 14B91 91123.17 ? 12 UNIT VILLA DETAIL Scale 1 "=30' ? , ; .,CITY QF EAGAN 3830 Pilot Knob Raad Eagan, Minnesota 55122-1897 (612) 681-4675 SITE AQDRESS: PERMIT PERMfT TYPE: Permit Number: Date Issued: 4100 BEAVER LlfiM Rq L.fJT: 17 BL4CK: 2 DTFFLEY CQMP1QN5 P. I. N. s 10--20450-155-e4 DESCRIPTION. STORM oAMaGE Permit Type STORM DAMAGE 49.j-k Type REP'AIR REMARKS: INCLl1qESt FEE SUMMARY: 434 flLT. RESIDEiVTIAL Pt V mx u!a?z ? a= ?3- .?'? ,m.aa BUILDTMG 027927 0s/s.7/96 4102, 4104, 4105, 4108, 4119, 4112, 4114, 4116, 4118, 4120, 4122 BEAVER DAh1 RD GONTRACTOR: - Applioant - ST. LIG.OWNER: Du aLL sVc caNsYR INc 178e9411 0003178 HaMEawNERs AssocrArroN 686 39TW AVE IdE 4100 BEAVER DAM RL] COLUMBIA HT5 hlh! 55421 ERGAh! MN (612) 788--9411 1 havo ro in f ' i??t 11s??t ??.'G?t?'? -0'°c9i'n?n 0_ ? _ APPLICANTIPERMITEE StGNATURE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ` 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirements Remode /Reuair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (incfude beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? t energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree p?eservatian pian H lot platted aRer 711193 required: Yes No DATE: 6 Of ? CONSTRUCTION COST: DESCRIPTION OF WORK: i lvrt4m vwir - -- , -- - -- v D Z, b?I 1 4?D y) 22 ???1.- ? t?-0. STREET ADDRESS: ?I IQ?.'?.L42?.?R LOT I? BLOCK L SUBD.IP.I.D. #: PROPERTY Name: OWNER Ubt FIR8T Phone #: Street Address• City: State: Zip: CONTRACTOR, Company: ' 39th A1tENi1E iil cacxMeIA H,s., aN 55422 Street Address: 0122 7W9413 City: ARCHITECTI Company: ENGINEER Name: Phone #: Registration #• Street Address• City: State: Zip: Sewer 8 water licensed plumber: . Penalty applies when address change and lot change are requested once permit is issued. 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. ? Signature of Applicant: OFF1CE USE ONLY Ceitificates of Survey Received Yes No Phone #: License #: 3 `-7g State: Zip: Tree Preservation Plan Received Yes No OFFiCE USE ONLY BUILDING PERMIT TYPE - •? . 0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex o 12 Mutti Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE , ? 31 New ? 33 Alterations ? 36 Move 0 32 Addition o 34 Repair ? 37 Demalition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System {Allowable} Main level sq. ft. City Water UBC Occupancy sq. ft. ? Fire Sprinkiered Zoning sq. ft. PRV # of Stories sq. ft. ' Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineeririg Variance Permit Fee Valuation: I $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/V1/ Pertnit SNV Surcharge Treatment PI. Road Unit Park Ded. , Trails Ded. Other Copies Total: % SAC SAC Units cmr use oNLv ?? ., - . dt"4.*? L 9L RECEIPT #: SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILdT KNOB RD EAGAN, MN 55122 ? (612) 681-4675 Please complete for: ? all commerciaVindustrial buildings. ? multi-family buildings when separate permits are ng# required for each dweiling unit. DATE: ? ONTRACT PRICE: .. ?a WORK TYPE: EW?CONSTRUCTI? ? INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ?$25.00 minimum fee Qt 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of pgtmit fee due on all permits. CONTRACT PRICE x 1 % PR4CESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: tf <o OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ? ADDRESS: g''9' !'Q' ?-?? ?S' .S?" CITY: STATE: ZIP:?.? PHONE #: f -rz0 SIGNATURE: IGN RE OF PERMITTEE CITY INSPECTOR L BL SUBD. CITY USE ONLY RECEIPT #: DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KN4B RD EAGAN, MN 55122 (612) 681,4675 Please compiete for: ? single family dweliings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-onlRemodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL SITE ADDRESS: OWNER NAME: PHONE #: INSTALLER NAME: STREET ADDRESS: cirr: STATE: ZIP: PHONE #: ( ) ?-L;2-- sL cl? CITY OF EAGAN ? • PLUMBING PERMIT SUBD. (612) 681-4675 RESID$NTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ CITY USE ONLY RECEIPT # DATE AL50, FOR TOWNHOMES AND ONDOS WORK DESCRIPTION ------------------------- ----- ---------------------- CQMPLETE THE FOLIAWING: ----- N0. FIXTURES EA. TOTAL NEW CONST REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 REPAIR WATER CIASET 3.00 la BATH TUB 3.00 3 li• _1j,_ LAVATORY 3.00 3S.- OWNER NAME: x ?L KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 SITE ADDRESS : L4I UU Q c t HOT TUB/SPA 3.00 _Lh WATER HEATER 3.00 l?- FIAOR DRAIN 3.00 36' i GAS PIPING OUT. INSTALLER: V0Ak(,, o „ (MINIMUM - 1) 3.00 34 ' ROUGH OPENINGS 1.50 ADDRESS •_ Co OTHER _ WATER SOFTENER 5.00 CITY: `SV c c? c? ?, ZIP: PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE #: co- 1 1? 1 _ W. TURNAROUND 15 . 00 SIGNATURE OF PERMITTEE STATE SURCHARGE .50 TOTAL: S D's).,s `J COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: SITE ADDRESS: TENANT NAME: SUITE #: INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. . STATE SURCHARGE _ $.50 FdR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SURCHARGE $ TOTAL: $ ( S I GNATLTRE ) CTTY OF EAGAN L-/-L B ? MECHAMCAL PERN[IT RECEIPT # SUB . ?. (612) b81-4675 DATE /d ?- f?--- . °? (? I ] v c? ? ?`? RESIDEN'I'iAL /--4 '/ ?A 4",r PLFA.SE COMPI.ETE UP ER PURTIdN UNLY FOR SINGLE FAIVIILY IIWELLINGS. AISQ, COMPLETE FOR TOWNHQMFSlCaNDOS WHEN SF.PARATE PERI4QTS ARE REQUIItLD F()R EACH DWELLING UNTT. OWNFR: ADD-ON A/u ADD-ON FURNACE ? SITE ADDRESS: ADD ON/REMODEL (EMSTING CONSTRUC!'iON UNLYj $ 15.00 IN3'TALLER: HVAC: 9-100 M B°fU 24.00 PHONE #: ADDMbNAL 54 M BTU 6.110 ADDRESS: GA5 C1U7Z.ETS - MINIhIUM 1@$3 EA. C1TY: ZIP: SURCAAYtGE: $ .50 $IGNATfJRE: T()TAL: $ . NO,PERMIT REQUTRED FQR BUCTWORK ONLY! COMMERGIAL PLEAiSE CC?MPI.ETE THIS PORTTUN FOR ALL COMMERCIA1JINDU3T'RIAL SUILDINGS. Ai SO GOMPLETE FOR APARTMEN'I' BUILDINGS UR UTHER MULTI-FAMIIi.Y BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELIING UNTP. , 24G C? ?- ? , f>e. woRx nESCRIMeN: coxTRAc-r pRIcF: *0. ..sO . 0,0i FEEs 1% vF corrTR?cr FEE. STATE SURCHARGE IS ?.SO FOR EACH $1,000 OF PERMIT FEE. $ 6t> FRUCESSED PIAING - S2S.00 ? MINIMiIM FEE - $25.00 ,SC3 ? /lIv- 4'? : .?.. . INSF'ECTION RECORD 01? ' C11'Y OF EAQAN ? ? '?' . ' = ? 3M Pilat Knob RoW ? ..y r7f?11R p Muraw. . FAgprt, MMneeota 55123 ` (812) 691-4675 &M?AWRESS: L4T: ST Bt.uVK CAW. , ? ? ? ? ? " ?' ? as Ave ?R ?1?M R?1 ? ? ? #?? '?? ?i?? '?t ?, ? ? ? ? •?? : , ?? ? ? <?a , . . , ? . A ? 5 ?? ? ? . ? .. ..?e PM? i ?PE: ? . • T?y?R . i 'G V . _ F ? • _ 'V W ' ? . . ? -..-? FI111t1.. , ? S A/roo L ?. ? ?., .. ? -S f ? fk 1R940RKSie IMCLUBE$ 4$62 4*0IE 410+6 4*09 si1* +i3i,i? $lt#' ???# 4"W x y1¢ 3E ` PIN No. Prn111t Noide r OrM1 'Irhptons i . &W w.> 'fa Fv4NeW! ;.? ? FM" .. , . . RoaM9 - ? , "wY'??• ? /? ? . . . ? . ? ? . -? ?.. ,?. . . . . . ? ' .. . ? .- ., ? ? ' .... -_ _. ,. , . - . ' `^"? , .. . F" W*', . . ? . -. c? 7aeR fr !f ., r? « r r • ?. ?? ?wow ftftw 6DIMit. MOi1' EWA%n . Okip. FMW l ' 3/ o A% G, Dedc Flnd vm Pr. Oiw l'?. s4 Address4l0o,02,04,06,OS,1o,12,14 16,18,20, & 22 BFAvElt DM REAU Zip 5512 3 Lot 47. Blk 2 Sub DIFFtEY .xUICNs THE.SE ITE1vIS WERE / WERE N4T COMPLETE AT THE TIME OF THE FINAL INSPECTIOIV. Date: 01 20 93 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Fertnanent driveway ? Permanent gas Sod/Seeded grass Traillcurb damage ? POfGI] Basement finish ? Deck ? Please verify with the builder 1he removal of roof test caps from the piumbing system xnd the shut-aff of water supply to the outside lawn faucet before freeze potendial exists. Contaet engincering division at 6$1-4645 before working in right-of-way or installing underground sprinkler system. ? White -City Copy Yellow - Resident Copy Pink - Contraetor Copy .? ? .. ` .'?, Wertificate of ?ccu?ai?c? CM4 of Ttoartmeitt at 13nisi" ; ? This Certificate issued pursuant to the requirements of the Unifarnc Building Code certifying that at the time of issuance this structure was in compliance with the various : orrlinances of the City regulating building constntction or use. For the folbwing: use classircanoo: 12--PLEK sldg. r+enm;t Na 1502 ?vpancr Type 7?ning v;svicc -y?1?RI4i??[? F?H? ?.eti Owner of Building Address DIFFM ' sgit?ng nadless , ? i.ocalicy L 17, ' ? ?- ?. 01/20/q3 nm: AL90 IlVC[?'Sf"'?'?`Fd?,li*,06,08g10,12,14, 16,18,20,&22 BFAVEEt 1]AM R-.IAD s POST IN A CONSPICUOUS PLACE SITE ADDRESS Unit # Permit # 45D, - L B ? Sect./sub. INSPECTION INSPECTOR DATE COMMENTS • L ti ` ? • /Q ?1 f4U -?•-??- .i A4 Gu ?- -??- ?? 9",t440?t I? ??'?J? ?I 4!! a 6? a F_ 10 6t;i'Zt?/ INSPECTION INSPECTOR DATE COMMENTS b 412,2- lJ I2 t? 2"f '/O /DO 1 L.2 / - O 4. 6 - 'ia? u z ?i - ?-z z /V G s v ?S 12-30-P a.M, . .NI . lqlly 400 rc !? lr ??- y//Y ?rf? INSPECTIUI'J RECaRD ` CITY OF EAGAN pERAMT TYpE: e?ILpING 3630 Pilot Knob Road Permit Number: . 0271)27 Eagan, Minnesota 56122-1897 Date Issued: ?? ?11/46 (612) 681-46,75 SITE ADDRESS: ' ' ' ? ??1 t ? H i 0 (.. K. x ,, APPLICANT: . 4100 BE?VUR DAn R{) OU Ai- I riVr, CFI ??`JRTIn #:R4 . . 0 1 1`f l f Y (7.1.114 M0 M fi (61.i.') ?N.1O-314:11. PERMIT SUBTYPE: .`al'{3R N I:) A FiAt,C TYPE OF WORK: FiFPAIR , Ilt" `?C.lt'C f''r I01V STORM DAMAGL FtE.!lAitK`i: 0 F',`+; A;1tAr7, 4104. A106F 41011„ 41 19s 4I12. 4114. A}1.6# 41.18, r412a* AI1i DE/OUER DAb1 kCi Pennit Ho. P.rridt t+older uate relepnone # ELECTRIC PLUMBHdG HVAG Inspealan Date Inap. Canamma FoanNGs FOUND FRAMING ROOFING ROUGH PLUMBING , PLBG AIR TEST ROUCiH NEATItVG OAS SVC TfST iNSUL ? . GYPBOARD FIREPLRCE FIHEPLACE AIR TEST FIIVAL PLBC3 FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL ' DECK FTG DECK FINAL INSPECT'ION RECORD CITY OF EAGAN PERIWIIT TYPE: 5#41talw« 3$30 Pilot Knab Raad Permit Plumber: a ?`1'a 9 g Eagan, Minnesota 55122-1897 Date Issued: E96 (612) 681-4675 SITE ADDRESS: Ff " APPLIGANT: n i0T RF. AV#' Fr C1A04 frt.i riEl R1. t. 5iVC CcFfitiTR INC t7 i F t" i f.= `P i. r'? Nt M A N'? { r5 ??' )! 88--9 A I. ,1 PERMIT SUBTYPE: TYPE OF WORK: STOf:M i1AhMAA;6 ttv F'AIR NI'.MA{'iKE. : YNI;iIIf1F.`i 411:t (1.C)i ::'A) 4 l.iE; fLIF#1" :y:;'j Al.:l*i 11 0T 71 ) DEAVER 11A#1 lt!? Parmit No. Psmdt Holdsr Dat9 Talephum Ik ELECTAIC PLIUBMlCa HVAC M"sdn Dste qaR Cammnents FOOTiNCiS FOllND FRAMFNG ROQFING ROUGH PLIMBIPIG PLBG AIR TE&T ROl)GM HEATIN{3 GAS SVC TE8T INSUL w QYPBOARD FIREPLACE FIF?PIACE" AIR TEST . , FINAI PLBG . . FINAL HTG • ORSAT TEST BLDG FINAL " BSMT R.I. BSMT FINAL DECK FfG DECK FINAL INSPEC'`ION CITY QF EAGt4N 3830 Pilot Knob Road ; Eagan, Minnesota 55122-1897 (651) 881-4675 R??ORDR . ? . PER'MT,rfPEF. Permit NmbeF: [)ate Essued: SlTEADDRESS:?.?.N e> 10...r0460_;f30 01 1. #1T : .' i3 P 1 I.l l#. ? 4 I 0. r li #: A'V F Fr l? AMI W1 W #" F L 6.,- 0t Mtl M S PERAAIT SUgTYPE: ? APPLiCAP1T: ?ix TC',RI43W'k t f: .1 !,i a 1. - m 2 :3 : TYPE Of Wt?RC- #'9 F"w #" Ft I.' ?0 0?? A' r: • . 0 f K : E , ? s t ? #: S 3? II r . Pertnk Molder €late Telephone # SEWEW WATER PLUMBI NG HVAC kiapecHon bets Inap. Commeeta FOQTINGS F4UNL] FRAMING ROOF[NG RQUGH PWMBiNG PLBG AIFI TEST ROIfGH HEATING GA5 SVC TEST iNsuL G,YP BOARD FtREPLACE FIRERLACE AIR TES7 FiPiAL PLBG FINAI. HTG OR3A7 TEST BI.DG FINAL DQMESTIC METER IAAIGATIQN METER FLUSH MAINS CONDUCTkWITY TE5T HYEaROSTATIC TE5T B$MT R.I. BSIWIT FIM1IAL pECIC FTG OECK FINAL 1( 5 07 . s1Y R uest 15ate * p? r o. g-?n Inspection e uired? ? Ready Now ? Will Notify Inspector v?/3 Yes G No When Ready7 V,'licensed contractor ? owner hereby request inspection of above electrical wark at: Job Address (Street. or Route No.) Ciry -O Section No. TName or No Range No. Co Occupan PRINT) Phone No. hQ -?1 Power $upplier C \ ") _ M, Address Electnc Corrtracto; (Company Namq? i Coniractor's License No. _ Qa39) Mailing Atldress (Contractor or Owner Making Installation) ?1 . ti b1- Authonzed Signature iCoNraM Owner ki g Installation) Phone Number - -- ?- ?? - ? 4i. 3- 3 MINNESOTA STATE 80AR0 OF ELECTRICITY U THiS INSPECTION REQUEST WILL NOT Griggs-MlEway Bldg. - Room 5173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REGIUEST FAR ELECTRICAL INSPECTION Ee-00001-0e 10- See insnuctions for completing this form on back of yeliow copy. /ak3ss 'X° Below Work Covered by This Request ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating - Apt. Building Dryer Other (Specify) Comm.tlndustrial Furnace Farm Air Conditioner Other (speciiy) Contractor§ Remarks: Compute ?nspection Fee 8elow: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps SignS Inspecta's Use Only: TOTAL Irrigation Booms 6d ? Speciallnspection I ! Alarm/Communication THIS INSTALLATION MAY BE ORDE D DIBG`ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. ? I, the Electrical Inspector, hereby if th h Rougb-in ? O?E oetIf?e?' ??f;? y cert at t e above inspection has been made. Final ? oe? oat ?y ,? F ? OFFICE USE 3NLY ? , f r t;?...??r1 , This request void 18 months from "''? K `55206 /o &3 S >1 Reques Date Fire in Inspection ?d ? Ready Now w I Will Notity Inspedor , 3-^ q 5; . 5 y? When Reatly? I71 IiCensed contractor i] owner hereby request inspection of above electrical work at: Job Addie55 (Sheet. Box Route No.) City 47?1 Section No. Township Name or No. Range No. Cou?Vv? Occupa IPRINTI Phone No Power plier Adtlress Electric ontrfl tor (Company N me) 74 ContraclOrS LiCense No. ?7,C - 00 3 U / Madm Atltlress I Contrador or Owner Making InstallaUon) Authorized Sgnature IContrac? ?Owner f k g Installation) Phone Number • ?,;?, -, - - 3FA) MINNESOTA STATE BOARD OF ELECTRICITY & ? THIS INSPECTION REOUEST WILL NOT Griggs-Mitlway Bldg. - Room S773 BE ACCEPTED BY THE STATE BOARD 1821 Universlty Ave., St. Paul. MN 55104 UNLE55 PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ? J? Jr j. REQUEST FOR ELECTRICAL INSPECTION '0?,.:•7%$ Es-ooooi-oa ? See instructions tor completing ihis form on back ol yellow Copy. 9 ?J C 1__.,?_'"'' ? 5J206 X '" g'elow Wdrk Covered by This Request ?'= ew Add Rep. Type ot Building Appliances Wired EquipmeM Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specity) CoMractort Remarks: Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps f Q 0 to 100 Amps p Transformers Above 200 Amps Above 100 Amps Slglls InspectorS Use Only: , tOT{IL IrrigationBooms Special Inspection Alarm/Communication THIS INSTALLATIDN MAY BE ORDEF3EQ QlSCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. / I, the Electrical Inspector, hereby Rough-in a?e /v certify that the above inspection has been made. Finai 44 , ?? OFFICE USE ONLY This request void 18 monMs from { I( ` 5 5 2 0 5 ?? ?-?s y r . R st Da e Fire NZIr u-in Inspection ired9 ? Ready Now / Will Noti1y Inspector Q ? 13, ?.- Yes G No When Ready? I licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box a ute No.) City Section No, I TownsWip Name w No. Range No. Cou Occupant RINT) Phane No. Power plier Address Eiectric CqnVador (Compan me) onhactors License No. I CA a Maling Adtlress (Contrector or Owner Making InstalWUOn) Authonzed Signature IContrado Owner Ir st allationj Phone Numbei i l- _VJ .3 MINNESOTA STATE BOARD OF ELEC7RICITY J I/ THIS INSPECTION REQUEST WILL NOT GNggrMidway Bldg. - Room &173 ? BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PAOPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ?7- REQUEST FOR ELECTRICAL INSPECTION ?°;•`:°'s??; es-oooo,-oa A 55205 ? See inslructions for compleling this form on Cack of yellow copy. `X-Betow, b1/ark Covered by This Request ew Add Rep TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary 5ervice Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./lndustrial Furnace Farm Air Conditioner Other (specily) ContraCtor's Remarks: Compute Inspecfion Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps /S 10 0 to 100 Amps 5L? Transformers Above 200 AmpS Above Amps SIgnS InspectorS Use Only. TOTAL Irrigation Booms Speciai Inspection Alarm/Communication THIS INSTALLATION MAY E ORD ONNECTED IF NOT Other Fee COMPLETED WITHIN NT I, the Electrical Inspector, hereby Rough-in ` oat f? -fJ- y- certify that the above inspection has been made. IFinal- Da e OFFICE USE JNLY This request void 18 months from K? 204 . ?115) e?5 sy ?, s f 4 ~ i ? e__V Reqy¢st Da e 0_ O? Fire No. an Inspection ?1 7 Fieady Now ?Nill Notily Inspector R d l Wh s E No an y ea I,'alkcensed contractor D owner hereby request inspection of above electrical work at: Job Atldress (Street. Box or te.) City ? c?.i Secfion No. Township Name or No. Range No. Cou d`??'Q"'.C ? OCCUp2nt ?PRINT) PhOne NO. ??? k.-e-' Power Su r ? ? Address Electrical traa fCorppany Namel ? te Contractor's License No. .? l_ c /I G) 0 3 d 1 Maihng ress IContractor or Owner aking Installation) Authorizetl Signature iContreclor wner ki Ins[alla2ion? . , Phone Number ' - Wd MINNESOTA STATE BOARO OF ELE4TRICITV r 7HIS INSPECTION REQUEST WILL NOT Grlggs-Midway Bldg. - Room S773 BE ACCEPTED BV THE STATE BOARD 1821 Univereity Ave., St. Paul. MN 55104 UNLESS PRQPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 15 2 0 4 • See insiructions for completing this form on back ot yeliow wpy. _ "X" Below Mrk Covered by This Request ?k? EB-00001-0B 14 95F ew Add Rep? TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (5pecify) Comm.llndustrial Furnace Farm Air Conditioner Other (specity) Contracta§ Remarks Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuitSlFeeders Fee Swimming Pool 0 to 200 Amps D to 100 Amps 44 Transformers Above 200 Amps Above 100 rt_ Amps Signs Inspector+s Use Only: TOTAL Irrigation Booms Speciallnspection ; ?J j Alarm/Communication THIS INSTALLATION MAY BE ORDOED DP60NNECTED IF NOT Other Fee COMPLETED WITHIN NTHSp y`- r I, the Electricai Inspector, hereby Rough•in 0, ? I,•-- W oate certify that the above inspection has been made. Final 42 r Date OFFICE USE 'JNLY ;,n ••- '? fi ? This request voitl 18 months from K 55203 lieq st Date _ Fire No. ou nspection pBy ? ? Ready Now /f!T`Will Notify Inspector ? es C No When Ready? I4-licensed contractor D owner hereby request inspection of above electrical work at: / Job Atldress (Street. Bo r Route No.) ? Ciry ? ? 4J Seclmn No. Township Name or No. Range No. Cou G Occupant PRIN7) Phone No. . 4ztjL 1 ? i, Power uppl r Q..lA{. Address Electncal Cp? traEtor (CoMpany Name) L'??,? C?? 7 0ntractor§ License No. e o 0 3 B/ Mawng Atldress (Contrador or Owne Making Installauon) • ??ZL-t_.?,?,u. Authonzed Signature tContractor wner ki g Installation) Phane Number 2 - 3 MINNESOTA STATE BOARD OF ELECTRICITY ? THIS INSPEGTION REOUEST WILL NOT Griggs-MWway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 Univeraity Ave., St. Paul. MN 55104 UNLESS PqOPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION es-00001 -os ? See instructions for completing this form on beck ot yeliow cOpy JK3 5?`y K 515203 "X'!3elow Work Covered by This Request ??':? ? e "Ad p. TypeofBuilding AppliancesWired EquipmentWired Home Fange Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer OtheF {Specify) Comm./lndustrial Furnace Farm Air Conditioner Other (specify) Contractor's Remerks Compute /nspection Fee Be/ow: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ,r 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspecrors Use Only: ? OTAL Irrigation Booms ? Special Inspection I Alarm/Communication THIS INSTALLATION MAY BE ORDEI(E DI9CONNECTED IF NOT ? Other Fee COMPLETED WITHIN 18 NTH : I, the Electrical Inspector, hereby Rough-in ? oate`,_`j _y? certify that the above inspection has been made. Final f oate 11??`7?YY OFFICE USE ONLY " This requesl void 18 months irom K 5 5' U Z 16;1 dr-,.ff y y /7 S 9 1 z cl? ? ? "e 69,A olv Req est Date / Fire No. Rou Inspection R. ? ? Ready Now?f3lNill Notity Inspector ??` 5 2. Yes E. No When Ready? j,2nicensed contractor p owner hereby request inspection of above electrical work at: Job Atldress IStreet. Box w R te No.) City U b L? 0- '11 Section No. Township Name or No. Range No. Counp? ? 1J Occupan PRINT) Phone No. "l Q ._n Power Sup lier Addres5 . l EI¢ctncal ontractor,iCompany amA) Contractor's License No. MailinqAtltlress (COntractor or Own Making InStallation) /? . .,-? AuthOrized Signature (Contractorl wner Inmallation) Phone Num6er It b-3---3 ?la MINNE50TA STATE BOARD OF ELECTRICITY f ? THIS INSPECTION REQUEST WILL NOT Griggs-NNdway Bldg. - Room 5173 BE ACCEPTED BY THE STATE BOARO 1821 Univereky Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642A800 ENCLOSEO, // 1j y'?--? REGIUEST FOR ELECTRICAL INSPECTION 4 ??* ee-ooom-oe ? See ?n5truction5 for completing this form on 6ack of yellow copy. f 9 K- 5 202 • X" B e f e w W o r k C o v e r e d b y T h i s R e q u e s t ew Add Type of Building AppliancesWired EquipmentWired Home Range ? Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer OtheF (Specify) Comm./lndustrial Furnace Farm Air Conditioner Other (specily) Contractor's Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps a 0 to 100 Amps 1 40 Transformers Above 200 Amps Above _ IVPROq, Amps SignS Inspectort Use Only: TOTAL Irrigation Booms ( -- Special inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDEREB'OISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. -j f ? I, the Electrical Inspector, hereby Rough•in ? te `Jw ?ry? s cettify that the above inspection has been made. Final ? oate OFFICE USE ONLY This requCSt void 18 months from ? K 5 2 fJ 1 ios3 s s ? s/y Fequest Date Fire N. R Inspection 7 R il ector ReadY Now ;2f Ci t ! V "? ?" l Z Yes C No W hen Ready7 I/licensed contractor D owner hereby request inspection of above electrical work at: Job Ajdtlress (Street. 6ox o oute No.) G? Ci ?rl/`?L' V • I Sectidn No. Township Name or No. Range No. Counry Occupa (PRINT) Plrone No. Power S lier ? ? ? ? Atldress -t_ • Eiectnc Comor iCompany Name) Conhactor'S License No. ? ? ?? e 38/ /? d 0 .? -4-_ ?? - Madmg Atltlress (Contractor or Owner aking Installalion) ,- ?" r l Authonied Signature (Coniractou wner Ma g nstallation) ? Phone Number MINNESOTA STATE BOAqD OF ELECTRICITV ?j THIS INSPECTION REQUEST WILL NOT Griggs•Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 Universky Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REOUEST.FOR ELECTRICAL INSPECTION es-ooooi-os ? See mstructfons,{or completing this form on back of yelbw copy. K ?520 ?, . 5 X" Below Work Covered by This Request ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range 71 Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (SpeCify) Comm.Jindustrial Furnace Farm Air Conditioner Other (speafy) CoMractor5 Remarks: Compute Inspection Fee 8elow: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps f 0 to 100 Amps Transformers Above 200 Amps 0 Amps SIgt1S Inspector5 Use Only: TOTAL Irrigation Booms I ? Special Inspection ? Alarm/Communication THIS INSTALLATION MAY B ORD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. .-" I, the Electrical Inspector, hereby Rough-in , -3o_y2 certjfy that the above inspection has been made. Final r t .Z ? OFFICE USE ONLY This rCquesl void 18 mOnths from K?? s1250 /o?39y Request Dat ? F e No. gh-in n edion e uir Yes ? No D Ready Now Q?Will Notity Inspedor ? When Ready. I4'licensed contractor p owner hereby request inspection of above electrical work at: Job Atldress (Street. Box or ute No.) J?, N " \ / "? City Section No. 7ownsh.4 Name or No. Range No. Co 7 Occup (PRINT) n ?1J? ??+?..?- ? ? Phone No. Powe= pher ? Adtlress ? Electnca nt?a r (Company /Nyame) CoMradorS License No. Mailing Adtlress IContract0r or Ow r MgKing Installationi ?,/?in/•???? .! . Authonzed S,gnalure IContractor ner Installationl , • .?n?:?,-ti Phone Number ? 3 - 3 ? ? ?? MINNESOTA STATE BOARD OF ELECTRICITY I/ THIS INSPECTION REOUEST WILL NOT Gngga•Mitlway 91dg. - Room S-173 v' BE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 0? See instruclions for ;ompleting this form on back of yellow copy. K 1 - 2?' ''x" Below Work Cavered by This Request ea-ooooi-oa ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired • Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer OtheF (Specify) Comm./lndustrial Furnace Farm Air Conditioner Olher (specify) Contractor+s Remarks: Compute Inspection Fee BeJow: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 ta 100 Amps Transformers Above 200 Amps 100 Amps SignS Inspector§ Use Onty: TOTAL - Irrigation Booms _6 ) d I J Speciallnspection ` / ? larmlCommunication THIS INSTALLATION MAY BE ORDERkD-BISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 ONT I, the Electrical Inspector, hereby Rougn-in Date cectify that the above inspection has been made. Final ? o te f ,,L -Z OFFICE USE ONLY . c+ ? . This request void 18 months irom Request tE Ffre No Rou n InspeCtiOn Req ? 7 Ready Now RrVJiu Notily tnspector ?t -;;?e5 G No Whgn Ready? Ie!5-licensed contractar p own er herebr requast inspection of above electricel work at: .loh Atlaress (Street. eXZ' tNo ) 4-OX, Ctty Per-A Section No- Township Neme or No. Range No. Gauraty ? ? Occup (PRINT) Phone Na. Power S i?er . 'Z'.? Address Eiectnc Contractor (Compan Name) ?? Carrtrector5 Gcense No. f.C? l?_ Maihpg Atldress fContractor or Owner Making Installation) Authorized Signature (Comract Qwner k- g Inslallauo 1 Phone Num6er ? 61 '7?/,, 4- MIMN?ESOTA STATE BOARD OF EI.ECTRICETY THIS'INSPECTI4N REQUEST WILL NOT Grigga-Midway Bidg. - Room S-173 BE ACCEP7E0 8Y THE STATE BQARD 7821 Universiiy Ave., 51. Peut. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLDSED- REQUEST FOR ELECTRICAL INSPECTION ea-oooo,-oa ? See instructions for completing this form on back ol yellow copy. K. - ? 12 4P X" ?elow Work Covered by This Requesf ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range `7 Temporary Service Duplex Water Heater Eiectric Heating Apt. Building Dryer OtheF (Specity) • Comm.llndustrial Furnace Farm Air Conditioner Other (specity) Connactor's Remarks: Compute lnspection Fee 8elow: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps .? / 0 to 100 Amps I Transiormers Above 200 Amps Abova 46e --Amps 5igns Inspector's Use Onry: x0 TAL Irrigation Booms /? ,G 7 Special Inspection AlarmlCommunication ?? ? THIS INSTALLATION MAY, ORD D"DlS?60NNECTED IF NOT Other Fee COMPLETED WITHIN 1 TH : I, the Electrical Inspector, hereby Rough-in ate W certify that the above inspection has been made. Final Dai ? OFFICE USE ONLY ?-'` ' - This request voitl 18 months trom K 1 249 cl . Request,pale Fire N Ro g in Inspaction R. ed? D Ready Now ?II Notity Inspector ?"/3 ? r" es = No Wben Ready? I,;;_elcensed contractor ? owner hereby request inspection of above electrical work at: Job Adtliess (StreeL 8 or Route No.? City .? -2 i G_l Z? t??-? ?- v? Section No. Township Name or No. Range No. Gounp? ? fJ \ L.-J Occup (PRINT) Phone No. Powe (81 pher ^ Address Elednc ontra tor 16ompany Namel CoNractor's License No. MaWng .?dress (Contrector or Ow r Making Installahon? 1 Aut.onz Signature IComracto wrre a-ng tnstallation) 1 r Phone Number MINNESOTA STATE BOARD OF El,£CTRICITY l THIS INSPECTION FEQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55704 UNLESS PROPER INSPECTION FEE IS Phpne (812) 642-0600 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?% ? EB-00001 -08 • ? See mstructions ?or complkting this form on bacK of yellow copy. ??? K 11249 ? ??,??'' io$3f s Belaw Work Covered by This Requesi ,?- e REpt- Type of Building Appliances Wired Equipment Wired Home Range ° j Temporary Service + Duplex Water Heater Electric Heating Apt. Building Dryer Other (5pecify) Comm.lindustrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance 5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Abo 00 Amps SIgnS Inspectork Use ONy: T Irrigation Booms Speciallnspection , Alarm/Communication TMIS INSTALLATION MAY BE ORDEF?Q?CONNECTED IF NOT Other Fee COMPLETED WITHIN ONT I, the Electrical Inspector, hereby Rough-in ? oate ? certi that the above ins ection has ? P been made. Final ? Date OFFlCE USE ONLY 4`r?%^ _• This request void 18 months trom , 4 1 2 Request Date T r No. 2 ugh-I psection Required ou m call inspeetor whan re adY) rn e ction Olher Than Rough•In Ready No ? Will ' 1 ector ? Ves No DateReady Iecensed contractor :3 owner hereby request inspection of above electrical work at: Job Atltlress (Street. Box Or Route No l City ea e c? Section No. Township Name or No. Range No, County C Occupan RINTI ? ? Phone o. Power Supplier Atldress Electncai Contractor (Company Name) Contractor? License No. c AD -:26 ? Mading Atldress i oMrector or Owner Making Installahon, jAithonzetl Signature iComractonOwner Making installaLOn) Phone Number I? . ? - --- - - -- -- V ? MINNESOTA S7ATE BOARD OF ELECTRICITY ? THIS INSPECTION REQUEST WILL NOT GriggE•Midway Bidg. - Room 5-173 BE ACCEPTED BY THE STATE 80ARD 1827 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612?642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION " ? See instrucuons for complehng this form on back ot yellow copy. ?:? 45142 " X" Below Work Covered by This Request N, es.ooooi•oa ? ?"?$ q? 8'lv ? ?-' ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater ElectriC Heating Apt. Building Dryer d Management C? omm.llndustrial Furnace Other (Speciiy) Farm Air Conditioner ? I I IOther Ispecrfyi Contraclor's Remarks. Compute Mspection Fee 8elow: # Othar Fee # Service Entrance Size Fee # Circults/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps A6ove 100 Amps SignS Inspectorg Use Ony: TOTAL Irrigation eooms Special Inspection . Alarm/Communication TNIS INSTALLATION MAY B ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby if th t h b Rough•in Date y cert a t e a ove inspection has been made. Final Dat? ???, OFFICE USE ONLY I This iequest voia 18 month5 Irom ?0,005832 /./7 a W"ast Data /?7 IFire N . Ro n I^ tlon Requlred Inspection Other Than Rough-In (YOfrHus inspector hen ready) ?ReeTv Now ? Will Notify Inspector ? Yes Da? Read I ensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Straet, Box or Route No.) Ciry Section No. Township Name or No. Range No. County b? Oc&pant (PRINT) ? Phone No. Powe Supplier , Address ? / - ? ec c Y 300 ..?? l e % lectrical Contredor (Compeny Name) Conhactor's License No. , O?F _Z. A Q,220 Mailing A dress (Contractor or Owner Making Installatio DU Z 5 Authorized Signature (Contractor/Owner Making Installation) Phone Number _1.2? F.915Y MINNESOTA 9TATE 80ARD OF ELECT?VC*Y THIS INSPECTION REDUEST WILL NOT Orlgga-Midway Bidg. - Room S•128 BE ACCEPTED BY THE STATE BOARD 1827 Univeralty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 642-0800 ENCLOSED. H 3 2REGIUEST FOR ELECTRICAL INSPECTION )0- See instructians for completing this form on baek of yellow copy. a-=-- - "X° Below Work Covered by This Request ? EB-00007- 9 e' Rdd Rsp. T pe of euilding Y•kpptiences Wired Equipment Wired Home Range Temporary Service Du lex Water Heater Electric Heating Apt. Building Dryer oad Management Comm./Industrial Fumace Other Speci ) Farm Air Conditioner OMer (speclfy) Contractor's Remarks;...r 1 ` e S <IICJ StN.' TG4 Compute Inspection Fee Below: ? Z rj'V 3ig # Other Fee # Service Entrance 5ize Fee # Circuits/Feeders Fee Swimming Pooi 0 to 200 Am s 0 to 100 Am s Transformers Above 200 Am s Above 100 Am s SI nS Mspectors Use Only: TOTAL Irrigation eooms ? , 0. ?Q S ecial Ins ection O AiarmlCommunicatfon THIS INSTALLATION MAY BE 0 DISCONNECTED IF NOT Other Fea COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final Dat =/ ] ?J OFFICE USE ONLY This request void I8 months trom 55208 i0 8?&ss x Ra st ate ? Fi ugh-in Inspection R quired9 d Ready Naw ?Will Notify Inspector es ?No When .15"cly? I?licensed contractor p owner hereby request inspection of above electrical work at: Job Atldress (Street. 8ox Route No.) y Ciry Section No. Towns ip Neme or No. Range No. Co Occupa PRINT) Phone No. Power Su er ? • (? _ Address Electrical ntrea lCompany Name) - Contractors License No. ?C..?-Q?G' 7 C {160 ? Maiiing Atldress (ContractoLor Own Making Instailanon) Authonzed Signature (Contracton wner M n nslallation) Phone Number L' '''-" Fj - ? 9 M MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUE5T WILL NOT Grlgga-Midway Bidg. - Room 5173 ? BE ACCEPTED BY THE STA7E BOARO 1621 Univarsity Ave., St. Peul. MN 55104 UNLESS PROPER iNSPECTION FEE IS Phone (612) 642-0800 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ???? es-00001-0e 10- See instruc'?rons tor completinq this form on back of yellow copy. i??'?' s a- ? /o ?r3s ? 5 5 2 0 8 'X" Below Work Covered by This Request ew Add Rep. TypeofBuiiding AppliancesWired EquipmentWired Home ( Range Temporary Service Duplex Water Heater EleCtric Heating Apt. Building Dryer Other (Specify) Comm.llndustrial Furnace Farm Air Conditioner Other (speciry? Contractors Remarks: Compute Inspection Fee Below: #. Other Fee # Service Entrance Size Fee # Circuils/Feeders Fee . Swimming Pool 0 to 200 Amps D 0 to 100 Amps 4C O Transformers Above 200 Amps Above 100 Amps 5i9f1S ! Inspector's Use Only: ' ! - ) TOTAL Irrigation Booms , ? V, ? ? Special lnspection Alarm/Communication THIS INSTALLATION MAY ORDERE CONNECTED IF NOT Other Fee COMPLETED WITHIN 1 H ,r I, the Electrical Inspector, hereby Bough-in at70 _ yt_rf;2 certify that the above inspection has been made. Final ate lx -??yY OFFICE USE ONLY This request voitl 18 months from K 55209 Request Date F o. ugh-in Inspection He ired? ? Ready Now?Will Notify Inspector o -? 3-??-- Yas E? ? When Ready? I? licensed contractor ? owner hereby request inspection of above electrical work at: Job qddress (Slreet. Boz or t e No.) 1 ?- ?ttn...... 6? City L• ti Section No. Township Name or No Range No. Coy?y ti + \ OccupanIPRINTI ? Phone No. v(.?'tLJ? ?1f?? Power S lier AddreSs L_ Electncal ni?actor (C panv Name) CoMrector+s License No. ? / n/1 J? ?fJ > ? I Mailing Atldress (CoMractor or Owner Making Inslallation) Authorized Signature IContractor, ner Maki 'stallaGOn) ^ Phone Number MINNESOTA STATE BOARD OF ELECT CITY p THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldg. - Room &173 BE ACCEPTED 8Y THE S7ATE BOAAD 1821 Unlversity Ave., St. Paul. MN 55104 UNLESS PFOPEF INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. /?j? REQUEST FOR ELECTRICAL INSPECTION 10- See ??struction*lbr compteting this form on back ot yenow copy. s K? 55209 X" Befow Work Covered by This Request es-oooo,-aa •;?s ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range ?j Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./lndustrial Furnace Farm Air Conditioner Other (speciy) Contiacmr§ Remarks. Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above Amps Si9nS Inspector's Use Onry: f? TOTAL ? Irrigation eooms (/ ? v" `' Special Inspection n Alarm/Communication THIS INSTALLATION MAY B RD D giSCONNECTED IF NUT Other Fee COMPLETED WITHIN 18 HS. ; 41 I, the Electrical Inspector, hereby ? certi that the above ins ection has ? p been made. Final ( ? Date OFFICE USE ONLY This request wid 18 months Irom 3ULD 2006 RESIDENTIAL BLTILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction Reauirements 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies af plan showing beam & window sizes; poured found design, etc, t set of Energy Calculations 3 copies of Tree Preservatlon Plan 'rf lot platted after 7/1193 Rim Jast Detail Options selection sheet (buqdings wilh 3 or less units) Minnegasco mechanical ventilation form RemodeVReoair Reauirements 2 copies of plan showirig footings, beams, joists 1 set ot Energy Calculations for heated additions 1 site suroey for additions & decks Addition - indicate if on-sife septic system Ger# of Survey Recd _ Y= N Tree Pres P1an Real `- _ Y` Triw Pres Required. _Y _ N on4te Septic 5ystein ? Y -;Y N ? ??EY Co_?..M??S Construction Cost 22i G (Dc Date 0'0 Site Address `4 t i G y r(y 4 Ma 911Y 4izo UnidSte # c.? ?e f?h-?.-. ?fl ?f ? Z Z Description of Work /.1-u1-3 4- 2a6e` Multi-Family Bldg -)C Y_ N Fireplace(s) _ 0 _ 1 _ 2 (R??•? J Property Owner Tetephone #(?' Contractor Address City '"?'L- State Zip Telephone #?G VY) 27 5-( - U?? v COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Categgry 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submltted • 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? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Sta.tutes; I understand this is not a permit, but only an application for a permit, wor not to start without a permit; that the work will be in accordance with the approved plan in th ork ch requires a review and approval of plans. IIY("6- Applicants Printed Name Ap i ign re . ? DO NOT WRITE BELOW TffiS LINE Sub Types ? 01 Foundation O 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvqes ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplaoe ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Dedc ? 11 10-plex ? 19 Lower Level ? 12 12-plex ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof 0 46 Windows/Doors 'Demolitlon (EMire Bldg) - Give PCA handout to appllcant ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Ait - SF ? 36 Multi Misc. Description: water Damage Yes Valuation Occupancy MCES System Plan Revfew 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) _ FinallC.O. _ Footings (addition) _ FinaUNo C.O. Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick R.I. Air Test Fireplace _ Final _ Windows _ _ _ Insulation Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total PERMIT Permit Type: Building City of Eagan Permit Number: EA105506 Date Issued: 07/17/2012 Permit Category: ePermit Site Address: 4100 Beaver Dam Rd Lot: 155 Block: 04 Addition: Diffley Commons PID: 10-20450-04-155 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Comments: Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 4,000.00 Total: $105.25 Contractor: Owner: - Applicant - Beissel Window & Siding Co Cynthia M Boes 1635 Oakdale Ave 4100 Beaver Dam Rd W St Paul MN 55118 Eagan MN 55122 (651) 451-6835 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. Applicant/Permitee: Signature Issued By: Signature Date: CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 71i; Permit Fee: Date Received: Staff: I-1"3 P(1 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Tenant: Site Address: 9/ 2 ev o'er- 1::>2. o Resident/Owner Contractor Type of Work Permit Type Suite #: Name: C(i � 8 Cs Phone: (o,5l lj C " 5I 75 Address /City/ Zip: r� / , e t c� �J p. /�� %" �� /C cz� Name: 6-N-C!AS u'' %[Lc.L4-�b[6 iLC License#: C P,? Address: 7/ Rt t er (Aid ( City: (G�1^tt-SLf(/C t° State: Alts Zip: 53-3 3 ( Phone: /so /) �{r� ?~ m% Vp - Contact: `) (11-%- Email: New eplacement _ Repair _ Rebuild Modify Space _ Work in R.O.W. ej• ev eG-- Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ l // � 6 t) 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.00pherstateonecall.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. Applicant's Printed Name x V/C1��-sit Appli nt's Signature FOR OFFICE USE Reviewed By: Required Inspections: ` Under Ground Rough -In Air Test Gas` Test Final 06/17/2014 15:08 Les Jones Roofing,Inc. �Afl�9528817009 P.0191020 Use BI.U�or gI�ACK ink ' � ForOfflceUOe--^----^^� . ' j Permit#: �� j �i Gity of �a�an � Permlt Fee: � I 3830 Pllot Knob Road � � Eagan MN 6b122 j Date Received: � Phone:(661�67G-G67G I � Fax:(661)6755694 . i Staff. � �..-.�______________J 2014 RESIDENTIAL. SUILDING PERMIT APP��cATio� y/ov-�f/o� -ylo�-y/a6-yloP- �}�/e �y�i2- 5�// Date: �O � � SlieAddress:y//�¢//8�� ZD—y/.� $� �t �. Unit#: "' :•�'>.::::::..:... ::1�-� �, 'V . �.'y d��.:1':.�'r.i i.:.:'.'. -_: i`. ;.'�'':',,,;:�`=;c-. �"s� �� Neme: �/o p2a�e�2ry ��-�,E, 6NG. Phone: �si- ss-� 9qvq •.� ��'�,��.:.�;-,:.,,;:,e:,.:::,;; �;,`�;,�?��'s�+d�,j��>.;:;;';.; � ;,.:;,',��";��Vlln�r.';;:;i: ;:,A'..:,- Address/City/Zip: �D• BD u 212 5 /NVEl2�7+�.0✓� z�/1�/ 6Sd� 9(o .. ,.;t::.,: ...,:. ,. ...... .,�,�:'�.•;-;,r',�:'.;��•�:,_;= ;:` �,;� ��' �;, , `',� ;;, � Applicent le: Owner X Contractor �,:...�`,�;,iS,,i• •.��f,;(,.,r.,�..)..',;;7;� (� `E�`a": , +.i,i;�:r.l;. �., . • '. �,;::��;`��:��:�;°" .' .�,,' ,�>�.; Desc►iptionofwork• ��iLfl�_!� f�l1l!) ��pGf!-G� J/L�//✓C7`� '<�'�Yp�Q�of:�l1(,.o'r�_:;;�. _�:, �. � '•<r�'`�� :?;'?��,;;;;;; Construction Cost: '2 �� Multi-Femlly Bullding:(Yes x /No_� ��,,:��:;: ..:� .,:,.. :;;. �•� '•i;�,��.`�"��;��;:;� ;�r>��:-�;�,.; / .;a,,,.`',.;,., ` ;?:1 � ":;:: Company: �E',S �ToN63 RaDf<�+//r /�vG Contact:C�.s.a.r s ,4,�0�-so,�/ ,-.� ';c;:''�;: ':,��i"•,�F,?, �� ir' z,' `_ � '`r'' ;,. .1� Address: 9�l l W. �D� S'i"R.�'7'" City: ,BGO�vu,r.v�i-�b�✓ �cb�`k�ai�XAP;;, �;•':;cc,:<:��;.;; :;r%` ::<,;•• .', e.. �'�<c'f .;:s'�;``;;�<;;'';','si:. ''��- State:_ �I�/�Zip: ,�.�'�20 Phone� 9'S.� 7�0 7-�8l9 �;� ,;...,<;;�.,�� `;;;,::'+'� ��t"'�.��," ` ;�,o, `� ';`�:, License#: �.S7o0 Lead Certlficatell: .UA-T �O 3 7.7 —/ `:�'', ;;-�,��,:: lf the project ls exempt from lead certlflcatlon, please explain why:(see Pege 3 for edditionai informallon) COMPLETE THIS AREA ONI.Y IF CONSTRUCTINC3 A NEW BU��G In the laat 12 months,has the Clty of�agan Issued a permit for a slmllar plan based on a mester plan� _Yes ^,No If yes,date and address of master plan: Llcensed Plumber; Phone: Mechanlcal Conuactor: Phone: Sewer&Water Contractor: phone; �:t. . . .,.,�,�,:.�..., � �,�. � ,.,, ,.,�,. .,�.:- . .,.. ,,.� , �:,,, �� ,;Q •, .::�a.s< �.,.s�,: ,a "�` at'��:,ou:�sub ►fii�" ��ti� 'il'!'e�retl�"a;6'`� t]'G'll w�llf�"o. ��.,.�::,. "►.. '.s3Of1::;: ,::>. , , ., ,!�. ��, ,pl�Q,��i" �FUlty��., �.�, �.►i. �, .�� ., �.,� ,... a. ;�:,.,.i�,,.,,;,:.,�i.1 . ... Y n . /] .,.:••i.. , .. . . �.r .y%•.;,,.t.,.�r.'",� ..,..,.��;•�.�,,.u,r�,..r.,��: ',T..,;^. 7tli.o�r;i;:; �.i,;..,��: -'�it, .`7;��irpr!..� .��.,.....; t . �p., ,. � 4: , ,, � , ,a. ir:�.`^ ,. ;., ' ,.. :,J,;,• �,,..,;i.•n,. ., y „ ... ��;,;.t. �irt,o .�.t�n' � ,� a�'t � e un- .rr�j' :�f: u: vlde;s �QI ��. .ri's?t�':at�. ��l!{'�'�;,.e°- ;t(/e,�►c`�to-';�-:'- .!t�,,..,, .� .�,: ,,,,.!f�.,.Y,!�. .,�;,�t�'..:+�L:�;�. ,� .v,�� ,,,Y::4�,p',. ,.,p. fl.�;�Q ,,�1... ..t�,,., � �1�, .,�.. �: �. n �F.,,� ,.v, ;a;. q g, d:1 a, ,.�t 1_ ��" �. ,;i�,�r.µ;. �., �� ti�a:'�.ra�. ,,1 ,'.�i1r4�. afC+n'.. O.,.r9:;... ,ci7?q:;h: i�i:" '�� 5�1,,.'�.6.�,5'�6:1,`i^� c;*..'i.,, <<�.'�C"�;r'.^..:_ ,n., R�'�' .r�i� ..:1• y�� 1✓..l.`r,.:;r..:J::\;' �:i;.. •!�;.. :,�' :i?'. - ,-i,i U�8'�f ',f,.,�..4•�I �`� ,=5 !�� ,�},.,::.�, �'�.,:?.: .;a ,, ;�.,,.. :_��:. ;�: ._. :.,� pn,� d" , ;.� ., ,. .. ., .. ,.,,, :,:,:-..;,;._:.,:�.„5,.,t,..;,;,,- ,. �� .,E.� ..,� > . . .. ...., .... �lla�,,..,_. ,. ._�........ .....��.. ..�:.�. CAI.I.B�FOR�YOU pIG, Cpll Goph9r Stete Oee Call at(861)b6�1-0002 for pmtecflan agelnst underground ulllily tlemege. Cel(48 h0ure betore you Inte�d to dlg to recelve locetes of underground u11UUee, uwuw.00aharstateonecall.nra I hero6y acknowledge Ihet thls Informelion Is camplete and accurete;lhet lhe work will be tn conformenCe With the oYdlnences end codeb of the Clty of �epan;that I unde►stand ihls Is not e permR, bul only en appllcetlan for e permlt, end wotk ia not to etert wlUtOUt e pemtll; thel lhe work vulil be In accordance wlth Ihe epproved plan In the case of werk whlch raqulres e revlew end approvel of plens, EXterior work authorhad by a bullding permlt Issuad In accordence wlth the Mlnne9ota 9tate Buliding Code muat be Completed Within 180 day9 of permtt Issuance. X CµQ�s ��u0�2sa�l X �� G��:��° Applicant's Printed Nama AppllcanYs Slgnature Page 1 of S 02119/2014 12:37 Les Jones Roofing,Inc. �AX�9528817009 P.0191020 Use BLUE or BLACK Ink iFor Offlce Uso---------� . � � �� Pertnil#: �-r..- ti �. 1 � �I � �ty o a�an �� , Pe�«Fea-� �a�� 3830 P11ot Knob Road � � ' Eagan MN 55122 F�� 9 Z��(� j Date Recelved: j ' Phone:(851)675»567b I I ' Fax:(6G1)676-6694 , � Stan: i !� �___________^^��J 2014 RESIDENTI/�L BUILDING PERMIT APPLICA71oN y,oo, �.o�,�io y, yiob,y.o 8, �..o ef- �ate: � ` Site Address: �// //f/4// �! 0 S+iaA ��M�Unit#: ,,,,: .; .��..,.., .. ��,,�,,.,�,.. �.. : 4�;, r �1..�. �. .c `7p:r,i'Yi'.•-.'o:Y. ;,�i=�;;:r;qfw:�;u;,�.> .,,:,,;,�,�,�F: c.. Phone: sr�/- 99v� ,,,;;;,,;,,, . ,�;,::��„��,� :�:�° Name: yo P2oP�ry ��rz,E. i n► 6��-» ,� � �:��o -�: ,�; . '''.�I�r.. `,`Y�`Q�.. f Ja ?'<_..,. �v� � ��"'.•'".'. °';;,-��Q;��,•�%-,;,��, Address/City/Zlp: R O. �o x 2�2 5 /Nv�C�.a✓r �o,�,�rs:_�r/.� _ 5� 9 G� ,�.,, �5,, � ,, :.,>,�� i`'�;r�1�1;r.�r�,'��°' `" ,%"''',: n �d°?� �Y '- �'"'`�"�'-:?%`x-' AppI1C8l1t IS. Owner X Contractor 3�. ,:,.�e;::+a_ �`i�� :�'='�a�,.,u. .�, :;� ..;....,;,.;.,,.�,..,'` i�� . ... ;J 4" :r��'�"r,'�',N�� '1...i;f`C� � �'�'t,":v-!;i!;�i,�."`t+,y ��: <2"�` D68Cf�p�017 Of WOf�C: /6�/�D V�? �'/� �C�'� 00�' y�x'r�(�A�Q�'^ ,.b�`IS�^=; � xry'tl!4YA�r'' i.�:T „j'Jni.'�C�� J '(/ i,� �,^M;,::;� .,<�'`�;`:,;.�, Construction Cosr �y g�3, ✓ Muld-F�mlly 6uilding:(Yes X /No� ?�r� r.: -,,.... . .,..,�;��:�;:....�_-��; .... ��'r`' ,;;��` t �;,' +�, -� � �' �;.`,7.;ti,.,:r: �1`�. �.,,,.�y ,,. , ;>:: 6 • �,� :°x?'� ';y,, Company_ �E',S �TQ�/�' RODfnllr /ivG Contsct:GsrR.�s ,�Nar�-so� �� k�. it;ya� ,�,;�n<�.�. �',�.��:. �.,�i3��;�-,,�>-: Jg;�.,,!` =,s:. ,�;�,.� � �;: A.� ,y �� o� � � / f�i,,r�;St> ,d� j i+ i'e'�;��'�'"? I�I.�Cif98S: 9�� d� �'°Tlc.FG/ �:�b/. �GOQ?�L.tA/�b/V ��'��;�/��a�:�;� - '��,"'•"":'g2pi ,+��S�r�!q••1?u;y ��;: ` `i�z�•�R�!``"`�'. wr'i Stete:�Zip: .�.f^4�20 Phone� 9'SR- 76 7-a?�'!� ;,,�g^`F'`'.�uy;,, . � ..;'�,; ' . f7 :�}..�?' :Y' �.,.,,�,�. '�;,�;; �:. a� ,w.. �t�,.laa f�� •1�.' dJ'>;'�d��"!F�f l�o: / - h::?js�,,,�r'.:'��:��P�r,�c�a�.:�e� �,�;jsS� LICA1190#: _4P�10� �9dd C.@I't�nCQ��: �� O.y 7!r—� If the projecf ie exempt from lead certlflcatlon, please explaln why: (see Pege 3 for edditionel infonnation) COMPI.ETE THIS AREA ONLY IF CONSTRUCTINO A NE1N BUII.DINO In the last 12 months,has the C1ty of�agan Issued a permlt for a elmllar plan based on a master plan? „_,Yee _No If yes,date end eddreas of maeter plan: Llceneed Plumber: Phone: Mechanlcal Contractor: Phone; Sewer&Water Contractor: Phone; �1' 1Pr' 1 V I ' N �� I'G ��t O�r ,:;Py1�11��ea►� 'p'�it""t1�, '�"'d'�'[im r�s "��' �l '"c�'�}p,li � 'I Ir� o aY�l��'P "." { �j� t �,. ,��.,,,��' f�'i%; I� • , . :�' ��' � �t �, , �►�t�`Q'f`' ,;,A�, i � ?! g� ..�1 .�1 'di ,j S�.' r •1. .✓".' ;t r,.r r�� "L'C'�'C.,.,j� �.aG:�'�Ai,,.;�:Y�yS��P � •�l rr i �.�!'• �.e i(,�1�12`;�f�y0�I1 lk�}q �l, e�r+.�',.�(l.�?;,�,1?I'5.�1�1 ;,,s��,xri�'l.��. ! ��y��_�:,�SAI�/.11,��,,t�., �(��'�a!''a'�n '�� °4,t��J^ '"f t :�, ��,.. �� . �..� ,,�, � ��.:, ��, , ��1��"!,��:p�� b� ,t ,.fw (��p/�{J� �.! I v � C�. K'M"`� �.n��Y�'.�~.�xl.;E�"�� Z"'°U, 'rL..1 6''� ,'.4��1i� .��17.� y '�� , � ��:^. �.p.�: �' '.�.�c-,>..Ix,b?"' .h*y�t:�a�`p��j��;'"�.(i4� 4n /: �a.Nl. ..(.��1� 7", Y e � ..T.!I:..�� '.i{�.�. �.•�,'4 - �Q4 1�.�.. 11'Yk 7 II:il1L�.LGIa I; L.. ..�.1:.'.�� l�:-.�1. r.I:.��J. �A CALL BEFORE YOU DIG. CaN Gopher 3tete Ono Call at(661)454•0002 tor profecUon agalnet u�derground uUNty demage, Ca1148 hours before you Intend to dla to recefve Ixetes of underpround utllltlea. www ' 1 hereby acknowledae that thle Informeqon(s complete end accu�ate;that the wark wlll be In conPormance uullh lhe ordlnancee and codes of the Clry of E9gen; thet I underetend tNe ia not a permlt, but only en eppllcatlon for e pe�mlt,and wotk 18 not lo etart wllhout e pennit;lhel fhe vuork wlll be In accOrdenee wifh the epproved plan fn lhe case of work whlch requlias a revlew and e�pproV�l of plene. � Exterlor Work authorized by a bullding pa�mlt 19sued In accordance wlth Lha Mlnnesota Stflte 6u11d111�Code It1Uet b6 COtllpleted wlthln 180 days of permlt 19suenco. x Cµ,e�s �4MDEQsa,�/ x��5�� .GG�=� Appllcant's Printed Name Appllcant's Slgnature Page 1 013 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166205 Date Issued:12/21/2020 Permit Category:ePermit Site Address: 4100 Beaver Dam Rd Lot:155 Block: 04 Addition: Diffley Commons PID:10-20450-04-155 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Cynthia M Boes 4100 Beaver Dam Saint Paul MN 55122--212 (612) 805-6141 Voda Plumbing 6417 Penn Avenue South, Suite 4 Richfield MN 55423 (612) 282-9036 Applicant/Permitee: Signature Issued By: Signature