4078 Beaver Dam Rdrionger Engineerinv 6819488
P.02
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* PIE? LANO SvwvEVarzs. cIu,C sn?i?sRS • ' M"ota Heights, tiflN .96120
??ngine?ringo. dO PLAMPMFM.LAM =164kfkft"ITOC?M (612)681-1814?
Certifica te af Survey for:The Rott lU nd CQ mpany, l#'1 C...
' 12 UNlT V(LLA_ DETAIL se-oi V=30'_
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? eamo Qenotes? :&isting? ;Eleva#tvn??'to? ?
-?? Qenotes Prancssed Elevatfan - PROPQSED HOUSE ELEVATlON
Denotes brainage & Utility Easement Carags flacw stce Elwmtwnr.
.---..•-.. Denates Droinage F)ow D'irectian Narth un3t: 890.[},
---o- Dertc3tes Monument Scwth l1nTt: 8nU,
.-a- Denotes C7f4`set Hub 8eorings shown ore essumed '
LOT_ S 8LOCK2 DIFFLEY COMMONS
nAroTa couNnr, MfFi1VESOjA
1 herz0y certify U+at this surway, phv+ ar revort wvf ed by m? cu ar my diroce wpcQ+vJ'sinn and thae ! arn d++ly RoQlitwad Lmnd Suivsyw
tndar the Ihvs 0{ th4 St1te of M1cnnEtOtB. flaW thls...dgY oF A.D. 19?.
i
Scal e. 1? "6t„J ?? R06?RT 8.4t ECH L.S. REG.NQ.•
' 24.033' -,T
16U:?2 4
r .
. .,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
027917
06/].7f96
SITE ADDRESS:
4078 BEAVER DAM RD
LOTe 8 BLQCKt 2
DIFFLEY COMMQN5
P.I.N.: 16-20450-067-04
DESCRIPTION:
sraaM DAMAGE
Ou3..lding,,. Permit Type STORM DAMACE
Bu'x]:ding G;ts?r,k Type REPAIR
-Gensus Code 434 ALT. RESIDENTIAL
REMARKS:
INCI.UDES: 4080, 4082, 4084, 4085, 4088 BEAVER DAM RC1
4145, 4147, 4149, 4161, 4153, 4155 CIURHAM CT
FEE SUMMARY:
CONTRACTOR: - Applicant - sT. LIC.OWNER:
DU ALL SVG CONSTR INC 17889411 0003178 HOMEOWNERS ASSOCIATIQN
636 39TH flVE NE 4078 BEAVER DAM RD
GOLUMBIA MTS MN 55421 EAGAN MN
(612) 788-9411
I hereby acknawledge that I have read this applicatipn anct state that the
informat.ion is correct and agree ta camp].y with all applicabl.e 5tate df hfn.
? Statutes and City nf Eagart Orcfinancas.
APPLICANT/PERMITEE SIGNATURE
PERMIT
c
ISSUED B . IGNATURE
•, ? ? f/ 7 ?-- ciTr oF EaGAN
3830 PfLOT KNOB RD 55122
1996 BUILDING PERMIT APPLICATIDN (RESIDENTIAL)
ss1-as7?
12- u"
i 3 registered site surveys * 2 copies p( plan
? 2 oopies at plans (tnclude beam & window sizes; poured ind. design; etc.) ? 2 site sunreys (exteriar additians 8 decks)
? 1 energy calc.ulaEions ? f eriergy calculations for heated additions
? 3 copies of tree preservetion plan f lot plaited eiter 711193
required: _ Y No
DATE: 61,4 qlo CDNSTRUCTION COST:
cti a i? n(, R 11//? ,
DESCRIPTION 4F WORK:
STREET ADDRESS:
LOT R BLQCK
2 40$00$b?,L
?e& l?
SUBD.IP.I.D. #: _
PRORERTY Name: Phone #:
owWER LM, FMST
Street Address-
City: State: Zip:
Conn'RaCToR Com an ?s 1?C' _ Phone #:
. p y? ?,?h AYCN[ Ir ea?
Ctx-UMWA MM, MN 6wi
(61Z 78&9411
Stree# Address: ['? ? Law License #:
City: _ Sta#e: Zip:
ARCHITECT! Company:
ENGINEER
Name:
Rhone #:
Registration #•
Street Address*
City:
State:
Zip:
Sewer & water licensed plumber: . Penalty applies when acidress change and loi
change are requested ance perrnit is issued.
t hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
.
Signature vf Applicant:
OFFiCE USE ()NLY
141
?.4I 5 I Aq 153? q 155
Certificates of Sunrey Received Yes No
Tree Preservatian Plan Received Yes No
+ .:
OFFICE USE ONL.Y ?` • -
,
BUILDING PERMIT TYPE
0 01 Faundation ? Ufi Ouplex
o 02 SF Dweffing ? 07 4-plex
0 03 SF Addition o 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
0 31 New ? 33 Alterations
o- 32 Addition ? 34 Repair
GENERAL INFORMATI{?N
Cvnst. (Actuat)
(Alfawable)
UBC 4ccupancy
Zoning
# o# Stories
Length
Depth
APPROVALS
0 11 Apt.lLvdging ? 16 Basement Finish
0 12 Multi Repair/Rem. 0 17 Swim Paol
0 13 Garage/Accessory o 20 Public Facility
0 14 Fireplace ? 21 MisceNaneaus
0 15 Deck
0 36 Move
0 37 Demolition
Besement sq. ft.
Main level sq. ft.
sq. ft.
Sq. ft.
sq. ft.
sq. ft.
Fovtprint sq. ft.
Planning Bui[ding . . f Engineer'ihg" ?
MCNVS System
Cify Water
Fire Sprinklered
PRV
Boaster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
Permit Fee
Surcharge
Plan Review
License
[dICNVS SAC
City SAC
Waier Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Traifs Qed.
Qther
Cc3pies
Total:
Valuation: $
°lo SAC
SAC Uniis
??.
?
FOR CITY USE ONLY
PERMIT #
RECEIPT #
AATE : 3 3D Y?c?
CITY OF EAGAN
3830 pILOT IZNOB ROAD
EAGAN. Mb77 55122
M
PHONE: (612) 454-8100
PLEASE COMPLETE IIPPER P4RTION ONLY FaR SINGLE
?.. }.. :..: : TC}WNHOMES/CONDOS W1iEN PERMITS AR.E REQUIRED FOR EACH UNIT
FAMIZY DWELLINGS &
__.----------------- -_-_.,,__--..----------------------------
WORK DESCRIPTION FEES
NEW CDNST
ADD ON
REPAIR
OWNER NAME : 1 ?o ?C 1 t-1 'f-IC_1 • -
SITE ADDRESS:
LOT:BLOCK -?- SUBD. f
TNSTALLER:
A ot?,
ADDRESS : 9303 Pyrnouth Avs. Na
(MdLqt , •
CITY: ZIP:
PHONE #:?.??,a^ I I
A.DD-ON MINTMiTM $15.00
HVAG 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS'OUTLET5 - MINIMUM 3.00
OF 1 PER PERMIT
SUaTOTAL; $
STATE SURCHARGE: .50
TflTAL : $
SIGNATURE OF PERMITTEE
PLEASE COMPLETE THIS PORTION FOR AT.L COMMERCIALrINBUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMTLY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNTT.
CONTRACT PRICE: _1i
OGTNER NAME :
SITE AADRE55: C)e_lci, )
LOT: SI.OCK SUBD.
INSTALLER:
r •aan .ea?a• ais ?eV -pr ¦aows
ADDRESS : 9303 P41JmQU$h A1lG. N!.
DoF?n WFw Mt"d. 55'•3,27
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
1$ OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
FROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
$
$ 5V
TOTAL: $ ( NATUR )
b i -1--(2 qdd
L? t5 .. i y 5?), J'f 1 qq, LA1 M:5, D..jrrY?'1m C-7 +
\--1 CB!e?,El,,S'-4 , e3a, tC? -_18 :?vLr Dc-2m i?
CITY DF EAGAN
3$30 PILOT KNOB RDAD
? EAGAN, MPl 55122
PHQNE: (612) 454-8100
.. ........-- ._ .. ....... . . . ::.;.<,>:
F4R GITY U5E ONLY
PE1tMIT #
RECEIP'T
DATE:
PLEASE COMPLETE UPPER P4RTION ONLY F4R SINGLE FAMILY DWELLINGS &
TOWNHOMES/COND05 WHEF3 PERMITS ARE REQIIIRED FOR EACH UNIT.
---
----__
.._----------------------
WORK DESCRIPTION -------------------- ----------- ------------------
C4MPLETE THE FOLLOWING:
NQ. FIXTURES EA. TOTAL
NEW CONST ? ADD-QN MINIMUM 15.00
ADD ON _ SHOWER 3.00
REPAIR WATER GLOSET 3.00 3t, -
la BATH TUS 3.00 3 t° _
t-3 LAVATORY 3.00 J tj --
1,r
OW1dER NAME: AX KITCHEN SINK 3.00 ?
` ? ? ? ?- 4-t LAUNDRY TRAY 3.00
SITE ADDRESS: ?c{
-iv
- HOT T[7B/SFA 3.00
WATER HEATER 3.00 c?-
LOT :BLOCK ? SUSD . A?M ?:)L FLOOR DRAIN 3.00
? c•-
GAS PIPING 4UT.
#
INSTALLER: ?/
? (MINIMUM - 1) 3.00 3 t
ROUGH OPENZNGS 1.50
ADDRESS: Co LL OTHER
WATER SOFTENER 5.00
CITY: ZIP : PRIVATE DISP. 15 . 00
U.G. SPRINKLER 3.00
PHONE # : =l Cx) - l- l o
SUSTOTAL
ST. SURCHARGE .50
SIGNATURE C?' PERMITTEE
'FOTAL:
C.OMME?d"'TAi????ILT?T°??P.?T.. ; PLEASE COMYLETE THYS PORTI4N FOR ALL COMMERCIAL/INDUSTRIAL BUILDTNGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE N4T REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
QWNER NAME:
SITE ADDRESS:
LdT: BLOCK SUBD.
iNSTALLER:
ADnRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
].% OF CONTgP,CT FEE.
5TATE SURCHARGE _ $.50 FOR
EA.CH $1,400 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
$
( S I GNAT[JRE }
CITY USE ONLY .?c?.? %???'"'? _
L ? BL ? RECEIPT #:
?
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease compiete for: ? all commercial/industriai buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
DATE: GT -?- CONTRACT PRICE:
WORK TYPE: NEW C &Sf"'R?UW6N INTERiOR IMPROVEMENT
"
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee 2[ 1°k of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of ge[Mit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS: f!!k
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER: ??-
ADDRESS: s?l ?2?r CITy: ' STATE: 171-r ZIP:S?'S'1G
PHONE #:
SIGNATURE:
NA E OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
L BL RECEIPT #:
SUBD. DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace r
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (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
S(TE ADDRESS:
OWNER NAME:
PHONE #:
INSTALLER NAME:
STREET ADDRESS:
C ITY:
STATE: ZIP:
PHONE #: ( )
L BL CITY USE ONLY
.
SUBD. YV?Y'1S
RECEIPT #: 1 I 41U . 1
RECEIPT DATE: 7' q
PERMIT # ?
1999 PLUMBINC PER1VI1T (RE.SIDEN'17AL)
CITY OF EAkfii4N
( -? 8$30 P1LOT KNOB RD
EAcAN, MN 5518E
(651) 6$1-4675
Piease complete for: > single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet " minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ ? r-
Water softener if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water tumaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ .50
Total --> --> ----> ...> $ =
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------------------------------------------------------------------------------------------------------------- --- of hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: : TELEPHONE #:
(AREA CODE)
iNSTALLER NAME: TELEPHONE #: &KL- 55-i 0 S"i S
(AREA CODE)
STREET ADDRESS:
.?
CITY: ? '1 f,r?Z?.,•?c?G'?? STATE: ?%/!'I/It/ZIP:
?
?
. , _. ._
--
SIGNATURE OF ERMITTEE
CITY OF EAGAN yp 2 0119
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 681-4675 Receipt # C- c 17 3 73,
To be used for 12-PLEX Est. Value $ 591, 000 Date FEB 18 ,1992
Site Address 4145 4147 4149 41 51 41 59 4155 TN1RF eM (T
Lot a Block 2 Sec/Sub. DIFFLEY COMMONS
Parcel No.
Name THE ROTTLLIND CO INC
? Address 5201 E RIVER RD
0 Crty FRIDLEY MN zp 55421
Phone 571-0304
? Name SAMR
0
Address
? City Zp
Phone
I 8 License # 0001335
I hereby acknowiege that h read ihis application and state that the
information is correct and agre to comply with II applicable State oi
Minnesota Statutes and Ci of E gan Ordinan
Signature of Permitee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ?CI
OFFICE U5E ONLY
R-1 M=1
Occupancy
FEES
Zoning PD R=4 Bkjj• PermR 2,313.0
0
(Actual) Const V-1 .1iR sum,h"ge 295.00
(Allowable) V-1 HR Plan Revieew
0
1,503.0
# of Stories ?
Length 160' LJMM
Depth 71' SAC, City
O
1,200.0
S.F. Total 16 s9W MCWCC
SAC 8a 400. 0?
S.F. Footprints 9 , 600 ,
On Site 5ewage _ Water Conn
0
8.100.0
On Site WeII - Water Meier
MWCC System _X-
Ciry Water
_
x
ct. Deposit
Ac
PFV Required _ S/W Permil 30.00
Boosier Pump - g/W Surcharge
0
.5
Treatment PI 3,600_ 00
APPROVALS Road Unit
0
4,560.0
Planner - Park Ded.
Council
Bldg.Oft. _ Copies
Variance - TOTAL 30,001.50
• ' ' ° 1992 BUILDING PERMIT APPLICATION ,
CITY OF EAGAN . ,. ,
REQUIREMENTS:
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS 12_ RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REGIUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE OR LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOM
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE
S?l l, cr?.
To Be Used For: .J?,, Valuation: 5p ,C7- Date
'?!<I.S, ?i 14'1,?1l49y1.Si, y1SS y0-/lp, &i cE-,c,''oy,`?c?
Site Address , ?l53 (`*- - 40? ?cr?t,f_j[4?:L_
Lot C' Block 6-7
--- Occupancy
Parcel/Sub Zoning
Actual Const
Owner ? /r?,?? . / Allowable
# of stories
Address Length
Depth
City/Zip S. F. Total
FootpriM S.F.
Phone -< <
On-site sewage
Contractor GINE On-site well
. MWCC System
Address City water
PRV
City/Zip Booster Pump
Phone ?` License APPROVALS
. Planner
Council
Arch./Engr. 14phW BIdg.Off.
Variance
Address 127, blv t-f'1,. -71i i ,_?
City/Zip Code
Phone # 3?- 2-7Z2
'S1 -1 ri ?
z
/ &C ,
?
z??
141992
Ci 2
Bldg Permit
Surcharge
Pian Review
License Fee
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
OS ?-???Z
TE WHICH
JED.
FEE
Z3 t 2.00
Z9 5• c!(,
1 So 3 : cC
'6
cz
,SIC
oC,oc
3 0, CC`
Sewer/Water Licensed Contr. . Processingtime
for sewer/water permits is two ays once area as en approve .
agrees that all work shall be done in accordance with
i ture o ermi ee
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
r EXTERIOR . EWELOPE AVERAGE "U" COr1PUTA'1'lU14 -;t--
OWNER
SITE ADDRESS (` !-J?(
.
/--?
CQNTRACTOR DATE PHONE J 7
Determine working square footage of each.
1. Total esposed wall area ..... ?Q?%•? sq. ft. x 2L2- .-75
2. Total roof/ceiling area ..... ( OCC`?,? sq. ft. x.0?(? - .2 ?Z; •`T
. ?
Total esposed wall area above floor =•l ? 2?
a. Total wall window area ............................. (4•v
b. Total door area ....................................
c. Total sliding glass door area ...................... ?&•.0
d. Total fireplace wall area ..........................
e. Total wall framing area (average 10%) ...............
f. Total net wall area a6ove floor ....................
g. Total rim joist area ............................... 2 lS-.?1
Tota1 e:cposed foundation area = Cos
h. Total foundatian window area ......................." "'-' ?
i. Total net foundation area above grade ...............??. c- J'
Determine "U" value of each wall segment.
a. Gd-Q x lfUlt
n
b. X ??Uti
c. `ctC? o x eiUn
. O"7 =
? '._.
-47 _ T
d . X "U"
e. ?L. ? X "U"
f. I ':1L- :31?.a X liUll
g. 2.14 - 0 X ,fUll
? o?-? _
0q4.. _ q, ?-?
.
h. X „Uto _.__.. ^ . _.
i. g ifUll
r t +
3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Total
..? . *?
If item # 3 is the same as, or less than item #1, you have met the intent
af SBC 6006(c)2.
Total exposed roof/ceiling area =
Total gross roof/ceiling area
j. Total skylight area ..............?`?....... l
k. Total roof/ceiling framing area ..:::.......
l. Total net insulated roof/ceiling area ...... G.?.!c
Determine "U" value for each roofh
j X ,tUty
1C. X tTUIr
j r+
1. .. •?i, - ? 11 117T1t V L.'°'J
? ,
4 ..................................... Total
:eiling segment.
v p?`,? T' t
?
I 4-?
= L
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items #3 and #4 shall not be greater than the sum of items #1 and #2•
?. .•
.?
-f- 2. -- ?- • _ - . "- -.
3. ? ... r ? ?
+ 4.
. ?. .
" Roar•/cExLIrac
. 'YF-LIT
ig)_?..? ?.
Vented Eeat flaw ?
up • ?? '
? ' , . .
. , ?
.. . ? ' • '. -
• _ _ . ? ??,??n..?:???,? .
ConsLrucl•i.on
. 0.61 1. InL•erior aix f3-lzn . • ,, r
2.
cc i J??•_i C-•' ?. '.? r. , rz'-_ ]
3.
9. Exterior air film istaJ.l)
?.. ToLal. C-'
, ' . • V ? r???S
• ??. •JZ f{ ic.,f ? . ' .
znreri.ox ai.r film D.61
2 5'J?s.C-?-`,-/•' 13l?
.
3. ? K Y 7/2 f/ `-••'.; r-? I? ?. ;: t c? e?: r i
E? ?
4. .
To tal r? = ? ? -7 ?f
. . . • C?:- .c'?'?
%`:i t1 ?l ? ? ! ` ?.?.?_l?''???? ?,1{--? ?? _? . ' ' . .
---- . , .. . .: _ . .
- . 1 2 3 .? '- . . .?. . ? ..?? . ? .
? ? • •. ?.
. pe:.e flow up • i , •vented ? ' , .: • ?
. ' ? ' • .? ? ' ? .
• . .FIG. i16.. F, ... . , . ._?.. :' . . . • : ' . . , ' • -
• - .. . . . -----
U.G1
. 3 , ? ?J • v 1.. I?sa.de ni.r filin
2.
. . . '
• ? ? . OM1 R?J? ?G?. .4'. ?-S"Y?e?lr 4 ' 0. 17
'', ?'r•'•"?: ; ` ? ' 5. ?u ide a ir. f i.1iu
ts To tal
? ??,,"? ? ? • • , , .: ? '. . • .
? 1 ? ? .. . . . ; .
.' . ; ,: .•.=?..? .:-?? . . - • .
. • NaCc: Use additional sheets•3.f moze cpaca i3
' • ? IvO?i-VIMUF.D •? • ' . . "-'"'?' reecied for details and calculaeions.
lieaz
f low up ' . .' • ?
• nrn •!7 ? . . ' •' {? ? ' ?
tiJ/%1,L :i1:1:'1'lUll;i
PG: Use 101 oi- opac;ue waJ.l area for
L•rame construction
3zc
1LI,
Fzc. tti
. Fr,luie 1111LL
;?zG. iiZ
. . ? ..,. _, I _.,.... ? ??Cj . .
." . r-? ?r----r---? - •:
?;y _ '? '?? I ' • J .
• '??? I ._..._........_._.?U -r?
.?j.?
. ?
tier al 0
?,? i ? SL?! I I!' `
? ??".?.! ?; .\? '? • . ?, ? /'l.
:
-r-ti , .
ATlChi•?•'1 ??;?, t?`?' --•_..-'-? ?
.I. ? `?:?'..il• , 'Q??'? -??-{? ,
'??? . a • • -.?n? r •
(?Y• r'• ?ti F?? :i , ,/.• , ?• ..
???-??.. - . ? ' .. . .. . •
?- -• ? "
' • ' , • ~- '/
V r'• ?• ' , , ?l'e ?• _` '
I ? .7 ?r(
. ? • c-
. {13 ?
FT ??•o`c
. _.,..
vay e J o!: 4
Construction • . . R-Value
1. Interior air film 0.68
.2. 1/2"G-7 -r P. Ci C-- D . . `/S -
. 3. zxe-I s-rvos i 41.39
4.
• 31ti' " F67174•1 at? rG
.
5 ?j/?'r?jE?j)[c/oGY? Gt)!? t/J/lr.G / i ? U
6, &xter.ior air film 0.17
TotaJ. u = I 2
?., Interior air film 0.68
2. 112
3. FULL WAtL•/JvSvC. ! 3.UU
4. 31vFv,9?,,,
5,
6. Exterior air film 0.17
• To tal R= 2 1. S U .
Interior air f ilm 0• Ga
2. s'oe
3. ?2 Xr? IIT/7 ? e t) U
4.
5. 5/? " 2 E= OcvoC)i> (?.? Y? S ??= i x: C
6.- Exteri.or air f ilm 0.17
Total fZ . _ ,??,c-T
'
. ' U = o vI-! Ll
1, Interior air film 0.68
.2. n?s v L / v, Oo
.• 3. WlOF'GU?--G Gv/L/3/3LUC/t vyY
4. _
5.
6. Ektezior air film 0.17
To ta 1? ' ??• 2
, •• !?? dO`dC
•
,
. • . . r n .
. ?
.
'
r
• ? ?
f` . .
• ?'? ??? `?
f= ? i
. ' ? , •
'
. ? ?
. r
.
,
? ^ •?
`^"
.?• ,
,
? /? ?
.
???
i? ? •
'
rr ? • '
?
? ? 6 • • ??t? _
--
. ^ ? •
• ??? ' ??? ' . ? ' • ? /ll^ ! ?''
a ` .
? r
FIG. ?f4
5,-: x
.
• ; . .,,, .
EXTERIOR ENVELOPE. AVERAGE "U" COMPUTATIOY
.,
OWNER SITE ADDRESS
CONTR.ACTOR A(;= DATE PHONE e 7 ? - 0--?--? 7-
Detennine working square footage of each.
?
1. Total eYposed wall area ..... le?) sq. ft. x.I 2C-' •== 7
2. Total roof/ceiling area ...... G 2?-- sq. ft. x r02(?j = I?r..I I
Total exposed wall area above floor
a. Total wall window area ....................... .... ??.7
?.
b. Total door area ...............................?.....
c. Total sliding glass door area ...................... ?;L•C?
d. Total fireplace wall area ..........................
- e. Total wall framing area (average 10%) . . . . . . . . . . . . . . . f. Total net wall area above floor .................... 13-1
?•
g. Total rim joist area ............................... ??-
r -?
Total e.rposed foundation area = = '-
h. Total foundation window area ....................... - '
i. Total net foundation area above grade .......•••••••. `
Determine "U" value of each wall segment.
a. X ?fU?l A-7
?i?•O x it . D?
b.
C. x„Ui, .41 1 l4G 2
a . - x ?fUll
, ? ... ._.,
X lfUlt
2.
X itUlr
g. X ,lUll
.
h. X nUrf --- _ ^- --, p? / Z C ?
X trUn
3 ......................................Tota1
If item # 3 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2.
. '?, _ , '
Total exposed roof/ceiling area =
Total gross roof/ceiling area
j. Total skylight area .................,. ...... _
k. Total roof/ceiling framing area ... :?!: • • • • • `"?`-_' •7Z
1. Total net insulated roof/ceiling area ......
Determine "U" value for each roof/ceiling segment.
j, _ X tlUtl
?^ ? -- .-•=
k. XI,UII
/^ r / •-` ?j r 1
l. X tlU?? n.G.??
4 ..................................... Total
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items #3 and #4 shall not be greater than the sum of items #1 and #2.
+ 2.
r ?' ? - -• ,•. -?
? - `. • ?
3. +
?
? I .
ROOFiCEzLING
VenCed fleat floW
up . .. .
. , , ..
. ? , .
dE5 ?? .
' ? ' ..
...-:-.?-------- . - -
. . ? . .. ..
? . .
' ?vectted ?
E?.Q4T UP - ? . • -
• ' , . . '
. FTG. 1?fi... .' .. . • ` - - - •? .? •
• - .. . . . ---.. _?--rt---..- . ?- . ., . . - -
. ? .
. ......., ?•???????' ?
Coitistrucl•ion R-V1Ie
7. Int•crior aa.r film . . O.G1
2. 5/r,'7-/2 r3r.} n. ? . S r
3. F- 1 f?>(_ !t ? L ?t : ; i .??:? t: ? -? ,_
4. Exterior air fi.lm (sti].l) ?•?
.?., Total 3 9 rsU
(l ? • C.3 a S
],. znrerior air film 0,61
2. 13A' l' ? s •
3. j.4 ; , _-; 1- ? ;I-
4. E>:tcrior aii film,(stlll. - • ?
Tota3. G.7 ?/
. . . . ? . . c 3 ?.-e
U.G1
Inside ai_r ti.ltn
. ?• ' . . '
a' 0. 1.7
. S. Duts i.de a ir f].lIll
Total
. .. . ,
. , 'i ' , ': .?' - : .' ' , . • ; .
??`?_?,.??.• : NoLC: [3se additi.ojlal. sheets •if more ' pace is
_ . , • . . i;eeaea for de tails and calculal:iasls .
. •
, : - :fLow up . ? . .. .. .
?.T r,
? .
.? '•
' ? - ? ? . . •
W1ILL SliL1'1014S
idU1'E: Use 10% of opaque wall area for
. irame construction
•t
. .. I /? 1
tJALL
FIG. I!1
-- ??
raye .! oi' 4
Construction • ,
' 1. Interior air film
.2. 112"GYf?. G,C%D< R-Value
0.68
<yS
3. 2Y 4/ s7v0 5
. .4.
5.
6. ExterSor air film 0.17
, Total k 12,
" T r..l.....-?..... -..,r F:l... n .n
_ 2 . 1/2 , ? G.? ?p ?
3. Fv L L f.v,9 L L L
14. 3/y/--vf1?;,x c. i? z S, S/* a G)
6. Ecterior air film 0.17
Total R = 2 1,SU
•,• ??i ?. n ' V=. vU?-l I
U Interior air film O.GE3
? L ?SGI ?:J( • ;_'_ ? )_I ?.._,.._.?_ .?a...('? S/?E' ?c?q! C f /?-- : G-? L ? . ?G?
2.
;i.a??L al ? • ` ? ? . " ?
3 , 2 X ?. R I'-I
?. II??C+.?•??^.\?/._i Ii? . ?? 4
?? l?r ?,%: ,???????? •• ' ? ? ?? : s.? s/q"rr?o«cc?.?
6. Exterior air f ilm 0.17
T'?r.` ^ ?? • . '
I.? ?.? ,,? r, • t ? To ta 1 n =.2 7.'r 3
???i1TICh ?• ?.- - - ---` 'i.-?----_.______t;? ?r,. .
-,
?LI _.-\. • ' U = olL! L?
• •?' cl. 0'?,-i??'_.? _"?
nL) \ ?J 1. Interior air f ilm 0.68
??? ,r • '? ?? . • ?f ' _ ? ? • ' . • ? ? .?-? v?,r.??-ir f2 i.v, v ? ?c
2. e,17
1..- .: . ..: ...
-- ?• ' 3.
• . 1 ' - . FIIZ;Z-7:? 11. - .
: • .
. ? .
s' '= ` • u. , • ? . I 1) ? ?.?
? • ?, - . ? , , _.__ -- ?j
• ? ,' _ ? (t( . _
1G. 03
4. e-
5. --
6. Exterior air film 0.17
Total? Z
' ? ? r ° • r' ?• `? `
. • ??,(.?f=_ f r ? ?_? ? . , ' - ? ?
I? 0 • ,' ,,
((t ; •' , . . . ? ,?- ! ? ?
-/t }? •, . ? . ? ' irrl?r " ' .
Fzc•. 114
Q
? ..?+ • /` ?? ? ?j
' (C( ? ' ?r•X ` ?l?
• . ?r f Jf l r ?,? _
TOPVIEf•7 Ol'
FF.112iG l?ALL
--?.. .,f ; ? :. ._,;-, :w?;.. ?, - ,• ?r ,..
: 0.96&_ W*ER PERMIT
; tl OF EAGAN r
330 Pilot Knob Rd.
; eagan; MN 55122-1897
. w ?+ •: ?-; " rrr -?'? -;'.+naF ,* r?..?-?, 9 , : w r -4-? 3
DATE FES 18, 1992
4078 4080 4062'.406
S1TE ADQkiES$ ,4145 4147 4149 41.5
LOT !?!6LC7CK' 2 SEC/5U6 _
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
ZIP
PLUMBER: VALLEY PLBG CO INC
ADDRESS: 610 CRBEK LN
CITY, STATE ?ORDAN MN ZIP 55352
PHONE: 492-2121
;Qvc- dl.la.C..
RERMIT REQUESTEQ
X SEWER X WATER ? TAPS
- COMM/1ND _X_ RESIDENTtAt
R NEW - EXISTING
Lawn Sprinkler Meters are to De Instatled
Ah d Domestic Meters on Water Line. '
Cr WI L NOT be giv r? for Deduct Meters.
1 1nw-A . .. ?a
I AGREE Ta'COIPP iNiTH CITY OF
OWNER: THg ROTTLUND CO INC EAGAN ORDtN N
ADDRESS: 5201 E RIVSR RD •
CITY, STATE FRIDLEY MN ZIP _5.5421- .
PH NE: 571-0304 SIGNAT6lRE WHEN M R ISSWED
pL'??? RKI G DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STQRlIA.
SEWER PERMITS, CONTACT ENGINEERING DEPT.
r?
or-FIcE usE oaLY
METER # ?'? ? 77Y.427 'PERMtT DATE O2I1g/92
GHIP # PERMIT # . 1 ?4545
MET'ER SIZE Se,4lSu5 B.P. RECEIPT# -:. ?C OI7.?72:
ISSIlE DATE B.P. RECEIPT OA'fE 02 19 ?a
_ PR1l - BOOSTER PUMP
a . .
i
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? -? q,z
? OATE
?
"??°
. 79
?12111-?4 #A?U? _ $ .? 4- , c?
& f 4' oa.u?as
,
O CASH 00
?CHECK
-4C
4? 4??- 415-?')
( - 07 " Li
FUNO OBJECT AMOUNT
3 -7
. 1
O
ThankYou
BY
C 019218 YetioL
P nk-FiiC ry C? V06
„ . ?':U+y? n ;r.-? _ ?=,n?+.m--:??y?.,:,.?-•--'?95•?'[yx?:r?"''?.??.
6z ?Y
#
CASH RECEIPT
?. ?.;. ! GITY OF -EAGAN
3830 PILOT KNOB RdAD
EAGAN, kA1NMESOTA 55122
oaTE
Y?. . . _y.. _?'
INECE
d / • . ( /1?,
?
FFi
r
: 'AMOUNT ? . $
.
s Ods.a?es. ?
?
o cnsH cHECK
wn : ?+
. . . S.y -.>i
Yr?
?
?'? 1?;1??? 1?
-?
K ?... ???..?
.a.T
.
_..
?_
FUND 08JECT . AMOIiNT ?.;
`•?.,
a...,
5.;
?
{? . . . ' " . .....
j
-N?
? t. Thank You
; BY
wmp*.Cw ?
? ?????2
YO&X*--?c
.s._?.. J.?r.,:?a:k. , .?.s.::?ns..?.,.._.__ . ...,_.., .,
i
!._ ?.
?
r ?
. . -:? .•..?..,•.,.,.-<.??.?.? ar?s?:;?'cy.. ::?`a.. -: ?-?` .
- ..?a .
W _ ' . .
? Cttp ,of Cagan. -
# o# ?l?Cg .?rrtina
T?is. CerrlJdcale issaed pursWant to the requkrments of Section 306 o'jlhe Uniform Bui/deng
Code cerAilY6S ehat at tJie Wne ojissucnce thfs stnrclure ww in complianm ivith die wariorrs
ordinances of the GYty negulating building consmiction or use For the following.?
use aegisauo 12-PLEX . .?, ftmkN, ' 20199
O-p-CY R/pil FD/.It4 ,Tw V-1 HR
. ? It?1?I'IY?tA?ID C0 Il? . . Addm 5201 E ItNEli, RD,
??, B2s MMM M4M
6/ 1519z
POST IN A CONSPICUOUS PLACE ,.
. ' . ^ . . . . '. ?, . , ' ,
:
? - `
SEWER & 1gLATER PERMIT OFFICE USE.ONLY
CITY`OF'EAUN p METER #{J• '". RERMIT DATE 02f 19/92
3830 Pitot Knob Rd ?
Eagan; MN 55122-1897" CHIP # ? PERMIT # 12 54 rL
METER SIZE - B.P.: RECEIPT #,. C 017372
DATE FE8 18, 1992
4078 4060 4082. Gt8La 401
: SITE ADD;FiESS. 4145 b1+47 414$. 1?151 41`.
DIF'?
LOT 8 BLOCK ?SEC/SUb `L"
APPLICANT: ADDRESS: '
CITY, STATE PHONE:
ISSUE DATE B.P. RECEIPT DATE 02/19/92
_ PRV _ BOOSTER PUMP
18 BFA119R T&1. R7 .
? CT? ` PERMIT REQUESTED
COI?t?fBg
' k SEWER -A-WATER -TAPS.
i
ZIP
_ COMM/IND
X. RESIDENTIAL
X NEW
- EXISTING
prinkler Meters are to be Installed
PLUMBER: VALLEY PL$G CO ING Ah ad af Domestic Meters on Water l.ine.
ADDRESS: 610 C1tEEK L@1 Cr t WI L NOT be giv n for Deduct Meters.
CITY, STATE 3aRDAN MN ZIP 553,52 ' f
PHONE: 492-2121
I AGREE T CO P WITH CITY OF
OWNER: THE ROTTI,UND CO INC EAGAN ORDINANC $
ADDRESS: 5201 E RIVER RD
CITY, STATE 1'RIDLEY MN ZIP 55421 '
PHONE: 571-0304 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
??a, "yn. J? ?Q? • ?', . "? ?Yf?' Ji YJ . ??
• w ??? ?
Ar4'? ? PA-OWS ???'?! ?73.1
°;S-?`
?
4'? 3 y, ??.
PMNE. ??. K . . . .,+?t i ? K J?I
R 1
'
? ?
' ..S•,
?
. ?•,
.?,_. S.!. 4
4"x
, ?' F.
t
? • • i?8
?
.
. .? ?,?
Occupol" ?? ,
.
?
?
?
? ?
Z
d ??,
9
? '
' I?
? o
ng
(Actual) Const
.
?
?•
`?
? ?, ?
{Allowabia} Z ?
.
,
T?
?, ?Of&lorle9
p ?`? ?`.
N lengt
. , Depth
'? .
L
. 1` voo
S F Tat81 ;
?'' Y?1l1?11y a1?krYt?l?a? i!'?
" 16 aD?,r?A +?
8igwro oi Pw"s ?
A Bddft Pen* k iaa
&AC. tiOIME`+O ,
f . S.F. FoolpiiMs
? On Site Sewd
a Wate?l?q?
.. _____
g
Zp on site wen wow Mftf
? i
? MVYCC System
1?
CIry ? ??fel?
A,?Y J
tNdfi4.
PRV E1
'
d
8QU1!
B
_
Ko:xeao thia: applFCadt,n and atata that the . Bmter Pump - S1W ?urcha?lr?
;Au cwroY wA-1h aWAirabie 5ta4e_e( ,
.
. n
JMnK?+?u
??. TroadnanC Pl
t
?? AnnOaovA.s
? ?R 6s?! be abne+n
pt,?
V. `°°n^n"H.?
, y. 14
?r
Paric CkQ.
7'OTA4
?. ;.?,: ....
?. ?
Na. /irmit ii~ Dale Tdppwne #E
low ? /?
PUAGOO
HvA+C 3.? ? /f?(s??
ELEMM &13
ELECTRIC
k,o+awn DM. law Cowdmnts
FooMW 1 a/14AP2. t? -
Foundalipt
FrarninB
?
FOcu9h PIbB•
P4** fft• . ? ek'
Mul. ?O • ?e .
F6ul Hlp.
C'Ytrat Tpd •
FinM Plbg. Pft k+apscla - Noiy Pl++mb-
-Conat. Me6x
ErgrJPlan
Bidg. Final
DeCk Ffp.
Oeck F'inal
won
P?. Dlap.
SRE ADDRESS
B Sect./Sub.
Unft # Permit #
INSPECTION INSPECTOR DATE COMMENTS
Ir!- -0?- ? o 7S a
,?... ? S ?,- Z-,? -0a
1 0 . ?r?/tL a?
Ow.k ?S C ? ? 6? 2,
• 1`? ? ??d" _ L / "'? 7 ?? r
! 1I J -
.,&)o ?-?2-?2 ?n 4 1 ??/,, a .? -' o 3ox
NOPEC110N IN8PECT8R 9AlE comwo1'1'S
• ?- ? !
. . Q-G ?D 7-6 ?o7f- ?tD -- f-&-L- ?-
. A( gra. << <_ ?
.
k tc tr ? /c ?.. •?
• S
. • ` , ,?
rt
4 .*. .
t, , '?.' !f e` h `a
G -- ->?:: -
r
? ? ??.., _ ? ?, ? •:?13 T ?
?.;
Y?
?;-.? ,
Il'r1SPECTION RECURD `CITY OF EAGAN PERIdIIT TYPE:
3830 Pilot Knob Road Permit Number: A2799. T
Eagan, Minnesota 55122-1897 Date issued: 06f 11/96
(612) 68174675 StTE ADDRESS: N. ? 0 ?. - ` ,i Hi f, fi, K APPLICANT:
40i H F;i F A WFt DA M E? Il • 00 AA. 1 w 11 c C4! N151' t1' IN+G
114 1' i 1Fv t:trMMClN=? (612) r88..9411
PERMIT SUBTYPE:
STOt?M 11AMAliC
TYPE OF WORK:
fIfSr.:RIPt'ION
RFPAIR
Srtt1RM QAl1AGE
f"1?AM?hlli H?)?1fiN ?1i ?'l ?!!fi
kril16N 1.01 Hi"(i t? C NA1.
•: rt ?
?
A0EiO, 4082. 90134, 40Hr3 y RIOFiH k{ESVER DA#1 Rf)
4t+15, 4141, 424(), 4161, 4i.b3, 4IS6 DiJRHAN C"T
Parnit No. PermN HoWer Data Telephone #
ELECTRIC
PLUMBING
HVAC
Inspeetk+n Dam kop. Camnente
FOOTINQS
FOUND
FRAAAlNG
Fi00FfIVC
R(7UGH
PLUMBING
Pi.BG
AIR TESI' .
ROUQH
HEATIWG
?? VC
INSUL
GYP BOARD
FIREPIACE
FIREPLACE
AIR TEST
FINAL PLBC
FINAL HTG
OR3AT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECI! FiNAL
DATE: FEB 19, 1992
~ 4078 4080 4082 4084 4086 4088 BEAVER DAM RD
RE: 4145 4147 4149 4151 4153 4155 DURHAM CT (ROTTLUND CO
1 Your Sewer & Water Permit for the above property has been compieted. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above properry cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above properry has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
^?/i//!?'p-- /OS5 a,2
J 1 3822a,& ' " y S,?47 °,°
Request Date
-' T
? Fire Ro gF1-in Inspection
? Ready Now ?II Notily Inspector
?
"?
?;
Z es G No When Ready?
I.;;-ficensed contractor ? owner hereby request inspection of above electrical work at:
?
lob Address (5t?. Box or ute No.) 9) ?_ ? Gty "-mo?
Section No. Township Name or No. Range No. County
?
Occupan RINT) Phone No.
Power Sup6 \
j .iphe?...
Address
Electrical onlra or SCompany
N
ame) Contracto05 License No.
?
7
_-?i4 tI?-rG-L..
Mailing Addre55 (Contractor or Owner Making Installation)
Autnonzetl ignawre ICOntractonOw Ma i g stallation?
„..
Phone Number
4b I - 3 PD
MINNESOTA STATE BOAflD OF ELEC'6ICITV THIS iNSPECTION REQUES7 WILL NOT
Griggs-Midway Bldg. - Room 5-173 V BE ACCEPTED BY THE S7ATE BOAHD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (672) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See instmctions for compleLng this fortn on back ot yellow copy.
"X" Be/ow Work Cflvered by This Request
EB-00007-08
/055 7
ew Adti Rep. TypeofBuilding ? App- li esWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eiectric Heating
Apt. Building Dryer Other (Specity)
Comm.llndustrial Furnace
Farm Air Conditioner
Other (specify) Contractor5 Remarks:
Compute Inspection Fee Below:
Other Fee # Service Entrance Size Fee # CircuitsJFeeders Fee
Swimming Pool 0 to 200 Amps / 0 to 100 Amps
Transformers Above 200 Amps 100 Amps
5igns Inspector's Use Only: TpT/?L
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, hereby Rough-in ;1-, oaia -Ie?„
certify that the above inspection has
been made. Finai ate
OFFICE USE ONLY
This request void 18 months from
J1 81
•
Reqyest Date No ough-in Inspection
T e quired?
a'Fes G No
.7 Ready Now ?yWilt Notl(y Inspector
When Ready?
I;2*ficensed contractor 0 owner hereby request inspection of above electrical work at:
J6b Address (Sdeet. Box or R e No.)
? ? I'"" "'?.
? City
Section No
I
Township Name or No.
ro,
Co
Z?V_"
Occupa (PRINT)
/ phone No.
Power SIie? Atldress
Electncal ontra or (Company Name)
F& t-,
1 Contractor§ License No.
4- a, 12-3
Maihng dress (Contractor or Owner Makmg Installation)
Authonzed Signature IContraclo qwn,k' g Installation Phone Number
3 g ju
MINNESOTA STATE BOARD OF g(ECTRICITY ? J THIS INSPECTION REQUEST WILL NOT
Grigge-Midway Bidg. - Room 5173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Psul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION EB-00001-08
y? See inshuctions lor completing this form on back of yellow copy. /Os
X" BeJow Woltc Covered by This Request
? .
e AGd Rep. :- Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (sNecity) Contrectors Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimmfng POOI 0 t0 200 AmpS 0 to 100 Ampb
Transformers Above 200 Amps A6ov Amps
Signs Inspector5 Use Only: TOTAL
Irrigation eooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in
` oate ?
certify that the above inspection has
been made. Fnai ? r,,,,
?,,.• :?'-r';•:. -.. Date
?•?;°?'l?
OFFICE USE ONLY 7,
This request void 18 months trom '
Yl 3 815 $
Reque% Date
-
S Fi -in inspection
equired?
? Fieady Now FtlOill Notlfy Inspeclor
J?
Z s LNo When Ready?
icensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (StreeL Box or ute No.)
41.SS 3
?6l? Ciry
?
Section No. Township Name or No. Renge No. County
Occupan RINT) Phone No.
.?J
PowerSup ?
Z'? AddreSS
Electrical tra r(CQmpany Name) Contractor5 License No.
r:?_-.11 UZI -
Mailing Adtlress (Conhactor or Owner Makmg Installatron)
2 vu..c,?v
Authorized Signature (Contractor/ ner M K nstallation) ^ Phone Number
i 3 - 3,F
MINNESOTA STATE BOARD OF Elict6CTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BV THE STATE BOARD
1821 Universky Are., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
9'-;l-- REQUEST FOR ELECTRICAL INSPECTION !??'-"?? eB-ooooi-oe
? _? See instructions br compieting this form on back of yellow copy. /o S?Q ?
?x.?: .:
"X" Be%w Work C;vered by This Request :? ?
e Add Re p TypeofBuilding AppliancesWired EquipmentWired
Home Range -7 Temporary Service
Duplex Water Heater EleCtric Heating
Apt. Building Dryer Other (Speci(y)
Comm./Industriai Furnace
Farm Air Conditioner
Olher (specify) Contractor5 Remarks:
Compute lnspection Fee Below:
#, Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps J 0 to 100 Amps
Transformers Above 200 Amps Above t00 Amps
SIgnS Inspector§ Use Onry: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communicatlon THIS INSTALLATION MAY 8E ORD D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH$,.-.
I, the Eiectrical Inspector, hereby R°ugh-in oate
'. ,.?
certify that the above inspection has
been made. Final ^F 1 ?;, te
OFFICE USE ONLY ,,, "?` ` • ? `
This request v0id 18 months trom
0/i1/ /10 5 So 7
13 8??
J ?
.
Request Date Fi Inspection
Tough-in e ?
? Ready Nowr@'ffViil Notify Inspector
7 es --, No When Ready?
I,;2:ricensed contractor p owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Z?4 No.) City
z ?
Section No Township Name or No. Range No. Cou ??
Occupan RINT) ? Phone No.
Power Supn, f ? Address
Electrical ontr or,,?Company Name)
% Conhactor5 License No.
,e-i
Maihng Adtlress (Contractor or Owner aking InstallatiOn)
-'?7'?L.. Y
Authonzed Signature (Contractoir ner M k Installation)
hone Number
(-3--s ?/c1
MINNESOTA STATE BOARD OF ELE¢TRICITY THIS INSPECTION REQUEST WILL NOT
GrfggsMldway Bldg. - Room &773 Y BE ACCEPTED BV THE STATE BOARD
7827 Universky Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
J
REQUEST FOR ELECTRICAL INSPECTION
? See instrudions for completing this lorm on back of yellow copy.
X" BelQw WorkCovered by This Request
`???N? EB-00001-08
ew AbU. ?Rep ? TypeofBuilding AppiiancesWired EquipmentWired
Home Range -7 Temporary Service
Duplex Water Heater Elechic Heating
Apt. Building Dryer Other (Specify)
Comm./industrial FurnaCe
Farm Air Conditioner
Other (speciry) Contractor's Ramarks:
i
Compute lnspecfion Fee Below:
# Other Fee # Service Entrance 5ize Fee # Circuits/Feeders Fee
Swimming Poal 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector5 Use Only: / TOTAL ?
Irrigation Booms
Speciai Inspection ?p
AiarmlCommunication THIS INSTALLATION MAY BE O ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby R°°9n•in ace
certify that the above inspection has
been made. Final ate
OFFICE USE JNLY , •
This rCquest void 18 months from
?'7`// 9 ?-- 105 YO 7
813 ";5,?a_'
J 1
3
Re4uest Date Fi!e No. h-i pec6on
Yes L7 No
? Ready Now Will Notity Inspeclor
When Ready?
I licensed contractor J owner hereby request inspection of above electrical work at:
Job Address ??reet. Box r Route No.? ??
.9 ? ?, ? City
Sect(pn No. Township Name or No. Range No. County
Occupa (PRINT)
avb
? Phone No.
Power Sup ier? ]
D . ?ress
Electncal jl?ontractor (Company Name)
?t. Contrectars License No.
? 12_
Mdiling AddtE55 (COOh2CfOr Or OWfI@r aking Installation)
Ruthor¢ed Signature IContraclor/O ner M o InStallaUOn)
---- -- A? Phone Number
¢?
MINNESO7A STATE BOAHD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 U BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PfiOPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See insVUClions lor compieting this form on back of yellaw copy.
°X" Befow Work Covered by This Request
?VP? EB-00001-08
???: /D 9D 7
NeW Add F?np. TypeofBuilding AppliancesWired EquipmentWired
X Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./industrial Furnace
Farm Air Conditioner
- Olher (syecity) ContractorS Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CirouitslFeeders Fee
Swimming Pool 0 to 200 Amps /V 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspecror§ Use Onty: TOTA L
Irrigation Booms y ?
Special Inspection
Alarm/Communication .ONNECTED IF NOT
THIS INSTALLATION MAY BE ORDERED DISC
Other Fee `
COMPLETED WITHIN 18 MO(j?'i?S. .:. -
1, the Electrical Inspector, hereby Rough-in / :
certify that the above inspection has
been made.
f: t f r
Final ?•
oate ?
??.
OFFICE USE ONIY ?
Ttiis request voitl 18 monlhs from
? /i / y ?-- /l? S So 7
J 3 814
Aequesf Date
l?^
?- P J ?? ? Fi ough-in Inspection
Req?ui ?
'
p Ready Now J?gWill Notiy Inspector
When Readyl
?1
es 7 No
I,21icensed contractor :3 owner hereby request inspection of above electrical work at:
Job Addre et, Box or Rt No N
St
Section No. Township Name or No. Range No. Cou?G?
Occuparn RINT) Phone NO.
Powerie ?
L? rress
Electncal ontractor ICompany Name Coniractor§ License No.
^
Mailing Address (Contractor or Owner Making Insiallation)
Ruthonzed Signature ICAntractorowner Zn Inslallation)
--
?? Phone Number
??3? 3 ?lv
.
NIINNESOTA STATE BOARD OF EL TRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midwey Bldg. - Room 5-173 6E ACCEPTED BV THE STATE BOARD
7821 Universiry Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
RELiUEST F4 . ,iI?CAL INSPECTIUN E6-00001•08
? See mstructions f this lorm on hack of yellvw copy. /d S 50
??
2
X" 8e ow Work Covered by This Request ?_ •?
e Ajd Rep. _, Typeof Building AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Elecfric Heating
Apt. Suilding Dryer pther (Speeify)
Comm.lVndustrial Fumace
Farm Air Conditioner
Qther (specify) CoNractor's Pemarks:
Corppute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuifs/Feeders Fee
Swimming Pool 0 to 200 Amps .$- / 0 to 100 Arrops
Transformers Above 200 Amps Above 100 Amps
Si[JRS InspeCtor)3 Use Onfy: 1'QTAL
?
Irrigation Booms ? ? • ? ? ?
Special Inspection
AlarmlCommunication THIS INSTALLAT101+1 MAY BE OHDERED DI5COTINECTED IF MQT
Other Fee COMPLETED WITNIN 18 MONT
I, the Electrical Inspector, hereby Rou9n•in f? aac ,?
certifY that the above insPectfon has
been made.
Final
Date
OFFICE USE ONLY •
This reque5t void 18 months frvm
J 1381? )$??a?'
Request Date
?
? _' ? S ^
? Fi ough-in Inspecfion
Required?
D Ready Now Pt'Will Notify Inspector
?
Wh
fl
d
? 5!? C7 No en
ea
y
LeIticensed contractor rJ owner hereby request inspection of above electricai work at:
Job Address (Sheet, Boz or Ro te No.) ? Ciry
G..J?
Seaion tdo. Township Name or No. Range No. Co 1
Occupapl(PRINT) phone No.
PoVrer Zier „
/)
p..?L Address
IEiectnc ontractor ?ompany N mel
a
? Contractort License No.
_
-?.k,.,?
Mailiag Atldr (Contractw o10wner Making Installation) I
- /-'--__ ? ?y ---- - -- -
Authorizetl Signature (Contractor'0 r M i
------ - Installatro
- -- --
- Phone Number
???-
MINNESOTA STATE BOARD OF ELECTRICITY ? THIS INSPECTION REOUEST WILL NOT
Giggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY 7HE STATE BOARD
1821 University Ave., St. Paui, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REGIUE$T FOR ELECTRICAL INSPECTION ,? /Oee-0ooo,-0e
t?-
??e inshuqioos tor completing this form on back of yellow copy. ?? ?
S
S? 7
X" Below Work Covered by This Request
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
X Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (speafy) Contractor'S Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps ¢Z?
! Transformers Above 200 Amps Above 100 Amps
SignS Inspectar's Use Only: TOTAL
Irrigation Booms I
? ?J ? ?j?
Speciat Inspection ?X
Alarm/Communication TH15 INSTALLAT'ION MAY BE ORD DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in ?. Oate ? lZ?;,?
certify that the above inspection has
Peen made. Final
OFFICE USE 3NLY /
This request void 18 months from ?.• ?
J ? 148 21 u ? ? ? ??a o0
Request Date
?-9 Z Fira o gh-in Inspection
quired?
?s C No
? Ready Now ?II Notify Inspector
When Ready7
censed contractor p owner hereby request inspection of above electricai work at:
Job Add= ?(St? . Box or ute .y
? ?aM^ ?? Ctty
Section No I Township Name or No. Range No. Coun ?
&
Occuparl RINT) Phone No.
Power Su U ? Address
Electnc on\ra tor (Company Name)
.? Contractor5 License No.
7 , 2,7
-
Mailing Address (Conhactor or Owner Makm Installation)
Authonzed Signature IContractor/ ner Ma ng Instaliation? ? h Phone Number
MINNESOTA STATE BOARD OF ELEC'fRIC1TY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., SI. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See instructions foi completing this form on back of yellow copy.
X" Below Work Covered by This Request
4If nENEB-00001 -08
•:
?,!
/D.5 50 ?
ew Add ? Rep. TypeotBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
I Other (specily) Contradork Remarks:
Compute lnspection Fee 8elow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 114) 10 to 100 Amps
Transformers Above 200 Amps A ve 100 Amps
Signs Inspector's Use Only: TOT L ?
Irrigation Booms ?
Special Inspection
Rlarm/Communication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical InsPector, herebY Rough-in r oate
z
certify that the above inspection has
been made. Final
OFFICE USE ONLY ?
This request void 18 months Irom
.5 // / ya--- Z
J 3811 °v
Request Date
?_
-. 'Z Fre h-in Inspection
qui ?
? Ready NowlNill Notity Inspector
When Readyl
. eS L No
IP(licensed contractor ;] owner hereby request inspection of above electrical work at:
Job Address (Slreet. Box or ute No.) City
-5
Section No. Township Name or No. Range No.
Occupa% (PRINT) Phone No.
?
Power SuDnber? r ^?
C Atldress
Electrtcal M?tractorompany Name) Contrador's License No.
Mailing Address ntractor or Owner Making Installation)
Autharized Signature IConhactor/0 ner M;in Installation? _ Phone Number
MINNESOTA STATE BOARO OF ELL(CTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BV 7HE STATE BOARD
1821 University Ave.. St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone,(612) 642-0800 ENCLOSED
REQEIEST FOR EL,ECTRICAL INSPECTION
j I _ ? 5ee instructiorg hir completing this tarm on back of yellow copy.
3
4??? ? 1 "X" 8elow Work Covered by This Request
Es•00001 -oa
?? ?DSS07
ew k& iiep. '+ Typeof8uilding ApplianeesWired EquipmentUVired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm.llndustrial Furnace
Farm Air Conditioner
I
Odier (sWeaty) Gontraetor? Remarks:
Conipufe Inspection Fee Belaw:
# Other Fee # Service EnVance 5ize Fee # CircuitslFeeders Fee
Swienming Pool ? a to 240 Amps ,Z;- 1 1(l otc)10OAmps
Trensformers Above 200 Amps Abwe 100 Rmps
SignS Inspector5 Use Only: TQTAL
?
' lrrigatron eooms ?( • WL
Specia! Inspection
Alarm/Communication TMIS IN5TALLATf4'W MAY BE ORDERED DISCONNECTED IF NOT
Other Fee CUMPLETED WITHIN 18 MONTHS.
f, ihe Electrical Inspector, hereby j
Rough-irt
?ate
certi4y that ihe above inspectian has
heeFl made. Finel ?. ,
f
? ?
QFFICE USE ONLY
i
This request voitl 18 months ftam
°a
46
cv
Requesl Date Fre
???-? (h-in Inspection
, w.pd?
d Ready Now? Will Notity Inspector
R
d
?
Wh
2 ?Yes G No en
y
ea
icensed contractor D owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Ro e No.)
Z) 94 & City
e4-44^. 4/2-? L' v.
SeMion No Township Name or No. Range No. Cou
Occupa PRINT) Phone No.
?
Power Su? ?
? Address
Eiecmcal oMrect (Company Name) Contrador5 License No.
"
?
Maihng Adoress ( Contractor or Owner Making Installation)
?-v
nuthon7ed Signalure iContracton ner M ing Installalion? Phane Number
? 3 ._ 3??v
MINNESOTA STATE BOARD OF ELECfRICITY THIS INSPECTION REQUEST WILL NOT
GrlggS-Midway Bidg. - Raom S173 BE ACCEPTED BYTNE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-08
See instruchons br compieting ihis form on back oi yellow copy.
`X" Below Work L'overed by This Request ??y f
Jew RL't Regg. TypeofBuiiding AppliancesWired EquipmentWired
X Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) ConVactor's Remarks:
Compute Inspection Fee 8elow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
i Swimming Pool 0 to 200 Amps 0 0 to 100 Amps Z7
TrBnsformers Above 200 Amps Above 100 Amps
SignS Inspector's Use Only I TOTAL a
Irrigation 8ooms
5pecial inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 181
ONTHS.
i, the Electrical Inspeetor, hereby Rough-in
y- -? oa?e
certify that the above inspection has
been made. Fnal D te
OFFSCE USE 3NLY
This re9uest void 18 months from ?
,?
? s sa ?
381 84g
J
1 -
:.' o
Request Date Fi oug -in Inspection
Required?
'- es G No ? Ready Now ?II Notity Inspector
When Ready?
I?ficensed contractor O owner hereby request inspection of above electrical work at:
Job Address (Streat. Box or PAute No.?
D 36
D
6
4 Ciry
L?e.1 a.-w.
-Z ,..
SecSOn No. Township Name or No. Range No. Coun(y;r?
LJ?
Occupan PRINT) Phone No.
?
Power Su7"fL ?
r Address
Elettrica! nh, r iCompany Name)
? CoMractor+s License No.
Mading'Address IContrector or Owner Making In5laliation)
1 W `??^
Authorized Signature (COntractor'Ow
r Mak
llation) ns.
Phone Number
A
O
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REaUEST WILL NOT
Griggs-Mfdway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 Oniversity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-OB00 ENCLOSED.
?
REQUEST FOR ELECTRICAL INSPECTION
jl? See instructions for comple6og this form on back of yellow copy.
`X" Be/ow V13ork Covered by This Request
EB-00001 -06
?
?,;??
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Range ? Temporary Service
Duplex Water Heater Ele ctric Heating
I
ilding Dryer Other (Specify)
.llndustrial Furnace
' Farm Air Conditioner
Other (syecify) Contractor5 Remarks:
Co(npute Inspection 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 100 - Amps
'$19f1S Inspedors Use Only? OTAI
?
?
Irrigation Booms - QU r(,?v? `
- -
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH3.
I, the Electrical Inspector, hereby Rou9h-in ?
c Date
certify that the above inspection has
been made. Final ta
OFFICE U3E ONLY ' i .
This request void 18 months from
,
J ?3 819
Hequesl Date
? ,? ?' 9 ?- Fire u h-in Inspeetion
(,s :1 No
0 Ready Now PtNill Notity Inspector
When Ready?
I G'-''icensed contractor O owner hereby request inspection of above electrical work at:
Job AdQress (Street. Box or R le No.) ^ ?
og? ._?. ??Ja,-L" City
Sedion No Township Name or No. Range No. Cou
Occupant ( INT)
11-Q.d) Phone No.
_
Power SI?er ^
. A??,,,1GG • ??' Address
Electncal mpany Name)
T_L? _ Contractort License No.
¢12 - 3
Mading Adtlress (Conrtractor or Own Makin Installation)
Authorized Signature IContracton ner M ng nsWllation) Phone Number
?'2
MINNESOTA STATE BOARD OF ELEUfRICITY ? D THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bldg. - Room 5773 BE ACCEPTED BY THE STATE BOARD
1821 l(niversity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
PhOne(612)642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os
.c .
? See instructions tor completing th:?; tqrm on back of yellow copy. g•' Q
X" Befow Work bovered by This Request
ew A flep. -, TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Dupiex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Conhactor's Remark5:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps Ile) 0 to 100 Amps ?
Transformers Above 200 Amps A ve 100 Amps
' Signs Inspector's Use Only: TO
.
?
' Irrigation Booms ?? - Z
Special Inspection
` Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH5.
I, the Electrical Inspector, hereby Rougn-in
f oate
cerf?fy that the ahove inspection has
been made. pinal '• '' F ?v ;
:-
- d?,;?--, .?
OFFICE USE ONLY
i?
This request void 18 months fram '-- -, - _
?
?2006 RESIDENTIAL. BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?
New ConsUuction Requirements RemodeUReoair Reauiremenls ? OnN
3 registered site surveys showing sq. ft. of bt, sq. ft. of house; and all roofed areas 2 oopies of plan showing footlrgs, beams, joisis Gert of 5?i?!?ey Recd -Y-_.,:3d
(20°6 maximum lot coverage allowec) 1 set of Energy Calculafions for heated addidons Trse Fres Plen Recd _ Y; N.
2 copies ot plan showing beam & window sizes; poured found design, etc. 1 sihe survey (or additions & decks Tree PresRequired _ Y=N
1 set of Energy CalculaUons Addifion - indicafe if orrarte septic system 0n-si* Septic"$ystem 'Y _ 1J
3 copies of Tree Preseroation Plan ff lot platted after 711193
Rim Joist Detail Options selecction sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Date / l? lotD ? 1-FLt i "'6onst
on Cost Z?ro,`
cti ?
Site Address 61; ? ? ?tkNz, li " yiqs qi y_3, a )La a, ?s?4 y 9S 3q7'Unit/Ste #
Description of Work 12,J6
Multi-Family Bldg Y_ N Fireplace(s) _ 0 _ 1 _ 2
Properly Owner OZ 0 p6 _R-T r C/, Z L Telephone # (? ? ) S •? ? "' / g y?
Contractor
Address 4O City ',?_r Aut...
State Zip Telephone # byj ) Z s f' Vwc-'s
COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING
Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 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 and accura.te;
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, ork ' not to start without a
permit; that the work will be in accordance with the approvehe c rvork ich requires a review and
approval of plans.
4i-c- 6Wm-, .,J
Applicant's Printed Name
s
DO NOT WRITE BELOW TffiS LINE
Sub Tvues
? 01 Foundation ? 07 05-plex 0 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Poroh (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex 13 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screenlgazebo) ? 36 Muiti Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicaM
Description: Water Damage Yes
Valuation
Plan Review 100% or 25%
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
Zoning
Stories
Sq. Ft.
Length
Width
REQUIRED INSPECTION5
_ Footings (new h(dg) _ Sheetrock
_ Footings (deck) _ FinaUC.O.
_ Footings (addition) _ FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs
_ Framing _ Siding _ Stucco Lath
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
-- - ------ - -- - -- - ------ - ------ - - - -------- , Building Inspector
------ - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Air/Gas Tests Final
Stone Lath Brick
r - - - - - - - - - - - - - - - - -+
I
I Permit #: n ? ?? i
I Permit Fee: ? ?? ?D
1 ?
? pate Received: i
? Staff: I
L _----------------_
2008 REStDENTIAL PLUMBING PERMIT APPLICATION
Date: -SiteAddress:
Suite #: ..
Tenant•
RESIDENT / OWNER I Name: ? ??ril
Address / City / Zip:
Phone: 6-1 "
55 1'2 a _--
CONTRACTOR
Name:
License #: ??"i?-
Address: Champion
601--385-1340
City: 3670 Dodd Rd. #100 State: Zip:
agan, - `? '?'
Phone: Contact Person:
TYPE OF WORK _ New ?eplacement _ Repair _ Rebuild Modify Space _ Work in R.O.W.
,
Descri tion of work:
PERMIT TYPE ISIDENTIAL
Water Heater Water Softener
• Lawn Irrigation Add Plumbing Fixtures
RPZ /_ PVB) Main _ Cower Level)
Septic System Water Turnaround .
New
Abandonment
RESIDENTIAL FEES: .
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Piumbing Fixtures, Septic System Abandonment, Water Turnaround* (inciudes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 518" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repa'tr (replace burned out appliances, ductwark, etc.) (includes $.50 State Surcharge)
FEES $
I hereby acknowiedge that this Information is compiete and accurate; that the woiic wili be in conformance wWi the ordinances and codes of the City of
Eagan; that i undersiand 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 t4e-approved plan in the case of work which requires a revlew and approval of plans/7- , A/ w
x ( o ,.r ? - G X ! ..- c-
, .
AppiicantTs Printed Name . AppiicanY ignature •
?FFIGE USE}i ; . . . _ . -
3:Y50- ?e
For Office U
City of Eaau Permit
l1 1
3830 Pilot Knob Road Permit Fee:
y
Eagan MN 55122 Date Received MAY 012009
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL PLUMBING PERMIT PPLICA ON
Date: Site Address: A55 o ~
Tenant: Suite
RESIDENT/ OWNER Name: i D CA Phone: ) 4-1
Address / City / Zip: I' )c
CONTRACTOR Name: I Wa9cae"Qpt
Address: i Cl
City: }J r1 J ( State: Zip: _ 11
Phone: -DS L` - ` Contact Person:
TYPE OF WORK -New Replacement Repair Rebuild -Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater water softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) C_ Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 i
accordance with the approved pla in the case work w i requires a review and approval of plans.
X ~Mw ~ ~ I uow- x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: ____Under Ground _Rough-In Air Test -Gas Test Final
06/17/2014 15:05 Les Jones Roofing,Inc. �AX�528817009 P.0091020
Use BL.U�or BLACK Ink
( For OHlce U9e ^ ^� �
. ' j Permlt#: ������ I
C"�"� o^ ��5�`�^ I permit Fee: l0 �� �
3830 Pilot Knab Road � �
Eagan MN 66122 j Dete Recelved: j
Phone:(651)6755675 1 I
Fax:(661)6rG.6ss4 , � 5��� �
I I
�____.___�_.__-----.,
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
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Date: � �? Slte Address:y/ys-y/'Y�-�//y9-N/r/- y/S3-�//s'� �u.2,�q�t.t, [ozia.7tinTt�:
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;:;�:�:;���'�,';�+;� %;;";� Llcense#:_ �2�/a� L.ead Certlflcate#: �U�4T `e`O � 7�-/
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If the proJect Is exempt from lead certification, please explaln why:(see Page 3 for additional information)
COMPLETE THfS AREA ONLY IF CONSTRUCTING A NEW BU(LDING
in the laet 12 montha�ha9 the Clty of Eagan Iseued a permlt tor a elmllar plan based on a msster plan?
� Yes _No If yes,date and eddress of inest�r plan:
Llcensed Plumber: Phone:
Mechanlcal Contractor: Phone:
Sewer 8 Water Contractor: Phone:
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CA�L BEFORE YOU DlG. Cell Oophor 9tafo One Cell e1(661)46M0002 for proteCUon agelnst underground utliity damape. C8U 48 houre
before you Intend to dlg to receive locat8e M underpround uUlltlee, www.aonhersteteonecau.oro '
i hereby acknowled8e lhat thle Informalton Is comptete and accurate;that the work wtll be In conforrnancs with the orcllnencee end codea of the CUy ot
Eegen; that 1 underetand thle le not a permtt,but only an appllcaGon for a permit, and work le not to atan wlthout a permit; chal Ihe work wlll be In
accordence with the approved plen In the caae oF work which requlree a revlew and approvel of plane.
Exterlor work authorized by e building permit 199uad in accordance with the Mlnnesota 8tate Bu(Iding Code must be completed withln 180
days of permit lesuance.
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Appllcant's Printed Name Applicant's Slgnaiure
Pege 1 of 3
0211912014 12:34 Les Jones Roofing,Inc. �A�}A528817009 P.0091020
Use BLUE or BLACK Ink
� ForOHlceUeeYy__�____i
1 7�'�7�i
� Clt� Of ���1�I1 , Pe�,���: .
R��,�9°,!��' ► �7 i
� Partnit Fee: �
3830 Pilot Knob Road FEB 1 9 2014 � Date Rec�1�d: � I
Eegan MN 65122 � I
Phone:(661)876-66y6 I Statt: 1
Fax:(661)676-569e1 . � �
�----------------�
2014 RESIDENTIAL BUILDING PERMIT APPLICA710N ��
Hp'78, 4080, H08Z,ti1t�8�I. �1D8b. SI08$ ,c3�A�V�� �� a'p
Date: �I� � Slte Address: `�ISi / D �o� "T"` Unit#;
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;`�� _ �,��`�t'';�y�:��,;':�"'' Llcen6e#: /05'"�D Lead Certlilcate#.�t/�7'� �f o.� 7�7 -/
If the project is exempt from lead cettificat(on,piease explain why: (see Page 3 for additionel informatfon)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A EW BU G
(n the Ia$t 12 montha,has the Clty of Eagan lesued a pertnit for a simllat'plan based on a master plan?
� ^Yes uNo If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Coniractor: Phone:
Sewer&Water Contractor: phone:
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CALL BEFOR�YOD UIG. Cell Gopher State Ona Ca11 at(e61)a64•0002 for proledlon agalnst underground ullNly demege. Ce�ll 48 houre
before you Mtend to dlg to recelve Iocates ct unde�gro�d utllidas.
I hereby aCknowledge thel thls Intormetlon Is complete and sccutete;thflt the WoAc VNII be In COnfom19nC8 With lhe ordlnences and codes of the Clty of
Eagen;that I underaland Ihls le not a permlt,but only an eppllceNon for a permit, and work le not to slart wllhoul e pertrdt;thet lha work wI11 bo In
accordence with the epproved plan In the caee olwork whlch requirea e rewew and approvel of plane.
Exterlor work uuthoAxed by a building permit issued In accordence wlth the Minneeota State Bullding Code mu6t be completad within 180
days of permit 19eupnCe.
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Appllcant's printed Name Applicant's Stenature
Page 1 of 3