4410 Fremont Alcove4111-FAFar.4e? il 1
CITY OF EAGAN ^
3830 Pilot Knob Road
Eagan, Minnesota 55123
(61 k) 681-4675
'IQN RECORD
? Y • • PERMIT TYPE:
Permit Number:
Date Issued:
W.'-4 n;sV.
N•r J;I AI 'iN
! SITE ADDRESS:
j ? i ? i I t??i•1. 1??k.;t1l;i?ai1 ?.
PERMIT SUBTYPE:
? APPLICANT:
0114
( r> i :? ? ?!..• ?,,'c?a
TYPE OF WORK:
tJ t 1,1
INSPECTION
? D, •
?i i . ,.?? DA
•
i 11?.411
iilli.,! i i?i
! I 11(?! 1 1 f't. I I?I:r ?
14 l'hAfik":•. IN+'IE?It E4 41 3114 15 014 1 l 4 41?1 q4 .!1 {1 VrIrlANki I irr Frlk4k . ,
11 +i I i! '4 M i:' tI 4 14 14 14 4 t: i 4 4 ? 0 t R k. M l) N 1 111 1 11 V I
F-
1I ?J
•
.
>1
PermR No. Permk Holder Dete Telephone ?
S/W
PLUMBING ? ? ?? ? ?/
HVAC ? /?C a4 ? -i000$
ELECTFiIC
ELECTRIC
Inspectlon Daie Insp. CommerHs
Footings I a
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
isul.
Freplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Fnal
DeCk Ftg.
Deck Final
Well
Pr. Disp.
?? ?.?_oi ??--•
Wertifrca#e of Cccupanc?
6Ug of Cfagatt
TO axt?eat o? ?NOiug 3uispection
This Cenificate issued pursuant ta the requirements of the Uni.form Building Code
certifying that at the time of issuartce this structure was in compliaRCe with the various
ordinances of the City regulating building construction or use. For the following:
usn ausircaion:12-F °S' Eldg. Pe,mh No. 24636
Oowpancy'iype R I6Tl 7uning District PWR,li Type Const. MM_MR
QwoeraFBuilding8Tf.7F. HrMS (7D NN !7)RP Address 1'155 ME13iY1TA NF.T(1Tf'.S Rn. ME1fY7TA HEj(}jn
suildingna&rss44[14 fAERI.ANI) !:7M P. ladicyTA.. Ris--O.IFF TARF: 'iTINIOMES
Daae: ---
BuildioS Offxial r- -
ALSO IlW-I.CWS: 4413 '! 5'7 T ??qAS??? ^E ? 44 I? ' 12' 1414 ' 16
' 18 & ' 20 ? AI?1vE
, c
SITE ADDRESS 070?0 -6'G!'w O?1T rC0 Ve.
B ?
unit # Permit #
a.o
I INSPECTION I INSPECTOR I DATE I COMMENTS I
INSPECTION INSPECTOR DATE COMMENTS
7
------•--
? - - - - - '
SITE ADDRESS W14 / I''Ei'h011? 480M Unit #
PeRnit # °144 -14
C.-a
INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS WfW rPaKOn l Pr CGUe-
Sect./Sub.
Unit # Permit #o?'S?Cm34i
atlr r _ _ _ ,-' i _ _
lee
I INSPECTION I INSPECTOR I DATE I COMMENTS I
u
51TE ADDRESS 4?% rr+EMOvIT 14rdD(le Unit # Permit # ?36
L 3 g ? Sect./Sub. "ak e OWnkoMCs
y?0?.? 35 4 u t°???xi /I . ??/.?/?v */",(o °°
INSPECTION INSPECTOR DATE COMMENTS
u-C ?3 ro ?= yy
f /l•? ??/
. ?
l?'?-+ • ? '? '7
?
SITEADDRESS y^lfP 1"?P.h')DI')! /'flcoVe
Unit # Permit #
nn 1 . / 1
? L B Sect.l ub. l-.,l+ t t Jo+4J^r0rv+eS
J?3'
INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS y?a/ &0, erlwd Unit #
Pem,K # 3 C,
L i B / sect./sub. ChSf Lam- al?wfihame.s
SITE ADDRESS "T?/0 ?e-MQ4 AICOVe- Unit #
Permit # -f
L 3 B ! SectJSub. a OY11t
ff1 DiaI IA.'r).K ffqo /0'Si/94/ 4&/lD "
INSPECTION INSPECTOR DATE COMMENTS
<
i - 7-9
-p
iL -Z-/
n,s vL
SITE ADDRESS WAlI`7 C/ VP..1'1Givi? 0-.,i j'; Unit # Permit # a ?340,
L 3 B 1 sect.isub. L1? ? C Lake '1 o wnhomes
? 6v rel ?6 r
INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS '`/"//7 OVP.Y' I anC( L. r, Unit #
Permit # o?46
L -? B 1 Sect./Sub.a`, t't /v41?2 1 OWt1kw'?QS
fAd. 0; 5 3 /o/N "
INSPECTION INSPECTOR DATE CUMMEHTS
a (??J ?l? S 4 J i??? f
-(o'
4 a4 10-71-9 y
? ??/zs s
l
SITE ADDRESS O?e!'' /Ltih d 0-.,i 1^. Unit #
Permit # ,f
L ? B ? Sect./Sub. al; r t ko4 ke w ?lo M e S
?- .a? .o
lai INSPECTION INSPECTOR DATE COMMENTS
GC ,ir ?C?f
ner
• ??
? • 0?-7?
_?
SITE ADDRESS "'???ftq OVtr'ar1 ?O? 1^. Unit #
Permit # 07'/? S40
?p L -? B ? SectJSub. ,?i iv0.K2 dWll ?YI'1es
lo?, 1. #C,6 33 Ai 1 ('.&? f'f0p-J. (1?. 1.011.1h.1 °-?"'
INSPECTION INSPECTOR DATE COMMENTS
ajS
/
06 F? ltt?
C. ?'? ic I?-9y
S ?!
n ee?: _?-
f
SITE ADDRESS44u 9 D??X'QnJ a? 1"_ Unit #
Permit # a'lG J&
{? L •3 6 1 sect./sub. l%?; }f katce. I ownhome S
GLJ• #00A,'SK410 f '.,D&i, `/'hQ.0, t. CA. /0?I,//9,/ "eloto °'9
IHSPECTION IHSPECTOR DATE COMMENTS
G P! J
Usr, .? ? ?3 t-1i9?
CC
?n0 1 \ ?f
I 1? I 1? I „ I
'12 `14 '16 'IS & '20 Zip 5512_
L.ot 3 Blk 1 Slnb •CLIFS' LAKE IuMCMEs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Ja0 ?'jr Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish
Deck ?
Please verify wi[h the builder the removal of roof test caps from the plumbing system and the shutroff of water supply to
the outgide lawn faucet before freeze poten4al exists. -
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
3 s
REQUEST FOR ELECTRICAL INSPECTION
V• 3 45 , See insvuctions for mmplelirg this farm on back of yellow copy.
"X" Below-'Nork,Covered by This Request
Ne Add ke;.. Type of 8uilding Appliances Wired Equipment Wired
. Home Ranoe Temporarv Servica
Compute lnspecfion Fee Below:
11 Other Fee
Swimmin Pool
Transformers
Signs
Irrigation Booms
S ecial Inspection
AIarMCommunication
Other Fee
I, the Electrical Inspector, hereby
certity that the above inspection has
been made.
OiFICE USE ONLY
This request voiG 18 monMS Imm
Town'ili,
Fae
rarq /-- ?7 d -0
THIS INSTALLATION MAY BE
COMPLETED WITHIN 18-070N
7 /- ? lX lU ? ?/?
RED DISC?NE T D IF No-OT
? ??-
oate
IC7
/
?o/??y?
03
r49 ?
l
l
- 3 o
o
.
Raquest Daie Ire o. ough-In9ns "itaido fiaquiretl
I Jl I O`/j / I (VOU u call inspec[orO en rea0y Inspeclion OlherThan ougRln .
? ReaOy Now WIII NotM l^spedor
Yes No Date Read
?
Y licensed contractor ?owner hereby request inspection ot above ele c
Job Atltlress (Slreet, Box or Faute NoJ Ciy /
L{?Iz O l kod
Section No. Townshlp Name or No. Range No. County
• I ?
pan?(PRI T) ` 1 Phone No
^
MY ? o
PowerS?pplier
Eleclrical ConVaclor (Compeny Name) r
i C? .
? . ? • Comractor's License N?o I
CAOO I 0 (-l'
Mailing Atltlress (COntrecwr or Owner M ki g Installatioql
56107
Authonzed SlgnaWre (ConvectortOwner Making Installation) Phone Number
224 -
MINNESOTA STATE BOAflU OF ELECT ICITY THIS INSPECTION REQUEST WILL NOT
Griggs-MlEway Bltlg. - Noom &128 C? v eE ACCEPTEO BY THE STATE BOARD
1821 Universlty Ave., $t. Paul, MN 55704 ??/'/? ?? ? UNLESS PROPER MSPECTION FEE IS
Phone 072] 692A800 /??^' ENCLOSED.
003 5CM
` . ,
REQUEST FOR ELECTRICAL INSPECTION %J 3J,?
? See InsVUCtions lor compleHng this form on Eeck of yellow copy.
"X" Belqyv Work Covered by This Request
e - -os
7 °o' `?
? 1xilli%
S?
lk
Ne Add Rep. Type of Building Appliences Wlred Equipment Wired
Home Renge Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrlal Furnace Other S eci )
Farm Air Conditioner
Olher(spaciN) Contractor's? Remerks:
Coinpute Inspection Fee Below: o w-
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swjmmin Pool D to 200 Am s ,DO 0 to 100 Am s ,00
Transfortners Above 200_Amps I Abova 100 _Am s
Si n5 Inspenor's Use onty:
---?? TOTAL
Irrigatian Booms /
TO
r'/1?1. J-U ?Q?Q,??
Special Ins ection ?7 1
/ ??
Alarm/Communicetion THIS INSTALLATION MAY BE iiDEAED DISC NNECTED IF NOT
Other Fee COMPLETED WITHIN MONT . j ?
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-In
? oatel
oeta
OFFICE USE ONLY "
This request v0ltl 18 mamhs Irom
T 0?3 4
Req est Date c' e No. ugh- n Inep n ReqWretl
ou u call inspecmr when reatly) Ins ectlon Other Than. SougA-In
Read
Now W?Will Notil
Inspector
Yes y
y
Dela Ree
I?I licensed contractor ?owner hareby request inspection of abov ectrical r1°
Job Atltlrass (Slreat, Box or RoNa Na.)
1? 'A q aVa (CLnd Ci rcle, City
Seclion No. Township Neme or No. RanBe No. Counry
?
Oc pant (PRIM) Pho e N
u a? o
Power Sypplier O ? re s
?
Electrical ConiraMOrfompany Neme)
-
b?e
C
' Conireqors I.kense No.
y0(
o
ca
l n o
.0
Mailing Atldress (COnir ctor or Owner k' g Inelellatbn)
6507
Authorizetl Signalure (Cont2clor/Owner Mek' Ins Ilation)
, Phono Number
3
2 -Z 3
MINNESOTA STATE BOAFD OF ELEC7NIEITV THIS INSPECTION REQUEST WILL NOT
Orlgga-Mltlwey Bltlg. - qoom 5-128 BE ACCEPTED BV TME STATE BOARO
1821 Univarelry Ava., SI. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(81R)892-0800 l?l-? • \ ENCLOSEO.
l ? ?
?
REQUEST POR ELECTRICAL INSPECTION
0 Q4 3? See insimctions kr completing ihis lorm on back of yelbw copy.
? „X" 8elow Work Covered by This Request AW
'a Add Rep. Type of Building - Appliances Wired Equipment Wired
Home Range Temporary Service
- Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other(specify) Contractors RemaMS:
I ry?
CompUte Inspection Fee Below:
!f Other Fee # Service Entrance Size Fee # Cirouits/Feaders Fee
Swimming Pool 11 0 to 200 Amps S'OG 1 111 0 to 100 Am s .Od
TPansformers Above200-Amps Above-90,0-Am s ?nU
Si ns inspecmfs Usa oniy: Tpql
Irrigation Booms 7T41-41
Special Inspection -
m
AIamJCommunication ERED DISCOM ECTED IF OT
THIS INSTALLATION M BE O
Other Fee ,
COMPLETED WRHI ONT .
?
I, the Elecincal Inspector, hereby
tif
ih
t
h
b
i Rou9n-in ?
r r oa?gq? p
L6' L
cer
y
a
e a
i
ove
nspection has
been made. Finai ? ?e ?.
OFFICE USE ONLV
ThIS requesi voi0 18 months frcm
ReQUest Date
U Ire No. Fqygh-I Inspection Required Inapeclion OtherThan qough-In
ryou m cail inspector wha reatly) ? Reatly N. ? Will Notily Inspeqor
Yes Date Reatl
" P/t i
I? licensed contractor ? owner hereby request inspection of abov lectncal wo ?
Job Atltlrass (Slreal, 6ox or Route No.)
? ov r? i
rcie, City ?
an/
Section No. Township Name or No. Renge Na. County 0. ?
OccupaN ?PflINT) PhonGa No. T
Power Supplier , d ress
Eleclrical Convacmr (COmpany Name)
Co I l i' elrica l Czr
effiic?
o ('t)? Contrnctora License No.
GRoo yo Co
Mailing Adtlress ConVactor or Owner Making Installation)
5-F .
Pcu.c I? r? ? I D7
AumonzeE SIB^Mure (COnVacioqOwner Makin Inslallation)
b -b/LA? Phone Number
Zz -z833
MINNESOTA STAiE BOANO OF ELECTPTC6r?' ._f . O L THIS INSPECTION REOUEST WILL NOT
Griggs-MlEway BIEg. - Poom 5448 ?(_/?,? BE ACCEPTED BY THE STATE BOARD
1821 Univorslty Ave., St. Vaul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phane (612) 602-0800 ENCLOSED.
I? /y 1r REQUEST FOR ELECTRICAL INSPECTION
Sea Insimctlons Iw completlrg sMe fortn on beck o/ yellow cnpy
10- 33542
OS_
X" Below Work Covered by This Request
Ne% Add Rep. Typa of Building Appliances Wired Equipment Wire
Home Range Temporary Service
Duplex Water Heater Electric Heating
A t. Building Dryer Load Management
Comm./Industrial Fumace Other (Specity)
Farm Air Conditioner
Other (specfly) ConlrecMrs Remarks:
Compute Inspectian Fee Below: I oO A
# Other Fee # Service Entrance Size Fee N Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 5 Qo it 0 to 100 Am s .e0
Transformers Above 200_Amps A6ove 100 -Am s 7.00
Si ns Inspect«s Uae On
p
..,c '$ TOTAL
Irngation Booms y
g
? ?A? G[?
? S?
S ecial Ins ection ? 0
G?
AIarMCommunication THIS INSTALLATION MAY BE ORD ED DISC NNE 6(E_D IF NOT
Other Fee COMPLETEU WITHIN 78 NTHS ,: (
I, the Eledrical Inspector, herehy
cenify that the above inspection hes
been made. Rough-in i
Finei
r oac?ra'y ?
? ?
7e ;v J
N USE ONLY
B months Irom
/
`2?`'i/9?
?0 ?aYs?
l(
4
Reqaeet Date
I _ I O ire No. Fough-In Inapection Requlretl
(VOU t call inspector ?en reatly) In edion Ot'er TOen Rough?ln
a R¢ady Now ?WIII No?ify Inspector
??'?
Ves Dale ReaUy
Iklicensed contractor ?owner cl" -dn
hereby request inspection of abov
lectnca at: Q?
Job Atltlress (Slreet, Box or Pou1B No) Ciy
l445 0 2Y d rC l2
Section No. Township Neme or No. Ranga No. Count 13
p-
Oc panl(PRINT) Phone No.
52-5ZJD0
Power SuOPlier
. ress
?
ElecMCal Coniraclor (COmpany Name)
C Contrectors Licanse No.
?,
Mailing Addrass (COnlrector or Owner Meking Instellation)
2 w.L1
6`1
Authorired Signetvra (CommctodOwner Mekin
Px63 Ins Ilabon)
, Phone Number
214 2933
MINNESOTA STATE BOAHO OF ELECTtiICI+V 1 THIS INSPECTION REOUEST WILL NOT
OrlpBa-Mitlwey BIEg. - Room 3-128 BE ACCEPTEO eY THE STATE BOARD
7821 Unlversity Ave., St. Peul, MN 64106 UNLESS PROPER INSPECTION FEE IS
Phona (812) 894•0800 ENCLOSED.
10 ^/? REQUEST FOR ELECTRICAL INSPECTION
O K 4?, See insimctions tor completing this brm on back of yellow copy, ?
J 1. R13
,.,t "X" Be7mw Work Covered by This Aequest
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Load Management
Comm./lndustrial Fumace OYher (Specify)
Famn Air Conditioner
Olher (specify) Conlractors Remarks:
IoC)? Tow?nha?r?-
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Fseders Fee
Swimming Paal 0 to 200 Am s co 0 to 100 Am s i0
Transformers Abova 200 Amps l Above 100 _Am S ll,pZ
Slgns Inspector's Use Onl TOTAL
s
4 ? 7 ? 7 ? C
r f?
??pi5V
pecton
Special ln 1
Alarm/Communication THIS INSTALLATION MAY BE ORD ED DISCONNEC1EO IF N T
Other Fee COMPLETED WITHIN 1 ONTH
I, the Electrical Inspectot, here6y
certify that the above inspection has
been made. Rougn-in ?
Final
j oet6??7 ct
?
?
0
OFFICE USE ONLY '
This re0uest voitl 18 monihs irom
iI r f/ 9- iaIJI s s.s5s??r ?ary?
003 5 1
?"
gl.
Reque5l Date
I Fi Nb. ? ough-ln I cpaclion Requiretl
You t call inspector hen reatly) Inspeclion Other Than JiOUghdn
0 peetly Now R? Will Notity Inspecror
U Ves Dete Reetl
IKlicensed contractor ?owner hereby request inspection of? trical ?
JW Atltlress (SVeel, Box or Route No.) Ciry
Qver 6. ,irc( ?
Seclim o. Township Name or No. Range No. Counry
o
O cupant(PRINn Phone No.
1 n Z- CD
Power Supplier d1fress
Eleclncal ConVactor (C gMpany Name - Entracbre License No.
w
C 1 L 0 q
Mailing Atltlress (COnVactor or Owner Making Inslalla?ion)
? - KA.N Efo-- (0-7
Aulhonzetl Sgnatme ConVactor/O?^rner Making i all ion)
ri Pltone Numbe`
MINNESOTA STATE BOAPD OF ELECTfiICIN THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway BIOg. - qoom 5-128 BE ACCEPTED BV THE STATE BOARO
1821 Universily Ave., St. Peul, MN 55109 UNLES$ PROPER INSPECTION FEE IS
Phone (612) 6,12-0800 ENCLOSED.
l%n11? ? REDUEST FOR ELECTRICAL INSPECTION a?ys .f ??
O V _3 4 O ? See Instrudions for complatin9 this form on beck oi yallow copy. . ???W
. --• "X" Below Work Covered by This Request '? ?•+, ?
Ne Add Rep. Type of BuildiRg Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specif )
Farm Air Conditioner
Other (apecity) Conlrect?o?rs R\ emarks:?^
1 W (? \ C? ? O`CY\.Q_,
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fea
Swimmin Pool 0 to 200 Amps {,? I 0 to 100 Am s ?oU
Transformers Above 200 Amps ,1 AboveT300 -Amps r?
SI OS Inspecwr's Use Onry, ?'l ? TOTAL
Irrigetion 8ooms T Tl1? ?? ? / 7 ? ?s?
Special Ins ectlon / `?? l
?D
Alarm/Communication J
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby
certity thet the
b
i
tl
h Roughdn aig
! ?
a
ove
nspac
on
as
been made. Final e z?
OFFICE USE ONLV
This request voltl 18 months irom
?r?3?40??/3?/?
Requeat Date i.re No?
e
.
I O? l I!, ???
Rough-ln In dion Requiretl
(You uscall in50ector when reatly)
Ins ection Otner Thn ogh-1n
e
Reatly Now Wu
ill No Inspector
lJ Yes No Date Reatl
?
?
I Lcensed contractor ? owner her eby request inspection o
t
ab electrical W17
Job Atltlrsss (Street, Box or Roule No,)
44 ovewlarvj C,i:rcle, City
Seqion No. Township Name or No. Renga No, Counry .
I
Oc panljPRINT) Phone No.
C _ J r
ZOO
Powe? Supplier . q ress
1
cltlcel Contrector (Company Neme)
El
l
11
?
. (
C
A Contractork License No.
0
? s
?c,
icu uC.
o
o oC)
Mailing Atltlress (Comreclor or Owner Makin I atellation)
? ? I?7
2
?
Aulhorized $igneture (COnVeclotlOwnar M9kin Inst ation) PhOne NumEer
2 -ZSS33
Gr MINNESOTA AfE B p?m q'=gECTNICI?'Y CA THIS INSPECTION REQUEST WILL NOT
1?? V BE ACCEPTED 6Y THE STATE BOAflD
11121 Onlvarsfty Ave., 6t. Paul, MN 55104 ? UNLE55 PROPER MSPECTION FEE IS
Phone(812)84]•0800 5a Oi1 4xn ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 33(J ?7?,r¢ee-oooot-
0 0 3 3 4 6? See instructlans lor mmpleting mis brm an back of yellow copy. ?
,X„ Below Wprk Covered 6y This Request ?`•?`
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
- Du lex Water Heater Electric Heatin
Apt. Building Dryer Loatl Management
omm./Industrial Furnace Other (S eci )
arm
F Air Conditioner
Other (apecify) Conlractor's Femarks:
CorpputelnspectionFeeBelow: I00PF ?aOO
# Other Fse # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps S,Oo 1 0 to 100 Am s oo
TJansformers Abova 200_Am s \. Above-10 -Am s ,
Si n3 inspectors Use Omy: TOTAL
IrrigationBOOms (
?
J "?IISO
Special Ins ection ?drA
7
i ci)
Alarm/Communication TNtS INSTALLATION MAV BE ORDERED DISC?NECTED I OT
Othar Fee COMPLETED WITHIN 18 MONTHS. -
I, the Electrical Inspector, hareby
certify that ihe above inspedion has
been made. Rouqh-in
Final v Y r
? oet
oete
? /p ?
OFFICE USE ONLV
Tbls request voltl 18 manths Irom
,°//'f S .f /Uj/3/?9?f ?335 ?y7 f
oT a'y?
0 G? 3 4 61 ?
Raquest Dale
I 11 _ 1 O_ n
lJ FI e N0. Rou n-In spaction ReqWrad
IYOU u cell inspactor?u?hen ?eatlyJ Ins ecfion Other Though-In
Reatly Now Will Notily I IXor
- Yee U No Data Reatl
I K licensed contrector ?owner hereby requast inspection of above electrl wor -
Job AtlGress (Street, Bov or RoNe N0.) Clry
? ck-
Sectlon No. TownsNp Nama or No. Renge Na. Co\unty
? 11J?? ??C
?Qa?p INT) , 1 ?? Phe No.
PowerSopplier
v e qyyress
?+3DO- 22 e5?-
Eleclncei CoMraclor (Compeny Name)
W C / Cont2c,tors Llrenae No.
-1n \oo \ O Lo
Mailing Atltlress (CO trac?or ar Owner Making Ins?ellalion?
27 S-? e?
? PC?, I ?
tiltJ ?10
Authotlzetl Signalure (COnlrectorl0wner Makin Ins lation)
?b ?. Pnone Numoer
Zz?l-Z8'33
MINNESOTA STATE BOARD OF ELECTPIC?fY ?. ? LTHIS INSPECTION REDUEST WILL NOT
Grlggs-MlEwey Bitlg. - Noom 5128 /? I\I -? BE ACCEPTEO BV THE STATE BOARD
1821 Unlversity Ave., SL Paul, MN 551 W Con ?I '^ UNlE55 PROPER WSPECTION FEE IS
Phore(612)602•OB00 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 3 7 ? ?ee- 'O 3 547 , Sea InsVUClions br completing this tortn on back of yellow copy. ???
^ ,Below Work Covered by This Request ??•?
e A&d Rep. Type of Building Appliances Wired Equipment Wired
Home Range Tamporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
CommJlndustrial Fumace Other (Specify)
Farm Air Conditioner
Otherspeciry) ConVaciors Remarks:
Compute Inspection Fee Belaw: j00
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps p { 0 to 100 Amps 4,
4
Transformers Above 200_Amps ?- Rbove.700 -Am s . QCl
SI fIS Inspedor's Use Only:
??j? / TOTAL
Ir
rigation Booms ?
?
-
56
Special
l ?
AIarMComm n
ication THIS INSTALLA7 ON A BE ORDERED DISC6NNECiED F NOT
Other Fee COMPLETED WITHIN 18 THS. (
I, ihe Elecirical Inspector, hereby
ti
th
t th
b
i R°°qn-in o _y
cer
y
a
e a
ove
nspection has
been made. Final r eta ?
_/19-?
OFFICE IISE ONLV 4
ThIs reque9t voitl 18 months Irom
/U Q??3 47
Request Date re No. ougRln Nsaection Requiretl
(YOU u cellinspxtowhenreaEy) Inspectlon OtherTha Rough-ln
?ReadyNOw WiIINo?i Inspecbr
Ves No Reatl
I? licensed contractor ? owner hereby request inspection of above electnc
Job Address (Sireet, Box or Route No.)
4Ag o4
1. ve, City
e
Sedion No. 7ownship Neme or No. Ranga No, Counly
( b?a
Oc panl( RINT) '
lv` n ? Phone No.
Z-S O '
Power Supplier Adtlress
5+
ircal Coniractor ICo pany Name)
11i? c c
?Dr??u(. Co. CoNractor's License No.
CAOOqoU
Mailing Atldress (COn[racmr w Owner Mekin Ins?allation)
?:6107
C.
Authorizetl SignaWre ConVactor/Owner Making Instellation)
bob I _ Phone Number
ZzoZ,8`33
MINNESOTA STATE BOARD OF ELECTRIi ? THIS INSPECTION REOUEST WILL NOT
GrlggsMlEway Bitlg. - Noom 3-128 ? BE ACCEPTED BV THE STATE BOARD
18Y1 University Ave., SY. Veul, MN 55109 ? UNLESS PROPER INSPECTION FEE IS
Phane(812) 64I-OB00 ENCLOSEO.
AO /ny? /`? REQUEST FOR ELECTRICAL INSPECTION 1
O' J 5 4 8 ? Ssa insvwNOns tor completing Ihis /orm on back ol yellow copy.?
? "X" Below Work Covered by This Request
Ne% Add Rap. Type of Building Appliances Wired Equipment Wired
Home Range Temporery Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Other (specify) Coniratlor's Ramerke:
1 oofl
Compute /nspectian Fee Be/ow:
# Other Fee # Service Entrance Size Fee # Circuits/Feetlers Fee
Swimming Pool ? 0 to 200 Amps 16, uo 1 0 to 100 Amps , Do
Transformers Above 200-Amps I qbove 100 -Am s ?, c?
SI ns inspecror's Use Onry: TaTAL
Irrigation Booms ^ , $? 7 ?d ? ?`GCJ 6 ? .r'-Jo
Special ins ection ?D r
f7 K (
ad
Alarm/Communication /
THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fse COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
cerlify ihat ihe above inspection has
been made. Rough-in
F'"ai '
V /? oe?e
?ya
?f- • fp '?(
OFFICE USE ONLV
This request voltl 18 monihs irom
/?//
? ?y? 9
99l
G
v
? •
1 ? ? ??P/
?
oe>
?
Requasl Date ira No. oughdn paction Requiretl
ll Inspector
wh
(YOU u
re Insnpectlon Olher Th ough-In
atly)
Now WIII Notl?y Inspedor
i. ?
N
e e R
Y
' O eed
IIg licensed contractor ?owner hereby request inspection of above electr' al wor
Job A areu (Street. Box or Route No.)
14 l
Fr
+ Clry
o
mDn
N v
Secfion No. Township Neme or No. Ran9e No. County
0 cupant(PRINT) Phone No.
JVI? Z, Z D 0
Power SupPiier
P ACtlress
y? oo- u
5-E-. s
Electrkal Conlrecror Company Name) .
?II n ec-h-?c&l -'ru.L-}7c?n Co. CoMractor's L enae No.
CA0040(a
Mn tltlress
V
x raclot or Owner a1ki_ng?Instella?ion)
? I ' [ ^
L r%? I N 65) O7
Authorixetl SignaWre (COnVactor wner Mak Inst Ile?ion)
ln
?ob x Phone Num r
ZZ? ZOa?)
MINNESOTA STATE BOAPD OF ELECTRIQITY THIS INSPECTION REOUEST WILL NOT
Grlggs-Mitlway Bldg. - qoom BE ACCEPTED BY THE STATE BOARD
1821 Unlversity Ava„ SL Paul, MN 55109 UNLE55 PROPER INSPECTION FEE IS
Vhom (612) 642-0WO ENCIOSED.
??O? ?nc??? REQUEST FOR ELECTRICAL INSPECTION ?# ?
See insimctions for completirg this brm on back of yellow copy. ? ,?, y..
"X" Belaw Work Covered by This Requesf
Ne Aiid Rep. Type of Building Appliances Wired Equipment Wired
Home Ranga Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (S ec' )
Farm Air Conditioner
other (specify) Coniraclor's Remarks:
1 D r-Dinm
Compute /nspection Fee 6elow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps iU ? k 0 to 100 Am s -,'
Transformers Above 200_Amps I ove- - Am s -]?cD
Si ns inspaaors use oniy:
7 G J ?OTAL
Irrigation Boams 7
??
?, ? ? ?
Special Ins ection ?U
?
t
t
/ ( - 6
Alerm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 THS. (
I, the Electrical Inspector, here6y
certiry thet the above inspection has
been made. Rough-in
F??ai atte •JG Y,
aca
OFFICE USE ONLY ?
This request voitl 18 momhs Irom
?s5 C)?.r ?ayr?
15;?
'/,
??/?r?y?
'
?
?'
•. r
0
3?9
'?l
?
3
o
a
Requeat Date re Nip.
I(?_/]
I?
`? .oap?-In specllon Repuiretl
(Vw u ca Inspecror w?en reeOy) Ins clion Ofhar TIan ough -In
?ReBdy Now ?WIII Nolity InspeIXOr
?
1\ /
1 Ves ? No Date Reatl
o-ow `a,
I? licensed contractor ? owner hereby request inspection of above eled al work a?--
?
JoE Atldress(Slreat, Box or Rou1e No.)
Ic
v
L-lL-11 I-A ?
? P Gry
?
e
re.ma?
o a
SMion No. Township Nama'or No. Range No. Counry
O u'panAl(PRINT)
v\ Phq
Power SupPliar AEtlress
? . ?-
Eleclncel CoNraqor (COm ny Name) Contraclors License No.
; Er , al Con ?ruc.-?o . C(? 0 0
Mailing Adtlress onVactor or Owner Makinq Instellalion)
z-?? ?? S?r'e C+ s?-. P N SSi07
Authonzetl SigneWre (COntractoqOwner Making t slallation)
? Phone Number (?'
V`? Y C.e/-1?)
MINNESOTA STATE BOAPD OF EIECTRICITV /I THIS INSPECTION flE0UE5T WILI NOT
GrlggsMbwey BIEg. • Poom &128 G }L. BE ACCEPTED BV THE STATE BOAHO
1821 Univemlty Ave., SY. Peul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phom (612) 842-0800 ENCLOSED.
? REQUEST FOR ELECTRICAL INSPECTION
? , ^ a
O O5 5 0 Poo See inslmctions br completing fils tortn on back oi yellow copy. 3
"X" Below Work Covered by This Request
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
A t. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify
Farm Air Conditioner
Olher (speciry) Comractofs RemarksYn n ?, n
Compute fnspection Fee Below: I oo ???, `?Otv?
# Other Fae # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps OV 11 0 to 100 Am s ,op
Transformers Ahove 200 Amps ( Above 100 _Am s ,pp
Signs insveaors Use Oniy: TOTAL
Irrigation Booms
r ?v 1
S ecial Ins ection ?! ??
G?
Aarm/Communication THI5 IN TION MAV BE OFlDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 ONTHS. d , 11
I, the Electrical Inspecior, hereby
th
tif
i Rougn-in oare i _
cer
y
at the above
nspection has
been made.
F?nai ^
o?e?3? ce, _
OPFICE USE ONLY
This raquest voiG 18 months tmm
/?//Z?y '?/w/9? ???0511xr C`1r;"i1yf144 .
Gb33 50
3
Raquesl Date
(??n
" " Pire n uh-In Ina ion Required Ins ectian Other Thughdn
t catl inspBClor when ready) ? Raedy Now WIII NoHty Inspeclor
y
?J
? Yes ? No Oete Reatly
I?I licensed contractor ?owner hereby request inspection of a6ove elecir I work
Job Atltlr¢ss (Street, Box or Route NoJ
4411 ????? ???ve- City
?4?-A
Seclion No. Tavnship Name or No. Range No. Co nty
(?GL?D?
0 upant?P IN
T) Phone No.
n
' 1 n
Power SupPlier
baKD C +ri Atltlress
5
?-J - 72
Ele
PIDJ? ctrical Contmcmr C pany Neme) Contractors Licen`seIN/''o?/ ^
ral 1 ??D0JVW
ailing Atltlress (Co r c?or or Owner Maki I stallation)
r + ? - ?Pa? I ?N ?s (07
A orizetl SigneIDre (ConVacmr/Owner Making I stallatro Phone NumOer ??//` f?'
?`? ? ??
MINNESOTA STATE BOAPD OF ELECTRICITi ?l ` THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwey Bltlg. - floom 3?148 ? V Y BE ACCEPTEO BV THE STATE BOARD
1821 Unlversky Ave., SL Paul, MN 55100 rf, ??? UNLESS PPOPER INSPECTION FEE IS
Pho? (812) 8@-0800 (?(? ENCLOSED.
REQUEST FOR ELECTR:CAL INSPECTION J4rdm°° -
O ..?i 5 51 ? Ses inslmctions lor compleling ihis farm on beck oi yellow copy. §?'
^ 'X" Below Work Covered by This Request ???Y
Ne Add Rep. Type of Buildin Appliances Wired Equipment Wired
Home Range Temporery Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other(speclty) Contratlor's Remerks:
Compute lnspec[ion Fee Befow: jry)F? -TO"" n`kvI r?
? Other Fee # Service Entrance Size Fae # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 100 1 11 0 to 100 Am s .OD
Transforrners Above 200-Am s L 100 -Am s '7, D?j
51 n5 inspecmr's Use Onty: , TOT
A
I
Irrigation Booms rUrR L-' 7'J-p 7 7 ? '
^
lS?, sO
Special Inspection -? /
AIarMCommunication THIS INSTALLATION MAY BE ORDERED DISCIfNNECfED IFNOT
Other Fee COMPLETED WITHIN 18 NTHS t
I, the Electrical Inspector, hereby
tif
th
t th
b
i
i
h RougRin
641 oata 9
'
cer
y
a
e a
ove
nspect
on
as
been made. Finai ( oa?e
OfFICE USE ONLY
This requasl voltl 18 months irom
/
i? 35? ? ? ?/?/
? ?5?5?7 f ?eZYy f
?
" " s?ee 00
ReQUeat Dete Pire No. - POUgh- n Inspection Repuiretl Ins edion Ot1er Th n ugh-In
(YOU u call Inapector ?en ready) Reatly Now Will Notily InspeCtor
V Ves No Date Rea
`tJYC-
IK licensed contracior ?owner here6y request inspection of above el rical pfl -
Jab Atltlress (SVeet, eax m qoute Na.)
?
r -- 0 v
Sedlon No. Townsnip Neme or No. Renge No. unty
'
Oc1h)upam P iNT)
r
"Duds phuIo?a N
.
l Z-162CO
Power Su plie?
(? 0 A? ( Atltlress
S? ,
irical Contracror ?COm any Name) . Cont torp,c ('s Licenea N
?
?
??
.
U
Mailing AGtlress (CO [ c r or Owner Ma ing netalla[ion)
z? g??-
?
+
1 f? Io
t,?:
rr-e
ANhonzetl Signature (COnuactotlOwner M ki Installation) Phone Numb t
ZZ 2?33
MINNESOTA STATE BOAqO OF ELECIHICITY, THIS MSP6CTIDN RE4UEST WILL NOT
Origge-Mitlwey 61Cp. - Noom 5-128 .L ? BE ACCEPTEO eY THE STATE BOARD
1821 UnYversity Ave., St Paul, MN 551D4 UNLESS PROPER INSPECTION FEE IS
PMft (612) 642-O800 ? ENCLOSED.
(,, o w ?
COMMERCIAL BUII,DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
yl?
3) (, .-7 ??-
Foundation Onl New Buildin Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sels • Architectural Plans (2) sets
• Civil Plans (2) . Structural Plans (2) • Code Analysis
"
(1)
• CerGficate of Survey (1) . Civil Plans (2) • Project Specs (1)
• Code Analysis (t) " . Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) . Code Analysis (1) " • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule • Certiflrate of Survey (1) • Energy Calculations (1) not always'"
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always"
. Meter size must be established . Meter size must be established • Meter size must be established-if applicable
d • ProjectSpecs (1)
1 • Energy Calculations (1)
1 • Electric Power & Lightlng Fortn (1) '• l
1 • Master Exit Plan (1) 1
L . Emergency Response Site Plan (1) 1
1 • SoilsReport (1) 1
• SAC determinatlon - call 651-602-1 000 • SAC determination - call 651-602-1 000 SAC determination - call 651-602-1000
Call MN Dept of Health at 651-215-0700 for details regarding tood & beverage or lodging facilities.
** Contact Building Inspections for sample and if required when it states "not always".
•"* Pcmtit for new building or addition will not be proccssed without Emergency Response Site Plan. )ol 0 C) O
Date ( 1 2?-_/
Site Address q4W7 "1?, / -
7- ! 9 - Z /
Construction/ ,C,ost/ ?
Q?
(9 1r?2?( ?r?1 (1 ? UniVSte #
Tenant Name '-} L{ I L{ ,-{ rl 4y ly Former Tenant Name
?t v
Description of Work K?dQ F
Property Owner 0 ??CTelephone # ?,Q (Z,) Jp I ? O ?pZO
Contractor
Address City . ?v?-+^a,
State ??/? /l/
Zip p
<Z2_V Telephone ? ( ) `7 tIJ 6' ?O IQ ?
Arch/Engr Regishation #
Address City
State Zip Telephone # ( )
Licensed plumber installing new sewer/water service: Phone #: (_)
I hereby apply for a Commercial 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
Statutes; I understand this is not a permit, but only an application for a pernvt, and work is not to start without a
permit; that the work wil] be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
fq'/f! -W, W?>? ?
Applicant's Printed Name ApplicanYs Signature
7 PERMIT CQ3a5S 2-
CIT? OF EAGAN 9-30"9?
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 4 6 3 6
(612) 681-4675 Date Issued: 0 9/ 3 0/ 9 4
SITE ADDRESS:
4409 OVERLAND CIR
LOT: 3 BLOCK: 1
CLIFF LAKE TOWNHOMES
DESCRIPTION:
- ., . ,_ ----- -
Building'-Permit Type f 12-PLEX
Building Wo`rk\ Type NEW - -"J
'UBC Occupancy`-, R-1 M-1
? Construction Type V-1 HR
Xoning - ? PD R-4
Building Length ? 160
Building Width ? 68
B-u,ilding stories j 2
? --S;q?jaare Feet 16,272
?? .
?? •?? ??j _?
u? Li
REMARKS:
INCLUDES 4413 4415 4417 4419 4421 OVERLAND CIR 5& W PLBR - VALLEY
441p 4412 °4111?11116?11118A1120 FR€MONT ALCOV€
FEE SUMMARY:
VpLUATION
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Subtotal
$767,000
CITY SAC
WATER CONNEC7ION
5 & W PERMIT
S & W SURCHARGE
7REATMENT PLANT
ROAO UNIT
7ota1 Fee
$1,200.00
$8,700.00
$100.@0
$.S9
$4.176.0@
$4.920.00
$2,840.50
$1,846.33
$383.50
$9,600.00
100
12
$14,670.33
$33,766.83
CONTRACTOR: - Applicant - ST: LzC. OWNER:
PULTE HOMES OF MN CO 14525200 0901371 PUL7E HOMES OF MN CORP
1955 MENDOTA HEIGHTS RD 300 1355 MEND07A HEI6HTS RD
MENDOTA HEIGHTS MN 55112-1112 MENDOTA HEIGHTS MN 55112
(612) 452-5200 (612)452-5200
I hereby acknowledge that I have read this application and state that the
information is norrect and agree to comply with all applicable State of Mn.
? Statutes and City pf Eagan Ordinances. J
APPLICANTIITEE S1 A?T RE ?????? ISSUED e. : S??ATUR ' ?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 3 BLOCK: 1
4409 OVERLAND CIR PULTE HOMES OF MN CO
CLIFF LAKE TOWNHOMES (612) 452-5200
PERMIT SUBTYPE: TYPE OF WORK:
12-PLEX
NEW
BUZLDING
024636
09(30/94
INSPECTION
FOOTINGS ., .
FOUNDATION D.
FRAMING ROOFIN6
INSULATION FIREpLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAI
REMARKS: INCLUDES 4413 4415 4417 4419 4421 OVERLAND CIR 5& W PLBR - VALLEY
4410 4412 4414 4416 4418 4420 FREMONT ALCOVE
?
F-
1
` ., _
i4(*34
CITY OF EAGnN , -?
1994 BUILDING PERNIIT apPLiCATION ?-?; `l•
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s veys, 1 o y?e ergy
calcs. ?E,?
t
COMMERCIAL 2 sets of architectural & structura laas,
1 set of
_
specifications, 1 copy of energy calcs. "'
Penalty applies: 1) when permit is typed, but not picked up by last working diy of th
in which request is made, 2) address is changed or 3) lot change is requested once per it
is issued.
Date Valuation of work ??A, 5a9
Site AddressS?f??.Yf?/??,/?//?'''y
STREET
= ?b;:.rs•, ?u"??Ci
Tenant Name: (commercial only)
LOT BLOCK ? SUSD.C?? P.I.D. #
--"/ TvwN,?+mtS
Descri tion of work: ? ' (`l•',7?,
The applicant is: Z Owner OContractor ? Other (Deseribe)
Name Phone
Property LAST FIRST
Owner
qddress
SiREET STE #
City State Zip
Company :?Zz`-- f;?• IZ?Phone
Contractor Address License # Exp.
City 7 p State Zip
Company NK A-esf, Phone
Architect/
Engineer Name Registration #
Address _??? ?•?- '"?"??/` ?? ???
City /
.SSy?
State Z i p
.
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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: c?'""??
OFFICE G'SE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch E 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
%1 31 New 0 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
? ?? «? f • . ,
,
.:
.? .
..r ,?.'..
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) IL -
/1" Basement sq. ft. MWCC System k-
(Allowable) _
tC-i/r?z lst F1, sq. ft. ? oa City Water
UBC Occupancy 2nd F1. sq. ft. 7 z9r? PRV Required
Zoning _,> ,e-y • Sq. Ft. total z ? Booster Pump
# of Stories ? Footprint Sq. ft. 1?,9??o Fire Sprinkler //o
Length On-site well Census Code -105-
Depth On-site sewage SAC Code 03
Census Bldg ?
APPROVALS Census Unit 12-
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
?.5ite
? Wallboard
Iff Footing
M Final
B Framing
0 Draintile
fif Insulation
? Fireplace
Permit Fee ve?uftim: g 7& 7, o00
Surcharge
Plan Review
License
MWCC SAC ? S Z
C i ty SAC
Water Conn. ??j ? 6 4. PL2 vn i r APP z
?
Water Meter
Acct. Deposit
S/W Permit C?r Z
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % I
SAC Units
LOT BIIRVEY CHECRLSST FOR RESIDENTIAL
? BUILDING PERMIT 7?PPLI AT N
pROPERTY LEGAL¢ 3
Data of 8urveys
DOCIIMENT 8TA??*+'4ns
II 0 0 • Reqistered Land Surveyor signature and company
9' D 0 • Suilding Permit Applicant
a 0 • Leqal description
Ib? 0 0 • Addxess
0? 13 • North arrow and bar scale
ff D 0 • House type (rambler, walkout, split v/o, split entry,
lookout, etc.)
0?13 13 • Directional drainage arrows with slope/gradient $.
fYD
? 0 • Proposed/existing sewer and water services
0
0 D • Street name
fl ' 13 0 • Drivexay
ELEVATIONS
L? D
0
• Eaietinc
Sewer service
0' D
r 0 • Lot corners
Ci
0? • Top of curb at the driveway
0?
0
•
Elevations of any existing adjacent homes
PlOD09lQ
0? 0 0 • Garage floor
0'^0 0 • First floor
Q?0 0 • Lowest exposed elevation (walkout/window)
0 • Property corners
13 • Front and rear of home at the foundation
PQNDING AREAS (ii aopiiaable)
IJ? 0 0 • Easement line
-8' 0 0 • xwL
0' D
V 0 • HwL
0
" 0
? • pond # desiqnation
D 9 D • Emergency Overflow Elevation
II 0
0
0
• D2MEN8I0118
Lot lines
• Riqht-of-way and street width (to back of curb)
g' D 0 • Proposed home dimensions includinq any proposed decks,
overhanqs qreater thars 21, porches, etc. (i.e. all
/ atructures reguiring permanent footiags)
i7 0 0 • Show all easements of record and any City ut313ties within
1/ those easements
15
13 13 • Setbacks of proposed atructure and setback of adjacent
a? existing homes
0 • Retaining waJll reguirements, if any
Oetober 1992
AT FES.
= SUMP
NOTE'
RIP RAP FES-
AT F.E.S. 872.5
(TYP.)
SEE PLATE
0260 -
i ?
?
/ CB
02 ?
00?'\
/
CBNH ?
101
- iz-
/
-
?
i
I X
a=f0' ? ? P'(
61
884 0+52. B
I
.
?- I oa
3 c?
eea. zt
I
?
I I ?z
I I a'
I
I I PC -
? f+15. 1B
77 ? I
;-? BUILDING THREE
? G=881.20 UNIT 25-36
? 1=872.65
CB H
881. 80 It
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NOTE '-;;po7
RIP RAP fES-
AT F.E.S. 872.5
(TYP.)
SEE PLATE
* 260
RECONSTRUC
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DESIGNED BY,
GBH
TPK/CADD
" VI"IGV??v-
riTV RFVI.CICINS GBH
DIRECT SUPERV 910N AND TMAT AAM ASDULYPREOISTE ED ROFESS O!
ENGINEER IJNDER THE LAWS OF THE STATE OF MINNESOTA.
GG?vF.T J-FO?.._ t
,t:•? ?ti s-r.v. t Af CI'G'` ?.+e4
txrEnIon eNVEiorE nvenncE "u" cowrurnrioN kd 1001
,, . •,
o1niCn: ?
sITE noonrss:
' •bATEl.. PIIoNt:
coiirnncTOn: •
n11TI1N4iriE uanv.lllh snUnllE tooTAct oF tAClli
1. TOtAL ERPOSEb NALL AREA,, , , , , , , 'sq f k R ttUii
2, TOTRL ROOF/CEILING AhIIA„ 661.4d 4q ft X "U"
j, 70TAL ExPOSEb NALL AREh C11LCU1A7111Ns1
Total exposed wall
area a6ove floor„?;,,,,,
. . t - -
a) Total wall wlhJow brea!
DOUf3LE 9lazed...... 80, sq ft x'lull
(
N,?laZpd.?.?:, `-` tq ?k x!????
??.7? ?q ?t k ???u. ?•i ?y d ?. »
- „
b) Totel door hYea ,,66 ,1.§4
, c1 Total stidlfig qlass dodr areas L)QL)F5.Lr-.91fized.os.., ti k
,..,:.
glazoJ
d) .Tota) Ffreplace wal) area ?Sq ft XolU'i "
o9z 945
e) Total wa11 Ftaming areaCVM A if,l d ??3(0
(Avcrage 104).s..IUB, 5 bq f4 x U . Ilo
f) Total net wal) area ebove •
yrn. C744 1? ?
?oq• 5_6
Ploor (InsulAtdd),M'!'."P^r '7'I(?.5 sq ff x:"U" 067 d I,65j
9rv. 144 4
ll
g) Total rlm Jolst erea.rPY:'!'l) 7'7 4q ?k k uU•U4'
7oto) foundatlon
orea
h) Total foundatlon •-- ,? ??a ?! x
wlndow area .... +,?.?+
,. ;,, .... . , . .
I) 7otal net Foundatlon
1 11 a
area ebove grade.i.ot ++. }q tt K 'U ? t""--
3 ThThL e) thrU I)
IF itr.m P3 Is the same es, or less thaH 1lbmihli you hdve met the Intent oF
2 NCAR 1.16008 A and 0:
?
??
. .L•' ? C 1' : , 1' , r • .
„ T•0"ML EXFQSED nnoF/cElI.Inn cnlcuLAtIolist
Total r.xposed roof/celllnn area,46f„ 46
.I) Total skylinht aYeaj+6j6&j Aq,(k k IlU'l
<`a
k) Total roof/eel l (nq framing • " '? ' ? '
area (Average Xl'U'l •
I) Total net (nsulated :
roof/celllnq area4b+i,+. yf - 3q ft R1'U" ,,QZZ
totAL J ) th ru 1)
If total oF ah Is the same as, or less lhan 02, yoU haVb Inet the (nkbnt of
2 PICAIt 1:16009 A nnd 0: . '. ?
?
? .
I ..f.; ( ' .
nL7ERNn7E eUILDINr, ENVELOPE hE$IcN
7o utlllr.e the total envelope system mefhodj the Vtllues oidttibll9hed by !he sum
uf items M3 end N4 shait not be gretiter shan Ehb sum bf itbms B) tnd ,M2,
• I. _ IoZ, itl . + z. 1448
3. 11"1. ..... +?i,
Ct F T IP-1 C A t ? b N
( hereby certlfy tha! I have calcuiated the "U" Factbh4 bnd "R"
values hernin end that tl,e huildinn here.dascrlhed med!f d1'.b#a6dd3 the State
oF Nlnnesota Energy Conservatlon Act;
? I/:; •
G. . l?
16
' S gnaRul'e j f
(Date)
' Pnrp ?.
.. ?:
- ' YrJ vvvr' ...?
vqr //qb
ExTenfbh EIIVELOrE hVEhACE "U" cofirUrnriaN Gnp, EIIEf&y ?
?
,
olnien:
siiE nnnne ss:
•
:
PHONt `
•bAtIl!
r.ournncTOn:
n?r?aMIN? 4ionY,ING so.Unn? kaotAcII bP Enctli
1. Yo1nL ExrosEb unLL nnEn,,,,,,,, (? qq" 9q Fk x "U"
??
"u"
d 17•f8
2. TornL noor/cEiu Hc nntn,,,,,,,, G7y sq ft x
3. To1nL ExrosEb Wnll nntn cnlCULntIbNsI
Total exposed
area above wall
Floot,,,,,,,,,?y o
cj
a) Total wal) W11lJaW hrea: '.
34
c) Total slldIlih ryl9s5 Joar aYeat
DOUPLE glezcd.....: sq ft x"Un
' ? .
3 7? 1'1 Aq f t.ft
b) Total door AYea
,.?
? • • :? ? s ,
,4 • ?8, ?5
1?{ a 9 3
Y 1? ?
, . ?.
?
d
?
- e
?OQy 7sl5
. lfo " J3,yZ
Ix)URLc-. k iluto
x I t lUll
d) .7ota1 Flreplace wall area §q fk kltU"
'51TV. a4, ?
e) Total wal) Fhaming atetl
(noeraqe 10)1 - , .,I „ContmaJ g?,y
sy fk k?'?'?
f) '
Total het wall a1-ea above ?, j2
w
.
floor (InsulBtdd),45!'t'74? 7W!5 sq fk x,11U'l
n) Total rlm Jolst atea?f"ty'?"?? ?ty . sq fk k??U??
Total foundatlon
area (Exposed).,ill.1.41
h) Total foundatlon
ain(low
I) Total net Foundatlon
arc8 above grade........
.04`I' 1(*.0
.06-7 * 50.9L
I olf- 4 . -
2,Z9
i ~ , . . .
• :i: .. ,
x UUII
tntAL u) illl'V
IF Itr.m 03 Is the same as, or less than it@m,#11 you hpvb met !he lntent oF
2 tICAR 1.16008 A and U. ,
rnre 1
>a? otnL ExrnsEn nooF/cEILINn CALCULAfiinll51
Tate) exposed
raoF/cellinn etea???+?i`+?
" .I) Total skylluht al'ea?i??r„?+? ''Sq,?t k U?__
k) 7otat roof/calllnq ?ramtnry?y??' ?'`" ?'• ?''• "' ? ?y
a rea IAve Yage 04.) ?? fi*i ? ??, Z J; 4q f k k??U??
1) 7ota1 net Insulated
iiii
roof/celitnq 8 tea41'a????? ft k u,D7,
i? ? . - . • : totAL11 thru 11
Ir total oF 04 Is the same bs, or t?`ss than 921 you kava mmt the fntent of
2 PICNI 1.16008 A end 0.
. ?. i
nl7kttHnrE eUILDfNc tNVELope bt51GN '
,., . .:?.
to utlllxe the tote) envelopc system method, the v6106s whbilshed by the sum
cif IteM1i9 #3 BnJ N4 shall nat be jheater than thd JuM oF' ltridl'A1,And .02.
4y
3. 11 ?.,..3?
y X ;
' /L ??4'i?P! } 1
? a <1
.. ' 'r r3 Fy ? t?'? ?
x s ?Y N
' ' . . : ? .-e i .. ? ; ... .. . . .
i
. I ?..:: . .
.
c?r_.rt1?lr_.ntlnN .
I hereby certify that I havb calculmttd the i'Uil ftlCFbY9 tlnd "11" `
valUe6 hernin and that the hulldinq hete.dp5chihed meAEoY excelidlthe.Stateof Nlnnesota EneYpy Conservatlon Acti ' ?' ?.
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122 .
(612) 681-4675
PLEASE COMPLETE FOR SINGI..E FAMILY DWELLINGS. t1LS0, FOR TO., a:!: OMES?;AI!TD
- CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTI'. . F
----- - ------ - ---- - - - -
NO. FIXT[TRES EACH TOTAI. -
SHOWER
'L4_ WATER CLOSE'P
yI BATH TUB
LAVATORY
.?_ KTTCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
? a FLOOR DRAIN
? a GAS PIPING OUTLET • minimum - i
ROUGH OPENIIVGS
WATER SOFTENER
PRIVATE DISP. • naLay. uc.
U.G. SPRINKLER • nome uneer ooou.
ALTERATIONS • eo awng
WATER TURN AROUND
STATE SURCHARGE
Sl l L'
OWNER
TOTAL:
'] r I
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
= 1.50
S'.0(1
20.00
3.00
20.00
20.00
qyrt)-2c)
--?a -
?
3a?1. r?
t'2ertio_'?_ Ys?cvti<'-
INSTALLER: V at i C.? P! Ct c o
ADDRESS;qfeo
CTfY:, _ 73?% .o STATE• 0? ZIP CODE. S'y 3 r>
PHONE #; ( ) y`i?-?? ? ? -
,.
cj,t77 t?./?-----
SIGNATURE OF PERMITTEE '
,t/ ?5Z 7 -
?? ?3,?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
? NEW CONSTRUCI'ION
ADD-ON A/C
ADD-ON FURNACE
FH?EPLAr'E INSERT
DATE
FEES
HVAC: 0-100 M BTU ( 12v-^^ pS)
ADDTTIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1@$3.00 EACH)
ADD-ON/REMODEL (ExisTTrrG coNSTxUCT[oN)
STATE SURCHARGE
TOTAL
i z x$ 24.00 = a88 .
12X 6.00 = 1Z.
3to .cc
$ 20.00
.50
3q lo .50
one V4., s'I s y oq i 4 ''1 i 4 1 5 ,Lt L41'1 J?-14 t 9 1 u?t? 1 O V 2r I ?l e
`? 13 yQv?d '.+
srrEa,DDxEss:UUin.u4i2,uwW U(4ii,,,Ut4lR.uu20 Wcnve_
CTTI': C_Yil "L STATE: / 1 iLrn ZIP CODE: JS_3
TELEPHONE # ?w-005
SI ATUR F RMITTEE
1994 MECHANICAL PERMIT (RESIDENI7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
OWNER NAME: Pul4-e, 1AoYY125 b? i nne.C6N'e rnrpTELEPHONE #: LI c)Q -,C)aOn
CITY USE ONLY v(a53
L ? BL RECEIPT #: ?
. SUBD. ? DATE: 31S/97
1996 PLUMBING 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
FIXTURES EACH tLQ. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 ;< _
Lavatary 12.00 x
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 :c =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :c =
Floor Drain 3.00 ;< _
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 :c =
Water Softener 5.00 x
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprlnkler " home under const. 3.00 =
Afterations ' to existtng 20.00 =
Water Turn Around 20.00
STATE SUR CHARGE .50
TOTAL ?
------
SITE ADI
OWNER
INSTALLER NAME:(
STREET ADDRESS:?26-?d ??P? lNl?-c / / • ?
-----?--°--: ?
CITY: STATE:,? _ .? ZIP:
PHONE #:
F ?-
??
LA _5 , .6 I, cli.[=f ?c(>Vt?on?e5
Pulte Homes of Minneso
ta Corporation
p ,_
' SEP 16 1994
?'?---
Mr. Joe Voels
City of [agan
Plqn Review Departrrient
September 21st, 1994
Dear Mr. Voels:
This letter is to inform you that Pulte Homes of Minnesota, Marv Anderson
Division, will be using the exact some plans for the Ipyout for Lots i 3, 4,
were used on Lot 2 in Cliff Lake. None of the structural building compon , ents,s
HVAC, plumbing or electrical wiil chpnge from Lot 2 engineered drawing? 5 a
d4tcd 04-23-92.
Regard?,
,
J
Wayne"Srietfing /
Senior besigner /
cc. Marty Gergen
WS/ks
Mendota qOiByLs Rd., Suite 300 . Meodma Heigy? MN 55120.1112 •
ptioue: (612) 452-5200 • Far (612) 452-5727 • lic. pppp1371 ?
- __
Serial # 118 S y 7 z,,, g
??hip# O?f3? ft/g7
°?Permit # ??{ Ff7 ?
Address: 4yu9 ??cp&t • ?` ? u?O? `?? z:
1 AGREE' =1'V COMPLY WITH C(TS( OF EAGAN
ORDINANCES-
Signature: C??
<<
.
-,.:.: ....,,
;.
?qo-7
?IC{/D - 20
'Z?? --?7g
,
i .._,;:.? ?-..,...i..
. ,... ,... .
RiL:-i.:
?-
?
?????
2007 RESIDENTIAL MECHALVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when pertnils are required for each unit
Date 7 '
` 7 Ug QVVY /Q
? v
eX C
?(
?
Sit
Add ' 1
' 1/i ?fTe
m
m'? Np't?`-d' c.
.
.
-
.
e
ress .
- i
Property Owner
u Telephoue # ( &$-I
a?rr '
Contracti ?
Street E: 1904 Vermillion Sneet City
State Hastings, MN 55033 i hooe #(?p
Tele
p p
Bond /c,Ll Sa V6 ?Z- Expires: I616J10 7 .
The Applicant is _ Owner '__?Con[ractor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00 ,
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration [o existing dwelling unit $ 50.00 I
_ furnace _Additional ?Replacement _ New I
air exchanger I
? air conditioner I
heaf pump I
_ other I
State 5urcharge . $ .50 li
p
Total
LU)
JUN 2 1 2007
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in wn fortnance wit h t he or dinances an d co des o f t he City o f Eagan an d wit h t he Mec hanic a l C o des; t ha[ I un ders t a n d t his is not a
permit, but only an applicazion for a permit, and work is not to star[ 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 plan?
valij ?
Appl- icant s Printed Name AppFi ant's Signature
C, Cpp ?5?c,???c?s ???`?
-----------------
I FQFQ(hS%?.17S? ?
Clty of Eap Pem"?
(75C ?
I Permit Fee: ? / 1
3830 Pilot Knob Road j
Eagan MN 55122 ? Date Received: ?
Phone: (651) 675-5675 17??1,/ I (? I
Fax: (651) 675-5694 < < C-r? i Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress:q4v
INICiUPF's qql2 m S 20 ? ? ???? ?? 211
RESIDENTlOWNER Name: Phone:
Address / City ! Zip:
Applicant is: _ Owner _ Contrador
TYPE OF WORK Description ofwork:
: (Yes No
ildi
il
B
F
'
Construction Cost: u
ng
y
Multi-
am
-?
203I "1 Sj)
#
Li
?Eff
I
CONTftACTOR :
cense
?XI V? ilJ K?
Name:
-Z
Qfflft2JR&j,6. M"15 9GOTTI
Address: 2,2_3612
_
? ?O State: Zip: G"J 2' .
City:
Phone: ?1/ JI' "f Ul(L (o. I01 Contact Person: PA I m M CGlA I 1 V
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Suhmitted
(4 submis5ion type) • Energy Envelope Calcula[ions Submiried
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector. Phone:
Sewer & Water Contractor: Phone:
are consrtlered fo be publrc jnformation. ;-Portions-of °.
bm?t
document's that you'so
Plans and supporting
NOTE:
?
e
-
1
reasons that would permi8fhe Cify t,o
eclfrc
s
id
ic??ry
oq pro
non
ub
be classlfied as
th
i
f
m
tiori
a
?
?
R
?
?
?
,
p
e
or
m
y
n
a
-copclude;tifat?the ,are,tr?de secrets ? .n ? E
I hereby acknowledga that this information is complete and accurate; th8t the work will be in coniormance with the ordinances and codes of the City of
Eagan{ that i understand this is not a permit, but only an application tor a permit, antl work is not to slaA without a permit; hat the work will 6e in
accordance with the approved plan in the case of work which requires a review and approval f p ns. ?
X ?;?Ui?TN?G?Y - M IT?N X ?
ApplicanYs Printed Name Appli nY ' ature
Page 1 of 3
Oct.21. 2008 9:14AM Crest Exteriors?rW?
?1/1/?Q,11 ? ??j'(JQ
vi I?.J??FI ? '?7?V?
1
City of EagaIl 61d.f3
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?°?'t?;?n??? ?- `nu..\
- ?- __- __- - --LW__
I ?
1 Permit Fea: -2 -7,
i ?
? Date Received: ? .
i ?
I stafi: ?
APPUCATIONC?7?6-V 2008 RESIDENTIAL BUlLDING PERnnIT
Date• /OVA/ Q U Site Address: yyav? y`7??,
Tenant:
!
RESIDENT I OWNER I Name:
TYPE OF WORK
CQNTRAC70R
Address I City J Zip; C(X / l 11
Applicant is: _ Owner ` Contractor
DeSC(p[ion o( work:
Construclion Cost:)
Name: _ C'YLS-k
Address:
City: FiXYMLE
Phone: t osl`Y
Suite #!
Phone:
Muiti-Family Building: (Yes IV ! No __)
License #: Q?eMal1
State: ffln_ Zip: J 7U)H _
COMPLETE THIS AREA pNLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
ERB?gy COde . Residentiel Ventila6on Cetegory 1 Worksheei . New Energy Code WoAcsheet
Category Su6mitted Submitted
(4 submissioff type) • Energy Envelope Cdlculations SUbmitted
In the last 12 months, has the City of Eagan issusd a permlt for a simllar plan based on a maeter plan?
_Yas _No if yes, data and address of master plan:
l.lcensed Plumber: Phone:
Mechanicel Contractor:
Sewer & Water Contractor:
Phone:
Phone:
I here6y acknowledge tbat Inis inTomtation is complate and accurate; that the work will be In confortngnce with the ordinancss and cades of the Ciry ot
Eagan; that I vnderstand this is not a pemtil, but anly an applicalion for 8 perml(, gnd work IS not to staR without a permit; that the work will De in
Accordance with the approved plan in the case of work which requires a re.iew and approval of pldns.
X?dd?Al9i /
Appllc nYs Printed Name
X1?n/a?-.(l Mc(rtin r)
AppIicinYs Signature
,
C?C
Page 1 of 3
ot 3, Block 1, LIFF LARE TONNHOMES, City of Eagan, ?akota County,
MIJrAs ???
Minnesota reserving easements of record.
1V
I
t Inch • 40 Feet
PROPOSED ELEVATIONS
Top of Foundation
Garage Floor
Basement Floor
Aprox. SeMer Servlce Elev
Proposed Elev.
Exlsting Elev.
Drainage Directions
Denotes affset Stake
= eab.9
= 886.0
= Mi,2t
= O
= o
SCALE
,4=&M
Plannlnp Enplneerlnp Surveying
!01 Eat BIe"InOel?Ohe,rcwfli ll egqnt?. Mlnnetate 55120
r
eJ C?-
.S< (' `? jC
EA GAN
RE vI EwED
BENCHMAHK,
MIN. SETBACK REDUIREMENTS
Front - House Side -
Rear - Garage Side -
I HEREBY CERTIFY TO PULTE MASTER BUILDERS TNAT THIS 15 A iRUE
ANO CORRECT REPRESENTAIION OF TNE BOUNDARIES OF THE AB04E
DESCRIBED PROPERTY AS SUAVEYED BY ME OR UNDER MY DIRECT
SUPERYISION AND DOES NOT PURPORT TO SHOM IMPROYEMENTS OR
ENCROACHMENTS, EXCEPT AS SHOMN. ,,
DATE $ / 01 ( ?)r?-,e?J, t?vc}'9'Ll??,_.,
JEFF E 1 1 kI,DGRE , LAND URYEYOR
NESO'FK LICENSE NUMBER 14376
N0:
q9 R- z3'1
)0 F I LE: DNG. CHK.
PlrE9'! 3
\'J r-----------------
, l ;For'Office.Use 1
3 1~ I
0 Q Qp ~ Permit
City I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 i Staff: I
1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: •J / ! Site Address: r,. , / " ✓ ` " ,J Gl~'r` r,lr d'
Tenant: Suite M
RESILIENT / OWNER Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: & -/9
Construction Cost: Multi-Family Building: (Yes, / No
CONTRACTOR Name: ) /z_:: License M.
Address: -5-
City: ~/J:7t?P/ /,J /1 State: 1,1141 ~Z/ip:
Phone: 2-3 / ; ~o%~(> ( Contact Person: BI sc~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Cade Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) Energy Envelope Calculations Submitted
In the last,12 months, has the City of Eagan issued a permit fora similar plan based on a master plan
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you sLibinit arc considered to he'public in/brmation. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the : are trade .secrets:
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of I
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 in i
accordance with the approved plan in the case of work which requires a review and approval of pl ns.
App"licant's Printed Name ApPlica is Signature
Page 1 0 .