4320 Garden TrCITY OF
4th Addition ` gik 1 Parcel 10 84353 010 Ol
,rail stata Eagan, MN 55123
screet 4320 Garden 7
Improvement Date Amount Anrwal Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING I
SAN SEW TRUNK a 1973 $163.26 $8.16 20 PAID
SEWER LATERAL
WATERMAIN
WATER LA7ERAL
WATER AREA p
TORM SEW TRK ' - 19H3 244.$o 16_32
STORM SEW LAT
CURB & GU7TER
SIDEWALK
STREET LIGHT
WATERCONN. $260.00 10339 4-11-74
BUILDINGPER.
sac $375.00 9703 2-2 -
PARK
INSPECTION RECORD
? CITY OF EAGAN PERMIT TYPE: +;ll I ( ft t NEi i
3830 Pilot Knob Road Permit Number. N:' 7
Eagan, Minnesota 55122-1897 Date Issued: ti+?• /? ?? !`??'?
' (612) 681-4675
SITE ADDRESS: APPLICANT:
? -? .
f !!1 I 10 i;W , . , 1114 +1 I lt
PERMIT SUBTYPE:
TYPE OF WORK:
?
` If
tF;(?rtF N?:?)
lit ;C 14 tf'l111 N
it(?Ilf 1N(i
?
L
?
?
Permit No. Permft Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspectlon Dste insp. Commenta
FOQTINGS
FOUND
FRAMING
ROOFING
(
pAg
ROUGH
PLUMBING
PLBG
AIR TEST
FOUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
? ?
- -- -- - I?
IN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
? ,.
, ? ! tr
lll 1 l? ?;r.lt ., 1;11l? 1 ? It
PERMIT SUBTYPE:
, !,,I.
I I ;'I - 1 "iH 1 hd
Hit t1 u r a6
02933.1
?;' r17igg
TYPE OF WORK:
NC W
1I1 •.t'(zlPT ItlM i fyA`. }
i i H A I
ON
PERMIT TYPE:
Permit Number:
Date Issued:
"n ", i Ei 10 "' APPLICANT:
f•t:i IHA:'
Permlt No. Permk Holder Dah Tslephone M
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
/ f
FIREPLACE
AIR TEST
2 -' -
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
D@CK FTG
DECK FINAL
;
Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN
Fee ?
Fill in numbered spaces S/C ?
Type or Prin[ legibly
Tot
1. Date 2. Installation Cost
i
3. Job Address Lot Bik. ?
Tract
4. Owner ?
I 5. Contractor Phone
I 6, Address 7. City State Zip
I 8. Building Type: Residential Q ? Commercial O Institutional ?
1 9. Work Description: New ?
1 10. Describe
1 11•
Add O Alter O Repair ?
Fuel Type -
No. EQuil2ment BTU - M. Ea.
Forced Air (E` tC-??cC No. Equiament CFM
Ai
H
dli
Mf9• TI S ? -I S /? ?
? r
an
ng:
rru)r
Boilers Tf
-
Mfg. u
Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
,?. i.
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
?
J
? l' Jc <? i ? •- . ..? `?? ) ?.<-?? .? ??lJ "'?l ?'C' J ?Z-?..?C.-4t- t 'r ?i ?.'. • rw?!1 . - . ,
Tl ./ / /
/ `'?v v wl ?
cirr oF Er?G,nN
3795 Mlet Ksob Rood Eeqen, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
Te be wmd fee Ft? v.,i,.. . n...e
Site Addrcu
Lot
Porcel # _
aWc Name Move 0
? Address Demolish 0
rif., w,n.,. Grade ?
r Name
?U Address .
? ??... ?---
Block Sec/Sub.
Name
/lddrcss
1 hereby ocknowledge that I huve read this applicotion ond
tfie intormation is wrrect ond agree fo comply wifh oll
State of Minnesota Stotutes and Ciry of Eoflon Ordinarw
Sipnaturo of Permittee
A 8uilding Permit is issued to:
all work slwll be done in otcordence with oll
Buildi?g Offltial
- E.ect ?
Alter ?
Repoir ?
? Enlarge ?
Tn
Occupancy
Zoninp
Fire Zone
Type of Const.
# Stories
Length
Depth Sq. Ft.
Assessment Permi t
Woter 8 Sew. Surchorpe
Policc Plun check
Firo SAC
Enp. Water Conn.
Plonner Woter AAeter
Council Road Unit
Bldg
Off.
.
/1PC Total
on the express conditlon that
State of Minnesotu Statutes ond City of Eapan Ordinoncss.
Psrmit No. Permit Holder Misc. Psrmit No. Holder
Plumbinp
H.v.ac.
?`1( aA A?
r Ger? K f r•
co
w.n
W?tsr
Disp.
S?w?r
ENctric 61? `
+ /C,
T
Impsction Date Insp. Other
Footinyi ,a -
Foundetion
Fnminq
Rouyh Plbq.
Rvuph HVA
Insulstion e
Final Plbg.
Final HVAC
Finai
Watrr Wacribr Loeation:
MWII
5ovw?
Pr. D'ap.
? EAGAN TOWNSHIP
BUILDING PERMIT
:'_"?"-""`/
Ownsr -
-----------•--• -•-•••.--••-•-•-•--•-•-••---•-------•--•--••-•--...••-••-••--••--
..'........
Address (Preseni) ---••. .?.?...s.!....n-:--•-......... .•-••••.....t.... >
•-•-
Builder
Address
t?
N° 318'7
Eagan Township
Town Hall
Daie ..? ? ........................ ?.............
Sioriea To Be Used For Front Depih Height Est. Cos! esmi! Fee Asmarks
.?-J- - ? ?' ?i- ? .Z?? ,2r.v ? 9 •? /o r,,.c.re?. ,C•..?i4-?.
GO LOCATION 'Y'4. "-F
or
q3 xe -a'? I / I , I -1,0- ae-- j"''`"
'1his psrmit doea aot aulhariss the use of stseeta, roada. alleps or :idewalks noz does it give the owner or his agont
the righ! !o create anp situation which is a auisance or which pressnts a hasard to the healtb, safety, conveaionce and
qoaeral welfare !o anyoas in the communiip.
THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WOAR IS IN PROGRESS.
This is !o certify, that-•- --•---•--•---- -----•-•••••••••••.....?4? ?.-+4..Z._-..hsa permissioa to orect a..... . : :.. .?...... . ............ _uPoa
?'
the above described premise subjec! 30 the provisioas of the Building Ordinaaee for. Eagaaa'1'owaship adopted April 11,
1955.
? -
?
•-••-• .................... ........... . - •-.._. .?:}..:':- .... Per ........................ ...... ..... .....
Chafrman 61 Tnwn t8oard ? BuildfnQ Inspacto:
R
/ -/ G? • iz : z?
i
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
The Village o£ Eagan hereby grants to
PEFtMIT NO.: 460
Rleve Heatinq & A/C Inc.
o£ 13075 Pianeer Trail, Eden Prairie 55343
a HEATING Permit £or: (Owner) Wens[aann Conetruction
at d17n r„-Aer m,-Aii , pursuant to application dated 2/12/74
Fee Paid: $7?n_nn dated this 19th day o£ gebruary ? 19 74 .
.50 s/c
ilechanical Permits:
Building Inspector
Bid Total;
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 426
The City of Eagan hereby grants to WPT9Al Plnmhing a wn,etinq
Of atinn t[ nnh n•' ePAQan 5572
a-P.L6tMe.Iid.G Permit for: (Owner) wansmann tn w ruction co
at _4.32n 6ardan Trail , Pursuant to application dated _2f14/74
Fee Paid: $ZA_00 da,ted this _ ?7nd day of Fahrna =, l9---7.4.
.50 s/c
Building Inspector
Mechanical Permits:
Bid Total:
cirr oF ea?nN
3795 Pllaf Knob Raed Eagan, MN SSl'!R
PHONE: 4SMB700 ?
BUILDING PERMIT
T? l? ...J ?. DECK & HOUSE
Site Address
Lof 1
Parcel # -
W
?
Name
$12,000
N° 6885
Receipt # ?????y
pare September 22 ?y 81
?{3?0 Garden Trail Erect ?C o«?r???r--?--
Blxk 1 Sec/s?b. ?lderness Run ?y'tkl qlter ? Zoning
10 84353 O10 Ol Repair ? F?re Zone _
-
Enlarga ?`]C ?
Type of Const.
Terry rken " Move ? # Stories
Address 4320 Garden Trail ?mor,n ? Length 1?-----
??N ?gn ?o? Grode ? Depth 17 Sq. Ft.-
g Na? Terry Weisenberger ese.o.ol. Fees
oG I A?„? 615 Ruseell Ave. No.
"? ?:... ]aivls. 554110?....,. 586-8292
Nome _
Addrcss
1 hereby acknowledge that 1 hove read ihis
the information is corce and ogree to `
Sfate of Minnetom Stotut s and City ol?
?tion and stote that
with oll qpolicoble
ASSCSSR12?11
Water & SeW.
Police
fire
Erp.
Pionner
Council
Bldg. Off.
APC
Permit S7GJV
Surcharge 6.00
Plan check 46.25
SAC
Water Conn.
Woter Meter
Road Unit
Tocal $1G4 75.
Sipnalure of Permitfee ? - ?
A Building Dermit Is issued to: erTY ?QiS@rib 7?C on the express condition thm
oll work sholl ba done in atcordonce wifth/?q?/ ?ap?pl?ica le of mta /5f?tutes ond City of Eogon Ordinances.
Building Official r-?"?`?""'???`
? CITY OF EAGAN Include 2 sets of plans.
,ll 1 site plan w/elevations &
BUILDING PERPffT PLIC ON 1 seti \ energy calcula ? s.
'ib Be used For valuation
«
Site.Acldress ' OFFICE USE ONLY
Int ? Bloclc ? Sec,/Sub. V Fsect ??ncY
C4
Parcel #: 10 0(4 )Alter zoning -
? Repair
Ehlaige= Fire Zone
Type of Const.
Owner: # Stories .
Address
?erolish ft.
Front
City/Zip Code: Grade Depth ft•
Phone #:
Contractor:
ts FEES v
Pexmit
ld
A rvater/Secaer Surcharge
?
k 2 S
Ct
c
ress: poli? ?ec
Plan
City/Zip Code: Fire SAC
Lng ' Water Conn.
Phone #: Planner Water Meter
Council Road Unit
Arch./Eng•: Bldg. Off.
Address: APC ?
City/Zip Code:
Phone #:
PLUMBING (RESIDENTIAL)
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for. Single Family Dwellings
Townhomes and Condos when permits are required for each unit
-g is s°
Date /1? / 3
Site Address ?3?i d ?j4rc7P?%7 ?YQI / Unit #
Property Owner t/^ I??h Telephone #(/psj ) ysa - ?2/0'3 a
Contractor Q(`?1n \CO k& +'??V k^?
Address ay?yq j4lAkUletA AUtf City ?c yc-eUl?/'?
State Zip Tetephone# (g.$? ?/(c9'- ?ggp
The Applicant is _ Owner Contractor _ Other
Septic System NeW _ RefUrbiShed Submit 2 sets of plans and PAPC license $ 100.00
Includes County fee. Additional consulWnt fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fi#ures to tower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other.
_ RPZ _ new installalion _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Watersoftena
Wat
rheater
'
_
r
e $ 15.00
_ replacement _ additional A4
?C
statesurcharge DEC 05 2003 $ 50
ToYal BY D
I here6y apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work wi11
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; that the work will be in'accordance with the
approved plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name Appl' t's Signature
. . .... .? .?: ?.. ? .,,,,,
, . , , ....,, ., , r .,., .
"AC;I.:;r'f:.
1 .... . . .. / .. .. ... _, .?. . . f' 1 . '? . : .
,..
L'?t P'•::: C :......:... ..
:li,
:.'-:. ... if}.i_ ....i..... .........J! .. '.. ...1 .
1
16 1.'_li)r7 .c:)..fl'l
? . ,. ? ._,"'1 i .1.?_ . . ?.'...?`,.?
. .. .:?L. ..i'. ?A'.' ., ? . . .,,..??1
.v . ... '? .... .
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
029332
12J12/96
SITE ADDRESS:
4320 GARDEN TR
LOT: 1 BLOCK: 1
WILDERNESS RUN 4TN
P.I.N.: 10-84363-010-01
DESCRIPTION:
(GAS)
B:uildin?g „P_ermit Type
Building Wp.r.k Type
Census Code
I
;-
?
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
?
FIREPLACE
NEW
434 ALT. RESIDENTIAL
>>
$25.00
$25.50
CONTRACTOR: - Applicant - S7. I.IC OWNER:
FIRESIDE CORNER INC 16331042 0001068 GERKEN TERRY
2700 N FAIRVTEW AVE 4320 GARDEN TR
RtlSEVILLE MN 55113 EAGAN MN 55123
(612) 633-1042 (612)457-2632
I hereby acknowledge that I have read this application and state thaC the
in:formatiora?is cnrrect and agree to camply with a33 appl.ica6la Sta'te of Mn«
L Statutcs and City of EaganOrdLnances.?= ?
APPLICANT/PERMITEE SIGNATURE
i;i,li 10
ISSUED Y: lGNAT RE
CITY OF EAGAN
??? ? 3830 P[LOT KNOB RD - 55122 s?z0
? 1996 FIREPLACE PERMIT APPLICATION
681-4675
DATE: ? Z` 1? - Y In
DESCRIPTION OF WORK: ZC CONSTRUCT NEW FIREPLACE: _ WOOD BURNING X GAS
_ INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
ROOM TO BE INSTALLED IN: ??"--
s>
:3 Z.a
srREET.aDDaEss: :?4,
LOT BLOCK SUBD./P.I.D. #: 1A224Mn vAL 1
APPLICANT: (circle one only) OWNER CONTRACTOR
I hereby acknowledge that I have read this applicadon and state that the information is correct and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY
OWNER
FIItEPLACE
INSTALLER
GAS LINE
INSTALLER
6j Z
Name: 4v ? /,z< Y' tPhone#: 4?7y2
Sigiature:
Street Address:
City: State: Zip:
Signature:
ciry-01y"til s ?I state:
Compi
Name:
Signat
Street
City:
License #: 10 6 6
ziP: .53?'3
State: Zip:
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-84353-010-01
PERMIT
PERMITTYPE: eusLozruG
PermitNumber: 027829
Date Issued: B 6/ 10 / 9 6
4320 GARDEN TR
LOT: 1 BLOCK: 1
WILDERNESS RUN 4TH
DESCRIPTION:
(ROOFTNG)
Baild:iti-g- Permit Type
4 Buildinq W`o.r-k Type
Census ?od'e
N,
,E=
•?
-#Eid y^
434 ALT. ESIDENTZAL 1-3
..._..';,_E
REMARKS:
FEE SUMMARY:
CONTRACTOR: OWNER: - Flpplicant -
GERKEN TERRY
4320 GARpEN TR
EAGAN MN 55123
(612)452-2632
I hereby'aakndwledg"e that Z have read this ap°plicartion and state that: the
information'is correct a.nd aqree to camply with a11 applicable State ofi Mn.
L Statutes and City af Eagan Ordinances: ?
?i r?
- -?A PLIC T/PERMITEE SIGNATURE -? IS?S D B: SI- TUR- ?- - ?
?
CITY OF EAGAN J _ _ ???
/
3830 PILOT KNOB RD - 55122 `?-?'?< <
1996 BUILDING PEttMIT APPLICATION (RE5IDENTIAL)
IqIX9 /
681-4675
New Conslruction Repuirements RemodeVReoair Reauirements
? 3 registered aRe survays ? 2 copies of plan
? 2 eopies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exlerior addkions 6 decks)
? 1 energy calculetions ? 1 energy ealculations tor heated additions
? 3 capies of tree preservetlon plan H lol platted afler 7/1193
required: _ Yea No
- 3 . o 0 0
DATE: G -/d - '?. c, CONSTRUCTION COST:
DESCRIPTION OF WORK: ko °'c/^?G ?C--oIZ f?o c'SAP,, 7-bR ft-? 1>01M )19?Ga
STREETADDRESS: 7-fi??,41 1L EACA-?. r42? S-S'I Z3
LOT T_ BLOCK _.? SUBD./P.I.D. #: 0? hno ?gol
PROPERTY Name: Phone #: ?sZ - z 63 2
OWNER ""°'
Street Addressi?aa ° T?
City: ,Fi5?C-4N Statet"Zip: S5??3
CONTRACTOR Company: J9 Phone
Street Address: License #:
City: State: Zip:
ARCHITECTI Company: Phone
ENGINEER
Name: Registration #:
Street Address•
City: State: Zip:
Sewer & water Iicensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that 1 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:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
CITY USE ONLY
LOT I BL ? RECEIPf #: / 93 ?ySUBD. (A /Y/)2Q 6? RECEIPT DATE: 7/o2Y/Y?
1997 MECHANICAL PERNIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
Date: 7- 7 -- 9 7 (612) 681-4675
Complete this secdon only if you are installina HVAC in sinLie family, townhome, or condoa that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
r1Di1I;TONAi. SG N B i J 6.00
• Gas oudets ( r+,;n;mum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if vou are remodeling adding to or reoairin¢ existing sinele familv
dwellinEs, townhomes, or condos.
)< ?Ce 4,??
furnace ? tkdd-ox air conditioning
Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge p
Total: 20.50
SITE ADDRESS: _ f3i D eo (^G( el-) / /^ /.
OWNERNAME: Tf r'h? Gif h/Seh PHONE#: `F'Sa - a?3a
Inc.
INSTALLER NAME: eHf'9 J OVG PHONE #:
STREET ADDRESS: 14-73 a PehhOCK ftf
CITY: ?? 11-- 1/C( /LfG1 STATE: M A/ ZIP: S51.) 4'
J?/u.-C.G I?• ?C??C?-?C/+-?-?
SIGNATURE OF PE
'` a.?
?=r-?? ?V
,
?
?
(j3 .-M- I
? /?, ,
MASTER CARD
LOCATI ON
OWNER WRhS1?dh
STRUCTURE AND
LAND USED AS ^s , i?n ^ ? ?/r? A l/M[I p r /wla I-
? Issued To
Permit No. Issued Coniractor Owner
BUILDING .SsMG
PWMBING
CESSPOOL - SEP71C TANK
VJELL
ELECTRICAL
HEATING
=
u
?
GAS INSTALLING -
j--
-
-
SANITARY SEWER
OTHER
Z.? (2
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING --7 ? SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
- -?
Violations Noted
on Back
COMMENTS:
vatace oF eacara
3795 Pilor Knob Rond V" '`?
Fogan. MN 55122 .????0?? ?g??Q?
PFRlM l-1? NU.:
Gun;n?;: R-1 UAIE. - 1396
O
wncr? o. --'_2/22/74
N
A_.
Wenamdnn oPUnits 1
ddn•ss -c4AStrixet - - -- -
Sfte Addretir /. ? n_CO.
_
4]24 - -
Piumt,?r (34rde?_n Trail
M, WenzQ2 P1 `- Ea9an 55123 -'
nmbinc,t & Heati -
S,z?•: ???'?///?5C - _ ng ?Nc.
ConnectinnCh;u, .
Heider N*,?? 6e:d°s?7l? ?
?--ilc<<"tit L"pasrt
to comP1Y airh the Villa ... ?-. F'ermit Fec: 10. D-
Ordinonces. 9a a/ Eogan Surc - --- . 0 pd z?21 --
hai
• so
nssc _ pd Z?z1.
y
chara"? --
Hv . Q 7otal
n.?<< af
?lnsp.: --- ? ?---- n3tcPaid:_ --
_. Insp.: ._ ? __ . .
VILLAGE OF EAG&d §E?ER §ERVaCF PE?M04
2149 __ _ _
3795 Pib4 Xnob Road YERMIT NQ.: ----
DATE: _ 122174_--
Ea9nn. MN 55142 1 ? - -
No, of Urtits: -
--
Z.oning __ _ _ R- __ -
3t1C11C_?.op--?-
Ownrr .. Wansman? C4II 1- 1
Addxess: _- - - -- -- a- ga4an 5512 - ---_
Site Address:
?L,ch;nq & Heatin?@nc. _-_----
Plumberi
q7y.00 pd 12/26?3
I oy? to comAeY with tha Villag¢ of Ka9o^ Cannection Ck?azgC. --?--- =
Account Deposit: .-??9_Pd 2/22
Ordinonces.
pemut Fee: -
.?z`4_??1-3L2? _
&urcharge- ----
Misc Charges:
-----
B5': -------- - ? " ?? TotaL -- -----
._- -?- -- ? - --_ . . . -
---- -?
Pate nf Insp.: . -. - - -- - ? --
Uate Paid:
lnsp.'
wia a[aie aoara or uecvIpcyGri99s Midway Bldg. - Room N191
1708Jniversiry Ava., St. Paul,_Minn. 55104 - Phone 297-2111
' REQUEST FOR ELECTRICAI INSPECTION
CHECK BELOW WOAK COVERED BY TH1S RF.Ot1F.4T
EB-00001-02?y
..?? l.b
T 1S17S
Type of Building New Add. Rep. Check Appliances Wired FoT Check Equipment Wired Foi
Home ? ? Range ? Temporacy Wiring ?
Duplex ? ? 0 Water Hea[er ? Lighling F'ix[uies ?
ApL Bidg. ? ? ? Dryei ? Elect[ic Heating ?
Commeicial Bldg. ? ? ? Fumace ? Silo UNoade[ ?
Indus[rial Bldg. ? ? ? A"v Conditioner ? Bulk Milk Tank ?
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Q[heis} List ) /D O?TGa7S
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COMPUTEINSPECTION FEE BELOW
Service Entiance Size: # Fce FeedersdSubfeeders: # Fee Cixcuits: # Fce
0 to 100 Am s, 0 to 30 Am eres 0 to 30 Am eres ?O
101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am eces
Above 200_Amps. Above 100 Amps. Above 700 Am s.
Transformers RemoteControlCire. Paztialoiothertee i
Signs Specia! Ins ection Minimum fe
Remarks TOTAI. FE
I, the Electrical Inspector, hereby certify
(Final)
This request void
18 months from
been .
e ?' e
e
C(?1-?'1 0
This requeAt void, we P-, -zs, o
??? c?
18'months from
Date of this Request 10 - Fire No. ?1v17v
I, as ? Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. q3z0 GARa Q?" 1PA I C. City RG A?",
Section Township Range County 1719 kOT'q
Which is occupied by_/ )P)Qy ?UN G 2 IZ ?F-'L- -
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes ? Ready Now? Will Call ?
Power Supplier lJAko TA EGe eTR I CFnR r''+ I,?G TV ,?U,1"? N,
C=? Ed`
Electrical Contractor 7-P1eleY Contr ctor's License No. _
' (COmpany Name) ?
Mailing Address
. (EI rlcal Con act • or Owner Making Thls Installationj
Authorized Signature Phone No. ?SZ°??3
(EI c ntractor o naI Making This Installatlon)
?? ?? ?l b ?? Thi: inspection request will not 6e aecepted bY me
?r? l, Stete Board unless praper inspection fee is enclased.
406-007 51
Rxi 53)3
REQUEST FOR ELECTRICAL INSPECTION & 7
Minnesota State Board of Electricity
1821 Universiry Ave., Rm. S-728, St. Paul, MN 55104 -
Phone (612) 642-0800
me Duplex A t. 81dg. Other: New ddn
mmercipl
l Indushial Farm Remod Re air
Hf . E
er Range Elec. Heaf Temp. Service
"X" above the work covered by Ihis request Enfer remarks in this space and on the bock oF the while copy only.
ULe ?GiS 4)?[ M-12-
Calculate Inspection Fee - ihis lnspecfion Requesf will not be accepfed wilhout the rorrecf fee:
Other Fee 8 Service Entrance Size Fce S Circuits/Feeders Fee
Mobile liome Park Stoll 0 to 200 Amps 0 to 100 Amps
Street Ltg./7raffic Sig. A6ove 200_Am s Above 100_Amps
Transformer/Generafor INSPECTOP'S USE ONLY TOTAL
Sign/Oulline Lfg. Xfmr. ?? ?\ ? Q???
Alorm/Remole Control ?? ??? ?
Swimming Pool ???
I hereb cem thoi I i escii6ed herein on the doms swkd
Irrigofion Boom qo„yhm oaa
Speciallnspectian
Investigative Fee Final re
TF11S INSTALLATION MAY BE ORDERED DISCONNECTE IF NOT COMPLETED WITHIN 18 MONTHS.
y /.. OFFICE USE ONLV Thix reque9 void 18 monlhs 6om wlid,fio ? prin ?is bon.
Y y
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IIIIIII?IIIIIIII??II?
?IIIIII IIIII IIIL/
II
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ORTYPE
PLEASE PRNT
Reques, DaR Roughin Inspeclion reqoiredz ? yes Inspection Olhar Thon Raughln: ? Ready N. AI Call
z_, ,-q (,Q (Yam must call ihe inspecror when reody) Dala Ready:
I, )? li<ensed coniracror ? owner hereby request inspection of the o6ove elechical work af:
Job A
ddress fSlreet, B or Nauk No.) Ciy . Zip Code
1
'43ZD ? !;?
Sacnon W. Township Name or No. Ronge No. Fire No. uny
Occu ? \ 1 ,?r
'?w W` Phone . O q 7
G,
Power Suppllar Addreu
Elechical Commdor (COmpony Name) Connotlor License No. Mosier Ltc No. (Plani Elen. Only)
ir ` CAoo
Moilirg Addmv ?Commclw « Owner Pedorming Ins?allotion?
,5+. PqAl M N 551 a7
ANharized Si aNre ICanhonor or Owner Perlg Installofionl
6 Vse?d ?+ona No
EB0000IA-114L96 - - .,....../........ -.................e.... -- - - . ....,....ew
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112802
Date Issued:08/23/2013
Permit Category:ePermit
Site Address: 4320 Garden Tr
Lot:001 Block: 001 Addition: Wilderness Run 4th
PID:10-84353-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Luanne Yang
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Terry J Gerken
4320 Garden Tr
Eagan MN 55123
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 224-3442
Applicant/Permitee: Signature Issued By: Signature