4201 Lexington AveREQUEST FOR ELECTRICAL INSPECTIO ?:?
N ? ??? oo ai- 9
-? See instmclions tor comple[ing this form on back of yellow copy. i
a
"#" Below Work Coveced by This Request CITY
Neti Add Rep. Type of Buiiding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
°'"e<(sPe°''Y) c°°t'ac'°''sRe'^a'ks: C5124 - DIRECT BURY WIRE FROM NEW
SERV. TO X=FORMER/INSTALL DUPLEX.GFI & X-FOR
Compute Inspection Fee Be/ow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trahsformers Above 200 Amps e 100 _Amps
SI !15 Inspector's Use only: TOTAL
Irrigation Booms 20
50
Special Inspection .
Alarm/Communication THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT
Other Fse COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
th
i
i
h Rou9n-ir, oaie
y
nspect
on
cer
atthe above
as
been made.
Final
Date
OFFICq USE ONLV ???
This re uest vaid 16 monlhs from
) (
lf
Requ t Date Fire No- Rough- n Inspecli Required Inspection Other Thar 7ough-In
7/27/
5 (You must call Inspeotor hen ree
? ? Ready Now [? Will Notify Inspector
7 ? Yes
No Date Reatly
I L`J licensed contractor ?owner hereby request inspection ot above electrical work at
JoG AtlEress (StraeL Box or Route No.) Ciry
4201 LEXINGTON AVENUE EAGAN
Section No.
T
ownship Name or No.
Range No.
County
I I DAKDTA
Occuper (PRINT) Phone Na.
CIT F EAGAN
Power Supplier Adtlress
$ DAKOTA
Eledrical Gontraclor (Company Name) Contracror's license No.
MUSKA ELECTRIC COMPANY CA01287
Mailing Address (COntractor or Owner Making Installalion)
_ 1985 0 C AVENUE ROSEVILLE, MN 55113
Author ed ne (Co t n Ma ' g Installation)
Phone Num6er
1 636-5820
?one n6 O12 5642-80 S ? Pa SMN e 510 ?qTV T
I IIII I III ?IIII IIIIII IIIII ( III IIII I III II III II??I ENCE 5 E ROP ER INSPEGf O BFOEE IOS
4 "L
%037
immk
REQUEST FOR ELECTRICAL INSPECTION
00, See instructions for completing this form on back of yellow copy,
"X" Below Work Covered by This Request
ee-oooo,.os
??.
Ne Add Rep. Type of Building . A pliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
X Comm./Industrial Furnace other (Specify)
Farm Air Conditioner
Olher (specify)
'
Compute Inspecfion Fee Befow: Contractor's Remarks:
480V service for new irrigation
PUMP•
# Other Fee # Service Entrance Size Fes # CircuitslFseders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am s j
Transformers Above 200 Am s Above 100 -Am s
Si r1S Inspectors use Only: ? TOTAL ,
Irrigation Booms Le?O 25.
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certity that the above inspection has
been made. Rouqh-in
Final
- Date
oat. ?
OFFICE USE ONLV
This request void 18 monihs fram '
JoB #???F? ?
Reques ale
7/20/95 Fire o. Rough-In s ction Requirad
?You mus I inspector when ready)
? Ves ? No ction Other Than Rough-In
Ins e }? Ready Now ? Will Notity Inspedor
Date Reatl
I2? icensed contractor ?owner hereby request inspection of above electrical work at:
(5 eet li kxjnpr )
L'? •? orner of Lexington; ,
Lexin on Park and Diffle City
Ea ari.-
Section No. Township Name or No. Range No. Couoty '
Dakota
Occupant (PRWT) Phone No.
ity of Eagan
Power Supplier Atltlress
Dakota ElectriC Farmington
Electrical Contractor (GOmpany Name) Contractor's Llcense No.
Hilite Electric, Inc. 040445
Mailing Atltlress (Contractor or Owner Making Inslallation)
1953 Shawnee Road / Ea an, Mn 55122
Aulhorized Si re (ContracrodOwner Ma ' Installation) Phone Number
452-8886
MINN607"I'STATE BOARD OF ELEC'fhICITV THIS WSPECTION REQUEST WILL NO7
Grlggs•Midwey Bldg. - Room S•728 BE ACCEPTED BY THE STATE BOARD
1821 Unlversity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642•0800 ENCLOSED.
LOT ? BLOCK ? SUBD.
RECEIPT # 4-26P? DATE
WATER PERMIT #25934
1995 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: ?2 - ;I (o - R `
Area/address to be irrigated:
? Commercial GPM
Residential (boulevards) GPM
Existing residential
.l.
Installer: bA V 0T3? l3L6. Owner? PlumberS,:-
Street address, 3 b ti o Vic-- N nJ
City, state & zip code: E'AG /}s iv--) Phone #: Lf Z-?L-)- l!o yS
Owner Name- C 1 T`l dtr-- iF AZ"a, )•)
Street addres?•
City, state & zip code:
Irrigation contractor, if different than installer:
Telephone
Phone #:
I hereby acknowledge that I have read this application, state that the information is r.orrect, and agree
to comply with all applicable City of Eagan ordinances. It is the applicant's 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 propertylright-of-wayleasement.
Applica ' signature Title
Approved by: Date:
PRV ? Yes 1,'No New service U Yes
Meter Size q, / & Cost ?
----------------- --------------- --------- ------------- ---------- -------
g-z ?s ?PZ
Fees due: - Calculated by:
0 No
PROCEDURE FOR IRRIGATION SYSTEMS - 1995
An irrigation permit is required - please contact Protective Inspections at 681-4675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee oniv if new service is installed.
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$750.00 per connection - WAC.
$372.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$170.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $800.00. This information is to be supplied by the
designer of the system.
No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not reauired, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backfFow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on.the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
Use BLUE or BLACK Ink
For Office Use I
f EPermit
City of I Permit Fee
:
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2012 COMMERCIAL PLUMBING PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: Site Address: e ~aG~Li
Tenant: 1411" el* jc~~ Z X7 Suite PROPERTYV
OWNER Name: Phone:
Name Jo/ Z License
CONTRACTOR Address ZJ rvP+, G~
city: / Stater Zip:
Phone Email: a) ~d
TYPE OF _ New _ Replacement _ Repair Rebuild - Modify Space _ Work in R.O.W.
WORK t
Description of work: U! l
COMMERCIAL New Construction _ Modify Space
Irrigation System yes no) C_ RPZ PVB)
• Rain sensors required on irrigation systems
PERMIT TYPE Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
_ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? Yes No Flushometers Yes No
COMMERCIAL FEES:
$60.00 Minimum (includes $5.00 State Surcharge) OR Contract Value $ x1%
= $ Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 $ Radio Meter Read
- If the Permit Fee is less than $10,010, the surcharge is $5.00 $ Meter(s)
- If the Permit Fee is > $10,010, the surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,000 Permit Fee requires a $5.50 surcharge) $ State Surcharge
Following fees apply when installing a new lawn irrigation system $ Water Permit
Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.clol)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name App icant's Signature
FOR OFFICE USE Approved By: Date:
Required Inspections: Under Ground Rough-In -Air Test Gas Test -Final PRV Required: -Yes No
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