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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 Page 1 of 3