4009 Meadowlark Curve --
27 ? ?L
Request Oate Flre o ? Rough=iii'Inspec ?
R
i
tl? NOTICE: You Must Call Electricallnspector
equ
re II A Fough-In Inspeceon
es ? No Is Reqwretl
?
I Jicensed contractor ? owner
hereby request inspection of above elecirical work at:
Job tlress (Street, 0ox or qoule NoJ Ctly ?
SecLOn No Township Name or No Farge No County
Occup RINT) Phane No
P r plie Pddress
'cal Con[ractor (COmpany Na ) ? Coryr?ctor Lwnse No?
L
MaAmg Atl ss ( n r or Owner
J ?
Auth e ignat re(G V[or/Owner Making Installahon) Phon Number
1 71<6 3/?
MINNESOTA STATE BOARD OF ELECTFICRY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway BICg. - flaom 5-173 BE ACCEPTED BY THE $THTE 60AR0
1821 UniversiTy Av¢., SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(61Y)842-0000 ENCLOSED
p_IIy /?? /J,C?/, REQUEST FOR ELECTRICAL INSPECTION
ji? See instmctions ior enmplellng ihis form an back of y6Qow copy
I'+I , 5, 3 9 2 7 "X° Below Wark Covgred by This Request
ee-ooco/vae
/COG/?/,;:2-
e Add Rep TypeofBwlding AppliancesWired EquipmentWired
• Home Range Temporary Service
Duplex Wa[er Heater Electnc Heahng
Apt Bwlding Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conddioner
Other(specdy) ContrtV 9(ar5 Re?c `rO ?
?
Compute Inspection Fee Below. y b 0
# Olher Fee # ServiceEntranceSize Fee # Crtcuils/Feeders Fee
Swimmmg Pcol D to 0 Amps L? 0 ta 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs lnspector5llse Onry
v
_ Irngation 8oams /??i'U ~
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ORD RED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN MON S ?
I, the Electncal Inspector, hereby Ro?yn,? oaie
cerhfy that the above inspection has
been made. p,nai ? oa?e
? y
OFFlGE USE ONLV
?
This request void 18 months !mm
R@ i53928 ?? / 9ai
R ??JJPP??s? ?a?e ppp ?
? Flre o. RougMm Inspe
Re9 ? °
es ? No NOTICE: Vou Musl Call Electncal Inspeclor
Ii A Rough-In Inspection
?s Reqmretl
IZcensed contractor ? owner hereby request inspection of above electrical work at:
,bt?AyYrgys (Street x or qo ta No )
??%y 7 Ciry
Sectlon No. Township Name or N. Range No. Gounty
Occupa INn Phone P!o
Powar S Atldress
ncal CoMractor (Company N e Co clo Lmense No /
?
Mailing ress (COntr r wner M g 1 Ilet ? I???? ^ '+
LTi?//SjI
Au? n SignaWre o rac /Owner Making Ins[allation) Ph?one jNumber
/
MINNESOTA STATE BOAPO OF ELECTRIGTY THIS MSPECTION REQUEST WILL NOT
Griggs-Midwey 91dg. - Hoom S773 BEACCEPTED BVTHE STATE BOARD
1821 Univereity Ave., SI. Paul, MN 55104 UNLES$ PROPER INSPECTION FEE IS
^?rne (612) 642-0800 ENCLOSED.
?//JC? REQUEST FOR ELECTRICAL INSPECTION
p? ? Sea instmc[ions for completing tnis lorm on back of yellow cnpy
I?I - 5 3 9 2 8 "X" Below bYOrk Cavered by This Aequest
?? EB-0000106
? ?-
?.
A-dd Rep - TypeoiBuilding AppliancesWired EqwpmenlWiretl
Home Fange Temporary Service
Duplex Water Heater Elecvic Heanng
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Speafy)
Farm Air Condilloner
Other (speci(y) ConVactor5 Remarks ?JQ
d' 3° / ? - 70
7 60
Compute Inspection Fee Below: ?
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 0 Amps 0 to 100 Amps
Transformers Above 200 _ Amps AAave 700 _ Amps
SIgnS ldspecror5 Use Only 1 TO ?-y)
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERE DIPCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 THS
I, ihe Elecfrical Inspector, hereby R°°9n-in ? aie ?/Gy
?
certif thattheaboveins echonhas
Y P
been made. Final Dale ?n
4
OFFICE USE ONLY /
Thi9 requeat voitl 18 months from
?
53929
M
/
Repuest Date
Q F N. Rough-in In on
Reqmred, NOTICE: Vou Mus[ Call Elec[ncal Inspeclor
If A R
I
h
I
t
?
!
s ? Na ou9
-
n
nspec
ion
Is Reqmretl
IEXensed contractor ? owner hereby request inspecUOn of a6ove elec[rical work at:
Job Adtlress (Stree6 Box or Rou No
0215- Ci
SecOOn No Townshep Name or No Fange No Covny
Ocwp t RINT) Phone YJo
Power ppber Adtlress
ncal Comrector (COmp ny ) ? Con tor wense No,
?
iling? ess o tor or Own Ma Inat ion)
f L?
Aulho e ignflture (C n a orlOwner Making Inslalla?ion)
? Phone Number
j
MINNESOTp STATE BOpRD OF ELECTPIdTV THIS INSPECTION REQl1EST WILL NOT
Grigga-MidweV Bltlg. - Paom 5473 BE ACCEPTED BY THE STATE BOARD
1821 UniversRy Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTIDN FEE IS
Phone(612)fi42-0800 ENCLOSED
?? ?
?
53930
Repusst Date
?? Fir 1dr Rou?h-in In ion
eqw etl' NOTICE: Vou Musl Call Elecincal Inspector
Ii A Rough-In Inspection
, s ? No Is Heqwretl
I Xensed contractor ? owner hereby request inspection of above electncal work at:
Joll Adorese (SVe , Box or R t N`? /? Ciry
? ?
( A
•'f?( J`GC./
Seclion N. Township Name or No Range No County
Occup t RINT) 4/,
? ?I.-? Phone hJo
P w Supplieu ' AOtlress
ical Contractor (COmpany Cont or5 icense N
o t? p
O
D (
ding A ss (COQVa r Owner M I
V, allah ) I-
AN r¢ tl Signalur¢ o racl Owner Making InstallaUon) hone N ber
?
0_
MINNESOTA STATE BOAFO OF ELECTRICI7V THIS INSPECTION REQUEST WILL NOT
Grigga-Mitlway BICg. - iloom S-173 BE ACCEPTED BYTHE STATE BOARO
1821 Ilniversily Ave., St Paul, MN 55100. UNLESS PROPEF INSPECTION FEE IS
Phane(612) BAY-0800 ENGLOSED
M?753931 ,?g
?
Reqves?`Date
? Fr Nn,
?' Rough-in Inspe
Reqwretll
es ? No NOTCE: You Must Call Eledncal Inspector
If A Rouqh-In Inspeciwn
Is Requved
t?icensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Street. Box or Route No ) ?? J CMy Iiiiis'
'
SMion No Township Name or No liange No. Counly 'Ir
Occup i
Phone YJo
P e pplier Adtlress
EI 'cal Controcror (COrppany Name v Coptt?cro License No.
?
adv?gf'A?ddre (CO or or 0 ing I ?a11aUO ) . 4 A
Aulh ed ignature (C or/Owno Making Instellation) Phone Nu r? ?
?
i
MINNESOTA STATE BOARU OF ELECTpICITV THIS INSPECTION flEQUEST WILL NOT
Griggs-Midway Bldg. - Room S-179 BE ACCEPTED BVTHE STATE BOAHD
1827 Univeraity Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
PhoneJfi72)692-0800 ENCLOSED. .
REQUEST FOR ELECTRICAL INSPECTION
?r 7 li? $ee msVUCLOns far comple0ng lhis torm on beck M yellow copy
M 53931 "X" Below Work Covered by This Request
EB-°°?-
Add Rep. Typeofeuiltling -?AppliancesWired Eqmpmen[Wired
Home Range 7emporary Service
DUplez W2ter Heatef EleCtric Heatin
Apt 8uilding Dryer Load Management
Comm./Intlusirial Furnace Other (Speciry)
Farm Air Conditioner
Other(apecity) Cor?Va?t?rSRg?ar ' J?.= 7Q ,
?i ? / /
Compute Inspection Fee Below. 31 - 7 <f?, G?
# Other Fae # ServiceEnlranceSrze Fee # CircuitslFeeders Fae
Swimming Pool 0 to 00 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector9 Uae Only: 7Q L
Irrigation Booms
?
Speciallnspection
Alarm/Communication THIS INSTALLATION M O ISC_ .ODIp1?CTED IF NOT
Other Fee COMPLETED WITHIN TH
I, the Electrical Inspector, hereby Rough-in , Da?e. „t?
certify that the above inspection has
been made. Final
? ?ate
OFFICE USEONLV
This reques[ voitl 18 months from
???yy >
' 53932
Req e? at`
?%1
? Roug +n I ion
Reqmre '+ NOTICE: Vou Must Cail Electncal Inspedor
If A FouBh-In Inspedion
i
L No Is Requ
retl
t censed contractor ? owner hereby request inspection of above electrical work at:
Jo A res: eet, Box or R Ciry
Section No. Township Name or No Range N. County
Occupa FINT) Phone N.
V
Po e $uppller AtlOre55
EI ical Contrector (Co?mpany Na ) ?
?IJ Conl?JC[or
l? censeONo
iling A ss (COnlrec r Owner Ma I
87 bon
,
/O
AWhor ed gnaNre (CO a wner Installation) Phone Num ber
?./
MIANESOTp STATE BOARO OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bltlg. - Foom 5-173 BE ACCEPTED BV THE STATE BOARD
7821 Unrversity Ave., 5L Vaul, MN 55104 UNLESS PROPEft INSPECTION FEE IS
Phone(612)692-0800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION
? ? See inatmctions for wmplelmg ihis fortn on back M yelimv wpy
-p? i?l 5 3 9 3 2 "X" Below Work Covered by This Request
Eaooooi-o
4"O't
dd Rep. TypaofBmlding AppliancesWired EqwpmentWired
Home Range Temporary Service
DupleX Watef Heater Electric Heating
Api Budding Dryer Load Management
Comm./Industriai Fumace Other (Specily)
Farm Air Condinoner
Olher(specdy) Contr tore Re?rt?YSJ} ' ?? ?
Compute Inspec ?y
tion Fee Belaw: `(? ? - f
# Other Fee # Service Entrance Size Fee # CircuRS/Feetlere Fee
Swimming Pool 0 to P0 Amps / o to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector5 Use Only
I
Irriganon Booms ? .
Special Inspection r
Alarm/Communication THIS INSTALLATION MAV ONNE D IF NOT
Other Fee COMPLETED WITHIN 18
I, the Electrical Inspector, hereby Ro?yn-,n oete
certify that the above inspection has
been made.
OFFlCE USE ONLV
This request wid 18 moMhs fram
3933
R ?( ?ate ///11Yrr
/ ? ??-/?
?
/+ ? Fi No. Rough-in Insp
wre ?
? No
ll ElecMCal Inspeclor
NOTICE: If A Vou MuSt flovgh- CaInInspectian
Is Reqmretl
I 'Kensed wntractor ? owner hereby request mspection of above electrical work at:
Jo A ress % (SUeet x or Rout o.
%
V Qry
Sec[ion fVa Township Name or No Range No Couny
Occupa IM) ? Phone I•!o
Pa er upplie? PAtlress
cal Conlraqor (COmpany Name) Co ctorB License No.
? 61
;Lng Atltlre ( ni r or Oxner Ma
ANho ed gnat e (C Ir lOwnec?l.?Aa?k,iyng Instellahon) P?ho?nJ'e Number
I?
MINNESOTA STATE BOANU OF ELECTpICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway BIEg. - Room 5173 0E ACCEPTEO BV 7HE STATE BOARD
1821 Unlverelty Ave., St. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phow (612) 602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? ? See msW ctians for wmpleting tnis fortn on back of yellow mpy
pp
I"I --5 3;9 3 3 - `:X" Belaw Work Covered by This Request
Add Rep. TypeofBw(ding AppliancesWired EquipmentWiretl
Home Range Temporery Service
Duplex Water Hea[er Electnc Heanng
Apt Buildmg Dryer loatl Managemant
Comm./Industrial Furnace Other (Speciry)
Farm Air Conditioner
Other (speciry) CorrtraORemar?, [.
?i) 00
Compute Inspection Fee Be%w:
30
# Other Fee # ServiceEn7rance5ize Fee
k # Circurts/Feeders Fee
Swimming Pooi 0 to 0 Amps 5-cc 0 to 100 Amps
Transiormers Above 200 _ Amps Abav 00 _ Amps
SigllS Inspenor§ Use Oniy
Irrigation Booms
Special Inspection
Alarm/Communicanon THIS INSTALLATION MAY BE ORD R CONNECTED IF NOT
Other Fee COMPLETED WITHI MO S ?
I, the Electrical Inspector, hereby Fau9h-in Date
certify that the above inspection has
been made. Final Date
OFFlCE USE ONLY
This request wrtl 18 monihs hom
M53934 0 j
Fequ?-?e ? ? i e No Fough-in Ins n
Repuiretl?
? s ? Na NOTILE, Vou Musl Cell Elecmcal Inspecror
If A Rough-In Inspection
is Feqwred
I?ansed contractor ? owner hereby requesl inspection of above electrical work at:
Job ress (Street, Box ar RoNa Qry
Section No. Township Neme or No. Rarge No County
Occup RINT) Phone hJO.
P e uppher Atldress
leclricel Contractor (COmp e) Conypdor
C? icense N 6l/
J\
ili AtltlrKSS (COn ct ar Owner Ma In IaVOnJ
L/
W ze SgnaWre ( tr er Makmg Installaeon) P e Number
?
INNESOTA STATE BOqqO OF ELECTFIqTV THIS INSPECTION REpUEST WILL NOT
GrlggsMidwey Bldg. - Raom S-113 BE ACCEPTED 8V THE STATE BOARD
1821 Universtty Ave., St. Paul, MN 55l06 UNLESS PROPER INSPECTION FEE IS
Phom (612) 842-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
o`'/ T ? See mstrudions lor compleUnq Ihis form on back ol yeliow copy
M53934 ',Y" Below Work Covered by This Request
Atld Ftep. TypeoBwlding AppliancesWired EqmpmentWved
Home Range Temporary Service
Duplex Water Heater Electric Heabng
Apt 8uilding Dryer Load Management
Comm./Industrial Furnace Other (Speafy)
Farm Air Condtlioner
Olher (speci(y) Contrag`emarks ^ ) ; / = `? ^( FJ rJ
/ ?
?
Compute Mspection Fee 8elow: 9e,
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 00 Amps 6 (.?$ 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
S190S Inspecror5 Use Only. TO +'?
?? ?
Irngation Booms ??
Special Inspection
Alarm/Communication THIS INSTALLATION MAV B ER D SC?ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Electncal Inspector, hereby Rough-?n ,
(o
certify that the above inspection has
been made. F,,,al
1112 oata
,'? R,(; J?
OFFICE USE ONLY I
Tlus request voitl 18 months irom
235 ?
R uesi Date re No. Rough-i pecaon
Re r NOTICE: You Must Call Eledncal Inspecror
It A Pough ln Inspeclion
? Yes ? No Is Reqmretl
I f7Qicensed contractor ? owner
T hereby request inspection of above electrical work at:
Job Adtl
as (Street, 9ox or le No )
D
Y ?
Semion Mo Township Name or No Rarv3e No. County
Occupan INT) Phone Poo
P Supplier Adtlress
?i
iwl ConVaclor (COmpany N e) ? ?ctor$??e No
?
I
( a
Mailing Atltl ss (COnV r or Owner Making 1 tilla n)
40 ?
.i
Au[h SgnaWre o ac r/Ow
ner M
eki
ng InstallaLOn) Phon umb
er
M
n
,
%?v T
v
MINNESOTA STATE BOAqU OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grigge-Mitlway BIEg. - Roam 5-173 BE ACCEPTED BY THE STATE BOAFD
1ffi1 Unlvenlly Ave., SL Paul, MN 55104 IINLE$$ PROPEP INSPECTION FEE IS
Phorie (612) 842-O800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
`-/ • / See mslruaions lor completing IDis mrm on back of yellow copy
? 5 3 9 3? ,jl?(" Belew Work Covered by This Request
> %900?Q1-08a-
e `Adtl Rep Type of Building AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplez Water Heater Etectnc Heaiing
Apt. Bmldmg Dryer Loatl Management
Comm./Indusirial Furnace Other (Speaty)
Farm Air Condinoner
Olher (specdy) Contra?Remarks?
• ? 2% ? - ?
ComputelnspechonFeeBelow. 00
# ' aher Fee # ServiceEntranceSize Fee # circuils/Feeders Fee
Swimming Pool 0 1 OD Amps 0 to 100 Amps
Transformers Above200_Amps Above700_Amps
Signs Inspecmr5 Use Only. TO C7)
Irngation 8ooms
Special Inspection !?
Alarm/Communication D
THIS INSTALLATION MAY ISCONNECTEDIF NOT
Other Fee COMPLETED WITHIN 1
I, the Electrical Inspector, hereby Rough-in a? G
r 3? z
certify that ihe above inspedion has
been made. F,,,ai ?
?
OFFICE USE ONLV
This request void 18 manths bom
T"53936
Requksl Dete ire No. Rough.in I an "
ReQwr
G No NOTICE. Vou Musl Call ElecVical Inspector
It A Rough-In Inspeqion
Is Reqmred.
I1?16Censed coniractor ? owner hereby request inspection of above electrical work at:
Job Atlye?(Stmet Box or Ro a
Y City
Secliod No Township Name or No flange No CouMy
O¢up INn
/ S I4A Phone No.
P uppber
1 lbtlress
Ele Con[rdctor (COmpany Name)
/ Cory?cto ?can? ?
/?
?
Maibng Adtlress ( on r or Owner ng alla ? ^ • ?
Aut e Signat re( o rNwner MaWng Inslallalion) Pho Number
e ?d0
MINNESOTA STATE BOAFO OF ELECTqIC1iY THIS INSPECTION REOUEST WILL NOT
Grlggs-Mitlway Bltlg. - Hoom S-173 BE ACCEPTED BV THE STATE BOARD
1821 University Ave., 5l. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612)691?0800 ENCLOSED
,? REQUEST FOR ELECTRICAL INSPECTION
A11119 111 insmictwns far completin9 this form Qji Dack ot yellow wpy.
M, 5 3 9 3 6 -X" Selow Work Covered by This Request
? ?~ o2'
E
• ?;.
;.
Ado riep. iypeotBuilding Applianceswired Equipmentwired
Home Range mporary Service
DUpleX Water Heater Heann
Electric
Apt Building Dry r + ad Management
Comm./Industrial Furnace her (Speay)
Farm Air Conditioner
Other (specdy) CoMr ork Remarks D D 6
-?? ?? 77a0
Compute Mspection Fee Below:
# O[her Fee # Service Entrance Size Fee # Ciroutls/Feeders Fea
Swimming Pool 0[o ?b0 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ve i00 _ Amps
Signs Inspecwrs uu oNy TO
?-
Irngation Booms ? -15561
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY B ORD IS?ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Electrical Inspector, hereby Rou9n-in , e, jZ,y.L
7
certify that the above inspection has
been made. F,nai oa?e
OFFICE USE ONLY ?
This request voitl 16 manihs irom
C,Y/// r
M 53938 ?) • ? ? a°'
Requ sl0ate re No Rou9h-in I ion
NOTICE: Vou Musi Call Elecmcal Inspector
? . Feqwretl If A Rough-In Inspection
- s ? No la Reqwre
O
I*censetl contractor ? owner hereby request inspection oF a6ove electrical work at:
?
Job Ares?(Street, Bax or Route No ) ary
?
Sechon NO Township Name or No. Range No. County
Occu RIM) Plwne Flo.
Po rS pplier Atltlress
ncal ontractor (Company Na ? Co cror License No,
6
-Ing Atl ess (Canirad o Owner Makin tall n) ?
?
Auth z SgnaNre o recm4 n,er Makng Installabon) Phone Number
Z
MINNESOTA STATE BOARD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
Griggc-Midway Bltlg. - Poom S1T3 BE ACCEPTEO BYTHE STATE BOARD
1821 Unlverelty Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
a
REQUEST FOR ELECTRICAL INSPECTION
"/ •/ ? Sea mstrudions for complehng ihis form on back oi yellow copy
M 5, 3 9 3 8 'X" Below Work Covered by Thrs Request
?+?v'?=•? ee ooaoi oa
e Add R* TypeoiBwlding ° AppliancesWired EqwpmentWired
Home Range Temporary Service
Ouplex Water Heater Eledric Heatmg
Apt. Bwlding Dryer Load Management
Comm./Industnal Furnace Dther (Speaty)
Farm Air Conditioner
Other (spectly) Contrao?oyk Remarla, 76{ ?JD
? ai a `7
<??? D 4
Compute lnspection Fee 8elow. 3 `-?QLI ( ^ ?
# Other Fee # ServmeEnlrance5rze Fee # Qrcuits/Feeders Fee
Swimming Pool 0 to 00 Amps _) 0 to 100 Amps
Transformers Above 200 _ Amps Apove 1 W_ Amps
SlgfiS Inspedar5 Use Onty l i TO L
Irrigation Booms z
Special Inspec}ion
Alarm/Communication THIS INSTALLATION MAY BE ED IS OI?NECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby Rough-in . ? y
certify that the a6ove inspechon has
been made. F??ai
? oa
}a
OFFICE USE ONLY
This request voitl 18 mamns irom
53937 / -
? a-id--
Yj
Re ues[ Dale / __ /1? Fi No fiough-in ns
eq etll
? N. NOTICE: You Must Call Eleclncal Inspector
H A Rough-In InspecLOn
Is Feqwretl
I"?ensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SVaet, Box or ute o)
b Qry
Seqion No Township Name or No Range N. Couny
Occupa INn Phone No
P. uppher Atltlress
ical ConVecror (CVpany Na ) 1 Co ' Lice? Na
G'
? mg Atl ss (COnir r Owner Maki I Ilah )
L
Auth rz Siqnature ( n ner Makmryg Ins?allaLOn)
N?? Phone Number
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION FEQUEST WILL NOT
Griggs-Mitlway Bldg. - Poom S473 8E ACCEPTED BV THE STATE BOAFD
1821 Ilniversily Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL WSPECTION
? See ins(rudions foTwmple0ng this fortn on back of yellow mpy
M .53937 "X" Be/ow Work Covered by This Request
???. .
ntlG Rep. TypeolBuilding AppliancesWired EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Electnc HeaM1ng
ApL Buddmg Dryer Load Management
Comm /Industrial Furnace Other (Specify)
Farm Air Condrtioner
Other(specity) Conir?p7o=5 R?rks? `?/i o
G? L? `r ? V
Compute Inspection Fee Below. j? -?(xl "CD
# Other Fee # ServiceEntranceS¢e Fee # CircunslFeeders Fee
Swimming Pool D to DO Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SIgfIS Inspectar5 Use Only ' \ T L
Irrigation Booms ?Gv
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ERE I$?ONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 M ?
I, ihe Electrical Inspector, hereby Rougn-in ? oe?e `9
certiry that ihe above inspection has
been made. F,,,ai
a? te
OFFlCE USE ONLV v
This request void 18 mon[hs imm
Address 4009, 13, 17, 21, 25. 29. 33. 37, 41. 45, 44 & 53 MEADOWLARK CURVE Zip 5512 2
I..ot' ,' i Blk i Su6 xrvea ffi.tjET Mwnnurzs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'fON.
Date: ?O O Yes No Inspector:
Final grade (6' from siding) ?
Permanent steps (gatage) v
Permanent steps (main entry) V
Permanent driveway V/
Permanent gas
Sod/Seeded grass
Trail/cutb damage ?
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in rightof-way or installing underground sprinklet system. ?
Whitc - City Copy Yellow - Resident Copy Pink - Contraclor Copy
/
y-y 9y
seMai # 7 7
Chip#_ 03? 74:?60
Permit # g a (p O
Address: Lrl17 -- 5 3 Q,,Pe?P? ???e
1 AGREE TO COMPLY WITH CITY OF EAGAN
„ ,??., INSPECTION RECORD
. CyrY OF EAGAN PERMIT TYPE: '
3830 Pilot Knob Road Permit Number: '
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
? SITE ADDRESS: APPUCANT:
:
?
PERMIT SUBTYPE: TYPE OF WORK:
,
INSPECTION .. . ..
. , . 1 •oe 777''c? - ' .
? • ,+ri i- ^ -- !. . . . .!. _,_I I rds+:
?hFPtA?zr .. .itt? I t??ar c-'.1ci t s+C?«3?. ?, ? ` ???
f! l 1 3 l?t'r??I• ?
,i` ,i ? ?. '? . , ? . , ?
r }
?
?
Permit No. Permit Holder Date Telephone N
S/W
PLUMBWG
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Foodngs I G' . 9S ,ftir
V?
Foundation
Framing
Roofing
Rough Pibg. (
Rough Htg.
Isul.
Firepiace
Final }itg.
s
Orsai Test
Final Plbg. Pibg. Inspector - Noti(y Plumber
•
Const. Meter
Engr./Plan l /
O?? ? ?^??" D %1? ` ?
Bldg. Final
Deck Ftg.
Deck Finai
L
Well
Pr. Disp.
?
/X
0 • Y 0
WeL'tifiCQte nf CCCIipRIiC?
Witv of W-agan
ze0wrtmnt of Sxn* 3nOccrion
This Certijcale issued pursunnt to the requiremenrs of the Urtiform Building Code
certifyiRg thQt at the tinre of issuance this strucrure wQS in compliance witk the various
ordinances of t/te City regulating building constntction or use. For the following:
usc a.mficawm 12-PIEX sWg. ftr,dt No. 22235
oa,+r-r iYW R 1/t"11 ZoW08 nisu;a R4 zyM const. VN
ownu of a?ikbog fE'tITALE IEVHnEteiT Addr., 450 C!'Y IU) D, LIIZIE CANAOA
en naam 4009 tYE t CXWE cAcsry L 1, B 1, RIVEEt ELiIFF IMAREMS
i
? - ? Dm:
AI.90 IIE=: 4013, 1;0 iNnS??s'?3ilous'Pua?G? E45. 44, 6, 53 rEADOfCMC QIRVS
SITE ADDRESS Unit # Permit #golaar
L ? B 1 Sect./Sub.
INSPECTIUN INSPECTOR DATE COMMENTS
6 3 /6--f oi ->?-?l - - -? ?ys
-23-9y
l.c G tc,?- , 3-a -4 a a- 3 3-:9 9- s3
" u? 3?V4 V 9' - l..? - ! 7
.a -z?-9y yoy?- yoJ7
o
T oYq-- z-s-
?dl e ?5 0 - -
?
? o/ - o? -A/o-z .
'
fi % a ?-?a
t ds3
o
?I ?!? ly' 9?1
- y' y? 2 9? o
o 0
IMSPECTION INSPECTOR DATE COMMENTS
'2•?'n t' 0 S 3I f'
'LSuL., Y o 3 a' o Y r sro -
Id Ya37 = o a 1191- V20 v?1'0
J SU? [,37+' z/D g-5-
42 yo o - yo 2z- Q - - ,.-s-
Sv?- 0 r4 9 4/0-¢' v- 44 2/?
/ ?uL y z
2IN ? 3
?iSG ? ?9?/ yaa
C-l - °`
• . • . -?`? ? ?'od? - o
.' . I
i?
i
r `s r8 0
?
g ?o /0/, / a / 36 00
I ? ya
/ ??/ \ ? ?. p ?Y
/o4/h9? ? ?>>
?jo ? 4
7?? ?
1? / / 0?.?coJ ?0
? rn10
?
Z
o
(o
?
360 01 M?0 \°f?
'R ?
3600?
7? 0o1?j/ /
?
o ?h
,N°`
N'1
?
,o? / #EV?EWED
NO0°02'42"W
29.40 IDate
I FAAG.4IV EIVGIIVEERIIVG IDEPT.
?l ,
? DENO TES 11 F00 T OFFSET.
? DENOTES PROPOSED ELEVA T/ONS
? DENOTES DIRECTION OF ORAINAGE.
PROPOSED ELEVA TIONS.-
TOP OF BL OCK NOR TH SIDE = 911.4
TOP OF BLOCK SOUTH SIDE = 995.4
GARAGE FLODR NORTH S/DE = 911.0
GARA GE FL OOR SOUTH S/DE = 915. 0
L o t 1, Block 7, Rl l/ER BL UFF TOWNHOMES, Dako ta Coun ty, Minneso ta.
SCOIe: 1"= 40' / hereby certify fhat this plan, survay or report was prepored E_G,RUD 4 SONS, IN?'i.
Disk Riverb/f by me or under m}^ direct supervision and thot l am a duly LA1VD 3URVEYOR3
File L OT 1 e ?s red L nd
R Surv or nder
the la s of fhe State
?
93
of
9180 LEXINGtON AVE. NO.
NESOtA
B
szzesPP
Job No Mi oto. o iday of
19,
. GIRCLE PINE
, MIN
. Reqistration No. 66014-3625 MEL. 186-6666
L 1. 57
? PERMIT
l Y OF EAGAN
30 Pilot Knob Road PERMIT TYPE: Bu r Lo z N c
Eagan, Minnesota 55123 Permit Number: 022235
(612) 681-4675 Date Issued: 10 / 18 / 9 3
SITE ADDRESS:
4009 MEApOWLARK CURVE
LO7: 1 BLQCK: 1
RIVER BLUFF TOWN HOMES
DESCRIPTION:
r'-•
BUildiri'q Permit Type 12-PLEX
,BU1lding T?rk Type NEW
4cewpancy%? R-1 M-1
Gonstructinn Tpe V-N
i? 2oatYng l?,e R-4
l Buildirtg •lenyCh ' 196
Building Wxdth ?.? 72
? Buzldilrtg storxes 2
re F&O t 21.850
;/-
?? {
ik ?k ?? ????
? ????(m n
REMARKS: At
INCLUDES 4013 4017 4021 4025 4029 4033 4037 4041 4045 4049 4053 MEADOWLARK
S 6 W PLBR - ELANDER pLBG
FEE 5UMMARY
VALUATION $680,000
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$2,579.50
$1,676.68
$340.00
$9,000.00
100
12
$13.596.1$
CITY SAC
WATER CONNECTZON
S & W PERMIT
5 & W SURCHARGE
TREATMENT PLANT
ROAO WNIT
Total Fee
CONTRACTOR: -
GARDNER BROTHEftS COMST
450 E COUNTY RD
LIT7LE CANApA MN
' (612) 481-9600
$1,200.00
$8,340.00
$100.00
$.50
$3,888.00
$4.680.00
$31,804.68
Flpplicant - S7. LIC OWNER:
14819600 0002736 HERITAGE DEVELOPMEN7
D 450 E COUNTY ROAD 0
55117 LITTLE CANApA MN 55117
(612)481-0017
I hersby aaknawledgis CFtat I havo eead> xhis
3nformat3on is oorreat arr8 agree Cv c ;bmgly
Statutos and Cxty uf Ea?an prd3aances;<
APPLIGANTIPERMITEE SI ATURE
app13.Catlart and state th#t the
wi`Gh e3.1 applioab,ke State ot Mn.
C
ISSUEO BYV IGNATU
.J
Ri ?TE ?
P_' i ? .
• ??? ??
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of arthitectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of wark
?oS3.C/Oc? yo4/L/63.7.410,33:;?tp2,9.4.o2S yoZi zlo/7 yoi3? ?o?
Si te Address:
?L
STREET ? ? - _ SU[iE N yJfEqppW?QK
?
- ? ??
?
•
-
`
Gc!/7 V C
Tenant Name: (commercial only)
LOT BLOCK
I
SUBD.
P.I.D. M
Descri tian of work:
The applicant is: E Owner CkContractor ?"Other (Deaeribe)
Name Phone 4$1 - oa c 7
Property LA:T 113 Ft ST
Owner qddress `(sa 2? co v.Q )
' STREET STE 0
City LA-E-(e State /VlN Zip SS'fl)
?
Company Phone 4-5'I - 9GQO _';' ? y
lx.r 'nCr (3ro? ??s ?u< <a?. 5' r' Il
COn'II'BCtOf Address ?-ISO C Ga b2s1 ? License # a-MG Exp.V-(
City L-J4e Cah,.c9ti State Mtil Zip SrJ1:j
Company Des;A.. 2es«Jc ce Gr?Glp Phone SG- - 311 f
Architect/ p
0S6
Engineer 1
Name Registration #
Address A&,e 11/
?
City /V1.0?s State /vtn/ Zip -5'Sy43
Sewer & water licensed plumber ?luj o. YA e'L., «( . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apptication and state that the information is
correct and agree to comply with all a plicable State of Minnesota Statutes and City of
Eagan Ordinances.
5ignature of Applicant:
ciTr oF EaGaN
1993 BUILD,ING PERMIT APPLICATIaN
681-4675
rn - r(
A ? y6mf , c??
??' ??
OFFICE USE QNLY
BUILDING PERMIT TYPE ?0a: ; ? I _ ?, t, : _
y
O OI Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement.-Finish
t/
?
02
SF Dwg.
? 07
4-Plex
O
12
Multi. Misc.
? i1Ta
17 .
'
Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comn./Ind.
? 04 SF Porch R 09 12-Plex ? 14 Flreplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
)K31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair 0 36 Move
GENERAL fNFORMAT tON
Const. (Actual) Basement sq. ft . MWCC System Yt3
(Allowable) V- N? lst fl. sq. ft. City Water ?
UBC Occupancy R-?Tn?t_ 1 2nd F1. sq. ft. q 2sD PRY Required
Zoning Sq. Ft. total z1as?+ Booster Pump
?Y of Stories ? Footprint Sq. ft. 6 Oq Fire Sprinkler
Length ? On-site well Census Code
?
Depth 7y On-site sewage SAC Code
?sks
C
b?a?• I
APPROVALS CA-vtSwS uM?.{ 1 2
Planning Buiiding Assessments
Engineering Variance
REQUIRED IN SPECTIONS 4 W"rH 2-HR q#ZsA Wqt,LS
? Site §iCfooting ;& Framing ?Insulation
_?L Wallhoard ;irFinal ? Draintile ?Fireplace
Permit Fee 25,7915'0 wtuecion: S 6 C600v
Surcharge 3 Yo. oo Pe?mi r
Plan Review
License 1476,68
2o_&Aipw 1?T
??, -
5?0,
20 3q„0
s-
MWCC 5AC 9000,oo lSao i+?9 x 3?va 5y? !°?
City SAC
Water Lonn. ?20J,Ua
s3yo,oo
?LArN RE11tE?.7
--- -
25
Water Meter - zy7q,sbx 65/, - ?y`y6?6$
Acct. Deposit
S/W Permit
S/W 5urcharge 5b `G?o,poo K. oaoS= 340,00
Treatment Pl. 3833,0a
Road Unit
Park Ded. IZ K'7s?= ?ovo,?u
Trails Ded. ` rr4 c y
Copies _--?--
Other l2?ro? ?
Total: 3t.8o?f68 wdc.;j zn&qS= sr3wo.oa
SAC % lOU I 712ea7me*?T PLat+r: 12-4 3z %l = 38b8,0 0
SAC Units )-Z
51-' 425 6514
Rug 22 01 09:28a Ryde11 Design Group (6121425-6614 p.l
,
•'(J-!9 Gten
Auuust 16, 2001
Design 12esource Group
3rooklyuP<<rA \4Nr :54?13?-Yxnai?G7)42i-o?12-C.,N (7631 :a
1)ale Sheppner
Eanan City Hall
3830 Pilot Kiiob [toad
f?agan,AGV 55122
Dear Da1e
1'his provides authori7atioil for tl;e city of Eagan to pi'ovide a copv of the River B1utTtown
homes buitdine plan and specs to the hoineowner and association board representative, A1ark or
Kari Isum of-1009 Mcadowlarh pir_ce { r their use to remodef, make additions, figure for
?
replacement association espenses (i c; roof, siding, windovc, etc rueasuremeats) and use for the
benetit ot ihe River 131ufl'towrt home commuiiitv
This property u-as buill by Gardnei }3ros in 1994 on uleadowlark Curve in L'agan, n'IIN. Because
tlie tmilder is out of business, thev are uaable to pruvide these plans lo the client Please provide
the reqUested copy upon their visit to vour office
Ctegards,
-?. ?
6
Dennls k?-dell, besigner
Desien Resource Ciroup
(7b3) 425-6512
CC. Mark or Kari isom
4009 N-Ieadowlark Curve '
Eagati NIN 55122 I
(651) 686-2865 ? ?
}
4b?dtV oF eagan
PATR(CIA E. AWP.DA
64.rvor
PAUi.BAKKEN
PEGGY (AR[SON
CYNDEE PIELDS
b1FC TILLFY
Cuwcil N(em6us
THOMAS HEDGES
C;cyAclministracor
Municipal Cenree
3830 Piloc Knob Road
Eagan, MN 55122-1897
Phane: 65l .681.4600
Fax: 651.681.4612
TDD. 651.454.8535
Mainrenance Faciliry:
3501 Coachman Pnmt
Eagan, MN 55122
Phone: 651 681.4300
Fax: 65 L(,81.4360
TDD: 651.454.8535
? ciryoFeagan.mm
"rHh LONE UAKTREE
"die symhi)l uEstreny2li
.uiJ growt}i•in our
cammumcy
Apri16, 2001
MS KARI ISOM
4009 MEADOWLARK CURVE
EAGAN, MN 55122
RE: RIVERBLUFFTOWNHONiES/)
Deaz Kari:
As per your request, we met at your townhome complex on January 17, 2001. Tlns meeting occurred to
discuss possible solutions to the ice damming that has been occurring at the eaves on the buildings within
your camplex.
During my site visit I suggested that the air space behveen the roof deck and the insulation at the vaulted
area should remain open from the attic to the soffit area. I could not tell if this area was ohstructed, bu[ it
could be an area that would be subject to heat conducrion.
The venting in the metal sofFits appeared to be of sufficient size and spacing to vent the roof; however, this
is assuming that the airflow is unobstructed from the attic to the soffit.
Increasing the "R" value of the attic insulation would obviously increase the resistance of energy loss &om
the living space. I did observe some measures that you took within your unit to plug the attic by-pass in the
furnace room and apparently some contractors have noted other by-passes that have not been sealed in
other units Sealin-, these areas would drastically reduce heat loss into the attic spaces and thereby slowing
the snowmelt on the roof.
Attic access was not installed on the lower roof areas. You indicated that one contractor said that acress
could be made via a roof vent to inspect and possibly add insulation iFnecessary.
I believe that your ice dam problems would he reduced if you:
I. Seal off all attic by-passes.
2. Verify continuous ventilahon from the attic duough
the soffits.
3. Remove snow on a regular basis.
4. Increase insulation ui your attics.
If you have any questions or concerns, do not hesitare co contact me at 651-681-4699.
Sincerely,
Dale Schoeppner
DS/jb
JOB #P38015 BLbG. #3 - - --
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
--------- - - - -
NO.
SHOWER
za WATER CLOSET
20 _ BATH TUB
32 LAVATORY
12 HITCHEN SINK
12 LAUNDRY TRAY
. HOT TUB/SPA
12
-
- WATER HEATER
Tr FLOOR DRAIN
lZ GAS PIPING OUTLET • minimum? •
ROUGH OPENINGS
WATER SOFI'ENER
PRIVATE DISP. • nex.c7. ico.
U.G. SPRINKLER • Aome unda const.
ALTERATIONS • w eASUnB
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
EACH TOTAL
3.00
3.00
3.00 60.00
3.00 96.00
3.00 36.00
3.00 36.00
3.00
3.00 36.00
3.00 36.00
3,00 36.00
1.50
5.00
15.00
3.(Id
15.00
15.00
.50
420.50
STI'E ADDRESS: MEADOWLARK ROAD - 4009 - 406 - 4017 - 4021 - 4025 - 4029 - 4033
OWNER NAME: GARDNER BROS.
WSTALLER: NS/I PLUMBING
ADDRESS: 791 HAMPDEN AVENUE
CITY: ST PAUL STATE: MN ZIP CODE: 55114
PHONE #: ( 612 ) 646-8677
SIGNATURE OF PERMITTEE
1YYJ rLUMlslitlls rl.xtvua vu..lamr.i.iuw)
C1TY OF',EAGAN
3830 PIIAT'KNOB RD
EAGAN MN 55122
(612) 6814675
1993 PLUMBING PERMTT (COMMERC7AL)
CITY OF EAGAN
3830 PII.UT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL CONIIvfERCIALlfNDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING Ui::T.
_ NEW CONSTRUCfION
ADD ON
REP:IIR
WORK DESCRIPTION:
CONTRACT PRICE:
FEE: 1% OF CONTRACf FEE.
STATE SURCfL4RGE SSO FOR EACH S1,000 OF p?it1H?' FEE
MINIMUM FEE: $ 2540
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$
$
7'.?'.NAl!'T A'4.ME: STE. #
OWNER NAME:
WSTALLER:
ADDRESS:
CITY:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
MECHANICAL PERMIT (RESIDEIVT7AL)
CITY OF''EAGAN
3830 PII,OT.KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNI-iOMES AND
CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNTf.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE ?'U V?.II W v) 1,q,?)
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OLITLETS (MINIMUM 1@ 53.00 EACH)
ADD-ON/REMODEL (ExisTTNG CONSTRUCTTON) ,
STATESURCHARGE
TOTAL
t104.47, 463--3
SITE ADDRFSS: U/ U
OWNER NAME:? ??
awt ,
FEES
$ 24.00 Zgf , Q ?
6.00
3,00 x1Z.
$ 15.00
.50
3(c,, 00
e `7 D
i
` G-D
C?-? a) j?OAL CU?vk-e_
TELEPHONE #:
sTaTE: Mn ZIP CODE:
crrY:.i,U'YI?U) ?l-P v u
TELEPHONE #:
1993 MECHANICAL PERMTT (CObII1ZERCIAL)
CTTY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCLALJINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WFEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf.
DAT'E: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF qqN-i RA,C,"T FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
SITE ADDRESS:
OWNER
TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLI)
ADDRESS:
CIT'Y:
STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
? Sb
3
CITY USE ONLY
LOT Ool I BL ? RECEIPT #: I lq-1 U/ I
SUBD. RECEIPT DATE: OJ Ip "qq
MECFVINICAL PERM(T #
1999 M£CiiANIC!!L P£ftMIT (RESID£MfIAia
41 S??b crrY og r.Renx
3830 ru.or [cxos sn
EkfiAA l1P 55122
? ? ?lc?? (651) 6$1?4675
Date•
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
: cnstructioa and r.:,t -WN::e: /cccuni°d.
AC: 0.100 M B T U
v ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
4,02i1 N4jaw(atf[L Co&rUe,
Complete this section onlv if you are rem?g?ding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is new ?tem, Iteration, or repair.
_ New Alteration Repair
Reminder: Ca11681-4675 for inspections.
Fumace `"
Air exchanger
SITE ADDRESS:
$ 30.00
6.00
State Surchazge .50
Total $
Other
Air conditioning
Other
$ 30.00
State Surcharge 50
Minimutn Total Due $ 30.5
OWNERNAME: Cl1n0L{ P'd(vf6 PHONE#: ??-l _ 4S?• SO{?}
McGU1RE & SONS (AREACODE)
INSTALLERNAME: 6 r n i Pth ?°m niin Cns'th PHONE#: (n(2
-?T
STREETADDRESS: HOjlkii§s, NiN 55343 (AREA CODE)
CITY:
STATE: ZIP:
SIGNATI7RE OF PERMITT'EE
CITY USE ONLY
L _ BL _
SUBD.
APPROVED BY: , INSPECTOR
r
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
19991YiECHA1ViCkL P£RMIT (COIHMEItC[AL)
C[TY OF £AfiAN
S$SO PILOT KN08 ltD
EAHAN,MN 55122
(651)6$1,4675
Please complete for all commerciaVindustrial buildings
muiii-iainiiy uuildings when separaie pen-nits a, e noi requiied Pur eacn dwelling unii
DATE: CONTRACT PRICE:
WORKTYPE: NEWCONSTRUCTTON INTERIORIMF'ROVEMENT
DESCRIPTION OF WORK:
FEES: I%of conhact price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
-------------------------------
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONL1):
1NSTALLER:
ADDRESS:
CITY:
($50 per $1,000 of cermit fee due on all pemiits.)
PHONE #: -
(AREA CODE)
PHONE #: -
(AREA CODE)
STATE:
ZIP:
SIGNATURE OF PERMITTEE
L ? 75 BL CITY USE ONLY SUBD. 040
RECEIPT #: I
RECEIPT DATE:' J ? 14 -`I ol
PERMIT # 3 '?'5 L 3
19 99 PLUM$llvFi PEiMIT QmIImTIlw
crrY oF E?sari
3$30 fILOT KN08 RD
E.kfl,4N, MN 551 22
(651) 6$1-4675
Please complete for: > single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
G8S i in Outl2t " minimum - 1 3.00 x = $
Hot tubls a 3.00 x = $
Kdchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavato ^ 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Wate closet 3.00 x = $
ater heate 3.00 x = $
Water softener If dwelling under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 --> ----> ----> $ .50
rotal --> --> ----> ....> $ '_ .5
Reminder. Call for inspections of alteretions, i.e. water heaters, water softeners, etc.
---------------------------- ---------- ----------------- ?--------------------------------------.......-----
I hereby acknowledge that 1 have read this applirahoq state that the information is corted, and agree to comply willi all applicable City of Eagan ordinances.
It is the applicanCS responsibility to notify the property owner fhat the City ofJEagan assumes no liability for any damages caused by the City during its
normal operational and maintenance acirvibes to the facilities construded under this permit within City propertyinght-of-way/easement.
SITE ADDRESS: ?D7?`' /y/?/?DOtJG/3.?,C/ L?Ls.PUE
OWNER NAME: : ?/LL AI?6 TiC?.BA TELEPHONE #:
(AREA CODE)
lNSTALLER NAME: /??X e?DeT[YjZ %l?s,ani,sJlr TELEPHONE #: L/.), ??/'
(AREA
-7?60 ?5/p CODE)
STREET ADDRESS: ?.s-rt?u? oaz
arv:
O? dMa? ?,tf
,
s:r1/yi
Cities Digital Qualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
? .
_ . 4. .
??.,f.?•_?:' ?I :
•?,•`y?!
;.,.` .
1.
. ......... ... ?'i'ii:}::ft.::
5 .F::?[:i:•?-•: .
,t
? .
.
? ??g..? .?i ?•?::',? <,..iiiii:`r,.i?y:;(tRl:E.?, r• •k '? ?? ? 4l. ?
?•.:;: a? ,a?,1 ?a? p ?:4i?::?. ? :: ?;«<: ?;?;:? ;; . ' ° ;, . . ? .
? ?.?w>•::: s
4,}'?: . ? , ? ? '?. f• i ,.r. r o•
. i .r
. - i,. +.i\.;v?•i. ' •4q' ?.,'t 4
'T?.'?+? C
, .. v;ifC?1` ?i il??'-• ???,p' a`•i:?: ••L :;:;:YGi ??C[:y'?..?? ?0 u , 1 ,' ? .?{'IP
p? yI: ,... \? '`l. ? + ? • •t
. , k?:?F'i ?' i.,, ?? \,.:.Ii;.?p•: i:;. :J.T ?, h eo- ? S, ? r
?,' 'i?"r'i??.'°;i'?q,'?.1??(??.'?'?d'?i {+ ?i:.!';;>.•ti?' ??'•y.;t ' "', ?t ? 1t, ?
T ?W.'?i`?: ? :? .w;:?.; c '??? 'I• ?
' `?,°?? ?ti?hiti:?F;y?4ii?iH?i ?5t,i^????4E•• K ,
., ..''' ,?'g?•?;:;:n't? '; ?.ftl.t ?i?i'?.e,.,,?i LY' .
- • R' :. 4j'+.;,'ii; <.N. ?: : H 1
:{i...?'i,t?.?:;:.t<l?'.a,:•: V#1.1:.: ?;.?:IFL;?...J.;
,yf??.;:. .. ?.. . . _;.?::; .. ... ?,,?•.. . ? . 4
;:$?•.?.:Ll:.:::.h::. t ???,f1??t? , ? ? ?pt ? ?'s?
. •`j..:::;:.::
. ..
:?;;?>.:i;'i,;'.iii;?;.a.. :.,?• ? ' tl?.n. ?G,!:. 4'.
.. ?:> . '? ;j;;.3:.?. kp,?•.i;?i'i:;°;>;:':.?>°q:i::?E?;i:?+h'i
t :t:,l•.1;n.iri:' :::;::?fi.::? .?{t`:,l...n:: p?,''y:':..
. '.tcti.:':k2?f:l"'f Ff:: A •N.:plf tq :.p::'.:.H;\ti\.t:•::??[t:; .. ;t.l:ifl
. '; t,-0i!I•I:Y:?p?.;h:. ? If.?.:q.;1h}..Y,?.. ?
f ? ( ?.vi:.. p ';+F:'•),.;_
v .?(:• '' b,:
? . ? . , : T?., ..;: ? :se •, .: ,'j:'
. .. ' .. ?„?': •?p?,
\ , ? . . . . . . .... . ... .... .... . . . . .. . . . . . .
:a'r,,= •?A:?.?-
ua . . c;Y, r'v;?';Si
l
7
M
`7r? 2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construchon Reowremenis
3 registered sRe surveys showing sq. R. of lot, sq, ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soiis RepoR i( proposed building is to be placed on disturbed soil
2 copies of plan showing 6eam & window sizes, pouretl found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted afler711193
Rim Joist Oetail OpUons selec6on sheet (buildings with 3 or less units)
Minnegasco mechanicalvenhlaUonform
RemodellReoair Repuirements
2 copies of plan showing foohngs, beams, joisls
i set of Eneyy Catculatrons fur heated addilions
1 site survey foraddNons & decks '
Addifion - indicate d on-sRe sepfic system
A NEW BUILDING
Pians are considered public information unless vou state theV are trade secret and the reason.
Date Y /,3O l 0 -7
Site Address Construction Cost -i?60?0
1(its' (L CVI,/ !/' ? UniU5te #
Descrip6on of R'ork
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner J_-? ? Telephone#( ) 6??,Cp b??
Contractor A:Vlf-- '?"
Address q?tl r
State O{v - b Y(?-- City
Zip Telephone #( I9?'7
?F-??
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateeorv 1
• Residential Ventllation Category 1 Worksheet
(Jsubmissiontype) Submitted
. Energy Envelope Calculafions Submitted
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
apply for a
Permit
Telephone #(
Telephone # (
Telephone #(
,37/, 76
p Us Dn
CeRafSurveyRscd N
SoilsRepi,_
?".::...:. _Y _N
_
TreaPresPlan3R6cd: ' -Y M,
Tree,Pre$ReqwreiJ'-;; _Y N
,
(lr?site §epllc?System' ° ; - -_ 1', _N
that the information is complete and accurat
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and wark 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.
Applicant's Printed ame
?
ApplicanYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ?
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ?
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ?
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
0 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New
O 32 Addition
? 33 Alteration
? 34 Replacement
D@SCl'iptiOfl: WaterOamage
30 Accessory Bldg
31 E:d. Aft - Multi
33 Ext. Alt - SF
36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Buiiding" ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bldg) - Give PCA handout to applicant
Yes
Valuation Occupancy
Plan Review 100% or 25% Code Edition
Census Code Zoning
SAC Units Stories
# of Units Sq. Ft.
# of Bldgs Length
Type of Const W idth
_ Footmgs (new bldg)
_ Footings(deck)
_ Fooungs (addition)
Foundation
Drain Tile
Roof Ice & Watei Final
_ Framing
_ Fireplace _ RI _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIREDINSPECTIONS
_ Sheelsock
FinaUC.O.
FinaUNo C.O.
HVAC
Other
_ Pool Ftgs AirlGas Tests Final
Siding _ Stucco Lath _ Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
? ?"or-----
.-us? -- ---- i
? Permit #
I Pertnit Fee:
? Date Received:
I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ? L,vv Site Address:
/-)
Suite i!:
RESIDENT / OWNER Name: Phone:
Address / Cily / Zip:
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description ofwork: J ?
Construction Cost: i?0do Mul6-Family Building: (Yes V/ No ?
CONTRACTOR Name: NL License
Address: 4;b(,c ? TILrt[CA4 p?
.I
/''? v Zi
S
?
!?
p:
tate:
City: CA
? Ui
2
/ 1
Phone: brd' Pit `Q7Jri ContactPerson:___V.(?A zgi
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category i Worksheet • New Energy Code Worksheet
Category Submdted Submitted
(4 Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plum6er: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contrector: Phone:
NOTE. Plans and supportrng documents fhat you submit are consideretl to`6e public;informaCion Portions of
f would permif fhe Crty to? :
° the mformafron may, be classffletl as non=public ii you prowde.speciflc reasons tha
?
onclu"de Yhat ihe 'are irade secrets??????? `I hereby acknowledge that this information is complete and aaurate; that the work will be in confortnance with the ordinances and codes of the City of
Ea=94t is not a permit, but only an appliwtion for a permit, and work is not to start without a pe it; that the work will be in
acplan in the case of work which requires a review and approv f plans.
W Wef X _,/
ApplicanYs Pn ted Name Applicant's Signature
Page 1 of 3
,r
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use I
City O1 n~ n Permit#:
~o
I Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 I I
I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I
2013 COMMERCIAL BUILDING PERMIT APPLICATION q(J C q,/'40S3
Date: _ (o Site Address: _ 51de) f3 41J~~~`~ u P
Tenant Name: 1,2- {~FI (Tenant is: New / / Existing) Suite
Former Tenant:
Name: lCr/ Phone:
Property Owner Address / City / Zip: Y~~9 L/c)~3 Y~~'l.~i!C (1 r ~~v
Applicant is: Owner Contractor
Type of Work Description of work: rr
Construction Cost: 0V 0
~4 k ~ License
Name: 4/g~c e~~& - z , I -
Contractor Address: Le-A- c,., 6,t4,4r IL/, City: Tclo dy
~~1- 775=
State: Zip: Phone: 71Q5 .4 1 Contact: Email:
Name: Registration
Architect/Engineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that theyare,trade secrets.
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.aogherstateonecall.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; Zth.ework wil n accordance with the approved plan in the case of work r uires a review and approval of plans.
x L C X
Appl' an 's rinted Name Appl+
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Public Facility _ Exterior Alteration-Apartments
_ Commercial / Industrial _ Accessory Building _ Exterior Alteration-Commercial
_ Apartments _ Greenhouse / Tent _ Exterior Alteration-Public Facility
Miscellaneous Antennae
WORK TYPES
New Interior Improvement jSiding _ Demolish Building*
_ Addition _ Exterior Improvement ✓ Reroof _ Demolish Interior
Alteration Repair Windows Demolish Foundation
Replace _ Water Damage Fire Repair _ Retaining Wall
Salon Owner Change *Demolition of entire building - give PCA handout to applicant
DESCRIPTION 0.41
Valuation Dot) Occupancy J- 2 MCES System
Plan Review 1,164F Code Edition 2oe7 MSPSG SAC Units
Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation Other:
Drain Tile / Pool: -Footings -Air/Gas Tests -Final
Roof: -Decking -Insulation -Ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick
Framing Windows
Fireplace: -Rough In -Air Test -Final Retaining Wall
Insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: Yes I/ No
Reviewed By: *0"G , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee to 7- Water Quality
Surcharge ZZ•ro Water Supply & Storage (WAC)
Plan Review Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (Irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL `~Q• 5a
Page 2 of 3
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
i
City of Eaoa~ ; Permit
b I I Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 1 11
Phone: (651) 675-5675 i Date Received: ~O ( 1
Fax: (651) 675-5694 j Staff: 1
L------- ---------I
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: tdog ° y61~ - 4V ? 1 ~Do2 Sr' q 01 ef . y0 ~ - L./ 03-7 2_10q I
Tenant Name: . )&3. lC C-~ r v e (Tenant is: New Existing) Suite M
J~F~o mer Tenant:
Name: Phone:
Property Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: 5 dj6'
Construction Cost: (QL7 C
Name: 2 License
Address: 3~~t7 ~l'~k S U'~ VA • City:
Contractor
State: hA A-1 Zip: ~J Phone: C:) 0
Contact: Email:
Name: Registration
Architect/Engineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone
NOTE: Plans and supporting documents that you submit are considered to be public information. 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.
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.gopherstateonecall.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 permit, and work is not to start without a
permit; that th work w' be in accordance with the approved plan in the case of wo i equires w and approval of plans.
x x
Applica t' a Name Ap ican s i
Page 1 of 3
rtEcl
For Office Use � IGI
Permit#:
,
Permit Fee: / DOW, /
ECERVE
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 OCT 220
;
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5:s Staff:
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/23/19 Site Address: 4009,13,17,21,25,29,33,37,41,45,49,53 Meadowlark Curve Unit#: all
Name: Network Management Phone: (952) 432-8979
Resident/ 6970 151st St W, Apple Valle MN 55124
Owner Address/City/Zip: pp Y,
Applicant is: Owner ✓ Contractor
Tear off and re-roof complete Building
Type of Work Description of work: p
Construction Cost: 9Sf Pop 012 Multi-Family Building: (Yes ,>5/'/No
Company: PCS Residential Contact: Mike
Contractor
Address: 2005 Pin Oak Drive City: Eagan
State: MN Zip: 55012 Phone: 612-414-8199 Email: Mstuge@pcsrenew.com
License#: bc593158 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
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 Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
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.
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 .f plans.
/ r
A plicant's Printed Nam Applicant's Signature