4056 Meadowlark Curve?,_. .? .
a.? •
4tmfica#e uf Ccculpancv
WU4 of
cut .? Vanhis
This Certificate issued pursuant to the riequirements of the Uniform Buifding Code
certifying litat a1 tlu ttme of issuance this structurr was in comptiance with the vurious
ordinnnces of the Ciry regulating buitding cor+struction or use. For the following:
Ux Classifiatioo: 12-PLE{ Bldg. F'ertnit No. 2 I8]4
Oc-p-Y TYPe R31141 Tonina Diwia R4 Type Const. Vn
o.n, of 8?itd;ng MrraM ?r?arr Ad&,mkso E M Rn n, LrnE cax&W
euiLding Aaeea4056 jff1?Mat.aHc a1[W L"wity I,2, B1, RIVM ffiiTFF MWN BM
D II?Q?060 4064 4068, 4072, 4076, 4060, , , 4042, 40q6, & 4100
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POST IN A
. ?.
, • ?.. ?-
r CITY OF EAGAN
383() Pilot Krrob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
?,,ii It 1• i
i , ; i. ? , i?i•!N Itt?lql
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
. €fi 11 ,?, ? , APPLICANT:
iit :? i ..) I '0J. i
TYPE OF WORK:
r!i 4i
?
i P t H it
411) !4f? /s.Ii i
. DA . .•
53 v K41(A/ot??
,53!// ? S? 903 ?o76 3S0( l
.539/0? o8S 535b5? ?0?, 535'07 'yo4o
40ny 4Ni•4 nHi>tt 401,1 407u; 40i3H 40H4 40;iH 40".? 44146 91e0 MI nlini41AE+r
Iti, A1tFA I/Af 1'? . ', S, 41 I'i FtM+ I 1 nNllt ii Rtl t'?1
II -1
%N.
Permft No. ,--,
Parmk Holder
Date
Telephone #
S/W
PLUMBING ? 93Q
HVAC
ELECTRIC
ELECTRIC
Inspection Dats Insp. Comments
Foot?ngs I
Foundation
Framing
Raofing
Rough Plbg.
'U-C-93
Rouyn M9. 117
Isul. ?o /3 93 bI•e e
0 -/3•
FreplaCe
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final 40
?
co - G -
Deck Ftg. C _ _ -72 20
Deck Fnal -41-
Well
Pr. Disp.
1- ??9Y yoq? Y? ? ye6?!
:,FJ I
' U
12 6 y- 7 Z s t L/ -
• ` ,?
SITE ADDRESS
Sect./Sub.
Unit # Permit #
INSPECTION UATE IN8PECTOR OTHER
FRAMINB ?(?? ` 2 11,P -
ROUSN PL86.
-., . f°5C ¢ q'07
`ROU6N NT6. yo?
IN:at y 4y - t l' - 22,
FIREPLIICE
FlNAL HT6.
FINAL PLBB.
UMIT FINJIL
CERT/OCC
INSPECTION DATE INSPECTOR COMMENTS
O ? ?.??? ? o - G -- - 6"Aezr-
//Z G 7C-
? 2G iY L O
???
e
`?-3?-'Y
- - - T
o -- 'fo- ?I-8'?.?' 9
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" l/o -76 ?- 4,,D$D
2cl? ?10
y / NS ?? C. U
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? l tiSuL ?„ .7/ur? ?y- /%i9-? _ p? w3c,c` w.at? - pC?O S'P
?0' .s??y -ir,?- W i
?-
-
SITE ADDRESS
Sect/Sub.
Unlt # Permit #
INSPECTIOI! OATE IIISPECTOR OTNER
FRAMIN6
ROUBN PLRB.
ROU6H NT6.
INSUL
flREPLACE
FINAL NT6.
FlNAL PLB6. .Zy_q ? oT
_ o ?y
UMIT FINAL
O-40
CERT/DCC 0g8'' L/??Z?B
INSPECTION DATE INSPECTOR COMMENTS
?- q- q ,1
3 ? u -- /Lb lf.y lys ? -
-??'-9 ' ` o
`.. . •..
Serial # y ?/ 0 O.S9 .3
Chip # •Q ? ? ? S` ?T 5? ?'`?
Permit #
Address: .? 0
.S6
1 AGREE TO COMPLY WITH CITY OF EAGAN
ORDINANCES
?
Signature: _
`77 S--1c
9,1
cnip# 36V 41799
Permit # a ,1 3 0
Address:
1 AGREE TO COMPLY WITH CITY OF EAGAN
ORDINANCES ?1 ?
/ 9
, ? i3909
Request Date
?? Fre N Rough-in lnspeff
Re mred?
es ? N. NOTICE: You Musl Call ElecNCal Inspecror
Ii A Rough-In Inspection
Is Reqwretl.
I ensed contractor ? owner hereby request inspection of above electrical work at,
ic
X
Job Atltlre (SVeet, Boz or Raute No.)
Secbon a. Township Name ar No Range No Counry
Occopa P IM) Phone Poo
Po Suppli Atldress
EI cal onvactor (CO?any Name `+^5? ?'4C.// ?/ Cor?y/dor' N.
C?
?
ling Atltlr s(COnVa r Owner In Insta ion)
Au nx Signah;e - ra rlOwner Making InStalla6on) PFwne umber ???
MINNESOTA STATE BOAflD OF ELECTqICRY THIS INSPECTION REOUEST WILL NOT
Grigga-Midway Bltlg. - Raam 5?173 BE ACGEPTED BVTHE STATE BOARD
1821 Unlversity Ave., $L Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 862-0800 ENCLOSED
REDUEST FOR ELECTRICAL INSPECTION
?`-p/? ? See instmcimns lor compleM1nq this lorm on back ot yellaw copy.
Plol 5 3 9 0 9 -Z' Bc-low Work Covered by This Request
Ne,A Aild R. TypeofBuAding AppliancesWired EquipmentWired
Home Range Temporary Service
DUpiex Wdtef Heater EieCtnC Heanng
Apt. 8uilding Oryer Loatl Management
Comm./Intlustnal Furnace Other (Specify)
Farm Air Conditioner
Otber (spemty) Goniracmrs Remarks?
U-30 iIf = ?oo
Compute Inspection Fee Below. 31 ^ g
# Other Fee # Serv'iceEntranceSize Fee # Circui4s/Feeders Fee
Swimming Pool 0 to 00 Amps ^>, 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SIgIIS Nspeclor5 Use Only: TO `<7'D
Irrigation Booms
Special Inspection ?f
Aiarm/Communicauon THIS INSTALLATION MAY B O I$CONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 THS
I, the Electrical Inspector, heraby Rough-in
certifythatthea6oveinspectionhas
been made. Final ra
sC
,
OFFICE USE ONLY
This request voltl 18 monihs imm
REQUEST FOR ELECTRICAL INSPECTION
-/p? ? See insfruclions 1or compieting fiis form on beck of yellow copy.
lol 53910 '?r Bs(ow Work Covered by This Request
? EB-00001-08
>4a/,C?-
Atld Rep. TypeoBwlding AppliancesWrced EqwpmenSWiretl
Home Range Temporary Service
Duplex Water Heater Electnc Heahng
Apt. Butlding Dryer Load Management
Comm./Industrial FUrnaCe Other (Specdy)
Farm Air Conditioner
Olher (speaM ConVactor5 Remarks' j = ?O (}v
d - `? i?o
Compu[e Mspection Fee Below. - 1 7 '-
# Other Fee # SernceEnlrenceSize Fee # Circuits/Feeders Fee
Swimming Pooi 0 to 00 Amps S 0 to 100 Amps
TfansFOrmefs Above 200 _ AmpS Above 100 _ Amps
Slyns Inspectork Use Only- L7 ?? ? T L
`?
Irrigaiion 6ooms _ / DL
J(" ?
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY OR DIPCONNECTED IF NOT
Other Fee COMPLETED WITHIN 7 TH
I, the Electrical Inspector, hereby ROUgh-m ? aie
cenify that the above inspection has
been made. Final e
/-(
OFFICE IISE ONLY
This request mitl 18 monihs from
tl T910 ? ? Z ? 4'?- ' ?-
?
Request Date .- ?
?
`-'Yj Rre N. Rough-in InspecLOn
Reqmre '+
? No
NOTICE: Vou Must Call Elactncal Inspector
If A Rough-In Inspecban
Is Reqmred
I censed contractor ? owner hereby request inspection of above electrical work at:
Job A ress ($(reet„BOx or out No )
i' f`r' Ciry "I
C.?•?'e.
Secho
n No Township Name or No Ranqe No Caunry
Occupan NT) Phone YJo
P r Supplie ? .? Address
Elec I CoMractor (COmpany Name)
40 Cont m5 icense No N/ //
? Or? ` (
IinB Atldres ont actor wner Maki nst tion
Aul Srgnatura on adoY wner Making Installahon) Phone Number
- - ? .- -
MINNESOTA STATE BOAPU OG ELECTpIqTY THIS INSPECTION REQUEST WILL NOT
Gnggs-Mltlwey Bltlg. - Room 5-173 BE ACLEPTED BV THE STATE BDARD
1821 Univerairy Ave., SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
PM1One(612) 6,12-0800 ENCLOSEO
???5
9 ? /
3
11 ?
9a
fie est ?ate `? .. Fire No Rough-in Inspe
eqwredl NOTICE: You Must Call Elednca1 Inspeckor
If A Rough-In Inspecvon
? s ? Na Is Reqmretl
I licensed contractor ? owner hereby request inspection of above electrical work at:
JaE Atl ress (SV t or RoNe Na ) Ciry
v
Seqion No Township Neme or No Range No. Cqunty
`
Oc[upa P INT) Phonel•4o
/
/
er
Paw P AGdress
?IlGontraolm
E ( mpa?y Name) A Co qot License N
inq Atltlre(COnhacl Owner aki nst ion)
1 ?
Aut r Signatura C raclor er Makmg InatallaLOn) Phona NumOer 311?
Y
MINNESOTA STATE BOARD OF ELECTflICITV THIS INSPECTION REpUEST WILL NOT
GtlggaMitlway Bltlg. - Noom &173 BE ACCEPTED BV THE STATE 90ARD
1821 Unlversity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
PhoneJ672)602-0800 ENCLOSED
f' ?/l/? REQUEST FOR ELECTRICAL INSPECTION
1 See insirudions for completing ihis lorm on back oi yellow copy
? M...5391 1 "X" 8elow.lyork Covered by This Request
+?v4"'T" EB-ODOOi-0
? ? /93/?--
? •
e Atltl Rep. TypeofBuiltling AppliancesWiretl EqmpmentWrtetl
Home Range Temporary Service
Duplex Watet Heater Electric Heating
Apt. Building Dryer Load Managemeni
Comm /IndUStrial FurnaCe Other (Specrfy)
Farm Air Condiiioner
Other (specdy) Cont r9 Re Fl?J
-? !y=
Compute fnspection Fee Below: -
# Other Fee # ServiceEntranceSize Fee # Circwts/Feeders Fee
Swimming Pool 0 t0 00 Amps ? 0 to 100 Amps
Transformers Above 200 _ Amps Above i Amps
SIJnS Inspector5 Use Only
? 7
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAV ORD EfYDI?CONN ECTED IF NOT
Other Fee COMPLETED WITHIN 1 TH '
I, the Electrical Inspector, hereby Rough-in , a?e 1 0-
certrfy that the above inspection has
been made. Finai oate
OGFICE IISE ONLV ?
TTis requesl wid 18 monihs firom
REQUEST FOR ELECTRICAL INSPECTION
? See insimcbons br completmg this form on back ol yellow copy
M.53912 `JC" Selow Wbrk Covered by This Request
.•? EB-00pp1-OB
e •Rdd Re 7ypeofBmiding AppliancesWrted EquipmentWired
Home Range Temporary Servroe
Duplex Water Heater Elecinc Heaung
Apt. Bwlding Dryer Load Management
Comm./Industnal Fumace Other (Speciry)
Farm Air Contlrtioner
Other(specity) CoMramp?§yemarks: %
/ ... v
v 2[ ?
Compute lnspection Fee Below: - ( 6Q
# Other Fee # ServiceEn[ranceSae Fee # Cirouits/Feetlers Fee
Swimming Pool 0 to 00 Amps 0 to 100 Amps
Transformers A66e 200 _ Amps e-1o0 _ Amps
$IJf15 Inspeclor5 Use Only. 7Q
Irrigation Booms
Special Inspection
Alarm/Communica[ion THIS INSTALLATION M9rY ORpERE IS?TED IF NOT
Other Fee COMPLETED WITHIN TH?r'v
I, the Elearical Inspector, hereby
certifythattheaboveinspectionhas
been made. RougRin ?
F,,,ai oa?e
a?e
?{-7
OiFICE USE ONLY
This request vatl 18 months fmm
M ?591
Repuest D"e
/? ?.?
(? Fve No Rough-in InspecGo
R uiretl?
? NOTICE: Vou Must Call Electncal Inspecmr
tl A Rough-In Inspection
Is Reqmretl
I C?IQjcensed contractor ? owner hereby request inspection of above electriral work at:
Job A ress (Slraet, ELox or R ute 0) Ci(VII
Seclion No. ownship Name or No Rarge No Caunty
Occupan P NT) Phone tJO -'
e ppher / Pddress
ncalCOntracmr(Cgmpany Nam Co or canse No
mg dress jCoryrac? r Owner Ma Ila?io
` ?C/
AN nze SlgnaWre( mra r er Making Installation)
J P e Number
&NNESOTA STATE BOAflD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mltlway Bltlg. - floom 5-173 BE ACCEPTED BV THE $TATE BOAflD
1821 Univeraity Ave., SL Vaul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(612) 642-O800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
11ee insVUdions lor mmpleUnq this form on back of yellow copy
M 53913 'C" Below Work Covered by This Fequest
ee-ooooios
Nl@w Atla Rep TypeofBuilding AppliancesWired EpuipmentWired
Home Range Temporary Service
Wa}er Heater Electnc HeaLng
Dryer Load Management
*
q Furnace Other (Speciry)
! Air Conditioner
-
-
Con?rado Re±ark$,,,_, ^?T OQ
1 ? C/
?
Compute /nspeciion Fee Below- ,fjv ^ 7 ?n
# Olher Fee # ServiceEniranceSze Fee # Circui[s/Feeders Fee
Swimmmg Pool 0 to 00 Amps a to 100 Amps
Transformers Above 200 _ Amps 700 _ Amps
Si9f15 Inspedor5 Use Only:
Irrigation Booms
Speciallnspeclion ?
Alarm/Communication THIS INSTALLATION MAY BE ORDEREP DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS ?
I, ihe Electrical Inspector, hereby Rougn,m
certify that the a6ove inspection has
been made. Final a e?? a_
OFFICE USE ONLV
This reQUest vaid 18 monihs from
? ??5 3 913 - ? ? a?
w
Request Date Fire o Rough-in Inspecho
wred?
es ? No
I NOTICE: Vov Musi Ca0 Electncal Inspector
p A Rough-ln Inspection
Is Reqmretl,
I ensed contractor ? owner hereby request inspection of above electrical work at:
Job dtlress (Street, Box or t No ) Ciry
Sec4on N Township Name or No flange No CouMy
Omup INT) Phone Ho
P PP6e Adaress
EI I CoMrflctor (Company Name ?
? sif Cont?/lo?ensN
61
v
aibn
AtlGre (COMra r Owner Ma I lavio
m 1
A onz Si9nalure (C ? t OwW Making Installation) Phone Numither
ii. _ ' _ _ - - . ?
MINNESOTA STAT BOAHO OF ELECTPICRY THIS INSPECTION REOUEST WILL NOT
GHggs•Mitlway Bltlg. - Room 5113 BE ACCEPTED BV THE $TATE BOARO
1821 llniversity Ave., St. Paul, MN 55104 UNLES$ PROPER INSPECiION FEE IS
Phone (612) 642-H00 ENCLOSED.
REQUEST FOR ELECTRIf;AL INSPECTION
n^
?/ j ? See msVUCtions br comple4ng this fomi on back oi yellow copy.
' 1•I 53914 `V'Be/ow Work Covered by This Request
?,C??"•=.' ? ee-ooooi-ona
Add Rep TypeofBwlding AppliancesWired EqwpmantWUed
Home Range Temporary Service
Duplex Waler Heater Electnc Heahng
Apt. Building Dryer Load Managemem
Comm.Jlndustrial Fumace Other (SpecAy)
Farm Air CondRioner
Olher (specity) ConVaC,7 Remy],Sw` p ' 7
- C?.?? I ??
Compute Inspection Fee Below. 5 ?e L) '700
# Olher Fee # ServiceEntranceSize Fee # Circuifs/Feeders Fee
Swimming Pool 0 to 00 Amps ilf?l 0 to 700 Amps
Transformers Above200-Amps ve100_Amps
SIgnS Inspec[or5 Use Only 7
Irrigation Booms
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY OR ED?DI$CONN ECTED IF NOT
Other Fee COMPLETED WI7HIN 1 THS ?
I, ihe Elecirical Inspector, hereby Rougn,n
certify that the above inspection has
been made. Flnal oaie ,
OFFlCE USE ONLY
This request wid 18 monffis IrOm
???53914
Pk ue9(Dat??
1 ?•f
L? { IFird No Rough-in InspeLtmli
eqmr 9
? No NOTICE: Vou Must Call Electncal Inspectar
If A Rough-In Inspeqion
Is flequrtetl
I i nsed contractor ? owner hereby request inspection of above electrical work at:
do A r ( eat, Box or ute o f
?
? Ciry
Seciwn No Township Name ar No ' Range No. Counry
Occvpa P NT) Phone tJO.
PoV pplier
f Pddress
Incal ConVacWr (COmpany Nam ? Con cWr icense No • / ?
m ? L
Meiling Ad s(COn r or Owner aki Instal ion) ' ?
Au riz SignaNre ctor/ ner Making Installa0on) Phone Numbar
MINNESOTA STATE BOAHD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlvray Bitlg. - Room 5173 BE ACCEPTED BVTHE STATE BOARD
1821 Universiy qve, SL Peul, MN 55109 ? UNLE55 PPDPER INSPECTION FEE IS
Phone(812)642-0800 ENCLOSED
?,,,!!!? y, REQUEST FOR ELECTRICAL INSPECTION
?p?/ ? See msVUCtions tor complehng this form on back oi yellow copy
lol 5 3 9 0 3 _ -X"Below Work Covered by This Request
?a EB00001-08
Add Rep TypeofBwlding ' AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elactnc Heanng
ApL Building Dryer Load Management
COmm./InduSirial FumdCe Other (Speciry)
Farm Air Conditioner
Olher ispecify) ConV;olprh{ierparks `7O bCl
(t'?(f ?
Compute Inspecfion Fee 8elow: 3( -160 760
?
# Other Fee # ServiceEntranceSize Pee # Circuits/Feeders Fee
Swimming Pool 0 to 00 Amps ,j 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
S190S InspecWrS Use Only ? 7Q
Ircigation Booms
Special Inspecnon
Alarm/Communication THIS INSTALLATION MAY ORD DI?CONN CTED IF NOT
Other Fee COMPLETED WITHIN 1 TFIS
I, the Electrical Inspector, hereby Rough-in oe?q
!
certify that the above inspechon has
been made. F,,al e
f
OFiiCE USE ONLY
This requeat voitl 18 monlhs fmm
P?
90 ? '
Request Dle ? ??? Fire No Roug?-in InspecUO
R?Qm? ?
?fes ? No NOTCE: You Mvst Call ElecV¢al Inspector
I! A Rough-In Inspechon
Is Reqwretl.
I icensed contrador ? owner hereby request inspection of above electrical work at,
Jao AtldLress (Street, Box or Route No )
V Ciy
Sechon N. Township Neme or No Range No, Caunty
Occu PRINn ? Phorie No.
p Iler Pdtlress
mal Contractor (COwpeM Nam . Co actor License No.
ai6ng Atltlre (COnV r or Owner s?all on?
Au?h ze ignature (GonV or wner Makinq Installation) Phon?Ny?ber
/ ?
?
MINNESOTA STATE BQARD OF ELECTFICITY THIS INSPEGiION REQUEST WIIL NOT
Griggs-Mitlway BIAg. - Room &173 BE AGCEPTED BY THE STATE BOAFD
1821 University Ave., SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
POOne (672) 602-0800 ENCLOSED
?/??/?`` REQUEST FOR ELECTRICAL WSPECTION
?p? -T ? See mstructions far rqmpleting this lortn on back of yellow rqpy.
191 53904 "X" 8elou4.WOrk Covered by This Request
Gee.ooooi-oe
?? .
e Add Rep TypeoBwiding AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industnal Furnace Other(Specity)
Fartn Av Conditioner
Other(specify) Cantraqor5 Remarks Q6
O 7ov
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Paol 0 to ao Amps 0 to 100 Amps
Transformers Above 200 _ Amps _ Amps
SIgnS Inspector's Use Only.1
?'7
(J 7p
Irngation Booms p
Special Inspechon ?
Alarm/Communication THIS INSTALLATION MAV B ORDERE I?CONN ECTED IF NOT
Other Fee COMPLETED WITHIN t THS
I, the Electrical Inspector, hereby
if
h Rou9n-n
y t
cert
at the above mspection has
been made. Final
(0 3
OFFICE USE ONLY
This request witl 18 manihs from
? r•59?9 0 4
?2?
? esi Dat^e ? `^? ? •'
??
RL Fre o. Rough-m Inspec !
uiretll
s ? No NOTICE: You Must Call Electncal Inspeclor
I/ A RougRln Inspecbon
Is s Repuved
I 'censed contractor ? owner hereby request inspection of above eledrical work at:
Jo A ress (St t, x or Rout N ?
?l ? Cny
Seceon No. Township Name or No Rarge No. County
Occup t FINT) Phonel9o.
P e?'?Supp r
? Pdtlress
cal Contractor (COrILany Name
le ?? CoyRaZmr icense No
/ ?
? ? ? V
iling Adtlres ont or Owner Me g I ati
Aut n tl Signatu e tract Owner?
? Installa0on) Pho Number
INNE30TA STATE BOAHO OF ELECTRICITY THIS INSPECTION REOUEST WILI NOT
Griggs-Mitlwey Bltlg. - floom 5-113 BE ACCEPTED BV THE STATE BOARO
1821 University Ave., Sl. Paul, MN 55109 UNlESS PROPER INSPECTION FEE IS
Phona (612) 642?0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
? See instmclions for completing this farm on batk of yellow copy.
lal 5 3 9 0 5 'X" Below Work Covered by This Request
EB00001-08
?
Uq$ Add Rep Type of Building AppliancesWired EqwpmentWired
opl- Home Range Temporary Service
uplex Water Heater Electnc Heating
pt Budding Dryer Load Managemem
I omm./Industnal Furnace Other (Speciry)
Farm Air CondRioner
Ot
her r (specity) Contractor5 Remar_'s: 70 E?6
Q J ?? ?
Compute /nspechon Fee 8elow: J/ ??? ? 7 e?) 0
# Other Fee # ServiceEnirance5¢e Fea # Circuits/Feetlers Fee
SWimming Pool O to 00 AmpS O l0 100 Amps
Transformers Above200_Amps 9bov_ 0_Amps
Signs Inspector§ Use any
Irrigation Booms ??
C
Special Inspection ?,
Alarm/Communication -
THIS INSTALLATION MA RDISEONN TED IF NOT
Other Fee COMPLETED WITHIN 7 HS.
I, the Electrical Inspector, hereby Rougn-in oai 1
?
certify that the above inspection has
been made. ate
?
OFFICE USE ONLV
This request witl 18 manths From
. M 0
51,4 ?-
RequDate
?
i Fre o Rougn-in Insp
Hequ d
s ? No NOTICE: You Must Call Elecfrical Inspector
II A Rough-In Inspedmn
Is Reqmretl
Irensed contracror ? owner hereby request inspection of above electncal work at:
.bb7Add ss (Sl?a: Vx o? o o City
. Saction No Township Neme ar No. Renge No. Counry
Occup t RINT) PhOne N.
P r Atltlress
Elecln niraclor (COmOany Name) Co d ¢ense No ?
i1
' pLMj
O.na, g I tion)
ilmgA
%
W
ature ing InslallaL On) Phone Number
7
,- -
MINNESOTA STATE BOARD OF ELECTHICITV THIS INSPECTION REQUEST WILL NOT
Gngga-MiOwey Bldg. - Room S173 BE ACCEPTEO BYTHE STATE BOARO
1821 University Ave., St Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (812) 602-0800 ENCLOSED
?/??/9?/, REQUEST FOR ELECTRICAL INSPECTION
?? ?? , See mstmclions tor campleLng Ihis fiorm on back of yellow mpy
M 5 3 9 0 6 "X" Below Work Covered by This Request
?i
' E/B?-00001-2OB
• ?;
Add Rep TypeofBUilding AppliancesWiretl EquipmentWired
Home Range 7emporary Service
DupleX Water Heatef Elec[nc Heating
Apt. Building Dryer Load Management
Comm /Industrial Fumace Other (Speafy)
Farm Air Conditioner
Other(speafy) ConV?e(or?R?/ ?atlc?? ^ J? ? ?y?
?? ? C/hL7
Compute Inspeciion Fee Below: 7V
# Other Fee # ServiceEnirance5rze Fee # Circuits/Feeders Fee
Swimminq Pool D to 00 Amps o to 100 Amps
Transformers Above 200 _ Amps Abqve_700 _ Amps
Sig05 Inspectar5 Use Only. T %
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD I?CONN ECTED IF NOT
Other Fee COMPLETED WITHIN 1 THS
I, the Electrical Inspector, hereby Rouyn,n , s? ?7 G
certify fhat the above inspection has
been made. Final at?
OFFICE lISE ONLY
This request witl 18 months Irom
?1' 31y; 0 6
Ftequest Date Frt No
:??? y
? Rough-in Ins
Aequ d'+
es ? No NOi1CE: You Must Call Eleclncal Inspedor
If A Rough-In Inspeciwn
Is Requiretl
I*ensed contractor ? owner hereby request inspection of above electrical work at:
Jab Atl ress (5 I?Bqe ar qou o.) /
?-
?7 CAy
Section No. Township Name or No Range No. Caunty
Occup RINT) Phone Poo
P u . r ress
cal ContramorACOmpan(?%`/?
a Contr toV/
ilin tlrass (ConVa Owner M tall
? •
ANh e Signature ConV AOLI?c/,Demar Making Installation)
a
- ? P on umber
? C.
/?
MINNESOTA STATE BOAFD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bltlg. - floom 5-773 BE ACCEPTED BV THE STATE 90ARD
1821 Universily Ave., SC Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phona(613)fiC2-0B00 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
ji? See mslmctions br mmpleting lhis tortn on back oi yellav copy
M 5 3 9 0 7 `X' Below WOrk CovBred by This Request
?`' Es-oaooi-ae
wli ?,
dd Rep TypeofBmlding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplax Watef Heater ElecVic Heanng
Apt. Bmiding Dryer Load Management
Comm /lndus[rial Furnace Other (Speciry)
Farm Air Conditioner
Other(specdy) Con ork Re A ?
?o % Y = ?,
Compute InspecNon Fee Below: yll-!6 / i 7,90
# Other Fee # ServiceEntrance5ize Fee # Cirouns/Feeders Fee
Swimming Pool 0 to 00 Amps to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SIgf1S Ins rSUSeOnIj? \ T
???
Irrigation Booms ? '?
Special Inspection ? j j?6Q ? 76
Alarm/Communicanon THIS IN TALLATION MAV BE ERED 1?tOYNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M
I, ihe Electrical Inspectoy hereby Aouqnm Q?, -If oat
certify that the above inspection has
been made. Fnai Date ?
OFFlCE USE ONLY ?
This raquest wid 1B monihs from
? M?./
y3907
51
-, ?
?
est Date /
??-?
R(j j Fi No Rough-in In ?on
w ?
? qp NOTICE: Vou Must Call Electncal inspedor
II A Rough-In Inspec6on
Is Feqwretl
I)Rrlicensed contractor ? owner hereby request inspection of above electrical work at:
Job tlr@ss Vee? Box or u?e No.)
% City
Seqion No Township Name or No Range No. County
Occupant T) 1
A V? - Phonel9o.
Paw r pher AaCress
cal CoMrflcmr (Co`peny Name) Coector5 cen9e No
V VL (
ibng AO r (COnV o or Oaner Ma g IaLO ,
4 Y++C
Aul z Signature o
4 9 40 1 1 a /Owner Making Installabon)
Phone Number ` `
/
?
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GriggaMidway Bltlg. - Foom S173 BE ACCEPTED BVTHE STATE BOAflD
1821 Univerelry Ave., St. Paul, MN 55104 UNLESS PROPER INSPEGTION FEE IS
Phone(812)802-0800 ENCLOSED.
REDUEST FOR ELECTRICAL INSPECTION
V? ? See mstruc4ons For compktlng this form on back ol yellow o>py.
M 5 3 9 0 8 Jl" Below.YNork Covered by This Request
g ?
E000001OB.Atld Rap. TypeofBUiltling AppliancesWired EqwpmeniWired
Home Range Temporary Service
Duplez Water Heater Eiectric Heaeng
Apt. Building Dryer Load Management
Comm.Mdustrial Furnace Other (Speafy)
Farm Av Conditioner
Other (specdy) CorilJQc?orRer?3rk5;
?? ?jU
Compute Inspection Fee Below: 3,/ - Je5(,) ? ! Da
# Other Fee # ServiceEntranceSize Fee # Cucurts/Feetlers Fee
Swimming Pool 0 to 0 Amps 1 0 to 100 Amps
Transformers Above200_Amps A ve100 Amps
SignS Inspecror§ Use Only.
Irrigation Booms
Special Inspection L
Alarm/Communication DISCONNECTED
THIS INSTALLATION MAXA3f OR IF NOT
Other Fee COMPLETED WITHIN TH .
I, the Electrical Inspector, hereby Rouyn-in
a•7 ?
certity that the above inspection has
been made. Final
?
OFFlCE USE ONLY
This request void 18 moMhs imm
9o s
R
O Rough-in Inspac
R qm 4
s ? No NOTICE: Vou Must Call Eledrical Inspector
If A Faughin Inspection
Is Required
I ensed contractor ? owner hereby request inspeaion of above electrical work at:
Jab Otlresa (Street, 0ox Ro e Na)
0 ? Qly
Seclion No. Township Neme or No. Rang¢ No County
Occupa ? INn Phone fVo
P Suppli r Address
EI calConVaclor (COmpeny Name) % CoplrpcTO icenN.
Ls l
IingAtltlre Co racl OwnerMaking nal n)
Aul n SgnaWre traqor/ ner Making InstallaLOn) Phone umber
.i
• - -
MINNESOTA STArTE BOAflU OF ELECTqICITY THIS INSPECTION flEQUEST WILL NOT
Grigge-Midway Bldg. - Room 5-1TJ BE ACCEPTED BV THE STATE BOARD
1821 Univeralry Ave., St Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612)842A800 ENCLOSED
OCT-25-07 02,:A_PM_ FROM-Restoration Prafessionals 651-379-1991 T-268 P.002/009 F-803
?0122 00
2007 RESI1)ENTIAL BUILDIlNG PERMIT APPLICAT[ON ?(J
City Of Eagan
3830 Pilot ICno6 Road, Eagan MN 55122 ?, ??/?
'I'elep6one # 651-675-5675 FAX # 651-675-5694 C-`?""C- ? ?
New Cvsvumon Reauremen6
3 registaretl stt suneys show6g sq. R d Id, sq. k of twu k; and 01 rofed were
(20%marimum lot ov.ege a9c.veC)
1 Sods RepCR if proPosed bulld6g is ta be piac0tl on tllsGU 7en sal
2 copies af plan ffimvuig 6emn 6 windmv izes, poured 1a nd desgn, eEc.
t setof Ener9Y Calculetiars
3 copm WTree PreservaGon Plan IFIIX pleW efter 717I9F
Rim Jast oeqli Opuans sdechon sheeE (bw76ngs wrcn 1 e r les wils)
n6nnegasm mecfienical venphtion iam
aamotleUReoalr Reaulr
2copiesmWansnoWng+aotin8s, eeams.ldsts Cwtd'SUney,f?ca:, y _x
lsetotEneagyWWilatlaisfarheatedaddtims So3sRepar•:'K-,:,_.' -_Y'_k
1 shesurvryforadd"roaro8deds ,
TieeRrlPIeP,ReWd Y;N.
Add'ffon-iridreatedonartaseWiesys(em Tree.Pres'RSqi{red,: `f `<N
Q?n%daSeGGeSys?m .; Y.
pian? ara cnnsidarad onblic irifermafien unless vou state thev are trade secret and the rea5on.
' '--'- -'- ----'-- '-- ---- -----___ - -
?
Date lo / Z+'- 74 . 10
/-Z?? Constroctian Cost
SK¢Address 407 )L JACAQeu3L.'sLK G??v6 4A4cw s4&% [IniUSte #
1 T•
Descriprion of Work frMaE. + ZkS -7'-4 SF R'kY whw -t-?(-? S F? ??.VQV° ?
/ -77?.rr w ks a^wA?b a r w,?, ?e •
Mahi-Family Bldg _ Y! N Ftireplace(s) - 0 _ 1 _ 2
ProperryOwner ?,?5 SLR.n.wC K'r w? Telcphone#((el-+-) -70°1 - SLtL6
Cootractor ?S7 aftFCC'terJ h?oGeSSre.?M.-t
Address S?S M.?wfcurt-?aA?c_ W City CT' r-pc+- '
Stah !(.3 Zip Telep6one #( L s t) 3 t?t- 4t10
Ao.s G?kr? ? Q,C.o'5?.?' YIiW ne?F ,4 I
COMPLETE TNIS AREJ71 ONLY IF CONSTRUGTING A NEW BUILDING
- Mi?Mg,ota Rules 7670 Cateeorv_L _ Minncsota Rules 7672
Energy Code Category ,Rea ;demiai venUlatlan Category 1 woAcsneet • New Eaergy Gude Woncsneet
(,I submission type) Sul milted Submided
• Eneergy Ernebpe Galculations Sudmiped
aJ
In the lasi 12 monihs, has the City of Ecgon issued a permit for a similor plon based on a master plona I
_ Y _ N if yes, dote (md addrass of mosier pion:
?rJ \ 17
Licensed Plumber Telephone #? j
nnechanical Contractor QC i 2? 7007 7elephane #(
Sewer/wpter Comractor Te[ephone # ( }
I hereby apply for a Residential Building Permit and acknowledge that the information is Complete and accurate;
that the work will be in conforma nce with the ordinances and codes of the City of Eagan and the State of MN
Statutes; i understand this is not a pcrmit, but only an application for a permit, and work is not to start without a
permit; that the work will be in aa:ordance with the approved plan in che case of work which requues a review and
approval ofplans.
?E?Akr-+uJ ?La?SS?a??en?C.- Sm? Ktia.t..c+. ?•? c??
Applicant's Prin[ed Namc ApplicanYs SignaEure
OCT-25-07 02:44PM .. FROM-Restoration Professionals
651-3T9-1991 T-26B P 003/009 F-803
DO NOT WRTTE BELOW THYS Y.TNE
Sub Tyoes
0 01 Founda?ion O 07 05-ple.(
?'13 76-plex
0 20 Pool
O 30 Accessory Bldg
02 SF Dwelling 0 08 06-ple c o 16 Fireplace ? 21 Porch (3-sea.) O 37 Ext- Att - Multi
?
03 oi of_plex O 08 07-plec O 77 Gardge ? 22 PorehfAddn. (4-sea.) ? 33 ExtA1t-SF
? 04 02•plex ? 1o 08-plec 0 18 Deck Q 23 Porch (screen/gaze4Wpergola) O 36 Multi Misc-
? 05 03-pleX ? 17 10-ple c ? 19 Lower Level D 24 Storm Damage
O 08 04-plex ? 12 12-ple c O 25 Miscellaneous
Work Types
f3 31 New ? 35
Int Improvament
? 38 Demolish Interior
? 44 Siding
O 32 Addition O 36 Move Building O 42 DemOiish Foundation O 45 Fire Repair
? 33 Altereti0n ? 37 Dem01i5h BUilding" Q 43 Reroof O 46 Windowsl0oors
? 34 Replacement 'Demolitioo (Entira sldg) - Gwa PCw handout to applicant
U/,q?2.
Descrfotian• WamrDamago_ves
Valuation U)b • aD Occupancy MCES System
Plan Review 100°k or _ 2i%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# af Bldgs Length Fire Sprinkiered
Type Of COnst Wdth
REQTJIKED INSPECTIONS
Footings (new bldg) _ Sheelrock
Foo6ngs(deck) FinaVC.O.
Footings (sddirion) -?L0 FinaUNo C.O.
Foundatian HVAC
Drain Tile Ot'cr
Roof Icc & Waler Final Pool Ftgs AidGas Tcscs Final
Framing ? _ $iding _ $lucco Lath _ Stone I.ach _Bz'ick
Firtpl4ce R.i_ AirTest Fine! Windows
? lnsulazion ? _ Retaining Wall
Approved By: 412V ! . 13uilding Inspedor
Base Fee _
Surcharge ?
Pfan Review _
MC/ES SAC T
City SAC _
Utility Connedion Charge _
S&W Parmit & Surcharge ?
Treatment Pfant _
License Search J
Copies _
Other _
Total _
?
FOR.• GARDENER BROS. HOML-S
6Z ,, V'I
25'_? 32
,A
.
e?
Ora?oo9ert .-?
Ease(0
;' .
-?
/
-r---?--
?
?
co,
?
? o
. ,
.
.
?
f
/
???J
-Zr?'
? DENO TES 91 FOO T OFFSET.
0 DENOTES Pf?OPOSED ELEVATIONS.
??--- DENOTES DIRECT/ON OF DRA/NAGE.
rvoRrH
w (?
00 --
4?
x
75-
PROPOSED ELEVA TIONS.•
TOP OF BL OCK = 918. 4
GARAGE FLODR = 918.0
Py
L o t 2, B/o ck 1, Rl l/ER BL UFF TO WNHOMES, Dako ta Coun ty, Minn eso ta.
?
Sca/e: 1"=40' / hereby certify thot this plon, survey or report was prepored MaRUfl dSONa, INC.
Disk Riverb/f by or under my drrect supervision and that l om o duly LAND SURVEYOR6
File LOT 2 Re is red Lan S rveyor under the laws of the Sfate of 918o L@XINGTON AvE, NO.
Mi eso . is -i'fh day of? 19, 93 . GIRGLE PINEB, MINNESOTA
Job No. 9zzaz? Registrofion No. 17V5' 56014-3626 TEL. 786-5$66
?
N
L2, B7
((Fr Aa n, no,Li
E%TEAIOR ENVEIAPE AVERACE "U" COMPUTATIONS
(to.be submitted vith.building {>ermit applications)
Type °A" Buildings ConCractor
Type "8'i Suilding9 ' SSta A<ldreas
Date ?-31 • 9? Phone ?"'?o'581 I_ Other PLAN ??-102lP
3z' Two sTmY
LINEAL FT. OF Pi. ABOVE CRADE= 146I,49
EXP0.5ED WALL X
TOT,iL EXYOSED WALL AREA SQ. FT.
OPAQUE NALL CONSTR CTSONe °U" vaLue x area
IoA6.CB"c) IroYIo.it,o x sq. ee. 5 -3.-44- (u (A)
OeCa11 5fG I."uu.L- ?'U"O.oT'1 x sq. ft. tG,2. ?U (A
reference 01 kc "U" .oQx sq. ft. (.OZO ? A. (U A
from c c. 77 "U"oo82 x sq. ft,z•aZ (U IA
tached ??A "Ul' • x aq. lY.? A
at
ahnota ? Aw N? 0.07 x aq. -ft. ZZ boo U A
? g?_x eq. ft.
x f (u (A
liU" x aq, ft, ? (U)(A)
NINDOWSC °U° value x area 3?.
Make & type IkY_?uL. "U"b.SaD x eq. ft. 6?103 52- R 1U)(A)
n n "pll x sq. ft. ? U A
°U" x aq, ft. ? U A
u of • ?'U" x sq. ft.. U A
u u ??U ?I x aq. fC. n U A
u "U" x sq. ft. ? U A
u a C'ug' x sq. ft. ? U A
ii u . . uuu x sq. ft. U(A
DOOR4S °U° value x area
Haks & type `sn-- 105uL. l'll"A?b x sq. fC. (U)(A
11 it
10 so AKuL. '1 IU
"V" x sq,
rv. "U?'=x sq.
ft. ?
fC.?•?? ?
(U (A
(U (A
is it "U" x eq, ft. - (U (A
of II sq, ft. - (U (A)
of 11 ft. ? (U (A)
TOTALS 14-0I•?Sq.Ft. I Cf- •91 (U)(A)'
TOTAL (U)(A) VALUE3 DIVIDED SY •87 ? AVC. "U" -
TOTAL WALL AREA 4
49
0I,
I RE
UIRE O AVa °UI' ?•?
Q
. _
ROOF/CEILINC:
f
TOTAL ARE4: eq,
t.
Detall POSIlG CElCln,lL• "V"O.Oa$x sq. ft. 410 ? ZZ•?$ U(A
reference "U" x sq. ft. ? U (A
lrom "U" x aq, ft. U(A
attached "U" x aq, ft. (U (A
aheeta x eq, ft. (U (A
. TOTALS $a Sq.f't: 22.15 (U)(p)
TOTAL' (U)(A) VALUES DIVIDED BY ZZ?S . AVG. "U"
iOTAL ROOF/CEILING ARFA
62(
" 0
"
REQUIREO AVC. U ?
•
TOTAL ENVEIAPE CALCUL4TION METHOD
DESICN:
4fALLS - x TOTAL yIALL ARE4
ROOF/ - x•T02AL ROOF/CBLLINCCEILIHG
ACTUALt
c
TOiAL
tfALLS x
ROOF/CELLINO x • R
TOSAL
ACTUAL -K ' DESION
?r--
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: 2 BLOCK: 1 APPLICANT:
4056 MEADOWLARK CURVE GARDNER BRO7HERS CONST
RIVER BLUFF TOWN HOMES (612) 481-9600
P E q TIT SPP TYPE:
TYPE OF WORK: NEw
BUILDIN6
021879
09/02/93
INSPECTION
FOOTING .. .
FRAMING .,
INSULATZON FINAL
FZREPLACE
REMARKS: INCL 4060 4064 4068 4072 4876 4080 4084 4088 4092 4096 4100 MEADOWLARK
* 2-HR AREA WALLS S& W PLBR - ELANDER MECH
I ?
?CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
Bu31c?l`HWPermit Type 12-PLEX
?ktilding?q
rk 7ype NEW
?
,U" Oc6u'an" R-3 M-1
Cons"C?^rxctitSry ?pe V-N*
Zdnirig R-4
Bui.lding EengCh ` 196
Builda.rrg Wittth ? 72
BUild?,rxV stnrfes ? 2
12.600
$680,000
DESCRIPTION:
loo?
REMARKS:
INCL 4060 4064 4068 4072 4076 4060 4084 4088 4092 4096 4100 MEADOWLARK
" 2-HR AREA WALLB S& tJ PLBR - ELANDER MECH
FEE SUMMARY
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$31.804.$9
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4056 MEADOWLARK CURVE
LOT: 2 BLOCK: 1
RIVER BLUFF TOWN HOMES
vALuarxoN
$2,579.71
$1,676.68
$340.00
$9,000.00
100
12
$13,596.39
(?(?/?Tp?T(?p? - MPPi.?canc - ?i. ?1?. ?/??p
'G7?RUNERCB1fDTHERS CONST 14819600 0002736 H?R71A'G? DEVELOPMENT
450 E COUN7Y RD 0 450 E GOUNTY ROAO 0
LITTI.E CANADA MN 55117 ^ LITTLE CANADA MN 55117
(612) 481-9600 (612)481-0017
?
S hereby ankcnawledge thBt T have read,;this applfaation ahtt state tFsati the
inf6rmaxian is carrect and aqre!e Go compky with all epp2iaa61e State of Mtt.
Statute-4 and ?City nf Eagan Ordinanoesi,
APPLICANT/PERMITEE IGNA7UFE ISSUED W. SI NATURE- \1 ??
021879
08/02/93
CITY SAC
WATER CONNECTION
S & W PERMIT
3 & W SURCHARGE
TREATMENT PLANT
ROAD UNTT
Total Fee
$1,200.00
$8,340.00
$100.00
$.50
$3,888.00/
$9.680.00
REArTIuATE r
PERMIT rl
CITY OF EAGAN
1993 BUIiDING PERMIT APPLICATION
681-467s
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specif.ications, 1 copy af 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) tot change is requested once permit
is issued.
Date -7 / 1? 93 Yaluation of work ?Ua
"
4
'
?
'
?
? ,
4??
u[k
.>r4;t?.41?. 0!?:?_ti µ?'1L O
fD4? D??- ?I-Dq(? ?I00
bO ?'?
?
i;
Site Address: ? .
STR£ET yY1EAt?OwCAKr. C42vEF SU1TE M
Tenant Name: (co;nmercial only)
W1' BIACK ,...t.t? susn. R.`ver 61u? P.I.D. 11 -
Descri tion of work: Vfco?
The applicant is: B Owner 0 Contractor ? Other (Deseribe)
Name Rzr?tu? ?p?e.?ove,,,..Q?..?{- Phone 48I- oorl
Property L.sr FIRST
Owner qddress `rS'O E Co %?.J Ll
STREET . STE I
City L;41e State /VIN Zip SSII?
Company G?,J.e.- Qro?> ?wc???c-??vw Phone 1Ig{-1600
Contractor Address 41110 E Ca License # ;1734 Exp.'icf
City ?i-4Le Cc,?uState /YlN Zip
Company Fhone -38'2!
Architect/
Engineer Name Registration N_l0`d
Address -)`f f i?, /Yl4-, o, A-„a- N.
City MaI S State MNj Zip SSy43
Sewer & water licensed plumber E1ujer Me?L hic.J Processing time for
sewer & water permits is two days once area has een approved.
I hereby acknowledge that I have read this app1'ication 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
. ,
BUILDING PERMIT TYPE ? .. r , , • .
? OI Foundation O Ofi Duplex ? il Apt./Lodging° ?`16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.' ? 17 Swim Pool
? 03 SF Addition 0 08 8-Plex ? 13 6arage/Accessory ? 18 Comn./Ind.
? 04 SF Porch F 09 12-Plex ? 14 Fireplace ? :9 Comn./Ind. Misc.
0 05 Sf Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility
? 21 Miscellaaeous
WORK TYPE
IZ 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish
? 32 Additlon ? 34 Repair 0 36 Move
GENERAL INF ORMATION
Const. (Actual) v- N Basement sq. ft. MWCC System yE3 .
(Allowable) v- Mlst F1. sq. ft. City Water ?
UBC Occupancy Znd F1. sq. ft. 5i!2 t= PRV Required
Zoning R-u Sq. Ft. total ?ik,ra Booster Pump
# of Stories Faotprint Sq. ft. 12&pp
z Fire 5prinkler
Length _
1916 On-site well Census Code /bS
Depth On-site sewage
77 SAC Code 03
APPROVALS -
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS 4 t,?i+'-. 2..4R AlZF.,n, 1-1a+t,1_5
? Site Cg Footing jg Framing Insulation
UL Wa116oard I;i? Final ? Draintile ?Fireplace
Permit Fee 2-5r79, P viwe+on:
Surcharge
Plan Review I ? 6,6? '
License
?---
11? , L
QCCI?? I? pP.rm,& f2e beCtU9c dvx?_ Wu9 mpd,_ ?
MWCC SAC
City SAC !10oO.00
J2a0.00
\od
frir $?°?,?'C?{.`?q• 1
Water Conn. g3yp,pp
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge , s-b •
Treatment P1,
Road Unit ?oo
Park Ded.
Trails Ded.
Copies
Other
Total : _31 1304.bd
SAC % DO
SAC Units jZ,
h
PERMIT# 44JQ/- RECEIPTDATE: F 9- 7 OI
MIDE1VTIAL PLUM$INfi P$iiMiT APPI1CAT10N
CITY OF F1k6ileN
S$SO PILOT KNOB RD
EAHAN, MN 551EE
651-681-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE#: 12_O 27 " *33
(AREA CODE)
CITY: M 1Q1S STATE: Mlrf ZIP: SSqd?
-r
Place a check mark next to the oermit work tvoe
New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existina dwelling unit, inciuding: $ 50.00
• abandonment of septic system
• new installation/repairlrebuild of RPZ
. lawn irrigation system
• waterturnaround
NaWreofwork: t'LDrJIa,CS2, (Ja,X7e?
Septic System, new/refurbished - $ 225.00
• includes Caunty & Consulting Inspector fees
• requires MPC license
?
?
I
j? ?? ? y7
?
State Surcharge ? FE
e2
?? $ .50
6 2nn
ll
Total Qy- ? $
Reminder. Be sure to schedule Inspections of alterations, t.e. wateFfieaters, water softeners, etc.
I hereby acknowledge that I have read this applicatlon, state that the information is correct, and agree to complywith all applicable Ciryof Ea9an ordinances. It
is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operetional and maintenance achvihes to the hacllities conshucted under this permit within Ci[y property/right-of-wayfeas e t.
SIGNATU PERMITTEE
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system _
DRUMN101vO iOIHJ
4076 ME.4UGWLARK CUHVE
EAGAN, PAN 55122
[6e11aaa'2nea TELEPHONE #:
(AREA CODE)
Updated tlOt
5/3? /5?
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIFtED FOR EACH UNIT.
vLp. FIXTURES
SHOWER
as WATER CLOSET
jo BATH TUB
3z LAVATORY
12, KITCHEI'd SINK
_ti- LAUNDRY TRAY
HOT TUB/SPA
i Z WATER HEATER
i Z FLOOR DRAIN
GAS PIPING OLTfLET • mtntmum - t
ROUGH OPF..NINGS
WATER SUFTENER
PRIVATE DISP. - DaLCty. lic.
U.G. SPRINKLER • nome unau cDnst.
ALTERATIONS • w adsting
WATER TURN AROUND
F.ACH
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
S.IXI
15.00
3.00
15.00
15 00
?TAL
9 ? ?•
36 =°
3k'?
3--?-
3G
. Q? y?
STATE SURCHARGE .50 ??4?0
TOTAL: /Y/E-A+, au1L,o,e/c I-O? q/a a
STTE ADDRESS: 40SI, - 4&( o - 4n6¢ - 466g 4oso - ¢0s4 -4688 - 4o31z -90&
OWNER NAME: GA,2D,JE-+e- [&&5
WSTALLER: OS z
Ani)RF.SS- 7 'I jODEr-
CTTl':
L
STATE: ZIP CODE: ?< <
PNONE #: ( 6(2) (04?a- r?"(o 77
SIGNATURE OF P R ITTEE
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED fiOR EACH
DWELLING U::;T.
_ NEW CONSTRUCTION
ADD ON
REPAIR
woxx nESCxirriorv:
CONTRAGT PRICE:
FEE: 1% OF CONTRACI' FEE.
STATE SURCHARCE S.SO FOR EACH $1.000 OF PERMYf FEE
MINIMUM FEE S 25.00 " "
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
TENANT NA111E:
OWNER NAME:
INSTALLER:
ADDRESS:
CIT'Y:
PHONE #:
STATE: ZIP CODE:
FOR:
CITY OF EAGAN
$
$
STE. #
APPLICANT
MECHANICAL PERMIT (RESIDF•NTIAL)
CITY OF EAGAN
3830 PILOT KNOB RU
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
? NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE.?4!a,
r
FEES
HVAC: 0-100 M BTLT $ 24.00 X?y =?22?50 D
ADDITIONAL SO M BTU 6.00
t'rAJ OLTTLETS (MiN.MUh; 1@ $3.00 F_ACTn) 310D ) Z- _$'3(+? ? U Q
ADD-ON/REMODEL (ExISTTNG CoNSTxucrtoN) $ 15.00 oO
STATE SURCHARGE .50 _ 6D
TOTAL
4) no, 4vqb,4bqz-,Zk8B,W14,40 0,9t1'l??ilu?w
SITE ADDRESS:Q{?? ?IDrS' f 467D#? 4f?laU? ?lo (uk
OWNER N E: TELEPHONE #: `91-W ?
INSTALLER: N AL?
ADDRESS: (141 ? I CLW- " 1
CITY•.1 "/C)) Y1bKUe STATE: fhJq ZIP CODEP???
TELEPHONE #: ????
??? ?qO
??? ) y?
1993 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
- -----------
DATE:
CONTRACT PRICE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF L:PNT,RAaCT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SLJRCHARGE $.50 FOR EACH $1,000 OF ???,I' FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONL7)
INST
ADDRESS:
crrY:
STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
city oF eagen
THOMASEGAN
Mayor
1994
March 25 PATRICIA
DA
, S
HAWN HUNTE
SANDRA A. MASIN
THEODORE WACHTER
Councll MemCers
GARDNER BROTHERS CONSTBUCTION THOMASHEDGES
450 E. COUNTY ROAD D Cirynaministrator
LITTLE CANADA, MN 551 17 E.J. VAN OVERBEKE
City Clerk
RE: RIVER BLUFF TOWNHOMES '
LOT 2, BLOCKI
To Whom It May Concern:
Please be advised that the City of Eagan does not issue Cerdficate of Occupanry statements
oa individual units of multiple dwellings. Once the building is cDmpleted, we will issue one
Certificate of Occupanry for the entire buildiag.
MEADOWLARK CURVE VE
At present, ?. '64: 68."172. 476. 80. 184. '88. 192 6 196 ?'ssbeen inspected and
approved by the GSty of Eagan for ocxupancy.
Sincerely,
61-&
Doug Reid
Quef Building OMcial
DR/js
MUNICIPAL CENTER
3830 PILOi KNOB ROAD
EAGAN, MINNESOiA 55122-1897
PHONE: (612) 661 •4600
FAX: (612) 681-4612
TDD:(612) 454-8535
THE LONE OAK TREE
THE SYMBOL OF STRENGTH AND 6ROWTH IN OUR COMMl1NRY
Equal Opportunliy/Aftlrmative Actlon Employer
MAINTENANCE FACILRY
SWl COACHMAN POINT
EAGAN, MINNESOTA 55122
PHONE: (612) 661•4300
FAX: (612) 681-4360
iDD:.(612) 454•8535
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.
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1t1eS D121
ity 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.
?-11 b-31-
j-?
2004 RESIDENTIAL MECHANICAL PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc single family dwellings & townhomes/condos when pemvts aze reqwred for each umt
Ci ?, ui (:; i. 1?1 ?
I! I J0! 2 G 2005
Date _t
Site Address m eGDt9i,V J'nA..
- G,tr- Unit #
??
Property Owner
Telephone #(65 /)
Y-
Contrsctor crnupApp HF
ATIPG &AIR COfdDITtObiNG CO '
-
ai o wEsT LakE SraEEr
Street Address MWNEApaig MN 554o8-2998 City
812-82M2656
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Add-on or atteration to eaisting dwelling unit $ 30.00
X furnace _Additional XReplacement
air exchanger
airconditioner _New _Repiacement
other
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechamcal Permit and acknowledge that the inFormation is complete and accurate; that the work will
6e in conformauce with the ordinances and codes of the Ciry of Eagan and wrth the Mecbanical Codes; that I understand ttus is not a
permit, but only an applicahon for a permit, and work is not to start without a permit that the be in accordance with the
approv? !plan in the case of work equires a revie and approval of )
I7S-fF C ? ??N!
Applicant's Printed Name ApplicanYs 5ign4rixre
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc commercial/industrial buildings
multi-family buildings when separate permits are not required For each dweiling unit
Date
Site Street Address Unit k
Tenant Name (if applicable) Previous Tenaot Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove `*see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
*"When insfaUing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
P0I'INl[ F¢¢5: $70.50 Underground tank inshllatioNremoval
$30.50 Minimum (irclude> Statz Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ep rmi[ fee is $1,000 or less, add $.50 => $ State Surcharge
If ep rmit fee is over $1,000, add $.SO for
every $1,000 ep rmitfee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is
not a permit, 6ut 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
ApplicanYs Signature
Approved By: , Inspector
--11k 53
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
DaYe1IA 1
Site Street Address Unit #
Property Owner Telephone # 1;6? )
Contractor ?? ? ???) ?!? ?r? Telephone # ($??) ??Sr ??"`1?
Address /24/9F__ /-2? Citv State,&A,,? Zip ?
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling $ 50,00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. lf you are insiaUinq onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_WaterTurnaround (add $125.00 if a 5/8" meter is required)
Other:
XWater Softener ?C Water Heater $ 15.00
,
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby appiy for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that 1 understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is requ7,J)'C d to be reviewed and approved. F - ? ?. -7 ? r1
?? ??i ?
& , C?. ' 2Q'u'i
Ap IicanYs Printed Na e? App roanYs Signature
- ---___?
2007 RESIDENTIAL BUILDING rERMiT ArrLicaTTOrr
6 7175
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construchon Reamremenis
3 registered sile surveys showing sq. ft. of lot, sq k of house; and all roofed areas
(20Yo maximum lot coverage allowed)
1 Soiis Repad d proposed bmlding is to 6e placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found desigq etc
1 set of Energy CalcuWlions
3 copies af Tree Preservation Plan if lot platted after 711l93
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical venlilation form
RemodeVFteoair Reauiremenls OHIce Use OnN
2 copies of plan showing foofirgs, 6eams, joists CeROf 8urvey Recd Y_ N
1 set of Energy CalculaGons for heated additions Soils Report _Y _ N
1 site survey for addiGons & decks Tree Pres Plan RerA _ Y_ N.
Addition - irMicafe if on-sde septic system Tree Pres Required Y_ N
OnsiteSep4cSystem _Y _N
Plans are considered puqtic information unless vou state they are trade secret and the reason.
Date l I-3 I/
SiteAddress ? l0 7
(JS ? Construction Cost lJ 0 G
141AyL 6i.,? Unit/Ste #
Description of Work / - Y- ?- U
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone tk
Contractor RiL U 1 n
Address
State y y ( ? }?, ?) Lf ? ? - _ City Lk-
Zip Telephone # ('_p Z ) Sq/ / %I 9
i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J suhmission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 monihs, has ihe 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
T hPrahit annlv fnr a Reciriential Rnilrlina Permit anrl acknnwleflae
Telephone # (
Telephone # (
Telephone # (
infnrmation is cmmnlete and
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 work is not to start without a
permit; that the wark will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ApplieanYs Printed N me ApplicanYs Signa re
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06•plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvqes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (Entire Bldg) • Give PCA handout to applicant
D@SCfIpt100: WaterDamage_ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Canst Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addiflon)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fueplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
Final/No C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Building Inspector
-- --- -
I -- I
i €oE?31?i? -jem---
? Permit#: ?
I Pertnit Fee:
I ? ?
? Date Received: .? -"T?/? . I
I ?
I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Dats: SiteAddress: "'1Qa 0 1 1e?aj 0l.[) jQ(1`
renant: ?(J(ofJj u??'-? G1h(oSS? ?07-1 /-) 07(P , 49lq 4 O,53Suite#:
RESIDENT ( OWNER Name: Phone:
Address / City / Zip:
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description of work: S'di/lai -.b(-' e-I< TLLC?dG
Construction Cost: 1 i 0 ' Multi-Family Building: (Yes 1! ! No ?
CONTRACTOR Name: rNL License#.????? .
Address: 'ezzo T ?ILrt[Q? !"lAC
City: ln y,,Q Vi ?14_ _ State: A'v Zip:
Phone: bId - Wif `Q"1Jf? ContactPerson; ?f?A rsci/'A
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 Submission type) • Enefgy Envelope Calculations Submitted
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 ConVactor: Phone:
;NOTE: Plans and supporting documents thaf you `submit are considered,to tie publfc. /ntormation Portions o
the information may be classr6ed as non public if you provrde.specrrtc reasons that would permii the,City to
' ?'i?' conclude that the are trade secrets. ? ?
_ ?'?
,
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; th I understand this is not a permit, but onty an application for a permit, and work is not to start without a pe mik that the work will be in
accord approved plan in the case of work which requires a review and approv f plans.
4t W lk X ? -V/ 0/
x
ApplicanYs Pri ted Name ApplicanYs Signature
Page 1 of 3
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Use BLUE or BLACK Ink
r
For Office Use 1
1 I
I Permit 1
City of Ea oa~ 05
d b I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 I 1
1 Date Received: I
Phone: (651) 675-5675 1 I
Fax: (651) 675-56940(),r~~C
----------I
2013 COMMERCIAL BUILDING PERMIT J&PI-1600N
Date: _ Site Address: T 7l / AWE✓~O,~le~
Tenant Name: ~i~~r~jr 17` (Tenant is: New / / Existing) Suite
Former Tenant: P
Name: Phone: 7'' 77J-- ~
Property Owner Address/ City/ Zip: 20 &,:2 c
Applicant is: Owner /Contractor
e~ e) f ~
Type of Work Description of work: ,k "
Construction Cost: S~ d
? 3
Name: A! License ({7 ~7
Contractor Address: ~~k s ,-c E(- . City:
State' 14- Zip: f.~ V_7 Phone: -3 5T_0
3 /
Contact: G~ (Email: rc~ ~ti l
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 they 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
1 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 b ordance with the approved plan in the case of work w ' quires a review and approval of plans.
x G~ x I$ Alf
- a_t (
Appl' ants Printed Name Appli a gnature
Page 1 of 3
f
DO NOT WRITE BELOW THIS LINE 3 l 73
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 Siding 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
Valuation s o00 Occupancy MCES System
Plan Review ot/~ Code Edition Vd7048e- SAC Units
(2 _ _ 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
V/ 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 V"~No
Reviewed By: 6!6 , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee G Zg ' ~-v Water Quality
Surcharge zZ' Water Supply & Storage (WAC)
Plan Review o• 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
Page 2 of 3
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
I (J~ I
Permit 1
City of Ea a~ I Permit Fee:'
3830 Pilot Knob Road I I
Eagan MN 55122
Phone: (651) 675-5675 i Date Received:
Fax: (651) 675-5694 j Staff: _ j
L-------- --------I
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address:'(b5(0 ` //a. 0 ifd t q YO r 4 b-7 2-- _Fo q ne o g W 4 qo ff F,
Tenant Name: ~~~/6-/ (Tenant is: New/ Existing) Suite
rr Former Tenant: a
Name: V ~T( Phone:
Property Owner Address / City / Zip: koq_,(>,,, , zG Z4 G2 rvP ~ 7,
Applicant is: Owner Contractor
Type of Work Description of work:
~~GG11,1 -
Construction Cost: / W v
Name: f~e^S_ License
/ ~~.pa-351
Contractor Address: _~C10 ~jLL ~s yr Ln City: 14
State: Zip: Phone: 2
Contact: Email:
Name: Registration M
Architect/Engineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone M
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 f a rmit, and work is not to start without a
r uires a revi
ew and approval of plans.
permit; that the work will be ' acc dance wit the approved plan in the case of wo41aatu
t
x rw x
Applica 's Printed Na me Appli nre
Page 1 of 3
r
For Office Use
Permit#: / .5E6 C-
EAGA N Permit Fee: /I/i06‘,7�
EC11 `" Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 i FAX: (651)675-56 OCT 2 4 2019 Staff:
BY:
2019 RESIDENTIAL BUILDIt Gra E`i VIIT APPLICATION
Date: 10/23/19 Site Address: 4056,60,64,68,72,76,80,84,88,92,96,4100, Meadowlark Curve Unit#: all
Name: Network Management Phone: (952) 432-8979
Resident/ 6970 151st St W, Apple
Owner Address/City/Zip: Valley, M N 55124
Applicant is: Owner ✓ Contractor
Type of Work
Description of work: Tear off and re-roof complete Building
Construction Cost: 95,000'00 Multi-Family Building: (Yes /No )
Company: PCS Residential Contact: Mike
Contractor
Address: 2005 Pin Oak Drive City: Eagan
Phone: 612-414-8199 Email: Mstuge@pcsrenew.com
State: MN Zip: 55012
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 offp�lan_s.
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Ap licant's Printed Name Applicant's Signature
