1913 Jan Echo Tr? 4- _.-f 1TS
? C1TY OF EAGAN
3810 Pilot Knob Road
? Eagan, Minnesota 55122-1897
{612} 681-4675
SITE ADDRESS:
i - ,
, • ? ? `ii?t P , i?,? ?
: . , . . . , ?.. . .i ?
PERMIT SUBTYPE:
t ?t! !? IM??Mf ?. ??f r1h1
L TYPE OF WORK:
t? c?, f. filf', I" 14i N
INSPECTION .. . .•
,
, , • .. . . ? , .'ii!I;,?I IiJ . ? ..
?I,,' I J rlr?l
" ti r CV
'OPECTION RECORD T
• ' ? -PERMIT TYPE:
Permit Number: 4t,.j ,
Date Issued:
ti
L
Pertnit No. Permit Holder Date Telephone N
ELECTRIC
w
PIUMBING
HVAC ? V A C- 006,5
Inspecti4n Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATtNG
GAS SVC
TEST
INSUL
GYPBOARD
FlREPL4GF
FIREPLACE
AIR TEST
FINAL PLBG 4,
/T
FffYRLHTG A
ORSAT
TEST lp
n?G 1-
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
..: --
d?
Wertificate af cccupanc?
W" of wagan
Zeparhaeat o f ?K?tb?g ?a?recrioa
?
77iis Certiftcate issued pursuant to the re irentents of the Uniform Building Code
certifying that at the time of issuance thisj/structure was in compliance with the various
ordinances of the City reguluting bwilding constreiction or use. For the following:
Uu Qassificatian: 87M Bldg. Permit No. 76Y17
oomPamY Type RI I'M 1 Zoaing District $DM Type Const. V' I ER
flwner of Building?ix }CWS Dc A
10 1'2 j 1 C 1 1'L. 1 In *A•, --- -- . . ... - - - ._- ----- -- --
ME Rtl1 . /
_ D7fC: '
POST IN A CONSPICUOUS PLACE
t !
? ? /
SITE ADDRESS ?q Unit #
B /
00
Permit # 626,007
I INSPECTIDN I INSPECTOR I UATE I COMMENTS I
?
,
SITE ADDRESS I q 15 Ja?? F.+C'?O
B r
• A • 1e . •
Unit #
_ Permit # 02 GD07
00
I INSPECTION I INSPECTOR I DATE I COMMENTS I
?
?
SITE ADDRESS an LC.h ?
2 unit # Permit # a?D00 7
L? B? Sect.ISjub. LAke-
A DIl ' ?ll._? ?I'let/c? ,?/Yrr 0+?
I INSPECTION I INSPECTOR I DATE I COMMENTS I
2k,?e }?. Is-.
SITE ADDRESS ? J ?'7 ?4r? ? C'.,?h0 4e, Unit # Permit # a6000 7
L ? B ? Sect.ISub. 0-11-EC NG° ' l O Wrlkb Ml° S
?. P. ?o g . 7 s o°
INSPECTION INSPECTOR DATE COMMENTS
W_
SITE ADDRESS lq lq ?(u 1 Q U)06&4 Unit #
L J
???`or7g5??
Permd # C?P(v 00 7
B secc.isua. 0-l% ?? )Lake (ownkomeS
i ?'s/9s $7--7 ^°
INSPECTION INSPECTOR DATE COMMENTS
?v y 7/-
'6 -zE
rncxo - ? aC 7-?5-9'
. ? y^7 r
`
?
v2 aco.
G?-?
?s
SITE ADDRESS 191 Unit #
Sect./Sub.
Permit # O
?/ nr.inl'ln vlno C
41' #a 911V? ,? a0
INSPECTION INSPECTOR DATE COMMENTS
?-Y- 9s
? r
B
Unit # Permit # a(,p o0 ?
Sect.lSub. 1T 4A1{e- U !awh komCS
n?/ _ / - eg-"" e'?o
` SITE ADDRESS 19ley kule w LA
.
SITE ADDRESS I 9°aoKu `e Unit #
L '
L°. ? # 017f??'?O
Permit # ,9&00'7
B ? Sect.1S b. ti+aItc " i o Wnf 1oIKeS
/??., ?.?J, rS?rS $77 °D
INSPECTION INSPECTOR UATE COMMENTS
?c 6-
7720?•0?' 7NO? 9 ?A- 9y
2
. .
?t ?-
lc*-??-?
? G? r :
REIIUEST FOR ELECTRICAL INSPECTION ?
? See inslruaions for completing inis form on back af yellow capy
"X" Below Work Covered by This Request
Ne Add Re` .7(R of 8uilding -.% •.by3pliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industnal Fumace Other (Specify)
Farm Air Conddioner
Other (spxRy) Contrector s Remarks
Compute lnspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool ? 0 to 200 Amps 1r7.oo 111 0 to 100 Amps S p
Transformers Above 200 Am s 1 Above 100 -Amps '"r.o0
Si ns Inspecvar's Use only TOTAL
Irrigation Booms ?j ? 17? b
Special Ins ection
Alarm/Communication THIS INSTAlLAT10N MAV BE OR ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electncal Inspector, hereby Rough-in oe. 3yr_Y J
certify that ihe above inspection has
been made. F??ai p
-?
OFFICE IISE ONLY
This request void 18 monihs from
0? 8? ?? j N/ 0115 Y?(V
• -'
? /?/
,
Pequest a[a
^r Fire o
• Rou InspecLOn
Reqwretl
(Yn call inspeclor when reatly) Ins ection O[her Than liough-In
? Reatly Now ?Will Notify Inspeclor
Ves ? N. Date Reatl
I)nicensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 h
Otlress (Slreet. Box or Foule No ) bry
^
ZD V ?a ?-l
S¢dion N. Towns p Name or No Range No County
Occupant(PRINT) ?? ?? PhoneNO
S V
Power Suppher
e (t Ar i c Atldress
kAlc)lp Z-Zc+k 5+re e
Elecmcal Contiamor (Company ame)
?
?
r
l
l
?' Conhaclor's License No
tOn t;? .
C
CA
L
.ol
in ? (3
ailing Atltlress ractor ar Owner
Making InstaOaLOn?
I N 551,D-7
M
e?
Authonzetl Signature (COnVactor/Owner Making Inslallation) Phone Number
ZZq
33
28
-
.
MINNESOTA STATE BOARD OF ELECTHI Y
Griqgs-Midway Blag. - Hoom S-128
II
II
I
I
I
I
I
I
? I
I
II THIS INSPECTION flE0UE5T WILL NOT
BE AGGEPTED BV THE STATE BOARD
1821 University Ave., St. Peul, MN SS1pC
Phane f6121 642-0800 UNLESS PROPEfl INSPECTION FEE IS
FNG OSFO
REO UEST FOR ELECTRICAL INSPECTION 9-0001o
, See insWChons !or completing fiis fortn on back of yellow copy
r? ?OrK G
"X" Befow-Workj' lovered by TMs Request ?^•+
Ne Add f::~ype of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Elechic Heating
Apt. Bwlding Dryer Load Management
Comm./Industrial Furnace Other (Speci )
Farm Air Conditioner
Olher (speaty) ConVactoYS RemaMS'
Compute Inspection Fee 8elow:
# Other Fee tt Service Entrance Size Fee # Cvcuits?Feeders Fee
Swimming Pool 4 0 to 200 Amps l eo 1 I 0 to 100 Amps
Transformers Above 200_Amps 100 -Amps 'I,oO
SI ns Inspectar's Use Only TOTAL
Irrigation Booms .90
S ecial Ins ection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, the Electrical Inspector, hereby Rough-m oaie
certily that the above inspec4on has
been made. Finai ? oai
OFFICE USE ONLV
This requesl voitl 18 months fram
o-? ?8 ?41 ? ? ???°96
Requ t Date
-9 Fre o Fo Ilispechon Feqmretl
(Y must cell inspec[or when reatly) Inspaction Other Than Rough-In
? Reatly Nav ? WAI Nottly Inspeclor
Ves ? No Dale Reatly
I?(licensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlrass (SVeet Box or Route No )
1g18 City
SecOOn N. Townslup ame or No Range N. Goonty
QCCUpant(PRINT) O MN
Y cx?y- Phone No
Power Supplier I
a.kokf-,t' Atltlress
:tbG - ZZo4A 5-I-rjpe4 W..
Electncal Convador (Company Name) •
' i
' Gontractors License Nu.
?
l.
W o l.?•
Q / 1 0O O
o
Mailinq Address (COMractor or Owner Making InsffiIlahon)
il.) SS I b-l
Avthorrzetl SignaNre (COnVaotor/Owner Making tallahon)
ilT 6 t,ae. m Phona Number
Z2-f-2g33
MINNESOTq STATE BOAHD OF ELECTRIqTY
Griggs-Mitlway Bltlg. - Room 5428
1
1111
11
I
II THIS INSPEGTIDN REOUEST WILL NOT
8E ACCEPTED BV THE STATE 60ARD
II
1821 Ilmversity Ave. St Paul, MN 55104
PM1nne 16111 fi69-OAINI , UNLESS PROPER INSPECTION FEE IS
FIJCI llCFn
&),I??t^?? REQUEST FOR ELECTRICAL INSPECTION ? ?? Dooy_oy
? 10- See insimctions for campleHng this form on back ol yellow copy. q?,i•?P
"X" 8elow Wprk.Cg,gred by This Request
Ne Add R'ap. Ty"pe of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Bwlding Dryer Load Management
Comm./Industrial Fumace Other (Speafy)
Farm Air Conditioner
Other(specdy) ContractMor's Remarks:
Compute lnspechon Fee Below: I WA,
# Other Fee # Service Entrance Size Fee k Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps j , oo D to 100 Amps ,?r-S.
Transformers Above 200 Amps Above 100 -Amps '! .oo
SignS Inspedor's use oniy TOTAL
Irrigahon Booms -?, 5 ?
Speaal Inspection ?
Alarm/Communication THIS INSTALLATION MAV BE ORD D DIS NECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby
it
M Rough-in ? oata
cert
at the above inspection has
y
been made. Finai oa ?
OFFICE USE ONLV
TM1is requcsl wid 18 months Gom
0- 8 ?5
??
42 6g
s
w . I .
Reque Oate
?9? Fre No Rosq+?-I lon Reqmretl
when reetly)
I ?VOU u t call inspedor Inspeclion Other Tha.,n-sR?ough-In
? Reatly Now p? I Will Nohly Inspector
?
f ? ?
Ves No Da?e Read ?
IN licensed contractor ?owner hereby request inspection of above electrical work at:
Job Adtlress (Slreel. Box or floute No ) Cily
?
I K e? cur)
SecOon No Townshp me orNO Range No Gounty
1/l/LIVJ 1 ?/?.
Occvpant(PRIN'?
!ua o? MN Co . Phone N.
L15L-?Zoo
Power Supplier
G, )f I G Atltlress
b 0 Z? l?1 e ?.
E/le?cincal Comractor (GOmipany Name) '
lA IC.?.7v 1?l).-I ?' Convrac/m?r's L¢ense No
f1v()q0 Lo
Maibng Atltlmss (GonVacror or Owner Making Ins[allation)
5s
-t? -e e.+- A
Authorrze0 ignaNre (ConVacror/O ner ldaking Inst rdion) Phone Number
z2 y-Z8 33
MINNESOTF STATE BOAHD OF ELECTFIC Y
Griggs-Mitlway Bltlg. - Hoom 5426 11
1111
1111
111
111
11111
1111
111
11
II
?I THIS INSPEGTION REQUESi WILL NOT
BE ACCEPTED 8V THE STATE BOALiO
1821 University Ave, St. Paul, MN 55104
VM1nne 16121 fiCY-OR(10 UNLESS PROPER INSPECTION FEE IS
ENCLOSED
, ^^??jj?? REQUEST FOR ELECTRICAL INSPECTION ?apooy-ps
/{w[??? J ? See instmc[ians tor completmg IM1is farm on back M yenow copy ?
( CY? J
"X" Below Work Covered by Thrs Request
Ne Add ep --'Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./industnal Furnace Other (Specify)
Farm Air Conditioner
Other (specdy) GonVactor's Remarks
Compute Inspection Fee Below: 110'3 4, iD Wyv "O ~?
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 ta 200 Amps I,o0 1 0 to 700 Amps ,00
Transformers Above 200 Amps I Above 100 -Amps 7 Op
SIQf15 Irispecrofs Use Only TOTAL
Irrigation Booms ? LT7 850
Special Inspection `
Alarm/Communication THIS INSTALLATION MAV BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M 5.
I, the Electrical Inspector, hereby Rouqn-m ? Rai ?
cerlify that the above mspection has
6een made. F'nai oaM
J
OFFICE USE ONLY
This reques[ voitl 18 months imm
10
Req st Date Fire flw3h- spedion Requiretl Inspeciion 01hcr Than Rough-In
(YOU call mspector wnen ready) ? Reatly Now XWill Nobty Inspeclor
T Yes ? No Oate Reatl
I? licensed contractor ? owner hereby request inspection of above elecincal work at:
Job Atltlress (Slreel, Bax or Route No )
Iql ? Wc,? City
ah
Sec[ion No Township ame or No Range No Counly
Occupan!(PRINT)
? ? N r . Phona N.
y52?2Do
Power Suppper Adtlress
Elecinwl Contratlor (COmpany Name) •
E l
l C
`
-?
C-?
?A
c
lh' ConVactofs License No
C? o?
u
u,
ca,
n
o
o
ns
Maihng A(tl1tlress (COntracb1r or Owner Making Inslallatron) A 1 ,,t /'/? V 1 ?K?Y L(?? . ?V""", ' _ " ??I ??
AutM1Onzetl SignaWre (GOnhacror/Owner Makin InsWleOOn) Phone NumOer
?-Z6`33
MINNESOTA STATE BOARD OF ELECTNI ITY
Griggs-Mitlway Bltlg. - floom 5-128 THIS INSPECTION FEOUEST WILL NOT
8E ACCEPTED 8Y THE STATE BOAFO
1821 Universrty Ave.. St Paul, MN 55104
Pnnnn 1rt1f1 aaaMnn UNLESS PROPEF INSPEGTIDN fEE IS
FNCI OSFO
Q-ily, J ^.t? REQUEST FOR ELECTRICAL INSPECTION
0See mstruclions tor completing ihis lo(m on back of yellow wpy. ?gpgpDkpg
Below Work Covered by This Request
Ne Add Rep. Type of Building -?4pliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm,/Industrial Fumace Other (Specrfy
Farm Air Conditioner
Other (spemy) CoNractors Remarks
? I60A *wt'?-12oN«-
Campute Inspechon Fee Below:
# Other Fee # Service Entrance S¢e Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ,pp /1 0 to 100 Amps
Transformers Above 200 Amps ? Above 100 -Amps Ao
SI f15 Inspector's U. Only TOTAL
Irrigation Booms ?. S?
Spe cial Ins ection L?
2
Alarm/Communication THIS INSTALLATION MAY BE CTED IF NOT
ONNE
i
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
th
if
h
b Rough-in ? oaie , rj
Z
cert
y
at t
e a
ove inspeclion has
been made. Fi°ai oa ,Q
'
OFFICE USE ONLV
TNS request voitl 18 monlhs fmm
a // .1
0- ?
7
? ?7
7
.
Requ sl ale Fre R. Rough specbon Reqmred
Vou s1 call mspecror wh ready)
? a
. InspecLOn OtherThan Rough-In
0 Reatly Now ?II NoNy Inspecmr
Yes
4
o Oate Fead
IXicensed contractor ?owner hereby request inspection of above electrical work at:
Jab Mtlress (SVeat, Box or Poule No )
Q I vt EU-+o r-i 1 Gty
E6 ce h
Secbon No Township Name or No_ Range No Gounty 1
b? /,ro4a
OVl ccu?nl P IM) ? ?s t'?? ? Pho? No JSZL h
v
Power Suppher
coCo+c.
C-3-ic Adtlress
?i3oo Z2o+-" S+?'ee+ W.
Elecincal Conlraclor (COmpany Name) '
' le i(al (onqru o f?. ConVacrofs Gcense No
?o 0
Mi5iress (COnVactor? er aking I?a? t)
??
?.t?
?Fw. S 51 n 7
AWhorrzed Signature (GOnVacrodOwner Making InstallaUOn)
506 m Pnone Number
z q-2S33
MINNESOTA STATE BOARO OF ELECTHICITY
GtlggsMidway 610g. - Poom S-1128
II I
I (I
I
I(
II
II THIS INSPECTION RWUEST WILL NOT
I1 8E ACCEPTED BV THE STATE 80ARD
1821 Unlversity Ave., St Peul, MN 5510d
onnn. Ie121 eas-nwn UNLESS PROPER INSPECTION FEE IS
ENCLOSED
? J? REQUEST FOR ELECTRICAL INSPECTION ?.neoy}ps
7??+?? 10- See instructions for complehng [his form on back o( yellow rqpy
: N
? "X" Below Work Covered by This Request
Ne Add ReV. Type of Building - kppliynces Wiretl Equipment Wved
Home Range Temporary Serwce
Duplex Water Heater Electric Heating
ApL Bwltling Dryer Load Management
Comm./lndustrial Furnace Other (Specity)
Farm Air Conditioner
Other apeciy) Contractor's Remarks.
IOOA
Compute Inspection Fee Below:
# Other Fee # Service Entrance Siza Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps l? ,p 1 0 to 100 Amps '
Transformers Above 200 Amps ? Above 100 _Am ?o
Si nS Inspectors Use Only TOTAL
Imgation Booms 5, ? ?? , SQ
Special Inspection ci
arm/Communication
Al
CONNEC7ED IF NOT
THIS INSTALLATION MAY BE DIS
urnperTVu
Other Fee COMPLETED WITHIN 78 M
I, the Electncal Inspector, hereby R°ugh-in
certify that the above inspeaion has
been made. Final o?q,
OFFICE USE ONLY
This request voitl 18 monNS from
?i // .'????
?? 7`1 °o
Reques ate
[?
I Fire N. Rough-In ilon Requiretl
(Ya, •e call mspector when rea0y) Inspection OtherTnan R u9h-In
0 Reatly Now WAI Notily Inspedof
?
" ?- JS YPS ? N. Qate Reatl
IX licansetl contractor ?owner hereby request inspection ot a6ove elechical work at:
Job Adtlress (Streel Box or Roule No )
h
1c1n J
e
i City
a.)
c
o Toz?i
kA n
Section No TownshiD Name or No, Range No County kI)i
? ako
Occupant(PRINT) Phone No
?Alte MQ (,nrfQ. - b
Power uppher
ro-?r?. C-U c?r-i c? ACtlress
?}3? 220 ? Sjh-c e?t In?S?-
E?I ?clncal Comraclor (Com any Name)
l.ollins Li C+V1CA 05+11UL+100 (,b. Contr acmr's License No.
00 6
MaAmg Atltlress (Conlrflclor or Owner Malun Inslall? n)? ?N SS/O
f
? 1 7
8? -
?
?.?e
?
t?
,
AuIM1O SlqnaWre (ContractodOwner Making In tal5 lation?
,?,.
6 mrctm/ ,V 'V(?l Phone N?er%A3?
ZZ(.,,
MINNESOTA STATE BOARD OF EIECT IqTV
Griqgs-Mitlway Bldg. - Room 5428 I
II
II
I
I
II I
(
I
I
1
11111
111
II THIS INSPECTION REWEST WIIL NOT
BE ACCEPTED BV THE STATE BOARD
1821 UmversiTy Ave., SL Paul, MN 55104
PLnne 16191 Fd9ANO0 I l1NLE5S PROPER INSPECTION FEE IS
FNf.I OSFn
REQUEST FOR ELECTRICAL INSPECTION ? 0 9s
011? See insVUCUOns for completmg this form on back of yellow copy
^--? - -• °X" BelohG.Workfovered by This Request
Ne Add Rep. Type of Building Appliances Wired Eqwpment Wired
Homa Range Temporary Service
Duplex Water Heater Electric Heatin9
Apt Building Dryer Load Management
Comm./Industrial Furnace Other (Specity)
Farm Air Contlitioner
Olher (spectly) Contraclor's RemaNS' 1-1 1_
Compute Inspection Fee Below: Joo A? ?-
# Other Fee X Service Entrance S¢e Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ,00 ? 0 to 100 Amps
Transformers Above 200 Amps 1 1 Above 100-Amps ,00
SignS Inspectors use Only TOTAL
Imigation Booms ?
Special Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOi
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rough-in
certify that the above inspection has
been made. T'?ai
OFFICE USE ONLY
This request voitl 16 manfis Imm
o- 75s??45 ? ? a???7??
Reque Oale
L`
I Fve W.
OMer Than Rough-In
RougT-L tion Requve0 Inspechon
(YOU t call inspectorwhen reetly) ? Reatly Now .?il'1NAI Notily Inspector
???
`J es ? No Date Fea
d
I>(licensed contractor ?owner hereby request inspection of above eleclrical work at:
Job Address (Street, Box or Route No )
1`lls J&n E(,hd ' 1 Gry
Ea e??
Sedion No Township Name or N. Pange No County
b?lrllb ?
Occupanl(PRINT)
Qlx1?CQ M4S o? MN Cor . Phone No
?-1S2-S2.oo
Power Supplier
bc.0ko ?u el-e,?--?nc- Adtlress
Lt300 -zxo+t-i 5+?rec f W.
Elecmpl ConVacmr (Gompany Name) .
Collir?s El C+ri Cah5?7LtC-kon (o. Coniractor's License N.
CAooyb(a
Mailing Adtlress (Conlraclor o?ner M??alladron
a? c 5 ? ,
c-?- 1 MN SS U?
AuAharizep Signa[ure (ConAmNOwner Makin Inslallation)
'??'b PM1One N?u/mber
?7-zK-2)3
MINNESOTF STATE BOARU OF ELECTHICIT/
GriggsMitlway Bltlg. - Raom 5-118
(I
II
I
II I
I I
I THIS INSPEGTION REQUEST WILL NW
BE ACCEPTED BY THE STATE 60ARD
1821 UnrvenRy Ave., SL Paul, MN 55104
Phone f612) 642?00 I UNLESS PROPER INSPECTION FEE IS
ENCLOSED
?5 9?5 ?6
REQUEST FOR ELECTRICAL INSPECTION
Ii.See inslmctions br compleUng this (orm on back of yellow cropy.
Z
"X" tfelOW WOlK G'OVBf@tl Dy lII/S hfEQlIBSI
gIWIL?l T
Ne Add Rep. - ype of 8uilding flpplL?ruGes Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwlding Dryer Load Management
Comm.llndustnal Furnace Other (Specif )
Farm Air Conditioner
Other (specRy) Conhacrohr's Pemaeks '?? ? I?' ,A e
?''
Compute Mspection Fee Below: IOV??Vv
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps , ,00 1 0 to 100 Amps 0
Transformers Above 200_Amps ? Above 100 -Amps O'O
S19f1S Inspecmr's Uu Only TOTAL
Irrigation Booms 7-7 . S C)
Special Ins ection
Alarm/Communication THIS INSTALLATION MAY BE O D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rouqn-in oaie
cehify that the above inspection has
been made.
Fwa /,.y?a
oaf-
OFFICE USE ONLY
This request vmtl 18 monihs imm
?~ . ?s700 0
-c:4 4
Req, st Date
? I ?rG ? Fve o qough-I ec?m Feqmre0 Inspecbon O?herTpan Fough-In
(VO t?ll inspec?or
when ready) ? Featly Now ?d? Will Nobry Inspecror
J ?
Ves No ?ate Read
I? licensed contractor ? owner hereby request inspection of above electrical work at.
Job Atltlrass (SVeel, Box or Route No )
1a13 ?o,r? Eck?o 1 Gity
CAA avI
Sec[ion No Township Name or N. Ranye N. Counry
? ci, LV+C?'
Ph{ SZ- 20 0
Power Suppher
?koAG Le.C.-1-riG ptldress
?-1300 2Zo? -treef
Elec(ncel Contreator (COmpany Name) '
n s ( c-h? Cc,L ( ?-1r?C-hon CoNractor's Licanse N.
CAc?o ?( 0 Co
Meiling Ptltlress (Conhactor or Owner Making Installalionj
? ee+ _ Pa.t.c! S 7
Authonzed SignaWee (COnlrnctodOwner Makmg nstallahon)
o b „(wl- Phone Numher
2z Y-28'33
MINNESOTA STATE BOARO OP ELECTHIqTV
Gtlggs-MlOwey 610g. - Hoom 5428
II
II
I?
I
II I THIS INSPECTION REOUEST WILL NOT
II BE ACGEPTED BV THE STATE BOAFD
1821 University Ave., SL Paul, MN 551b1
PM1One 16121642-OB00 I I UNLESS PFOPER INSPECTION FEE IS
FNC.I 08FD
? _
Address 1913. 'I5. '17. '19 ,IADT FAM 1R & 1414, '16, '18, '20 KYLE wAY Zip 5512 ?
L,ot i Blk 1 Sub • ca.rFF raKE ramaEs 2rm
THESE ITEMS WERE / WERE NOT COMPL.ETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: /0 a(P /?S Yes No Inspector:
Final grade (6" from siding)
Pecmanent steps (garage)
Permanent steps (main entry) ?
Permanent driveway
Permanent gas
Sod/Seeded grass V,
TraiUcurb damage t/
Porch P/
Basement finish
Deck
Please verify wi[h the builder the removal of roof test caps from ihe plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potentiai exisis.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinklet system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
U
?
.? .
W
cu
?
i+os 67RVEY CHECRLIST FOR RESIDENTIAL
BIIILDING 4ERMIT
PROPERTY r.Rr.'r.:
0 • Reqistered Land Surveyor aignature aad company
73? D
ID??] ?
0 • Buildinq Permit Applicant
• Leqal description
?D D • J?ddress
? D • North arrow and?bar-scale
? D • House type (rambler, valkout, aplit v/o, split entry,
lookout, etc.)
? 0 • Directional drainage arrows with slope/gradient t.
? D • • Proposed/exiating sewar and water services
? • street name
D ? • Drivavay
LLE9ATSON6
?
0
• Lx3etina
Sewer service
0 • Lot corners
0 ? • Top of eurb at the driveway
? I? 0 • Elevations of any existing adjacent homes
Proposed
0----D
? 0 • carage floor
V ? : First floor
_ 0 T,owest axposad elevation (walkout/windov)
D • Property cornezs
D 0 • Front and rear of home at the toundation
P9NDTNG 71REAS (3f aflelieable)
? ? 0 • Easement line
n • NwL
n • xwL
? ? • Pond # desiqnation
? • Fmergency overilow Elavation
DZXEx8iOliB
• Lot lines
? ? • Riqht-of-vay and stzeat vidth (to back of curb)
D p • Proposed home dimensions including eny propoaed decks,
overhangs qreatQr thnn 21, porchas, stc. (i.e. a11
atructures requiring permanent tootings)
0 0 • show all easements of record nnd any City utilities vithin
_
/ those easements
D
fl? ? ? Setbacks of proposed structure and setback of adjacent
_ / existing homes
C7'
D Q ? Retaining 1 req? irements, if any _
- /
Octobar 1992 rr e D3te
Dat• ot aurvey:
CITX OF EAGAN
3,830,Pilot Vnob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT ? 9 70
PERMIT TYPE:
Permit Number: B U I L D I N G
Date Issued: 0 2 6 0 0 7
07/12/95
SITE ADDRESS:
DESCRIPTION:
1913 JAN ECHO TR
LtlT: 1 BLOCK: 1
CLIFF LAKE TOWNHQMES 2ND
,7AN ECHO/KYLE WAY
Building''PermiC Type 8-PLEX
puilding Wo'MR,„Type NEW
UBC Occupancy ' R-1 M-1
Construction Typ'e, -V==r-FFR- ?-?
Zoning PD R-A
2. . ,.
: i
l i
4 a r,
ir'•' ? F???'?..?? __7?.:W.J'?'-??.,,..,.e. rt
REMARKS:
INCLUDES 1913, 1915, 1917, 1919 JAN ECHO & 1914, 1916, 1918. 1920 KYLE WAY
LICENSED PLUMBER - VALLEY pLUMBING
FEE SUMMARY:
VflLUflTION
Base Fee
Plan Review
Surcharge
SAC
SAC &
SAC Units
Subtotal
$11,097.49
$524,000
CI7Y SAC
WATER CQNNECTION
5 5 W PERMIT
S & W SURCHARGE
TREATMENT PLANT
ROAD UNIT
Total Fee
$800.00
$6,000.00
$100.00
$.50
$2,976.@0
$3.400.00
$24,373.99
CONTRACTOR: - qpplicant - 5T. I.IC. OWNER:
PULTE HOMES OF MN CO 14525200 0001371 PULTE NOMES INC
1355 MENDOTA HEIGHTS RD 300 1355 MENDOTA HEIGW75 RD
MENDOTA HEIGH75 MN 55112-1112 MENDOTA HETGHTS MN 55120
(612) 452-5200 (612)452-8206
I hereby acknowledge that I fiave read this applicatinn and state that the
informaCion is eorrect and agree to comply witPr all appli.cable StaCe o'F Mn.
L Statutes and City of Eagan 4rdinances. _
APPLIC /PERMITEE SIGNATURE ? ISSUE .BY:S1(3r4A.?
i
$2,989.25
$1,046.24
$262.00
$6,800.00
100
6
CITY OF EAGAN C:I?
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New Con,truetian RnaulremeMs
? 3 registerad site surveys ? 2 copies of plan
? 2 copies of plens (include beam 8 window saes; poured fid, design; etc.) ? 2 s@e surveye (exterior add'Rions & dedcs)
? 1 energy ealalationa ? t energy wlculations for heated addHions
? 3 copies of tree preservation plen if lot pletted after 7/1/93
required: _ Yes _ No
DATE: CONSTRUCTION COST:`7 T z-C • Cc
DESCRIPTION OF WORf
3TREET ADDRESS:
LOT BLOCK SUBD.JP.I.D.#: LLirF LaKc Jp
PROPERTY Name: Pj L-TF - tiz.m?5 161C. Phone#: 45Z- >2cc)
owNeR AS_ .",. ? 4?? w
Street Address: M ioonTq flEi GwT? ? n
C.Ity: /`-'In tir' ?i?ra FfFIi ,H75 State: dA,i ZIp:-?2?/ LC" -(l I L
CONTRACTOR Cornpany: Phone #: _
Street Address: License #:
City: State: Zip:
ARCHITECT/ Company: Phone #' 3-7`3' 81 ;(`
ENGINEER
Name: jE?2h or- ?iF:: Registration #-
Street Address-
()
4-0
City: Ni I NFA ??, i S State: ? Zip:
Sewer 8 water iicensed plumber. A Llk£4 'PL u r"r3 tLJ G . Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all
applicabte State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ? l (r?)
?
OFFICE USE ONLY `'ECENED
Certificates of Survey Received ? Yes No ,I [.I L 0 5 1995
Tree PreservaGon Plan Received Yes ? No ---------- _----
OFFICE USE ONLY
BUILDING PERMIT TYPE
? J
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pooi
o 63 SF Additio n ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ?a 09 12-plex ? 14_ Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = plex a 15 Deck
WORK TYPE
'0? 31 New o 33 Aiterations ? 36 Move
? 32 Addition ? 34 Repair j io 37 Demoli4ion
? H3° SL ?.
?
GENERAL INFORMATION 3' P
'-'
Const. (Actual) Basement sq. ft. MClWS System
(Allowable) ? Main level sq . ft. ?,J 3z City Water
UBC Occupancy !?? 2 n? sq . ft. < ; L Fire Sprinklered
Zoning R-y sq . ft. PRV
# of Stories 2 sq . ft. Booster Pump
Length / 2 sq . ft. Census Code. / O S
Depth Footprint sq . ft. SAC Code ?_
Census Bldg
-
Census Unit ?
APPROVALS
Planning Building
Permit Fee
Surcharge
Plan Review
License
J MC/WS SAC 12 K ?
City SAC ??o
Water Conn. !a o? o
Water Meter fio ? P
ACCt. DBpOSit ? %Z Vr'
S/W Permit
S/W Surcharge S o
Treatment PL
y Road Unit = • ?'?
" Park Ded. -
Trails Ded. -
Other -
Copies -
Total:
% SAC f O ? ?
SAC Units ?
?
Engineering
Variance
Valuation: $ ? 7
C,
Afa ;.. LevW
/(j- el y''-/ _
I ?/ I y X
?
4;?
?
IS ?C? • .>,
o?-
,
=y;
2 t/r//? \
)
j K-
2- -, I->
,
???, E1(TERIbh EIlVtLOPE hVEhACt IIU'I C0l1hUtAtION ?rp, EdEpq M ,
R ti' LW--
?
. --, i • ' ?7 ?1 ?? nr7rTi?. iL
SIIE Af)?I1F55! LC?
?J
? '
• ? • ?
r,onrnncTOn ?i
! ?
b?T?hNINE 4101tY.1111', S?UAhE k00tAC? br EACIII '
I, 70 tAL 6RPOSEb 11ALL
bq Fk x
AIttA.,,j,,,,
110
?
?. TnrnL noor/c?i?ilic
?y f? ?
ntttn,,,
?lUl? ?
e
I?.?V
7. TarnL Exroscu VnLL ntttn CAICULA?1t111Si ?
Total exposed wal) 14
areo above f1ooY„?j ? ,
t i
?
a1 Total rral) wlnJoW hren!
b)
c)
d)
t1
9)
31
DDUFjLE. SIl921d ..,.., l?f ??9t) fE k IIU?I
? P !
3 7? 1'1 ?. ,q ?t st liuli
Total daor AYbo
T tal slldlhq nlgas Joor eYeet ,41
* S, i5
e --
?•??
, ?.
o .
(?cj?E?? nl?Zad..,,?, 3
P,S
?
c
k 11uU
4q
p
_L?-?3-•
x ???u ...
total flrclilace Wal) drea , 9q Cf k??U'? ? _ e --
78
7
?
?
- 61, y ? o4z ?
z
?
en
rotol Wnil rrn,ninh at
g
(Averahe lOR) ? ? ? ? ? ? i ? • , ? 8???y--- q ft xiluil e0.0,
7oto1 net wal l srea ebove • GOG• (2 ,0.;.?. 1b•G•7
??
floor (InsulAk?d)?/A"l"•'P"?
7(,0!5;
sq
fE
x.??U??
? + 0, b
z
Zq
r??
7ota1 rlm Jolst area,fk'.s'??
?Y. 9q y
I E kIlUll ,oq
nA
?
?---L"--? •
_? '1r r
--?" 9q f !
'lotn) foundatlon
nrca (?xposed).????,?•,?
.___---
i
. ? :I? ' ' • _ ' .
7hTAl 6) illrV 1)
I?) ?oto) fovnJatlon
I) 7ota1 net founJatlon
areA obove cltaJeo.,1114•
If Itr.in 03 Is the samc os, or less thon 1k?m'l?1? You htkv? m?t !hb Intent of
2 tICAK 1.16oU0 A aud 0.
Pnre l
?
fT ?u.
?;,. , . .?11' ? $'6'1, ? ? i i' . ? ? • ,
ar'nL ExroseD nnov/cEILINn;cnl.CULntlnilsi ; .
: . , EYJ.).-,=?' , - •
' ."?'n?j•lu?i?,? i. ' ? I 1 .i
Totel r.xposed y''Y':?`"
roof/cellinq aredas1???Ai,
J) Total skyli0llt 8Fb9ti,illis;
.;";:?yPtF•ir:?y: '.' . . ?
k? Total roof/ce111nd 68MIf1
g"'?l??Z ,gq t! Y. area tnveren Z b "
1) 7ota1 nat Insulatbd Q? .d ?3?3? __?
roof/celilny braais+itit
i? ' . •, tntAL 11 chru 1) .D?
If total oF d4 Is the same hs, tlP lb$4 li,an 026 yaU lttl+itl Mo ! thtl 1111:601: bf
z ricnn 1.16Uab n end 04 ,
nLrEhIInTE HUILo111r tNVELaME bIE51r,N
1o ut111re tlie tolal enveloryt 9y4tbM metilodi khp U8111J#g mslubtlsliad by tl,e sUM
uf ltems P3 enJ /+4 shal) no! be ?Jreotmr thah Ehtl YUM bf 11:610 01 ,`Hd ?2,
+
. ... , ? ,
: .:, ,.. .
' ,r;,;?Af4?',?:'?1;
.. ' , . 'n,', , •p i :'i ?•1i:? ,
' ? , ,'?'?i`',i`;a,n,,t,?• , , .
.
c?r,t?r?cnt?nN
,
I hereby certlfy tl,dt I hevd cAleulatbd Eho ''Ull factbrt und lh1"
values hernln And thAt the Mulldlnd heYH.dA5CYItiIld ? k? nr t? tl tIt the StMta
of Hinnesota EneYgy f.onservetlon AcEi /
, (sl!)natul"e`' ?
?
? F.
. L ? BL
SUBD.
CITY USE ONLY
RECEIPT #: 4AI 93y'
DATE: 'x`S FS
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
_ Add-on air conditioning Fireplace conversion (to existing fireplace)
Date: 00 ? 6Aq -q°J
FEES 9j3a v .'?
.
Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
HVAC: 0-100 M BTU
Additional 50 M BTU
8 x 24.00 = i q 2, c;o
gx 6.00 = 48 .ocD
? Gas Outlets (minimum of 1 required @$3.00 each) aX 3=?
? State Surcharge .50
TOTAL ?? ?)O
iat (o ?q2o Kyie- W
SITEADDRESS:
OWNER
INSTALLI
STREET
???G?
I , ?U
PHONE #: I "52co
CITY: SQ\IC? STATE: ?11 ZIP: Gfi?
PHONE #: ( ??'2 ) q (j J rFCA
L BL CITY USE ONLY RECEIPT #: 4,00 Jr
SUBD. ? DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
• townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet ' minimum - 1
Rough Openings
Water Softener
Private Disposal ` Dakota Cty. license
U.G. Sprinkler ' home under const.
Alterations * to existing
Water Tum Around
EACH
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
LL-(-,L? w /3 / ?'
x
X
X
X
x
x
x
x
x
X
x
x
NO.
?-
X
?
TOTAL
4y -
3u-
4Y"
??-
a?r
.??
•1L_
.50
ai&
SITE ADDRESS: I9 1 U? P0 f?[ L-Ja.r
OWNER NAME: `? ? ? ?e
INSTALLER NAME: V 9.I( t.14 Q?(?J r-
?6 U Qurz ?tn
STREET ADDRESS:
CITY: -1) t<<a-, STATE
n- ZIP: ?''' '
PHONE #: ( U I? ) -tk'3- aO I
?
% )'
?U-41 ` ')
2004 RESIDENTIAL BUILDING PERMIT APPLICAITON
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauiremenfs RemodeUReoair Reauirements Qffice,43se On
3 registered site surveys showing sq. k. of lot, sq. k, of house; and all roofed areas 2 copies of plan GeA Of',?S2n?Ey'ftC'd Y°="'N
(20%mazimum bt coverage allowetl) 1 set of Energy Cakulalions for heated addNons Tree Pies Plan Recd Y?ty
2 copies of plan showing beam & window sizes; poured found desgn, etc 7 site sumey for additions & decks
' Tres Pceg Requped , Y;_ N
1 selotEneigyCalcula6ons on - indicafeif on-sifesepficsystem
AddiG On_s1t2?EpVcSystem Y
3 copies o( Tree Pmservation Plan if lot plaqed after 7/1193
Rim Joist Detail Options selec6on sheet (bldgs with 3 or less units
/ L Q L
Date l ?
?:Qllstruction Cost
Site Address .?3??'. .'//' ?Unit/Ste #
/? - /6` ?- 02o c
Description of Work xyerDO ?
Multi-Family Bldg -XY _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner f=/ L/Le- &
T J/7 //Q/Y/? Telephone # (61? )3?l- 9,600
Contractor
Address 9-21 3 CiTy ?Gf//?'/? fdh
S[atec:;?n Zip, <iDa?y Telephone fF (?/) y6? -????
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateeorv 1 _
. Residential VentilaNon Category 1 Worksheet
(dsubmissiontype) 5ubmitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #
Telephone #
N It so, 25% plan review
I hereby apply for a Residential Buildiug Permit and acknowledge that the inforrr??gi?is complete and a?curate;
that the work will be in conformance with the ordinances and codes of the City of Eag?? an a- nZieS'f?e of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to slart 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.
` ;///? c `? ?C?z/`i ?L! L??
?ApplicanYs Printed Name ApplicanYs Signature
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
GLiFF LAKE TOWNHOMES 2ND 17791
PERMIT
DATE &
USE
, -
7/95 8-PLEX
7/95 1bPLEX
8/95 4-PLEX
8/95 12-PLEX
LOT BL ADDRESS P.I.D. #'S
010 01 1919/ 7AN ECHO TRAIL 092 02
1917/ 091 02
1915/ 09002
1913 089 02
1914/ KYLE WAY 088 02
1916/ 08702
1918/ 086 02
1920 085 02
020 Ol 4420/ JAN ECHO TRAIL 099 02
4418/ 10002
4416/ 101 02
4414 102 02
4412/ 103 02
4410 104 02
4409/ NAPER BAY 093 02
4411/ 09402
4413/ 095 02
4415/ 09602
4417/ 09702
4419 098 02
030 01 4410/ NAPER BAY 108 02
4412/ 107 02
4409/ KYLE WAY 105 02
4411 106 02
010 02 1871/ MICHAEL POINT DR 120 02
1869/ 119 02
1867/ 118 02
1865 117 02
1863/ 116 02
1861 115 02
1860/ CASEY TRAIL 114 02
1862/ 113 02
1864/ 112 02
1866/ 111 02
1868/ 110 02
1870 109 02
PAGE 1 OF 2
14
----------,
,-------
? ForOfficeUse I
I PermitM?
? Permit Fee,
? I
? Date Recerved? ?
I ?
I
i Stafl:
I
----------------
008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: o S D Site Address: 1?f Y TZ ??? !i"'Cc ?
Tenant:
Suite #:
RESIDENTlOWNER t, Le Phone:
Name:LJ lhe,?^'t4K; ^^ 5 iLc
q
Address / City! Zip: ?-
CONTRACTOR 1,,'?? Y pf- ti?,r
Name: JnCk f?Lt?ul!/C'Y-s-+-hc. 11?? l ??(hJ/i' icenSe..nf ?
Address: ? ? aX ?n
?
City: i/IAvY?St>{State: Zip:
Phone: 7 1t `? Qo ?Contact Person: a /?1 4? h , c? ?--D - a "?
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Uescri tion of work:
PERMIT TYPE RESID TIAL
W ater Heater _ W ater Softener
_ Lawn Irrigation Add Plum6ing Fixtures
RPZ PVB) Main _ Lower Level)
Septic System _ W ater Tumaround
New
Abandonment
RESlDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigalion (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.SO State Surcharge)
'Water Turnaround (add $736.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 Slate Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) S-C3
TOTAL FEES $?
-
. . .. . .. . .. - - ' - -- `------ ...- .?.. ...a:,,......... -A ,..,n- N tno nn, ni
I hereby acknowledge that this informaflon is compiele ana accurace; mai (ne worrc mn oe in wniwIIIa111o ..???? ?I- ??..o,.?? o,. ........... ..• ..._ _.., _.
Eagan; that I undersland this is nol a permit, but only an application for a permit, and work is not to start without ermit; that wor wi in
accord ce with the approved plan m the case o1 work which requires a rewew and ap l pl?s.
xI V i ov\1Z)????a?soh x -?
Applicant's Printed Name icanYs Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspeotions: Under Ground _Rough-In _Air Test _Gas Test _Final
()o 5
qol()?Jlu
"Tp' City of Wan g3830 Pflot Knob Road ?
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
? ?GI&x
----------- ;
? _??d??:??? ,
? Pertnlt#: I
1 Permit Fee: (7l
? Date Received: ?
? Staff: ?
I
------------------ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: v ? 3 Site Ai
I Al 0 A)fi)5? ' Iq 1-1, 1 5
Vv
RESIDENT ! OWNER Name: Phone:
Address ! City I Zip:
Applicant is• _ Owner _ Contrador
1'YPE OF WORK Description ofwork:
Construction Cost Multi-Family Building: (Yes ?/ No ?
CONTftACTOR Name: License #: ??4?G?I I
Address: 2-2,302 ?%Ue
City: l ? State:MAL-- ZiP:
I Phone: \[/"??J -bIff Contact Person: M IZ 1 Y I CG( -A J l-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 _ Minnesota Rules 7672
Etlergy CodO . Residentiai Ventilation Category t Worksheet • New Energy Code Worksheet
Category Submiried Submitled
(4 submisslon type) • Energy Envelope Calculations Submilted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7
Yes _No If yes, date and address of master plan:
Licensed Plumher: Phone:
Mechanical Contractor. Phone:
Sewer & Water Contractor: Phone:
NO on: Portions, of
TE: Plans and supportrng documents thaf yousubm(t,are coRsrdered to be publrc ?nformah
the informatron;may be classrBed as?non publkc?f,you5provide specific ieasons that would perm_ it the City to "
onclude;that 1he'?*r?de4sACrets;.? ???. - - • - •
I hereby acknowledge thal this Informahon Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
accordance with the approveld plan?n Iheec s'e ofuwork wh ch equlreis a review a d?app o al ?f p nst to staA without a pearm?iY, hat the work Will be in
X Cov?zTi?I- L M"T?N X ?-
ApplicanYs Printed Name Appli nY ature page 1 of 3
i
?I?? U'
i
?? ryTAPAS PuLlte ot HlomBlock 1, CLIFF LAKE TOWNHOMES 2ND ADDITION, City of Eayan,
Dakota County, Minnesota and reserving easements of record.
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PROPOSED ELEVATIONS
Top of Foundation
6arage Floor .
Basement Floor
Aprox. Sewer Servlce Elev.
Proposetl Elev.
Existing Elev.
Dralnage Oirections
Denotes offset Stake
Planninp Enpfneertnp Surveylnp
9201 Eeat Bloollnp;o,D?en? Y(612)IOe?npion. Nlnneeots66420
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BENCHMARK,
ED
DEFT.
MIN. SETBACK REQUIREMENTS
Front - House Slde -
Rear - Garage Side -
I HEREBY CERTIFY THAT THIS IS A TRUE AND CDARECT REPRESENTATION
OF THE BOUNDAAIES OF THE A80VE DESCRIBED PROPEATY AS SUAVEYED
BY ME OA UNOER MY OIRECT SUPERVISION AND DOES NOT PURPORT TO
SNOW IMPAOYEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN.
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Haley Comfort Systems
122 West 3rd St
Hastings MN 55033
(651) 437 -0338
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Site Address: 1913 Jan Echo Tr
Lot: 89 Block: 2 Addition: Cliff Lake Townhomes 2nd
PID:10- 17791 - 089 -02
Use:
- Applicant -
$50.50
Owner:
Anthony S Bordone
1913 Jan Echo Tr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
Mechanical
EA077772
05/16/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Is- 1 f
( Ill(`' X17 C l~'`~ %1, /111- IV
- - - - - - - - - - - - - - - - -
J I ,For Office:Use I
r , o~ I C.(~
It Of E a i Permit
I
RdI
I Permit Fee:
3830 Pilot: Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Pax: (651) 675-5694 I Staff: I
I
2008 RESIDENT L IL ING PE T APPLICATION
19,1q rs/7
Date: J" w 7 Site Address: 171" 26
I
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: -19
Construction Cost: Multi-Family Building: (Yes, / No
CONTRACTOR Name: 17 l e-. 1Vjf /,V7 1' e17zt,7C6! License
Address:
J4-2 r/
City:
State: l / Zip:
v
Phone: I
u ~aGl~ Contact Person i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code 9 Residential Ventilation Category 1 Worksheet Kew Energy Code Worksheet
Category Submitted Submitted
submission type) Energy 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 Contractor: Phone:
i NOTE:* Plans and supporting d6cuMbnts than yoer submit are considered to bp_'puhlic inforfilation. 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.
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 i
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
:accordance with the approved plan in the case of work which requires a review and approval of pi
Applicant's Printed Name Applicant's Signature
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