1940 Grant AlcoveCITY AF EAGAN
3830 Pilot Knob Road
' ?."%_an, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: , . .
i < : . . •u i.'i;tdr .
PERMIT SUBTYPE:
ioN
. • ?
;CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
/
INSPECTION .. . D.
??i?? r i+?,
' . t!?lil I 1f }i 1 ?
?-ni
Parmk No. PsrtnN Holdsr Daie TNephone It
ELECTRIC
?
PLUMBING
HVAC S 894-000 5
InspecNon Dete Insp. Commente
FOOTINGS &/? ? rvf/ 7l /oz [ ?Y J`? / `
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
JNSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FiNAL
SITE ADDRESS I'I 40 Vr'ant l 1 rCd V G Unit #
Permit # -a5,?(o Y"
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INSPECTION INSPECTOR DATE COMMENTS
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SITE ADDRESS _1 ?4A ?f'al?'1 1 - I0A Ue- Unit #
Permit # C? 586 a
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. # 35?8' A"&. . 5 9 '$ 7,74-0
INSPECTION INSPECTOR DATE COMMENTS
Akt- -7 -4 -y-r /h?
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SITE ADDRESS 19 4 4 QZfAnj HI GOV G Unit #
Permit # cl?s 4f 4
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( '° P1/)/335.19
INSPECTION INSPECTOR DATE COMMENTS
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SITE ADDRESS 194 (P ?rAJ A ICaVe- Unit #
Permit # °? 5 ' 6 '?,
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INSPECTION
INSPECTOR
DATE
COMMENTS
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iNSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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I INSPECTION I INSPECTOR I DATE I COMMENTS I
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I INSPECTION I INSPECTOR I DATE I COMMENTS I
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SITE ADDRESS 19 4 I v[.vs h.Jlo ' 11'"Gi I Unit #
Permit # V
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I INSPECTION I IN3PECTOR I OATE I COMMENTS I
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Permit # °?? ?(, e
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INSPECTION INSPECTOR DATE COMMENTS
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IHSPECTIOH INS?KCTOR DATE COMMENTS
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AddressI440, '42, '44, '46, '48, '50 GRANT ALCAVE & 1939, '41,'43, `45, `47, Zip 5512_
'49 JAN Eai0 IRAII,
Lot 6 Blk 1 , Sub c.zFF LaxE ramcms
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: a.4095 Yes No Inspector: ?
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUwrb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing syslem and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contraclot Copy
REQUEST FOR ELECTRICAL INSPECTION 00
`V/ •?? ?? lo, Sae insttucaons lor complelmg this lorm on back o( yellow copy • ?? E
"X" Below Work Covered by rhis Request
Ne Add Rep. . Type of Building Appliances,Wiretl Equipment Wired
Home Range Temporary Service '
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industnal Furnace Other Specify)
Farm Air Conditioner
OMer (speciy) Confroclor's Pemarks
loo .A -Fow-.?C)i`f
Compute Inspechon Fee Below:
# Other Fae # Service Entrance Size Fee # Circuits/Feedars Fee
Swimming Pool 1 0 to 200 Amps IS.oo I I 0 to 100 Amps SS.oo
Transformers Above 200_Amps f Above 700 _Amps 7
SI f15 Inspeclois Use ONy. TOTAL
Irrigation Booms 27? ??,-?J-b
Special Ins action ?
Alarm/Communication TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON HS.
I, the Electrical Inspector, hereby
tif
th
t
h
b
i Rough+n oat
^/? Yl
!
-
cer
y
a
i
e a
ove
nspection has
been made Finai a?
o? ???
OFFICE USE ONLY
Thls request voitl 18 months from
0
3, m I 27 &
5
!?i
ox.
Request Date Fre No ROUg nspecuon Peqmretl Inspecuon OtherThap ryaughin
(13u Fc2rt mspecmr
^'?en reatly) ? ReaG
ill Notdy Inspacmr
Now
?]r
'??`- ?
.
y
??
I ?f Ves ?J No Dale Reatl
I Ilicensed contractor ?owner hereby request inspection of above electrical work at:
Job Atldress (SVee6 Box or Boule No ) Qy
I q y o Gr -4- A-1 czve. U a.
Seclmn No Tov,msrip Name orNO Range No. Coun?y
I O
Occupan, (PRINT)
? ? M
J Phone No.
?15Z-5200
r .
r
Power Supplier
Da.Ko-I-a oeC?iC. Atltlress
y3d0
Eiecmcai Contraaor (COm
pany Name) nvectoYS License No
Co
n
I
Llji'ns I I W. r
l..
Malling Atldress (Contrector or Owner Meking Installaiion)
Z-18' c4n? S?. Pa.u t?( D
Authorrzetl Signalure (COnhactor/Owner Makm Installation) Phone Number
22y-2833
OF EL
10
ATE
MINNESOTA
T
'I
THIS INSPECTION FEQUEST WILL NOT
G iggs Mldwey
9l
Uq B Rooy? I II II ? I I ? I I I I I II I I II
BE ACCEPTED eY THE STATE BOARD
1831 UnivarslTy Ave., SL I, 51 UNLESS PROPER INSPEGTION FEE IS
Phone (812) 842-0800 li? ENCLOSED.
V.10k ?_/ (? . REQUEST FOR ELECTHICAL INSPECTION '• ??"%=?I)
(51 op0p0
9?? See insimctions tor complalTng this form on back oi yellow copy ? ?pJ
, /?1.? "X" Be7ow_V?ILYk Covered by This Requesf ?'''4,:w?•,
Ne Add Rep. Type of 8uilding Appliances Wired Equipmenc Wired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Load Management
Comm /Industrial Fumace Other Speci )
Farm Air Conditioner
Olher (specdy) Conlracbrs RemaMS. .
10o A -?ownlA on.?
Compute InspeChon Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps D I 0 to 100 Amps 55, Da
Transformers Above 200_Amps I Above 100 -Am s Zoa
SI OS Inspectors Ilse Only: TOTAL
Irrigation Booms ?? 00 ?7
SQ
S ecial Inspection ,
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecincal Inspector, hereby Rouqn-m oaie!'??
J
certity that the above inspection has
been made. oaie , J
OFFICE USE ONLY
This request vaE 18 months Imm
-o01 3-528 9 ?- ?? ?
?s 9 Rs & /?-l,
Request Oate Frte N. , oiiyAln I on Reqwretl
(VOU u t ca I inspecror when reatly) Ins eclmn Other Than ough-In
? Read
Now 'JQ Will Notdy Inspector
Yee ? No y
Oale Reatly
I licensed contractor ? owner hereby request inspection ot above electrical work at:
Job Address (Street, Box ar Route No ) City
qH2 Gr + I v2 ?t ck vi
Section N. Township Name or No Range No ouny
Ko
Occupant(PRINT)
PU ?? ?M9-S d? Mnl r. Phone No.
5Z-52o?
Power Suppher
I??-c, El ec?-ri c. Address
2ZO? S?ec-? es4-
Elecmcal ConVactor (Company Name) _
/ `
C
I ConhaActor's L¢ense No
OI
I?A
L W. Lif \ O ?
Mailing Atltlress (Cantractor or Owner Making Instellahon)
2-7$ ?- 51-. V l J?.? S?10?
AulhonzeC Signeture (ConiractodOwner Making Inslellahon) Phone Number
224-2833
MINNESOTA STATE BOFRD OF ELECTflI
I
I THIS INSPECTION REQUEST WILL NOT
Griggs-MlEwey 91tlg. - Hoom S-128 ( 'lk
182 Vhn e (612) Wi2-0BOOSL Paul, M I? II I I I I I I I I? I II 8E ACCEPTED BY THE STFTE BOARD
ENCLOSEDOPER INSPECTION FEE IS
REQUEST FOR ELECTRICAL INSPECTION
000 See msfmc6ons for completing Ihis lorm on back oi yellow <opy
?v???
?5?9?95 --X" Below Worlc,6pvered by This Request
Na Adtr Rep: -'Type ot Building Apphances Wved Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwiding Dryer. Load Management
Comm /Industrial Furnace • Other (Specify)
Farm Air Conditioner
OIM1er (speaty) Ganlractors Remarks .
Compute lnspec6on Fee Below: 1??
ff Other Fee # Service Entrence S¢e Fee # Circuits/Feeders Fee
Swimmin Pool ? 0 to 200 Amps {S,oo I 0 to 100 Amps S.oa
Transformers Above 200_Amps 1 Above 100 -Am s 7.CC?
Si n5 Inspecmr's Use only TOTAL
Irrigation Booms ? j ?/? ? ? , ?Q
5 ecial Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTNS.
I, the Electrical Inspector, hereby
if R°°qn,n oaie
cert
y that the above mspection has
been made. Final Da[e ',
?
OFFICE USE ONLY
This request void 18 months imm
. 529
?- P°
-
?
9
s ss ?
7?
4v,?/
Reques[ D e
4_?7 ? ?
? Fire No Rough-In ? ec?ion Reqwretl
(VOU ?` t'?if mspECtorwh ready)
? Iryspechon Otber Tha_n ?ioughln
? qeatly Now ? ? WIII Notity Inspecror
J No
ves Date Reatly
I. licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (StreeC Box or Route IVa )
y Csran+ ,41cove, Cny
E'Q ar)
SecAOn No Township Name or N. Range N. Counly
I?r--cKo-E-a
Occupanl (PF?) ? ?? H ? ? ?? .
?
? v Pho ? ?
7 ' G ?O
L
PowerSUppher
? z i Atltlress
`??00 Z ZD'4?h e
-} Y?-e S-}-
e
Electncal ConVactor(COmpany Name)
` ll,n el[e.c-h-I 1 Contracror's Lmense No
GAooybu
Maibng A[atlyress (COntractor or Own^er M`akmg Installation) ^ 1 l ?/? A '
Z U ?V.,V' lJll ?? 1"?.`V "?-:)W7
Authonze0 SBnature (COntrsato[/Ownar Making Inspllation) Phone Number
2z4 -2833
G8219 llnlOVere ty p e;B flSt. o Pm S?iN8 5 C?'RICy??? II II II I I II I? I I I III I I II I III ENC3E ROPER NSPECTIDN FOEE IST
Phone (612) 642-0600 M EL0 ! ?
REQUEST FOR ELECTRICAL INSPECTION ,j`'u^*
/?(/,
v j/?j)- ??O ? S9e mshuctions for compleling this brm on back of yellow copy. S?/?'j S • "X" Below Wo•k Covgred by This Request
Ne Adtl Type of Building Appliances Wired Eqwpme t Wired
Home Range Temporery Service
Duplex Water Heater Eiectric Heating
Apt Building Dryer Load Management
Comm /Industnal Furnace Other (Specif )
Farm Air Conditioner
Olher (specily) Canimctor's FemaMS,
boA T'owv,koN\.c-
Compute /nspection Fee Below:
# Other Fee # Service Entrance S¢e Fee # Circuits/Feeders Fee
Swimming Pool I 0 to 200 Amps 15 mo I 0 to 100 Amps ,60
Transformers Above 200_Amps 1 Above 100 _Amps -l.so
SIgnS Inspacror's use Only TOTAL
Irrigation Booms ? ??? -7-7, S0
Special Ins ection
Alarm/Communication THIS INSTALlA71DN MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, tha Electrical Inspector, hereby
cedity that the a6ove inspection has
6een made. Rou9h-in Dery. ? ? GJ
oa?q
/
OFFICE IISE ONLY
TMS requeat voitl 18 manihs imm
os??
0
3?
530 ?
°o
S
o 13? 77
7
Raqu st Oafa
_
9 ? Fire No Roug1d9 Ins n Reqmred
(VOU c inspeMOr when reatly) Inspeclion Olher Than gough-In
? Reetly Now ??? WIII Notily Inspeclor
1 Ves ? N. 11e1e Reatl
IKlicensed contractor ?owner hereby request inspection of above electrical work at:
Job Atldress (SheeL Bax or Roule No )
I
L Qty
E
lq
-
lO r 4 Alwye. cLoan
Section No. 7ownship Name or No Fenge No Counly 1 / ` ? v
?`-'-' `o 1 \
OccupeM (PRINT)
Il- l-4-ol o? MfV ` Ghona No
L4S2-i
,
PowerSupplier
ELp
_c-Fr1 c Atltlress
u3oo 220? 5?rct+ ?n?t ?
Elecrncal Convacmr (COmpany Name)
Colliv1s EleaV-ncal Co\s}YU-t.-hoY, CoNracrors License No.
Ge?c) o`-i (D l.o
ng Atltlress (COniractor or Owner Making Installatmn)
7?g 5 5ficee-}- 5?.P 1.LtN 5510-7
Authorrzed SiqnaWre (COntractavOwner Making I stallation) Phone Number
6(?b W.?a?. - 2z4-Zg?)3
MINNESOTA STATE BOApO OF ELECTflIGTY
Griggs-Mltlway Bltlg. - Room 5-028
111
111
111
11111
11111
1111
11 I
1
11111
1111
111
11111 THIS INSPECTION REOUEST WILL NOT
11 BE ACCEPTED BY THE STATE BOAFO
1821 UnlversHy Ave., St Peul, MN 5
Phonef612166P-0800 ?
? UNLESS PROPEq INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
111" See insimctians lor compleLng this larm on back ol yellow copy
"X" Below Woriz-Covered by This Request
Ne Add Rep. Type of Buiiding Apphances Wired Equipme
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt Buildin Dryer Load Management
Comm./industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) CoMeeotor's Ramarks D6c-. Fb-MAitih , i-reKCj-j li -6r 12001e-r
Compufe Inspecfion Fee Below: d- PkDr'LP- d- 1`e-GDVUWG4' +"rC(j(..¢n p.f YlQ1.J Si bp
# Other Fee # Service Entrance S¢e Fee # Cvcwts/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above200_Amps 700-Ams
$I n5 Inspecmrs Use Only TOTAL
Irrigahon Booms
S ecial Inspection
Alarm/Communication THIS INSTALLpTION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
i
f Rougn,m oace
cedr
y that the above inspect
on has
been made. F,nai oa
OFFICE USE ONLY
This request void 16 manihs from
?8.
?0i
?F?????
0 933
584
i
Request Dal Fire No. Rough?l c6a PeqwreC
(Vou musl call in5pect r en reatly) Inspecuon OiherT an ough-0n
? Reatly Now Wiil Notity Inspecror
? ? Yes No Oa?e Reatl
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Sireel. Box or qoule No.) 1
Iq S Y'0.V1.?' {GOV(?> Pty
EGt G(,Y)
Seclwn Na,
I Township Name or No
Renga No
CoTuniy
'Jqj<0
Occupant(PRINT) Phone No.
c? rv'-c 5 2- Zoo
awerSuppber ` - Atltlress I??,/n'
v
+
?
o
? ?1 • + V
l
f
v
Eleclricel Conirector (COmpany Neme) .
Colll'r?s Elec}?-i I nS?L??n C? Conlracmis L¢ensa No
C?oo?-lo(o
Mailing Address (Convacror or Owner Making Install tlon)
Z?S 5+at? kree?- 5-4-. MN 5510-7
Authorixetl $ignalurB (CantrectoqOwnerMaking Instellebon) Phone Number
Z83
2
?l
f?U6 d,eX, 3
-
z
MINNESOTA STpTE BOARD OF E GT THIS INSPECTION REOUEST WILL NOT
???p?
Grlggs-Mltlway Bldg. - Room 3-028 y
1827 Univeralty Ave., St. Peul, MN 51 II II I I? I ( I I I I I ? I I I (I BE ACCEPTED BV THE $TATE BOr1RD
UNLESS PROPER INSPECTION PEE IS
Phonelfil2)6C2-0800 , ENCLOSED.
O( REQUEST FOR ELECTRICAL INSPECTION s-ooo 1-
?Q '
Ooo Ses mslructions for complatirtglhis lorm on back of yellow copy ?
"X" Below WoAl by This Request
Ne Add Rep. Type of Bwlding Appliances Wired Equipment Wved
ly, Home Range Temporary Service
Duplex Water Heater Electric Heating.
Apt. Building Dryer Load Management..
Comm./Industrial Furnace Other (Specrfy)
Farm Air Conditioner
Olher (speciy) Conlractors Remprks'
IDDA -?oWn ?10 Compute Inspection Fee Below: .
# Other Fee # Service Entrance S¢e Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Am s ,00 I I 0 to 100 Amps 5100
Transformers Above 200-Am s Above 100 _Am s T,oo
SI nS inspactoi s Use Oniy , TOTAL
Irrigation Booms -77,S O
Special Ins ection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
i Ro.gn-m _ o:ae ?
i
(? ??
cerh
y that the above inspection has
baen made. F'"ai oate7
OFFICE USE ONIV
This requesl void 18 months tram
Al03o?8
?
? ? s -531 ?
?
`
7
r'I ?.
?
?
Req est ate
?_Z? _q ? Fna No Roughln i ion Aeqmretl
(Vou 1 all in5peclor
when reatly) Inspection other Than ough-In
? ReatlY N. Will Notdy Inspector
?
Ves No Date Reatl
IA licensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlress (Sireet, Box ar Rame No I
41co v
IqHg G
+ Cay
£
f
rci.n
e, a, a
Secnon No Tawnsnlp Name or No. Range No Gounty
- Ko-F
OccupaN (PRINT?
?I?? ?orv?.t5 ? MN Cor . Phone No.
?-IS2-SZoo
Power Supplier
?4? C eCAn C, Atltlress
?30 o 221 Gf'ree
Eledncel Contraclor (COmpany Neme)
Co11ins eIilec.-a-Acca Co kn?c?o+n C?. ConVactor's Lmense No
o0 0?0
Matling Atltlress (Coniracror or Owner Making Installa;ion)
Z? 9krze+ S-t- ? POu.?.l ?N ? I o7
AuthonEed Sgneture (CantractodOwnar Making Installatmn) Phone Number
22`I-2B33
MINNESOTq STATE BOANU OF ELECT C
Gtlgga-Mltlway Bltlg. - Room 5428-
?
II
II
I
I I
I I
I I
I
II
I
I
II THIS INSPECTION REOUEST WILL NOT
BE PCCEPTED BV THE STATE BOARD
??
?
SL Paul,
P?ne (812) 62-0BOO M ?
UNLESS PROPEfl INSPECTION FEE IS
ENCLOSED
dTM°?
G? 33 r3? REQUEST FOR ELECTRICAL INSPECTION E?B.- o-os
100 See mstmctions br com0leting this form an back of yellaw copy fi 3}u(J SL
.?(S '?/ g5 "X" Be/aw Work Covered by This Request
Ne Ad Rep. "'Type of Builtling Ap,.hahceS Wired Eqwpment Wved
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
. Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Olher (speaty) Conlredors Remarks.
Compute lnspection Fee Below: ? ?? ? ? ?? vv nkumi-
# Other Fee ff Service Entrance Srze Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Am s I,o0 0 to 100 Amps ,ov
Transformers Above 200 Amps 1 ove 100 -Amps -l.on
SI f1S Inspecmr's Use Only TQTAL
Irrigation Booms
S ecial Inspection
Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspectoc here6y
i Rougn;n
cert
ty that the above inspeclion has
been made
Fnal
Date ??7_1'7
OFFICE USE ONLV
This reques[ voitl 18 months fmm
S 3 2 6
I O
? /?/
?s 9 ?'
Request Date
_
['-
1-7- -
5 Flre N. Rough-In ec?ion Feqwred
(VOU calLlpspector when reetly)
? Ins eIXion Other Tha uglt-In
Reatly Now WJI Notily Inspedor
1
1 No
Yes - Date ReaO
I?licensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlress (SVeet, eox or Route No )
Iq50 + 11-I cave. Qry
Section N. Township Name or No Range No Counly
Occupanl (PRINT)
t\j Phone No
952-szoo
Power Supplier
DAcr6 ae.c.?-riC ACtlres
y300 22D S1?ree? WeS?-
Electncal ComraMOr (Company Name)
I[in le -frial Co ns+r,?o Co . Coniractor's License No.
C.4oo o?
Maihng AtlOress (COntrector or Owner Making Installahon)
2?7S 5+zaj fi-tl!_-h M N 5? 07
Authonzetl SignaWre (COntractor.'Owner Making Installanon)
6 w Phona Number
z2q-Zs'.:33
MINNESOTA T B
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Phonel6121692-0800 I
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! EN
PROPEP INSPEC
ON
EE
ESSE
REQUEST FOR ELECTRICAL INSPECTION s-o oi
il? u
Sea mstmctions !or completing Ihis lortn on back of yellow mpy
?
???' 95 "X" Below ? ork Covered by This Request ' ??. ?
Ne Add R-,:k. --Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Butlding Dryer Load Management
Comm./Industrial Furnace Other (Specif )
Farm Air Conditioner
Othar (spenfy) Gonvaclofs Ramerks
Compute Inspectron Fee 8efowI vO A ToW nkoffli
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool ? 0 to 200 Amps 1Cj,oo I I 0 to 100 Amps Oo
Transformers Above 200 Amps i Above 100 -Amps ao
$I fIS Inspecmr's Use Only TOTAL
Irrigation Booms
S ecial Inspection
Alarm/Communication THIS INSTALLATION M ERED ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby
if
h
h RO°9n?n oar.
?
cert
y t
at t
e above inspedion has
been made. Finai oai
/
OFFICE USE ONLY
T?is request voitl 19 months trom
yo ??
533
0
?5 9 9s
Reqveki Date
?
-]
?j'l=
V Fire No Rov9hln pecbon Requi tl
(V'ou? - t
call mspector
wh
reaEy) Ins eclion Olher Than ough-In
y Now tll Notify Inspector
'
_2
(
? L v
?
NO Da Read
Ix liCensed conhactor ? owner here6y request inspection of above electrical work at.
Job Atltlress (Streat Box or Route No )
q 39 J0-y-, F.G ?'t o rcc.i l Cily
6ck
Sa[tion No Townsbip Name or N. Range No County
bo-
Occupant(PRINT)
Pul?-? nn.c 4 ?l Cor . P Np-??D O
? 2
Power Suppller AdEress
y300 ZZD+?, SAyee+ Wes-?
Eletlncal Contrdclor (Company Name) ConVad^or_s license No
MaAing Atltlress onVactor o? Owner Making Installe?ion)
2`?`6 ?? -1-
Authodxetl SignaWre (Conlraclor/Owner Meking Ins[allatwn) Phone Number
`
/ 2z.y -z8
33
MINNESOTA STATE 60ARD OF ELECTRIUI THIS INSPECTION REOUEST WILL NOT
Grigge-Midway 810g. - Room 5128 -
1821 Phone (612?'692ABOpSt Paul, MN 51 ?
III
II
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I BE ACCEPTED BV THE STATE BOARD
VNLFSS PROPER INSPECTION FEE IS
ENCLOSED
0= 33=a34
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f
,.. a 5
? 9 95 .
Requ st Date
5
-lzl- Fire No Rnugh,ln I cbon ReOmred
(%iu 1-call inspeCtor when ready) Ins acbon Other Than qaughln
? Reatly Now ?W?II Notdy Inspeqor
I Yas ? No Date Reatl
I licensed contrector ? owner hereby request Inspection of above electrical work at
Job Atltlress (Street, Box or Route No ? C,ry
Iq ? o i rai ) Ea an
Seclion No Townshlp Name or No fiange No C 1-ni ?unty?? /
" I? `n +ct
Occupant?PRINT7
Pul+? ??? M?'V r . Phone No
L152-52-0o
Power Supplier
oo, V-0io, -?le?-?-?-ic Atltlress
y3oo Zzjt)?
Electncal ConVacror(COmpany Name)
Co
Elec-l-
s-?
Colli
?
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' ConttactoYS L¢enee
o NooL
CA
?
crk
ruc,
ns
?
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n o
o
Mailing Atltlress (COntrector or Owner Making Installallon)
?--T$ S+CL?q 5tyee+- Sa, Pou.?.l ?i NG610
Authorizetl Signawre (Conlmctor/Owner Making Instal tion)
I n Phone Number
ZZ ?/- 2$33
MINNESOTA STATE BOpRD OF EIE?CT?R{I Y
?
p?m g
II
II
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I THIS INSPECTION REOUEST WILL NOT
?I BE ACCEPTED BV THE STATE BOARD
1821 Unlverelly Ave., St. Pau
l,
( y ?
Phane (81Y) 6C? 800 , I
?
EUNL NCOSED OPER INSPECTION FEE IS
E
?,t??? REQUEST FOR ELECTRICAL INSPECTION ,`'l=?' ? ' e.o ooi-o
L ?' See Insttucllons for <ompleUng Ihis iortn on back of yellow copy
l5/9 Q? "X" Below Work Covered by rhis Aequest
Ne Adtl i3e af Buildin ? Appha?ces Wired Equipment Wired
Range Temporary Service
l Water Heater Electric Heatin
din Dryer ' Load Management
Comm./Industrial Fumace Other S ecif
Farm Air Condltioner
Other(speaty) ConVacrors RemeMS.
`
100 +-OW 1 ?,??.?I?vc..
Compute Inspecfion Fee Balow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool ? 0 to 200 Amps IC5 o0 11 0 to 100 Amps $S, o0
Transformers Above 200_Amps 1 A6 ve 700 _Amps '1 0i
Si fIS Inspectors Use Only TOTAL
Irrigation Booms ?-7, So
S ecial Ins ection
AIarMCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MO
I, the Electncal Inspector, hereby
h Rough-in oatR ?
??
cerhiy t
at the above inspection has
been made. Final ' Da?
OFFlCE USE ONLY
This request vaid 18 monihs irom
Ppo;;? REQUEST FOR ELECTRICAL INSPECTION Fs-oooo ?
? ?/?
.
V919 / ? Sae mstmotions br completing Ihis lorm an back ot yellow copy .(LV/?
i
? ai
5 "X" Below VLfiwuered by This Request
Ne Atld Rep Type of Bwlding Appliances Wired Equipment Wired
Home nge Temporary Service
Duplex ter Heater Eleclnc Heating
Apt. Building er
l Load Management
Comm./Industrial nace Other (Speafy)
Farm Condition er
Air
Other (speofy) Conlractor's Remarks
Compute Mspection Fee 8elow' I d ??. tDw nkU iIii
# Other Fee # Service Entrance Size Fee # Circuits/Feetlers Fee
Swimming Pool I 0 to 200 Amps 1 16,00 ? 0 to 100 Amps 5, Da
Transformers Above 200_Amps I Above 100 -Amps 1, 1
SI n5 ?inspecar's Use Only TOTAL
IrtigationBooms 77.60
Special Ins ection
Alarm/Communication THIS INS7ALLATION MAV B ONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 M H5.
I, the Electrical Inspecior, hereby
f R°°i oatr ???
certi
y that the above inspectwn has
been made. F??ai Date7
OFFlCE USE ONLY
7h15 request void 18 months Imm
0- 33m535
11519 s
Reque Oate
^7
-??
`z Fire No Roug
(YOU 7 ,. spec0on Fequrzed
u call mspecror vihen ready) Ins ection Other T an Rough-In
g Ready Now Will Notity Inspector
I Yes ?NO DateReatly
IXlicensed contracmr ?owner hereby request inspection of above electncal work at
Job Atltlress (SVeat Bax or Route No.)
1993 J
FJ
T
-
,1 Giry
Ea ak
cw,
io
y ,
$ecbon No. Township Name or No Range No Counly
Da'k-'o fa
Oxupant (PRWT)
f?bn,VS M r?/
?,p ?. Pnone No
q 5 2- SZa o
Powet SupPlier
Dakb+ck Elec+y1-c1 Atltlress
43uo
w<s+
Elecincal ConVactor (COmpeny \Na?me)
?
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C
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? Comractors License N.
`-A 0?
R1C
e.C.
l
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5 10 l'A.
L D
C ol7
MeAing Atltlress (Conlrector or Owner Making Installa[ion)
2?7 S?a.b 61v 4
5? .?a? l
,l,tr?l SS? c??
Authonzetl Signeture (
COnVector/Owner Makmg Inslalla0on) Phone Number
\
VvN ? l ?Eq-29
MINNESOTA STATE BOARD OF EIEC?RI ? THIS INSPECTION REQUEST WILL NOT
Gtlgge-Mldway Bltlg. - Noom 542a, ?..,????I II II I? II ?I I I III I I ? I I? BE ACCEPTED BV THE STATE BOARD
1821 UnWeralty Ave., St P UNLESS PFOPER WSPECTION FEE IS
Phone(61Y)8a2-0800 aul, MN?SSiqoy ?-?? Yj ENClOSED
?9195
REQUEST FOR ELECTRICAL INSPECTION ??"?"?' {
Ee- o-os,
?''
ilp See Inslmctlons for completing Ihis form on back ol yellow copy.
"X" Below Work Covered by This Request "IT-O„.?'
Ne Add Rep. "fiype of Building Ap?iances Wired . Equipment Wired
Home Range - Temporary Service
Du lex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./lndustrial Fumace Other (Specify)
Farm Air Conditioner
Other (specdy) ConVaclor's Remarks tDD ?b
Compute Inspechon Fee 6elow: M?
# Other Fee # Service Entrence Size Fee # Circuits/Feeders Pee
5wimmin Pool 0 to 200 Amps 15,00 I I 0 to 100 Amps
Transformers Above 200_Amps I Above 100 _Am s 0a
Si ns insvecors use omy. TOTAL
Irrigation Booms
„? O -7
1 -7. SC)
S ecial Ins ection
Alarm/COmmunication THIS INSTALLATION MAY BE UISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby
if Rough-in oe}e
??
ced
y that Ihe above inspection has
been made. F?nai oe$
O'
OFFlCE USE ONLY
This reques[ voitl 18 months Irom
?
?
0
Reques Oat
-7 G
`? Fire No ough-ln ectlon Requiretl
(VOU u call Inspaclor,Y(hen ready) Inspecbon Other TM192Roughln
? Ready Now ? Wdl Notity Inspec[or
(
?J ? es IJ No Date Reatl
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street, 6ox or Roule No )
19y5
i I Ctly
?
0 rU Ct a h
Section No, Townsbip Name or No. Range No Counry
Oc pent(PRINT)
ul?- M N Cor . P?one No.
H52-S2- CD
PowerSUppber
i
??
? Aatlress
y3po Z2Q ?fi'ee-? Wts+
c
ec
r
o
Electtlcal Conirector (COm any Nama) •
Co?l?v?s l2c?n c?n.\ Co"nskruc, ? Go Coniractor's Llcense No
C?oo ?olv
Mailing Atltlreas (CoMrdcior ar Ownar Mdkinq Insidlla?ion) ?? ?? ?? ? O?
Authonze SignaWre (ContractodOwner Making In tallatioi
b esc? Phone Number
22- q -zg33
MINNESOTA STATE BOARD OF ELECTH}}??5
Room 5-028 y?\ `?
h
? THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BV THE STATE BOARO
?
1831 UnlVarslTy Ava., 51. Peul, NN 65r? fl
P?o?ro (612) 03-OgpO UNLESS PROPER INSPECTION FEE IS
ENCLOSED
' REDUEST FOR ELECTRICAL INSPECTION ??e-oooo -os
10- See instmcoons lor completing this forcn on back of yenow copy
?
l G
"X" Below WorM overed by This Request y?
,,,?•„•°
Ne dd '.ap. AdMIIW., Wved , . Equipment Wved
i Range Temporary Service
M Water Heater Electric Heating
Dryer Load Management
CommJi Fumace Other (Specif )
Farm Av Conditioner
Olher (speafy) ConVactors Remafns
Compute Inspecfion Fee Below. ? oO ?• ???V W?'
# . Other ' Fee # Service Entrance Size Fee # CircuRs/Feeders Fee
Swimming Pool ? 0 to 200 Am s ?j AU I I 0 to 100 Amps •0-0
Transformers Above 200 Amps I Above 100 _Amps ?,oD
51 OS InspecroYS Use only TOTAL
I'rrigation Booms 7,• Qe -7`1 1 r-J- Q
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE iSCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby
nif
th
t th
6
i Rou9n-io Date ??j -'
y
ce
a
e a
ove mspect
on has
been made.
Finai
o e• ?
OLf
OFFICE USE ONLV
This eequesl void 18 monlM1S fram
?0 3 5 3 7 '?a??`
?
4?7-7 O'v
s l
4 5
lz.
Request Date Fire N ection 116 Inspec ion OtlerThaugh-In
II mspector when reatly) ? Ready Now Will No'ily Inspector
?
s
No Date Reaa
I licensed contractor ?owner hereby request inspection of above electrical work at.
Job A/tlytlress (Slreet. Bax or Roule No ) I
'"? 1 Vt/r `-? 1 1 Wl l Qry
?.?
Section No Township Name or No Range No Counry
pc?.Kofq
Od upem (PRINTI
I? S a? M N Co v-. Phone Na.
1451-15Zoo
P wer Suppher
? E1ec,-?v?c Atltlress
L?3C0 20+?\ S-lYee+ yJes-}-
Electnral Convactor (COmpany Name?)_
{
` ? Contr(ad`ofS License No
?`(\CCL
W d
Mailing Address (Contractor or Owner Meking Instailation)
ka Siye,4- S? .? N SS o-7
Authonxed Signatvre (COntracrodOw1ner Making Inst IlaLOn)
-FA Vw" y Phwe N,umber
ar f -`S33
MINNESOTA STATE BOAPOOF ELECT
Gnggs-MlEway Bldg. - floom 5-]? THIS INSPECTION REQUEST WILL NOT
BE AGCEPTED 6Y THE STATE 90ARD
1821 Unlversity AvB., St. Peul, fAN 1
PhoneJ61Y)fiA2A800 ??? I UNLESS PROPEP INSPECTION FEE IS
ENCLOSED
?/9g . /33 ?QREDUEST FOR ELECTRICAL INSPECTION
? See instmetions for mmpietin9 this form on back ol yellow copy
"X" Below Work Covered by This Request
B-00s°''
?
Ne Add Rep. Type ot Building .. Applia.nces Wved IEqwpment Wved
Home Range Temporary Service
Du lex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (S ecrfy)
Farm Air Conditioner
O[M1er (specify) CoNractor's Remarks.
Compute Inspechon Fee Below: I,C) A.
# Oiher Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool ( 0 to 200 Am s I . o I 1 0 to 100 Amps x e?
Transformers Above 200_Amps bove, 100 _Amps -T.ao
Si nS Inspector's Use ONy TOTAL
Irfigation Booms G
5 ecial Inspection
Alarm/Communicahon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
th
h
b
i
i
h Rough-m , Da ? J
cer
y
at t
ove
e a
nspect
on
as
been made. Final oata ..
OFFICE USE ONLV
This raquest void 18 monihs irom
v 3 q ?
'?
0 ? 33
538
?
?
77
Request Oata
2?
? Fire No Ro hd I c6on Reqmra
(You a I mspector when reatly) Inspec?lon Olher Th?ough-In
? Reatly Now Wtll NotAy Inspedor
- ? N. Da[e Reetl
I licensed contractor ? owner hereby request inspection of ahove electrical work at:
Jo Atltleess (Street, 8oz ar Pouta No ) City
1 q y oi-I o?v?.i I ?U
Secfion No Township Neme or No Fange No, Counry ?
?
Om em(PFINT) ??? ?
N lv ? Ph
q5 Z''CD
Power upplier Atltlress
-?-
Elecltlcal Cantrector (COmpany Neme) '
I-
?
h'i Cu I
- ? Con[rectar s Ucense No
D (
C
k
to n
.
l1 r
?
t?5 C o
,
00
Mailing Address (Conh otor or Owner Making Inetallatlon)
278 ?-J- to S-I-ree+ ?_% . l MN 56107
Au[honzed SignaWre (ContraclorlOwner Ma in ns[allation)
' Phone Number
? ( -2S 33
&b .e,r Zz
28 SCTHI
C?I
Oe? YY A' B?oPO SF
U
9
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II
II
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I
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III THIS OT
INSPECTION REQUEST
E
?
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F
E
M
8
2
U
Phone 16121 6i20R0o . 55 PRO
P
R INSPECTION
E
UNf
?jGl%I! %l,o
55? 0
s 9
?
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oW
°?
s
?1?i
?
a
i
Req st Date
r ? (";?
'
0-- Fve N. Roughln Inspa?ns e eqwretl , Ins ec0on OtherTnan Roughdn
(YOU must call pcmr w en reatly) ? Ready Now AWiII Nottly Inspeclor
?J
?
1 ?Ves No ?ateReatl
I?licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Slreat, eox or Route No.)
q Jay) E-[,ho T i Ctly
EriQzgjg
Sectmn No Township Name or No Range No County / .
' ?lW 1 K.
Occ enl(PRINT)
f c iws bl? Mr?1 CDC . Phone No.
`-}S2o
PowerSUppher
?G.k o?n Ck-q cAyi C Atltlress ?
?-130o ZZ ot? S?-YTei
ElecVical Contractor (COmpeny Name) _
n
?
?
l ?
t
?
?l
U Comractols License N.
i,i ol
Ck
r, cc?
.o
s
n,iL
n
e.c
?o
.
o n
oo
Maibng Atltlress (COn[ractor or Owner Making Ins?allaM1On)
-7 MN l0`1
AWhotlzetl SignaWre (COnlractorlOwner Makin InstallaLOn)
6 Phane Number
2
s33
224
1n
Rx -
-
MINNESOTA STATE BOABD OF ELECT I V^v'
Gtlggs-Mitlway Bitlg. • Room &128 .
A.
II
II
I
I I
I THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BV THE STATE BOAFD
1831 Unrveretty Ava.. SL Peul, Mp 6 4
I
Phone (612) 642-0800 \ 1 ?}?? UNLESS PROPEF INSPECTION FEE IS
ENCLOSED.
D-0 J-,Sf f REQUEST FOR ELECTRICAL INSPECTION
10- Sae insimdions (or completin8 ihis torm an baak of yellow copy
"X" Below Work Covered by This Request
a'"s?
??^'- \ Ee=ooaoi-os
?
New Adtl Rep. Type of 8wlding Apphances Wired ' Equipment Wired .
Home " Range Temporary Service
Duple " Water Heater Efectric Heating
Apt. Building Dryer Load Management
Comm.llndustrial Furnace Other (Specify)
Farm Av Conditioner
Other (specify) Conlractor's Remarks
l001&, SQxv`?c.a ?a? ?,?nk\e? 5?5}err?
Compute Inspec6on Fee Belaw:
# Other Fee # Service Entrance Size Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 700 Amps
Transformers Ahove 200_Amps ove 100 -Amps
SI 11S Inspecror's Use Only TOTAL
Irrigation Booms OV
Special Ins echon L ?
Alarm/Communication THIS INSTALLATION MAY B EO DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 R90NTHS.
I, the Electrlcal Inspectar, hereby
if Rouen-m De[e
cen
y that the a6ove inspecnon has
been made. Finai oare
OFFICE USE ONLY
This request voitl 16 monihs fmm
REQUEST FOR ELECTRICAL INSPECTION oooros'
011? See inshbctions for compleling Ihis form an back of 5'ellow copy
"X" Below Work Covere?,br This Request
e Add Rep. Type of Bui mg Apphances Wired Equipment Wired
Home p-- Range Temporary Service
Duplex Water Heater ? Electric Heating
Apt. Bwlding Dryer Load Management
Comm./Industrial Fumace Other (Speaty)
Farm Air Conditioner
OMer (speafy) Conlreclofs Ramarks ,
Compute Inspechon Fee Below:
N Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200_Amps ? Above 100 -Amps
Si ns insaecrors use aniy TOTAL
Irrigation Booms 0105c)
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
t
th
t
h
b
i
i
h Rough-in ' Dale
cer
i
y
at t
e a
ove
nspect
on
as
been made. Fmai oata
OFFICE USE ONLY
ThIS request voitl 18 months from ,
0;-,3??559
Request Dete
v Fre No. Fouqh-In Inspecimn ReQurtetl
(YOU m
ust call inspecl en reatly) Inspedion OtherThan ough-In •
? Reatly Now Wili Nolity Inspa_'ror
t\l
? ?J ?
Yes No . Da[e Reetl
IVlicensed contractor ?owner hereby request inspection of a6ove electrical work at:
Job Addrass (Street, 9ae or RouIe NoJ
Iq_7.JaVI E 01b Tra, 1 City
Frcc?
Secllon N. Township Name or No Fange No. Counly
b a kv-f a
oc??t Ik (PRiN e f?fait?us a? PhoyNS2
Power Supplier
7`-?,kc? ?1s.c-h?c Atltlress
?130? ZZ?t? ?ne-4 5
Eiecincal Contrector (COmpany Neme) .
ollirls F,!,u-lniccni Uo`.-?5?lwt1oli CD . Contractors license No
Ck00 qOl.o
Mailing Atltlress (ConVac?or or Owner Making Instellation)
2?8' ?',?G\j 5?? ee?' SA _?:)aA M11 tv?l
Authorizetl SignaWre (ConlracmdOwner M kmg Installaeon)
?? ??? k,Y ??_" 1 -67? Phone Number ?
22 y- z? 3
MINNESOTA STATE BOAflD OF ELECTf{I?I$d' ? THIS INSPECTION REQUEST WILL NOT
Grlgga-Mitlway Bldg. - Raom 5-128 v ?v BE ACCEPTED BV THE STATE BOARD
1821 Univerelty Ave., St. Peul, M(? 5?UNLE$$ PROPEF INSPECTION FEE IS
Phone (812) 69Y-0800 \l \ ervaoseo
PLUMBING (COMMERCIAL)
, Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,3 r?m ,Sb
/ ??
Date4 /_/ti?
Site Address NZin 4?cbo I l
9,5q Unit #
Tenant Name i4T L K2..? h wn a ???^F'tfrmer Tenant Name
Property Owner ? ff LQ f(ej v l Vl 0 YlA_p_9? Telephone #
'
M(4IM 1 Q
Contractor (.J ? 6d<
Address J +? ? City
State Zip 55 ?2-3 Telephone # Iq g?o 3 j
The Applicant is _ Owner Conuactor _ Other
WorkType _ NewBldg _ Add-on _ Repair RPZ PVB Irrigationsystem"
`Jer Wobschall [o calculate fees. Re uire me[er size is 2" turbo unless smaller siu ermitted b Public Works
Description ot Work kclz?, rZ( L -_- n -f
o inqu re if Pressure Reducing Valve is reqoired on new service, call 651-675-5646 I 1
Meters - Call 651-675-5300 to verify that hydrostatic, conductivity, and bacteria tes[s passed rior to pickin _ •• ? i
.? ?n,?q I (I?I
up e e ? V'? y•?'"' ', 7 I
?
Irrigarion Size & Type Avg GPM ulL
Fire Size & Price 3/4" disnlacement $156.00 I
By- -?J
Domes[ic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
?3
co
Contract Value $
?••
x 1% _$ Base Fee
$ Meter(s)
Required on all new buildings & boulevard irzieation systems $ Radio Metet Read
Ifbase fee is $1,000 or less, surcharge is $.50 $ State SutChaTge
Ifbase fee is over $1,000, surcharge is S50 per $1,000 o£the Baze Fee
Following fees apply only when installing new irrigation system Y ?$ ? ?Water Pemrit
Contact Jerry Wobschall a[ 651-675-5024 for required fee amounts
$ Treatment Plan[
$ Water Supply & Storage
$ S[ate Surchazge
-------------------------------------------------------------------------
-------------------------------------------
$ 50 ', S-D
----- ------
Total Fee
1 hereby appty for a Commercial Plumbing Permit and acknowledge that tt
conformance with the ordinances and codes of the Ciry of Eagan and with the
application for a permit, and work is no[ to start without a permit; that the woich requires a?eview a id app val of plans.
?1?
ApplicanPs Printed e
:ion is complete and accurate; tha[ the work will be in
Codes; that I undersrand this is not a permit, but only an
g accordance with the approved plan in the case of work
i [??
CITY USE ONLY
REQUIRED INSPECTIOIYS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final
PLAIYS SUBMITTED APPROVED BY: 4 i- , BUILDING INSPECTOR
General Information
• 12adio Meter Read (required on all new buildings & boulevazd irrigation systems- $157.00
• RPZ's must be rebuilt every five yeazs. A minimum fee pemut per address is required for RPZ rebuilding or repairing.
• Water meters include copper hom/strainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $121.00 4-120 1-1/2" irrigatlon syst $ 781•00
displacer.ient smcomria: nubme** muStTeCeiVe
maximum
approval
continuous
10 from Public
Works
2-30 3/4" lawn irrigation $156.00 4-] 60 2" turbine lg irrigauon syst $ 982.00
maximum displacement residenrial &
continuous sm coromercial producrion lines
15
3-50 1" displacement very Ig res $200.00 1/4 to 160 2" compound bldgs over $ 1,860.00
bldg to 24 units 65 units
maximum sm comtnercial &
continuous & lg comm bldgs
25 irri ation s stems
5-100 1-1/2" bldgs 25-64 units $484.00
maximum displacement &
continuous most comm bldgs
50
METERS REOUIItING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
ivlr,TERS USE PFaIi.E GFiYf IiETETcS YISE PRICE
3" turbine very Ig irrigation $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00
r syst & production very Ig comm bldgs
lines
112320 3" compound +200 unit bldgs $2,411.00 10-1000 6" compound +400 unit bldgs $6,100.00
very Ig comm bldgs very Ig comm bldgs
15-1000 4" turbine very Ig irrigation $2,329.00
syst
& production lines
C:omments
• To schedule inspecrion of the inside water line and backflow preventer, call 651-675-5675.
• To arrange for water turn-on, ca11 65 1-675-5 3 00.
cc: Main[enartce Uivtsion Clerical Technician
Updated 1/03
PLiJMF,ING (COMMERCIAL)
' Permit Application
? City Of Eagan ?
J q?9 1? 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Date 5 / 2L) / 0 3
Site Address ?
Unit #
Tenant Name Former Tenant Name
Property Owner (dkP V Q.'J'I_t4.-• Telephone #(q5?) 467-qqW
Contractor w(1.7A. ?G10111-04- G4./
Address City ?
State MQ Zip Telephone #6SJ 62 -/ gp/r
T6e Applicant is _ Owner Contractor Other
Work Type _ New Bldg _ Add-on Repair RPZ PVB Irrigation system *
* Jer Wobschall to calcula[c fees. Re uired e[er size is 2" turbo unless small,er size crmitted b Public Works
Description of Work Olga 11 IdR-)7Z- Cd" ?+((tYKpnr)
To inquire if Pressu2 Reducing Valve is required on new service, call 651-675-5646 '
Meters - Ca11651-675-5300 ro verify that hydrostatic, wnductivity, and bacteria [ests passed prior to oickina uo mMer
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" disolacement $156.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 mi ' um (includes State Surcharge)
Contract Value $ x.Ol% _$ Base Fee
$ Meter(s)
Required on all new buildings & boulevard irtieation systems $ Radio Meter Read
If base fee is $1,000 or less, surcharge is $.50 __-----??- ????---n--- ,'ll7 (? State Surcharge----_
If base fee is over $1,000, surcharge is $.50 per $1,000 of Ihe Base Fee I I' ? '"I
Following fees apply only when iustalling new irrigatlon sys[em $'? ? ??--• ? Water Pemut
Contact Jerry Wobschall at 651-675-5024 for reqmred fee amoun[s
$ 1 Treatrnent Plant
L?-'- --J Water Supply & Srorage
$ State Surcharge
-------°--------------------------------------------------------------------
------------------------------?---?--)--------------------------------------------
$ ??,Y Total Fee
I hereby apply £or a Commercial Plumhing Permi[ and aeknowledge that [he information is comple[e and accurate; that the work will be in
conformance wrth the ordinances and codes of the Ciry of Eagan and wrth the Plumbing Codes, that I understand this is not a permit, but only an
applica[ion for a permit, and work is not ro start without a pertni[; that the work will be in accordance with the approved plan in the case of work
which requires a review and approval of plans.
r?'G6'+'1 n??
ApplicanYs Prited Name Applican ignature
1
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: Sp BUILDING INSPECTOR
General Information
• Radio Me[er Read (required on all new buildings & boulevard irrigation systems- $157.00
• RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ re6uilding or repairing.
• Water meters include copper hom/strainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PR[CE
1-20 5/8" residential $121.00 4-120 1-1/2" irrigation syst S 781.00
displacement smcommercial turbine*' IpllSt1'ecelVe
maximum
continuous 8pproval
lo from Pubtic
Works
2-30 3/4" lawn irrigation $156.00 4-160 2" turbine lg irrigation syst $ 982.00
maximum displacement residential &
continuous sm cotnmercial production lines
15
3-50 1" displacement very lg res $200.00 I/4 to 160 2" compound bldgs over $ 1,860.00
bldg to 24 units 65 units
maximum sm commercial gt
continuous & ]g comm bldgs
25 im ation s stems
5-100 1-I/2" bldgs 25-64 units $484.00
maximum displacement &
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00
syst & produc[ion very Ig comm bldgs
lines
112-320 3" wmpound +200 unit bldgs $2,411.00 10-1000 6" compound +400 unit bldgs $6,100.00
very Ig comm bldgs very lg corom bldgs
15-1000 4" turbine very lg irrigation $2„329.00
syst
& production lines
Lll11G11W
•, To schedule inspection of the inside water line and backHow preventer, ca11 65 1-675-5 675.
• To arrange for water tum-on, call 651-675-5300.
cc: Main[rnance Diviswn Clerical Technician Upda[ed 1/03
Y
17790 CLIFF LAKE TOWNHOMES
17791 CLIFP LAKE TOWNHOMES 2ND
JAN ECAO TRAIL
,
1913/ 10 17791 089 02
1915/ 09002
1917/ 091 02
1919 092 02
1927/ 10 17790 079 02
1929/ 080 02
1931/ 081 02
1933/ 082 02
1935/ 083 02
1937 084 02
1939/ 1017790 067 02
? 1939-1/2 - (uG.sr-aaNK R)
1943/ 069 02
1945/ 070 02
1947/ 071 02
1949 072 02
1965/ 10 17790 04902
1967/ 05002
1969/ 051 02
1971/ 052 02
1973/ 053 02
1975 054 02
1976/ 10 17790 006 02
1978/ 005 02
1980/ 004 02
1982/ 003 02
1984/ 002 02
1986 001 02
12
(PAGE 1 OF 2)
? CITY OF EAGAN
383f) Pilot knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
(24C v u,-)q ?
6 q5
PERMITTYPE: suzLoiNs
Permit Number: 0 2 5 8 6 8
Date Issued: 0 6/ 21 / 9 5
1940 GRANT ALCOVE
LOT: 6 BLOCK: 1
CIIFF LAKE TOWNHOMES
DESCRIPTION:
Building Permit Type 12-PLEX
Building Work Type NEW
' UBC Occupancy' R-1 U-1
Construction Type V-N
2oning -- PD R-4
Building Length " 160
Building Width ' 6$
Byilding stories z
S?qWa,re Peet 8,976
?k , '' _ `': .' ?' ?? . _ _, .9 `• '??? _,? z ; :3
REMARKS:
INCLUDES 1942 1944 1946 1948 1950 GRflNT ALCOVE S& W PLBR - VALLEY
1939 1941 1943 1945 1947 1949 JAN ECHO TR
FEE SUMMARY:
Base Fee
Plan Review
5urcharge
SAC
SAC %
SAC Units
Subtotal
VALUFTION
qogl.4o
$-4-0 02-2-•-@ 9
$1,407.70
$383.50
$10,200.00
100
12
$16,013.20
$767,000
CITY SAC
WATER CDNNECTION
S & W PERMIT
S & W SURCHAR6E
7REATMENT PLANT
ROAD UNIT
Total Fee
$1,200.00
$9,006.00
$100.00
$.50
$4,464.00
$5.1@0.00
35,fr'1 (,?o
CONTRACTOR: - Applicant - 5T. I.IC. OWNER:
PULTE HOMES OF MN CO 14525200 0001371 PULTE MOMES OF MN CORP
1355 MENDOTA HEIGHTS RD 300 1355 MENDOTA HEIGHTS RD 300
MENDOTA HEZGHTS MN 55112-1112 MENDOTA HEI6HTS MN 55120-1112
(612) 452-5200 (612)452-5200
I hereby acknowledge thet I have read this application and state that the
information is correct and agree to camply with all applicabl.e State of Mn.
Statutes and City of Eagan Ordinences.
APPLICANT/PERMITE SIGNA R ISSUE B SI ATUR
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
Lor: e BLOCK:
1940 GRANT ALCOVE
CLIFF LAKE TOWNHOMES
PERMIT SUBTYPE:
12-PLEX
PERMITTYPE: surLozNs
Permit Number: 0 2 5 8 6 8
Date Issued: 0 6/ 21 / 9 5
1 APPLICANT:
PULTE HOMES OF MN CO
(612) 452-5200
TYPE OF WORK:
NEW
INSPECTION
FOOTTNGS rA .
FOUNDATION D.
FRAMING ROOFING
INSULA7ION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: INCLUDES 1942 1949 1946 1948 1950 GRANT ALCOVE S& W PLBR - VALLEY
1939 1941 1943 1995 1947 1949 JAN ECHO 7R
F
?
- -- - - --- - ?
?
' CITY OF EAGAN ?'?ri ?
3830 PILOT KNOB RD - 55122 ?
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
? 3 registered site surveys ? 2 copies oT plan
? 2 copiea of plana (inUude beam 8 windaw sizea; poured fntl. design; etc.) ? 2 site surveys (exlerior addkions 8 decks)
? 1 energy calwlations ? 1 energy calculations for heated addkions
? 3 copies W lree preeervation plan if lot platted after 711193
required: _ Yea _ No
DATE: NDRi I Z,Io?ti`' 1°lq5 CONSTRUCTION COST: DDO
DESCRIPTION OF WORK: RoGir?o.?.,?I QANZ
STREET ADDRESS:
LOT LO BLOCK ? SUBD./P.I.D. #: r•' '?? ??K??4 I n???n I",rn^rc?
PROPERTY Name: PaL.tE RoMeS trt ?W l_oR? Phone #:
owNeR
Street Address•!;1;5 MLIJ-* LWS Rcl. Ile 30f)
City: 141eN4o-M N2i? State: Mu• Zip:,W? - III _
CONTRACTOR Company: ?la'u u?Ne? Phone #: qya' 62QQ
Street Address: 7s" License #- I)OD 1371
City; ? State: Zip'
ARCHITECT! Company: &IANK 2ccc Phone #• ?h9- ?2-3f1
ENGINEER
Name: Registration #,
Street Address• 2-I°I S'E- mmu '12ft- Suike. goo -
City: State: M K. Zip: `N
jSewer 8 water licensed plumber: VAII 1 l L14? . Penaliy applies when address change and lot
change are requested once permit is issu d.
1 hereby acknowtedge that I have read this applicatian and state that the infortnation is cortect and agree to comply with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No h3AY 0 1 1995
Tree Preservation Pian Received _ Yes _ No ------- --------
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex o 11 Apt./Lodging o
0 02 SF Dwelling ? 07 4-plex o 12 Mufti RepaiNRem. o
0 03 SF Addition o 08 S-plex o 13 Garage/Accessory o
0 04 SF Porch cm-'-09 12-plex o 14 Fireplace ?
? 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE '
,,?31 New. 0 33 Alterations
0 32 Addition ? 34 Repair .
GENERAL INFORMATION
Const. (Actual)
(Ailowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 36 Move
? 37 Demolition
N "l!?s
5rP• Basement sq. ft.
e1-N Main level sq.
Sq. ft.
ft.
sq. ft.
z sq. ft.
/bP sq. ft.
G$ Footprint sq. ft.
Building
?uT
. <
;
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
(ZM3 ?°!y1
00o ?AG?S
0f0 pI?
MC/WS System
02 5' City Water
.46 ?o Fire Sprinklered
PRV
!S 9, 76
Engineering
Variance
?x
y'
/Og-
03
/z
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV PermR
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
L ?
1914
$ 71v -Zo?o ?
64LC S
14X C,4 /3(ALjd, '
Go-f
? ? ,,, ,,Yq lT
e
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
? ?/a?
?
% SAC
SAC Units
' LOT 6IIRVEY C$EC$I,ZST rOA REBIDENTIAL
? SIIILDING pERMIT 71PPLICATION
? 4ROpERTY L•RGA*•s ?
?
Dat? of 8urvsps
• '
DOCflMENT 9T NnaRIfR
r
0 • Registered Lnnd Surveyor signature aad company
O D • Buildiaq Permit Applicant
D,`] 0 • Legal deacription
D?] 0 • Addre88
D • North arrow and bat ecale
? D 0 • House type (rambler, walkout, split v/o, split entry,
C
0
• lookout, etc.)
i
? D
rectional drainaqe arrows with slope/qradient 4.
l9' ?
8?
I 0
0 • . Propoaed/exicting aewar and water aervices
? • street name
D/0 0 • Driveway LLEVATIOIiB
e13
a
• Lxlst3nc
s.Wer sen?ice
V 0 • Lot corners
? 0 • Top of curb at the driveway
D?D D • Elevations of any existinq adjacent homes
pr
Q
9- 0
? 0 • oDOSe
Garaqe floor
0
D
? D • First floor
0
D
II? D 0
o • Lowest exposad elevation (valkout/window)
• Property corners
? D n • Front and rear of home nt the foundation
0?-10
C)
• 44NDIN3 AREAS (i! apalicablel
Easement line
V D • NWL
D 0 • AwL
? • PonB # desiqnation
13 • E7nerqency Overflow Elevation
a=rnaioxs
D • Lot lines
B?-D 13 • Right-of-way and streat width (to back oi curb)
8 0 0 • Proposed home dimansions inclydinq any propoaed decks,
overhangs gzeater than 21, porches, etc. (i.e. all
0 atructures requiring permanent footings)
G • Show all aasements of record and aay City utilitias within
-? thoee easemeats
9
13 G • Setbacks of proposed structure and setback of adjacent
_ /
Q" 13 existinq homes
Q ? Retaiainq wa a r nts, if aay
Rwiewed: ?
Nnme
/ D e
Octobar 1992 `
MET TAP INTO
E%. XM
TO 12
NCTE:
ADD GATE VALVE EXTENSIONS
AS NECESSARY FOR ALL
GATE VALVES AT WET TAPS.
EXISTING NATERHAIN NAS
li' TO 13' OF COVER.
NOTE:
STUB SERUICES TO NITHEN 10' OF
BUILDINGS
SENER: 6' P. V. C. SDR 26
NATER: 4' D. I. P. CLASS 52
WITH 2' TAPPED PLUG.
-(?iE CiTY OF ?CV?OF? UTILITV LOCA ?100 -
BUILDING SEVEN
UNIT 69-BO
(SEE NOTE : THIS PAGE)
BUILDING SIX
UNIT 61-68
c
THE 61CCUR , IS Df?Ts? IJ • ?
ANDfOR ELEVATIOIvS. TH ? C;`L'{ A>,.;D ?
PURPOSES ? ? r
1`yFOR?,9P.T?ON1NG {7 SHOULD V?RtrY SH?
PERS??S 'CHESITE.
INFORMATI0?10N ?! CL\?-•'
Benchmark:
Top Nut Hydrant-Approx.240' North of
Inter. Of Rahn Rd. 6 CI iff Lake Rd. on W
Side of Cliff Lake Rd.
Elevation = 897.65 feet (N. G. V. D. 1929)
?00 f ?
i
i s'
_ip? .?.r
DENOTES E215T.
MATERMAIF lllE
c. o.
4 ql? ?_
D
TO 2'
1 ? I
J •
- - ?,
b?ca
F INf ? plP
M. Il
- ,
a' 019
11 \
Pvc 1
P 019
? ? .
1
tIF INTp FX1S1. '
SAN. SENEH WITH 6' SADDLE
FyIS7. SAN. ELEY. 1882.5
YET TAP IN70 E1(IST??4?OINGtEIGi
rl?TEt1XA1N FOH
IRRI6ATION SYSTEN UNIT Bf-92
TIE IN10 EXISi.
SAW. SEMEP WITH 6' SADOLE
EXI T. SAN ELEV. - B93.h
?---
`M D -
_?- -
r
m J y?
. ??
??•r ,
=--- .......... ....
- : - ..... ? . .... ..............
.......................
3..
?..........
- ?E-..... _..................
U1i11GR! .
51111 nnm«ss!
ExTEnlbh EIIVtLUre hVEhnCt ?'U'? CoNPUtAtIoN rdE?r>y I
,
. ? r. ? , .
. ? . .
' •bAtt I
hI1oNt !
r,ournncTOn: __;_i - ? -
htTth1i111E VOIlY,11ir 59.0nM kootAct or- enctli 'I
§q rc x
i, ToinL ExrosEb IinlL nnLn,,,,,,,, 11`I'?"' Q
th Ft k ?lUl? ?? ° I??V
2. rornL noor/cE i ulio nittn, , ,
TornL Exrosr:u unll nntn cnLCULnlinlls?
7ocni expoSeJ wall ?,, „ sq Pk
art! a abovm I'IooY„?,.???,
CJ I
a) 7ota1 woll wli,Jow hrea! '
UOUI?LE ntaz?d..,.?+ ?S i2&-__._sp Fi k liult
t k livii
bl Total Joor &Ybn,,,1+14.+
?. ?.,
c) T ta) slldlfiq 41995 doar erea!
<I )
e)
f)
h)
--$---_-__. • ?
e J_
,
I
o .
Ph h?
u2? g 1 uzed ? ? ? ? ? ?
tt
k?????
•??
u lYo,
fk
x l'U'l _
---'
1ote) flrerlace wa11 tlrea §q rt kflU" '--""_ e --
'? -
Mg
1W. a4?y
Totoi wall Fr4Mlnh ereacipMwal 8?-,y
.,, sq fk xl'ull ?o41-
(nverrge
Totnl het wall area ebove w? j2
11 11 ,d4c? 2L•?•7
a' So.9?
floor (?nsulAteJ1?(?Ft"I?P^r ?(°?!5
sq ?.
E
x. ?
`?04 _
?•?q
) IZ
e
; f":
' sq rk x U 01-.?l
"
.
v
ea
7ota1 rlm f olst e1
7otn) foundatlon ?.. • ' ?ry tt
erea (Exposed).,?,,,?•??
h) Totoi foundatlon
HIII?IoH 0Y80. ? ? ? ? ? ? ? ? • ? ?
J•
I) Tntal net (ounJatlon
arcA above 0ede+..444"
i +--------
:I? .. ?
?1'• 9q ?t
ThTAL U) iliru
If Itr.m P3 Is the samo as, nr I089 than j ynu ht?V? met !H? ihtent oF
2 lICAR 1.16009 A etid U. , Pnre l
', .
, ,...?.:
i : .
CALCULAI'I bllSl
U111J.kEXPOSED RpOF/CEILI 110
'
?,:r? • .? ?''.'$t;;?r,-??;????? '?,. . ? ? , ? . .?
, rote) r.xposed
?JP
ga ??
+
roof/cel l lnri aYetll I 1 11.6 ,. ? •
';.i,:,'ilzr-;'?5: ?•? .? ,
1) 7olai 4kyliql1t 8hb9ii,llli1
1q ?? R
11?11 W
_
? .
.
, ?.?. $-;??i
'
: ' •
.,
,
k) Total rooF/callini tYbMlh
?? k
'
'
tt ft
9
?,u
Z ?i
" ?
'
,
6
1 +
erea (nveracte 109.1 14, i 1
;. q . ..
1) 7ota1 net lhsulaled
roof/celllny QZZ 13
1
4?
totAL ,I 1 thru ) .
Ir total bF +h Is Nhe same bs, ur Iilis Nian Nz, you havd mpi thd ?nttnt oP
'1. NCA1l 1,16000 A and 0t ,
. ••? ' ,
nLTtaIIntE gUlLnlllr tNVELoht btslr,N
7o Utlllze the tola) enVelopd §y4tbM metilodi kho vulutt ?gtabi?shed by ll,e sUM
or Ite+?is N3 anJ N4 sbatt net be drester than khtl NUM,bf IEaId? P1`,and.M2?
+0,
r40
. .... .: , ,
. .. . . ?.?f.?i. ? li1 i;ihhh':I,,•I,?a:?
. ,??, .?.??y,?j?????l, S ?•??????? ?
.i y. ..?; ..
?
c?arlrlr_.Atlnl? ,
,
I hereby certlfy that I havn cnlbulukbJ !hd l'U'l ftlCtbr5 rind
values hernin And thut tlie hUIltllnq IteYe .dbgCYlhiltl MeAE uP ekcA"d4 thb Stbte
of F1lnnesota Enerny Conservation Act+ ' / l '
. , -(slnnet??r?V .. ?
?
.?•• e .
;.
txrEnlon travtLnrE nvEnnot I'uIi cnIirOtntioN y-? ,1>1 6-7l( C F* G f'
,,.
slrE nonn?ss:
' ' bAT? f
conrnncron
,
: I
n?T?h111ri? NonV.lnr sn.UnnE IroorAct or tAclll
"
"
t. YornL ExrosEu unLl nttEn.,,,,,,, /i„<,y• kd tt k ?
§q Ft
eiuNc nIttn
r/
2. YornL ,,,,,.,,
c
noo
}. To1nL ExrosFu wnLL nntn enLCULnrIn1191 .
?k
Total exposed wel?
?? ?n
area above floar,.??,,.?, , .
o) Total weii w hiJow hree! ? .
!q ?t it ??U"
lazed
b5
UBLE
69
7 lq,7`y 1
.
. g
?,.,,.
,
1
0
4q ?f x !i?il
H e
-
u'
fk
??•?7 = ?p
hea
1t
b) ,.,t, 1.#&
Total door 4 ,.
?.? . .
c) Total s11dIHo glxss door ereat •• '
------- ---?
Aii rt
J k "U„
,
. , 6 . 6 6
1?C7UE???.-. h 1 ti ze
nlaznJ?,?,?? q
1-4 . t' -^ ?' ?f ? ?1UI? _ b . .• _.
'r
!q Pt k?'U'?
?
J) .Total flreplaca wal) erea
,g,,?
? ,o4Z ?1,4s
c) Total wal) froIning area
? ? . < < ? ? ?M?a?l (U8, `•l ?b
e 10`.!)
(Ao
ra
.
g
c
!) Total net wal) area above •
56
6TV, 304 ?,?.?. ?g ?'
•
floor (InsulAt6J)1KFl'1Y('4 '7 '_4d f4 x;?'U'? 067
4 . '` I,?
g) ej?
7otal Ylm Jolst ar?a?rP 'I'?? y7 4q tt
kolull
0
'.UQ'
7oto) foundation ' ? ..
ft
-?'
§q
nrea (Exposed),-, ... 1.1, -
I,) Total founJatlon
wlndow aYeu.... J6,4i,6*,
1) Total net fomldation
area above 06de,416444+
3
;?, .. • . ? .
-_-??.? , ?q ?t k nUl I ? r---- e
tbthl a1 ki,ru 1)
I f I tr.m P7 is tlle same es # br 1es's Hia11 ilhM'l?jo you hdve mei tMe (nten t oF
2 IICAR 1.16008 A and 0+
.1'np'e 1
. . + . . '?.• ? . I• ; ' 1• i ! , '
4 -?c1nL ExrosEO nnoF/cElllflr CnLcULArIollst Tato) r.xposed ? rooF/celilnri area+4 1 is isi ??J? ,!ry F! , . ,
.I) Tota) skyilaht aYeat,14i41 94 .1'E R IfU'l
k) Tota) rooF/cnlllni Framing 1• " '1" ?' `' -y
area (nverane 109,):i+ii# ??i6 94 f4 k'lUi1
,.
I) Tota) net InsulateJ ? y
„
roof/cciilnq mrea%,+s„s !q ft R?'U?? QL.C._ e1114
h, •. totAl J,) tl,ru 1)
I( total oF eI, Is the same asr or les4 than N2; yoll haVd Met khe Ihken! bf
z ricnii 1,16008 n ot,d o:
? ? .:..,
Al7thfMTE bUILDlIIr, tNvtloht bt51r.N
Tn utlllze Nlc tvto) envelope 9ysteM fnekhodl, klte v61064 piltibllsliad by !he 9Um
uf Itellis x3 enJ ph shall not be grehter thdn thia §um bF ltbids 0 1.LHd 02i
14. Re
. ... 3. Wo?
?. ,
?
ct r,Tlr.IcntlbN ( hereby certlfy Nia! I have celcutmtdd ehe "u" tdcteYS bnd "h"
values hernln end that thC hulldihn herm.desbrlhed metlti dr likctaJA the stute
of Hlrinesota Enercty ConseYVatlort Acts '
. ?? .?%?.
' S gnARUYe / / .
? / / ? ?
(bnte) ' , Parn 2
PuYte Hornes of Minnesota Corporation
May 1, 1995
Mr. Joe Voels
City of Eagan
Plan Review Department
Dear Mr. Voels,
This letter is to inforrn you that Pulte Homes of Nlinnesota, will be using the exact same
plans for the layout for Lots 6, 7, 8, 9, & 10 as were used on Lot 1 in Cliff Lake. None of
the structural buiiding components, HVAC, piumbing or electrical will change from Lot
1 engineered drawings dated 04-23-92.
gacd
Tom Thell
Senior Designer
c Ger?°`'?-
TT/pb
Q 1355 Mendota Heighis Rd., Suite 300 • Mendoca Heighis, MN 55120-1112 • Phone: (612) 452-5200 • Fax: (612) 452-5727 • Lic. #0001371 is
t
CITY USE ONLY
L LP BL ? RECEIPT #:
SUBD. (264V a-?f k?L DATE: y
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
Ga5 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 NO. TOTAL
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
.50
??q SV
SITE ADDRESS: l`lqD -qo GeA_-c A1??,;. t I439- 49 jaJ C?4, 7'2
OWNER NAME: ? J 14 c 140.-• • s
INSTALLER NAME: STREET ADDRESS: YGO O? ? r" 6%-"
CITY: ?). ,cia, STATE:
w-- ZIP:
j -?-3 s -
PHONE #: ( ) ?-laa - a?a t
C?t?-. /2 • -
x
x a-q_ _ "1 a-
x ia = 3V-
x a-
X 1? = 3?-
x =
x =
X 1
x t a = a b-
x ?a = 3b
x
x
4
4
CITY USE ONLY
L CP BL ? RECEIPT
SUBD. l.E',?a(AL ?av;? DATE: 511-2 95
1995 MECHANICAL 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
New construction Add-on furnace
_ Add-on air conditioning Fireplace conversion (to existing fireplace)
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 (X12, '?2_
? Gas Outlets (minimum of 1 required @$3.00 each)(Xjlj,) A'9•CO
? State Surcharge
TOTAL
.50
??
1G1 N , q-?) i ?4`1 .-l? '?Sa'r\ l=:C.l.,..o
SITE ADI
OWNER
INSTALLI
STREET
PHONE 5@00
CITY: ? STATE:ZIP:
PHONE #: ?k-
_ (
STv Il'T
? ?: t. ... ..... .. --- -
_ 'iZiddress:??
4±,z tr;'1' `?AGREE
>
? QRDINA?ICES? ?•? :?:'?
`: Signature:'``
. ?
fti. CITY: OF' EAGAN
, - •
I Serial # /,w S/ 7 1,9
Chip # c y 9 s .2 3,2 7
Permit
,p
Address:?,3 1 AGREE TO COMPLY WITH CITY OF EAGAN
ORDINANC S ?
Signature:
? ? ?<.. vv??, •
A '
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ry M
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t?
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Statc ef ALr nc r,ta, County af Dakota
certified ta bc a true and correct copy Of
the original on file and of rernrd in my
office this ?7 -t?' day ot 2 L3 -
19 `1 ?s _ ,. ?
JAAMN. DOI.AN, Coaaryy Recorder
g?, 11' . .IQY \
. ?W?4Y
TRAZLWAY " 1EMENT
THIS EASEMENT, made this o' day of ??_! 1994,
between PULTE HOMES OF MINNESOTA CORPORATION, a Minnesota
corporation, hereinafter referred tc as "Grantor" and the CITY OF
EAGAN, a municipal corporation organized under the laws of the State
of Minnesota, hereinafter referred to as "Grantee."
W I'^ H E 8 8 E T H :
That the Grantor, in consideration of the sum of One Dollar
($1.00) and other good and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged, does hereHy grant and
convey unto the Grantee, its successors and assigns, a permanent
15-fcot wide easement for trailway purposes, over and across Lots 6
and 8, Block 1, CLIFF LAKE TOWNAOMES, Dakota County, Minnesota, the
centerline of which is described as follows:
Beginning at point on the southerly line of said
Lot 8 distant 30.98 feet easterly of the southwest
corner of said Lot 8, as measured along said south
line; thence North 28 deqrees 07 minutes 16
seconds East 74.70 feet; thence No=tn 13 degreeG
56 minutes 29 seconds West 29.40 feet; thence
North 01 degrees 12 minutes 34 seconds East 109.15
feet! thence North 25 degrees 37 mir_ute?:; 09
seconds West 75.24 feet to the north line of laid
Lot 8 and there terminating.
See also Exhibit "A" attached hereto and incorporated herein.
The Grantor, for itself, its successors and assigns, does hereby
release the Grantee, its successors and assiqns, from all claims for
any and all damaqes resulting to the lands through axtd across which
the parcel of land hereby conveyed is located by reason oP the
location, grading, construction, paving, maintenance, and use of a
trailway over and upon the premises hereby conveyed and from the uses
incident thereto.
The Grantee shall have the right to post such signs and posters
along said trailway as are deemed necessary and suitable to define
the above lands and locate them for public use. The Grantee shall
maintain the trailway, including mowing and landscapinq, as deemed
necessary by the City for purposes related to the adjoining park
area.
The Grantor, its successorz and assigns, does covenant with the
Grantee, its successors and as:igns, that it is the owner of the
premises aforesa_d and has goc:' right to grant and convey the
easement herein to the Grantee.
IN TESTIMONY WHEREOF, the Grantors have caused this easement to
be executed as of the day and year first written above.
PULTE HOMES OF MINNESOTA
CORPORATION, a Minnesota
corporation
1
gy: .a.. ?.
Its: ? •?s,?.??
STATE OF MINNESOTA
COUNTY OF
ss.
On this _7_ day of rrzr? , 1994, before me a Notary
Public within and for said County, personally
appeared 4cw% q--:) n th a to me personal_l...y known, who being
by me duly sworn, did say that he is the Q1c ?- rr=E4j1of
Pulte Homes of Minnesota Corporation, the corporation named in the
foregoing instrument, and that said instrument was signed on behal:
of said cor oration b authority of its Board of Directcrs and
said x)s('? ?l? acknowledged said instrument to be the
free act and deed of the corporation.
APPROVED AS TO FORM:
AttoYn
C' y
ted:
/Pa
APPROVED AS TO CONTENT
Public Works DeoartmenDated: 5ti°1• 11161
T-
THIS INSTRU*S?N'^ WAS DR
SEVERSON, WII,COX & SHE
600 Midway National Ba
7300 West 147th Street
Apple Valley, Minnesot
(612) 432-3135
DAJ/wkt
CI.AIIV VOULHER - REFUNO REQUEST
CITY OF EAGAN
MAKE CHECK PAYABIE TO : COLLINS ELECTRICAL CONST. C0.
ADDRESS : 278 STATE STREET
_ST. PAUL. MN 55107
___________
/903- /94T' / qq17 ? (Sy?
LOCATION ___Lqq JAN ECHO TRAIL
L6. BI. CLIFF.LAKE TOWNHOMES
y
RECEIPT #/ DATE 40876-05/ IS/e5 REASO N FOR REFUND pER ELECTRICAL CONTRACTOR'S WRITTEN kEQUEST-SOB CANCELLED.
TYPE OF REFUND ELECTRICAL PERMIT 3211-9001 $ 20.00
PLUMBING PEAMR 3212-9001 $
MECHANICAL PERMR
SURCHARGE
WATER CONNECTION PERMIT
SEWER CONNECTION PERMIT
ACCOUNT DEPOSIT
UTILITYACCT OVER-PAYMENT
CURB BOX DEPOSIT REFUND
CONSTRUCTION METEA DEP REFUND
WATER USAGE CHARGE
OTHER:
3213-9001 $
2155-9001 $
3713-9220 $
3743-9220 $
2252-9220 $
2250-9220 $
2253-9220 $
2254-9220 $
3711-9220 $
S
S
S
• TOTAL $ 20.00
I declare under the penalties of law that this account, ciaim or demand is just and
that no part of it has een paid.
`7 ? .Ttltv 24_ i aa 5
Slyna a - Date ?
7-3?
LEYTER OoF TRAMSG?i?il0YYAd
TO
C 1'I? o; E Q a? a-h
18L?o p,lmedcA
No. ?? .Paul, M fv
WE ARE SENDING YOU
I ? SHOP ORAWINGS
? CHANGE ORDER
COPIES DATE
? 1 5-10?5
DA,E ?B NO
-7-19-95 9x1 y114 `t
ATTENTION
Elec?. Permi+
RE:
i?ermi+ Re,?und
551i3
F? UNDER SEPARATE COVER VIA
[:] COPY OF LETTER
?
[:] SAMPLES
DESCRIPTION
THE FOLLOWING ITEMS:
[::] SPECIFICATIONS
P loase, re r?u ?d ? 20 . so -?oY
? .-rn?? s )ob ?1GS b e e,Y-N
C.A?'?Ce? e d •
^Mc?rt k t,? ou ?
REASON FOR TRANSMITTAL CHECKEQ BELOW.? FOR APPROUAL F-] APPROVED AS SUBMITTED F_? RESUBMIT COPIES FOR APPROUHL
? FOR YOUR USE F] RETURNED FOR CORRECTlONS ? SUBMIT COPIES FOR DISTRIBUTION
F-] AS REQUESTED ? FOR REVIEW AND COMMENT ? RE7URN CORRECTED PRINTS
F-] APPROVED AS NOTED Permy4 Re?urd
? FOR BIDS DUE 19 F--] PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY 70
S/G/JED.U
PLEASE NOTIFY US AT ONCE IF ENCLOSURES ARE NOT AS NOTED.
x ATTACHED
? PRIfVTS
F-I PLANS
NO. I
032011
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
?o l Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruclion Reauirements ' RemodeVFteoair Reauirements Office Usi6oN
3 registered site surveys showing sq. ft of bt sq. ft of house; and all roofed areas 2 copies of plan
li
° Ged of Suney Recd -
#
R
d -
P _ Y-_ N
Y
?
(20
h maimum lot coverege allmved)
i
2
i
W
l
h
b
&
i
d ons
1 set of Energy Calculations for heatetl addi
k
f
dditi
& d
i
f
1
i reS
?n
ec
?T, e
ree Prbs Rg
wred ?" ?
?
1'N
ow
?
es
p
an s
eam
w
n
ow s
cop or a
ons
ec
s
zes; poured
ound desgn, etc.
s
te survey q _.
1 sel of Energy Calcula6ons AddBion - indicafe if oo-sife septic system Qn-sile Septic System Y_ _ N
3 wpies of Tree Pmservation Plan H lot platted after 711193
Rim Joist Defail Options selection sheet (bldgs wifh 3 or less units
Date Construction Cost / E"zV
Site Address /439/A - ?g Vil- i q 4/3??ys? 19 V7- l9Z? UnidSte #
?uil f'a o 71ni/
9
Descrip[ion of Work &P /"DO Y`
Multi-FamilyBldg ?Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner l_ Lu ??0 W V?, Vll? vwL_ 3-"d"1'elephone #((,( a)
Contractor areST Ex T rr o?s ?
Address cny f-ar05?17i?sTah
State `?h Zip ? ?SC5o2 ? Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code CategOry . Residentiai Ventllation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone #(
Mechanical Contractor Tele ?
Sewer/WaterContractor Tele D nOR#(
Y U
I hereby apply for a Residential Building Permit and acknowledge that t g?}nformation is complete and accurate;
ii?
of Eagan and the State of MN
that the work will be in conformance with the ordinances and codes of
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 work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
'ApplicanYs Pnnted Name ApplicanYs Signature
6-?3q b
2004 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.
?96. 5°
Date?/?l v
/1 I y?
'
'
C9
k
-g-, Unit #
l f a.XL T H
C.O u
Site Street Address
?? ) l?
vlo? Telephone # ( &/a) ! a(D - l 4Ol
O
P
t
y
wner
roper
elephone # ( -/ ' 612 9
C
t
t
?N"1??? T
n
on
rac
or
Address atA-P Ci ? U//?`? State IJ Zi
The Applicant is: _ Owner X?Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener X Water Heater $ 15.00
? replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Sb
$ ?
Total
I hereby apply for a Residentiai 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 I 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 a roved plan in
the event a plan is required to be reviewed and approved.
Appliced Name ApplicanYs Signat e n ' I,.
IIl) DFC n R ?004
--
:
City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
1 R4c C-II?f OI.Eo?i
'/ 2008 cvnnnnER iA2i
Date: Id? Slte Address: ? J
v ? {? LaKe o?
Tenani:
r.-,----.------ --,
? ?prOifee,?d ?
I Permi?#. ??/•? / ?
?
? Pertnit Fee: ??• ? I
? Oate Re R ?
I ?
? StaH: ?
---- ----------'
Su{te #:
PROPERTV N
ame. O//
Phone:
OWNER
CONTRACTOR Name: License #: l/ ( D
3
?
Addres :?? ? City: r
C?1elC?C? State:A' Zip:? a-
/11?'-01`-753/
Contact Pe
Phon rson:
TYPE OF Replacement Repair
New Rebuild Modify Space _ Work in R.O.W.
WORK _
Descriptionotwork:
PERMITTYPE COMMERCIAL
New Construction _ Modify Space
Irrigation System (_ yes /_ no) (_ RPZ / _ PVB)
• Rain sensors required on irrigation systems
• Avg. GPM _(2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
Oomestic: Size 8 Type Flre: Size R Price 3/4" meter $183.00
Avg. GPM High demand devices? _Yes _ No
Flushometers _Yes No PRV Required _Yes _No
COMMERCIAL FEES:
l
00 x 7%
A20
$50.50 Minimum (includes State Surcharge) OR Contract va
ue $
?
-$ PermitFee
Required on ALL new buildings and boulevard irrigation systems 4_$ Radio Meter Read
- If mit g is less Ihan §1,000, surcharge is $ 50 =$ Meter(5)
- It Permit g is > $1,000, surcharge increases Gy $.501or each $1,000
$1.000 Permrt Fee (i.e. a$1,001-$2,OOD Permit Fee requires a$1.00 5urcharge).
_$ State Surcharge
Following fees apply when Installing a new lawn irrigatlon system. $ Wa[er Permit
Call the City's Engineenng Depariment (651) 675-5646, for required fee amounts
$ Trea6nent Plant
$ W ater Supply R Storage
$ State Surcharge
TOTAL FEES S 0•J O
?_. .e,.......i ,....?.... ..,o ............. ..... ............,.... ..,w., ...... ....n we ., ,.,..,1...-- -nn roe n.d-ncoa and enrlae nf fhe CRV nF Fanam ihat I understand thi
is not a permn, but onty an applmallon tor a permit, antl work is not to stan without a permit; that the work will Oe in aceordance with the approved plan in Ihe case of work which
requires review and appraval ol plans. ?
,nv? T l3 (6, (o
ApplicanPs Printed Name A pIi nYs ignature
.._. . , ,., .
.. _.. ?; ,,.:
s
- . .. .,., _ .? ..,,...: .. - . -.
FOR OFFICE USE Approvetl By "- - 4Date
`Required tnspections _Under Ground . _Rough In ? Wr Test- . ' , Gas Test Final ; ?P=
f ownho??
Page 1 of 3
qcj()??Y
'T' City of Eap
3830 Pilot Knob Road ?
Eagan MN 55122 ??
Phone: (651) 675-5675
Fax: (651) 675-5694
Address / City / Zip:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ? G 5 Site Address:
i nI ra.u?' q° ''1I? ?c
RESIDENT / OWNER I Name:
Applicant is: _ Owner _ Conlractor
- - - - - - - - - ;
? Pertnit #: I
I Permit fee: ? / ? • ?? ?
? DateReceived:
I t12 5?-- 1
1 swtr: i
I ---- - I
Phone:
TYPE OF WORK I Description of
Construction I
CONTRACTOR I Name.
Multi-Family Building: (Yes p_ I No
License#: I"15l )
Address: ZG??2 v v? v ?I "
City: State: M A/ ziP:
Phone: (nE31: "I Udl 1 r ?I9I Contact Person: M I?E 1 Y I C GIA Iti
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 Worksheei
Category Submitted Su6mitted
(4 submission type) • Energy Envelope Calcuiations Submitted
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 Plumber:
Mechanical Contractor:
Phone:
I1g?;5(
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents,t?af you'submif?are-cor?sldered to be publ?c mformatron:= Portions of
the information may be classifed?as non publ? ??you Qrov`de?speaf?4reaspns that would permit the C'ity fo
I hereby acknowletlge that this iniormalion is complete and accurate; that tha work will 6e in confortnance with the ordinances and codes of the City of
Eagan, that I understand this is not a permit, but only an appliration for a pertnit, and work is not to start without a pe?mfl', hai the WOfk WIII be ifl
accordance wrth the approved plan in the case of work which requires a review and approval f p ns.
X ?ovtzTNG??' . nnI N X ?-
Applicant's Printed Name Appli nY ' ature pa9e 1 of 3/
"?j ? ?J
Phone:
Oc't.21. 2008 2:16PM Cre=t Extericrs
NO?. .
City of Eap
3830 Pilot Knob Road
Eagan MN 55722
Phone: (651) 6755675
Fax: (651) 675-5694
r-`.---------_----
I I
I PertnitFae. 2 ??• ?S I
I ?
? Oate Received: j
I I
i Staff: i
1 I
2008 RESIDENTIAL BW LDINC PERMIT APPLICATION e'? II C-d i-' '-X- G?
_?'{'prff A-jtoVe-
Date: mL4g SlteAddresa:/% 70. /4Ya? l, 9yU l9?/(o,l9Yal%s-6 I
3er+e++Er 6rw+ 14I L'ove-'
RESIDENT / OWNER Neme: Phone,
Address ! City ! Zip: tJ ?
Applicant is: _ Owner Contractor
TyPE OF WORK Description ofwork: 6?C! InGI
Construc(ion Cost: on-i Multi-Family Building: (Yes,!r_ / Na
CONTRACTOR
Nama: `(mf bcfi9dAfS License #: 4Xd 31(7511
Address.
City:
Phon4 V5_L-q&d - ? Qle!Contact Person:
Sta[e: Zip:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NM BUILbING
_ Minnesota Rules 7670 Cate o 1 Minnesota Rules 7672
Energy Code . Resrdentiei ventiistlon Category I Wodcsneat . New Energy Code Worksheet
Category Submitled Submitted
(V submission type) • Energy Envelape Calculations Submiqed
In the last 12 months, has the City of Eagan Issued a permit for a slmliar plan based on a masfer plan?
Yes ,T„NO If yes, date and address of master plan.
Ltcensed Plumbar:
Mechanical Contractor:
Sewer 8 Weter Contractor:
Phone:
Phone:
Phone:
I hereby 2tknowledge tha[ this infortnation is complete and accurate; lhat the work will be in contonnance with the ardinances ana codes of the City of
Eagan, that I undewtand this is nol a petmit, but only en appBcation for a pemnit, and Work Is not to alart without a permit; Ihat Ih6 work Will be in
accoraance with the approved pfan in the case of vrork which requires a revieve and 3pDroval of ptane.
X&\'?tI McCann x?L nYA_
Applica s prin d Nae me ? Applicant' Signature
0.2004 P. 2
Page 1 of 3
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone:(651)s75-5s75
Fax:(651)675-5684
- -------------,
? @ WOW "0' i
; Pannft?:
?
? Pertnit Fee: y
I
I ?
I Data Received: ?
I ?
I Staff: f =-'-
?
2008 MECHANICAL PERMIT APPLICATION
Date: / ???W'L/?'v Site Address: ? J
DEC l 8 2008
'l? Phone: ???' ??'-3sSs
?
RESIDENT ( OWNER vlG'
Name: I&
Address / City / Zip:
CONTRACTOR Na'"e: 4"'-zv??L License#:
Address: R"
?? zip: SScr76
1'Ffi&- stata:
, '
C;ty:
d Person:
t
C
?
1-
on
a
Phone:
?7
7
TYPE OF WORK ,
- New ?Fieplacement _ Additlonal _ Alteration _ DemoliUOn
?
Description of work:
Bothro0mount6dandg?+qundmounteal,rt?echaMcal.a,qulpment,isnequlredYO ;
NOTE:
'
,
the :-
? be`screeiied 6y Clt}! Code Ple?se-ca?tact fhe Mecha»ICaI ?nspectpr or one of
F
`mettiods.: ??? _,
': Plannefs. for'irifv'rinafloi+' an mittedr'screenln
RESIDENT/AL COMMERC/AL
PERMIT TYPE •
?mace New Construction _ Interior Improvement
-
Install Piping _. Processed
Air Conditioner
- _
EMerior HVAC Unit
Gas
Air Exchanger _
- HVAC un'ds must be screened
_ Heat Pump Under / Above ground Tdnk (_ Install Remwe)
Other -•• When instaliing/removing tsnk(s), caN for inspeclion by Fre
Marshal and Plumbi Ins ctor
RESIDENT/A1 FEES:
$$0.50 Minimum Add-on or aReration to an existing unit (includes $.50 State Surcharge)
$90.50 Fife repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge)
•
Sv
?C? TOTAL FEE
g
i
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract vaiue $ x t%
$50.50 MI m m(includes State Surcharge) _$ pertnit Fee
- If pgrmj! F2,a'a less than $7,000, surcharge is $.50. State Suroha
°$ rge
. I} Pertnit F?g is >$1,000, surcharge increases by $.50 for each
$1,000 Permil Fee (i.e. a$1,007-$2,000 Permtt Fee requires a$1.00 surcharge). $ TOTAL FEE
ana emes W Me CiN of EaGan; thet
I here0y aCkMMABOge cna[ Uns miartnauon is wniyww ati awu.«e, a- ..o -,...... - ... __.;._...._.__ -__
I uMerstand this is mt a pertnB, Dut wily an application fa a pertni4 arW work is rat to start witlwt a pertnit thwork will be In accordarice with Ne approved
plan m case of vrorkavhkh requlres a review antl apprwal of plana.
x l//7 u X
eneNiranf!n .Inted Name Ap C8111'8 SI9118tUf9
FOR OFFICE USE;. ReWewed By.
Requlred hrepectlon§: _Under Ground. "_ Rough In Au-Test ;?Gas Service Test In-tloor Heat .;_Flnal
i.
???IOG?AS • Lot tS, HB?ock 1, CLIFF LARE TOHNHOMSS, City of Eagan, Dakota County, Minnesota
and reserving easements of record.
?
G va?°
PROPOSEO ELEYATIONS
Top of Fountlation
Garage Floor
Basement Floor
Aprox. SeHer Service Elev
Praposed Elev.
Existing Elev.
Drainage Directions
Denotes offset Stake
,4=&Mv
Pfanning Engineer7ng Surveying
!ot Eeet Bimtlnton FrnxaY eioainptan. xinneeote 55420
1eleDhone [6121 BBB-D2B9
= 89a.a BENCHMARK,
= 848.9
= N/q
= eaa.st
MIN. SETBACK REQUIREMENTS
° -? Front - Hause Side -
_ ° Rear - Garage Side -
SCALE : 1 Inch = 40 Feet
I HEREBY CERTIFY TO PULTE MASTER BUILUERS iHAT THIS IS A iRUE
AND CORRECT REPRESENTATION Of THE BOUNDARIES UF THE ABOYE
DESCHIBED PROPERTY AS SURVEYED BY ME OR UNDER MY DIRECT
SUPERVISIDN AND DOES NOT PURPORT TO SHOM IMP?OVEMENTS OR
ENCFOACHMENTS, EXCEPT AS SHOWNr% ?{ „
DATE --+-/ /3 /
N0:
94R- 291
OK: IPAGE:
FILE:
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Use BLUE or BLACK Ink
- V - For Office Use ~ ~ ~ ~ ~ a 1
Z I I~~~~
d 7rr,.,' i Permit l
city
of aI Permit Fee:
3830 Pilot Knob Road I j
Eagan MN 55122 1 Date Received« 1
Phone: (651) 675-5675 l I
Fax: (651) 675-5694 I' Staff. I
! 2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date. Site Address:p Unit
3 fi'r'
Name: Phone:
Resident! " 21 Ala S"~ ~~'V-r'W-' &
Owner Address t City / Zip:
Applicant is: Owner Contractor
~ j
Description of work: e_>=l tI t ~r~sz z.s~
Type of Work
` Multi-Family Building: (Yes / No )
i Cost: .
i Construction
r-5
Yt ~r fi I
it
Fi .'75, -Contact)
Company
~t~Q ifhail c~ zap A)7' City: ;/kb
Contractor `Address~~- 7
,~aA ' .3
State: Zip: r Phone. 't
2 e
1 License Lead Certificate # rr b` ' f
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I ONSTRUCTING A NEW BUILDING
COMPLETE THIS AREA ONLY IF C
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
i
? _Yes No If yes, date and address of master plan:
f
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
f
Sewer & Water Contractor: Phone:
NOTE: Pions 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 g4L' - ~t
1110rf.by acknowiedge thi it this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; lha It I undarstaild INS is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be cofnjifeted within 100
days of permit issuance.
i
Applicant's d f ~ Name r C Apl ~iicant'~, ~.St~gnature
t'-,,_ 11 of 3
i
I ForOffice:Use I
City 0 ~ Permit Eali
n I D I
I Permit Fee: [
3830 Pilot Knob Road
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
200 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 11410 Iq / 4
Tenant: Suite
RESIDENT/ OWNER Name; Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: I Jc-G~fl -142
Construction Cost: Multi-Family Building: (Yes, /No CONTRACTOR Name:. e) Z--!!5 IVIf CtE License Fes- Zzlz)
Address: ? IG~ SLCI '7 i' . w~ z l If 2YO
City: Aili7je-/l/a,21",~5 State: ft~/ Zip: J. 11,..._
Phone: 1-a12-,381`,`
Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) Energy Envelope Calculations Submitted
In the last 12 months, has 'he 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:
Sender & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be 'public information. Portiohs 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.
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 be in
approval of plans.
^ccordance with the approved plan in the case of work which requi:77X
x~VV L. VVL1 Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149823
Date Issued:06/12/2018
Permit Category:ePermit
Site Address: 1940 Grant Alcove
Lot:066 Block: 02 Addition: Cliff Lake Townhomes
PID:10-17790-02-066
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Andrew Tstes J Dressel
16216 Kensington Ct
Minnetonka MN 55345
(763) 218-0056
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature