4234 Meghan LaneINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675 +
SITE ADDRESS: APPLICANT:
? ? . . . a? i r,Mt i
PERMIT SUBTYPE:
TYPE OF WORK: Nt W
/z
INSPECTION D• DA
? ? ; ? ; : ? ;
? $
9 ov
.:
• - r3 9?
.
oi 133 &'
3
kF MAI+'R' i:nN I HAt filR i,+A1 i t`Y F'I 1I14114 11Vty i'RV
IN(:L!{!?C'.,. 4: ?t,, q::ttt. 11140, 4:'4:'. 41440 4114
? ? &1V
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' Iilt ARf A iJAI 1', HI lbJt EN 1!N I I
4114ri Hf +i11/iN 1 1i141
Permlt No. Permlt Holder Date Telephone 8
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Inap. Comments
Footings I 7121"f > ?
Foundation
Freming
Roofing _ a - /p 3 S
Rough Plbg. 3
Rough Htg.
- 3-
lsul.
Fireplace
Final Htg.
OrsatTest ,?? 40
L?•G? ??
Final Plbg. a n Ibg. In pector- N ify Plumber
Const. Meter
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
WeL'ttfiCQte Of
COO of 1
somhme w e¦u
T'hlt CeM(Jtmh taawed pursmant tn the,
cenolnd tlwt nr the tGnr qjlaruancr rhts
eMtM"t qf d?e Cfty redwlaHng bwtldtng
CCoQ1iC?
onsootH.N
nrr ef the Un&rm Butlding Cndr
war In rnmpttanrr w!r{t the vartaaa
(we or usr. F'or the follewtngt
uie ??twn; ,? A, •?'?- iimg. Ieentt Nu: 21784
OwvmYTw =???-?-- [mm-- '1ypCCnnec VN - -
Owwaf awwm+y c-- Addr„ 1355 AIIMM HTS RD, MN)OTA EifS
/Wliee AdAne" 4234 liGVl1-1-9-N-9 tACWTRs-R I r MEMANS- - -- ---
AI,90 IICId]UES: 4236,. $238, 4? 4242?71a4, 4246, 6 4248 1lAN I1?
j'_} BuiWIet018cW `?-
POST IN A CONSPK'.UOUS PLACE
SITE ADDRESS
L B Sect/Sub.
Unit # Permit #
IM8PECTION OATE INSPECTOR OTNER
FRAMiNS , ')
ROU6H PLlfi.
ROUBHHT6.
INSUL
flREPLACE /012- r ? 2
FINAL NT6. d'Z -ela - yZ/- vg ?
FlNAL PLBfi. ?-
UNR FlNAL
CERT/OCC
INSPECTION DATE INSPECTOR COMMENTS
?r?j5? i'?oo9
01336
• ?G?
.
S
Request Dale Fire Rough-in Inspection
R ired? NOTICE: You Must Call Electrical Inspector
11 q Rough-In Inspection
- _ 3 Ye5 ? No Is Required.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Add re ss (Sireet, eox or Route No.)
2 City
O
Gc cw
Section No. Township Name or N. qange No. County
Occuparrt (PF/(? IN? Phone No.
' v L G?/V V IiWV % C-vl
Power Supplier
' AddresS
3006
/lOj
,
a
Electrical Conlractor (Company Name)
?` Conlracior5 License No.
?
ec?r:cu,/ •u . I
Mailing Address (Conlractor or Owner Making Installation)
a -72 s+. S+. 07
,AgM
Authorized Signature ( ontract?? akin nstallatiop? Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
GdggsMidway BIAg. - Room 5473 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0600 ?Quw? ENCLOSEO.
CJ
yr_11A:;?_
1336
REDUEST FOR ELECTRICAL INSPE J
? See insV?ctions for completing Ihis form on 6ack ol yallow _opy.
")C" Below Work Covered by This Request
EB-00001:08
Add Rep: Type of Building AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specity) Contrac[or's Remarks:
Compute Inspection Fee Below: I v? TaiTm V Lt00A
# Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps C?Q 1 11 0 to 100 Amps „Q6
Transformers Above 200 _ Amps 100 Amps `7 , C90
S19
5 Inspector5 Use Only: TOTAL
9
Irri ation Booms
?
• `
Special Inspection
Alarm/Communication TNIS INSTALLATION MAY ED SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS. ' F
I, the Electrical Inspector, hereby Rough-in
r
certify that the above inspection has
been made. Final D
U
70
OFPICE USE ONLY
Thls requesf void 18 manihs from
It'oL11
Re ue Daie Fire No. Ro gh-Ir Inspe " equired
(You must call ins
ector
when atl
) Inspect Olher 7han Rough-In
? Will N
tif
In
d
N
?
y
p
' y
ea
y
ow
o
s
? Yes ?(J
Ro Date Read
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Sireet, Box or Route No.) Cityg
Seclion No. Township Na or No. Range No. Coun
Occu ant (PRIryT) Phone No.
? u n
Power Supplier Address
Ele t cai ContfactOr (Company Name) ^, /nu
. C? , ?--• ? V Contraclo(s License No.
Mailing Adtlress Conlractor o ner Maki g Installation)
Authorize tur (Coniractod wner king Instaila[i n) P e umber
Y
M ESOTA STATE B RD F CTHI THIS INSPECTION REQUEST wILL NOT
riggs-Mitlway Bldg. - oom 5-728 eE ACCEPTED BV THE STATE eOARD
1821 Univereky Ave. t. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phnna 19191 f.A9.nAOn . . curi nevn
REQUEST FOR ELECTRICAL INSPECTION A33
10i, See instmctions br completing this form on back of yellow wpy.
•? ?/, / v ????? "X" Below Work Cowred by This Request
Ne d Rep. Type of Building Appliances Wired Equipment Wired .
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm.llndustrial Furnace Other (Specify)
Farm Air Conditioner
01hei (specify) ontrector's Remarks: -
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps ove 100 -Amps
SIgf1S Inspector's llse Only: TQTAL
Irrigation Booms
r
S ecial Inspection a
Alarm/Communication TFIIS INSTALLATION MAY B DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if Rough-in Date
cerl
y that the above inspection has
been made. Final ?
? ,- o ?
OFFICE USE ONLY ?-
This request voitl 18 months trom
i
/._-??/ 9
1, M 0'13 3
Fequest Date Fire Rough-in Inspedion
Req ired? NOTICE: You Musl Call Electrical Inspector
If A Roughdn Inspection
' Ves ? No Is Requiretl.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jop Address (Sireet, Box or Route No.) Gity
. Z?? (o k raM J a c
Section No, Township Name or . Range No. Counry
i ?
Occ nt (PRINT)
pa Phone No.
u
Power S
LMF upplier
r c 1W ?
Address n n ^
?VOD VC'V?C.? ' \v?
ElecMic COnt7cl r(Company Name) Contractor'S License No.
4-a ?
(D U•i.5
Mailing Atldresjs?(Contrector or Owneraking In/s?tallalion) ('?
? I?
27
I
?
U C./ `-t? ?/ a 1
Aulhorized Sign t e(Conh donOwner Making Installation)
? ? 1 Phone Number
MINNESOTA STA7E BOARU OF ELECTRICITV ?A yq ? THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bltlg. - Room 5-173 CA ''L G 1 BE ACGEPTED BYTHE STATE BOARD
7821 Universi[y Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 Gna. ENCLOSED.
lJ(/?/?\
REQUEST FOR ELECTRICAL INSPECTION
? fi? See inslmctions for completing this farm on back af yellow copy.
;M 013 3 7_ -"X" Below Work Covered by This Aequest
B. ?o,
-og
41);
?
ew ?? Rep. TypeofBuilding AppliancesWired EquipmentWired
HOme Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm.llndustrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Coniraclor's Remarks:
Compute lnspection Fee 8elow: W,?,w
# Other Fee # Service EntranceSize Fee # Circuils/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ? Above 100 _ Amps
SignS Inspedor's Use Only: TOT'AL
Irrigation Booms ?
Special Inspection t
Alarm/Communication THIS INSTALLATION MAY B ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in r
Final Date ??;f?
Date
OFFlCE USE ONLV •
This reques[ void 18 months irom
` 9
13 ? ??
?Requesl Date Fire No. Rough-in Inspection
Re ired? NOTICE: Vou Musl Call Eleclrical Inspector
If A Rough-In Inspection
? Yes ? No Is Required.
I licensed contractor ? owner hereby request inspection oi above electrical work at:
Job Addr ess (StreeL Boz ar Route No.) Ciry
Z cq -? A-
Section No. Township Name or No. Range No. CounTy ?
)
Occupanl(PRINT) Phone No.
w A-vi de V
Po r Supplier
; 1 - K-?d
(zL?L Atldress
???
-W
Electrical Contreclor (Company Name) Contraclor's License No.
C -D
Mailing Atldress (Contracror or Owner Making
2 f
k Installation)
J S
17 F
(,r
uc? I r-?
S I o
a
- v.e.
/ ;
,
Authorized Siq ature (C rector/Owner Makin
M q Insiallation)
?
? Phone Number
1 i
G
-
MINNESO7A S7ATE BOARD OF ELECTRIq7V `THIS INSPECTION REOUEST W ILL NOT
Griggs-Midway eldg. - Room 5-173 `jt, ?-? 6 ?- BE ACCEPTED eY THE STATE 80ARD
1821 Universiry Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 C? wM ENCLOSEO.
C.?
REQUEST FOR ELECTRICAL INSPECTION g?"`?. >es-ooooi- e
.l ? I? See instmctions for Campleiinq this torm on hack of yellow copy. e??
M U 1338 -`X" Relow Work Covered by This Request
Nop Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eiectric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Olher (specify) Conirador's Remarks:
Compute Inspection Fee Be/ow: ?? Tntn1ku " Y`i!, ' D" A
Other Fee Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 20D Amps o to 100 Amps
Transformers Above 200 Amps _ Amps
Sigf1S Inspector5 Use Only TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in f
F;,,ai
( oale
oa+e?
6
OFFICE USE ONLY ?
This request void 18 monlhs from
y
/
01/33 9
M
/
Request Date Fire %le Rough-in Inspection
e lretl? NOTICE: You Must Call Elecirical Inspector
II A Raugh-In Inspection
, 9 . Yes ? No Is Fequired.
'I Alicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sireet, Bma or Route No.) City
2 f a
Section No.
? Township Name or No. Range No. County '
c?? 1
4?
Occupant (PRINn Phone No.
Y V ?
Pgwer Supplier
• ??. ? - I `C-? ? V ? ? Atldress
? V V C.l
I v L ?/ V'L.?-? ! \'? ?
Ele rical Conlractor (Company Name)
, I CFntractor's License No.
"J ? L C. '
? - l/ l! V ? ?
Mailin Address (Coniracior or Ow er Making Ins[allalion)
' 7
'
S
s
? ?
Authorired Si gnature (Contractor/Owner Making Installation) Phone Number
VdA
IA,
GI
- g3
MINNESOTA STATE BOARD OF ELECTRICITV ^THIS INSPECTION REQUEST WILL NOT
Griggs-Mltlway Bldg. - Room 5-173 VBE ACCEPTED BYTHE STATE BOARD
1621 Universlty Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
)
1339
REQUEST FOR ELECTRICAL INSPECTION
10? See insimctions for compleling Ihis lorm on back of yellow copy.
"X" Be%w Work Covered by This Request
A0?4 g i9 ?
V,? ?
ew Add R
? TypeyfBuilding AppliancesWired EquipmentWire
d
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Olher (specify) Contracror5 Remarks: /?
Compute lnspection Fee Below: `'"
4 Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 7D0 Amps
Signs Inspecror?s Use Only: ? TOTAL
Irrigation Booms ??
? so
Special Inspection ?
Alarm/Communication THIS INSTALLATION MA BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18
I, the Electrical Inspector, hereby POUgh-in ,
, ata
certify that the above inspection has
been made. Finai oa?e
?'?
OFPICE USE ONLV
This requesl void 18 monihs from
9
13 0 g
Qla
?`? °?
Request Date Fi Rough-in Inspection
Requiretl9 NOTICE: You Must Call Elecirical Inspeclor
II A Rough-In Inspection
? es ? No I5 Required.
Iklicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (5[re et. Box or Route No.) City
Z Ue- clkall, u V ct 4
Section No. Township Name or No. Range No. Counry
C2 ?-o ?rl
Occu ant (PRINT) Phone No.
07 ?v
Power Supplier
-
ac,? Address
? o
a a w?? AVALEL
Electrical Contraclor (Compeny Name
CL I
c . Contractor's License No.
Co
Meiling Address (Coniract?r wner aking Inetallatio )
2 1 r
f7(l I ?? ???
Authorized Signal e Conirador/Owner Making Inslallalion) Phone Number
-Z? ?
MINNESOTA S7ATE BOARD OF ELECTHICITY /I `? o L ? THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Hoom 5-173 ??? T BE ACCEPTED BY THE STATE BOARD
7821 UniversiTy Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 CV"A ENCLOSED.
?
9??9_1_,
M 01340
REQUEST FOR ELECTRICAL INSPECTION
? See insiructions for comple[ing this form on back of yellow copy.
"X" Below Work Covered by This Request
o01;pA,
?
? . -
Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Api. BUilding Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Condiiioner
Other (specily) Contraclor's ftemarks:
Compute Inspection Fee Below: kj(,u VV yA
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ? Above 100 _ Amps
SignS Inspector§ Use Only: TOTAL
Irrigation Booms ?j
Special Inspection
Alarm/Co
mmunication
THIS INSTALLATION Y DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN
I, the Electrical Inspector, hereby Raugh-in ? ec t?6 ?
certify that the above inspection has
been made. Finai
OFFICE USE ONLY ? •
This request void 18 months from
/ '=?O y
01341 6i,
Request Date Fire No. Rough-in Inspedion
Requlred? NOTICE: Vou Must Call Electrical Inspecror
It A Rough-In Inspection
Yes ? No Is Required.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Joh Addr, ess (Street, 8ox or Route No.)
Z k
b Ciry
e
c CW,L d c/Vi
Section No. Township Name or No. Range No. Counry
? ?`??
Occu nt PRINT) Phone No.
Y V V
PoW f Supplier ?J
S? ' ?(/ l,- P? Add?res7s
J li Ols
M C`L. `
A
Elec ncal C m actor (COmpany N ) ? CoMractor5 License No.
V ll l.9
Mailing Adtlr ss (COntra r or ner Makln Installation) 7
\ lt. . 9 0
Authorized 'gnature (Contractor/Owner Makin Installation) Phone Num6er
MINNESOTA STATE BOAHD OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S173 BE AGGEPTED 8Y THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (672) 642-0800 ?? ? C?? ENCLOSED.
?i 01341
REQUEST FOR ELECTRICAL INSPECTION
? See instmdions for completing this form on back oF yellow copy
"X" Below Work Covered by This Request
w Add Rep. ' TypeofBUildiag AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm./lndustrial Furnace Other (Specify)
Farm Air Conditioner
Other (spetify) Contracror5 Remarks:
Compute Inspection Fee Below: ?JLw Tntni Y L6vp-/,, (DO' `
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 1 111 0 to 100 Amps
Transformers Above 200 _ Amps ve 100 - Amps
SIgf1S Inspec[or's Use Only: TO AL
Irrigation Booms / ? 6
Special Inspection ?• ??? Y?
Alarm/Communication THIS INSTALLATION MAY ORD ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18'M[)NT
I, the Electrical Inspector, hereby
c Ro°9n-'" • t ate A, -'f ?
ertify that the above inspection has
been made. Final Da 0? 7_[1 -?
OFFICE USE ONLY
This request void 18 months irom
? ?9
?
0 13 2 -
Request Date
?
- „ Fre o. Rough-in Inspedion
ired? NO71CE: You Must Cell Electrical Inspecror
. If A Rough-In Inspection
I-S
9 A Yes ? No Is Required.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job AdQfess (Slreet, Boz or RoUte N0.) City
C
Section No. TOwnship Name or N . Range No. Counry
Occupent(PRINT) PhOne No.
AAavv G ? g' V 1
Power Supplier
I Adtlress
l?'Ci l.? A ^ ?!1I n ^
L V l,V_ (A=`"??-
Elechical Gontractor (COmpany Name) Gontractor's License No.
t? ?S c? 6. D CJ
Mailing Address (CoNracfor or Owner aking In Ilation)
1
e
o
95
_ cw l
Authorized $ign Nre (ContractodOwner Making Installation) Phone Numher
2, _ z .
MINNESOTA STATE BOARD OF ELECTRICITY f ? I THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bldg. - Room S-173 LA 0 ? BE ACCEPTED BY7HE STATE BOARD
1831 UnlversiTy Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 L??' 5 1A/1/1 ENGIOSED.
?v ?
9J3?9?
M . 01_342
REQUEST FOR ELECTRICAL INSPECTION
fl? Sae instmctions for completing this form on 6ack of yellow wpy.
"X" Below Work Covered by This Request
0001_ ?
?
w AGd FlIer_ TypeofBUilding- AppliancesWired Equipmen[Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Comractor5 Remarks:
Compufe Inspection Fee Below: {v tA-L) I 6ti1,`-v? V 1la-v? tvv A
# Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 1 111 0 to 100 Amps
Transforrners Above 200 _ Amps Abov 00 _ Amps
Signs Inspecror's use Oniy: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY B ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M HS.
'I, the Electrical Inspecror, hereby Rough-in
certify that the above inspection has
been made. Final f
? Date.
p 7-
OFFICE USE ONLY
This requesl void 18 momhs from
01
?
?
33g
I?
??
Request Date Rough-in Inspection
R ired? NOTICE: You Must Call Elecirical Inspeclor
If A Rough-In Inspection
? Yes ? Na Is Required.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sheet Boz ar Route No.)
btvV? City
e4A- W?1
Section No. Township Name or No. Range No. County
D C?l
Occu ant (PRIM)
d Phone No.
V V
V V 1
Pow r Supplier -
?GdL Address ?
6
Eledrical Contracror (COmpany Name) Conlractor5 License No.
?C
6 . ?
DO
Mailin/g A?ddress (Comractor or wner aking Installation) J /
•
. 1;
?
V
6 6'
puthonzed Signature (ConiractoUOwner Making InstaTlation) Phone Num6er
-??
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REDUEST WILL NO7
Griggs•MlCwey Bldg. - Room 5773 BE ACCEP7ED BYTHE STATE @OARD
1821 University Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (812) 642-0800 E-??{,?a-0 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ? es-oaooi-oQ
? Sea instmctions for completing this lorm on back of yellow copy. t?? J?o7
W 1-a4 3 .'YW Be)i9w Work Covered by This Request
w Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Load Management
Comm.llndustrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contracior's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps <
Transformers Ahove 200 _ Amps Above 100 Amps
SignS Inspector's Use Only: TOTAL
Irrigation Booms <
Special Inspeclion
Alarm/Communication THIS INSTALLATION MAY B REp DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN NTHS.;
1, the Electrical Inspector, hereby Rough-in w '?„w oafe
certify that the above inspection has
been made. F;,,ai Date
OFFICE USE ONLY
This request void 18 months liom
GITY•OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
4234' ME6HAN LANE
LOT: 8 BIOCK: 1
MEGHANS
BUILDING
021789
09(01/93
DESCRIPTION:
a uazrs
Buildin.q)Permit Typa 8-PLEX
euilding WoErk Type NEW
<UBC Occupancy-" R-1 M-1
Gonstru'ctiesn T?-pe VN
Zoning R-A
Building Length ) 112
Building Width 68
Buildirig stories 2
S44uare Feet 11,264
?
i
REMARKS: _
S&W CONTRACTOR - VALLEY PLUMBING PRV 2-HR. AREA WALLS BETWEEN UNSTS
INCLUDES: 4236, 4238, 4240, 4242, 4244. 4246, 4248 ME6HAN LANE
FEE SUMMARY:
VALUATION $478,080
Base Fee $1.962.50 CITY SAC $800.00
Plan Review $1,275.63 WRTER CONNECTION $5,560.00
Surcharge $239.00 S&W PERMIT $108.00
SAC $6,000.00 SURCHAR6E $.50
SAC % 100 TREATMENT PLANT $2,592.00
5AC Units 8 ROAD UNI7 _ $3,120.00
Subtotal $9,477.13 Tatal Fee $21,649.63
%?NRVqTFfS-dN HOMES iNCPP1114526200 0001371.Am-S-dN HOMES MARV
1355 MENDOTA HEI6HTS RD 300 1355 MENDOTA HEIGHTS RD 300
MENDOTA HEIGHTS MN 55112-1112 MENDOTA HEIGHT5 MN 55120-1112
(612) 452-5200 (612)452-5200
I hereby acknowledge that I have read t#ais appllcation and state tFtat the:
information is correct'and agree to comply with all applicab2e Stete of Mn.
5tatutes and City af Eagan Ord'nances.
d / A
'??-?
EE SIGN ?ISSUED BY.JSIGNATURE'
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 021789
Eagan, Minnesota 55123 Date Issued: 09 / 01 / 93
(612) 681-4675
SITE ADDRESS: L OT : e B L 0 C K: 1 APPLICANT:
4234 MEGHAN LANE MARV ANDERSON HOMES INC
MEGHANS (612) 452-5200
PE?Md'??S?IBTYPE: TYPE OF WORK: NEw
DESGRIPTTON 8 UNITS
INSPECTION
FOOTING .. .
FRAMING .A
INSULATION FINAL
FIREPLACE
REMARKS: S&W CONTRACTOR - VALLEY PLUMBING PRV 2-HR. AREp WALL3 BETWEEN UNI1
INCLUDES: "4236, 4238, 4240, 4242, 4244, 4246, 424$ MEGHAN LANE
: _.
REAC?IVATE _
PEiZMIa7•°41 .
cmr oF EAGaN
1993 BUILDING PERMIT
681-4675
cA?a s- I &
APPLICATION
4al, 6qy?6_s
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveyo, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structurai plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work " 9 ?
Site Address: ?? 2 23 2 2 2 2?fe 0 G?IA M
STREET SUITE M
nant Name: (commercial only)
e
rT
LOT BIACK ? SUBD p????? 1
t/v P. I. D. 1f
Descri tion of work:
The applicant is: 0 Owner ? Contractor ? Other (Deseribe)
Name MARV (Z 00 e, Phone ???'??a?
, Property LAST fIRST
Owner address ??? ???? )Ak1e9W`ls
STREET STE #
City ??.9fCTdTr? 94?4*-I".S' State M*• Zip
Company =%ei'z?!`` 4ves Phone
Contractor Address /3•`i?" /ve,.?zv WeAL"1251 License #r.'wExp.? 3 7
City e;477e J6?c?fdT? State Zip SS?/at'3"111?
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber ?GG?? L???• . Processing time for
sewer & water permits is two days once area has been approved.
plication and state that the information is
I hereby acknowledge that I have read this ap
?
correct and agree to comply with--all-a 1"icable`State-of-Minnesota Statutes and City of
Eagan Ordinances.
?
"
>
Signature of Appl ic
t: ___ ----
? ?- -.- - --- _ - -
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ' ? 11 Apt./Lodging O 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 5wim Pool
0 03 SF;Addition 111 08 8-Plex O 13 Garage/Accessory O 18 Comm./Ind.
O 04 SF `0brch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
E3 32 Addition ? 34 Repair ? 36 Move
. . . ,? . .
GENERAL INFOFtMATION '
Const. (Actual) Basement sq. ft. MWCC System
?
(Allowable) V=?j
?F lst fl. sq. ft. City Water .y
UBC Occupancy _
_/ 2nd F1. sq. ft. PRV Required
Zoning g Sq. Ft. total Booster Pump
# of Stories _
? Footprint Sq. ft. Fire Sprinkler ?
Length i/a.' On-site well Census Code f 0,5,
Depth !o ? On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS 4 NUS: Z- HQ, AP-eA wALUs BE77ueEW uN);
0 Site -Footi
P ng EK Framing EXInsulation
PI,Wallboard _
nal O Draintile ? Fireplace
/993
Permi t Fee 1962, $'a vetuac;«,: S Ll 1?000
Surcharge
?
Plan Review r7 S,6
License -
MWCC SAC
C i ty SAC
Water Conn.
Water Meter
Acct. Deposit ?-
S/W Permit ?do,oo
S/W Surcharge , 5-a
Treatment Pl. 00
Road Un i t 312u, o.P
Park Ded. -
Trails Ded. -
Copies --
-
Other ?
Total: Z[ .??3
SAC % 100
SAC Units _? _
, krlp Goor HmE -
?
OMPUTATION
.
EXTERIOii EfNELOPE AV6RAGE J'U" C
. , //fC!, EhfErc-"Y
? "vFM
?
Ol•!?I[R: ,
0 t)
SITE ADORE55: L o-r
'DATE: PNONE:
COIITRAC70R: ,
DETERMINE 1IORKIMC SQUAIIE POOTAGt O F EACHt
"
"
1. TOtAL EXPOSEO 1lALL AREA, , , , , , , sq f t U
x
0
"U" ?? 11. 48
2. TOTAL ROOF/CEILING AREA,,,,;,,. §q ft x
3, TOTAL EXPOSED 14AlL AREA CALCULATIONS:
Total exposed wall
area above floor,,,,,,.,, (? 0 sq f!
t
a) Total wall wlndow area: .
DDUP1_E 9lazed...... I$ 2?i sq ft xlturl
H . . . . . ; f t x U" ? ---'
ginzed , 59 f
3q ft X ???1n •???_---? ?i??
b) Tota) door area ,,,3 ?'?? ,
c) Tota) slidllicl glass door area: ' ? '' •
F t'k I lUl l
?l. Y J'7 gC?
??UE}L-.? giazed. . :. ? ,
1 1 t7
-?n . ? . --- 91 a zed , .
,. . . '"^"
s g
ft x . -
J sq ft x "ll" °
_-----?
d) .Total flreplace wall area _
?' .oaz 7,7g
e) Total wall FYaming area
(Aoerage 104) . .
g9 ft x "U" 1(a ° .?.-hj=
f) Total net wa) I area above 12
?'
'("
M'
1
7W'S
s9
ft x
."U"
.067 ?
floor (Insulat@d). :
1 ? 2
2
)
Total rlm Jolst area
t<i?:';...,1?
. .?
y?
/l
s
q
ft k
$lull
? ;
-
-
95 -
?
g
7ota1 foundatlon
area (Exposed)..+. ...... sq ft
ti) Total foundatlon
window area.............
1) Total net foundatlon
area above grade....,...
3,
..^---?
? f 5c? ft x 'iuli
. , . .
----'_' . S q f t x"U" I °.----
TbTAL a) thru 1)
If item N3 Is the sarne c+s, or less [lian ltem Nl, you I?ave met the fntent of
2 iICAR 1.16008 A and 0. • ,
..__?
I'?Fe l.
' , .
." ' , , • •. . • .
h. TOTnL EXPQSED RQOF/CEILItIf CALCl1LATIONS: ;
7ota1 exposed
roof/celllnq area.*?....• ?17 y sq ft
--? , "
J) Total skyllnht area..... sq ft x "U
.. _ -----
k) Total roof/cef 1lnq framing i' b2 fb ? ?G,
area (Averane 109;) , . . . . . •sq f t x "?U"
,•
Totat net fnsulated -
roof/cetling area....... sq ft x"U" . QZ.Z.
? . TOTAL J) thru 1) •;L
i. . .
If total oF Nli Is the same as, or less than N2, you have met the lntent of
2 PICNI 1.16008 A and 0. ,
. ,.. ,
ALTERtIATE BUILDItIG ENVELOPE DESIGN
To ut(lize the total envelope system method, the values establlshed by the sum
of iteins p3 and Hli shail not ne greater than the sum oi' items NI and H2.
• i. 191. 3`? + z. f?,9'8 p ZI?, 82
3. + a . _ 15.0? = 1 ?8 ,40
C E n T I F I: 11 T I b N
1 hereby certify that ! have calculated the "U" factors and "R"
values hernln and that the bulldinq here.descrlhed meet or exceeds the State
of Ninnesota Energy Conservatlon Act. ' / /
(SIgnaRure
(n,ce)
, ?'?s?,?• ?
/ L ? BL CITY USE ONLY
SUBD.
- ?.
RECEIPT #: 47 g0 I
DATE: ?'S 9
?f Q/(a6 5?55 ?W195 1995 MECHANICAL PERMIT (RESIDENTIAL)
%/(4? 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: C?0' 2(01 q b
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 4.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
50
c°? ?
SITE ADDRESS:
OWNER NAME: ?(De.? PHONE #:
INSTALLER NAME:
12481 Rhode Island Ave? SInc.
o.
STREET ADDRESS: Savagg, tyn,N 553; o,112,.
894-0005
CITY: STATE: ZIP:
PHONE #:
?
?r??? ?'L?
CITY USE ONLY
L BL RECEIPT #:
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? ail commerciaUindustrial buildings.
? multi-family buildings when separate permits are ?2,t required
for each dwelling unit.
DATE:
WORK TYPE
CONTRACT PRICE:
NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee gl 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSEO PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:,
ADDRESS: _
CITY:
PHONE #:
SIGNATURE:
STATE: ZI P:
SIGNATURE OF PERMITfEE
CITY INSPECTOR
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
COND05 WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH
SHOWER 3.00
WA1'ER CLt7SET 3.00
1? BATH TUB 3.00 a y-
k'i LAVATORY 3.00 '3;.-
KITCHEN SINK 3.00 a,
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00 -
GAS PIPING OVTLET minimum - 1 3.00 `?
ROUGH OPENINGS 1.50 ,? -
WATER SOF'TENER 5.00
PRIVATE DISP. • DeLcty. iic. 15.00
U.G. SPRINKI..ER • home under consi. 3.00
ALTERATIONS • co adsdn8 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE
TOTAL:
.50
avy- ;-
SITE ADDRESS: ya'?? ?41y, mc c L-
OWNER NAME: nv)f?
INST
I
ADDRFSS: (910 CITY: STATE: ZIP CODE:
PHONE #: ( ) q'() -d- 13 '
9IGNATLVkt OF PERMITTEE
1993 PLUMBING PERNIIT (RESIDENTIAL)
CITY OF EAGAN •
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP?DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING L'N;T.
NEW CONSTRUCTION
AAD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: I% OF CONTRACT FEE.
STATE SURCHARGE: $.SO FOR
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
EACH SL,000 OF PE1t11'IIT FEE.
$
$
$
SITE ADDRESS:
TENANf NAbZE: S'M #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE:
PHONE #:
ZIP CODE:
FOR:
CI1Y OF EAGAN APPLICANT
1993 PLUMBING PERMIT (CONMERCIAI.)
CTIY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 681-4675
's-n Z3 _ / o
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIItED FOR EACH UNTT.
? Y NEW CONSTRUCTION --------------____.... --...... ------ ------ .____---- ---------
ADD-ON A/C
.ADD-ON FT.JRNACE
DATE
HVAC: 0-100 M BTU
FEES
g x $ 24.00 =
6.00
? x - . m
$ 15.00
ADDITIONAL 50 M BTU
GAS OL7TLETS (MINIMUM 1@ 53.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION)
STATE SURCHARGE
TOTAL
SITE ADDRESS: `
OWNER NAMEP?a?-?
?
#:Z/ L??) '
INSTALLER: ounisviiie ..,
GL?1 jy .',rv, ime.
ADDRESS: 12481 Rhode isl:mid Ave.
savalge,
CITY: 894•0005 STATE: ZIP CODE:
TELEPHONE #:
- c", AA??
A E OF PERMITTEE
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITl' OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
1993 MECHAlVICAL PERMIT (CONIIVIERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE CaMPLETE FOR ALL COMMERCIAIJINDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTI'S ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
CONTRACT PRICE: $
1% OF C4;1'TIZAL'I" FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF RPM FEE.
TOTAL $
STTE ADDRESS: -
OWNER NAME: TELEPHONE #:
TENANTT NAME: (IMPROVEMENTS ONLl)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
I
4N ??
?
L
? CASH RECEfPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MIfVNESOTA 55122
DATE - F 19 ?
n[cE?
inw Z?&'
nMOUNr a ? 7 5- DOLLARS
O CASH 3RCHECK ?
.? ? 2/6
q01 q
Thank You
" 8Y
C 22699 ?,?? 0
PM-FileCopy
- - - -
, Serial #,? 7? 9 0 "
cnip # 0.3 ao ? f
Permit #_ ? /:Z. z /
•. Address: 3,9? - ?'Zzf
1 AGREE TO COMPLY WITH Cillf OF EAGAN
ORDINANCES
?
Signature•
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
CONSTRUCTION COST:
Foundation Onl New Construction Interior Im rovement
• SWctural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) . Structural Plans (2) • Code Analysis (1) `•
• Certificate of Survey (1) . Civil Plans (2) • Project Specs (1)
• Code Malysis (1) . Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) . Code Malysis (1) •' • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule • Certifinte of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (7) • Elec. Power & Lighting Form (1) notalways"
• Meter size must be established . Meter size must be esfablished • Meter size must be established - if applicable
. ProjectSpecs (1)
1 . EnergyCalculations (1)
d . Eleciric Power & LighUng Form (1)
1 • Master Exit Plan (1) 1
1 • Emergency Response Site Plan (1)
1 • SoilsReport (1) 1
. MCIES SAC detertnination letter • MC/ES SAC datermination letter • MC/ES SAC determination letter
Call 651 -602-1000 call 651 -602-1000 cail 651-602-1000
rooa Ot oeverage or ioaging racmcies - suomit pian to ivtN uepartment ot Heaitn. cau ti5i-zia-viuu ror aetans.
Contact Building Inspections for sample.
Permitfor new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE
SITE ADDRESS
WORK TYPE: NEW _ REMODEL
L-( - `-G, " 6 rn, o a&,
TENANT NAME: ?? rI RT ?v--d FM 5 QF (?MAL ? e100 SUITE #:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK lu?- ` S ? o f?
PROPERTY
OWNER
Nafne:
Last
Street Address: -2,
First
Phone #: ?c
bLA?..-?
???Ga S
'7r'
City: A/l? ? State:
Company: C- Sc Phone #: I 6)-b
CONTRACTOR
StreetAddress:
City: CL? J RN S. U( ul?-
ARCHITECT!
ENGINEER Company:
Name:
Street Address:
I
l
City: State: Zipc _
Licensed plumber installing new sewerlwater service: Phone #: ( '
Zip
State: t^ ci Zip:
Phone #: ( )
Registration #: -
1 hereby acknowledge that I have read this application, state that the information is correct, an gree to com I wi e State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments ? 27 CommerciaUIndustri al ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code
SAC Code
No. of Units
No. of Bldgs.
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
First Floor sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Building
sq. ft.
, sq. ft.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
? Insulation 0 Plumbing ? Stucco/Stone
Engineering Variance
VALUATION $
% SAC
SAC Units
Meter Size
Updated 7/02
' ` .
Total
• 48250 MEGHANS
MEGHAN LANE (PAGE 1 OF 3)
P.I.D.#'s
4202 10 48250 060 O1 601-03
4204 602-03
4206 603-03
4208 604-03
4210 605-03
4212 606-03
4214 607-03 -
4216 608-03
4218 10 48250 070 O1 701-03
4220 702-03
4222 703-03
4224 704-03
4226 705-03
4228 706-03
4230 707-03
4232 ?08-03
4234 10 48250 080 O1 801-03 ?
4236 802-03
`\
4238 4
803-03
4240 804-03
4242 805-03
4244 ?
806-03
4246 807-03 ?
4248-- - - --.. ____ __.____808-03
4249 10 48250 100 O1 001-03
4251 002-03
4253 003-03
4255 004-03
4257 005-03
4259 006-03
4261 007-03
4263 008-03
10
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • Structural Plans (2) • Code Analysis (1) "
• Certificate of Survey (1) . Civil Plans (2) . Project Specs (1)
• CodeAnalysis (1) . LandscapingPlans (2) • KeyPlan (1)
. Project Specs (1) . Code Analysis (1) ** • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule . Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) • Elec. Power & Lighting Form (1) not always"
• Meter size must be established • Meter size must be established • Meter size must be established - if applicable
• ProjectSpecs (1)
b • EnergyCalculations (1) .{
y • Electric Power & Lighting Form (1) 1
1 • Master Exit Plan (1) .?
1 • Emergency Response Site Plan (1) "'"'• b
1 • SoilsReport (1) 1
• MC/ES SAC determination letter . MC/ES SAC determination letter • MClES SAC determination letter
call 651-602-1000 call 651 -602-1000 call 651-602-1000
+.... u ucvc?ayc ui i.,uyllly 10?111ucs - suoinu pian io iwrv ueparcmeni or neaiin. uan no-i-cio-uf uu Tor aeiaus.
Contact Building Inspections for sampie.
Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
DATE: VZeI((2 Z WORK TYPE: NEW REMODEL CONSTRUCTION COST: ZO 3?-3 -241?*
SITE ADDRESS: ?(2-3q -qZ yg IYIF6,/719nS G/V
TENANTNAME: OligaL {?7?5 ?g? G?f?2o/c?ooa, SUITE#:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK 7291-P- CFIF/ E&??tr-
Name: ?& #-OfnE S bF ?fLvlw?phone#: ?( /Z ) 391 8'6/S<'
PROPERTY Last First
OWNER
StreetAddress: ?25lP G?
City: 641X4,51111z! State:
zip: SS 33 7
Company: C(11PE5SrG /4UO FS 4r-;>VG Phone #: dl? 2/ S
CONTRACTOR
StreetAddress: 100"Pv 1Z4ve5- S
City: j//& State: In /v
ARCHITECT/
ENGINT-ER Company:
Name:
/YI fl/
Phone #:
Zip:
55337
Registrarion #:
Street Address:
City.
State:
Licensed plumber installing new sewer/water
I hereby acknowledge that I have read this application, state that the information
Minnesota Statutes and City of Eagan Ordinances.
Signature of
Phone #:
? ,.
2002
?
p: i
?-?- -?-
with all applicable State of
Updated 7l02
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
G 14 Apartments C 27 CommerciallIndustri al ? 32 Ext Alt - Apts.
C 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
C i 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tznant Impr ? 42 Demolish (Foundation) E 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof C 47 Repair
? 33 Aiterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
'1 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning
SAC Code # of 5tories
No. of Units Length
No. of Bldgs. Width
Const. (Actual) Basement sq. ft.
(Allowable) First Floor sq. ft.
UBC Occupancy sq. ft.
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating
APPROVALS
Pianning
Building
? Insulation
Engineering
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
CJ Plumbing ? Stucco/Stone
Variance
Permit Fee
Surcharge
Plan Review
MC/ES SAC
ciry sAc
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
VALUATION $
% SAC
SAC Units
Meter Size
Total
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?'/5, S°
Date l / t ` / v s
Site Street Address LQ140 M?- ho--n Unit #
Property Owne U\?S %tAOC,-V Y 1J'_? Telephone #(1?Sh e1 R q 7a
\Ij
Contractor`-° ? Telephone # ?Og,?q
Address ?1 l_? City StateT">'4 Zip
The Applicant is: _ Owner &Contractor _Other
Alterations to existing dwelling
Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other: $ 50.00
Water Softener • _'?'4Water Heater
_ new replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an a plication for a
permit, work is not to start without a permit and work will be in accordance with the a r ed plan in
the event a plan is reqpife?be reviewed.and approved.
Applicant s Printe Na e App icant s Signatur ?!?
? I? SEP 2 1 2005 ?
Y.
Slirivellors 6cailixtc
SURVEY FOFl: Ptarv Mderson Ilomes Inc.
DE5CR18ED AS: Lot R, 131ock l, I+IEGHANS ADDITIQN, City of Eiagan, llakota County, Plinnesot
and reserving easements of record. ,
S89' 56' 00' N 150. 00 ,
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= I e8lab SI.00 14.00 11.00f1.00 cNtil N 4242 4244 4246 4248 4.00 eed Propoasd propoeed Propoae0 Nome Town-Homs Torn-Hoie Toxn-Home vi on 8rade Slab on ?ade Slab on 8rade SIaE on Q?ade °
O ? 1`d Pro oaed Propoaed Propoesd Propoeed ??,•?? iZ I? w
I . B73,f,, V ?1? O Fm
Town-Hooe Town-Home Tom-Nou Town-Hose
U Slab on 6rade 9I4E on Erade SIab on 6rade Sleb on Brade ? ° r 1
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se9'3e'3e'N 202. ze
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PROPOSED ELEVATIONS
7ap vl roundallons m 873.8
Gatage Floor 0673.1
Basemenl Floor m N/A .
Approx. Sewe? Service E lev. Q
P?oposAd Elavallons s CD
Exisling Elavnlions a
Oralnege Ufreclions „
Janoles olfsel Sleke 0 lO
F, fEV L UND
Planning EngineerJng Surveyrng
ftOt Eal Blvominplon iteew? . Blopml Ion. MlnnesoU l3420
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,
By . _.?..?..r _A._
D ? Fr
EAGAN AFdGYNIkyRTNG I?EFT
BENCHMARK,
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O 'r- 1 'rI i?
pD?G?o?Jo ll?-__? ? ?
? MIN. SETBACK REQUIREMENtS
Front flouse Side -
Flear - (3arage Side -
SCALE, I In[h • 30 Flef
JOB NO.:
1 HEf1EeY CERiIrV TO MARY /1NbERSON lIOME3 TIIAt 71118 19 A 11tUE
ANU CaRf1ECT ?lEPIlE3ENiAT10N OF 7HE 80UNDARIE9 OF TIIE I18UVE
dE3C1itAED PROPEftTY 113 SURVEYEU 9Y MF Ofl UNpEfi MY DIRECT
SUPEtiVI510N ANU bPE3 NOC PUl11'Dqt TO SIIOW IMPROYEMENI9 Oq ,
ENCROACHMENi8, EXCEPT AS SNOWN. / BOOI<: PAGE:
y° 1
Uela ?_1" 2J'r l-23
? F INdc3REN, LI1N 3URVEYOR rCALD),u FILE:[lWa. CIIK.
MINNESOtA IICENSE NUMBER 14378
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- Use BLUE or BLACK Ink
I -
For Office Use -------_I
Permit
City of Ea z3(
Permit Fee: 7 1
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED l Date Receiv /
Phone: (651) 675-5675 1 Staff: j
Fax: (651) 675-5694 JAN 2 4 2012 1 I
2011 RESIDENTIAL BUIL ING PERMIT APPLICATION
Date: Address: Unit
Name: - d, l ? (fit Phone:
RESIDENT /
OWNER Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: _ ~C i_~U71C.~,fC ~?IV~U I SIaItrlfl 1/4 pit, 4 12er1j~/ yl4s
Construction Cost: 6-0-1 Multi-Family Building:,(Yes u / No
Company: _<Ay, -1,) S L; Contact-El ~ l c i `L V*S
Address: ) S o (,burr,,~~ City: CONTRACTOR
State:.M)J Zip: Phone: U 19"i et 1 -1-7 4-10
License RL 1 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: `Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Buff in ode ist be completed within 180
days of permit issuance.
X ~.z=-tom I'f~. X
Applicant's Pr nted Name pplican ture
Page 1 of 3
~DO NOT WRITE BELOW THIS LINE
SU5 TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
x Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES n~ i~t~o~i~ I ~l✓1®i'~'l.
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall Memolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation U OZ) Occupancy MCES System
Plan Review Code Editions SAC Units
(25%_ 100%4 Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) X Final / No C.O. Required
Foundation HVAC as S i e Test Gas Line Air Test
Drain Tile Other:r
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings - Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge v
Plan Review
MCES SAC _
City SAC q/
Utility Connection Charge
S&W Permit & Surcharge V G ~r
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
r _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
I For Office Use I
I I
Permit
,Ilk City of Eq, l
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
'
Date: Site Address: l1 ~3 Z~ r\ Unit
Name: Anm, 62 S Phone:tY)--(o_7y -(g
Resident/ y23Lf - yz3C,-`~1z~ L~{ro (zy 6'
Owner Address I City / Zip. - ' Z Z- Z' L -
Applicant is: Owner k Contractor s IVto 's--s-yo
Type of Work Description of work: Q,n _ 001 .eIn~
3 ~ oc~~
Construction Cos g Multi-Family Building: (Yes 1l / No
Company: JIM e ff Contact: t~~~°e_d~-ed(_LE
Address: S (~y1 u ( 3~ City: ~c~~ clJ
Contractor n %/l
State:V~w Zip: Phone: W lZ"1
1
i L ense (o Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THI AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
i
_Yes _No If yes, date and address of master plan:
tt Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
mu~ conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of ipermit issuance.
x 9
, FL~~
Applicant's Printed Name pp ignature
Page 1 of 3