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4250 Meghan Lane? INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Er.? r?i?•?? Eagan, Minnesota 55122-1897 Date issued: c? :' ! i'?/`? ?• (612) 681-4675 SITEADDRESS: APPLICANT: P91 hHAN I ANt ??,?r it ,;r I 11 r I Aul PERMIT SUBtYPE: TYPE OF WORK: 11"= I I i l,ti .: I ;tl IFAAI TON f'R/LM I Ni, I '% r iPJn1 A Pertnft No. Permit Holder Date 7elephone ff ELECTRIC PLUMBING HVAC Inapectlon Oate Inap. Comments FOOTINGS FOUND G FRAMING Jyl .? °?? ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDGFINAL 1 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD . CIT't( OF EAGAN PERMIT TYPE: """ 1! `N`' 3930 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ,? ?.?.;x r?r u11r,N t Hrll rq;ti ?,,,?•r i. ,iiN PERMIT SUBTYPE: ,, TYPE OF WORK: Nf.LI f?t `?? F+11'l It?M M UMl I:-? INSPECTION .. , i ?;,. 1 1:;,pi I .. i11 I+1I0 I If1;-11 ? I i Ai I 1? ? 4 1 i I - ' I F1 ? ? 1 1 1 ? f ' ? ? i ? i 1 Q . ' ' : ? ?? .' `? t , ? : ' ?t H %! . . . . • i ? . . . , ; , ? : ? . . 1 : ? ' ! ; I . . . + M1: rlkf At 41A1 1'1 Ht 1 xwt C N iIN t l ? • -- -- ----- ? Permit No. PermN Holder Date Telephnne M SM/ PLUMBING HVAC ? ELECTRIC Q/ yf.} I ' ?'J ?''+) S r ELECTRIC Inspection Dete Inap. CommeMa Footingsl ( Foundation Framing Roofing Rough Plbg. ? (f u A Rough Htg. Isul. Fireplace Final m9. /- -9 Orsat Test FinalPlbg. Plbg.lnspector - NotifyPlumber Const. Meter Engr./Plan 81dg. Final oeck Ftg. Dedc Firgil /?.,'G ? well 0 2S ? Ji 2 ?? Pr. Disp. _..'?_ . . .. .... . . .;...W;... .,,r x , . ,4 W-ertificate of Cccupanc4 CM4 of Cfagatt ?e?+artmeat of 8xilbiag anoection This Certificate issued pursuant to the requirements of the Unifd'rm-Buitding Code certifyirtg that at the time of issuartce tkis srructure was rn compliance wrth the various ordinances of the City regulating buildi?ig conrtructiors or use. For the following: uY cl?ifi?uou: 8,VFFX (R tmrrTS) Bldg. Pemit No. 21651 oauro-r Trx R I/M I Zoniog uLqu;a r co?s? VN ; ow?ors?ila?p9FSRY AN?i?+? F?? IT? ae?. ?g, ?Vof?v. H?s ?A AEIGM BwWmg Add`nss 4250 )MAN LAL'E Lmwityt.l j, n I rtFrAa11.S .4I.9? .. : 4222r 4254, 4256, 4258, 4260, 4262 Fr,?264 S ; euimng urt- ume: /: 41 . ,? ---- POST IN A CONSPICUOUS PLACE I ? ._ _ ' INSPECTION DATE INSPECTOR COMMENTS _ -2y 3 4 ?-}- lyz, - ze? " JD?g ?93 ? 8 ` y?.?ody?s? 1 ?l2 a Sl - 6Y /e 13 yas';? - sy - 5li R i Y/9 3 141s u ?b• Is 43 zs - 6-?z-? ?i?.. 1 is 4/i.sy47 -4$ W4- Z -ac - ?0% a 3 C)A • ? Lo-(? - r r ri u ?? r< <i D?5 -F- 9 / // 9?? ??I 014 41i? ? ' , Request Date Fire No. Ro h-in Inspection quired? NOTICE: You Must Call Elecirical Inspector If A Rough-In inspection Ves ? No Is Required. Ik licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street Boz or Route No.) 2 ` O AAiqka V qry l?aci a/Y1 Section No. Township Name or Rarge No. County ' J Occupant(PRINT) A 4 Phone No. IVl 1? CV IT Power Supplier -? d lk 4 Atldress a 4 lLQ e 0 o v. • v-c ? aK,k, Eleciricat C AL CONST?I ?A17o,1 ^^ I?1VIr11 I\ W CoMractor§ License No. . 'A C?AC -A? LJ Mailing Address (Conirador or Ow er a I St. Paul, Minnesota 107 Amhorized Signature (CoNrador/Owner Making Installation) ?? Phone Number - Z Z ' 2_ . MINNESOTA STATE BOARO OF ELECTRICIN /? ? THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 („r-Z (? F BE ACCEPTED BV THE STATE BOARD 1821 Univereity Ave., S7. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (672) 642-0800 C---ENCLOSEO. g r !? 0? 9441 REQUEST FOR ELECTRICAL INSPECTION 10, See insVUCtions for completing this form on back af yellow copy. "X" Below Work Covered by This Request 0 00 ?.3 t) Adtl' :lep, TypeofBuilding AppliancesWired Equipment ired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: N? ?cbcnA hc-o/LR- L0GA # Ofher Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ' 0 to 100 Amps ,(J?? Transformers Above 200 _ Amps Apove440._ Amps ?, Q? Sigf1S Inspeclor's Use Onty: ^, T TAL Irrigation Booms I? 0 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O DER SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Aough-in ? Date , r pinal - / 74 OFFICE USE ONLY - - This requesl vaitl 18 months from c5v / 1 i? . 0 442 Request Date Fire No. qough-in Inspection Fi quired? NOTICE: Vou Must Call Electrical Inspector II A Raugh-In Inspection es ? No Is Required. I licensed contractor ? owner hereby request inspection of above electrical work at: Job Addres s (Street, Box or Route No.) ' ( Ciry e 4 2C; 2 Altxk " &"u a Seclion No. Township Name or No. Range No. Counry - ? a -" Occu ant PRMT) Phone No. w Power Supplier Atldress h 1 co ?e iu?u Elec[ri Conlrador's License No. CA 6 O( 278 State Street 6 o Mailing Address (C trac r or Owner Making Installation ?t. aul, Minnesota ?5107 Authorized Sign (COn actoV er Making Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY L G I THIS INSPECTION REQUEST W ILL NOT Griggs-Mitlway Bltlg. - Room S-173 BE ACCEPTED BYTHE STATE BOARD 1821 Universiry Ave, St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSEO. ? F/r 7/Fe?- A 01442 REQUEST FOR ELECTRICAL INSPECTION lo. See inslmctions for completing this form on back of yellow copy. "X" Below Work Covered by This Request w lC7 ??. _ Type of Building AppliancesWired EquipmentWir ^ Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./lndustrial Furnace Other (Specity) Farm Air Conditioner Other (specify) Coniractor5 Remarks: Compute Inspection Fee Below: ?j tt'u # Other Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee Swimming Pool 0 ta 200 Amps to 700 Amps 144,M Transformers Above 200 _ Amps Abo Amps ,LXI SIgf7S Inspector's Use Only: OTAL Ircigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE SCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONT I, the Electrical Inspector, hereby e ? Rough-ln ? ? certifY that the above inspection has be en made. fttD Final e ? -O-? ? OFFICE USE ONLV This reques[ wid 1B months irom ee-ooooi- e ?? 1? ? ??- ??? Request ale - -+ Fire No. ough-in Inspection NO71CE: You Must Call Electrical Inspecior I quired? II A Rough-In Inspection Yes ? No Is Required. I licensed contractor ? owner hereby request inspection of above electrical work at: Job A?ddress (Street, Box or Route No ) { ? ? • 2A City I C ol'" Seclion No. Township Name o o. Range No. County . Occupanl(PRINT) phone No. ?V Power upplier ? k sr- R ? N Address U A M L ec oc I ,, e. C1x u. u? 3o Electri r c7 rLCV (fio?y2?q?qyxm?? 1 A1 I Contractor§ License No. V Mailing Address (CONractor o r Authorizetl Signat re(Co ractodOwner Making Inslal ation Phone Number \ V y, ' 2- `3 MINNESO7A STATE BOApD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs•Mitlway BICg. - Room S•173 BE ACCEPTED BY THE STATE BOARD 1821 Unlversity Ave., St. Paul, MN 55104 ? UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. /1- ?1r7 9? _01443 REQUEST FOR ELECTRICAL INSPECTION ? See insiructions for completing this form on back of yellow copy. `X" Belaw Work Covered by This Request Add Rop.? . ? TypeofBuilding AppliancesWired EqwpmentWire Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building ?ryer Load Management Comm.llndustrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contracror's Remarks: Compute Inspection Fee Below: ? Q?,?j ???Vl y ?(fYV?-??, (?l/ A # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ?rj.Q p ( 0 to 100 Amps .Q(} TransFormers Above 200 _ Amps Above 700 _ Amps ,? Signs Inspector's Use Only: ? TOTAL Irrigation Booms ?? ? ? ? O Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspecror, hereby Rough-in r i? Dat r- certify that the above inspection has been made. Final , ?'% ??'°_^` o e ' ? ? ?-?! OFFICE USE ONLY ? ??' This request void 18 moMhs from ?? EB ??a?,. 8 ?; I 5t??-- a? / ?? ? M 014 4 4x1I r f l, ?. 7 Request Date - _ o- ? Fire No. Rough-in Inspection R uired? Yes ? No NOTICE: You Must Call Electrical Inspector If A Rough-In Inspeciion Is Required. I licensed contractor ? owner hereby request inspection of above electrical work at: Job Atldress (Street, Box or ROUte No.) ? . V I V W L'K_/ City VVl V? ? I Section No. Township Name or No Range No. County ? Occupant(PRINT) Phone No. Powe S plier & Address ? 0 c, S- 6 ? Eleciric? GVGV 1 A" WNSMUCTM CoNracto03 License No. V V GA-0o 0 Mailing Address (Gonirador S.P AWhorized Signat 2(ContraclorlOwner Making In allation) Phone Number 1 . .?/ . C-v ?j / - 2- 0 ;3- MINNESO7A S7ATE BOARD OF ELECTitICITY ?CA I ( f,1C THIS INSPECTION REQUEST WILL NOT Griggs-Mitlway Bldq. - Room 5-173 ? BE ACCEPTED BY THE STATE 80ARD 1821 Univeretty Ave, St. Paul, MN 55104 ? UNLESS PROPER INSPECTION FEE IS anone (siz) saz-aeoo ?L? c? CIy\ eNCLoseo. ?/ 7/?? M 01_444 REQUEST FOR ELECTRICAL INSPECTION 10. See inslmctions for completing this lorm on back of yellow copy. "X" Below Work Covered by This Requesf Add Rep. Type of Building AppliancesWired Equipment ire Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specily) Goniraclor's Remarks: ? Campute lnspection Fee Below: MQ'w I 'u-o ` 00A # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps -44.cb Transformers Above 200 _ Amps Abova 100 _ Amps d SignS Inspector5 Use Onty: TOTAL Inigation Booms Special Inspection Alarm/Communication THIS INSTALLATION E ORDERED D SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 111109t?iS. I, the Electrical Inspector, here by if Rough-in cert y that the above inspection has been made. Final -? OFFICE USE ONLY ? This request void 18 mon[hs from ea-ooooi- e // 953 ? ? ?? ?.3 ?i 01445 ?Iljal, ? l0? Request Er3e Fire No, ugh-in Inspedion Req ired? NOTICE: You Must Call Eleclrical Inspector If A Rough-In Inspection i d Yes ? No re . Is Requ I ?/l icensed contractor ? owner hereby request inspection of above electrical work at: Jo6 Address (Street, Box or Roule No.) City ??? CA" Sedion No. Township Name or No. Range No. County ?? Occuparrt (PRINT) Phone No. ct VY' Power Supplier - Address /? e k( F-_?d J ? - -' Electrical Cqq?xqp(ci f?q?p?y ly¢??L ?N? ? HVLLIIY, GLC Conlractor5 License No. A l c Mailing Address (COntracbr o, O iaI e Aulhorized Signa (ConhacbdA w er Makin Inst alla[ion ? 1 ??. Phone ?Number ?? MINNESOTA STA7E BOARD OF ELECTpICITY , THIS INSPECTION REQUEST WILL NOT Griggs-Mltlway Bldg. - Room S-173 eE ACCEPTED BY THE STATE BOARD 1621 University Ave., St. Paul, MN 55704 UNIESS PROPEfi INSPECTION FEE IS Phone (612) 642-0800 U,? ENCLOSED. ? REQUEST FOR ELECTRICAL INSPECTION l ? See instmctions (or completing ihis torm on back of yellow copy. ? 01.445 `X" Below Work Covered by This Request e Add Hep. ` TypeofBuilding AppliancesWired Equipment ired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./lndushial Furnace other (Specify) Farm Air Conditioner Other (specify) Contracror's Remarks: Compute Inspection Fee Below: ?J'Q'u' Tn47N hm,? loor # Other Fee # ServiceEnirance Size Fee # CircuitslFeeders Fee Swimming Pool 11 0 to 200 Amps I i0 11 0 to t00 Amps Transformers Above 200 _ Amps Above 100 Amps 1 7so SignS Inspector5 Use Only TOTAL ' / ' Irri 9ation Booms - ? / ,, / ?1 /S YJ?? V Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE ONNECTED IF NOT Other Fee COMPLETED WITHI ONT ( I, the Electrical Inspector, hereby Rough-in ? oat certify that the above inspection has been made. Final r-- o ?i " ( ?z OFFICE USE ONLY . -=•" ?' This request void 18 months hom ?rVw°°°? i 11q43 / 01446 ? i? Requesl Date Fire No. ugh-in Inspection Required? NOTICE: You Musl Call Electrical Inspeaor If A Rough-In Inspection ? es ? No Is Required. I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Streel, eox or Route NoJ Ciry ) V ctw_' Wr I Section No. Township Name or No. Range Na Counry a W Occupant(PRIN'n Phone No. v-V AinrleK49,oDA Pow i $upplier Address oe --2.>ono ? lectrical CoftQr jC?fyryyaru??? k?n?E c:TR'??L CONSTRUCTtONCO. Conlrador§ License No. Mailing Atldress (COntracror or OwO&MKIIGxc611a'Street Authorized Signature (Con r 5to / 1 ? Phone Number ez 214 (i? ? MINNESOTA S7ATE BOARD OF ELEC7RICITY ? 7HIS INSPECTION fiEQUEST WILL NOT Griggs-Midway Bldg. - Room 5473 C C? ?j BE ACCEPTED BY THE STATE BOARD 1827 Universiry Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 06( C CM/) ENCLOSED. ) .s?j???9.;?__ H _01_446 REQUEST FOR ELECTRICAL INSPECTION ? See insiructions for campleting this form on back of yellow copy. `X" Below Work Covered by This Request w Add Rep. TypeoBuilding AppliancesWired Equipment e Home Range Temporary Service Duplex Water Healer Elechic Heating Apt. Building Dryer Load Manaqement CommJindustrial Furnace Oiher (Specify) Farm Air Conditioner Olher (specify) Coniractor's Remarks: I Compute Inspection Fee Below: M'Lw T6iLr-n ti? Lry")A # Other Fee Service Entrance Size Fee # Cirouits/Feeders Fee Swimming Pool 0 to 200 Amps ?) 0 to 700 Amps Transformers Above 200 _ Amps ? Abov Amps SignS Inspector§ Use Only: TOTAL Irrigation Booms ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT I, the Electrical Inspector, hereby Ro°9"-'° oate o_ certify that the above insPection has been made. Final ? f OFFICE USE ONLV This request void 18 months irom ?? 811:7 9 ?194?3 0 447 Requesl-0ate '- ?j Fire No. Rough-in Inspection Req ired? Yes ? No NO71CE: You Musf Call Elecirical Inspecror If A Rough-In Inspection Is Required. I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Roule No.) 2 Akeokam ylk? Ciry E?eti? n" Section No. Townshlp Name or No. ? Range No. Counry ? Occupant PRINn A/Lct ? A-viA ? r42 Phone No. Power Supplier ; ° Address ^ -2,2066 A/'lG-1Cl.? leclrical Con???n??????? ?N?ON ? Contractor? License No. /A1..?; W C)6, Mailing Adtlress (Contractor or Owr278ift"tiI Aulhorized Signalure on raclod L .Le Phone Number 2V - ZE? MINNESOTA STATE BOARD OF ELECTRICI7Y I THIS INSPECTION REQUEST WILL NOT Griggs•Mldway Bldg. - Room 5-173 /1 V? BE ACCEPTED BYTHE S7ATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 642-0800 0?c t) 6 (/yI ENCLOSED. A/ REQUEST FOR ELECTRICAL INSPECTION ? a? /• ?? ? See inslructions for complefing this form on hack of yellaw copy. ???Ie ? 7oi- ? J "X" Below Work Covered by This Request ???? ?:;? w Add M T 'TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Seroice Duplex Water Heater Eiectric Heating Apt. Building Dryer Load Management Comm./Indusirial Furnace Other (Specify) Farm Air Conditioner Other (Specity) Contrector's Remarks: Compute lnspection Fee Below: C,A # Other Fee # SeroiceENranceSize Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps ? o to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps ? SignS Inspectar's Usa Only: TOTAL Irrigation Booms L 50 Special Inspection Alarm/Communication __ NNECTED IF NOT THIS INSTALLATION MAY BE ORDER Other Fee COMPLETED WITHIN 18 MONTH$.;j I, the Electrical Inspector, hereby Rough-in . h.. l b certify that the above inspection has beenmade. Final .- eii o OFFICE USE ONLY This requesl void 18 months from ? 3 l ? ?i- ?1-448 ? Request Date C Fire No. fl h-in Inspeclion R uired? NOTICE: Vou Must Call Eleclricai Inspecror If A Rough-In Inspeciion U yeg 0 Np Is Required. 1k licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Sfreet, Box or Rou[e No.) Ciry 2 (A AALqhcti,1 Section No. Township Name or o Range No. Gounty 0Gt jCC?Ga Occupant(PRINT) Phone No. , YV 1?? / , p `?r • ? LV Power Supplier Atldress ? Electrical Contr ?1149 EtECTRICAL CONSTRUC110N C0 Contrectork License No. . ?0C) ?`?/ Mailing Address (Contrador or Owne ' g ` ii (?,Q ? St. PBUl " r„'^ ^ uthorized Signature ?(Co7niractor/Ownetr Mak1ing Instal?la?tion") ? 1 I/ ? ? ?? 1 Phone Number '2' 1 7n ; W-(.I?iX--?t I f I ? MINNESOTA STA7E BOARD OF ELEC7RICRV /' ? THIS INSPECTION REQUEST WILL NOT GriggsMidway BICg. - Room 5-173 (?,{ Q r BE ACCEPTED BYTHE STATE 60ARD 1827 Universiry Ave, St. Paul, MN 55104 ? UNLESS PROPER INSPECTION FEE IS Phone (812) 642-0800 ?(?(,?/?? ENCLOSED. 7C - 0,7/G+? REQUEST FOR ELECTRICAL INSPECTION ??-o?or?oo1 ye3 l 7 i See instmctions lor completing ihis lorm on beck a1 yellow copy. q II ,. Q 1 y4U X" Below Work Covered by This Request ??? ew Add Re;,. Type of Building AppliancesWired EquipmentWire Home Range Temporary Service Duplex Water Heater Electric Heating Apt 8uilding Dryer Load Management Comm./Indushial Fumace Other (Specify) Farm Air Conditioner Olher (specify) Contractor5 Remarks: Compute Inspection Fee Below: Ntw T?-v? l? ?-v?.? 1 o 0,4 # Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps _OD Transformers Above 200 _ Amps ? 100 _ Amps SignS Inspec[ors Use Only: TOTAL Irrigation Booms 15O Special Inspection Alarm/Communication THIS INSTALLATION MAY 8E O D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in ?`' i Date ;Ep certify that the above inspection has 'been made. F;oai a OFFICE USE ONLY ThiS fequesl void 18 monlhs from - REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os 7 lllll? See inslructions for compleling Ihis fortn on back ol yelbw copy. "X" Below WorN. CoverZa' by This Request Ney Add 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 Other (specify) Contraclor'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 Above 100 _Amps SI nS Inspecror's Use Only TOT Irngation Booms ? Special Inspection Alarm/Communication THIS INSTALLATION MAY D DISCONNECTED IF NOT Oiher Fee COMPLETED WITHIN 18 MONTHS. I, the Elechical Inspector, hereby if h h Rough-in Date cert y t at t e above inspection has been made. p?nal Date OFFICE U5E ONLY . This requesl void 18 months From 0- -008 a Req st Dat ^?1 ( ?\ Fire No. Rough- n Inspection Required (Vou2 usl all inspedor when reatly) Inspection Other Than Ro h-In ? Ready Now dl Notify Inspector N,p ,Y es ? No Date Ready 1? iicensed contractor -15dwner hereby request inspection of above electrical work at: Job AtlCress (Streel, Box or Route No.) City yWey ? O?-V. V--O-V-\ z, Section No. Township Name or No. Range No. County OtCUpant (PRINT) ? N A Phone No. •s v c Power Supplier Address Electncal Contractor (Company Nama) Contractor's Llcense No, Mailing Address lContractor or Owner Making Ins[allation) ? Aulhorized Sign ture (COntrectoAOwner Making Installalion) Phone Number ICrtV T ? 8 I , II III III IIIII I I I III II I II IIII I I II I?II p E St?PeuI MN 5 04 1821 o 21 2 e P ROPER NSPECTIONFEE E SS 61 -0800 P ho EN D REACT7YATE u y ,? ;.' ; V ? E D ??PEfcMI J? 1 0 1993 . CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION $21, 681-4675 I rt, v ora ? -q --------- , - SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surve?s, 1 copy of energy calcs. • COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work q7Z/00- Site Address: y25?J,H2_5'z eG?NANS Ne, STREET SUITE M Tenant Name: (commercial only) IAT ? BIACK ? SUBD /?? P.I.D. •N ??v /?/( [. Descri tion of work: The applicant is: 1,81 Owner ? Contractor ? Other (Deseribe) Name Mf?R V f+,l 5o Phone u54'5200 Property LAST FiRST Owner address 1355 Metqdom. Neiw75 ?Z? SuiL 5X TREET STE t City (YIeMA6TA W"""OlS State MN- Zip Company ARV lu 59N ovAe Phone YL2' 2G? Contractor Address I3?5 IvlCwloTik HeIGLP'rS License # GiD01371 Exp. ? c;ty MeNdcsm Ne,rT}?j?5 State - Zip y5?20-I11L Company Phone Architect/ Engineer Name Registration # Address City State Zip _ Sewer & water licensed plumber LLti LutAbING . Processing time for 7 sewer.& water permits is two days once area has been approved.. 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. 5ignature of Applicant: , OFFICE USE ONLY , I* _-. BUIL DING PERMIT TYPE " ? '• ??' ' ? 01 Foundation ? 06 Duplex ? 11 Apt.JLodging ?. -0-164aseteei'ir-finisk 0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition '0( 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. 13 04 SF Porch ? 09 12-Plex D 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. El 15 Deck ? 20 Public Facility 0 21 Miscellaneous WORK TYPE 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION ' Const. (Actual) Basement sq. ft. MWCC System S (Allowable) 7-N ? lst fl. sq. ft. City Water UBC Occupancy ? 2nd Fl. sq. ft. PRV Required Zoning 12-11 Sq. Ft. total ' Booster Pump T S i kl # of Stories L h ? Footprint Sq. ft. to?-7Z: it ll '- O pr n Fire er J= Census Code s engt ii2 n-s e we /o Depth ? On-site sewage SAC Code WNa ?4vC? APPROVALS Czovs ?••v:? Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS ?Nc-rE: 2- Hr2, AREA wAUS t3t-_'TW-BE?)kj uNl75 O Site 'a Fo oting ;Q Framing /ti Insulation P-Wallboard Fi n ? Draintile ? Fireplace 9 ?6s Permit Fee I-z:!?-o v.tuac;«,: g47X?OL) 0 Surcharge 2_35 , co Plan Review /zr) 5,63 License - - MWCC SAC (o PJD. 00 City SAC 8 vv,e-, o Water Conn. ,,, c ri Water Meter -- Acct. Deposit - S/W Permit /cu,o,? S/W Surcharge ,.sv Treatment Pl. z ?2 z: e.) -? Road Ur i t Park Ded. Trails Ded. Copies Other Total: z? Evy,E? SAC % / c' SAC Units 9 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit rvumber: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: LoT: 4250 MEGHAN LANE MEGHANS PE?M?TE,Sy BTYPE: BUILDING 021651 @8/09/93 ii BLocK: i APPLICANT: MARV ANOERSON HOMES INC (612) 452-6200 TYPE OF WORK: NEW DESCRIPTIQN 8 UNITS INSPECTION FOOTING ., • FRAMING .A INSULATIAN FINAL FIREPLACE REMARKS: INCLUDES 4252 4254 4256 4258 4260 4262 & 4264 MEGHAN LN 2-HR AREA WALLS BETWEEN UNITS F (t1rur q ..?11i.?? • t:(:i , 'I ? ;?6 1? i•?u c ;; . ? ? ,? ? :?., ;,i?. ;t i • ? i?it:, rl °`:P•I ; r r ., /1- l9 r. H--:1' IJ-• i Nr ,i . : . L ? I t?J 1'7 ':I Q?'? i PRV ., . . i. • A-CiTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: ^3 PERMIT cil-116os PERMIT TYPE: Permit Number: Date Issued: 4250 ME6HAN LA?dE LOT: 11 BLOCK: 1 MEGHANS ?,B U N I 7 S B.uild ni g=,Permit Type 8-PLEX 'E?uilding tJork Type NEW j-'UBC Occupan?Ey? R-i M-1 Construetion Type V-N* Zaning R-4 Building Length ? 112 Builditlg Wi,dth ? 68 Building stories 2 ,?are Feet --? - §gu 11,264 ? ?? ? \, Fl-?'? U:D-'?? ' (? fl ( ? ? BUILDING 021651 08/09/93 REMARKS: INCLUDES 4252 4254 4256 4258 4260 4262 & 4264 MEGHAN l.N PRV * 2-HR AREA WALLS BETWEEPt UNZTS FEE SUMMARY: Base Fee Plan Review Surcharge sac SAC $ SAC Units Subtotal S-7-s3 $21.649.63 VALUATION $478,000 $1,962.50 $1,275.63 $239.00 $6,0@0.00 100 8 $9,477.13 CITY SAC WATER CONNECTION S & W PERMIT S & W 3URCHARGE TREATMENT PLANT RAAD'=UN.IT Total Fee ???Ri??68N HOMES INCPP1114525209 0001371 1355 MENDOTA WEIGHTS RD 300 MENDOTA HEIGHTS MN 55112-1112 (612) 452--5200 L' M9RV-MERSON HOMES INC 1355 MENDOTA HEIGHTS RD MENDOTA HEIGHTS MN 55120-1112 (612)452-5200 I heweby acknowledge that X have read Chis applioation and=state that the informatio-n is correct and agree to comply with all applicable State of Mn. Statutss a:nd City of Eagan Qrdinances.. APPLICANT/PERMITEE S NATURE ? lad ISSUED BY: 7 ATURE $800.@0 $5,560.00 $100.@6 $.50 $2,592.00 $3.120.00 J EXTERIOk EtIVELOPE AVERAGE "Ull COFIPUTATIOt1 lAp, EhIEf&-Y • . , . . , . . Ol•i11E R : 51TE ADDRESS: DATE: PHONE:? COIITRIICTOR: , • DETERMINE 410RKING SQUARE FOOTAGt OF EACfIs ? 1, TOTAL EXCOSED 61ALL AREA,,,,,,,, sq ft x"U" ?a1Z ??~ I?.?fB 2. TOTAL ROOF/CEILING AREA,,,,;,,, ` sq ft x"U" 3, TOTAL EXPOSED 14ALL AREA CALGULATIONS: Total exposed wall area above floor,,,,,,,,, V o sq fE t a) Total wa11 wlndow areat • d l s q8 ( ' ft x?i??? .?" f * `fpl? ?5 aze DOUI3l..E g ...... q /. o , H-E_glazed...... •`-' sq ft U" - l ? b) 7oca) door aYea ,,,,,,,,, 3 I'11 sq ft xliun , P? ° , c) Total slidlfig glass door area: 33. ?5 s? f t x „ui, ,? ?4c,{ C?OUE3L.?.. 9) azed. . : . . , ? glaZed...... sg ft x"U" __ k ---T 11 11 d) .Total flreplace wall area _ §q ft x U . oQz 7?78' lw- e) To[al wal) PYaming area?M g q?, ? „„ a yL (Average 10°;) . .. . : j , . . ? ?^, S`?'•5_ sq ft x U _-? f) e 7ota1 net wall area ab` •??? 12 04,1, ? ?(°'&7 ? . 7 " " 5 i'loor (InsulAtpd).4-inP'!?d 7W!5 sq ft .O16 U x. 5 d z' Zq g) -?,t(--" 7ota1 rim Jolst area e(l:`":':?? 52 1'L sq ft 4 'L? x"U" „ .0A Total Foundation area (Exposed)..4 ....... sq ft h) Total foundatlon ft ll , x nU e ?.... wlndow atea........ ` . - I ) Total net Foundatlon ? • - -- - Ft . x"U" ? °?- area above grade........ -- Sq TDTA4 a) thru 1) 3 If Item N3 Is the same as, or less than item' PI, y ou have met the lntent of 2 tiCAR 1.16008 A and 0. , I'?Fe 1 , . , . • " ., , , h. -tOTAL EXPOSED RDOF/CEILIN(i CALCULATIOtIS; , , . Total exposed roof/celling area..... ... Jy sq ft . - ---"" ????? e Total ekyliqht area....... sq.fk x _ k) Total roof/celllnq framtng ? s" '• • p2 ? I 1? area (Averaqe 0q)...... sq ft x"U" . ° r• .7 Total net Insulated I. c ?/ IYolf, T/ Sq 1 t X I lUll r OL[-- ° I?? ? roof/celling area....... ? - T07A1 ]) thru 1) d L i. . If tota) of dli Is the same as, or less than N2, you have met the tntent of 2 PICAR 1.16008 A and 0. , . ,.. 4 I ALTFRNATE BUILDIFIf fNVELOPE DESIGN To utlllze the tota) envelape system method, the values estabilshed by tlie sum uf iteins N3 and Ni+ shall not oe 9reater than the sum oi' items N.1 and H2• + z. (?,48 ? 21?, ?y _+ it . c[ R riFi;nTioi? I hereby certlfy that I have calculated the "U" factors and "R" values hera(n and that tha bulldtnq here.descrfbed meet` or exceeds the State of H{nnesota Enercly Conservatlon Act. J ? Sl?nakure ? i1?93 ? (Date) , w EXTERIOR EtIVELOPE AVEfIAGE "UC0t1PUtATION '?Id•', C:?,: •j I? jS'?oirc I L?1.e? 4?. ) SITE nonnESS: l-? • 'DATEt. PNONE: ^ CONTRACTOR: ,-• DtTEh111NE HORKING SQdARE rOOTAGt OF EACNi I ??--- ]. 70TAL EXP05ED FIALL AItEA,,, sq Ft x nUn sq f t x"Ulf 2, TOTAL ROOF/CEILIHG AIIEA,,,,;,,, 3. TOTAL EXP05ED WALL AREA CALCULATIONSs Total exposed wall area above floor,,;,,,.,, sq ft ---?tt a) Total wa11 wlhdow area: . 1 azed ? 8C? UOUf3LE 5 sq f t x "U" ?l . -1 9 ^ Z * , , , , , , , j g ? glazed, •, • •`-'"" sq rt U" x ?- ??'77 _ area d s9 ft it ?'?'? b) ... . .. oor . + + Total c) Total slidlfiq glass door area: ' ' " • -? d l sq ft Kiluii < Q l, ...... aze DpUF3j-E 9 -- d l s g f t x"U'' ...... aze ?}? g l) §q Ft x"U" - ° J d) area .Total flreplace wa ? 7 G?9? OQ2 ??' e) Totol wall Framing area (Arerage 10?;) . .. fCJB, c> Sq ft "U" x ((o ° ??'??O f) Total net wall area above • 04?, !?. ? ?• ?io?f • 5_6 floor (Insulat6d).K^"i1r4± sq fE x."U" , D1) 77 sq r lst area J l l ft x "U" 0°9 . .v14 ???? ° ', g) . . o m r Tota Tota) Foundatlon ?r area (Exposed)..?...,... _ sq ft h) Total foundatlon wlndow area........ +...• I) Total net foundatlon area above grade....,... 3 x soUl? My? .? ° . ?---- _--_---- . ,. .. • , ----=? . s q f t x"U" r--- TbTAL a) thru I) If (tem N3 ls the same as, or less than item'?I, you have met the lntcnt of 2 t1CAR 1.16008 A and 0. • ' Page 1 ? •• ... , . . • . . ' . . . . h. YOTAL EXPQSED ROOF/CEILItIf, CALCUlATI0N5: ; Total exposed / roof/celling area.....I.. s9 ft . ? s f t x "U" .. 9. _ Total skyllaht area..... k) Total roof/cefllnq framing f' QZ 6 area (Avel'a9e 1t19,)...... sq t X U • , 1) Total net lnsulated ,???? gq ft x"U" .?? roof/celllnq erea......._ ??. TOTAL J) thru 1) 1? ? If tota) of 811 is the same as, or less tlian 92, you have met the Intent of 2 AICAit 1.16008 A and 0. , . ? ? ?..• ALTERNATE BUILDIPif ENVELOPE DESIGN To utllize the tota) envelope system method, the values establlshed by the sum vf iteins F'3 and H4 sliall not be greater chan the sum oto icems NI and N2. +2. 141 R6 R 19?,i4 3• ?h9. ? -- Z1?; n 1?2??? _ ,. . +?? . Cv n T I F I f. A T 1 0 N I hereby certlfy that 4 have calculated the "U" Factors and "R" values hereln and that the bulldlnq here.descrlhed meets or exceecls the State of Hlnnesota Enere7y f.onservatlon Act. ,z;//f,!, ? ? SlgnaKure ; (Date) Pirv. 2 ?. , ? . J . . m m ? ? ? o o • ? o ? • ¦ D D • ? o o • ? ? o • 0 ? ? • ? 0 0 • ? D D • ? a o • ? a o • LOT BQRVEY CHECKLI6T FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEaAL: "T 11 . 'RiLDGk.. I . Date of 8urvey: DOCUMENT BTANDARDB 5-ZsrW'f3 Registered Land Surveyor signature and company Building Permit Applicant Legal description Address North arrow and bar scale House type (rambler, walkout, split w/o, split lookout, etc.) Directional drainage arrows with slope/gradient. ?. Proposed/existing sewer and water services Street name Driveway ELEVATIONS Existing 0 0 0 • Sewer service 0 ? ? • Lot corners 0 ? ? • Top of curb at the driveway 0 ? ? • Elevations of any existing adjacent homes Prooosed ¦ 0 ? • Garage floor i ? 0 • First floor D • ? • Lowest exposed elevation (walkout/window) 0 0 0 • Property corners ? ? ? • Front and rear of home at the foundation PONDING AREAS (if aovlicnble) entry, D ? 0 • Easement line , O 0 O • NWL 0 0 0 • HWL 0 0 0 • Pond # designation 0 0 ? • Emergency Overflow Elevation DIMEN8ION8 P ? 0 • Lot lines ? ? ? • Right-of-way and street width (to back of curb) 0 13 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) 0 0 0 • Show all easements of record and any City utilities within those easements ? 0 0 • Setbacks of proposed s ructure and setback of adjacent existing homes 0 0 0 • Retaining wall requ ts, if any 8_? Reviewed: Name / Date October 1992 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 4264 MEGHAN LflNE LOT: 11 BLOCK: 1 MEGHANS P.I.N.: 10-48250-108-04 DESCRIPTION: Permit Type W,g,rk Type MULTT. (MT5C.) ALTERATION 434 ALT. RESIDENTIAL .v?M? ?[¢i ; ??'" £m 4`?k M.? ?g g{p? ?? as :riw- ? €ml # +?i ?e y F?.? 4?4 c?.-n oj 4 BUILDING @27066 02/15J96 REMARKS: FEE SUMMARY: VALUA7ION Base Fee $56.75 Surcharge $.90 Total Fee $57.65 $1,800 CONTRACTOR: OWNER: - App1 i c a n t-- AUCHSTETTER PAUL 4264 MEGHAN LN EAGAN MN 55122 (612)686-6267 f_t ay? ? r M?? I hereby acknowled?gs that I; haue° read tl%is application snc state i:hat the , a??farm?t,iort, a;,s ccar`??ct?>?=nI'd reV`"t;a ?ea?n"?rPly ?wiE:?h ?z1,1applicable StaCs af' 3tatutes and 'Ci?ty a-f Ea jI an Ordinances ? v ... ? ? 3._... .... ___ ,.F._._ ? _. _... ,r _. , . ._A. ,_e _?• _. APPLICANT/PERMITEE SIGNATU1iE ISSUED BY: IG TURE CITY OF EAGAPI 14 3830 PILOT KNOB RD - 55122 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL) 681-4675 nstrudion Reaui?emeQts RemodeVF3eoair Reauirement ? 3 registered sRe surveys ? 2 copies of plan ? 2 copies of plans (nclude beam & window sizes; poured tnd. design; etc.) * 2 ske surveys (exterior additions 8 decks) ? 7 energy calculations ? 1 energy calculations for heated additions ? 3 eopies oi tree preservation plan N lot platted afler 711193 requtred: _ Yes _ No DATE: CONSTRUCTiON COST: DESCRIPTION OF WORK: A? FLO c,?) ,?' STREET ADDRESS: `--- LOT BLOCK SUBD./P.I.D. #: PROPERTY Name: I'N Phone #: Lwoi OWNER ?t FIRBi StreetAddress• City: ? a-G av? State: ?'1? Zip: ? CONTRACTOR Company: Phone #: Street Address: License #: City: State: MV? Zip: ARCHITECT! Company: Phone #: ENGiNEER Name: Registration Street Add City: State: Zip: Sewer & water licensed plumber: ! v+A . Penalty appiies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates ot Survey Received Yes No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDtNG PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt.lLodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ori-05 SF Misc. ? 10 = plex o 15 Deck WQRK TYPE 0 31 New CP-33 Alterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. MClWS System Main level sq. ft. City Water Sq, ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. Footprint sq. ft. SAC Code Census Bldg ? Census Unit o _ Building Engineering Variance ; , . Permit Fee Surcharge Plan Review License MClWS SAC ?:a• oA n vn? v v Water Conn. Water Meter Acct. Deposit S1W Pem'iit SIW Surcharge Treatment PI. Road Unit Park Ded. Trails Ded_ Other Copies Total: Valuation: $ % SAC SAC Units ൩䌊䅉䵉嘠問䡃剅ⴠ删䙅乕⁄䕒啑卅ൔ䌊呉⁙䙏䔠䝁乁਍䅍䕋䌠䕈䭃倠奁䉁䕌吠⁏›䄹ㅔ⁔啰䡃呓呅䕔ൂ䄊佄䕎卓㨠㐠㘲‴䕍䡇乁䰠乁൅䔊䝁乁‮乍㔠ㄵ㈲ㄠ਍㼿弿彟彟਍㼿彟彟彟彟낰ⴭⴭⴭⴭⴭⴭⴭⴭⴭⴭ‭ⴭⴭⴠⴭⴭ਍佌䅃䥔乑਍䕁䕃偉⁔‣ 䅄䔷਍䕒十乏䘠剏删䙅乕ൄ吊偙⁅䙏删䙅乕ൄ㐊㘲‴䕍䡇乁吠䄮䙎മ䰊氿⹬䈠⸱䴠䝅䅈华਍㌵㠱ⵉ㈰㈯嘠㙱਍㥗䭒删佅䥕䕒⁄乏奌䤠䤠华䕐呃佉⁎‭佈䕍坏䕎⁒䕒問卅䕔⁄䕒商䑎䘠剏਍义偓䍅䥔乏丠呏丠䕅䕄⹄਍䱅䍅剔䍉䱁倠剅䥍⁔〣‭⁝ぱ〭㠰਍䥐䵕䥂䝎倠䅅䥍⁔മ䴊䍅ⵉ䅉䥎䅃⁌䕐䵁呉਍啓䍒楩剁䕇਍䅗䕔⁁佃乎䍅䥔乏倠剅䥍ൔ匊坅剅䌠乏䕎呃佉⁎䕐䵒呉਍䍁佃乕⁔䕄佐瑓ൔ唊䥔䥌奔䍁呃传䕖ⵒ䅐䵙久ൔ䌊剕⁂佂⁘䕄佐䥓⁔䕒商䑎਍佃华剔䍕䥔乏䴠呅䅅䐠偅删䙅乕ൄ圊呁晅⁬单䝁⁅䡃剁䕇਍呏䕈㩒਍㈳ㄱ㤭〰‱․〲⸠〠ര㌊ㄲⴲ〹㄰␠਍㈳㌱㤭〰‱ത㈊㔱ⴵ㤠〰‱ത㌊ㄷⴳ㈹〲␠਍㜳㌴‭㈹〲␠਍㈲㈵㤭㈲⁕ത㈊㔲ⴰ㈹〲␠਍㈲㌵㤭㈲‰ത㈊㔲ⴴ㈹〲␠਍㜳ㄱ‭㈹〲␠਍ത␊਍ത吊呏䱁愠㈠⸰〰਍‱敤楣牡⁥湵敤⁲桴⁥数慮瑩敩⁳景氠睡琠慨⁴桴獩愠捣畯瑮‬汣楡⁭牯搠浥湡⁤獩樠獵⁴湡൤琊慨⁩潮瀠牡⁴景椠⁴慨⁳敢湥瀠楡⹤਍瑓湧⁡‬潲䐠瑡൥愊䌯 CITY USE ONLY p, L ? BL RECEIPT #: 9l ]?r?q SUBD. RECEIPT DATE: 1998 PLUMBING PLRMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT IQdOB RD EAGAN, M41 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES Shower Water Closef Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet " minimum - t Rough Openings Water Softener ' for dweliings under construction Water Softener " for existing dwelling U.G. Sprinkler ' for dwelling under const. U.G. Spnnkler * for existing dwelling Alterations " to existing residence Water Turn Around Private Disposal System ` MPC iic. (new and refurbished systems) Private Disposal Systems' Abandonment EACH # TOTAL 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 3.00 x = 1.50 x = 5.00 x = 20.00 x = 3.00 20.00 = 20.00 = .? 20.00 = 75.00 = 20.00 STATE SURCHARGE .50 TOTAL a6, Sl? ----------------•---------------------------------------------------------------------------------------------------------------------------- I hereby adcnowiedge that I have read this application, state that the infortnation is cortect, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs resoonsiAility to no!ify !he proparty owner that the City of Eagan assumes no liabili.y for ar:y damages caused bp !he Ci!y during lits normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-wayleasement. SITE ADDRESS: OWNER NAME: (NSTALLER NAME: ?r',?,?T41?r`•c? ;. ? 1"`u r.?G7i-,?. L?tc TELEPHONE #: STREET ADDRESS: CITY: I r4 r? ICi? NL?J K?rc?f?N ?????<, Q?Skul?a,sH?2a? D?sFD.s?? JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 OF PERMITTEE COMMERCIAL 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Nacne: Last Street Address: Foundation Onl New Construction Interior Im rovement • Structural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . SWCtural Plans (2) • CodeAnalysis (1) • Certificate of Survey (1) • CivilPlans (2) • ProjectSpecs (1) • CodeMalysis (1)" . LandscapingPlans (2) • KeyPlan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. 8 TesNng Schedule " . Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) notalways" • Meter size must he established • Meter size must be established • Meter size must be established - if applicable • ProjedSpecs (1) 1 • EnergyCalculations (1) 1 • ElecVic Power & Lighting Form (1) 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 • Soils Report (1) 1 • MC/ES SAC determination letter • MCIES SAC determination letter • MC/ES SAC de[ermination letter ca11 651-602-1 000 ca11 6 51-602-1 000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. 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: W ORK TYPE: NEW REMODEL CONSTRUCTION COST: - -? SITEADDRESS: Fa,?q TENANT NAME: GQuRS- 14 OM:55 v P" SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK 12 ?- S 117 ? PROPERTY OWNER Phone #: First Z ,3 l ? ?-J P 1 `A City: tAp State: Zip: ?? Company: '?' LA S S( ?_/ (7/0 D?7 _?> Phone #: ( ed d 0 ) 3 -1,? -- ° i3-D CONTRACTOR SheetAddress: ( ?jd D ciTy: c:?;v" s v ?.Jv? state: zip: ARCHTTECT/ ENGINEER Company: Name: Street Address: City: State: _ Licensed plumber installing new sewerlwater Phone #: ( ?-- )- - -11 Registradon L Phone #: ',ZiP___ I hereby acknowledge that I have read this application, state that the information is corre t, t7z:2th e of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Updated 7/02 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ? 14 Apartments ? 27 CommerciaUInd ustri 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) e< 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning SAC Code # of Stories 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 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. MCBS System City Water Fire Sprinklered ? Insulation Engineering VALUATION $ % SAC SAC Units Meter Size 0 Plumbing ? Stucco/Stone Variance Total ; , 48250 4250 4252 4254 4256 4258 4260 4262 ., 4264 4267 4269 4271 4273 4275 4277 4279 4266 4268 4270 4272 4274 4276 4278 4280 4281 4282 4284 4286 4288 4290 4292 4294 4296 MEGHANS 10 48250 110 Ol 8250 090 O1 10 48250 010 01 10 48250 020 01 MEGHAN LANE P.I.D.#'s 101-04 102-04 103-04 104-04 105-04 106-04 107-04 108-04 901-03 902-03 903-03 904-03 905-03 906-03 907-03 908-03 101-03 102-03 103-03 104-03 105-03 106-03 107-03 108-03 (sprinlder meter) 201-03 202-03 203-03 204-03 205-03 206-03 207-03 208-03 PAGE 2 OF 3 11 COMMERCIAL , 2002 BUILDING PERMIT APPLICATION . CITY OF EAGAN 651-681-4675 Foundation Onl New Construction Interior im rovement • Structurel Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . Structural Plans (2) • CodeAnalysis (1) " • Certificate of Survey (1) . Civil Plans (2) • Project Specs (1) • CodeAnalysis (1)" . LandscapingPians (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 Fortn (1) not always" • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • ProjectSpecs (1) 1 • EnergyCalculations (1) 1 • Electric Power & Lighting Form (1) 1 • Master Exit Plan (1) 1 1 • Emergency Response Site Plan (1)'""' 1 1 • Soils RepoA (1) 1 • MC/ES SAC detertnination letter . MC/ES SAC determination letter • MGES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 rooa o,oeverage or ioagmg Tacn¢ies - suom¢ pian to nnrv uepartment ot neaitn. t;au e51-zi a-uiuv Tor aecans. Contact Building Inspections for sample. Permk for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. ? ? ?? DATE: 0WORK TYPE: NEW ??REMODEL CONSTRUCTION COST: 7i v,? ?? SITE ADDRESS: Li -2.1- ty M (?, 6, 4?ck, ?,) L ,3 TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK 6 v(l.,3 S 0 \V..' l Name: L 2) v Rz" W a o 0 " M?iS PROPERTY Last First OWNER Street Address: k„? City: PL? State: ? N Zip: Company: G (_? SS.JZ-- Q??? Phone #: o CONTRACI'OR StreetAddress: , ? o-o .-5 . ?ity: ARCHITECT/ ENGINEER Company: Name: Street Address: City: n1 SEP 1 s 2002 SUITE #: c. ?9rt-r,?., v,? oav Phone #: 6( ? ?- ) -'7 State: J " `IV Zip: T Phone #: ( Registration #: 3 ys- ?? J y7 ? ? S?`?31 State: Zip: Licensed plumber installing new sewerlwater service: Phone #: ( I hereby acknowledge that I have read this application, state that the information isiorrect anyl agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. / ?nz ? Signature of Applicant: Updated 7/02 OFFICE USE ONLY SUBTYPE i I Ol Foundation ? 26 Public Facility Ll 30 Accessory Bldg. i i 14 Apartments CI 27 CommercialMdustri al Cl 32 Ext Alt - Apts. ? I 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. I I 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF f7 37 Nail Salon WORK TYPE 1 1 31 New l] 35 Tenant Impr C /IJ 42 Demolish (Fou ndation) ? 46 Windows/Doors 11 32 Addition ? 36 ? - Move Bldg 43 Reroof n 47 Repair I I 33 Alterations ? 37 Demolish (Bldg) ?? 44 Siding ? 48 Authorization 11 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code No. of Units No. of Bldgs. Const. (Actual) (AI lowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS i I Gas Service Test ? Heating APPROVALS Planning Building 0 Insulation Engineering sq. ft. sq. ft. sq. ft. sq. ft. MC/E5 System City Water Fire Sprinklered f7 Plumbing ? Stucco/Stone Variance 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 VALUATION $ % SAC SAC Units Meter Size Total . 48250 MEGHANS MEGHAN LANE 4250 4252 4254 4256 4258 4260 4262 4264 10 48250 110 01 P.LD.#'s 101-04 102-04 103-04 104-04 105-04 106-04 107-04 108-04 4265 4267 4269 4271 4273 4275 4277 4279 4266 4268 4270 4272 4274 4276 4278 4280 4281 4282 4284 4286 4288 4290 4292 4294 4296 10 48250 090 Ol 10 48250 010 Ol 10 48250 020 01 11 (sprinkler meter) 901-03 902-03 903-03 904-03 905-03 906-03 907-03 908-03 101-03 102-03 103-03 104-03 105-03 106-03 107-03 108-03 201-03 202-03 203-03 204-03 205-03 206-03 207-03 208-03 PAGE 2 OF 3 \Se PERMIT # yirqoz 8008 RE.SIDENTIAL PLUMBIPfi PEitMTf APPLICATION Cn'Y or EAGix saso PI.oT KNOB RD Rn ? [? ? f E146?kN,1NP 5318E 6g1-6$1-46T5 MAR Q 62002 ;, Please complete for: single family dwellings, townhomes and condos when permits are required for ach unit, backflow preventer for irrigation system BY- SITE ADDRESS: ? &UCV kt? cl' ,? L1411A _ OWNER NAME: : IJUIU.? U v? 1 TELEPHONE #: l!1_ 1Ag8- I oCQ O (AREA CODE) INSTALLER NAME: TELEPHONE qSa. C(3l-9Ca(o (AREA STREET ADDRESS: 605 12111 Avenue Sovth CODE) op ins, Pill S4 ciTY: STATE: RECEIPT DATE: ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONlALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to bwer levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repaiNrebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener ? water heater $ 15.00 State Surcharge $ .50 T t l $ o a . ? I hereby acknowledge that I have read this application, state that the information is corcect, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liabilityn for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within @i(y prortylright-of-way/easement. ?-- ?? . . .. n. SIGNATv(JR?OF PERMI'9'TEE 1102 R4W 2007 RESIDENTIAL PLUMBING PERmir aPQLicaTIoN /S CiTY OF EAGAN 3830 PlLOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. oate I'0 Z Sandra Pegler Site 5treet Address 4252 Meghan Lane Unit # Eagan, MN 55122 6514544649 Property Owrrer iephone # ( ) Contractor lGm p(G{?J,?j/?Q Telephone # ((01Z ) ?Z7-UO33 Address Gity ML a a? State,*1 /l/ Zip y0? The AppEicant is: _ Owner ? Contractor _Other j Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 ' Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 Alterations to existing dwellirtg $ 50:00 _ Add plumbing fixtures. This fee includes installation of a water softwer, and/or water heater at the same time. !f you are insialling only a water softener and/or water heafer, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic Sysfem A6andonment _Water Turnaround (add $136A0 if a 5I8" meter is required) Other: _ Water Softener Water Heater $ 15.00 _ new ? repiacement Lawn IrrigaYion _RP2 _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50. ? Total - " $ /.!S-. SD I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; thaf the work will be in conformance with the ordinances and codes f the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a p i work is not to start withouf a accordance with the approved plan in the event a plen is re i d t be reviewed approved. U .??(T- A)of'b)oe CT R 2,20 07 Appiicant's Printed Name ignature - i ----------- - - Slir?vef or?s ?? SURVEY FUFl: Dtarv Anclerson llomes Inc. DESCRIBED AS: Lot 11, 131ock 1, h1EGtIANS ADDITION, City of I:agan, llakota County, h1innesota and reserving easements of record. 1? IFFLEy 120AD N89' 56' 00' E W. 73 . ------ ? ? ?------------ I . I ----- x aa% I I ? f ? I ? ? ? 873.2 10 ? 00 ' 873. d I a ? o ? . s ? f8.00 g 873.0 ?? 10.00 10.00 873D 18.00 10.00 rn ?''? ? ?" o ? ? 6ara9a °o ? ? °o d oo I ? l r ? BenO? I 00 14 ? -" ry 14.00 1/.00 I . a .? 14.00 ? ?y 1.00 4258 4260 4262 4264 4.00 I ? ;'? N ? Propoaed Proposed I Toxn-Nosa Town-Nose propoaed Pt?opoeed Town-Home Torn-Noa , Slab on p?ade 51?6 an 6rede glap on ?ade Sleb on erade o ? p Z I r lb00 0° ° .? d io / O? C ?4 Propoaed ProDoaed ProDoaed Propoae • -' Town-Hosa Torn-HOme Town-Hose Town-Ibse ? n ?.n SIa6 on 6rade Slab on I? 6rade Slab on 6rade SIaA on 6rads I 4.00 4256 4254 4252 4250 4.00 1 ? ? 14.00 14.00 ? ! 0 6anqe a? 14.00 14.00 ° '° o o'? 8araqe /y? o rv o r ? $??-:3? I 10.00 18.00 y o N _o?' t3 ? o ? 00 L0.00 $????? ° 18.00 10. ~ 10.00 d ,'ftr3.7` I ? t 38-' E B3. 67 y 169' 38' ? 1 • ?; \ 0 sg ? ? x , s LAN? 870= 6?? ?At•35 ? 3 0 r1 ? PROPOSEU ELEVATIONS Top ol roundalions , Garege Floor , Hasemant Floor Approx. Sewer Servic Propossd F-levallons Exisling Elevallons Dreinaga Ufreclions ? 873.1 v 873,3 a NIA :e Elev, s d ? v e ...,._ .- Uenoles ollsel Slake v O 11 fEDL UND Planning Engineer/ng Surveying 9201 En1 stoominplon i?eaw? . Blooml be. MlnnesoU 534I0 ta.onem ?ur eee o?v SCALE+ 1 Inch • 30 Feet r- i t _1 HL K BENCHMAHK, MIN. SETBACK FiEOUIREMENTS Front -. Housa Slde - RAar • ? Oarege Slde - 1 IIEIIEBY CEq?IFV 10 MARV ANbEFI30N lIOME9 7NAT 11115 19 A 1FiUE 11NU Cq11f1ECT IIEPRE9ENTATION pF THE BOUND11iitE8 OF T11E A90VE DF3018ED. PROPERTY Il9 SUfiVEYED BY MF dll UNfJEti MY nIRECT SUPEIiV191oN AND UOE9 NOi PUlipOhl 70 BNOW IMPROVEMENTS Oq , ENCROACHMENiB, EXCEPT AS SHONRi. Da1s jj?? J. t/?^? u?v---• E FR . DOREN, LMIU UfiVEYaFi 'i ! MINNE50TA UCENSE NUMBEii 14376 JOB NO.: I ? ':1: 1.1 (r BOOK: IPAGE: CAOU FILE: I DWa. CIIK. ? ? Z Q City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JAN 242012 2011 RESIDENTIAL BUIL Date: /(-7.--7 Site Address: Use BLUE or BLACK Ink For Office Use Permit #: JOZSt/ Permit Fee: Date Received: Staff: ING PERMIT APPLICATION G / n A't1 016 Unit #: Phone: Name: .A W1A (DO L e% (1110 t `� Address / City / Zip: Applicant is: Owner Contractor Description ofwork: ,,C }-V14 1 DAr1 c,c)Qt�l C71V��1 SIC\It 12elG cF 044 llrr'4-s Construction Cost: 00 0- ex' Multi -Family Building: (Yes Y / No ) Company: v t P 01u.4-LOYI Address: 1q Si (auri•kj QeI State:.IW Zip: ' 5 (Pctr Phone: Contact7Z- F`) L 5 City: )00 tA)(1° Cgtg-'_ c o -t j -1-7 q 0 License #: Weep (1.255,)3 i Lead Certificate #: If the project is exempt from lead certifiction, please explain why: (see Page 3 for additional information) 7 (/ /q 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 areconsidered to bepu ma1. the infortion maybe classified as non public if you provide specific reasons tJ conclude' that-they;areytrade'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.gooherstateonecall.ora 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 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 Buil, in• • ode st be completed within 180 days of permit issuance., yr - x 114/1 0. - [-c,e rl�.- �S x .. illg%kik. Applicant's Pr nted Name.fes pp • pican"'fture Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool 110 OF 5(15 Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation 0 D Occupancy Plan Review Code Edition (25%_ 100%)4 ) Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction V (j Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Reviewed By: Final r f'frPn. Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant Eh -L 141AI7 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required GasiSe e Test _ Gas Line Air Test cit HVAC Other: A Pool: Footings _Air/Gas Tests Final Siding: __Stucco Lath _Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 50.P4F t9 0 Page 2 of 3 ~ ~ I Lt a ,5a, I ~.5 q Use BLUE or BLACK Ink r---- qo s~ Lf'- (0a + a I For Office Use I City of Ea an Permit#: I ~3S.v~ I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: O rQ 1 I Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: cio I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Resident/ Name: ~Cti t4)LZ _f ma &M yWlt,-s Phone: UD_-(0_7Q -lam!21 Owner Address / City / zip: - y S(-P ~I r I[L i~ h f c, 12~11 IVW U j_ Applicant is: Owner X Contractor Type of Work Description of work: -VA1~t~C Construction Cost: S~ ~G Multi-Family Building: (Yes 2 / No ) Company: \A- 'Ykt, it A L4 7 LAC Contact: 1~ r-i c~ 2('l C_~t Contractor Address: (y x~- 11 L 3 city: State: s, Vl Zip: ` 3& Phone: ~fJ Z - - 1 Cl -)WC License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) JAY_ S -7 P 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 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:gol)herstateonecall.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 C be completed within 180 days of permit issuance. x -1-:3- !--1- U` I C._ . ~ x Applicant's Printed Name App i FaAT-s i ature Page 1 of 3