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4265 Meghan LaneINSPECTION RECORD ` CITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number: _ Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: APPLICANT: 'iy.:. Htj f I st ra#; 0,' I 41/+, 4+6 /41; /Ca:t PERMIT SUBTYPEt TYPE OF WORK: INSPECTION DATE INSPTR INSPECTION TYPE D. . ' C?a79 (K2 7'7 4ao5 0"3 6" 45 d °° ka 40 4 IIA 71 &o $ °° , ? € ' ... ' . x{??.? ?}. . . :ti .. ? ? .. ? . . . .. . . . J ' Permit No. Permit Holder Oate Telephone # S/W PLUMBWG HVAC i I? C ?? J?'? 7Y-DUQ ELECTRIC ELECTRIC Inspection Date Insp. Comments Footings I P?.dt.t rOn.a Su ace Foundation Framing Roofing Rougfi PVbg. Rough Htg. Isul. Fireplace Final Htg. 911,5144 v Orsat Test Final Plbg. Pibg. Inspector- Notify Plumber Const. Meter Engr./Plan Bidg. Final 1 ? Q? L) ?y ) ? Deck Ftg. Deck Final Well Pc Disp. 4 , ?' l • w ,. ? r af Cccupanc? of Cfagan ' ZMiibiug axoccHon e requirements of tke Uniform Building Code !is structure was in compUaiice with the various ag construction or use. For the following: 8-PLiM 21075 Use Classficatioo: Bldg. R+mit Na R oa,??y rya " ??????p nW?a - r? co?. MA? Owott of Building tl.P'f'.5 A?T'? }?i. - f wvc= ? f f rWAAW'O Bmiding Add? ' q pate:?' ! Buil ' H'iciai ? f POST IN A CONSPICUOUS PLACE 1 '?.• -A, ...?""' ?? .? ?_ _? / _? SITE ADDRESS Unii # Permit # L ? B ? Sect./Sub. INSPECTION INSPECTOR DATE COMMENTS U-6 D? -A- y?? U-C K£? . A.k XIL"t yz4a.1, u 1 ,?- / nK riR r Gd fd? Nr 0 %?L(! 7 13 473' ,;L 7 i' y73- s- - 7 _`. -4_.1 3 . ,_ . U,ca?- -cr? - INSPECTIDN INSPECTOR DATE COMMENTS h, ?s 72 93 yz?- ?9 AN-o?.Z q K? y0 73-A ? 2,,? - 2 9 ` S-aJ 7- 0-4 7-6? , ? 4 4 g ? 7 ? Requ st Date f Fire No. ough•in Inspedion equiretl? ??????111 ? Ready Now Llwill Nolify Inspector Ves G No ?) wnen Reatly? Ikicensed contractor !] owner hereby request inspection of above electrical work at: Job Adtlress (Street eox or Roule No.) City , Section No. Township Name No. Range No. County Oc?'? `-'6/ Occupanl(PRWT) Phone No. IM, Power Supplier p` ?ed g? Address AA ^ V?`?C.?u / \V v . Electrica ontrac or ICompany ame Gontractor's License No- CJ?a Mailing Atldress I(Doniractor or Owne Making Installation) i sf, l 4W ( ? J/ O Authoriteo Signal re (Contracbr?Owner Making Installation) Phone N?um6er . . ?! ? IL O ?__. / IL''?1 ` MINNESO7A STATE BOARD OF ELECTRIGTY t ? THIS INSPECTION REQUEST WILL NOT Griggs-Mitlway Bidg. - Room 5-173 ? U? 8E ACCEPTED BY THE STATE BOARD 1821 UniversHy Ave.. St. Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phona (672) 642-0800 ?? ci G(/v' ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ?fao?0i? See insiructions for completing this farm on back oi yellow copy. I ? ' ?)Z72-? ? 4`1?7, ?7 9 "X" Below Work Covered by This Request ?'? ,0?? Nent; Add „p. Type of Building AppliancesWired EquipmenlWired X Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specity) Comm./Industrial Furnace Farm Air Conditioner Other (specity) CoNracloYS Remarks', Compute Inspection Fee Below.• 1 v','v # Other Fee # Service Entrance Size Fee # Circuils/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps ,QQ Transformers Above 200 _ Amps A e 100 _ Amps Si9n5 Inspector§ Use Onlg (j bTAL Irrigation Booms ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in • : ?._ ; F;,,ai Date ? OFFICE USE ONLY This requast voitl 18 months from J ??? ? 14 0 - °a ? ? 9 / Rep es! Date "• " Fira No. Rough-in Inspaction e uiretl? ? Reatly Now?Will Notify Inspect Wh R Yes G No en ea I icensed contractor D owner hereby request inspection of above eiectrical work at: Job Address ISireet. Box or Route No.) 4 ? D City ' . Z ct. a ki Section No. Township Name or No. Range No, Counly a l-0 OccupanllPRWT) Phone No. V 4 4MW 5 Po er S pplier ' s p- d? Addre55 ? oe v lu AD-e o . a wj Electrical Gontrac r ICompany N ?," l.? Ll? . . ! . % Contractor's License No. / ? V ? l,? l!? Mailing Atldre55 (Contractor or pwner Making Installation) 2 (2 Sfra a f ?.v ? . Authonzec Sgnature IContractonOwner Making Installationi . Phone Num6er G - Z MINNESOTA STATE BOARD OF ELECTRICITY /,`1? THIS INSPECTION FEOUEST WILL NOT Grfg9s-Midway Bltlg. - Room 5473 Ur Vi T BE ACCEPTED BV THE STA7E BOARD 1821 llniverslty Ave.. St. Paul. MN 55104 UNLESS PROPER INSPEGTION FEE IS Phone (612) 6424800 ENGLOSEE). REQUEST FOR ELECTRICAL INSPECTION ?` `'?""?^ 9Qz4e i See instmctions for completing ihis torm on back of y911ow copy ? 4 AT? 0 "X" 8elow Work Covered by This Request I 21 7, ew Add Rep. Typeo(Building AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer OtheF-(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (syecify) ContracroPs Remarks: Compute Inspection Fee Below: Ntw I V U? V`"`-` vC)'Ar # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Ab 100 _ Amps tDo SIgf15 Inspectorg Use Only: G TOTAL Irrigation Booms Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby if h Rou9n-in f oeie o ? cert y t at the above inspection has been made. Final OFFICE USE ONLV ThiS request voitl 18 months from olae I:ro C ? Reque t Date ' Fire No. gh-in Inspadion ired? ? Ready Now ill Notily Inspedor Ves G No When Reatly? A, icensed contrador ? owner hereby request inspection of above electrical work ai: Job ddre5s (Streel. 0ox or Route No.) ? Gily ^ 2 y` (it_ W V 1 Secfion No. Township N me or No. Range No. Gount Octu an11PRINTI ^ VV ?? V 1VW? 7v v t PhonB No. ' Power Supplier (SP- R?d Ko L?- Adtlress Elecln ontrac t r ((Compeny Name) _ Contractor's License No. 11 . c GA p c O Mailing Aatlress (Comrector or Owner Making Installation) 5S 1 G Authorizetl Siona ure ?ContractonOwner Making Installation) i - ? Phone Number 2Z4 -Z`? 3 , , MINNESOTA STATE BOAHD OF EIECTRICI7Y I 7H15 INSPEGTION REOUEST WILL NOT Grf9gs-MlAway 81Eg. - Room 5•173 C( ? Q? BE ACCEPTE? BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 ? ? UNLESS PROPEF INSPEC710N FEE IS Phone (612) 642-0800 ?(?.0, "/?1 ENCLOSED. 4 6_1 REQUEST FOR ELECTRICAL INSPECTION ? See instructions lor complefinq lhis form on 6ack of yellow copy. "X" Below Work Covered by This Request ? ;;'. ???"?(ZIZ-(22.. ew Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Healer Electric Heating Apt. Building Dryer Other_(Specity) Comm./Industrial Furnace Farm Air Conditioner Other (specfly) ConVattor's Remarks'. Compute Inspection Fee Below: ?J t^Aj ? nu "t?`v `O0A # Other Fee # ServiceEntrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 1 1 '() 0 to 100 Amps Transformers Above 200 _ Amps Ab Amps Sig11S Inspedor5 Use Only: r Q TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON I, ihe Electrical Inspector, hereby certify that lhe above inspection has been made. Rough-in Final r oata ? ?;? 7 67z OFFICE USE ONLY This request void 18 months from 90 '? Io d 14 2 ? . .lo Requ t Dale Fire No. R h-in InSpeCtion uiretl? ? Ready Now Will Notity Inspector - Yes ? No When Reatly7 I licensed contractor D owner hereby request inspection of above electrical work at: Job Address (S1reeL Box or R ute No.) ? City {^ O - V( VVvVK. ?Vl Section No. Township Name or No. Range No. Coun Occ an1(PRINT) AV lt! W? Jl_J ?J Phone No. Power pplie ? - ?c{ ?OLk- Adtlress ? d DD /1/ta, x wtD AIA? Elec!nc Contra tor (Gompany Name) ppntreclor's License No. o LV I?"J l.' V?iU ' Vl..' V Mailing Atlaress IContraclor or Owner Making InstallalionJ ? ? l I ..C.,l? l..?J t 1...? • Aumorized Sign ture lComracto rrOwner Making Instauation) G Phone Number Z4 - 2? -Z , r I MINNESOTA S7ATE 80ARD OF ELECYRICITY I / I THIS INSPECTION REOUEST WILL NOT Grigga•Midway eldg. - Room 5•173 61-?A (?F BE ACCEPTED BV THE STATE BOARD 1821 Univerairy Ave., St. Paul. MN 55106 ? ? UNLESS PROPER INSPECTION PEE IS Phone (612) 602-0800 C-G.( cl (/Wi ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION s ? See instmctions for completing ihis form on beck ol yellow copy. LAW 6 2 "X° 8elow Work Covered by This Request a? r<' 1 2-? 'Z..? J e Add Rep. 7ypeofBuilding AppliancesWired EquipmentWired Home . Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer OtheF(Speciry) Comm./Industrial Furnace ' Farm Air Conditioner Other (specify) Contractor§ qemarks: Compute Inspection Fee Below: ?? 6?? ? OQ? # Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps D to 100 Amp W Transformers Above 200 _ Amps ve 1 Amps ,QQ Signs Inspector5 Use Only: ?. TQTAL Irrigation Booms ? ? D Special Inspection AlarmlCommunication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MO I, the Electrical Inspector, hereby h Rough-in A ?? . certify t at the above inspection has been made. Final oaca s, a -r(/ OFFICE USE ONLY - ? - . 7his request voitl 18 months trom Requ t Date ? Fire Rough-in Inspec ion R q ired? ? Ready Now ill Notity Inspector - ' Yes C No `?`?hen Ready9 IP licensed contractor rJ owner hereby request inspection of above electrical work at: Job Address iStreet. Box or Rome No.? ?I-Z l?cvv? VuM-e.? OS Giry E?a a v? Section No. Township Name or o Range No. CountyO 1 u OCCUpant(PRINT) Phone No. Power Supplier S - d o L ? Atldress 306 /?l? a /? (?? %? .hIA / Eleciric - Contr f tor ICOmpany ? ?? ) + Conhactor's License No. 0 (K , (f c . Mailing Atldress tContractor or Owne Making Installafion) Aulhorizetl 9gn lure IContractonOwner Making Installation) Phone Numher ` g :?- ? 2 ;, MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION FEOUEST WILL NOT Griggs-Mltlway eldg. - Room S•173 rlJ? olic BE ACCEPTED BV THE STATE BOARD 1821 UniveraiTy Ave., St. PauL MN 55104 ? L ???1/-? UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 u- • 1 ENCLOSED. lP?rf j%? REQUEST FOR ELECTRICAL INSPECTION ? See insimctions for completing (his brm on 6ack ot yellow copy. ? 41463 "X" Below Work Covered by This Request ¢'-"e? 123 *yij Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Api. Building Dryer Othev-(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specily) Contractor's Remarks: Compute lnspection Fee Below: I v v"`-' I t°•<</ w"? IO"' ` # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps , 1 10 to 100 Amps 44-Cb Trensformers Above 200 _ Amps Above 100 Amps , Q Signs Inspector's Use Only: / ? TOT L Irrigation Booms Special Inspection ? Alarm/Communication THIS INSTALLATION MAY BE ORDEREfl- CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO ( t, the Electrical Inspector, hereby Rougn-in certity that the above inspection has been made. F;nai ( oaie OFFICE USE JNLY ? This request voitl 18 monlhs irom Requast Date Fire Nck, Rough-in Inspection uired? ? Reatly Now?Will NoCity Inspactor ? ? ?Ves ? No When Reedy7 I' licensed contractor Downer. hereby request inspection of above electrical work at: Job Adtlress (SireeL Box or Route No 2 c ovv? bcwt,L* b City $eclion No. Township Name or Na, Range No. Coun 6_V Occup rn (PRINT) I V / \? `c? -c' ? Phone No, POwer Slier ? ? ? ` qtltlress V V? L?(/lI`-VC rI Electrical mracto (Company Name? Gonirectork License No. Yh c. . 6vl ?• b' Mailing Atldress IContractor or Owner Making Installationl (b1 Autnorizetl Signature IContraclouOwner Making Installation) PhOne Numher ? L ?Z_?/ ? MINNESOTA STATE BOAFD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT Griggs-Mitlway eltlg. - Room S-173 BE ACCEPTED BY THE STATE 60AR0 1821 Unluersity Ave.. SI. Peul. MN 55704 .?? UNLESS PROPER INSPECTION FEE I5 Phone (612) 642-0800 q `i" ? ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See instructions ior completing this form on back ol yellow copy. 41464 'X" Below Work Covered by This Request -2-72 ew.9d ;?;.;_ ` TypeolBuilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt.BUilding Dryer Other- (Specify) Comm./Industrial Fumace Farm Air Conditioner Other (specity) Contractor5 Remarks: Compute Inspection Fee Below: Ntko OD/4 # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee ' Swimming Pool D to 200 Amps . ? I II 0 ro 100 Amps - Transformers Above 200 _ Amps Abova 100 _ Amps ? $19f1S lnspector§ U5B Only: Irrigation Booms Speciat Inspection (y Alarm/Communication THIS INSTALLATION MAY 8E OR D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M HS. r I, the Electrical Inspector, hereby if h R°u9n-io r::, ,,.-- i _'. • . : t''- : t-'?-'``? ppcs •^?j ?j? .? cert y t at the above inspection has been made. Finai r oace b_ OFPICE USE ONLY Thi3 request voitl 18 months irom L 4L : / Request Date - Fire N Rough-in Inspectio uired? n ? Ready Now ?Will Notily Inspector ? ! Yes C No When Ready? k' licensed contractor ] owner hereby request inspection of above electrical work at: Jo0 Address (Sireet. Box or Route No.) *-- City ? 6 cc a vl Section No. 7ownship Name o No. Renge No. Counry i Octupant(PRINT) I PhOne No. ? ? V • ( Power SupPlier / L, - J ? Atltlress /? /f A €IeCtrical oniract r Company Name Contractor's License No G? . ' ? t eo Mailing Atltlress (Contrector or Own r Making In alla6on) ? 1 ? Auihorizetl S f nature t ontractovOwner Making Installation Phone Number I ' r ?LU? MINRESOTA STATE BOARD OF ELECTRICITV I ", I THIS INSPECTION REOUEST WILL NOT GrVggs-Midway Bldg, - Room 5-173 C( ?r-s?? (? F BE ACCEPTED BYTHE STATE BOARD 1821 University Ave., St. Paul. MN 55104 ?i ? UNLESS PROPER INSPECTION FEE IS Phone (612) 642•0800 1.?? cl?+ "? ? ENGLOSED. REQUEST FOR ELECTRICAL INSPECTION ??e?of6s ? ? See insiructions for completing this lorm on back of yellow copy. 7 n--;4 „` ,. w6 "X" Below Work Covered by This Request ? 1 Z ?? ? I ew Add Rep. TypeofBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) CommJlndustrial Furnace Farm Air Conditioner Other (specily) Contrector's Remarks: Compute lnspection Fee Below: Iv tLv # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps , ` 0 to 100 Amps Transformers Above 200 Amps Above 1 0_ Amps Signs Inspector§ Use Only; TOTAL Irrigalion Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT , Other Fee COMPLETED WITHIN 18 M S. I,_the Electrical Inspector, hereby if h Rough-in 456 v? ? ? cert y t at the above inspection has be@n made. Final aia f -1 ?- OFFICE USE ONLY ? This request void 18 monihs Irom ^ ॉ਍਍ി⼊ि਍उ਍敁畇来汄㽥ഭⴊ✠䘉⁩ॎ潒杵⵨湩湩灳捥楴湯਍敆椠敲汤㼉䘠慥祤丠睯椠汬丠瑯晩⁹湉灳捥潴൲椊਍उ‿教⁳⁳‿潎圉敨⁮敒瑡祬ി⠊氿捩湥敳⁤潣瑮慲瑣牯崠漠湷牥栠牥扥⁹敲畱獥⁴湩灳捥楴湯漠⁴扡癯⁥汥捥牴捩污眠牯⁫瑡ഺ䨊扯䄠।敲獳⠠瑓敲瑥‬潂⁸牯删畯整丠⹯ऩि楃祲਍उ圉⁙റ匊捥楴湯丠∉⹔渭桳瀮丠⹯刉湡敧丠⹯䌉畯牮⁹ഭऊउ਍䩪捣瀉瑮倠䥒呎ऩ倉潨敮潎മ倊睯牥㔠䄠㼠牥਍㽬‧㽓य़਍ⴿ⁯ि摁牤獥൳㼊९਍⁡㽷ൃ䔊敬瑣据污䌠湯物捡潬⁲䌨浯慰祮丠浡⥥उ潃牎䍥潴❦⁳楌散卮⁥潎മऊ伉਍慍汩湩⁧瑤牬獥⁳䌨湏牦捡潬⁲牯传湷牥䴠歡湩⁧湉瑳污慬楬湯ഩ椊㼉䨠਍‿⁉✮圠䩃㼠㼠 ㄱ爮ധ䄊瑵潨楲敺䨨匠杬⁮畴敲㼠潃据慲瑣湯睏敮⁲慍楫杮䤠獮慴汬瑡潩⥮उ桐湯⁥畎扭牥਍ബ瘊⼉㼭娉਍㈭㈠㌲਍噍乎卅呏⁁呓呁⁅佂剁⁏䙏䔠䕌呃䥒䥃奔㼠䄠吠䥈⁓义偓䍅䥔乏删充䕕呓圠䱉⁌低ൔ䜊汲杧镳汍汴慷⁹求汴⹧ⴠ删潯⁭ㄵ㌷㼠⁖㼨䬠䈠⁅䍁䕃呐䑅䈠⁖䡔⁅呓呁⁅佂剁ൄㄊ㈸‱湕物牥楳祴䄠敶Ⱞ㔠⸱倠畡⹬䴠⁎㔵〱‴㼧‬⸿⁞乕䕌卓倠佒䕐⁒义偓䍅䥔乏䘠䕅䤠൓倊佁敮⠠㜶⤲㘠㈴〭〹‰㐿㼠㼠瘧㽠ㄠ䔠䍎佌䕓⹄ _ ???- (p /?f REQUEST FOR ELECTRICAL INSPECTION `"'"`? f?ee?r-b? :'?? 1_ ? See insiruciions tor comDietinp ihis form on back ot vellow Copv. h.b ??tr_ 14 6 "X" Below Work Covered by This Request %?w?? ? i 4,-72 Add Rep. ? TypeotBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt.Building Dryer OtheF-(Specify) ?Comm./Industrial Furnace Farm Air Conditioner Other (specifyl Contrector§ Remarks: Compute Inspection Fee Be/ow: # Other Fee ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps ZWX Trensformers Above 200 Amps AboC to Amps ?.0 SIgf15 Inspector's Usa Only. TOT Irrigation Booms •? ? ?O ? Special Inspection ?ll? 1 Alarm/Communication - 1 THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M S. I, the Electrical Inspector, hereby Rough-in certify that the above inspection has been made. F;nai ate r OFFICE USE ONLY This reque5t voitl 78 months irom . ? . . _L? 5? 013 9 5 ??? r,. u9sl Date _ ? Fre No. -in Inspection Required? NOTICE: You Must Call Elecirical Inspector If A Rough-In Inspection ? Yes No Is Requiretl. I licensed contractor ? owner hereby request inspection of above electrical work at: Job Addr eu (Street, Boz or Ro te No.) City ? ? Section No. Township Name or No. Range No. County LI/ i Occu ant (PRINT) I Phone No. C ?l Y ? Powef S pplier Address ? A - DG C?6 LGt2C w Electrical Contractor (Company Name) . 60• Contractor's License No, LADO Mailing Adtlress (COntrador or Owner Making In Ilalion) U r? Authorized Sig re (ConiraclodOwner Making Installation) '?_k-q Phone Number 77A 21 ? MINNESOTA STATE BOARD OF EIECTRiCITY I _ . L THIS INSPECTION REOUEST WILL NOT GriggsMiAway BIAg. - Room 5-173 r N 06 BE ACCEPTED BY THE STATE BOARD 1821 Univerelty Ave., St. Paul, MN 55104? ? UNLESS PROPER INSPECTION FEE IS Phona (612) 642-0800 ENCLOSED. 8' G'? REQUEST FOR ELECTRICAL INSPECTION 7 lo. See instruclions for completing ihis form on back of yellow copy. , 01395 "X" Below Work Covered by This Request e-0 i-oa ??- y? ? m. • 100C 12!Pt ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner her (s ecify) Contractor5 Remarks: : : _?, ;. . . w^•ds?' r' le? 2iN1U /, Compute Inspection Fee Below: 1 vQA C?e rv? ?' (Uv ? ?? -S x?.. - ' - VK # Other Fee # Service Entrance Size Fee CircuitslFeeders ?ee Swimming Pool 0 to 200 Amps ._?.• D fo,1W-Athp?" ?'" Transformers Above 200 _ Amps Above 100 _ Amps Slgns Inspector's Use Only: TO AL Irrigation Booms ?J ^• (3 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER SCONNEGTEU IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby i Ro°9h-'" /,f-? ? Date 17, cert Ty that fhe above inspection has been made. Final ate OFFICE USE ONIY This request voitl 18 monihs imm ,, PERMIT eC 7716 ? Ch"I'1( OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u ILq z NG Eagan, Minnesota 55123 Permit Number: 021075 (612) 681-4675 Date issued: 0 6/ 0 2/ 9 3 SITE ADDRESS: 4265 MEGHAN LANE LOT: 9 BIpCK: 1 MEGHANB DESCRIPTION: Br?f?e?,i'ii?r^Permit Type 8-PLEX ?u31?t?,:?tg 4Jca,rk Type NEW ?f't1BG ???upar?c? ? R-1 M-1 Ccnst-fuctian T?pe V-N* R-4 ' ??lt#?.?tq...l-##ig'??.. P 112 &u3.2di09 W3,4Ch 66 Bul-ld??rig star3es 2 ?. ?4 p-a t^Ba F11.264 REMARKS: INCLUDES 4267, * 2-HR AREA WA FEE SUMMARY- A269, 4271, 4273, 4275, 4277, & 4279 MEGHAN LN LS BETWEEN UIdITS vaLua,rroro Base Fee Ala» Review Surcharge SAC SAC % Sac tlni ts 5ubtotal $1,962.50 $1,275.63 $239.00 $6,000.@6 100 8 $9,477.13 $478,000 CITY SAG WATER CONNECTIQN 5 & W PERMIT S & W SURCHARGE TREATMENT PLANT RQAD UNZT CQPY 7ota1 Fee $800.00 $5,560.00 $1@0.00 $.S0 $2,592.00 $3,120.00 $.S0 $21,650.13 CONTRACTOR: - Applicant - ST. LIC. OWNER: MARV ANDERSON HOME5 INC 14525200 0001371 MARV ANaERSON HOMES 1355 MENDOTA HEIGHTS RD 1355 MENDOTA HEI6HTS RD MENf10TA HEIGHTS MN 55112 MENOOTA HEIGHTS MIV 55120 (612) 452--5200 (612)452-5200 ,. _ `X herehy acknosrledge thatj hav* r'04d: ?hi%. app1-1t4dn ahd,- ?tbi 3.n€4rmation is cerrrect, ?n'd' agree t? camply' with 6 e St-ottitgs antl Cfty of E`agan Q;r`'d.inarlc.es.. , APPLIN lPEFi AI TURE ??? ISSUED B: , ? NAR T- ? INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLpxNG 3830 Pilot Knob Road Permit Number: 021075 Eagan, Minnesota 55123 Date Issued: 06 / 02 /9 3 (612) 681-4675 SITE ADDRESS: LoT: 9 e Lo c tc : 1 APPLICANT: , 4265 MEGHAN LANE MARV ANDERSON HOMES INC MEGHANS (612) 952-5200 PERMIT SUBTYPE: 8-PLEX TYPE OF WORK: NEW INSPECTION FOOTING .A . FRAMING .. LNSULATION FINAL FIREPLAGE ;:t ( n .1 ! -; i 11113 1 qff;f i :•1.:) i.? -t v l)?IT?1.? (. t71;;"• ; '.li:l ?' 1 i!?I .J ?.1.)?. (1E'•i ;i''!'??r?` ??' ? - (';1 l+l k: ??' F? l,t Li :• ld : U"t'd 14 i?i P3J 1 f1'•;;' 0 I ? . , ?. REACTIYATE - PERb?IT' # ?Zlfl?l? GI I Y VF EAUAN 1993 BUILDING PERMIT APPLICATfON 12I,V0•13 681-4675 ; ('iAt( L °I SINGLE & MULTI-FAMILY 2 sets of ptans, 3 registered site surveys, 1 copy of energy. CdlC5. 4!" COMMERCIAL 2 sets of arcfiitectural & 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 Val uati on of work ??7 /?J • ? 3 22 7s ya7z,.?z;?9 zj,t°??rY?'z?A/P. site Address:?S?.z?? ?/ ya2 STREET SUITE 0 Tenant Name: (commercial only) IAT BLOCK ? SIISD,.a?P?,???s ? P.I.D. N Descri tion of work: The applicant is: Owner ContraCtor ? Other (oeB«;be) Name IpIgAkI Phone Property LAST FIRST Owner Address STREET STE 1f City State ZiP ?x Company " O.vt? Phone COntractor Address /,??r.SJ/0iI0ri9 11ejGH75 AV License #/22:2/37/ Exp.? City State iSl• Zip.6?1_1074? Company Phone architect! Engineer Name Registration # Address City State Zip Sewer & water licensed plumber AL401 Processing time far sewer & water permits is two days once area has been approved. I hereby acknowledge that I have rea this application and state that the information is correct and agree ta comply with al applicable Stat o Minnesflta Statutes and City of Eagan Ordinances. ' ' ? 9? Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE El OI Foundation 0 02 SF Dwg. O 03 SF Addition ? 04 Sf Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ¦ 08 8-Plex ? 09 12-Plex 0 10 Multi. Add'1. WORK TYPE N 31 New _ O 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) V- N Jt UBC Occupancy ? Zoning # of Stories 2 Length Depth L9, ., ,. • ' ?. ?, ? AN ? Il Apt./Lodging _,.,.,wCj16'??iseaer*Finish ? 12 Multi. Misc. 0 17 Swim Pool El 13 Garage /Acce s sory O 18 Comn.JInd. O 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish ? 36 Move Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft: total Footprint Sq. ft. On-site well On-site sewage APPROVALS .?. NOIE; Z=HR, ARtAwALt.s SETWS%iftJ L04% Planning Buildin Engineering Variance REQUIRED INSPECTtONS 0 Site ? Wallboard ? Footing ? Final C3 Framing ? Oraintile 41-15- Alo ? _$_.. ? Insulation ? Fireplace Permit fee veLuac;«,; Surcharge ?a Plan Review License MWCC SAC ? p?jfl n? City SAC ?pll.vO Water Conn. S56o.0\2 Water Meter - Acct. Deposit _ S/W Permit lo?t?vo S/W Surcharge .?a Treatment Pl. Road Unit Park Ded. . Trails Ded. Copi es Other Total: SAC % SAC Units ? ? 37 Demolish MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code G,&Isers 84 4#NSUS uNie Assessments Oldl l[ R : SITE AbDRESS: EXTERiOR ENVELUPE AVERAGE "U'.? COMPUtATION . ., 1 . , ro C0r' 4---Me -rAd rz«. Gi'rD. rrlEr&'Y TvrM RATE: PNONE: COIITRACTOR: , • DETERMINE 4tORKIPIG SQUAaE FOOTW OF EACH: "U" ? ? ? ° ? ?f ? T07AL 1 EXPOSED IdALL AREA, sq f t x • - , a? 2, TOTAL ROOF/CEILING AItEA,,,,,,,, sq ft x"U" 3. TOTAL EXPOSED WAIL AREA CALCULATIQNS: Total exposed wal) area above floor,,,,,,,,. D sq ft t a) Total wa11 window area: • ooupqle:ea...... l8 2(a Sq fc xsluil H E? glaxed.,.... sq ft x ''U" ' -? ^ liull ft x b) Total door area 1, jj Sq - , c) Total slidllig r11as5 door area: ' ' ' • 9lazed..:... ? j3. ?5 sq ft X liuil glazed...... s9 f t x --? d} .Total ftreplace wall area sq ft x"U" "?W- 64,h e) Total wall fYaming area (Average 10°;) ....... ?M. ??? S`?'•5 5q ft x U f(o y ,„ J?/. y _- f) Total net wall area above 2?'b7 !07v- floor (Insul6ted),?a!'?4"L 7W!? sq ft x."U" 5. q ? ? , ??.d z. 29 g) 7otal rim Jo1st area ?2 sq ft x"U" Total foundatton ---?"' s q f t Area (Exposed)..6 ...... .._..--? h) To[al foundatlon ft x iiUil ° - ;.?. - wlndow atea........ , . i) Tota) net founda[lon area above grade........ ft x"U" ^- 3 TATAL a) thru I) °.?13•3 If item K3 Is the same as, or less than ltem #I, you have met the lntent of 2 PICAR 1.16008 A and O. Page 1 ?ar y' f`'??s????? , • 1 . ??. TOTl1l EXPQSED ROOF/CEILINf CALCULATIOtIS: Total exposed ? 1 y ft roof/ceflinq area........ sq k r ll ht -? sq ft x " "U ° ea....... y a o .?) Total s _ , k) Total roof/ceillnq framing `;' • f "U" b2 u t ? y ° area (Averaqe 1c19;) ...... sq t x . _._ , Total net Insulated sq ft x "U" .?- ? ° ?331 roof/cellfnq erea....... 1 h ) ) 5 4? TOTA ru t L J • If total of #11 Is the same as, or less than N2, you have met the lntent of 2 P1CAlt 1.16008 A and 0. , .. + i ? '..•. ALTERtlATE BU 1 LD I PIG ENVELOPE DE5 I GN To utilize [he total envelope system method, the values establlshed by the sum uf items #3 and H4 shail not be greater than the sum or items NI and N2. t. 191, 3`? + 2. 3. + 4. ?•0? _? I?S ,?o C E n T 1 F I C A T 1 0 IJ 1 hereby certtfy that ! have calculated the "U" factors and "R" values hereln and that the bulldinq here.descrihed meet' or exceeds the State of Mlnnesota Energy Conservatlon Act. (Slgnature (Oate) 1 r?r.?? 2 04111 G R : 51TE ADDRESS: EXTERIOR ENVELOPE AVERAGE "U'.i COMPUTATION I . , ,. /nfTE? I OR (-/n( ? ? I ) j;J:..._ ? --.. DATEe PHONE: ' CONTRIICTOR: , . DETE 9111NE 410RKING SQUARE tOOTAGt OF EACHt "U" f ' 1, TOTAL EXPOSED 1dALl N AREA, REA t x ,,,,,,, //„ Gl 6 sq 5 x"U" f 2, TOTAL G ROOF/CEILI , A ^ _ ,,,sq t 3. TOTAL EXPOSED 14ALL AREA CALCULATIONS: Total exposed wall area above floor, ,;,,,.,, y sq ft . a) Total wall w lhdow area: • DOUPLE glazed...... Pjp, h6j sq ft x"U" H, E?glazed,,,,,, •"-' sq ft x'IU" ft x ,,,,,, q - b) Tota) door area ,,, s c) Total slidltig glass door area: '. " •? [)p!)RLE 9lazed.... ?. ------ --_.. 54 ft k 'lun glazed...... sg ft x??U" 1.4,P d) .Total flreplace wall area -' - 5q ft x"U" e) Total wal l f ramtng area ?? o4z Ll ?7 (Average lOg) ... .::. . 6.°:`?"`? ID?, > sq ft x liu ?? I(o ° 1?? %(o f) Total net wall area above 1!?Tv• floor (Insulited).i?*W?L e7tV, g) Total rim Joist area.rP:': Jl13 Total foundatlon area (Exposed)..b ......._ 3o?/t. 58 .044 p I q Io?.`J sq ft X.IIUII ^ _ Ob?J I I?iv z=t 049 77. sq ft xUll .a44 = s,?.?l --?' s q f t h) Total foundation ? i ?----s sd ° wlndow area ............. it x uUii _ -- . ,. •. . . I) Total net foundatlon area above grade....,... Sq ft x"U" 3 TQTAL a) thru I) If item N3 is the same as, or less than ltem'#l, you have met the intent of 2 tICAR 1.16008 A and O. • __i P?ge 1 h. tOTAL EXPOSEU RDOF/CEILitlf CALCULATIONS:, • . Totat exposed / roof/ceiling area..... ... sq ft . )) Totel skyltnht area..... ..?;_ Sq.f't x"U" k) Total roof/cefltnq framing • ?? 6.. ????? ? b2 A 1 ? 5 area (Averaqe InY,)..... Sq ft x . ' , 1) Total net insulated ? roof/cet I lnq area. .. .... `? «? sq ft x"U" . O- ?i. TOTAL )) thru 1) 17- ? If total of #11 Is the same as, or less than R2, you have met the Intent of 2 NCAIt 1.16008 A and 0. , ,., ,. ...•- ALTERtlATE BUtLDING ENUELOPE DESIfN To utillze the total envelope system method, the values establlshed by the sum of iteins k3 and 94 shail aoi be greater than the sum oi items N.1 and N2. +7. 14• 40 a 19?,?9' 3. h. 1z 1°( = 1102 • 33 ? E" T( F i C A T .10 N I hereby certlfy that ! have calculated the "U" factors and "R" values herotn and that the bulidlnq here.descrihed meets or exceeds the State of Mlnnesota Enerny Conservatlon Act. ? 460 ? Sf9nature (Date) , Pare 2 PLEASE COMP'.E1'E 7-OR SIh1CiLi FltMILY DWELLPIGS. AL509 FOR TC)'WNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES EACH TOTAL SHOWER 3.00 WATER CLOSET 3.00 3 t,- BATH TUB 3.00 a? - ? LAVATORY 3•00 ? KITCHEN SINK 3•00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 a 4- FLOOR DRAIN 3.00 GAS PIPING OUTLET • m;nimum - i 3.00 9,4- `S ROUGH OPENINGS 1.50 +a - WATER SOFTENER ? 5.00 PRNATr. DISP. - DeLccy. uc. i 15.00 U.G. SPRINKLER • eome unau con:?. 3.00 ALTERATIONS ' to oasting 15.(}0 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: a U y- i u SITE ADDRESS: `? ?ui"'`I CA V"A C-1 c. A., C-,? OWNER NAME: 0 4i ,? AJ CV" SVJ INSTALLER: \•???t, C-o } - ?- ADDRESS: CS(J lr CIT'Y: STAiE: v? - ZIP rODF': PHONE #: ( ) '-(c) a - a , a, SIGNATURE OF PERMITTEE 1993 PLUMBING PERMIT (RESIDEIV'I7AL) CITY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 6814675 1993 PLUMBING PERMTf (COMMEItCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL CONAERCIALJINDUSTRIAL BUII.DINGS. ALSO FOR MULTI- FAMILY BUP DINGS VVHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING L'N:T. NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPT'ION: CONTRAGT PRICE: $ FEE: 1% OF COA"fRACT FEE. STATE SURCIiARGE: $.SO FOR EACH $1,000 OF is. ?RNI?' FE& ?Nii.iliid r E: $ 25.00 . : CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: $ $ $ TENANT NAIVIE: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT s?77- e?4 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMFrS AND CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNIT. ? NEW CONSTRUCTION ADD-ON A/C ADB-ON FTJF'.IZTACE DATE 610=a11?'3 FEES HVAC: 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACN) ADD-ON/REMODEL (ExISTING CoNSTxUCrtoN) STATE SURCHARGE TOTAL srrF OWNER INSTALLER: ? $ 24.00 - 6.Od` r- J1-2,0-t $ 15.00 - 4?21 / - 4/-2 7-3 - TELEPHONE #: y2F2? -Sa-pO Burnsvilie Heating & A/C, Inc. ADDRESS: 12481 Rhode Island Ave. So. avage, MN 5537 • 122 CITy; 894-0005 STATE: ZIP CODE: TELEPHONE #: T E OF PERMITTEE 1993 MECHANICAL PERHIIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 1993 MECHANICAL PFRMIT (COMMERCIAL) CTTY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMvIERCIAI,/INDUSTRIAL BUII.DINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DAT'F: (`ON'Z'RAGT PRIC:E: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CT9RAL7I" FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF fgM FEE. TOTAL $ S1TE ADDRESS: ° ;j OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CTTY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR LOT ? BLOCK SUBD. RECEIPT # /d 902 2 & DATE ??4,,??"dI3 96 81419-5-- CITY OF EAGAN UNDERGROUND SPRINKLER SYSTEM PERMIT 1993 Application Date: ?"?? ? eC3 Commercial project Gallons per minute/commercial only ? Residential project (sprinkler systems for development projects) Existing residence ?I Area/address.tp be sprinklered: 21? Installer: Street address: City, state & zip: ? /Z/ ? Telephone #: Z?33' J-7 . Owner name: a fv ,12/polse 1--57D P n, Street address: City, state & zi; Phone #: C:Z:3 Irrigation contractor, if different: Phone #: I hereby acknowledge that I have read this application and state that the information is conect and agree to comply with all applicable City of Eagan ordinances. 7". C'{,n«t PG..f `ez 3aY,00 ?q?e/' Go?ne??ran vv i ., _..._.L -a- ? `Y S?rGl?c/? 1 `St7-6-0 ?- New service required Fee due: $/D 6 9. ..S c'"'7 Calculated by: ?gnature of Pe?rm' e , y-/y? q3 G IFIPZ 11S)f ! v ?-'l 4 I-e r/-f l1''G 1!7 . CITY OF EAGAN UNDERGROUND SPRINI£LER. SYSTEM PROCEDURE 1993 1. A plan must be submitted to the City's Engineering Department for approval before installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit may be required. 2. Once plan is approved, it will be presented to the City's Plumbing Inspector for sizing of the meter. 3. Jerry Wobschall, Finance Department, will calculate permit fees as follows: a. Commercia] project: $ 25.50 underground sprinkler permit. $ 50.50 water permit fee onlv if new service is installed. $100.00 per tap if installed by City. Please consult with Engineering Department regarding feasibility of City installation (City will only install taps up to i"). b. Residential project: $ 15.50 underground sprinkler permit. $ 50.50 water permit fee if new service is installed. $695.00 ner connection - WAC. $324.00 ner connection - water treatment plant. c. Existing residence: $15.50 underground sprinkler permit -(fee not required if backflow preventor previously installed); however, plan must still be presented for approval and an application must be filled out. 4. Once meter size is determined, Protective Inspections Clerk Typist will contact Utility Billing Clerk for cost and notify installer of all costs associated with project. If new service lines are not required, one check may be written for meter and permit costs. No meter will be sold before all sewer and water inspections are complete on a new service--(Engineering Department will advise Utility Billing Clerk when meter can be sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. 5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventor. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are 8:30 AM to 3:30 PM, Monday through Friday. Requests for AM inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon that day. , ____.. ...?.-?-• -- -? ? ?.. ..?r . . Yfc? -_2? •:'?- - _. ..." _ - ._" _ _ _. •. ,i ??.r ,? ,??fi ? ? ?y: ??? v ? Serial ,?•t ' ?t 1 l1 R ?rf `1 ` iY ?? ? ij,.?'?`.k,???wj:7 , . # 4/ 7,5' / 7? c? 3 ; E+ ., Y? cr,ip # 0379 .s ?. ::, `, • ti : `?? ? '?:?f?? ? : ? ? < , ? • ????, Permit # a// . , - 0 • Address: _7? Yhe ?k?-, , • . Y , ti?? ,. .?,i..?. Y. 1 AGREE TO COMPlY WITH CITY OF EAGAN ? ORDINANCES = .? Signature: ?? 'U ; -- - - -? .s s 9 a s COMMERCIAL 2002 SUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 3ys-73 Foundation Onl New Construction Interior Im rovement • SVuctural Plans (2) sets . Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . Structural Plans (2) . Code Anatysis (1) " • Certificate of Survey (1) . Civil Plans (2) . Project Specs (1) • Code Analysis (1) . Landscaping Plans (2) • Key Plan (1) • Project Specs (1) . Code Analysis (1) • Master Exit Plan (1) • SPec. Insp• & Testing Schedule " . Certifcate of Survey (1) • Energy Calculations (1) not always'* • Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (t) not always'* • Meter size must be established . Meter size must be established • Meter size must be established - if applicable • ProjectSpecs (1) 1 • EnergyCalculations (1) " L 1 • Electric Power & Lighting Form (1) *' 1 1 • Master Exit Plan (1) L 1 • Emergency Response Site Plan (1) *'• 1 ! • SoilsReport (1) 1 • MC/ES SAC determination letter . MC/ES SAC determina5on letter . MClES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 food & beverage or lodging facilities - submit plan to MN Department of Health. Cail 651-215-0700 for details. Contact Building Inspections for sample. *'* Permit for new buiidings or additions will not be processed without Emergency Response Site Plan. Ask Buiiding inspections for requirements. DATE: Z ! O Z W ORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST: ?OJ? 76/?,?, SITEADDRESS: 4112 4 5' y2_ 73 Me-G hGi'!? L?N?^ g?''v? TENANT NAME: 7'?Y1?5'6FCA?Bolt..?400°? SUITE #: FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK iqf, loeEK-O D F Name:?G??"? ????s ?F??/GJCb? Phone#: F?c /Z ) c?1 g?ol/ PROPERTY Last First OWNER CONTI2ACTOR ARCHITECT/ ENGINEER StreetAddress: 7Z?OS r qZ2-3 Z'" " 6_ City: State: Zip: S svd (n?> Company L?-/"?J S Lc. '60f S Phone#: (?SZ StreetAddress: ` 2-ooo ` 2 /+ vc-s City: &wAofS VC/(Q State: Company: _ Name: Street Address: City: Licensed plumber installing new sewer/water I hereby acknowledge that I have read this application, state that the information is Minnesota Statutes and City of Eagan Ordinances. Zip: ?s337 _ -- -- -- ? _ ? ? • L?, Phone #: ( ) r -, onn) .,_, . . _ ?? Registration #: LJ ? I M/t/ State: Zip: ail appiicable State of Signature of OFFICE USE ONLY SUBTYPE i 7 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. El 14 Apartments C 27 CommerciaUInd ustrial C 32 Ext Alt - Apts. C 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous J 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE C 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg J 43 Reroof ? 47 Repair ? 33 Alterations ? 37 Demolish (Bldg) G 44 Siding C 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 5i Gas Service Test ? Heating APPROVALS Planning Building ?] Insulation Engineering sq. ft. sq. ft. sq. ft. sq. ft. MCBS System City Water Fire Sprinklered rj Plumbing C Stucco/Stone Variance VALUATION $ 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 Qualiry Other Copies % SAC SAC Units Meter Size Total 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION (:o -Y 6 v? CITY OF EAGAN _-, C? 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residentiai dwellings. Date l l /I m'e ko-v\- LC?K., 'vt? 5ite Street Address ? Unit # . Property Owner Telephone #Lf51)1 cil? Contracto Telephone # ( l l5) ? ? Addresst1 ? ? V?r L7 City ? StateLJ,) Zip The Applicant is: _ Owner ? Contractor _Other AlteXations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and waler heater _Septic System Abandonment _WaterTurnaround (add $121.00 if a 5I8" meter is required) Other: ? Water Softener _ Water Heater $ 15.00 replacement _ additional ' Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ •50 Totai $r, 2 •.?2) 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 application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applicant's Printed NameG pplicanYs igna ure ? ?. 16 ?3?q5 Zoos RESIDENTIAL PLUMBING PeRnnir nPPUCarioN ?(s /I CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 t S- 5 d- Cke? kj 651-675-5675 Please complete for modifications to existing residential dwellings. Date4?- U l Oee- / O(?; Site Street Address 6/,?, 7 5 ?e ?l h G?1 L h Unit # v Property Owner Z, t SC/ 141C 6 Cl • ?1 Telephone # (6 St 7?0 0 Contractor/GGv: r? c?n So?3 P(?M h•?ci Telephone #(??) Address 6 0,s lc-? iti Ave .S City j'?O ?C., I-S State/41^? Zip The Applicant is: _ Owner Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add piumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are instalfing onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 518" meter is required) Other: Water Softener ?Water Heater $ 15.00 _ new replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 1 S- So i hereby apply for a Resfdential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approveci. , ?? SN ?G (9 c/r ?Pr ApplicanPs Printed Name plicant's Signature . , DO NOT WRITE BELOW THI5 LINE SUB TYPES: ? Foundation p Public FaciliTy ? Accessory Building ? ? Apartments ? Commercial 1 Industrial ? Ext Alteration-Apartments ? Lodging ? Greenhouse ? Ext. Alteretion-Commercial ? Miscellaneous ? Antennae ? Ext. Alteration-Public Facility ? Nail Salon WORK TYPES: ? New ? Interior Improvement ? Siding ? Demotish Building" ? Addition ? Move Buiiding ? Reroof ? Demolish Interior „ ? Alteration ? Fire Repair ? Demolish Foundation ? Replacement ? Windows ? Water Damage * Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation •-D C_-) Dccupancy :Z C MCES System Plan Review Code Edition rnA-0=17 SAC Units (25%_ 100% ? Zoning lp City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) °b-Aings (addition) Fnundation Drain Tile Roof: Decking _ Insulation Final IceNVater ,.,Freming Fireplace:_R.I. _Air Test _Final J Insulation Final C10 Inspection: Schedule Fire Marshal to be present. Reviewed By: C.IW, &JV • , Building Inspector Sheetrock Meter Size: inal/C.O. V/Final/No C.O. HVAC Other. Pool: Footings AidGas Tesis Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall Yes V/No Reviewed By: Planning COMMERCIAL FEES: Base Fee Surcharge Plan Review SAC-MCES SAGCity S/W Permit SIW Surcharge Treatment Plant Treatment Plant (Irrigation) Park Dedication Trail Dedication Water Quality Water Supply & Storage (V1lAC) ISID ST.S3 Financial Guarantee Storm Sewer Trunk Sewer Lateral Street Water Lateral Other -rotai ? / 47• S 3 Sewer Trunk Water Trunk Page 2 of 3 S??r?vei orr G'crt«cal`e 1 . sUnveY Pon: Alarv Mderson Fiomes Inc. 0E9=13V-13 AS: IAt:9, $lock 1, AifRUWS 71I)IJI'I'ION, Cit;, of Iiagan, 1)akota 'o reserving easements of record. L_ ? 1 1 tI r. '39'518 N 110.97 _ ` ?--- - ? -?- ;------., 873. 8? A1 8 07P, /ig iDs v M ~ rl?- 8I Iw ? `? 14 i D, ?v e N w 0 0 0 O °z go 8 8pt° !q 07 a B1r?? I ? 1o p0 ?BTorq?PO?+?ee ? ? .. !+b ?? ?aI 72. 8PhoPo,s 873.? x , I ? • ? i i ?• w °? ?'id, ro ?Oe+,e o?r?0 ??ad 440? N t °q ?ed.8 a! ? zr/ 4 ? b \73. $•i2.t ? ? J/ a? ???• ? ? . p o G°o ?Io G°C??J?C?(?`a pFloro_sEd EIEVAfiIoNs Top oi f'oundallon5 613,5 66160e Floor b 8-73.1 tledamenl Flobi Q ?yA nFiP1OX. sewei servicu tiov. 6 Otoposed Mavelbn! F-xlsling ElavAlbnb . :. brelnage btrecllone banol?s oftsal $ielte d b HEOL U-ND Planning Engin##Nnp 5ur?reying ftol E.n e?eomtnpton ??..e Muriiu?? 6l?l0 ,.l.?.'?.It?'. ? 1??Y T 3CALEt 1 tneh ? 30 Ftf? 1?lEt1fEBY C6i1twY tV MT11V IINqEt1304 110mtb illAt,tltl919 11_10VE JOB NO.: 11Np CDt111ECT IIEPqEBENiAiION OF rIE 9oVNbR11w9 OF 111E /t80VE q2R-50E3 bFBCRiIlEp PtipPE11TY 119,8Uf1VEYE0 BY ME 0111 UNpri1 MY biRECf BUpEt1ViS10N AND b0E8 Noi PUt1pq?lt to SIiOW IMhItOVEMENie Otl gOOK: PAOF: ENCIioACHMENiB, ExCEPT AS 811oWN. C)' . i aan?N, LnNV s nvVO?i? cAod FiLE: awo. cI1K, MI E8 TA L1CEN9E NUM9EFi 11378 :ni?nn w nty, Tiinuiesota 1nd 8 fa on ?. ? ? - -I rn >? ? Ln y •°e z a/ 873,0 00 ?de •• ?7`-? Iq 00 gb _..., / !ps C. ? O Front •. Nouse Side - Hear - Osrepe Slda - Slimellor?s qrt? «at`e ?.,.. 3UFiVEY FViI: 41arv Anderson Flomes Inr.. • ity, Piinnesot<a and ui UESCFi1HEb AS: IAt.9, $lock 1, TiGCd-IlWS MUI'I'ION, City' of Iiagan, 1lakota v reserving easements oE record. ? -?-- t--- --, ?i 25 ? 10.00 00 ?Rqp IV I .. 20, pU BTOy?Paaed fl, ?ril? ?$l?b o?'Apo,aes 8i?bp? 7?0 ? WN' 39' 5!' N 170. 67 r-? 1 v rn N 1.1.1 . 0 0 0 0 0 0 z I ?'o f0 p? ??N,? ?b eq Qy? S/?b??i? ? a B+ryD? ?? I8 Is py,a B?raD? a 8?3,0 ,?? &Peoe slabpM'h I a 1? AP ?? ? ?? fld °" vad. an v BiryD? 8?3.8 ,. ). , so''+rs '°• ' ; ? i + s ? x U.0 ? X%,m ? _ ? ? . ? . ?? . poK m Vi ?E umum"'RED PFlorvsEU ELkvA1IVNs Top ol t"oundallons e 873.5 Garege FIoor d 973.1 Basemenl rbor tr ?+/a Approx. 9ewo? Selvlce tlev. Q ?'?opo94d ElAVelloh! ? ? EKtaling ElAValbne . . brainage Uhecllone `. Uenoies oilsel Steka to le liEDL UND Planning Eng/rteeNng SUrveying etoemi,roton ri?.?? .It?9!! e?pp??. Mmn.lag eee?o I?qphO?? ?A 1 I I. . a ? SCALEt I Inch t 30 Feel 111Ef1EBY CEntIFY TO Mf111Y aNbE1180fi 41090 tHAi t{11819 f1 li1VE JoB No.: 11Np CqIi11ECT RrcP{IESr2N1h110N bF 1FIE DOtINDA11tE9 UF 111E n90VE q2R_ 5pB bF.8CI119Ed Pt1QPE1tTY 113 SUIIVEYEU BY ME Ull VNDEIt MY pMECT 6UPE11YISION AND bq@S NOT PV11p0l1t 1U SIiOW IMhF10VEMENT9 OFl - IBOOK' P/10E: C. 9 0 ENCIIOACNMENT9, ExC6PT AS 9110WN. d.w F , i UOI1EN, U1Nb 9 I1VEYOR CADD FILE; bwa.cilK, MI E9 tl1 LICEN9E NUMBER 1,91d' _._ . „- ,, ? / _..`., f%, ^ Franl ?. Houea Slde - Hear • Oatege Side ? Use BLUE or BLACK Ink For Office Use I Permit z g3 ; City of Ea@fl I I f ) -7 ~o I I I Permit Fee: < ! ,3 3830 Pilot Knob Roads i Date Received: ~t Eagan MN 55122 RECEIVED Phone: (651) 675-5675 I Staff: ; Fax: (651) 675-5694 JAN 2 4 2012 I I t__.----------------J 2011 RESIDENTIAL BUIL ING PERMIT APPLICATION Date: Address: l4' Unit Name: C/A(z. l v Phone: RESIDENT / OWNER Address / City / Zip: l Applicant is: Owner Contractor TYPE OF WORK Description of work: tr ` PC.1 ~ rt1C ,c,fc c l F nq l -_>AnH 11 pLa r~ l1t`Yl s 5~- Construction Cost: Multi-Family Building: *(Yes X /No Company: ►Y t 1 Srt~t i Yl S l~l~ Contact_T_1 F_(`l1(2_4k l4_. s t i CONTRACTOR Address: l (.Chum ~1 f~c4~ City: State:. Zip: Phone: CO irX__ 010I' . ( - -7 4-10 License Lead Certificate If the project is exempt from lead certific tion, please explain why: (see Page 3 for additional information) u 7 j 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.oopherstateonecall.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 Bull in ode ist be completed within 180 days of permit issuance. x l fvy►i~«~_I~e rr~ x Applicant's Pr nted Name pelican ture Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES - Foundation - Fireplace - Porch (3-Season) - Storm Damage - Single Family - Garage - Porch (4-Season) - Exterior Alteration (Single Family) Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building III WORK TYPES 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 Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation ✓ Occupancy MCES System Plan Review Code Edition ? 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) Final / No C.O. Required Foundation HVAC s Se is est Gas Line Air Test Drain Tile Other: LOO t I 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 Plan Review MCES SAC City SAC KY 0 G,) L-) Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type: Plumbing Permit Number: EA107453 Date Issued: 10/12/2012 of 3 a R Permit Category: ePermit Site Address: 4265 Meghan Lane Lot: 901 Block: 03 Addition: Meghans PID: 10-48250-03-901 Use: Description: Sub Type: e - Water Heater Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Kris Oien 3670 Dodd Rd Eagan, mn 55123 651-365-1340 Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Champion Plumbing Nancy Dostal 3670 Dodd Rd., #100 4265 Meghan Lane Eagan MN 55123 Eagan MN 55122 (651) 365-1340 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. Applicant/Permitee: Signature Issued By: Signature C-~ 1Q7 ~o ~ Use BLUE or BLACK Ink 1 1 3 t aI ~ f t j C( a1~ i For Office Use City oof Eap Permit#: I I I ~ I I Permit Fee: -552,0 3830 Pilot Knob Road I I ~2 I Eagan MN 55122 Date Received: )v 11(0113 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10-1(0-1,3 Site Address: -K16 V„In f~lcl P„In ~ S ~~FC~~ Unit Name:1 .p iklj' j ~ULt1l'~L'1lMno Phone: (.012-6,70-(-el Wa Resident/ Owner Address/ City/ Zip: a2( H)uq M. ,a ire I ) ter. / Px, (U_ Applicant is: Owner ~C Contractor Type of Work Description of work: a 0 - ea Construction Cost: ' 006 ' Multi-Family Building: (Yes X / No ) Company: I4 Q]L CY (A ~ t o ' -S V- u c Contact:TJ Fr U'iC- Contractor Address:',I H C S (gyp ~,i City: _,Nu~~ ~-Ouo State: w, Zip: S-S]~(f Phone: U l 2-(1' C 7-7c4 b License 3 02 3 Lead Certificate M If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) L ~ 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.qopherstateonecall.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 Bui ding od must be completed within 180 days of permit issuance. A licant s Printed Name p Ica na ure Page 1 of 3 Use BLUE or BLACK Ink r For Office Use I Permit City of Ea ; ZC~ ,Ilk Permit Fee: ~J 0 I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -]3 Site Address: y2t~~ [ Z-? 9 Og" k4,h (,vt- Unit Name: CtiJ'JC ~L~C I ~ h ti (2S Phone: )a_~~v Resident/ y24s- y z-o-7- y 2~~ z~ z7 y Owner Address / City / Zip-f2 Applicant is: Owner _~L Contractor v Type of Work Description of work: 4 0- A IP _J,u]n~ f$ Construction Cost."' 3,S_ OW Multi-Family Building: (Yes Y / No i ~ Company: A tn-2" 11-4 :j f Contact7c, ~'U-fin cS~ ( Address: ~2~~v1~ L t l3~ City: Contractor State.-V ,w Zip: o Phone: W t License Lead Certificate F i If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) .n i-I COMPLETE THI AREA ONLY IF CONSTRUCTING A NEW BUILDING i I 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: 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.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 Tr_- iP_ G/,P_ (--t -(Jl x Applicant's Printed Name pp gbature Page 1 of 3