4282 Meghan Lane? INSPECTION RECORD
` CTT`Y OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: APPLICANT:
' Fil ?.IlitfJ I.?NE :9A;'ri.li+1 : .?t I I???Irli . 114,
H;
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION
; , I .. . .,
If;I
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1
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Permit No. PermH Fiolder Date Talephone M
SNV
PLUMBING ?q ,
HVAC ` y y 3 ? -avos
ELECTRIC
ELECTRIC
Inspectfon Date Insp. Comments
Footings I z?j? 3 ?
7, "`?
Foundation
Framing
Roofing
Rough Plbg.
!A
Rough Htg. '/
24
Isul.
Freplece
Final Htg.
Orsat Test ?
FinalPlbg. O?p_ Plbg.lnsp or-NoStiryPlumber
ConSt. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
OV
A.' . ^---}
Wthficate of Cccupanc?
Wit1 of cFagan
ze?%Wftaw of 138"iag ?x?at?c
a
ti This Certificate issued pursuanr to rhe requirements af rhe Uniform Building Code
?
certifying that at the [inte of issuartce this structure was in complipnce with the various
osdinances of the City regulati?tg building construction or use. For the following:
21359
` uw cbmsrcan.: 8-PLEK siag. rmn-c no.
OCMPMRCY TYae R3/MJ z?,o g? _?-
i11?.? IlY,: 1355 - ?,•
o? ot sodm'os Aedresa
' T&e ??.T°?q Add?? ?i282 ?W 1?1' f a MEMAM
s- s f f a
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1 B.M.9 OrmW
' P06T IN A CONSPICWUS PLACE
"" P f'?
SITE ADDRESS L-76Z/`"`??4a" Unit # Permit #
B Sect./Sub.
INSPECTION INSPECTOR DATE COMMENTS
2-
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a sa-?7v-?-?-
t
IS -
/U1?7 ,?,WryCY-
e S 'M .
yAv vor s,w - 7-N-R,YOnTr TP o,WI`r- 57Z>
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LCJ B ?/ D -? Gr'
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;M 01 59
Request Date ° Fir No. Ro h= spedion
R quir . NOTICE: Vou Musl CaIPElecincal Inspector
If A Rough-In Inspedion
- Z- es ? No IS Required.
I licensed contractor ? owner hereby request inspection ot above electrical work at:
Job Address (Sireet, Box or Roure No.)
? Ciry
?
, c GtA,t.L oc CA
Section No. Township Name or N. Range No. County
Occup (PRINT)
-
H Phone No.
av
V N %
M ?
Power S u lier
A - Address
S
N
E2
'
- ec oc
Eleclrical Co ractor (Company Name)
?
G Contractor§ License No.
(
A
o_ ,
C-0 n C;
Mailing Address (Coniractor or Owner Making In tallalion) .
? ?S l b
?
cc.t.,
„u ,
Authorized Signeture
(ContractorlOw er Making Installation)
Phone Number
MINNESOTA STATE BOARD OF ELECTRICITV ((( ??- /' THIS INSPECTION REQUEST WILL NOT
Gdggs-Mitlway eldg. - Room 5473 G?l? BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55109 UNLESS PROPER INSPECTIDN FEE IS
Phone (612) 642-0800 ENCLOSEC.
G ?? v ?
? 01359
REQUEST FOR ELECTRICAL INSPECTION
lo. See insVUCtions for compleling ihis form on back of yellow copy.
")C-" Selow Work Covered by This Request
??'?
-?
?:??? -.
e Add Rep. Type of Building AppliancesWired EquipmentWired 4111
Home e Temporary Service
Duplex Heater :•-esd..?,:,e-:,,'','?, Electric Heating
Apt. Building t Load Manag`emet
Comm./Indushial ce -' -Other'(Speci "< ?:-
Farm nditioner
Air
ftz-
Other (specify) CoNrattor5 Remarks:
Compute lnspection Fee Below: 001\
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps 1, Qp 0 to 700 Amps „(,+o
Transformers Above 200 _ Amps ? ve Amps ,00
SIgnS Inspector5 Use Only: TOTAL
Irrigation Booms
?
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, here6y
certif thai the above ins ection has
y P
been made. Rough-in oata
Final
/
OFFICE USE ONLY
This 2quest v0id 18 months fmm
.M 0?3 6 0 ? ?/ ?lla
Request Date Fire No. n Inspeclion
equired? NOTICE: You Must Call Eledrical Inspector
If A Rough-In Inspection
? es ? No Is Required,
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (StreeL Box or Route No.) City
Section No. Township Name o No. Range No. County L264 '?:?z
Occupant(PRINT) Phone No.
Po er Supplier Atldress
E 0
- K, d
Electrical Contractor (Company Name)
- Contracior's License No.
CAo 0 o Co
Mailin/g? dress ( oniractor or wner M?ak"ing Instaliation)
1l.)
Authorizetl Signature ConiractorlOwner Making Installation) Phone Number
f ' ? _Z)
MINNESOTA STATE BOARD OF ELECTRICITY /' ` ?t _ ? THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bldg. - Room 5-173 ??? T??? v BE ACCEPTED 6YTHE STATE BOARD
1821 Unlversity Ave., St Paul, MN 55104 ? UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 L-?a. 01 CCi1lq ENGLOSED.
K 01360
REQUEST FOR ELECTRICAL INSPECTION
? See instmctions for completing this form on back of yellow copy.
X" Below Work Covered by This Requesi
e Add Rep. Type of Building AppliancesWired EqwpmentWi
Home Range Temporary Service
DuPlex WaterHeater
r'?g`''' - • ;?::. .
Apt. Building Dryer ? (7 ^ M?ri ' amet
t
CommJlndustrial Furnace ? Other (Speci ' -
Farm Air Conditioner
Other (specily) Contiaclor's Remarks:
Compute lnspection Fee Below: nNriA V L?? 0' \
# Other Fee ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps 1 44.oc
Transformers Above 200 _ Amps Above 100 Amps
Sigf1S Inspector§ Use Only: TOTAL
Irngation Booms O
? . GG , b
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S. ?
I, the Electrical Inspector, hereby Rough-in -?n 7
certify that the above inspection has
been made. F;nai oaia 1J
OPPICE USE ONLY - ;This request voitl 18 months from
EB W ,.08
:
i 9 7
?
M
13 61,?i Y °A'
Request Date
01 Fire No. FiLutilifU Inspection
ired?
I NOTICE: You Must Call Eleclrical Inspecror
If A Rough-In Inspection
I Yes ? No Is Required.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job AddresS (Sireet, Box or R, ou[e NO,) . 4
? City
? Vi l/ t-?? L?l/ GiG G(
Sedion No. Township Name or Range No. County
Occupant (PRIM)
Mayv CLXJV aCJ-v
??"s Phone No.
PoweAr Supplier
' V 'Sr- Atldress
Electri I Contrector (Company Name)
r's License No.
Contracto
? V l li • ?• /
l?/`? Vol o C/
Mailing Atldress (Contrector or Ow er Makin Installation)
'
?
S S l o
. c?u
AuthOrized Signature (Con raclor/Owner Making Installation)
l 1GI? -- Phone Number
- 7?7i - 2s,
MINNESOTA STATE BOARD OF ELECTNICITY ?
Griggs-Mitlway Bldg. - Room 5-173
1821 Universlty Ave., St. Paul, MN 55104
Phone (612) 662-0800 THIS INSPECTION REQUEST WIIL NOT
6E ACCEPTED BYTHE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
G''i. ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?"?? eaaoa /,-Va?a?
See instmclions for completing this fortn on 6ack of yellow copy. ?
? 10 ?
? 01361 ?'X" B?low Work Covered by This Request ?? ?
e Add Rep. Typeof6uilding AppliancesWired EquipmentWir
Home Range Temporary Service
Duplex Water Heater ,d:_ - „? .
Apt. Building Dryer #
Comm./Industrial Furnace
Farm Air Conditioner
Other (specily) Contrecror5 Remarks? ?.??e•ae?--- -???,,,,,. ?,_,?,,,,?`.
Compute Mspection Fee Below: NP'w Tnz-?i IW' \
# Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ,C0 l o to 100 Amps ,6c
Transtormers Above 200 Amps _ Amps Li
Slgns Inspector's Use Onry: oU TOTAL
Irrigation Booms
Special Inspection ?Q
AlarmlCommunication THIS INSTALLATION MAY C?INNECTED IF NOT
Other Fee COMPLETED WITHIN 18 S.
I, the Electrical Inspector, hereby
if
h Rough-in
cert
y t
at the above inspection has
been made. Finai o
OFFICE USE ONLY
This request void 18 months fmm
?0
/3
2 ?? ???
?
?
6
1
4
) qv--
?
,.-
Request Date re No. Rou h-in I pection
wre . NOTICE: You Must Call Electrical Inspector
If A Rough-In Inspection
? zj Yes ? No Is Required.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Boz or Route No.)
Z ? Zc> City
E-:a cwi
Section No. Township Name qr o. Range No. County
a G-a
Occupant (PRINT)
`
d Phone No.
2 V
(.F'
Powe Su plier
S Address
- Q GC
Electrical Contractor (Gompany Name)
G
I
-f- Contrector§ License No.
C
c c)
A
C70s
? vI
? .
- 0
o
Mailing Address (Contrector or Owner Making Inslallatipn)
? ? zk?" (
Authorized Signa re(Conh ctor/Owner Making Installation)
?r b_ _JJtv-cUm Phone Number
- zS
MINNESOTA STA7E BOARD OF ELECTflICiTY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 l? ? ?! C r eE ACCEPTED BV THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 ? UNLESS PflOPER INSPECTION FEE IS
Phone (612) 642-0800 -? CA ?j(fl/l ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-aoo?oJi-os
Poo See instmclions for completing Ihis form on back of yellow copy.
M 0 1362 ' "X°8elow Work Covered by Thrs Request ?,?`
'e Adc! Rep. ' TypeofBuilding AppliancesWired EquipmentWifflu
Home Range , -:,s;::;...... .,:y, ,..._ Temporary Sarvice
Duplex Water Heater `Eleanc'F{eat n
Apt Building Dryer ? L d gercl'&nt
Comm./Industrial Furnace
F
arm Air Conditioner
Other (specity) Contractor's Remarks: K-X
-._ : .. ??^"?'•?-'`??'+Compute Inspection Fee Below: I j I ' ` ??? L Ov / `
# 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 L
SignS Inspector's Use Only: TOTAL
r
Irrigation Booms ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M THS.
I, the Electrical Inspector, hereby
certify that the a6ove inspection has
been made. Rough-in
Final - Date.? k?;
e - /
OFFICE l1SE ONLY
This request void 18 monihs from
01363
Requast Date ire No. Ro -in Inspection
ired? NOTICE: Vou Must Call Electrical Inspector
If A Rough-In Inspection
_1?l Yes ? No Is Required.
I licensed contractor ? owner hereby request inspection of above electrical work at:
.bb ddress (Street, Boz ar Roule No.)
-
(
?2 City
lz
i c,
?ccti?e cz c4/Vl
Section Township Name or No. Range No. Coun
^
J?
OccupIn31nt/(^P1RINT)
" v \a •^VI vWY .
V , , Phone No.
Power Supplier
, Address
c
Elaciricai Contractor (Company Name)
? Coniractork Lic^ense No.
1 V ?L. -/ \?O 0
Mailing Adtlress (Contractor or Owner Making Inst lation)
(
-
2-
-r- 0
jl
Authorizetl Si n re (COntractor/Owner Making Installation)
1, V-r,(_.e,?
k?L? Phone Number
MINNESOTA S7ATE BOARD OF ELECTRICITV r G ? THIS INSPEGTION REQUES7 WILL NOT
Griggs-Midway BIAg. - Room S473 G-° ? U 1 BE ACCEPTED BY THE STATE BOARO
7821 University Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 GGl ?/ wv ` ENCLOSEO.
9 I9 REQUEST FOR ELECTRICAL INSPECTION ?'?= op-p/p,- e
??? /?
7/ " /?? See insiructions for completing this lorm on back ot yellow copy.
M 0 13 6 3- x" Below Work Covered by This Request '?i ?
ew Affcl-- i9ep. ` Type of Building AppliancesWired EquipmentWired
Home Range ?Teriiporary Sscvice...,..e.,;
Duplex Water Heater
Apt. Building Dryer t
Comm./Industrial Furnace
Farm Air Conditioner - - .-- . -. ?+•..?.:,,:.:v:. h..?;:,m?; 9
Other (specify) Conirector's Remarks:
Gompute lnspection Fee Below: ?j?'? °' n/L"? A
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
' Transformers Above 200 Amps Abo e 100 Amps
SIgnS Inspector'sUseOnly:
o TOTA
Irrigation Booms ( ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDISCONNECTED IF NOT
-D
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Ro°9n-'" ,??;.% t? "?',?G _• 3
certify that the above inspection has
been made. Final , o?e
OFFICE USE ONLV
This requesl void 18 months from
?7?g/y'
0136°4 t
Requesl Oale
_ n l _ Fire No. ough Inspection
'red? NO71CE: You Must Call Electrical Inspecror
If A Rough-In Inspeclion
? es ? No Is Required.
I licensed contractor ? owner hereby request inspection ot above electrical work at:
Job Address (Street, Box or Route No.)
' Lr
A/ti
V W V??C. ? G?l/ CIry
CN?^
Section No. Township Name or No. Fange No. Counry
• ?
?j`,
Occupant (PRINT)
'
( Phone No.
cc. V
e?
v c c?
Power Su
m plier Address
Eledrical Contrec r(Company Nam
f
C
`f
t-
i ConiraCtorS License No.
?
if c
.
? ? s
i
,-) c f 0 . 00 0
Mailing Address (Contrector or Owner Making Installalion)
'
f
j I S? I D
r
.e .
't a.?
Authorized Signature (ContractoVOwner Making Installation)
IL [? Phone Numbar
Z) - 2 g
MINNESOTA STATE BOARD OF ELEC7RICI7V /? THIS INSPECTION REQUEST WILL NOT
Gdggs-Mitlway Bldg. - Room 5-173 l-1 i-Il-j C) BE ACCEPTED BYTHE STATE BOARD
1821 Univers"rty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ?? o) (/(/1/` ENCLOSED.
7 9 9? REQUEST FOR ELECTRICAL INSPECTION
/ -? See ir'afructions lor completinq this tortn on back of yellow copy.
TA. 01364 X" Below Work Covered by This Request IND
Ner Add Rep Type of Building AppliancesWired Equipment ve
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Olher (specify) Coniractor§ Remarks:
Compute lnspection Fee Below: M Lw I L' v" ???umu-- ?"`-' A
# Other Fee # ServiceENranceSize Fee # Circuits/Feeders Pee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
. Transformers Above 200 _ Amps ? A D_ Amps
Signs inspector5 Use Only:
/ vC7 TOTAL
Irrigation Booms ?
W ? sO
. Speciallnspection
Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT
Oiher Fee COMPLETED WITHIN 18THS.
I, the Electrical Inspector, hereby Rou9h-in r f? are
certify that the above inspection has
been made. Final
?
j
OFFICE USE ONLV
This request void 18 morrths from
; 7 /o /o
?
01365 / qT'?J" 1?0?
Request Date ire No. Rou -i nspection
Requir NOTICE: Vou Must Gall Eledrical Inspecror
It A Rough-In Inspection
? Yes G Na Is Required.
I RI licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street, Box or Route No.) Z b City
?
alw nl)-i
Section No. To Ship Name or No. Range No. County I
'J??//'? !
1? W ?'T
Occuparrt (PRINT)
A Phone No.
W
? L V ?
Po er Supplier Address
Electri I CoNr, or (Company Ngme
a ?s ( . Ct?? . Contractor§ License No.
G o0 a
Malling Address (Contractor or Owner^4aking Instal o ?.o
2 i? ???-I--
Authorized Sig re (COntracWr/Owne Making Installation)
,c?? ,w? ] 1?-1?, Phone Number
? - Z
MINNESOTA STATE BOAHD OF ELECTHICITY /^ ? ? THIS INSPECTION REQUEST WILL NOT
Grigga-Midway Bitlg. - Room 5-173 l.il ? or BE ACCEPTED BYTHE STA7E BOARD
1827 University AVe., SI. Paul, MN 55104 ? UNLESS PROPER INSPECTION FEE IS
Phone (612) 842-0800 ?L,( ?ENCLOSED.
!J / ? 9? SEQUEST FOR ELECTRICAL INSPECTION
d-
? See insWCtionS for completing ihis form on back of yellow copy.
.01365 "h'' Below Work Covered by This Request
?
? . b?o8
?
Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./lndustriai Furnace Other (SAecity)
Farm Air Conditioner
Olher (specify) Coniractor5 Remarks: ? ?•_°' -
C
Campute lnspection Fee Below. ?jvW A
# Other Fee # Service EnhanceSize rcuits/Feed'ers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps ( Abo Amps
SI
n5 InspecWr§ Use Only:
v
? T
9
Irri ation Booms ?? ?? C Q
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE.QRDER f31SQONN ECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO?NTHS.
I, the Electrical Inspecior, hereby Rouyn-in e?
certify that the above inspection has
been made. Final
l
,
OFFICE USE ONLY
This request void 1B monlhs from
?
?
013 6 6
M
? equest Date ire No. Ro gh-i spection
R q ? NOTICE: You Must Can Elecirical Inspedor
II A Rough-In Inspection
L es ? tio Is Required.
licensed coniractor ? owner hereby request inspection of above electrical work at:
Job Atldnress (Street, Box or Route No.
-2 Ciry
l?
ec[ion No. Township Name r No. Range No. Counry
Occupant(PRINT)
GQ e v m? Phone No.
Power Supplier V ? Adtlress
Ele rical Contractor (Gompany Name)
L-:! CUr L 5 Coniractors License No.
D
ai ing Address (Contrector or Owner M king Installation) ,
& ° G
Authorizetl Sig at e(Contractor/Owner Making Installation) Phone Number
(:?, -
MINNESOTA Bltlg. ?A ROOm S.?g TRICITV gE I ACCEPTED f BY7HE REQUEST
STAE OARD
B'T
Gggs
1821 University Ave., St. Peul, MN 55104 ? UNLESS PROPER INSPEC'fION FEE IS
Phone (612) 842-0800 ENCLOSED.
7S `. _ ?
REQUEST FOR ELECTRICAL INSPECTION ?`p1e4? EL3-oyp?,;pa?
? ? See inslructior;for completing this form on back of yellow copy. ???
1366 X° Belaw Work Covered by This Request
e Adtl Rep TypeofBUilding AppliancesWired EquipmentWired
t-lome Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer ? ?
Comm./Industrial Furnace Other (Specif' - a
Farm Air Conditioner
Other (specify) Contractor5 Remarks .`Compute Inspection Fee Below: ` ?cA
# Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector's Use Onty:
? TOT, AL,-
Irrigation Booms ? ??
I?JYJ ?
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDE ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. ;
I,' the Electrical Inspector, hereby Rough-in ?'t/ e 7/J^Y j
certify that the above inspection has
been made.
Final Date
ORFICE USE ONLV
This request voitl 18 monlhs from
PERMIT 71? -93
-? CITYOF'EAGAN C?alo?99
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N C,
Eagan, Minnesota 55123 Permit Number: 021359
(612) 681-4675 Date Issued: 0 7/ 12 J 9 3
SITE ADDRESS:
4262 MEGHAN LANE
LOT: 2 BLOCK: 1
MEGHANS
DESCRIPTION:
8,G'3lding?..Permit Type 8-PLEX
Bu3.ldi.ng Wqrk Type NEW
/="UBC QecupanCy?,,,,, R-3 M-1
/'CnnsCrucCion Type v-N*
f zaning R-4
Building LengCh 112
? Building Width 68
8u.irding staries .--?` 2
&
?
REMARKS:
INCLUDES 4284 4266 4268 4290 4292 4294 & 4296 MEGHAN LN
* 2-HR AREA WAL.LS BETWEEN UNITS S& W PLBR - VALLEY PL86 PRV
FEE SUMMARY:
vaLunrroN $478,ee0
Base Fee $1,962.50 CITY SAC $800.00
Plan Revisw $1,275.63 WA7ER CONNECTION $5,560.00
Surcharge $239.00 5 & W PERMIT $100.00
SAC $6,000.00 S & W SURCHARGE $.50
SAC ? 100 TREATMENT PLAN7 $2,592.00
SAC Units 8 ROAD UNIT $3.120.00
Subtotal $9,477.13 Total Fee $21,649.63
CONTRACTOR: - Applicant - sT. LIC. OWNER:
MARV ANDERSON HOMES INC 14525200 0001371 MARV ANOER30N HOMES INC
1355 MEMDO7A HEIGHTS RD 300 1355 MENDOTA HEI6HTS RD 306
MEPIDOTA HEIGHTS MN 55112-1112 MENflOTA HEI6HTS MN 55120-1112
(612) 452-5200 (612)452-5200
I hereb:y acknowledge tha'C T have read tt?is appl;iGatiorl and state that the
infnrmation is aorrect and agre:e ta comply with a11 applicable State af'Mn.
; Statutes and Gity of Eagan Ordinancss.
L:
t
APPLICANTYPERIM)TIff SIGNATURE ISSUED B: SIGNATUI?E
-1
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REACTIYATE ,
P.FRMI'i 't
11091993
cmr oF EaGaN
1993 BUILDING PERMIT APPLICATION
681-4675
:1zl, 0Q. w
l'iliir r?
? -gD
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surve*, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last wgrking day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuatian of work yj7, jOa. ?'
?/29???29? ?C6HwiVt ???
yp92
Site Address: `/282?' y213 q2$?
,?Z9r5
?
,
{
STREET SUITE N
Tenant Name: (commercial only)
LOT 2 BLOCK ? SUBD. JJ/?
f/??i? P. I. D. ?f
Descri tion of work:
The applicant is: ? Owner ? Contractor O Other (Describe)
Name MAIZV WeRSAN goMee .&NC. PhoneJSZ'SLOU
Property LAST F1RST
Owner Address Qenldo'fy1 g@.tC'WT5 Rj. SGt?& 300
STREET STE l!
City MCNLTA Ace*Pff5 State Mm. ziP $512Q-1112
.a+et' Phone y52-SZQO
Company kAA?2v RN elrStD`!1 oW?CS
Contractor ?
Address 1351; hVlew4astA u21GWe05 ?d- License #0 3? Exp.
City NkJz;? R2t6N15 State 'Mm. Zip 55121-11lL
Company Phone
Architect/
Engineer Name ' Registration #
Address _
City State Zip
Sewer & water licensed plumber U.-t PL%?M5pN . Processing time for
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. ,
Signature of Applicant: ?
--?
OFFICE USE ONLY
BUILDING PERMIT TYPE ,?'
? ,
0 Ol Foundation El 06 Duplex ? 11 Apt./Lodging 6'-BasemeirtcF?riish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
0 03 SF Addition IK 08 8-Plex O 13 Garage/Accessory ? 18 Comm./Ind.
? 04 Sf Porch O 09 12-Plex ? 14 Fireplace 13 19 Comm./Ind. Misc.
0 05 Sf Misc. ? 10 Multi. Add'l. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE ?
31 New ? 33 Alterations ? 35 Tenant Finish O 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION _
? Const. (Actual) Basement sq. ft. MWCC System
(Allowable) v- N? lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning ? Sq. Ft. total Booster Pump
# af Stories 2. Footprint Sq. ft. i,272 Fire Sprinkler Jr=
Length Tr On-site well Census Code 106
Depth /of), On-site sewage SAC Code
CENSUS A?? ?_
APPROVALS
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS ? NolP-; Z - br, . qP, L, Aw ALLs ..?a (A? FJ ITS
? Site 5 Footing Eg Framing 0 Insulation
Eg Wallboard EL-Lin al O Draintile ? Fireplace
q e
Permit Fee 062,5V retuac;on: g W'?Lov u
Surcharge ?
Plan Review
License
MWCC SAC t* oaD, 0 0
City SAC 300,00
Water Conn. SS?o,o?
Water Meter
Acct. Deposit -
S/W Permi t u
S/W Surcharge ,so
Treatment Pl. ?.sli2.400
Road Unit
Park Ded.
Trails Ded.
Copi es -?
Other
Total : 63
?
SAC % v o
SAC Units 16
. . , ko Goor fie-me -?o va'
' . - ?E?
EXTERIOR ENVELOPE AVERAGE "UCOPIPUTATION ??+v. E!>Y 'PF M
0t•rl I C R :
.
??`?
? ??
51TE nnonEss:
DAT?t PHONE:
COflTRACTOR: , •
DETERNINE 41D ItKING' SQUARE FOOTAGt OF EACNt
"U" ?' I ° ??
?/?
1. TOTAL EXPOSEO IdALL AIIEA,,,,,,,, sq f t x
"U" d •
17.?8
2. TOTAL ROOF/CEILING AttEA,,,,;,,, sq ft x
3. TOTAL EXPOSED 14ALL AREA CALCULATIONS:
Total exposed wall
area above floor,,;,,,.., (? 0 sq ft
t
a) Total wa11 wlhdow area: • .
DOUPLE 9lazed...... I$ Z?r s9 ft x ulJn ?-I 1
__--
?? gluzed. , .... `-' sq ft x 'iuli a ?
r,
? Sq ft x
b) Total door area ,,,,,,,.,
c) Tota) slldiflh g1a55 door area: '" •
d
l gq ft kilUll
..:...
aze
I?UFiL.E 9
g 1 a ze d .
...... - sg ft x?fu,i
? r
l --- §q ft x"U"
d) .Total fireplaca wal area
? S?? h , o4z 7, ??
e) Total wall ftaming a
(11verage l0a) .... . rea?M?
b , . .. ?
Sq"•?7
5q
f t
x U,?
??
?(o
°
12 •
yy
f) Total net wall area above •?Q? 12 04?' ?t°'?7
floor (Insulat6d). ??":'r4^? 7W<6' sq ft x,"U" .
• pb7 ° ?'??
z29
g) r
Total rim Jolst area;.`;` ?':?:11
?Z
sq
ft
x"U"
-
Total foundatlon
area (Exposed).,?...,.. sq ft
h) To[a) foundatlon ? f ' '
5d ft x "U" °
WlndoW atea........ +•.• `--'
,
I) Tota) net foundatlon •„?„ e ?_..
area above grade. . . Sq f t x I .--------
TOTAL a) thru I)
3•
If ltem F'3 is the same as, or less than ltem N1, you have met the intent of
2 PICAR 1.16008 A and O. ,
Pngr, l.
1 .
TOTAL EXPDSED RQOF/CEILItIf CAICULAT IONS: ;
7ota) exposed
?
? y
ft
roof/celling area.....o.. 0 sq
..
J) 7ota) skyllnht atea..... ._.-:.., .
sq..
ft x ??
11?
k) Total roof/celllnq Framing
5
ft x
??U?? .0
z6 ?! ? t,
J!----
°
area (Averaqe 1f14;)...... , q _
I) Total net Insulated s ft x "U" D?
roof/celling area....... q
)
h
?i TOTAL J ru
t
If total of Oli Is the same as, or less than R2, you have met the intent of
'l NCAR 1.16008 A and 0. ,
,.. ,
i . i ....
ALTERtlATE BUILDItIG EPIVELOPE DESIfN
To utilize the total envelope system method, the values establfshed by the sum
o( iteins /%3 and N4 shall not be greater than the sum oi items NI and fl2.
• ?. 1q1. 3'? +2. I?,?B Q ZI?. 82
3. + M 140
i E R TiFI ,^.nTioia
I hereby certtfy tliat 1 have calculated the "U" factors and "R"
values herein ancl that the bulldlnq here.descrlbed meet' or exceecls the State
of Nlnnesota Enerny Conservatlon Act.
gnakure
?1??193
(D,te)
, Paw, 2
, G..:°.? :: •, ?.(?n... _ ? _
( C
E%TERIOR E1IVELOPE AVEIIAG[ "U'?? CONPUTA TION .
' ' •
OIdNER: .
. ?
r
SITE ADDRESS:
'DATEs PNUNE:
COIITRACTOR: , •
DETERt11NE 4101iK1NG SQIJARE rUOTAGL OF EACIIt
"U" I
1, TOTAL EXPDSEb 1lALL Al1El1, ,,,,,,, sq f t x
2, TOTAL ROOF/CEILING AIiEA,,,, tq f t x iiun
3, TOTAL EXPUSED 14ALL AREA CALCULATIONSs
Total exposed wall
araa above floor,,;,,.., y sq ft
t
a) Total wa11 wlndow area: • DOUC3LE. 91 azed. . . . . . Pj0 . Ak sq f t x "U" " ?? ? 7(y
?_ glazed...... •"'_"_ gq ft x I.' ull ? ---"
t
.? ? .
b) Total door area „ sq f t X ?'?"
.,.?.., .?7?_.-- -
c) Tota) slldlhg glass door area: ?UE3l_E 9lazed..:... --'.. sy ft kliuli `?J a .?- ,
glazed....... sg ft x????i
s f t x "u" - °
d) .Tota) (Ireplace wall area -' 9
dW- qp, o4Z `1, Zf7
e) Tota) wall Framing area ? 1? ?
(Average 10`!) ... . : b, . Lommq.f sq f t x "U" ?(o ° ? /(o
f) Total net wall area above • ??,?, ,? ?
?30?f 5_8
floor (Insulat@d). ??'?i':r4^? ?? 6, ? sq ft x ."U" . D67 ' L4•??
oa`1 r,?z
g) Total rim Jolst area.rvmp'L? sq ft x"U" •??`? ° 3''
Total foundatlon
t+rea (Exposed)..6 ...,...
h) Total foundatlon
+.?.•
wlndow area........
1) Total ne[ foundatlon
area above 9rade........
3•
s q f t
ft x truil , . °
?-?
,.
f t xliuii ? _°-=--
TQTAL a) thru I)
if ltem N3 is the same as, or less than item'AI, you have met the Intent of
2 t1CAR 1.16008 A and O. • ,
,_Y
' Pngc 1
• ? .
, . , ' . . • . . , •
11. 30TAL EXPQSED ROOF/CEILINf CALCULATIOqS: ?
. Total exposed
roof/ceiling area....... ft
7ota1 skyltght area..... Sq ft x "Ull
k) Total roof/ce(llnq framfng ' ??it n7 ? e
area (Average 1f14;) , . .... _sq ft x U ?? 5-
.
I) Totai net lnsulated n7 )
? ?? ?? e
roof/celllnq area....... sq ft x U?
TOTAI J) thru 1) I?- ??
If total oF A Is the same as, or less than P2, you have met the Intent of
2 PICAR 1.16008 A and 0. ,
,.. 4
, , .. ...
ALTERtlATE BUILDIfIG ENVELOPE DESIGN
To utillze the tatal envelope system method, the values established by tlie sum
o( I teins h'3 and !r4 sliai l not be greater than the sum of i tems 91 and N2.
+ z. Rs 6 11it A_-
?. 14T .I." + ??. ??? ? ¢ Ib2, ??
? c n T I F I i A T 1 0 11
I hereby certlfy that 1 have calculated the "U" factors and "R"
values hereln ancl that the hulldlnq here.descrlbeci meets or excee(is the State
of Hlnnesota Enercly f.onservatlon Act.
Signdture / ,.
(Dte)
,, i ;,w- 2
?
" -1
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH
SHOWER 3.00
WATER CLOSET
1? 3.00 ay?
_
BATH TUB
4 3.00 a,4 -
_
v LAVATORY 3.00 a%p-
KITCHEN SINK 3.00 a ? -
LAUNDRY TRAY 3.00
HOT TUB/SPA
- 3•00
? WATER HEATER 3.00 av ,
'V FLOOR DRAIN 3.00 a ,4 -
_
? GAS PIPING OUTLET • minimum - i 3•00
I? ROUGH OPENINGS 1.50
WATER SOFTENER 5•01
PRIVATE DISF. • Dak.cty. iic. ' 15.00
U.G. SPRINKLER • 6ome under const. 3.00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE
TOTAL:
SITE
.50
19a. .i C)
OWNER NAME: MAZO nrAcrsv -
INSTALLER:
ADDRESS: (al v !' c,kc L_
CTI'Y: -? c., r d a..i STATE: 1M - ZIP CODE:
PHONE #: ( L,.1 ) y?)- a%a i
.r,?--(et)?--
SIGNATURE OF PERMITTEE
1993 PLUMBING PERMIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
/' .
1993 PLUMBING PF.RMIT (COMMERCIAL)
CITY OF FAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMNMRCIALJINDUSTRIAL BUILDINGS. ALSO FOR NNLTI-
FAMILY BUPLDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR FACH
DWELLING L':N:T.
NE,'W CONSTRUCfION
A^...^. .^.N
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACf FEE.
STATE SURCHARGE: $.50 FOR
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATE SURCHARGE
T4TAL
EACH $1,000 OF Vg"1"!' FEE
$
$
$
SIT'E ADDRESS:
TENANT NAME: ST'E. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE:
PHONE #:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
? i
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------ - - - - - ------
k_"?EW CONSTRUCTION
riDD-ON A/C
ADD-ON FURNACE
DATE ? & / /?-
FEES
HVAC: 0-100 M BTU ? x
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 Q$3.00 EACH) (?)
ADD-ON/REMODEL (EXISTING CONSTRUCTION)
STATE SURCHARGE
TOTAL
S?TE
OWNER
INSTALLER:
$ 24.00 %
6.00
,22100
$ 15.00
.5
?
/ 9j_ 0-6
TELEPHONE #:
t3umsvine reating & Hiu, inc,
ADDRESS: 12481 Rhode island Ave. So.
avage, i7- 55 3 7 8 -112 2
CITy; 894•0005 STATE: ZIP CODE:
TELEPHONE #:
SI TU OF PERMITTEE
4
1993 MECHAIVICAL PF.RMI1' (RESIDENTIAL)
CTIY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 681-4675
?
y?
1993 MECHANICAL PERMIT (CONIIIZERCIAL)
CI'I'P OF FAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COI?I?IIvIERCIAUINDUSTRIAL BUILDWGS. ALSO COMPLETE
FOR APARTMEN'I' BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DA1'E: LCNTRrA.Ci' PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
I% OF CONTR? FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $50 FOR EACH $1,000 OF ;;;;::R?ti±1T;T' FEE.
? .:.: ............
TOTAL $
SITE ADDRESS: '
.
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CTTY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY WSP£CTOR
, . .
? `„
, .. ._
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. . •<'i,'iilti5(?
a ?? r???? ;?u
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5 S / p? COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) sets . Architecturel Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • Structural Plans (2) .
a
Iy
(?) +*
• Certifcate of Survey (1) • Civil Plans (2) . Poj
cs
ec AS? ???
• CodeAnalYsis O 1
" . Landscaping Plans (2) . Key Plan (1)
• ProjectSpecs (1) • CodeAnalysis (1)'• . Master Exit Plan (1)
• Spec. Insp. & Testing Schedule " • Certificate of Survey (1) . Energy Calculations (t) not always"
• Soils Report (1) • Spec. Insp. & Testing Schedule (t) " • Elec. Power & Lighting Form (t) not always*"
• Meter size must be esta6lished • Meter size must be established • Meter size must be established - if applicable
• ProjectSpecs (1)
1 • EnergyCalcWations (1) " y
l • Electric Power & Lighting Fortn (1) " y
d • Master Euit Plan (1) L
1 • Emergency Response Site Plan (1)
d • Soils Report (1) b
• MC/ES SAC determination letter . MC/ES SAC determination letter • MC/ES SAC determination letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
rooa & oeverage or ioaging taciiities - submit plan to MN Department of Health. Call 651-215-0700 for details.
Contact Building Inspections for sample.
t** Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
3 Z-3 74
DATE: Z WORK TYPE: NEW REMODEL CONSTRUCTION COST: 2-0
SITE ADDRESS: y7-8 Z'" YL `)(P 172 E-642G/7g L/L/
TENANT NAME: (f/f'-/?10o /C,)oo ?f SUITE #:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK???
Name: LC7GlE'J ?e A?vo-'j i?:-S at'- 447e?%cJOod Phone #: ?( /Z ? 3tV/ S'6/
PROPERTY Last First
OWNER
Street Address: ?Z& Z g-4; 6'1//&-nS &/jJ
Ciry: '6a 2S V'.& state: /)"l /i/ Zip: S S 3 3 7
CONTRACTOR Company: il?sS/r /! p0? .L7/V C Phone #: 7.?9 2/oo
!¢d??
StreetAddress:12ts-)nQ 12-
cicy: B1M5I/Z& srace: /yl n/ zip: .'>s 33 7
ARCHITECT/
ENGINEER Company:
Name:
Street Address:
City:
State:
Licensed plumber installing new sewer/water service: Phone #:
?- 2002 ! U ?1?
- i .
_ Zip: ?
( - ) - .--- - - --'
I hereby acknowledge that I have read this application, state that the information is cor c e comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
Updated 7/02
Phone #: (
Registration # :
?
?-
?
OFFICE USE ONLY
SUBTYPE
C 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
[1 14 Apartments ? 27 CommerciaUIndustrial L 32 Ext Alt - Apts.
? 15 Lodging D 28 Crreenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
7 37 Nail Salon
WORK TYPE
f] 31 New C 35 Tenant Impr ? 42 Demolish (Foundation) C 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
-1 33 Alterations ? 37 Demolish (Bldg) 71 44 Siding ? 48 Authorization
? 34 Replacement 7 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, g.
MISCELLANEOUS INSPECTIONS
Ll Gas Service Test ? Heating
APPROVALS
Planning
Building
sq. ft.
sq. ft.
sq. ft.
sq. ft.
MC/ES System
City Water
Fire Sprinklered
? Insulation
Engineering
il 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
15o9_?-01__
2007 RESIDENTIAL PLUMBiNG PeRnniT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ZO ! 3t / P7 Chris McMullen
Site Street Address 4292 Meghan Lane Unit #
Eagan, MN 55122
9522003333
Property Owner ? ( }
Contractor D/bIDI'1'1 P(L{`y1?/??Q Telephone # (G iZ ) YZ7-4033
Addt-ess 2GO? lre?fst6/ - rity /?'/ ' Q o/S State ss?l ?. ZiP
?
The Applicant is: _ Owner ? Contractor _Other
Septic System _ New
Refurbished Submit 2 sets of plans and MPC license Inciudes County fee
_ $ 100.00
Per as-buiit $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50:00
_ Add plumbing fixtures. This fee includes installation of a water softener:and/or water
heater at the same time. If you are insfalling only a water softener and/or water
heater, do not complete this secTion; move to the next section and check the
appliance(s) you Eke installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener ? Vliater Heater $ 15.00
_ new ? repiacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50.
Total - ? - $ ,s 5-0
I hereby apply for a Residentiai Plumbing Permit and acknowledge that the information is com?
work will be in conformance with the ordinances and codes of the City of Eagan and t
understand this is not a permit, but only an application for a o it, work is not to start without
accordance with the approved plan in the event a plan is req i d o be revie d and approve
Jc(T-,?orble??
AppficanYs Printed Name ' nYs Signature ?3y
Nov 0 2 ioo7
Srtmel orfs Cerml<cate
SUiIVEY FOR:
UE3CF11HED AS:
Afarv Anclerson f(omes Inc.
Lot 2, Block :L, AIIiCIIANS AllDf'PiON, C.ity ot Eagan, Ilakota CotrntN,, Tlin•nesota
and reserving easements of record.
45 -
-4
?
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Permit
City of Ea an
Permit Fee: Z.3tf' I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 RECEIVED 1 Staff: j
Fax: (651) 675-5694 JAN 2 4 2012 1 I
2011 RESIDENTIAL BUIL ING PERMIT APPLICATION
Date: / ~te Address: Unit
Name: n ~Qlo ( la) o I: i,0 ! - Phone:
RESIDENT /
OWNER Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: ka 01C,1 Q~nx,~fc.l tlylU I -slal m h4IJ! (f l2Prlf-llM4-S eE
Via- S~a~_
Construction Costt.~, 00 DAY-1 Multi-Family Building:-(Yes Y /No Company: MTF s-Aw14"I S 1. e-i Contact~J
U~rttiwacY
CONTRACTOR Address: l`15~ (aura City:
State: .f Zip: 1~-5( Phone: (9 try}----'t et - 44 0
License l - - WIR& (Q_-2,503 l Lead Certificate
If the project is exempt from lead certific tion, please explain why: (see Page 3 for additional information)
a /
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.ciopherstateonecall.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 st be completed within 180
days of permit issuance.
1 '
x l 14441 ~5' x
Applicant's Pr nted Name pp ican tune
Page 1 of 3
DO NOT WRITE BELOW THIS LINE l 0 2Zn3
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
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 c~ Occupancy MCES System
Plan Review Code Edition 0h-d9j SAC Units
(25%_ 100%--)L) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Constructions Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC Gas e e Te Gas Line Air Test
Drain Tile Other: G'
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 ~ / N
MCES SAC V
City SAC C? 62 ~
Utility Connection Charge
S&W Permit & Surcharge 4.
Treatment Plant V
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157310
Date Issued:08/13/2019
Permit Category:ePermit
Site Address: 4282 Meghan Lane
Lot:201 Block: 03 Addition: Meghans
PID:10-48250-03-201
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Theodore L Marquis
4282 Meghan Lane
Eagan MN 55122
(612) 325-5015
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature