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4314 Meghan Lane,._..?._.. CI`fY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 ° (612)681-4675 SITE ADDRESS: ti PERMIT SUBTYPE: n Ft I,,, a APPLICANT: .-., . _i.;? ,?rir ? r?i _ i?s?ti?--,• TYPE OF WORK: Nr II INSPECTION ??+•. 4 I C?,? ., . , ...i ? i , D• '/ h`/d 7.i' ??18 y3,2o k3aa ?3a eo (4) y3a? ? s a° ?3a8 ? !5(e 05 ? o0 ,n11i1rp:??: Wt l iltr!''; A.t]f,. q sli;: R:a;'N, 4 '424. 4:126. & p.j.'A Mi IiFlIIN t N !. i.l , I Rr: 'JA I t , e•1 f:r; INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: ftif 1 i tt 1 NC? 0,10 ?r; t 1 . O: 1 . . . q ? Permit No. Permit Holder Date Telephone k S/W PLUMBING HVAC ' 3 3/ ?y5!-?DOS ELECTRIC ELECTRIC Inspection Date Insp. Commants Footings I 2C?7..? n Foundation Framing Y-2?03 ? S ?/3z2 Zy- z? zd? N?e ?d.. Roofing Rough Plbg. Rough Htg. ?? ? • ? isui. Fireplace Ffnal Htg. Orsat Test Fnal Plbg. Plbg. Inspector-NoMy Plumber Const. Meter Engr./Plan Bldg. Flnal Deck Ftg. Deck Final Well Pr. Disp. ? 1 ? stontneat o? Snt? 3""etion 4i ?, l. This Certifrcate issued pursuapt to the,,,reqaimmen[s of the Unifornt Building Code certifying that at the time of issuarice this structWre was in compliance with the varioers . - i ordinances of the City rcgulating building consmrction or use. For the following: uw cmm?c.nm: ??'??'' , sm& eerntit No. 20351 OCM"-Y TyPe Y Zwdng District 'Eype Coos[. o? or eudauig MARV A2IDFR90N HCIIES ? 1 LSIIMAiE AVE S, ffiM?1N _.,? .-. - - . . POST IN A CONSPICUOUS PLACE SITE ADDRESS N ? unft # Permit # c2d3S1 L B r Sect./Sub. INSPECTION INSPECTOR DATE COMMENTS yz?j y 103 Y314 AZ&-? y -2 1 r/ T rV W //l 1 93 si ?ti J, J?S ?z) ?3 ` 3 zy d? Zz y-30 -13 431Y-1l? I? zD hS??, ?S Y-30 -33 y31µ ?161B-zo f?1e ti?+ 0j . eT- y ".- I f. !r // INSPECTION INSPECTOfl DATE COMMENTS 4131V. o?a y ? ? 1 e ,. ., I ? 1560d'v, ` ?.??°? I Request Date Fi e - Rough-in Inspecfion FipqVired? es G No G Ready Now I?Will NOtify Inspector When Ready? I?I licensed contractor p owner hereby request inspection of above electrical work at: ,? Job nddress (Street Box or Route No.) ? Ciry ? av?.? l a. u Section No. Township ame or Range No. COUnry, 0,1 1w Occup ^ant( RINT) Phone No. V 0 r 1 '7 Power Suppiier S - ?ed Dc Adtlress ? n ?e Electri I Con(rac tor ICompany Name1 ? Contractor'S License No. 011 1 •L O Mading Atltlress (COntracror of Owne Making Inscallation)? \Tl! `i ? r ? Authorizetl SignaWre (CO?iractooOwner Making Installabol7 i V_(LUVL 1 Phone Number ? ?:3 MINNESOTA $TATE BOARO OF ELEC7RIqTY THIS INSPECTION REOUEST WILL NOT Gtlggs-Mitlwey BIAg. - Room 5-173 G (? 6E ACCEP7ED BY 7HE SiATE BOAFD 1821 University Ave., SI. Paul. MN 55104 6 UNLESS PROPER INSPECTION FEE IS Phone (812) 642-0800 ?G( 0) cNi ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION `EB 0GO01 e ? See insiructions for completing this torm on back of yellow copy. 4???•?, T?•l? 15601 "X" Below*ork Gavered by This Request A e Rild Rep. Typeof8uilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleclric Heating Apt. Building Dryer OtheF?Specify) Comm./Industrial Furnace Farm Air Conditioner Otner (speciry) Comractor's Remerks: Compute Inspection Fee BeJow: / V Q, vi TnoYi 00^ # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fea Swimming Pool 0 to 200 Amps QD I [ 0 to 100 Amps ,j'rj Transformers Above 200 _ Amps --?• Above 700 ? Amps . 00 Sig11S Inspector§ Use Only: ? 70TAL Irrigatian Booms 7?'? Special Inspection ? Alarm/Communication THIS INSTALLATION MAY B RD RE ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. I, the ElecVical Inspector, hereby if h Rough-m . oace4F C cert y t at the above inspection has been made. Finai ? Da7e (o OF? USE ONLV This lequest voitl 18 mon1h5 from " I 15604 Requesl Date Fi Rough-in Inspedion ired? ? Ready Now dl Notity Inspector wh R tl ? Ves C No en ea y I licensed contractor ?] owner hereby request inspection of above electrical work at: Job Atltlress IStreet. Bae or Route No.1 k V City ln? ri- uAA Section No. Township Name or No. Fiange No. County Occupant (PRW7) Phone No. VI.V V l '? !J VV?? Power Supplier " c Address /\ /? n "' ?U F?" V V `?`-?? W Electrical ntracror (Comp9ny Name) ?? 06 Contractor5 License No. Mailing Atldress (COntractor or ner king Installatio ) ? Z1 g, ?cret" - S+ ?c<,J ? ? u Autnorizetl SiqnaW ntractoriOwner Making Installation) ICo b d Phone Number - 2 7?- lA . MINNESOTA STATE BOARD OF ELECTRICITV 7HIS INSPECTION REQUE57 WILL NOT Griggs•Midway Bltlg. - Room 5•173 BE AGCEPTEO BY THE STATE BOARD 1821 Universlly Ave.. St. Paul, MN 51 UNLESS PROPER INSPECTION FEE IS Phone (872) 642-0800 ENCLOSED. ?/? YJ- d 15604 REOUEST FOR ELECTRICAL INSPECTION ? Sae insiructions for completing this form on back of yellow copy. "X" BEIow Wol'k Covered by This Request d?e •OB e pdd' Rep' TypeofBuildinq AppliancesWired EquipmentWired Home Range Temporary Service Duptex Water Heater Electric Heating Apt Building Dryer Other-(Specify) Comm./lndustrial Furnace Farm Air Conditioner Other (speCih/) Coniractor's Remarks: Compute lnspection Fee Below. Tuic-rY? ?uvvu- (0 O,Y[ # Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee Swimming Pool D to 200 Amps (, p J 0 to 100 Amps z,,w Translormers Above 200 _ Amps Above 100 _ Amps --( ,p SignS Inspectors Use Only: TOTAL Irrigation Booms ? ' 7 ? Speciallnspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTtip. I, the Electrical Inspector, hereby if h h Rouyn-ir ? oateY`'a ,,Q3 cert y t at t e above inspection has been made. pinei f OFFICE USE OHLY ' This request voitl 18 months Irom . ? 15 60 Request Date .. Fire o. Rouqh-in Inspection e ired7 O Ready Now ?Will Netity Inspecror 4 _ ? " Yes ? No 'Nhen Reatly? Ilicensed contractor ? owner hereby request inspection of above electrical work at: Job AdOress IStreet. Box or Route No.1 22 Gt? G? e, Ciry A Vi C Sedion No. 7ownship Name or o. Range No. County ? & V i T, Occ u aM (PRINT) Phone No. R vV Power Supplier pddres5 N - C? 00 we Electrical ontracbr ICompany Nam@1 Contracror's License No. c . Mailing Atldress ICOniractor or Owner Making st allation) r cw I ? Authonzeo Signatur ICOnlractonOwne b h u? Making Installation) Phone Number 0 &c(.e?.? -2-6 MINNESOTA STATE BOAHD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT Grigge-Midway BIOg. - Room S-173 BE ACCEPTEO BY THE STATE BOARD 7821 Universlty Ave.. 51. Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 642-0800 ENGLOSED. REQUEST FOR ELECTRICAL INSPECTION ?P•`"? ?, ?s-gopgi ye ? ? 1? Sae instmc6ons br completing Ihis fortn on back of yellow Copy. 15602 "X" Below Work Covered by This Request ew Adtf Aep` '" Typeof8uilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other_(Specity) CommJlndustrial Furnace Farm Air Conditioner Other (specify) " Coniractor5 Remarks: Compute Inspection Fee Below: Nl L??% ? # Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ' 0 to 100 Amps -Z,pfl Transformers Above 200 _ Amps Ahove 100 Amps ?, D6 Si9f1S Inspector's Use Only: OTAL Irrigation Booms r 7 Speciallnspection ( ? Alarm/Communication THIS INSTALLATION MAY 8E O CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. I, the Electrical Inspector, hereby Rougn-in ? Dat? -?? f3 certify that the above inspection has been made. Final oaca ?p OFFICE USE JNLV This rBquest VOitl 18 mOnlhSlmm y? d 15603 ?w zriev ii 14, Request Date Fir N. ,?{ _ I _ . ?- ? L Roughin Inspection e ired? ? Fleady Now O dl Notity Inspector Wh R 7 d 'r Yes [ No en ea y ?I licensed contractor D owner hereby request inspection ot above electrical work at: Job Addr ss (StreeL Box or Ro?ute/Ij?o.) Z City I' Y V i 1i1. Y 1 V li m.i a vl Section No. Township Name or No. Range No. Counry , (/l. Occu pant(PRINT) Phone No. Power Suppfier - Atltlress :3God 1411C.. ElecincaLContractor (Company Name) e il " G Contractor's License No. 0 GA 2n to c, . o . o 0 Address Isonirector or Owner Makin Ins a1laLOn) Mailing2 5G l? C \ 10 f , U i i 2 vW Authorizetl Signatur (ComractodOwner Making Installation) I ? I, . I Phone Number 1 7 -7 4 - 2_ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grf9gs-Midwey Bldg. - Roam 5-173 8E ACCEP7EO BV THE STATE BOAFD 1821 University Ave., 5t. Paul. MN 55104 UNLE55 PROPER INSPEC710N FEE IS Phone (612) 842-0800 ? ? C41LI ENCLOSED. 15603 REQUEST FOR ELECTRICAL INSPECTION ? See insimctions 7or completing this lorm on back of yellow copy. "X" Bell, Work Covered by This Aequest ??i ti N ,?..: 6? -J:? e lftld Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Other jspecify) Coniractor's Remarks: Compute Inspection Fee Below: 1 vbw I u k ry?(_t (cv A # Other Fee # ServiceENranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 ro 200 Amps r o to 100 Amps ,pb Transformers Above 200 _ Amps _F-- AboveJ00 _ Amps 1? SignS Inspactor's Use Only: \ TOTAL lrrigation Booms Z 41,6 ?O ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. I, the Elecirical Inspector, hereby f ROUyn-in oate?! z? ?7 certi y that the above inspection has been made. Finei ? DateC 1, 3 OFFICE USE ONLV This request void 18 months from Requ t Date r - ire= o. ? `i q h-in Inspeclion - uiretl? ? Aeady Now ill Notity Inspector Fi d 7 Wh - ? yes ? No en ea y I licensed contrector p owner hereby request inspection of above electrical work at: Job Address (Slreel. Box or Rout N.) 32 k City e*:2L ot vI e a v) a Section No. 7ownship Name or No. , Renge No. Counry Occupant(PRINT) Phone No. Powar Supplier fWdre55 _ -?inm MAXUPLU Ele trica1Contracco, ICompany Name) ? G v v C Conlrador's License No. ? r a . ? ,? o a Ao Mailing Atltlress (Coniractor or Owner M kinq Installation) Authonzetl SignaWre (ConiractoriOwner Making Inslallation, _b Phone Num6er ZZ - Z -2? MINNESOTA STATE BOARD OF ELEC7RICITY v 1n. ? THIS INSPEC710N REQUEST WILI NOT Griggs-Midway Bldg. - Room 5-173 C) i' BE ACCEPTED BYTHE STATE BOARD 7821 University Ave., St. Vaul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phvne (612) 642-0800 '?i'??1/?? ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION e 1- s ? ? 15605 • See instructions for completing Ihis form on beck ol yellow topy. ?,$ 'J? ? 'X" Below Wqrk Covered by This Request ew Add Rep. - TypeofBUilding AppliancesWired EquipmentWired Home Fange Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer OtheF.(Specity) Comm./Industrial Furnace Farm Air Conditioner Oiner lspecity) Contracror5 Remarks: Compute Inspection Fee Below: N om Io-= k n"_-? o G,4?- # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee . Swimming Pool 0 to 200 Amps ",0 Q 1 0 to 700 A s 21-p0 Transformers Above 200 Amps - 100 Amps 'DO Si9fIS Inspector's Use Only. - " OTAL Irrigation Booms ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTiqf) I, ihe Electrical Inspector, hereby if h Aough-in oai?• ?4?£i? cert y t at the above inspection has been made. F;oai oate OFFICE USE JNLV This request void 18 months irom 0 a r ? .CW' n . ? ooU V ? / - • ? oz? ? ?- 3 1 Aequ st Date Fire N. '- Rough•in Inspection fq- ed? ` ? 6 Ready Now S7Wil1 Notity Inspector ? - es ? No ??'Nhen Reatly? Ix licensed contractor D owner hereby request inspection of.above electrical work at: Job Atltlres s (Street Boz or Route No.) .. ?D W?1 VV'iV`?. Ciry eQ_ Section No. Township Name or No. . Range No. Counry L) Occupant(PRIN7) Phone No. p f?? - ? Power upplier f-V Atltlress () m a?\ av-?-u Elecnic Aontractor (Company Name) Contractor's License No. G o oL Mailing Atltlress (Contrador or Owner Making Installation) 2 ?510 Authorizetl Signatu re (COmrectonOwner Making Installalion) Phone Number _z -. MINNESOTA STATE BOARD Of ELECTRICITY /;,?? 1P THIS INSPECTION REOUEST WILL NOT Griqgs•Mitlway Bldg. - Room 5-173 lJ? 0BE ACGEPTED BV 7HE $TATE BOARD 1821 Unlversiry Ave., St. Peul. MN 55104 UNLESS PFOPER INSPECTION FEE IS Phone (612) 642-0800 '??,(i(N?1 ENCLOSED. n REQUEST FOR ELECTRICAL INSPECTION ? ? ?s- oa ? 1 SB9 in5tmctions for tompleting [his brm on baCk of yellow Copy. `_Y 3' , a // lf i ? 5?'6o "X" Below Work Covered by This Request ' ?/`??? . e Add Rep. TypeolBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building. Dryer Other_(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specily) Comractor's Remarks: ? Q.? ?VW vF Y iV 1'V?..ti? 0? \ 'Compute Inspection Fee Below: # Other Fee # ServiceEniranceSize Fee # CirouitslFeeders Fee Swimming Pooi 0 to 200 Amps 0 to 100 Am 2,66 Transformers Above 200 _ Amps , I' Above 100 Amps Signs Inspector's Usa Onry: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MOO S. I, the Electrical Inspector, hereby if Rouqh-in oacy`0)0 cert y that the above inspection has been made. Finai ` oaie/ ti OFFICE USE ONLY - This requesl voitl 18 months from //io - 15 5 9 8 '? ' ?- Request Date Fir Ne . - Rot7qh-in Inspection e uired? ? uu ? Ready Now?q1 Will Notity Inspector ' - 419 ) ?Ves G No ? ??Nhen Reatly7 I ensed contractor rJ owner hereby request inspection of above electrical work at: Job Adtlress Btreet Box or R ute No.l 1 City V?t a av, Section No. ToWnship Name or V. Range No. County ? OccupantlPRINTI ^ Phone No - / \? L s,l/ ? ` ? Power S ppher ?s - Atldress ?? e c 3 bOU GL ? - . Elecirical Contrac or (Company Name) Gontrecior's License No, Uq'o c 0. ? D Mailing Adtlress (Goniractor or Owner Making Installation) " I ?5S 101. AutOOrized Sign ture ICOnirecto,iOwner Making Inslallation) Phone Number ` G ZZ -2?33 MINNESOTA STAiE BOARD OF ELECTRICITY ? ' THIS INSPECTION FEOUEST WILL NOT Grlggs-Midway Bltlg. - Room 5473 ??'"i? VBE ACCEPTED BY THE STATE BOARD 1821 UMversiry Ave., St Peul, MN 55104 ,? UNLESS PROPER INSPECTION FEE IS Phone (612) 842-0800 L?(x 0) C4 VI ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION , See insiructions for compleling this brm on back of yellow copy. 15598 "X" Below Work Govered bv This Reauest ; ? ew Add Rep. TypeofBUilding AppliancesWired EquipmentWired Home Range Temporary Service Ouplex Water Heater Electric Heating Apl. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specity) Contractor5 Remarks: Compute Inspection Fee Be/ow: N Lw lrm-k-^ L ? GA # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 1. 00 0 to 100 Amps 2. cb Transformers Above 200 _ Amps AbQVe 100 Amps ,C SignS Inspector§ Use Only: OTAL Irrigation Booms `] ?V I Speciai lnspection ? e Alarm/Communication THIS INSTALLATION MAY BE O ED- ONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby i Rough-in Date cert fy that the above inspection has been made. F;,,ai • oace -. ?.zY? OFFICE USE ONIY Thi3 request voitl 18 monlhs irom ? ? 9 9 yyf / ? ? 75zeo ?e Req est Dale Fire o . RInspeclio Ready Now Will Notity Inspector s G No When Ready7 I licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlre/s$y (Slreet. Boz or R ule No.) ' b City I Y((/L m a?"? VI:V 1 Section No, Township Name or Range No. Counry r a d Occup ant (PRINT) Phone No. ar v v1 e w(n wle Powe( S'upplier 'sv- K 'd Address e l? OD a W?e Electnc I Contracbr (Company Namej . . I CoNractor5 License No. o G _ pl'? c; . ,. ,4 Od b(o Mailmg Atltlress IContraclor or pwner Making Installalion7 2 ? v I P ?t ? c. .?,c. ?. : 5 Awhorized Signature (Contracbr/Owner Making Installation) t b Wc v Phone Number - Z9-33 MINNESOTA STATE BOARD OF ELECTPICITY `? I F' I THIS WSPECTION REQUEST WILL NOT Griggs•Midwey Bltlg. - Hoom &173 ?' 1 D BE ACCEPTED BV THE STATE 80ARD 1821 Univeraiy Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ?? ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION ?.¢'"`??,' % Ee•o?..,. __ ? See instroctions for compleling this form on back o1 yeilow copy. 5 3- { 15599 'X„ Below Work Covered by This Request ew Add Rep. TypeolBuilding y M AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specify) Comm./Industrial Fumace Farm Air Conditioner Other (speciy) Contrador's R marks: Compute Inspection Fee Below: ? # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ?.QQ 0 to 100 Amps 1 52,cv Transformers Above 200 _ Amps Above Amps p SignS InspecMrS Use Only: ' . TAL Irrigation Booms j?„ 4)J ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDER SCONNECTED IF NOT Other Fee COMPLETED WITHINJOl O THS. t, the Electrical Inspector, hereby certify that the above inspection has been made. Rouyn-in ., Final Dete, d OFFICE USE ONLV This request voitl 18 monlhs 1rom << <, CItY Of EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: a -,0,2 -y:s 8, ; i t ?. c', :t i? (; G) SITE ADDRESS: -? 31 f-i 1?ri 1°. 6 I`i i.7 I'J ?.. ? i f'i i)' Li1`I°:. :d B, Lt)t:.1 114 i= (i; Pi f't H r; DESCRIPTION: 2-HR AREA WALLS ?u.i.?.4t,i;tl?? i ('y?,,::, al._E.n ' irit?".i??ari. 7r1;w i+JE I J {1 ? ?? ? ot; cu }a ?a r? ?.?v Ft - ?L C o Yt"at?r'ua)f`?` p Z Cr J'1:T n.q a u i.?:d%prs t.t- nr?th ; 8 ui1d.I nq W5.r3th rr3 ,.,.. , .. _ 1 J. .' 1 a ' tl y. , ? ?,., ? t' y? ,?RSL?" i t L z "v, REMARKS: ,N C i Al r C. .v FEE SUMMARY: ._.- i I. u i? ijo:.-. . r? ?! I..ln. l, l311-"s. q_;9 1 7e? ,. A!.. ?.! ;j, r.. ;l N `r f-1 ? i:' , t7 ZJi ;i J. . 9 , ? .. ?,. , q ... ??' 176= ...... ? ..?.? .J 1 , r.n .0 m _,.. . _ _.. 1 E ? ? ?,3 CONTRACTOR: ? U WpWNER: A irtiD i;+2S['•HI H iii"iF , Si"lC r"il:???' L [) 0 .3 L nl f,rP?U ( r;s ?)N HC)I??: :??? ??, r c? , .. .? ? ?'? ' I r' I'i f) a '' 1. `?' f: ., t? i_ i7 r• iri ? r.? r; ?; ? r? ,:, ??? ,?,, ,, 10 0 m_L ?,- tI. E-'? k' e b y. i"£ f3 w L " j, g,.. A. . :?? ?,' }"f .?'e '?: i i1 r?' ? >, f„ w:.? a:, ?!. .L S Y T, f, r:? ?;`: - .i. 0 !'i ?'. r1 h ?' ?;. i'"t c? ?.. ?'_.?'i. s"?. .. . . ... tit? rcat i, c irrr??zy+ i?.f1 ,IA;. . qI:s. .b 1,.:` ti-a?.t? cr§' r,_ l`. ? ?, ., !,w ,4 ? a t3R3 i?..jA°y' ' 0 k' f,? tY3 ?? ti f.4? ., , n "=. ? . ., .: ' , . , ... ..., .. ? ::..? ' . - .. _ _ . .. . . . , . .. ..., . J . .. .. . _...J 1 ? ? i I1t.UA 1 APPLICA'T/PERMITEE SIGNATURE ISSUED B SI NATUR CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: • ? i, l tl M f" G? I t F^ i.,i !_ A 'IJ ? I [? i'? f=4 ?11 '?i PERMIT SUBTYPE: ," .?:?- E :x APPLICANT: ??LC1G>? ? 7 I(:t i"! TYPE OF WORK: INSPECTION .. . ., F r.,_ ?=NC?I.I)I4 Lt?. 151. _.. ?._._. iii'd''?f?1, W '[=; R ??.? i'=t L I. FY P I_ R(_i ? . . ? ??. . ? . ? . ? ? . .. . . . .... ? ? a. PERMIT # REACTIVATE _ ? CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 ? ??1 ?; '?• Li SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys. 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot char? e is re uested once ermit is issued. Date /z. /3// 9Z Valuation of wor `V]7,/670,°a Site Address:y31v ib, isrzo, 2Z zv z6 a_Zg u>N,r_ SiREET SUITE ! Tenant Name: (commercial only) IAT BLOCK ? SUBD./i"1?G/?/s?! Descri tion of work: The applicant is: OOwner Contractor ? Other (Describe) Property Name llv."x s Phone 4?B/-z6e/ LAST F1RST Owner address _93qo1 4 fi1??,4t,r STREET STE M City ,B1-001471AJ&To.? • State s?N Zip 5'?5%lf ZC> _ Company f"r9/011 ?iy ? sca,Y fo,^ 's Phone gi5l/- 'Contractor Address _0QEai zr,vd,gz_h_r s. License #ooai3fi1 Exp._33y City State i1%rY Zip S'??zo Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer 6 water licensed plumber [/i4ec:g sr /OLUIVr3,Av6- Processing time for sewer & water permits is twa days once area has been approve . 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 5tatutes and City of Eagan Ordinances. Signature of Applicant: /> " /z/3? , ,,- BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE t5 31 New ? 32 Addition V- N * R-I M-1 R_y GENERAL INFORMATtON Const. (Actual) (Aliowabte) UBC Occupancy Zoning. # of Stories Length Depth APPROVALS ? 11 Apt./Lodging ? 11 16 Basement Finish D 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Accessory 0 18 Comm.JInd. ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 15 Deck ? 20 Public Facility O 21 Miscellaneous ? 35 Tenant Finish O 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 ? 37 Demolish MWCC System `(Es City Water F-S PRV Required Booster PumP Fire Sprinkler No Census Code los C2NSu5 bUns. ! , C,eviquS U1+lis? a_._. Plannirtg Building Assessments Engineering Variance REQUIRED INSPECTIONS -* 14 01-E'• 2-?-iR, F.R. atzF-A wALLs Bt-Mje" uN'T? ? Site ? Wallboard Permit Fee Surcharge Plan Review License MWCC SAG City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/M Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. COpiE5 Other Total: _ SAC % 100 SAC Units 8 OFFICE USE ONLY t Y ? '??-4_?? ?1lQV? • ? 06 Duplex D 07 4-Plex IW08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 ReRair 9 Footing 12 Final 1I 6Z.50 239. o0 _I 2 r1 S. b3 (?ODD,ob E300.00 SSGo.oo toa.on . So zs9z,on 3) Z o. ac', i 649.63 vetuecion: E2 Framing 11 Draintile $ ZF'l $1 000.- PErrnlI r JST loe,nao = (?31j.SD 3`18Kx 3•50 = 1?323.oc GI?16,000x. oaoS = Z 39.00 pt14N l2ietlELJ lq6z,5bx.4s% s t2?5,63 )LAwcx- SAe.. SSh q5? _ (oooo. ov S x rob ? `6Dp? o c? wo.C- 5t x 69s= 5560•00 wP'°'`„"'?' r SV -* 5a = /oa ,>_?„ 4 ..,Lr N Insulation ? Fireplace -T i2r=Arm r7NT p.L^ H r 3 2N X U= 2592 . oD 0 a_ 3t 2?. o ? , . /?.x7'c-rZ i oR- Ut4 r Cdt?F-'r l?O? e EXTERIOR ENVELOPE AVERACE "U'.' COMPUTATION • ' 572>• t? ERCs?' ?? OWtIC R: ? . • ; . Alz) 51TE ADDRE SS: • 'DATE: PHONE: . CONTRACTOR: , OETEkMINfi MIORKING SQUAFIE POOTAGE OF EACNt f "U" TOTAL 1 EXPOSED WALL AREA,, , . , , , , sq t x . 2, TOTAL ROOF/CEILING AREA,,,,;,.4 41('a sq ft x"U" I 3. TOTAI EXPOSED 14AlL AREA CALCULAT10tJ5: Total exposed wall area above floor,,;,,,,,, -t•t?--- ft - a) Total wa11 window area: . DOUPLE 9lazed...... t?O, b6'j sq ft x"U" p giazed. , .... •`?'"' sq ft x U" _ , . . . . , gn area '+ l d 1` x ?11111. ? •'? / a l% b) ... oor Tota c) Total slidltig glass door area: ' • ' j)OUgI...E 9lazed...... -?- sq ft x Stu" ? ° •?? , gla2ed... .. . `^ sg f t x ?tufi d) s .7ota1 ftreplace wall area 9 f t x "U" . -q.B,? ! o4z y?5 e) 7ota1 wall feaming area co??av 5y (Average 104).... ::.. lob , 5 ?? II ft x U I(o _ f) Total net wall area above • 04?, j3, ?c IOTP. 3D4- 5_8 floor (Insulited).gj":':'4` q'1 ?C5 sq ft x."ull - 067 = ?5,?? g) e7rpl z?- Total rim Jolst area.GPi".°°Af 5q ft X"U" ,o 4q •044 ?' Total foundatlon s q f t erea (Exposed)..+....... h) To[al foundation ..+...• wtndow area...... 1) Total net foundatton area above grade........ 3• x ull ; ---- sq ft x "U" TOTAL a) thru 1) If item N3 is the same as, or less than item'Pl, you have met the intent of 2 P1CAR 1.16008 A and 0. ' Page 1 . . . ' ., • 4. TOTAL EXPOSED RQOF/CEILIPIG CALCllLAT10tI5; . . " Total expnsed / roof/cetling area.....,.. ?7 ?0 sq ft J) Total skyliaht area....... ? sq,Ft x"U" k) Total roof/ceillnq framing i ? ? area (Averaqe 1n9;) .,,,,, 7,W sq ft x nU QZ6 o . 1) Total net Insulated roof/cetlfnq area....... sq ft x"U" OZZ ?° ?i. -. TOTAL J) thru 1) if total of dh ts the same as, or less than N2, you have met the fntent of 2 MCAR 1.16008 A and 0. , .. {. ? ? .:.•. ALTERNATE BUILDIfIG ENVELOPE DE51fN To utilize the total envelope system me[hod, the values estabiished 6y the sum or items 93 and #4 shail noi.oe greater than the sum of items H.1 and N2. + 2. ?4' QS a ?77,1?' C E R T I F I_ A T I I hereby certify that I have calculated the values herein and that the buildinq here.descrlhed of M(nnesota Enercly Conservation Act. ? Slgna?u 0 W "U" factors and "R" meets or exceeds the State i re (Date) , PaFe 2 _ (Dmryro,.r 604 u- 'ISTRUCTION R VALUE AMING SECTION:,, ?.?? I.ntertor air ffim / " (a . U.ri ' tnches.so t wood ? u G? Exte? or a r m n. 7 , TOTAL R U a 1/R ' , l(o wALL stCTiON (INSULAtED) --(1 Interior air fllm 0.68 -{2 ?/ G •• • o. b --?3 2?? 4as /..rSUG I 1• cD --{5 • ---{(? Extertor air film 0 17 • TOTAL R a jj.U U - i /R = .O'!o7 ? 9 RIH J015T SECTIDN: n.6ft -{) Intertor air fiim --(2 Q 1 q Fec• ?s ---{ 3 T-- - 114 -?l6 u r? -{ 5 -n 17 --(fi Exterior ai r f I im -" TOTAL R = _Z;0, FOUNDATION INSULATIOPI REQUIRED: U e I?R Min. R-5 on entire wall OR . Min. R-10 down to frost depth pp,; I o ? '4 FOUNDATION SECTION: e; - - •. 1 Interior afr film .,; , ,? 2 2,11 17*t-o jD.a ? d 'AY A•,' ?I Exterfor a r iIm n.17 , • o= .•, A, . . • G . 05 . d. ? q:o•_' i,. , r ? (6 ,_ TQTAI R = .?I U° I/R a "OO O SLAB ON GRADE ?a ? . ? •? .•;. a , r ;4 '?. ••? a ., ,.. ' n' Heated Slabs: Minimum R = 8:5 Unheated 51 abs : Minimum R ? 6.2 ,.. • . _ _ . ..` .? •o • ?.-?-,?`?ci? ?-'?.?1••?.4?4: 1q . • . a ' - ' ? r / .R • ? ? ? ? 4l ?, , yr•• •? ' ? 1 •?. . ? ? i . •? ? . ,. ti ' , . . ? ;• . . • •• ?.4• • ? ?I ' ?. a. .,? ? ' q ' • ?' . , . . PaFe 3 o?- terfor afr_ti Im 5 r Di h--1 (4 R vnLuE 0.69 c5.45 5 i+-'r4 ,1 rx --?? - n.t7 nTAI a e in Q. U= 1/Rs .011- wAU aECTION (INSULATED) --(1 Interlor alr fil -{2 %' G?P. •Bp• 5 V/?.11?t? SIDi,•14 A Exterlor alr film n.6R 0.45 J O.lol ? • 0.17 Tl%TA1 R e 99 41 Ua R?N?01 ?,--- -{1 Interlor alr fllm n.6R r*7 0. _ ia crz i. I c /,L-t a dL ? I t , 5 VI?.IY?- 6 Exter or afr FOUNDATION INSULATIOPI REQUIRED: ?ra f lm TOTAL R = n.ll Zz sr Min. R-5 on entire wall OR U°IIR ° -? th d ep Min. R-10 down ta frost : •A• -? FOUNDATION SEC lor . alr er fi lm n.hfl ? o; • ? ?•A6 •A Y 4 Exter or a r ilm n•17 o ' ° 5 (6 = TOTAI R a• ... ? U= 1/R= SLAB ON GRADE :•` a' .a? ` .4 ' . . ?4? ? • ??? A . , ? •tl ,, a ? ? ? ?,?? ,. \ q •., .. ? G ; r . . Heated Slabs: E • ?.'? ,a, Minimum R = 8:5 : ' 4 Unheated S1 abs : - ?v •, mum R ? 6.2 a ? .. a '. a . .. • •,., a . .,.,.. ?? .g. .'? tl 2 x4p Lc) A-L. t, '/ V (t'j '(1--- "-1lSTRUCT I ON AMING SECTION:,. 41 I.nterior air film 42 ?neNes_so t wood .., ,. o • u . ,a . ,•'•,-. ?,o, ."q ?. '• 4: •. , .?. +.1? ? ,i..?` "? - ' 4'•' ti,c . . . . ? ? ? . . d ?•d t1 •? . .• ?•. ??,• •? . . d-r 4 , ?., , • . . , - ,4 '? . .?q• •?? .??? . ., ? , • ? ? 4' ; ? a.?'; d•',. .• ' . . Q. • IO • ' q ' • ?' . : • •• ,Q ? ? . .- ?;•.?? rnFe 3 ? ? ? VENTED CONSTRUCTION R VALUC- CEILINC SECTION (INSULATED): j Interlor air ftim ?.61 AIR 2 W G YP $P O. yb e.ow?1 • l..tsu ? . ?' .oo cxuTE 3 R-? 8 • 4 Exterior alr f(lm still ?•?+1 TOTAL R a ±f18 CEtLING FRAMINr. SECTION: 1 Interlor afr film 2 EGYP • BP.- 3 -3 /-tSuc,. _ 4 Itor a tr f lm 5 f nches sof CEILIN.r, FRAMItlr, SECTION: ? ?? 1• Intertor atr film 2 3 4 Extertor air f im stiil n. I 5 inches soft wood TOTAL R ¢ CEILING SECTION (INSULATED): 1' Intertor aTr film 2 . 3. +4 Exterlor air film still ?• ? TOTAL R = U- 1/R° Usl/Rs.O?Z 0.61 p. 5?a . ov sti I1 t wood 43y TOTAL R ° 34.13 U- 1/R=-a-h U = 1/R = Inslde air film n'61 2 3 ' 4 n,17 5 Outslde alr film TOTAL R = U^ 1/R? Paae 4 i .. ... ? ? I ? , `,?_ / ?-/`y?? 6V? -- ? P-j ??- ?o ? 3 a ? 2 d 3-7. --77 _ ?S? 3a, z3 ?? 6y ? cM • ..?.?? _? .Y...__ .._..?_ __ - -- - 7 - -- ? ; , i. ? --- I , ---- , ? i .\ . . , ? OWN[R: SITE ADDRE55: EXTERIOR ENVELOPE AVERACE "U'.? COMPUTATIOtl ? t?).p e?;LrF 4'?'Me -ri-Rd iz?a LiTj7. ?4p'y oFM ? DATE: PHONE: COtITRACTOR: , DETERMINE WORKIHG SOUARE FOOTAGt OF EACH: 1. TOTAI EXPOSEO IdALL AREA,, , , , , , , sq f t x "U" 0? 17.9-8 2. TOTAL ROOF/CEILING AREA,,,,;,.? ?Z sq fC x"U" j. TOTAL EXP05ED IJALL AREA CALCULATIOFlS: Total exposed wall area above floor,,,,,,.,, 0 sq ft t a) Total wall wlndow area: DOLiPLE glazed,,,,,, q$ 2L, sq ft x"U" glazed,,,,,, "'--' Sq ft x 'lU" b) Total door area 3-7,1 sq ft x "U" c) Total sliding glass door area: DoIJRLF glazed.... .. sq ft x "U" glazed...... r^ sg ft x'.'U'i d) .Total flreplace wall area sq ft x"U" say e) Total wall framing aread.?M? ?? ll (Average l0a)......,.... sq ft x U . ?-9 # ±? , i5 _ -- l 12P?- ° y, ? ..- ?--?'?' v . 042 ?? ? ? f) Totat net wali area above ?• floor (Insulated).?01":"Y4!'f 7P sq ft x."U" -04- 4 z.?9 g) Total rim Jotst area :':?:Ptj sq ft x"U" Total foundatlon area (Exposed).., ...... _ sq ft h) Total foundatlon ? i ? ft x"U'? window area........?.... g ' t) Total net foundation -? f t . x"U" 1 i-'- ° area above grade........ s q TOTAL a) thru 3 If ltem N3 is the same as, or less than item P1, you have met the intent of 2 ttCAit 1.16008 A and 0. • t raee . . _ ,. , . , _• , . • . , . ??. TOTAL EXPOSED ROOF/CEILINf CALCULAT10t15: 4 Total exposed ??? -- Sq ft ; roof/cetling area........ J) Total skytlnht area....... "-? sq,ft x"l1" ° Q ? 1y_ k) Total roof/ceillnq framfng QZ 6 area (Averaqe 100 ...... sq ft x U . Total net tnsulated O? roof/celltnq area....... sq ft x"U" .? ° TOTAL J) thru 1) h.4 G If total of #h (s the same as, or less than N2, you have met the lntent of 2 PICAR 1.16008 A and 0. , ,.. , ? . .•. ALTERhtATE BU I LD I t(f. ENVELOPE DES I GN To ut(lize the tatal envelope system method, the values established by the sum u( items b3 and ?4 shetl not oe greater that-i the sum oT items 91 and N2. + 2. 3. 113. , 3? + 4. 15 •Ol? - ° I ?S k0 C E_ T I F I_ A T I 0 W I hereby certlfy that ! have calculated the "U" factors and "R" values herein and that the bulldlnq here destr(bed meets or exceeds the State of Hinnesota Energy Conservatfon Act. ? i/ /;•%/ '%/i "l!• • ? Slgnasure j (Date) ? . ? W4(., F-Pf?lnor-m? "DflSTRUCTiON RAMING SECTION:_ 1 f.nterlor ali fllm 2 / " (s . - 3 !?2' (nches.soft 4 " Cr & . -. ?fjj 5 F Exter or a r m R V?A_LUE Q.69 i , 0.17 fOTAL R U a 1/R a. l!v WALL SECTION (INSULATED) -{1 Interlor alr film -{2 S/ G •• o. 6 -? 3 Q/3 4as /..?S UL I o. ? -ca si- .. G rP ao -?s ? --{ f, Exterlor r fi im ai - !? 97 707AL R = U - 1/R = .d7o ? IC RIH Jo15T SECTIOtI: n,68 -{1 Interlor alr fllm --(2 ?2-fQ ??i • ? /?f5u?. l`f,D ---( 3 -{4 -{5 n.17 -{6 Exterlor air ftlm TOTAL R = 2C,A1 FOUNDATION INSULATION REQUIRED: ? n ??R a o? Min. R-5 on entire wall OR Min. R-10 down to frost depth FOUNDATIOtJ SECTION: n.AA 1 ln[ertor afr ftim o 2 " HP-ti ? OP1??1 Q ? 3 A, o,iG 4 Exterior a r film 0.17 ? TOTAL R = I ?'"`; U = i/R ? J0se SLAB ON GRADE ? Unheated Slabs: Minimum R = 6.2 GXre? ., .. . or a ""`ISTRUCT I ON 4MING SECTION:,. 41 I.nterior atr fllm woo ? ? WALL ScCT10N (INSULATEO) -{1 Interlor alr fil -{2 1 (A' ?yP. •P?P• --( 3 - ._--.1%5 ---(6 Exterior alr fil ScDrti-!U R VALUE ?.6A .,. TOTAL R = LO?- U - 1/R n.6R U rr-er.?if? ? n'DG • . e1y--HM ? ntt?" FOUNDATION INSUI.ATIOtI REQUIRED: ? a ??R ee;., D_F nn ontira wall OR D 1V11 4erl or"alr fllm n.f,A ?2 (3 n.t7 44 Exterlor a r iim (5 TOTAL R ? U= 1/R= SLAH ON GRADE E 2 x,6 W A-l? l, '/ V lI-i YV Unheated Slabs: Minimum R ? 6.2 : q ` .. . ,,. , . .- . ,' CONST?ON R vALUC• CEILINR SECTION (INSULATED): I Interior alr film 0.61 . AZR 2 S G 14, Ep . D. S6 cHUTE 3 Ft-44 BrawwL. 4 Exterlor air fllm still n•A1 TOTAL R = 018 U - 1 / R = .OZZ- ? CEILING FRAMINr, SECTION: 1 Interior air f11m 2 AW, GyP • Bn. 3 tz-33 h.rsuc.. 4 In[erlor alr fllm 5 3 ri2", i nches sof 0.61 p. f(o -? st 1 ?. 1 t wood 4, 3y TOTAL R a ?? U ° I / R°b G CEILING SECTION (IPISULATED): n ?? 1' Interior air fllm 2 ' 3' 4 Fxterior a r fllm still 0.61 TOTAL R = U= 1/R= VENTED CEILINr., FRANIPI(; SECTION: n ?? 1• Interior air fiim 2 3 n. t 4 Exter(or air ilm stfll 5 inches soft wood 70TAL R = Ua 1/R° ? Inside alr film n'61 2 3 '4 n,17 6 Outside alr ilm ? TOTAL R = ? U n l./R - ? n....? !. PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. NO. SHOWER Wa i Eit -(:LuSET _q BATH TUB _I Lo LAVATORY lb KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA 1?b WATER HEATER ed FLOOR DRAIN GAS PIPING OUTLET • minimum - i ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • Dak.Cry, lic. U.G. SPRINKI.ER ' home under const. ALTERATIONS • co e?ung WATER TURN AROUND STATE SURCHARGE TOTAL: SITE ADDRESS: LA?, ?-'I - INSTALLER: V Wvq Q_ ` o\ CZU ?-( EACH OWNER NAME: 1 f Q2•? ???t?J?J ?-?ti 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 15.00 3.00 15.00 15.00 LA'.1 f TOTAL ?- LA 3 - ;L QN - ?.u - .50 % ADDRESS: C Q t C) CTl'Y: ???Aj STATE: Y" 1?- ZIP CODE: PHONE #: ((91)- ) q'A?-&O-k t', __ SIGNATURE OF PERMITTEE 1993 PLUMBING PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 1993 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMIVERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUII.DINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT. NEW CONSTRUCTION ADD OP1 REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRACI' FEE. STATE SURCHARGE $.50 FOR EACH $1,000 OF ?w?' FEE_ MINIMUM FEE:$ 25.00 . CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: $ $ TENANT NAME: STE # OWNER NAME: INSTALLER: ADDRESS: CIT'Y: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT 1993 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. - -------------- --------- - ------------------------- - -------- - ----------- ie?NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE -3 L,--.2 E, F--g ? HVAC: 0-100 M BTU,/ tujiji 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING Cotvs7RUCI'ION) STATE SURCHARGE TOTAL SITE ?3 / FEES $ 24.00 °?/? • ? o ? e 6.00 ° $ 15.00 . tT- ?-'7- OWNER NAME: lfkr? A. C?46'Vv-E&-\- ??-? `5-r TELEPHONE #: -?? 0 INSTALLER: yYI 11JY111\r 11{iMLliRa ? *%I vJ 1- 1 • ADDRESS: 12481 Rhode Island Avc. So. SavLige, CITY: 894-0005 STATE: ZIP CODE: TELEPHONE #: ?a GNA RE OF PERMITTEE ?, L 7 1993 MECHANICAL PERMIT (COMMERCIAL) CTTY OF EAGAN 3830 PILOT KNUB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDWGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIItED FOR EACH DWELLING UNTT. DATE: CONTRAGT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF 99N"RM FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF EgM FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR . 1% :.. , .'. : ,. _ r ( V ? oY " ; ? , Z/SS i?- /lJ&S ?•'? ? 4 --? 7a S&0s 14 e-f,t cr3 CITY t]I= EAGAN CASE-iIE:I?;: DM TEkti:ChAi_ Ni7; 137 PAi =. 06/r'g,"?_? T):"fE r, i5:?1:2^ IBe NAME . Vf-iLL..I_ `r' 'E_L!MI;vG- 37:_C?, 3c cC' , i. 'L ." ° D ppi M T!; 3-711. 0(] ?314-q3Z? _ ? Tot:a1 !CeceiF,F. afflounF.; 3?5.CICJ - CF'00824`# i USFR ]:Ti: nCNIrE i ? i kC?rN?*%KXC%c%??%1c?It?X??%K#?M**?K*?C?r?Xc*?K??K*?c***kC?K?C _. • '-- ?' ? a . SerBaf # Chip # 1:? 70' ? _ Permit # a0 3 _ . Address: 1?39y - ?l 3 c2 1 AGREE TO COMPLY WITFi CITY O?iDINANCES OF EAGAN ? Signature: ? . . .. . \ . , . . Y COMMERCIAL ,5,5 94 2002 BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 3 Foundation Onl New Construction Interior Im rovement • SWctural Plans (2) sets . Architecturel Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) . Structural Plans (2) • Code Analysis (1) " • Cerlificate of Survey (1) • Civil Plans (2) • Project Specs (1) • CodeAnalysis (1)" • LandscapingPlans (2) • KeyPlan (1) • Project Specs (1) • Code Analysis (1) • Master Exit Plan (1) • Spec. Insp. 8 Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always" • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not ahvays" • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • ProjectSpecs (1) 1 • Energy Calculations (1) " 1 1 • Electric Power & Lighting Form (1) " 1 1 • Master Exit Plan (1) 1 1 • Emergency Response Slte Plan (1) ••• 1 1 • Soils Report (1) 1 • MC/ES SAC determination letter . MC/ES SAC determination letter • MC/ES SAC determination letter call 657-602-1000 call 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details. Contact Building Inspections for sample. 'Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. 7 ? ?7 00 . DATE: ? a2 WORK TYPE: _ NEW _ REMODEL CONSTRUCTION COST: 7?T7i? '-' SITEADDRESS: 4 31? ?L4 3Z? Kfa6-? fIp?1S L? C_t?_ M> C? P? 2 r 64L TENANT NAME: FORMER TENANT NAME, IF APPLICABLE: SUITE #: DESCRIPTION OF WORK Name: LOvRStid1??S 0? G??CLol.w?v? Phone#: ?( Z )381 PROPERTY Last First OWNER Street Address: _Z 13 1 p? ZClkt 1a ,t& P L? City: I .? State: ?N Zip: > S-1 Company: L L.D S S?? l? d F-> Phone #: (V0 6 ? 3? G-ati3 ? CONTRACTOR Street Address: /J Q e- '?-'> - City: 3U (L.15 VI \?' vA- State: 0"` t`' a.xcHITECr/ ENGINEER Company: ,' I1? I? I Name: Street Address: ' 3y- ---_ __ = Ciry: Zip: Phone #: ( Registration #: _ State: Zip: Licensed plumber installing new sewer/water service: Phone #: I hereby acknowledge that I have read this application, state that the information is corre t, a d agree to cor?lr I with all applicable State of Minnesota Statutes and City of Eagan Ordinances. J-•??-_ Signature of Applicant: ? , Updated 7/02 OFFICE USE ONLY SUBTYPE ? 01 Foundation ? 26 Pubiic Facility ? 30 Accessory Bldg. ? 14 Aparhnents ? 27 CommerciaUInd ushial ? 32 Ext Alt - Apts. ? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm. ? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE 0 31 New ? 35 Tenant Impr \?/ 42 Demolish (Foundation) ? 46 Windows/Doors ? 32 Addition ? 36 Move Bldg ?$, 43 Reroof ? 47 Repair ? 33 Aiterations ? 37 Demolish (Bldg) f? 44 Siding ? 48 Authorization ? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code SAC Code No. of Units No. of Bldgs. Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Basement sq. ft. First Floor sq. ft. sq. ft. MISCELLANEOUS INSPECTIONS ? Gas Service Test ? Heating APPROVALS Planning Building ? Insulation Engineering sq. ft. sq. ft. sq. ft. sq. ft. MCBS System City Water Fire Sprinklered 0 Plumbing ? Stucco/Stone Variance Permit Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage SNV Permit S/W Surcharge Treatment Plant Park Dedication Trails Dedication Water Quality Other Copies VALUATION $ % SAC SAC Units Meter Size Total $ (a 0- 2007 RESIDENTIAL PLUMBING PERnniT APPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ) I / 21 ! 01 Site Street Address ? . Unit # Property Owner TV?Vj h M ( e?' 1' k1CJ Telephone # ((P51 rlo- " Champion Contractor 651 3RF.1M Telephone #( Address 3670 dodd Rd. #100 City State Zip The Applicant is: _ Owner & Occupant Licensed Plumbing Contractor Septic System - New Refurbished Submit 2 sets of plans and MPC license - Includes County fee $ 100.00 Per as-built $ 10.00 - Fire Repair (replace burned out fixtures, etc.) ? $ 90.00 This fee a lies when extensive lumbin re airs are made to a building. Alterations to existing dweiling $ 50.00 _ Add plumbing fixtures to main level lower Ievel. This fee includes installation of a water softener andlor water heater at the same time. If you are insta!ling on/v a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are instailing. _Septic System Abandonment _Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Water Softener L?/Water Heater $ 15.00 _ new ?replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge ? $ -50 Total I $ 1 " , x5p - 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 oniy 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. ?Owt C?,u I I? T-?r? ApplicanYs Printed Name Ap icant's Signature ?/!1 3 ? s SURYEY FQR:marv bESCRIBED A5: (:ounty, plinnesota / t 873.3 5o nouies'ln . reservi ? eas Brt•? ' / 1* / \ , ?tizh• ?i ?? e ao ? i ? 5A i .q . 'k 74. r2 yb19? ...d-.: .. '... r,a 4 ?sa°'?M#6`p up°°ytplb?sN ??Q4f? 874. \ ?9. ?a i?4?'° ????,+" ? •a` 44? q+et,tps,?ilep ? / ?1?'? a4? oR°??6•? ? 879, ' , ?e)9.??d? $ •?ts??e ????e^ ?•o° ? PF10f'OSEb ELEVA710NS Top ol foundallons v e75.0 Garege Floor n g747 Basemenl Floor e N/q Approx. Sewer Ssrvice El ev. e Proposed Elevallons e ? Ezlsling ElevAllons OreinapaDlrecllons s,,..,_? Denates ollsel Slake ? iD lifEDLUND Planning Engineering Surveying ft01 Ebl Bloomlip?e? Frtew BbaTln lon. Mlem.eb 65Itp WeoM.r10121lee.oi?f \\ \ \ \ \ \ . ? ? ? x \ \ `'Y ---- ? ^?? '+i ? `-----? w ?/ N90' 00' 00' E 40.93 z 1., 1•IGGIIANS Al1llIT10N, City of liag:ui, Unkota ts of recor(l. k", . i? \ \ \ \ ? ? ? . . .., ? ? 4 . ? , ? / / / / / ? 0b O? ? } ?Y ` ' ??..`. . . ..... _ ? _ ? _.. ... V I MIN. SETBACJS REQUIREMEN7S I Front - Flousa Skle - V Hear- Garaga Slde - SCAI_E, I Inch Q 30 Feet 1!IE(IEBY CEqtIFV TO MAf1Y ANDERSON IIOME9 TIIAi TIIIS 19 A Tql1E JOB NO,: ANO COIIIlEOT REPIIE9ENTIITION OP 711E BOUNUAIilE9 OF if1E I190VE 72R-507 DE9CR16Eb PROf'EIllY 119 SURVEYED BY MF Ofl UNfiE11 MY bIf1EC7 SUPEIIVISION AND bOES NOT PUI1P0(IT TO 6110W IMPFlOVEMENT8 O{I • BO?K: PAGE: ENCIIOACIIMENTS, E%CEPT AS SIIONM. . oal. C)• J R .. ID6HEN. LANU RVEYOFl CADD FILE: OWO. ? MINNES fALICENSENUMBER14378 mNRq2-q I vu peilor?s G'ert«cate - ?w ? SURVEY FOR:rlarv Anc so 'IlomeyIn . DESCRIBED AS: l,ot raEcIinNS A]1bITI0N, city or r-.?gan, nakota County, Nlinnesota n( reservi eas ents of record. g72.1 ' B72 ? I ? 1'ik 10- • a? '? / \ ge`?O / ?? \ C) ? ??' l ?3? s¢S?O. G $ ? ? / $ cPj /? \ O / 9 8 ?•°' Sy`'° `g, 'Q o•d?r ` ?S ? w 873.3 ? D N ??o?,°?e?yt°*$ ed ?44e ?eb? \ 879• r ?°'? ? {?S?°° ? ?'?°IF`?y o? ?es0° $ ?? \ 8?r4 \ ?? ?°'a' ,t?• f g? ? . ? ?° s . ., . . . ... , '. ii... " . ' I ?. ? ''''2. ' . ? Yt::-:. . . l/ F =.....: .. ... .. . . .. \ ;',? .... .. \ . • `?,?:.. nAk. .-. .v ., . . . .. ... .. -' ? '. ' ? , 8>4, ? ?. ? 44 `'- ? \ / ry K__ .? ' Ri- By .? ? .. . . .,_ .? - Dat? y Wi... ? . d3d'?1?? •131V V721t7 ??51.J6.Lli ?1 .S.i PROPOSED ELEVATIONS Zo NCHMAR ?----J Top of Foundalfons 0875.0 ? Garage Floor = 8711.7 ? N90000' 00' E 40.93 Basemenl Floor a N/A Approx. Sewer 5e,rvice Elev. e , MIN. SETBACK RECaUIREMENTS Prvposed lElevallons e ? -- Existlng Elevnlbns ? Front - House Slde - ?- Dralnage biraclions a...v_.. Hear - Garage Sida - ?w Denoles ollsat Slake = O Z SCALE, 1 Inch = 30 Feet O 1 HEtiEBY CEqTIFY TO MARV ANbER80N NOMB9 THAT TlIIS IS A TRUE JOB NO.: ANp CORqECT REPpE3ENTATION OF 1HE 80UNDdRIEB Of ?IIE ABOVE ?pR-507 r?IEDL?/ND dE5CF118ED VilOPER?Y AS SUqVEYEb BY ME OR UNDEIt MY bIRECT SUPERVISION 11NU bOES NOT PVfiF'dqT TO 511UW IMPROVEMENTS Oq , ENC110ACHMENT3, ExcerT As sHOWN. BOOK: PAGE: Planning Engineering Surveying 9701 EosI Bioominpton ReeweY. Btoominplvn. Mlnnsfoll 5S4f0 lel?phona(l171 BBl-OZB9 J nWb. pppEN,1.ANU RVEYOR CADU FIIE: DW(3. CHK. MINNES AUCENSENUMBER14378 m14A92-4 Use BLUE or BLACK Ink For Office Use V~u ✓ City o Ea Permit 1 2 3 I I I 6 I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received: Phone: (651) 675-5675 1 I Fax: (651) 675-5694 JAN 2 4 2012 Staff: 2011 RESIDENTIAL UIL ING PERMIT APPLICATION Date: ~te Address: Unit Name: Phone: RESIDENT OWNER Address / City / Zip: Applicant is: Owner Contractor TYPE OF'WORK` Description of work: tr- k C,% tnnw SICtIVIh fl~f/~~i tQ r~ l '"t~S Construction Cost: 0-'- Multi-Family Building:-(Yes /No Company: - 1tt--LGrYt S ~-t~~" Contact_TJ ~('(~c f~ILk Address: City: I~~CIr c~?bpc~ CONTRACTOR State: Zip: Phone: CO IrJ--- _J '7 "--t License lit = Lead Certificate If the project is exempt from lead certific tion, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. ;Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Bull in ode ist be completed within 180 days of permit issuance. 4 h N x x Applicant's Pr nted Name pplican ture Page 1 of 3 I~ ~4 ^-e-- DO OT WRITE BELOW THIS LINE /0-2,939l 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 Occupancy MCES System Plan Review I ! Code Edition " SAC Units (25%_ 100%V) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction f / /M Width REQUIRED INSPECTIONS - Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Servi MV-Zi Gas Line Air Test Drain Tile Other: GM 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 VI"~r MCES SAC City SAC 0 Utility Connection Charge S&W Permit & Surcharge L~ Treatment Plant Copies TOTAL Page 2 of 3 Use BLUE or BLACK Ink Ana- r - - - - - - - - - - - - - - - - - I I For Office `Use l~ Permit* A I City of EaWin ilk I Permit Fee: 41 3830 Pilot Knob Road Eagan MN 55122 Date Received: V { I Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 Staff: 1 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: r t -13 Site Address: "Z-1 v3 z Unit Name: 0 ya, mk, -~:)Cj I C Q)a Anamx (2 S Phone:0,')_-&-70 -(a l { Resident/ y~3i~- '/JW~ Owner A dress /City / Zip 3l _ p- z - 3_ hwd ~ vrL Applicant is: Owner Contractor Type of Work Description of work: 2l~_ Rc~ f k k ,t Construction Cost` Multi-Family Building: (Yes Y / No Company: ¢M~ -L Contact: t t-~'t~ ~(--LE Contractor Address: 013kVAIu RIO 33 City: v~00's State:V~w Zip: y` o Phone: I - _T7~ License ( (o?S ~J Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THI AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: I NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of 4 g 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 permit issuance. n x l'1.2.C~~~l ~s x Applicant's Printed Name pp J gi~ature Page 1 of 3