1625 Oak Ridge CirSITE ADDRESS /(.p oJ l OAk i GeT f Unit #
Permit # 87
?0?L B 1 ct.lSub. DA-,JQ?2. t0umi?
(¢ . ?3(:)vo- Se/G rj'
INSPECTION INSP TOR OATE COMMENTS
? 4 /a
n -/- 9 GL
7 ?Ql
INSPECTION INSPECTOR DATE COMMERTS
SITE ADDRESS ?60?9 DQ K-&['6E ?,r- Unit #
PermR #68!
L r B I Sect./Sub. DQt<::Rlq¢ Nami ?J 1'i0U l/1
'P, a?o2 . -Y1u 4 ?q'?T
INSPECTION INSPE OH DATE COMMENTS
-/S-q
u -a3-46
3- -4'
C,?
2' . -s
-0
e
INSPECTION INSPECTOH DATE COMMENTS
SITEADDRESS????? Unit#
Permit # o587
L [ B? Se ./Sub. OAK .Qp f"ramj? lqous;na
ej?. ? 99a l ?-,? ?t °°
INSPECTION INSPECTOR DATE COMMENTS
a S h ?
`-
u"6
e ?xv -(S= b
INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS/-/Pa iuQ_ Unit #
Permit # 9G 5 97
L B ? sect./sub.l?al<?Kl?e C"avnill/ f?ousiYla
?°.C/99a4o c ?? alr4i& ?'9v
°? ?-
INSPECTION INSPECTOR DATE COMMENTS
Jeh
s ? ,8
-yr2? ?s
a ?ti-96
rAbt-
T ,
?N a- ?. rn =-9L
?
INSPECTION INSPECTOR DATE COMMENTS
Wert?ftcate vf Cccuoancv
WU4 of Cfagan
zc0s"N[cat ef 13stiixg a»occti,x
This Certificate issued pursuant to the reqair+emerets of 1he Unifarm Building Code
certifyiag that at tlu time of issuance this structur+e was in compliance with the various
osdinances af the City regulaling building cortslruction or use. For the fo!lowrng:
use aassificatioe: 6-AFJt s{dg. Pemiit Mo. 06587
O-Uv-r TYve R I,/[l I zotioa nisa;a g4 7ya const. VN.
ownv of suiwmgD4id7PA DTIY HRA we&ess 9446 1G 57M c'r W, ,?3=
BuiWing Addiess 1625 oAK _ TTm _ R I'onliry T 1 R it ATTYE FNItTi V CYi1CW
/
? Ds[t.
Balding OtBaal !
ALSO INQIlIF.S: 1627, 1 %A4 M?% W-AW
• , a _ _.,,.r : ?
,-::-aTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
SITE ADDRESS:
UilF. !i ! Ili?l_ i e?M i t 1' Ii1111'
PERMIT SUBTYPE:
INSPECTIqN RECORD
• - - • PERMIT TYPE:
Permit Number:
? date Issued:
APPLICANT.
I k ? ? „I? , 1 t?l
i Plt, ? .. I . • ? •? ? ?,?
TYPE OF WORK:
Ic111 f 11 I M
fGf/C4
INSPECTION D. . .•
?
• . i : , ; 1 N111
l6.t ! fiHIC 6t 1 t)lif- 4 1 k
T'kV ?lJ !•! Ill?
•
r ' . .. . •
?
Psrtnk No. Psrmit Holder Dab TeWpAone i
ELECTRIC
PLUMBING (P 9r?/"?j?"?
HVAC
fnspection Date Insp. Commenta
FOOTINGS Yw` / 7 /
! e
FOUND
FRAMIN(3
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
,V
ROUGH
HEATING
GAS SVC
TEST
INSUL
?o
GYP 80ARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?
Si Lt I /r
REQUEST FOR ELECTRICAL INSPECTION ??'?'N EB-00001-09
? See instmclions for mmpleting Ihis form on back ol yellow copy. ??# ?3079
-•?'X" Below Work Covered by Thrs Request
Ne Add Rep. Type of Building AjSplianbes Wiretl Equipment Wiretl
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other Ispecifyj Contratlor's Remarks:
Compute Inspection Fee Below:
# Other Fee N Service Entrance Siza Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ?}d 0 to 100 Amps 6T
Transtormers A6ove 200 Amps Above 100 -Amps
SI f15 Inspector's Use Onty: OTAL
Irrigation Booms ?/ys
Special Inspection ?
AIamUCommunication THIS INSTALLATIO AY B RAl CONNECTED IF NOT
Other Fee COMPLETED WI 8 M
I, the Electrical Inspector, hereby
tif
h Rough-in • oere
y t
cer
at the above inspection has
been made. F??ei , o e r?
OFFICE USE ONLY
This requast vad 18 months fmm
0-1
9-243 ? ? ?
ti
G o
u ?, ? . .
Rcques Date Fire o. Rouqh-In Inspe -on uiretl Inspaclion Oth han R gh-In
(VOU mu_s,?all in eclor when reetly) ? Reedy No WIII Notiiy Inspector
?yJ Ves ? No Date Reatl
I C9'flcensed contractor ?owner hereby-request inspection of above electncal work aC
Job Atldrass (Stteet, Box or Route No.) Ciry
.f LJia.(r[< I
?J11'V
Section No. Township Nama or Na Range No. Counry
?
Occupanl(PRINT) Phone No.
9s
.¢ C,, ,- q Y?8
Power Suppller qtltlress
ElecMCal Comroctar (COmpeny Name) ConVactots License No.
, C9-d r.aa7
Meiling Addres
s (Conlrac
lor or Owner Making Inslallation)
^
Q
/ )i ?-J"'. '?4 LsF ?yIO/?? ??JS 7
Authorizetl Signature (ConVadorlOwner Ma g Insiellabon) Phaire Number
- e-I>6 6eaS
MINNESOTA $TATE B A OF ECTHIqTV
I THIS INSPECTION PEQUESi WIIL NOT
Grlggs-MiGway Bltlg. • flaOm 5130 II IIII I I I I III II II I I I I I I I ) BE ACCEPTED BY THE STATE BOARD
1811 University Ave., SL Paul, MN 55104 ? UNLESS PROPER INSPECTION FEE IS
Phone I6tt1 64R-OBOD I cun nccn
REQUEST FOR ELECTRICAL INSPECTION ?? Jes-ooooi-os
G d`' Y ? See insimctions for complelinq this form on back of yellow copy. ????
/4 Ch •`
•"X" Below'vVbrk Covered by This Request ?.
Ne d Rep. Type ot Building hpplianc2s Wired Equipment Wired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Speci )
Farm Air Condi[ioner
Other (specify) Convactor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps ?c 0 to 100 Amps /pS
Transformers Above 200 Amps Abo 00-- mps
SIgnS mspectors Use Only. TOT L
Irrigation Booms . C L/ G? q y?
Special Inspedion
Alarm/Communication THIS INSTALLATION Y BE qkRED DISCONNECTED IF NOT
Other Fee COMPLETED WIT MO J?'
I, the Electrical Inspector, hereby
ti
th
t
h
b Ronyn-m
- oaibi
'? ?w
ry
cer
a
t
e a
ove inspeciion has
beenmade. Finai
?y` _P
? `7
OFfICE USE ONLY .
This request vold 18 mon[hs fmm -
0 242 ..?307?
Request Dale
l G Fire o. Rough-In Inspeclio uired
(YOU mus? call inspecmr w?en reatly) I speclion Other an flough-ln
? qeady Now ? Will No[ify Inspector
? ryr- ? Yes ? N. Date Reatl
I QTcensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldress (Street, Box or Rwte No.) Ciy
f o?•? Z:? C 61,?? E.?,? -
Section Na. Taxnship Name or No. Fange No. County
A.*0fiJ7?9L_
Oceupan[ (PRINT) Phone No-
fy-ol?/* am
Power Supplier qWress
D 4ffZ4_tT__
Elecirical Con[raclor (COmpany Name) Comracror's License No.
?YIL,Cf/ ?2BG-7`?>?G C-40-014.7.' '^J
Mailing Address/? Con[raqor or Owner Making Ins?allation)
U'v, o ?r ,'??•? 3-s1 S-7
Authonua SignaWre (COntrdc[or/pwner Making IMlallalion) Phone NumOer
4179
MINNESOTA S AT RD F ElE ICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bldg. - Room 5128 eE ACCEPTED BY THE STATE BOARD
1821 Universiry qve., SL Paul, MN 551 W UNLESS PROPEfl INSPECTION FEE IS
hone (612) 6412-0800
REQUEST FOR ELECTRICAL IP(SPECTION ?p``EB-00001-09
See inVctioaJS completing Ihis lorm on back of yellow copy. ?? ???O' ///111
?
,
?j' (?• •"X" Below W?ek.Covered by Thrs Request ?'fr
Ne d Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Builtling Dryer Load Management
Comm./Intlustrial Fumace Other (Specify)
Farm Air Conditioner
Olhor (specily) Gonhador's Remarks:
Compute Inspection Fee 8elow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps d0 0 to 100 Amps
Transtormers Above 200 Amps Above-400.-Amps
SI ns inspecmr's Use only: TOTAL
Irrigation Booms 9y,rc -
$pecial Inspection
Alarm/Communication THIS INSTAILATION E O D DISCQN
NECTED IF NOT
Other Fee .
COMPLETED WITHI NT ???6t1
I, the Electrical Inspector, hereby
th
ti
t th
b
i
i
h Rouqn;n
a?
ger
ry
a
e a
ove
nspect
on
as
been made. Final oam
OFFICE USE ONLY
This requesl voitl 18 months from
?
0-1 9
41 D
9
?,ra . ?,??°
Repuest 0'ate Fire No. ough-In Inspec6o ired I peclion Olh r Than Ro h-In
(VOU must call inspecmr when reatly)
? ReaEy No ill Noliy inspeclor
(? ?s
N. Dafe Reatly
I Qlicensed contractor 0 owner hereby request inspection of above electrical work at
Jo0 AtlOress (Sireet, Box or Route No.) Ciry
%L s--7 O,B+en!.u° e [? -Yc-e% - •o?.? .
Section No. Township Neme or No. Ran9e No. County
Occupant(PRMT) PFwne No.
?y ?!L? q
Power Suppii¢r Adtlress
yATYOTIq- Li144.0-=
Electrical Contractor (Company Nama) Contrzcror's Licensa No.
?1zD G' ??-a '?
Mailing Adtlress (Conhac?or or Owner Malting Installa?ion)
?? B•?Lt S6 G.?e..t. .yrir?„J 35-
7
Authorizetl SignaWre (ContraqodOw er Makinq Installation) Phonre Number
?ly9
MINNESOTA ST T BOA OF ELECTRICfFY THIS INSPECTION REOUEST WILL NOT
Grigga-MlAwey Biag. - Room 5128
11111 BE ACCEPTED BV THE STATE BOARD
1821 Universiy Ave., SL Paul, MN SStOd
I
nn?...ra1mau_ium .. UNLESS PROPER INSPECTION FEE IS
-11. --
?j?/ ?FOR ELECTRICAL INSPECTION EB-00001-09
^? ? s for complcling this form on back ol yello?v copy.
? 'X' Selow Work Covered by This Request ?c ?•
Ne d Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Hea[er Electric Heating
Apt. Building Dryer Load Management
Comm./Indusfrial Furnace Other (Specify)
Farm Air Conditioner
Olher (specify) Contreclors Remarks:
Compute Inspec[ion Fee 8elow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 11 0 to 200 Amps ..70 0 to 100 Amps (a!r
Transformers Above 200 Amps _ 0 ??mps Y
Si n5 inspecmr's use Oniy: TOTAL
Irrigation Booms
Special Inspection ?
Alarm/Communication THIS INSTALLATION BLAY BE R DISCONNECTED IF NOT
O[her Fee COMPLETEO WIT MO
I, the ElecMCal Inspector, hereby
dif
th
t
h Aoughin ?
f
12 Dat ^°?92
ce
y
a
t
e above inspection has
been made.
1)
OFFICE tISE ONLY
This request vaitl 18 months from
.5'30 ?9
Requesl ate Fire o. Rougn-In Insp ion quiratl Inspedion O[he Than Rou h-In
(YOU musl II in c[o? when reatly 0 Ready Now ? ill NoUty Inspecbr
Ves ? No Date Fead
'I Qlicensed contractor ?owner hereby request inspection of above electrical work at:
Job AOOress
(Street, Box or qou[e No.) Ci?y
r
/'?Y?
?'1?sf'1
4 e/?'L .
Sectim No. sh
ip Name or No.
m
Tov Rang
e No. Counly
) ^-dr'4 -
Omupant (PRINT) Phone No.
. .? CIO_
Paxer Supplier Adtlress
?/41LdT'¢ ?ZC??.
Elecltlcal Convador (Company Name) Conlractor's License No.
?G" Yh/%a' ???,Gf?'iZ .ri??Gi C?? D/1ey7
ailing Atltlrej (COnVaclor or Owner Making Instalietion)
1'"". 60? S6 G.•
Aullronzetl Signamre (Co ractorl0 er Meking Installation? Phone Numb
er
? p
/ (y
?7a CO Q
?s /
MINNESOTA STA7E BOqFO OF ELEC ITY THIS INSPECTION REQUEST WILL NOT
Gtiggs-MiOway Bldg. - Room 5-128 BE ACCEPTED BV THE STATE BOARD
1821 Unlverslly Ave., SL Paul, MN 55100 UNLE55 PROPER INSPECTION FEE IS
Address 1625 OAK RTDGE CIRCLE - 1627, 1629, 1631 AL50 INC[,i1DED Zip 5512 2
L.ot i Blk 1 Sub onx RmcE Fnrns Housarc
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: ?
Final gtade (6" from siding) Ll
Permanent steps (gatage)
Permanent steps (main entry)
Permanent driveway j?
Pemianent gas q/
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish ?
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potenual exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler syscem.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy w
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 5 8 7
(612) 681-4675 Date Issued: 10 / 2 0/ 9 5
SITE ADDRESS:
1625 OAK RIDGE CSR
L07: 1 8LOCK: 1
OAK RIOGE FAMILY HOUSING
DESCRIPTION:
BUildiny'-Permit Type
6uilcling W'b,rk Type
'''UBC Occupancy
GonstruGtion Typ,e
Zon'sng _ ;.
Building 4Pngth
Sui,lcl.ing W?dCh
Bu3!lding stories
.A??'z<'? "a
. ..1
4-PIEX
NFW
R-1. U-1
V--N
R-4
39
106
2
>{_" I
REMARKS:
INCLUDE5 1627 1629 1631 OAK RIDGE CIR
PRV 5 & W PLBfi -
FEE SUMMARY:
VALUH7ION $3f?2,000
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Subtotal
$1,897.25
$664.04
$151.00
$3,400.00
100
4
$6,112.29
CI7'Y SHC
WATER CONNECTION
5 & W PFRMIT
5 & W SURCHARGE
TREATMENT PLANT
ROAD UNIT
Total Fee
Q? $40/0?.00
`V 3q 0 0'V .0 0
$1@0.00
$.5N
$1,488.00
11. 700.00
$12,800.79
CONTRACTOR: - Applicant - sT. l zc. OWNER:
FRANA & SONS INC 19410282 0007620 DAKOTA COUNTY HRA
7500 FLYING CLOUD Oft 755 2496 145TN ST W
EDEN PRAIRIE MN 55344 ROSEMOUNT MN 55068
(612) 941-0282 (612)423-8111
I hereby ae'knowledqe that T have read this
informaGiqn is correct and agrea to comply
Stal;utes and ity df Lagan Urda,nartc:es,
L
APPLICANT/PERMITEE SIGNATURE
appli:cation and state ttrdt the
wi'th all appiicable State of Mno
ISSUED B: SIG AT RE ?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
fl 995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
N!wl Construction Reauiremants RemodaURaoafr Renuirements
? 3 repisterod nile surveys ? 2 coples W plen
? 2 copiee ot plans (indude beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterbr additions 8 deeks)
? 7 enerpy celalaticne ? 1 energy calwlations tor heated addkions
? 3 copiea of tree proservation plan H lot platted after 717/93
required: _ Yes _ No
DATE: 9-19-95 CONSTRUCTION COST:?/`?7"??`???- G?
DESCRIPTION OF WORK: WOOD FRAME SLAB ON GRADE TOWNHOMES
I :/ l, n% 1. .,r 1i n/1 I? n 1 (-1 _ 1 {) . I I' -
STREET ADDRESS: ?
LOT _I BLOCK
SUBD./P.I.D. #:
PROPERTY N8R1@: DAKOTA COUNTY HRA
OWNER ""' """
T-/U-5/
0.??- 8i//
Phone #:61 z '-
Stf@@t A(1C1feSS' 2496 145th ST. WEST
City; ROSEMOUNT State:mll Zjp; 55068
CONTRACTOR CORIPH?ly: FRANA AND SONS, INC. PhOne #: 612-941-0282
Street Address:7soo FLYING CLOUD DR. #755 License #:0007620
(`,jry;EDEN PRAIRIE ' Statg: MN ZIP' 55344
ARCHITECTI COrI'lPBny: PAUL MADSON & ASSOC. PhOng #'612-332-7026
ENGINEER
Name: PAUL MADSON R@91Str'dtl0n #'013243
Street Address* 420 N sTx sT.
(',jty; MINNEAPOLIS, State: mN ZIp:55401
5ewer & water licensed plumber: ? Penalty applies when address chan - and lot
change are requested once permit is issued. , /1 ,? „
I hereby acknowledge that I have read this applicaGon and state that the
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
I Certifiptes oi Survey Received
I Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No
is ary66tsqnd/agrW tokbmply with all
i SEP 2 0 1995 11
i
?---_______.___ i
OFFICE U5E ONLY
BUILDING PERMIT 7YPE
.....+l6+?,,,....,
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
n 02 SF Dweliing.4d'-07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. a 10 _-plex o 15 Deck
WORK TYPE
-6- 31 New o 33 Akerations o 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
0-N Basement sq. ft. ? MC/WS System
?-
Main level sq. ft. SS7 City Water
Z o?-
??
/ sq. ft. ,
z, i??r/ Fire Sprinklered
sq. ft. ? PRV cf
Na a:..? sq. ft. Booster Pump
3p sq. ft. Census Code. I° y
!oG Footprint sq. ft. SAC Code ?
Census Bldg /
Census Unit
Building
Engineering
Variance
v
Permit Fee Valuation: $ lqOZi DOd ?
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn. • `
Water Meter ------,?
Acct. Deposft
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded. ? ? ?
Trails Ded.
Other /J
Copies
Total:
% SAC
SAC Units 40,
lyUIohiK( rr? ai'
/ {,h. ? ',-OL •?? /
?
CITY USE ONLY
L BL ? RECEIPT tl: D O?
SUBD RECEIPT DATE:
O
19 99 PLUMSIN? PERMIT (RESIDEN'PIAL)
C[TY OF EAfiRN
8$30 PILOT KNOB RD
f.AfiAN, MN 551 E2
(651) 6$1-4675
Please complete for: i single family dwellings
? townhomes and condos when perm its are required for each unit
i backflow preventer for underground sprinkler system
-----------------------------------------------------------------
FIXTURES -------------
EACH --------------------------
# -------------
TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x
=
Tub/S? 3.00 x =
He ^'
Z 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
1Nater Softener " for dwellings under construction 5.00 X =
Water Softener ' for exis6ng dwelling 30.00 X =
U.G. Sprinkl0f ' for dwelling under const. 3.00 =
U.G. Sprinkler " for existing dwelling 30.00 =
Alterations * to existing residence 30.00 =
Water Turn Around 30.00 =
Private Disposal System ' MPC iic. 75.00 =
(new znd refurbished systems)
Private Disposal Systems ' nbandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder: Call 681-4675 for inspections of water heaters,
water softeners, alterations, etc.
3
TOTAL 0
I hereby zcknowiedge thai i have read this eppliration, state that the informztion is correct, and agree to comply with all applicable City of Eagen ordinsnces.
It is the applicanPs responsihiliry to notlfy fhe properry owner that the Cily of Eagan assumes no liability for any damages raused by Ne Ciry during i45 nortnal
operational and maintenance activities to the facilities wnstructed under this permit within City property/right-of-wayleasement.
SITE ADDRESS:
OWNERNAME: \1v, R-
INSTALLER NAME: 17rc.' n?co 4?~Ci2?c . TELEPHONE #: ???I'6Y4?/
STREETADDRESS: -7LI III-Ik N?qtiu'rw pv-e
CITY: L?k.e ?s \4r STATE: /V1 N. ZIP: J??/•
SIGNATURE OF
CDIPERMIT FORMS/RPLBG PERMIT (RES) - 1999
/ CITY USE ONLY
?g? RECEIPT #: OC?17D S
SUBD. RECEIPT DATE:
7 999 PLUM$INe PF.tMtT (RE5IDENTIAL)
CI7'Y OF EAfikN
3$30 PILOT KNOS fiD
EA6AN, MN 55122
(651) 681-4675
Please complete for: ? singie family dwellings
: townhomes and condos when permits are requir ed for each unit
i backflow preventer for underground sprinkler system
------------------------------------------------------------------
FIXTURES -------------
EACH ---------------°---------'----------------
# TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/?pa 3.00 x =
lNater Heat?r 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 X =
Rough Openings 1.50 x =
Water Softener ` for dwellings under construction 5.00 x =
Water Softener " for existing dwelling 30.00 x =
U.G. Sprinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler ' for exisling dwelling 30.00 =
Alt6rdtion5 * to existing residence 30.00 =
1Nater Turn Around 30.00
=
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder: Call 681-4675 for inspections of water heaters,
water softeners, alteretions, etc.
? ?
TOTAL
'
-- ------------------------------------------------------------------------------------------------------------------------------------------
I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the applicanfs responsibiliry to notify the property owner that the City of Eagan assumes no liabiliry tor any damages oused by the Ciry during its normal
operetional and maintenance activities to the facilities wnstructed under this permit within City property/right-of-wayleasement.
SITE ADDRESS: ??? DctF ?c1cr? ?' ' e(Y' ?rr<>?+n '?--
OWNER NAME:
INSTALLER NAME: TELEPHONE #:
STREET ADDRESS: -')- ?//?9 y/h?.'Yw 4w.-° ZOL-
CITY: /_%STATE: /"74,' • ZIP:
?-21- 9 `7
SIGNATURE OF ERMI EE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999
CITY USE ONLY - ' `
L ? `BL RECEIPT #;
? i 9lP
t? SUBD.__ . .... _ ? ,? DA
,. ??..._ _ -. TE _. ,_. .: . . .. -.
M' c 1995:PLUMBING PERMIT'.(COMMERCIAL)
; CITY _OF: EAGAN.
?3830: PILOT,:_KNOB?RD
EAGAN; MN; 55122
(612)7:6814675
Please complete for: ? all commerciaUindustrial buildings.
?. multi-family buildings when separate permits are a4f required
for each dwelling unit.
DATE: Z- ZZ-!?-Zce CONTRACT PRICE: -? y6Fso c'?
F -
FIXTURES EACH NO. TOTAL
J Shower 3.00 z _
>= Water. CloseY 3.00 x =
Bath Tub 3.00 x =
? Lavatory
3.00
x =
Kitcheri Sink 3.00 x =
Laund .ry ,Tray 3.00 x =
` Hot:Tuti/Spa 3.00 x =
i Water'Heater A 3.00- x -
Floor Drain `` 3.00: . x -
Gas Piping Outlet' minimum -.1 : 3.00,
z =
Rough:Openin9s 1.50 z =
Water Softener .: 5.00 x -
Private Disposai ' Dakota Cty. iicense 20.00
U.G.-Sprinkler * home under const. 3.00 -
Alterations * to existing 20.00 -
Water Turn Around 20.00
,
,:. STATE SURCHARGE .50'
- TOTAL
- - - - - - - - -
I For Office Use
f Permit
City of Ea VR
Permit Fee: •x_71
3830 Pilot Knob Road
Eagan MN 55122
Date Received: `1 I
Phone: (651) 675-5675 ff I
Fax: (651) 675-5694 Staff: (
L-----------------
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: I1' L0c Site Address: jig -31 &o- k lzs r- Ct -cL
Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant:
PROPERTY OWNER Name: tekv-,.A1 k t tt' t ' t Tb PA4i-Aj4,C i4F/hone: (65-1) I 1 ` V ac
Address / City / Zip: 1 2--2- , 3 } C_ o: ( 2-
Applicant is: Owner ' X Contractor
TYPE OF WORK Description of work: ^ t r r t r =r f r "t+'~•`_
Construction Cost: OtCC)T>> L*b*rl;4-1
I 2, bYic
CONTRACTOR Name: CG 'i r, c-tlt ?t, License #:c
Address: M7-4 j. , A-1 t ,d rA rat-` 1,
City: t' ~ t J State: I+ O3 Zip: 5 rt i L
Phone: 76Contact Person: ra:,=+-
ARCHITECT I Name: Registration
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewer/water service: 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.
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 vvrk which requires eview and approval of plans.
X r, ;Q X
Applicant's Printed Name Applica igna ur
Page 1 of 3
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09/13/2013 02:36 6122251801 CNC CONSTRUCTION PAGE 02/10
use BUM or BLVA W&
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2013 COMMERCIAL. BUILDING PERMIT APPUCATION
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codes cf V e City of ftm: q* is oor OGW OW fie: t IAe sow rltl be M
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&I /1 Use BLUE or BLACK Ink
(�t�. For Office Use [ i, //�
City of Ilp p Permit#: l ` �'� i, `�
((� 11 (G'C)
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122
Phone: (651)675-5675 Date Received:
Fax:(651)675-5694
• Staff:
J
2017 MECHANICAL PERMIT APPLICATION
C Please submit two (2) sets of plans with all commercial applications.
Date: 49t11- Site Address:/60-/ —4,29" > OA 4. ilefit* fite,,...f.-e"
Tenant: VSuite#:
Sal E � Q:. Name: DA or " C't ', ! "7 /1
F �. �.' Address/City/Zip. �. +f3 3 "` :, /
Name Ray N Welter Heating Company License#:
" Address: 4637 Chicago Ave City: Minneapolis
� �°���' ' '��,
. State: MN Zip: 55407 Phone: 612-825-6867
Contact ,*Gori- Email: rickw@welterheating.com
" New Replacement Additional Alteration Demolition
" ®e_-,®` olic Description of work:
- NOTE ioof m6unted and ground nounted-mechanicatl equipmeissr quired to be creen:ed by City
..k Code'Pleacontact,e-Mecham,ca°)Inspector for information n ermscreenin methods.
--,:,,--_,----,,,,,,,t,,,,,,,-,„....„,—,„,---, ., ham. �w. ..:,�,..,,,
� z� RESIDENTIAL COMMERCIAL
r _Furnace New Construction Interior Improvement
$_ /z Air Conditioner Install Piping Processed
n 4' _Air Exchanger _Gas _Exterior HVAC Unit
r "akoloNklgta . _Heat Pump
_UnderlRbove ground Tank ( Install/____Remove)
",,,— —Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
•
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee
=$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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
4
Eagan;that I understand this is not a permit,but only an application for a permit,and wor nooto 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.
r4
x x ,T , y -
Applic is Printed Name Applicant's Si ature
1:'''':°--;'71
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