1556 Red Cedar RdCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
S1TE ADDRESS:
I'.•`• I I i
it . I M411 1 I I'lI; i 1, ? 1 t1?
PERMIT SUBTYPE:
r i;1) ?.,t :
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Qate Issued:
APPLICANT:
.Iii: 111t, i4t i ? NI
b:i '3 N 4.'
TYPE OF WORK:
wF w
LI E`? ( ft J f' 1 1 11?V ( t, A'; )
t?li t i 11 r N(i
0; 1 H144
or; / 1 4 ,/y4
INSPECTION .. . .A
?
-1
?
Parmit No. Permit Holder Date Teiephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Comments
Footings 1
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Flreplace _ jop
Final Htg.
Orsat Test
Final Plbg. Plbg. inspector - Notify Piumber
Const. Meter
Engr./Plan
Btdg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
?2
CITY OF EAGAN Remarks
Addition Oslund Timberline ?ot 16 Blk 4
Parcel
Owner? wIrte7- streec 1551 Red Cedar Rd. State Eagan, MN 55121
n? 4-17-1 Y r vL , i
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOING
SAN SEW TRUNK 1968 100. 00 3.33 30 PAID
* SEWER LATERAL 1970 2
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
* STORM SEW LAT 1970 1330. 00 66. 50 20 PAID
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. #3908 31.00 2760 4-26-76
sa,c 200. 00 3691 6:-9-71
PARK
CITY of EAGAN
BUILDING PERMIT
o W n.: .. ? .. ??.........?-D.? -zi!-01? ......................... ..
Addrese (Preaenl) ...............
? ??n
Buflder ....?.?(l..?l.Ze:?.r ...... ..................................:..........
Addreu .. ..?twJ=fi(....?.................q?Y..['2r?t?.ttxt?..P°.../?-?' ?
?? nESCAIPTION
e i•
N° 3908
3795 Pilo! Knob Road
Eagaa Minxresafe 55121
454-8300
Dala .?.`...?.a..'.?R..? .?I..lll ....................
Sfariea To Se Used For Fron! Dapth Heigh! Eel. Cosi lPermit F*a R?marin
??.?• i
?
JO?
r oa c>
? A0
This permit doea noi aufhosi:e the uae ot sfreels, roads, allepa or sidewalks nor does it giva the owraer or his agen!
the righ!!o ereale any situation which is a nuisenee or which presenls a hazard !o the heallh, safelp, eonvepience and
general welfare !o anpone in the eommunifp.
THIS PERMIT MUST SE KEPT ON T EPAEMI$£ WHILE THE WORK IS IN PROLgAEpSS.
This is !o cerhfp, iha2?c. c'r??x ..................... ..... hes parmisaion !o arect ........................... _npon
the above described premise ubject to the pxovisions of all applicable O:dicauces for the Citp of Eagan.
,....? ? ...................°-°-°----°-°-.. Per ?:???........ ........................ ._...........
Y..w. Mayor SuSldiny Impxloyk?
/6 -y i??
TOWN OF EAGAPI
3795 Pilot Knob Road
Eagan, DIinnesota 55121
PERMIT N0. 129
The Board of Supervisors hereby grants to Gopher Heating &
Sheet Metal, Inc. of
a HLjSTING Permit
at 1551 Red Cedar '
7/]9/71
Fee Paid: $20_00
.50 S/F
Savage, rfinnesota 55378
for: (Owner) Valley View Builders (Morisette)
load, Eagan 55121
pursuant to application dated
_ Dated this 23rdday of Suly , 197 ?
Building Inspector
TOWN OF EAG[N
3795 Pilot Knob IIoad
Eagan, Minnesota 55121
PERMIT N0, 123
The Board o# Supervisora hereby graats to t9eazel Plumbinn S
F(@atina, Inc. df 1955 Shaemee Roade E+igan. Ftinnesota 55122
a PL1St4RItiG
at iaRl Pec4 Ceder 2aad. ?:agan 55121 , pursuant to application dated
6/4/71
Fee Paid: $20.00 Dated Chis 4th day of June , 197 1
Pexmit for: (Owner) Joseph AtodesettQ
Building Inspectmr
EAGAN TOWNSHIP
BUILDING PERMIT
. ..
owne: .... ...... ......... ............................
---'
Address (Pzesent _..I..?!?.7_..-.0? .......-...... --------------------
Builder
Addrass
lv? 2404
Eagan Township
Town Hal!
Date .. 9/71 ..... ................ ...
Siories To Be Used For Fzon! Depih Haighi Eet. Cosf Permi! Fee Aemasks
?? -V P" v i'/ii a7
' I
07,
u . LOCATION
or
12LL ?,? I ?6 ? -x/-
This permit doea not eulhorise the use of sireels, roads, alleys or sidewelks aor does it g5ve the owner or his agant
the right to areaie anp siluation which is a auisance or which presents a hesard !o !6e heal?h, safety, eonveaienae and
general welfare !o anpona in the communilp.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGR SS. ' /
This is !o cerrifp. Shat-.-yQ} -'----...... ........ ........ Las permission !o erecf -??-.'.-?.,._-C?-f.,- d:-'4'?`?'' upoa
the above described prelriise subjeai !o the provisiona of the Buildin4 Ordinance fos Eaga Township adopled Apsil 11,
1955.
-
........ ........_........ _? '-""P""'--""'................._...
- .- -°- - °°°°°---... Per CI
Chai man of Tnwn Soard ? Buildin Ins eclor
J 35954 l9 ? ? ?o?° 5
ReQUest Dale '
y
3 ib Flre No. Rough-in Inspedwn
Fequiretl?
? Reaay Now WlOV ill Nofity Inspeclor
Wh
R
d
?
- GYes o en
Be
y
IL icensed contractor rJ owner hereby request inspection of above electrical work at:
Job Atlaress (Streel. Box w Rou[e No.)
,/'
?? Cily
Secuon No. Township Name or No. Range No. County ?]
4'
OccuOan[(PRINT) / Phone No.
Power Supwpher? Adtlress
Eiectnc,al yntraclor(COmpany Name) .,
/Y ConVactor5 License No,
MaLng Adtlress iConvactor or Ownar Making Inslallalion?
i- ` ?,?/
s
,(?'
Amhorize IgnaNre IGOmracronOwner Ma?ing Instaliauon; Phane Nuy?ber
O
MIN A STATE BOAFD OFELECTRIQTY THI$ INSPECTION REQUEST WILL NOT
Gtlg -MiEwey BIEg. - Poom S173 BE AGGEPTEO BY THE STATE BOARD
1831 Univeraity Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(61P) 6E2-0800 ENCLOSED.
,3118 /g%, REaUEST FOR ELECTRICAL INSPECTION
! _? See Insimcnons lor comoletinq ihis form on back oi venow wov.
J 3 5 9 5 4 "X° eelow Work Covered by This Request %??
ew A?d Rep. ., TypeofBui(ding AppliancesWired EquipmenlWired
Home Range 7emporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specihy)
Comm./Industrial FumaCe
Farm Air Conditioner
OUier (spanryl ConVector's /R?emerks:
Compute Inspecfion Fee Below:
# ' Other Fee # ServiceEntrenceSize Fee # Circuiis/Feetlers Fee
Swimming Pool 0 to 200 Amps to 700 Amps p
TranSformers Above 200 _ Amps Above 100 _ Amps .? j'
SignS Inspector? Use Only: T AL
Irrigation Booms Q ?C?rS?o
Special InSpection 0
Alarm/Communication THIS INSTALLATION MAY B ORDERE pl C NECTED IF NOT
Other Fee COMPLETED WITHIN 1 HS.
I, the Electrical Inspector, hereby Rough-in ate
cerfify that the above inspection has
been made. Fi?ai oaie
?•
OFFICE USE ONLV , -
ThIS request mitl 18 momhs irom
E&00001-OB
?-?.?'' CO?78'33
?
RESIDENTIAL
55315 BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 3?0,
651-68'I-4675 NewConsWctionReauiremenb RemodeVReoairReauirementa . 3 registe2d sile surveys showirg sq. ft. ot lot, sq. ft of house; aM all roofed areas • 2 copies of plan
(20% mazimum lot coverage allowed) . 1 set of Energy CalculaUons for healed add'Aions
• 2 coples of plan showing beam & window sizes; poured found desgn, etc.) . 1 site survey lor ezterior additions 8 decks
. 7 set of Eneryy Calculations . IMicate H home served by sepfic system for addiUons
• 3 copies of Tree Preservation Plan'rf lot plal[ed after 7N193
• Rim Joist Oetafl Options seleclion sheel (bldgs wtlh 3 or less units)
DATE VALUATION P
SITE ADDRESS CP-VCkV- ??t • MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORIC2j?22Yco"F twS-e -C e:?xilf FIREPLACE(S) _ 0_ 1_ 2
SELA ROOFING & REMODELING, INC.
APPLICANT 4100 9=1 -glnu Ri vn
STREETADDRESS sT•IAUI9PARx+MN 65416 CITY STATE ZIP
TELEPHONE #(?jd _-323-805? CELL PHONE # FAX #
PROPERTYOWNER F7?f(ffc/ fjh?1CfOW TELEPHONE# 05 J-3 ?;?
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNE50'I'A RULFS 7670 CATEGORY 1 MINNL;SOTA RUI.Y.S 7672
(J submission type)
Plumbing Contractor:
Plumbing syslem includcs:
• Residential VenGlation Category 1 Worksheet Submitted
. Energy Envelope Calculations Submitted
Water SofCener
Water Hcatcr
No. of Baths
Yhone #
. New Energy Code Worksheet Submitted
Lawri Sprinkler
No. of R.I. Baths
Mechanical Contractor:
Mcchanical sysLem includes:
Sewer/Water Confractor.
Air Conditioning
Heat Recovery SysLein
Phone #
Phone #
I hereby acknowledge that i have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin ces.
Signalure of Appllcant ??
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
Fee: $90.00
OFFICE USE ONLY
? 01 Foundation 0 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 0 OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new hldg) _ FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
CITY USE ONLY
LOT ? BL ? RECEIPT#: i ? ?
SUBD. ??? IA.Cf? ??11M16(?'IIbtL RECEIPT DATE: 1- ? 0 '°4 A
MECHANICAL PERMIT # 3-101V
1994 MECHANICAL PERMlT (i$ESIDENTIAL)
CITY OF f.lkfiAN
3$30 PILOT KNOB RD
EA6AN MN 55122
?-?
Date: -cn (ssl) 681-4675
Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: 0-] 00 M B T U
ALilITIONAL 50 M BTU
j• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge
Total
$ 30.00
6.00
.50
r
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
? New _ Alteradon _ Repair _ Other
Reminder.• Ca11681-4675forinspections.
4 Furnace
-x Air conditioning
_ Air exchanger
SITE ADDRESS: /
OWNER NAME:
INSTALLER NAME:
rxorrE __LQ
(AAEA
PHONE #: _
!?? 3 L4S5-
_-S'j'(v-? Olo(-
STREETADDRESS: I&Y'd'/ /Yft.dd -L,2 (fi-...k l6' J
CITY: STATE: h ZIP: SS3 78
ezg==e?
S SIONXTOikXW PERMITTEE
Other
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
??• J
L _ BL _
SUBD.
APPROVED BY:
CITY USE ONLY
RECEIPT #:
RECEIPT DATE:
INSPECTOR MECHANICALPERMIT#:
i
199914i£CHANICAL kRbIIT (COMMERCItkL)
C1TY Of' EAfiAN
S$SO P1LOT KNO$ RD
EAfi1RN, rrllN 55122
(651) 6$1-4675
Please complete for: all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE!
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTTON OF WORK:
FEES: 1% of contract price OR $30.00 mioimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x I%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLI):
INSTALLER:
ADDRESS:
CITY:
($.50 per $1,000 of cermit fee due on all permits.)
PHONE #:
(4REA CODE)
PHONE #: -
(AREA CODE)
STATE: ZIP:
x
?
SIGNANRE OF PERMITTEE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suiLoiNG
3830 Pilot Knob Road Permit Number: 023894
Eagan, Minnesota 55123 Date Issued: 0 6/ 14 / 9 4
(612) 681-4675
SITE ADDRESS: APPLICANT:
LOT: 16 BLOCK: 4
1551 RED CEDAR RD FIRE3IDE CORNER INC
OSLUND TIMBERLINE (612) 633-1042
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE NEW
?ESCRIPTION (GAS)
---_"(_CITf 0F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 687-4675
?
/
? i`? ?t . 1? /l s?
fv ?`?l `?t1? ? l??!'? 'j
., ?=.-? ' _. .... G.
PERMIT TYPE:
Permit Number:
Date Issued:
a7ko
?/rS6(l
BUILDING
023894
06/14J94
SITE ADDRESS:
1551 RED CEDAR R?
LOT: 16 BLOCK: 4
OSLUNO TSMBERLINE
P.I.N.: 10-55300-160-04
DESCRIPTION:
REMARKS:
FEE SUMMARY:
6ase Fee
Surcharge
Tntal Fee
PERMIT
(sas)
Buildzrtg4Permit Type FIREPLACE
Building WoKk Type NEW
?
y,
1. I
$25.00
$25.50
CONTRACTOR: - Appiicant - ST. LIC. OWNER:
FIRESIDE CORNER INC 16331042 0001068 0'WARROW KATHY
2700 N FAIRVIEW 1551 RED CEDAR RD
ROSEVILLE MN 55113 EAGAN MN 55121
(612) 633-1042 (612)454-3459
I I
T hereby acknawledge that 2 have read this application snd state that the
3nFormation is carrect and agres to comply with a11 applica4le State of hin.
L Statutes and City of' Eagan Ord'anances. J
APPLICANTlPERMITEE SIGNATURE
- ?'ue oln: siGNAT`u'RE I Yh..?
13494
CITY OF EAGAN -
1994 BUILDING PERMlT APPLlCATlON 681-4675 ,??? •?D
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 af
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ati n of work
?
Site Address: ?
STREET SUITE #
7enant Name; (commercial only)
LOT ?L BLOCK ? SUSD. 4?WI
t l1?iXP41 P.I.D. #
Descri tion of work: ,
The applicant is: ? Owner Contractor ? Other (Uescribe)
Name 2 Phone ?54?- ?35rf-%
Property LAST FIRST
Owner ?
Address
STREET STE #
City ??? State 4'U Zip
Company 4 ? Phone ,57
Contractor Address?2 License
Exp.
#
'
j
City State ?? Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing t9me 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 compiy ith ali appli4able St te of Minnesota Statutes and City of
Eagan Ordinances. ,
li
t
?(
?G
Si
t
f A
,
can
:
gna
ure o
pp
I I OFFICE USE ONLY
BUILDING PERMIT TYPE
O OI Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 0.-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessary
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck
WORK TYPE
? 31 New ? 33 Alteratiorts ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual
(Allowable?
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
O Site
? Idallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Faotinq
? Final
? Framing
D Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
veiLastm: $
? '? ?'
a+.,
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
O 37 Uemolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minneeota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE:Jnne 9. 1971 NUMBER 790
/G ? , ? `?? ,/e/Y) ?r?" :?: i i "
?
OWNER• Joseph Modesette AddTess 1551 Red Cedar Roadv Eagan 551?
PLUMBERWen2e1 Plumbing d Heating qypE OF PIPE Cast Iron
DESCRIPTION OF BUILDING
Industrfal
1- 1 Commercial Reaidential
xxx
Location of Connections;
Multiple Dweliiag I No. of units
Connection Charge 200.00 pd 6/9/71 .
Permit Pee 10.00 pd 6/8/71
SCreet Repairs
Total
Inspected by:
Date
Remarks•
By.
Chief Inspector
In consideration of the issue avd delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulationa of Sagan Tamship, Dakota County, Minaeaota
?Y
Wenzel Plumbiag d Hcatinx. Inc.
1955 Shawaee Roady Eagau 55122
Please notify when ready for inapection aad connection and before any portioa
of the work ia covared.
EAGPN TOWNSHIP
3795 Pilot Knob Road
St, Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATHR SERVICE CONNECTION
Date: June 9. 1971 Number; 633?'? %/r1tS?/L?l7??/
(Valley View Builders)
Billing Name:.Toseph Modesette Site Address: 1551 Red Cedar Road, Eagan 55121
Owner: same Billing Addrese same
Plvmber: Wenzel Plumbing d Heating, Inc.
Connection
?a-
; G y ?-? >y7 ?
Meter NQ.&g- Permit Fee 10,00 nd 6/9/71
Meter Reading MeterAXopc. 60.00 pd 6/9/71
MeCer Sealed: Yes_ Add'1 Chg.
NO 'Total Chg
Building is a:
Residence_ipcx_
iqultiple no. Units
Commercial
Irnlus tria l
Other
Inspected by
Date
Remarks:
$25.00 f;E-lfdS?ECT!pNI rEE fOR
IiJiPROPERLY IPISTALLEp AqC7ERS.
Sy:
Chief Inspector
In conaideration of the issue and delivery to me of the above permit, I
hereby agree to do tUe proposed work in accordance with Che rules and
regulations of &agan Towaship, Dakota Count1:." Minnesota.
Bq: - r,.a..? r../ t.J P,
Wenzel Plumbing d Heatings Ia?.'
Please aotity the above office when ready for inspecCion and connection.
r ry of
? PPP'o,r
?oaL CasT 79-5 `?, :
11
?
?
vi
o?
.
0
?
9
6
/Q .
, o
?
?
f? o , 7 „
10
1 /J'e' _
/?jn ra d
i
0 S i :,,v 0 r„ , /9 A dd
MASTER CARD
0
OWNER
A
STRUCTURE AND ?t/? ? p??
LAND USED AS (
Permit I
No. issued Issued To
Contrador Owner
BUILDING
PLUMBING
123
?`
'
?
/
P
-
CE55700L - SEPTIC TANK ---
--
-
-
WELL
ELECTRICAL
HEATING
GAS INSTALIING
SANITARY SEWER
OTHER
OTHER
?
I
r]
0
Items Approved
(Initial)
Date
Remarks
Disiance From Well
FGOTING SFPTIC _
fOUNDATION
FRAMING CESSPOOL
TILE FIELD FT.
FINAL T
EI_ECTRICAL
HEATING
GAS INSTALLATION
( 1 1
-kf-
?'•? DEPTH
OF WELL
SEPTIC TANK
CESSPOOL
DRAINFIELD
GLUMBING
WELL
SANITARY SEWER
?
"1- ?
? •
l'A??
?
- Violations Noted
on Back
COMMENTS:
0?
COMPLIANCE INSPECTION REPORTS
70 BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
?
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED DATE OF REINSPECTION •
REINSPECTION REVEAtED
CERTI FICATION -1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALl IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
OATE
0
lj? 23