4625 Nicols Rd - Electrical PermitsCITY OF EAGAN Include 2 sets of plans,
? 1 site plan w/el.evations &
/BUILDING PERNLiT APPLICATION 1 set of energy calculations.
To Be Used For d6''n, Valuation Date Oq-2
Site nddress: ?(0 2?- "e-11 c a G.s ?-p oF'F'zCE usE oru.Y _
Iot a- Bloc]c _L Sec./sub. DuflNiNc's Erect. ? Occupancy
Parcel #: 10 ZZ ? D O O 2 U p\ Alter Zoning
Rapair Fire Zone
Owner: 0? G Enlarge _ Py??e of Const.
CG? tZ ( C ? Move # Stories
Address: y J7 Derolish Fmnt ft.
City/Zip Code: (? a &) 'D 15 iZ--7? Grade Depth ft.
Phone #: FI 3`7? ? S 2 097.s ? APPRDVAL.S FEES
Contractor: S 'i AJ ---? Assessrrents
Address: Watex/SEwer
?- Police
City/Zip Code• -'?-? Fire
Phone #:
Arch./Ehg. : /a1 Address:
City/Zip Code:
Enq.
Planner
Council
Bldg. Off.
APC
Perntit
Surcharge
Plan Check
SAC
Water Conn.
Water Meter
Road Unit
Phone #:
I
s
R
To be used for
Site Address
Lot z 7Block ?•:Sec:/Sub.
Parcel #
Owner:
Addres
Phone
COSl t Ta
Add res
CITY OF EAGAN nclude 2 sets of plans,
BUILDING PERMIT APPLICATION 1 site plan w/elevations 6
1 set of energy calculatfons
0) Valuation ?/??DaLe /? t?CJ/?? ?Y ?
??.?'IP H.i.? OFFICE USE ONLY
s :
J UZ r?,v w ,
#: - '7
Erect Occupancy
Alter Zoning
Repair Fire Zone
Enlarge Type of Const. ;P??
Move # Stories
Demolish Front ft. 'WIff
Grade Depth 79::::' ft.
Approvals pJ Fees f
c--
CCOL: f? Y?
Assessment /y, 9 Permit 1/6S
s? Z y?Vi?r?J Water/Sewer Surcharge
f} Police Plan Check? ,3a ro
?ST. UrLy ?ft//YJ. ? ??7 Fire SAC /S2s
Eng. Water Conn. ;
Planner Water Meter ?
V? ?77S Council_(--3 7 V?- Road Uni Yj * y ap .7p?`
4 ? Bldg. Off. af ??.7rr ?
APC 2 7 4
T. ? /x.J. I??yla nr? /2^,-7z
'.
3-6' -70/
TOT
, - bp 4? 1 l g 1. CIZy pg EAGAN Include 2 sets of plans,
1 site plan w/elevations &
1 BUILDING PERMIT APPLICATION 1 set of energy calculations.
7??
'Ib B2 U52d FOT Vali18t10n? Date
J -?
Site P13dress
Iot .;:? .'':BlockSec./Sub.?Uir?!lNSf. M.N.4erect
Parcel #: _ I0 Z2? O0 p'L'Q CA
Oomer: J,4-mc ?/u?N?N
Address
City/Zip Code: .S/.?u ' SS %as
Phone
Contractor: `
Address: J q
City/Zip Code:
Phone #: e/
oA
OFFICE USE 6NLY
? Occupancy ?'=?
Alter
Repair
Enlarge _
NIove
Denolish
Grade
<
Ehg.
Zoning
Fire Zone
4ype of Cons L. -
# Stories
Front £t .
Depth ft.
Surcharge
Plan Check .sr-O
sAC cLO? szSD-
water Conn. ,/'ct
Planner Water Meter A/a-
Council Road Unit Q/z-
?ldg. Off.
APC
Arch. /Eng •:? V K /-Ln 6 A i f e t?-s l/Ji rAe ,C/A v+?,
Address: 3?0 /K?ynNGQ SSf
City/Zip Code: So . Sf • lf"A?? ??1 nJ 5.?0 ) S
Phone # : `1; d ' / Y `/ /
I?jo7S/JI ;EQUESTWPOR E?LECTRI?CALtiNSPECTI?ON es-ooom-oe
- 4?a?f/r/S 19 1_ "X" Below Work Covered by This Request
ew ?Adtl. Rep, Typeol8uilding I AppliancesWiretl EquipmentWired
7 Home Range Temporery Service
Duplex Water Heater Elaciric Hati
eng
Apt. Building Dryer Other (Specify)
Comm./Intlustrial F'urnace
Farm Air Conditioner
O!her isueatyl Conhacbr's Remvks.
-?-- ----
Compute lnspection Fee Below:
# ? Other Fee # Service EniranceSize Fee # Circuits/Feetlers Fee
? Swimming Pool to 200 Amps 0 to 700 Amps
Trensfarmers A6ove 200 _ Amps ove 100 _ Amps
-
Signs Inspector's use onry: TOTAL
Irriqation Booms
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 MONTHS.
I, the Elsctrical Inspecror, hereby
f Aou9n-in oaie
certi
y that ihe above inspection has
been made. Final oa?
OFfICE USE ONLV
nis reQUest voio 18 momns Irom
/ / /_7 -r"i / Y/
i i/ - -/ .,
p 6 9 6 81/.z " v ,> , , -
Request Dafe Fire No. Rough-in pec?ion
Requiretl.
-Yes No
( /' z /
??
? Reatly Now ?ill NoOfy Inspecbr
Wnen Ready?
_
_
I?oicensed contractor ? owner hereby request inspection o f above electrical work at:
Job Atltlress ISheel. 6on or RovkiN .) Ciry
Section No Township Name or No. Ranqe No. Counry
Occuoanl(PqINT, Phone No.
u)L wll+??? 9L-C S%.
Po er Suppber AOtlress
Bw
onVaclor ICOmpany Name) Contract
r's G
cense No.
o
/
p j
/
?J
G- L
Mening ACOress comraclor or ner Meking Instaliati ?
pr ?,?y
c?jS .5'D ? u-C ?? ? -
-
AWhori?ngnawre tCOnvacta? wner Ma' ng Insta tion?
? .I.vJ P?one NumDer
. 1 cfr/-13-K-6
MINNESOTA ST4TE BOARD OF EIECTRICITY ?'/ ? a/.(? A O? THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Hoom S-173 V 1/??? ?/?KJ BE HCCEPTEO BV THE STATE BOARD
1821 Ilniversiry Ave., SL PauI..MN 55100 UNLESS PROPEF INSPECTION FEE IS .
Phone (612) 642-0800 ENCLOSED
.
Ttiis request void 18 months from
-J' 4 ? 46563
Date of Request JU/IJE o?.Si f 97/ ,
I, as Lff Licensed Electrical Contractor O Owner,?p hereb?+, r?equest inspection of the above electri-
cal wiring installed at: ????._?!rt??lz-uP
17 l? ?ln 5-0 -
Street Address or Route No. L-adpxf
Section Township
Nhich is occupied by
Range County
T/7-U/C-4'N 7'
Is a roughin inspection required on this job? No O Yes ? Ready Now @-' Will Call ?
PowerSuppliefl???GD77Z LL°Gt/ZK Address riC1???G???"?? ``SOZ?
oFFI?IAAJ.II Ge. 5
Electrical Contractor EGTR I C- 3ro .Z
Contractor's License No. _
(COmvaoy ame)
Mailing Address ?,oS?T'd,' 7
-v-I (Eledlal Clntractor or Owner Makina Thls Installation)
Authorized
Phone No,?9/
(Electrlcal Gontractor or owner making rnls Installaelon)
(C?S?i? `?(2 pO/1 ,?? (?f'OI?? This impection request will not be accepted 6y the
??1 l1 ll L l:? l?? ?- State Board unless proper inspection fee is enclased.
Minnesota State Board of Electricity
P52 University Ave., St. Paul, Minn. 55104-Phone 645-7703
?REQUEST FOR ELECTRICAL INSPECTION
CACK BELOW WOAK COVERED BY THIS REQUEST
i-?,/ 9 -79'
R 46563
Type of BuAding New Add. Rep. Check Appliancea Wi" Foi Check Fquipment Wired Foc
Home ? ? ? Range ? Temporary W'ving ?
Duplex ? ? ? Water Heater ? Lighting Fixtuces ?
Apt. Btdg. ? ? ? Dryet ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloadei ?
Industrial Bldg. ? ? ? Aix Conditione[ ? Bulk Milk Tank ?
Fazm ? ? ? Lis[ ) Lis[
Other ? ? ? p
}
}leters) p
HereIS?
COMPUTE IN$PECTION FEE BELOW
Sevice Enttancc Size: iF Fee Feede[s&Subfeedeis: # Fee Cucuits: # Fee
0 to 100 Am s. A res •60 0 to 30 Am eres
101 ta 200 Amps. ?.S D 3 0 r 31 to 100 Am eres
Above 200 Amps, e l Above 100 Amps.
7ransformecs ote ntr Partialorotherfee
Signs S ciallnspection Minlmum fee $
Remarks
TO'IALF E,I-J?
I, the Electrical Inspector, hereby certify that the above inspection has been made.
(Rough-in) ??- Date
(Final) ???1???' Date 4,.27 ? 7
This request void 18 months from u?-
? REQUEST FOR ELECTRICAL INSPECTION
8,548a Seo insvuctions tur com0leting this form on Gack ol vetlow copY. "?A- Below Work Covered by This Request -
Ee-ooooi-oa
N Add fleV T Type ot 6uilAing AoPli es Wired Equipment Wired
Home Ranye Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
.Industriai BIAg. Air Conditioner Bulk Milk Tanl<
Farm Olhnr peci y Othey (Soeclfy)
[hnr pecify Othpr Other
Cnmpute Inspection Fee Below
p Fee Service Entrance5ize ft Fee Feeders/Subloetlers 71 Fee Circuita
0 to 100 qm s 0 to 30 Am s 2 d9 0 tn 30 Am s.
101 to 200 Amps 31 to 100 Amps 37 to 100 Am s
A6ove 200 qmps Above 100_Am s ;Above 100_Amps
Tran - r RemoteCoMrol Circ. 6-0 Partial%Ot
§ ns -. Speciailnspectlon
$
r
-U
T
?
•
ae t .X?_ '.S
S 5 OTAL EE,:
J
j Rouc? -n ( L
?1'#p
I, the Elacvical
/ h?
L?? InSpBCt4r. hBreby
I Final Uat?;
7'i7? cartify that the ebove
pection has Aeen
??s mede.
ihis request voitl
,.ia mnnths hom
This rc9uesc void
?emo85482 ?
L-2, $?, Du??. ?g's aq 84 7 L.,
35 .o 0
Re aest ate? ?
Y? /p ? Fir¢ No.
' Flou, h-in Insuectinn
Feeluir ?
?ReaAV Now [?}MrtT'Notifv. Insocc-
[ur Wh
n fl
tl
'
7/ ?Y ?
es No e
ea
V
e'Llcensed EteCtrical ConVac[or I hereby repues[ insoection ot ebove
? Owner elechical wurk installed aY
Sveec Address, Boz or Route No.
2? c-a- ?a.'cl./1r '/ ^V e ? Citv ? M'
I-lv
ecUOn o. Township Name ur No. RanA?' No. Co y^ /, ,
Or. tIPPINT)
? Phane No.
v2n. in.c S e?' fi4c? 2A?-IV
l ?'I'S`! `" (0 7cf
Power Suppli
a ? E/?G , Add e '
/-??m ?Ng
rd?
Elec ? cal nnVac?orICompany Namni
???
? Contrar,mr's Lir.ense No.
?Yov?r
E
Mailinq Address IComrTClor or Owner Makinq Ins[ailau
o-o ," z e?e< ! ?
? ?
Au[ ? nat e(CO tractor O?o M.iking Installation)
? Phone Numb¢r
rz - rS-&;
MINNES07A STATE e0AP0 OF ELECSIIICITY - ' - TMIS INSPECTION HEQUEST WILL NOT
Gfiqpa-Midway Yldp. - Iloom N491 BE ACCEPTED BYTME STATE 60AHU
UNLESS PNOPER INSPECTION FEE IS
1821 UNVersit, Ave., St. Peul, MN 55104
e?___ 'a?a? vo o',I . ENCLOSED.
This request void 18 months from
?- X4?
70 R46565
Date of this Request4'.27-7 9
I, as C9'Licen`sed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at: ?? - ?-
Street Address or Route No. ?Ea?X' Citv 46_46pti
Section Township
Range CountyAkOT,4
1Vhich is occupied by
Is a roughin inspection required on this job? No ? Yes &-"? Ready Now ? Will Call 01-'
Power Supplier IG(97 G(.FG?7Z (G_, Address
LF?.TZ/L ??
EleCttical Contractor CG?siNN
Contractor's License No. _
, . (Co=aqyvame) ? „'r'V
Mailing Address
(tl I I CO dCtOf Of OWOBf MBkip9 TM1IS I(IStdlldtlOh)
Authorized Signature !nN ?LCir?? Phone Noep91-7YS
(Electrical Conttactor or Owner Making Tnls Installatlon)
?jn ?( r? {'? This inspection request will not 6e accepted 6y the
? ll W ll E ????1?'?j{? J ??I,?ly SWte Board unless proper inspection fee is enclosed.
Minnesota State Board ot Electricity ?
1?4 Univgrsity Ave., St. Paui, Minn. 551,p4-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION fD46565
-ciYECK BELOW WOFtK COVERED BY THIS REOUEST I(?
Type of Buildjng New Add. Rep. Check Appliances Wired For 11 Check Equipment Wired For
Home ? ? ? Rangc ? Temporaty Wiring ?
Duplex ? ? ? WalerHeater ? LighUngFixtutes ?
Ap[. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Btdg. IK ? ? Fumace ="'- ? Silo UNoadex ?
IndustrialBldg. ? ? ? AvQop foriok El BulkMOkTank ?
Fazm ? ? ?
Ihets} List
Othexs#
Other ? ? ?
??
, elc 7+ ? '! Here
COMPUTE INSPECTIO .EE SEL°'01t?'0
V[0 1 W Am s. 0[0 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes / _ 1131 to 100 Amperes
AbOV¢ 200OC1Amos. -::Z .. Ahnve 100 Amns -W LT Ahnve 100 Amnc 11
Signs Special [ns ection Minimum fce $5.
Remazks
TOTAL FEE
I, the Electrical Inspector, hereby,ceat t ms e"on has been ma .
(Rough-in) Date /9kLV -
(Final) Date go-S't3 .
This request void 18 months from .
gg- ?y
-?_ 119- 7`/
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ro , 7- 2/9,
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