4500 Mallard Tr S - Electrical Permits. ', MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site
Lot.
m Name
? Address
i
c City Phone
PERMIT #
RECEIPT # ?- ? -
?
DATE:
For Office Use Only:
BLDG. TYPE • WORK DESCRIPTION
Res. 'J New
Mult Add-on
Comm. Repair
Other
Name - - + ' ` ` !
`? y5?-x-- • FEES
RES. HVAC 0-100 M BTU
- $24.00
c Addr8S3 ADDITIONAL 50 M BTU - 6.00
p Ciry ' Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
ForCed Air ' ?- M BTU ??•?` APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU FiEMODEIS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE:
"?. >
SIGNATURE OF PERMITTEE
S/C:
TOTAL• FOR: CITY OF EAGAN
,74081
? y1V61 y
R uest Oate P No. Rough-in Inspecnon ` ~v V?
q ?o ? Raedy Now W?II Not?ly Inspector
nR
Wh
d
7
e
ea
y
Ves ?NO
I licensed contractor ? owner hereby request inspection of above elearical work at:
b Adtlre/ss (Sireet. Box or te No
?
j Qry
? c?
Section No. Township Name or No fian
ge No. Counry
Occupant (PRI • PhO. No
^ Lk L?1
Power S plier , AtlEress
C? Q Yd'i'l
Electncal C actor (Canpany Na ) Convac[or5 Li-dme No.
C
Meilvg Atltlress ontraclor ar Owner Making Insqlletw )
Aumorketl gnatu (COntracror/O.m r Making InstallaYm) Ptiorre Number
- G 3,, C/-
671NNESOTA SfAiE BOAND OF ELECiRICRY TMIS INSPECTION REQUEST WILL NOT
Gripgn•MlEway 9Wg. - Poom S173 BE ACCEPTEO BYTHE STATE BOARD
7821 UniriansHy Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
PhWro (812) 6020800 ENCLOSEO.
/ 6/8'9
1 74081
REQUEST FOR ELECTRICAL INSPECTION
? Seeinstructions for wmpladng this lorm on beck oi yellow copy
JC" Be%w Work Covered by This Request
i EB-00001-07
e Add Rep. TypeofBUilding AppliancesWiretl EquipmentWired
Home Range emporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
i Comm./Industrial Furnace
Farm Air Conditioner
OMer (apeGy) CaMracioYS Remarks.
Compdte Inspection Fee Below:
# ' Other Fae # ServiceEnlranceSize Fee # Cirouits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trafisfortners A6ove200_Amps Above7o0_Amps
Signs Inspectors Use Only: TOTAL ,j7
Irri9ation Booms
Special Inspection
AlarmlCommunication ?
`
Other Fee ?
I, ihe Electrical Inspector, hereby flO1gn;n ? Date
certitythattheaboveinspectionhas
been made.
OFFlCE USE ONW
This request voitl 18 monlhs Irom
4?/ry 7 Y?f%fva-
? • -A0 3
2
C 35 ?
.
,
R¢quest Date
/ J Fite N0. Rough-in Inspactqn
R mretl?
Ves ? No
? Ready W. ?WII Nobry Ir?spector
When Readyl
I Ek'licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Sheet, Box or Houte NoJ
T2. Cny
Seclron No Township Name rn No. Ranpe No. Counry
Occupant(PRI Phone No.
l ?
Power5upp4er Atltlress '
/1? / !il
Elecincel Contra r(COmparry Neme) Corivactor5
Mailirg Address ( ontraclor or Ownar Makinq InNellefbn)
• L? 1411 / -
Aulhwizetl SI Wre (COntraclotlOwner Maki Installsfton Plwne Number
MINNESOTR STRTE BOAHO OF ELECiRICRY THIS INSPEGTION FEW EST WILL NOT
Griggs-!lltlway 01tlg. - Naom 5199 BE ACCEPTED BV THE STATE BOARD
1821 Univenlty Ava., St. Geul, MN 55104 UNLESS PHOPER INSPEC710N FEE IS
Phoire (612) 802-0900 ENIXASEO.
1? r 4Q.32
REQUEST FOR ELECTRICAL INSPECTION
? See insirucuons iw completing ihis fmm on back of yelbw mpy.
"X" Below Work Covered by This Request
' E8-00001-07
4 9el,-,4-, _--
e Add Rep. Typeol6uilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Speaty)
Comm.Andustrial Fumace
Farm Air Conditioner
Other (specify) Conlractor§ Remarke.
Compute Inspection Fee Below:
# Other Fee # ServiceEmrancaSae Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps ? j a to 10o Amps s7-
Transbrmers Above 200 _ Amps Above 100 _ Amps
SignS Inapecror5 Use Only: TOTAL ?D
Inigation Booms ?
Special Inspection
Alarm/Communiration
Other Fee
1, the Elecirical Inspector, hereby
certify that the above inspection has
been made. Rough-in ,
Fnai f ? o?a l/l ?p
oeie R n, ?
e•
OFFICE USE ONLY ?
Thrs request witl 18 mon[hs hom
?131n, / REQUEST FOR ELECTRICAL INSPECTION 410& Ee-ooaoo,.oe
? 5,4 6 5? 50e ms-uctians far comPletm9 this fo,m on beok a, yelbw ooPY
?7/D?
X Below Work Covered by This Request
e Hdd Ray. TypeotBUildmg AppliancesWired EqwpmentWrtetl
Home Range Temporary Service
Duplex Water Heater Eleclnc Heanng
Apt 8wlding Dryer Load Management
Comm.llntlusirial Furnace Other (Specdy)
Farm Av Conditioner
Oiher (specry) Contrador's RemaBs
Compute Inspection Fee Below: t4V Ve, 0 w?
#• Other Fee # ServweEnirenceS2e Fee # Circwt5/Feeders Fee
Swimming Pool 0 l0 200 Amps o ro 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspeaar's Use Onry TOTAL
`
IrrigationBooms ?j 0(? j4'
j,C:Do
Special Inspectwn
' Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oace
certity that the above inspection has
been made. Final oa?e
OFFICE USE ONLV
Thrs requast void 18 monihs hom
Request Da[a Fire o Rough-in InspecYOn
R wred? NOTICE: Vou Musl Call Electncal Inspector
Ii A Rough-In InspecUOn
' $- Yes ? Na Is Feqwred.
I? licensed contractor ? owner hereby request inspection of above electrical work at:
Job AEdress (Slreet Boz or Roule No )
N ? C?
I
? ilract
Sechon No Township Name or No Rarge No. County
UV_^ Kl/
Occupanl?PPINT) ? Phone PJo
Power Supplier Pdtlress
Electncal ConVactor (ompany Name)
l ? ?
C,o s c-h o r7
Cti. Convador9 License No
Cfl o O O
Madmg Address (COniractor or Owner Making Installation)
Authonzea Signature (Canhactor/Owner Making Installation)
`? ?? ? &Q-, I Phone Number
ZZ.q -z ?3
MINNESOTA STATE 60Afl0 OF ELECiRICITY iH151N$PECTION flEQUEST WILL NOT
Griggs-Mitlway Bltlg. - Roam &173 ? BE ACCEPTED BVTHE STATE BOAFD
1821 Universlry Ave., St. Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-0600 ENCLOSED
/??/ Ya--
M' 54649
4
l,-h / 77.53
1
?
Request Date Fire No Rough-in InSpection
Reqmretl? NOTICE Vou Must ell Elactncal Inspector
It A RoughC-In Inspectian
Yes ? No Is Reqmred,
I t$ licensed contractor ? owner hereby request inspechon of above electrical work at:
Job ACtlress (Streeq Box or Roine NoJ Ci
q
Seclmn No To nship Neme or No. J Ran
,o CoMy ?
Occupanl(PRINT)
y Phane N.
Power Suppher Adtlress
1
Electrical Contraclot (Compeny Name)
a1 ,
C??n ConVactor5 License No.
??fOLo
Maihng Adtlress (Contracmr or Owner Making Installati0n)
2--q S-?C..? S?ru'?
Pau,l Koj
5507
Aullwnzetl SignaWre (COniradorlOwner Makin InslallatIOn) Phorie Nu"m?ber
Z?
-?
33
? 3
!
MINNESOTA STATE 80ARD OF ELECTflICITV ?f 74 y T?HIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bltlg. - Foom 5-173 0E ACCEPTED BYTHE STATE 80ARD
1821 Unlverstly Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION fEE IS
Phona(612)642-0B00 v???a ) ENCLOSED '
a REQUEST FOR ELECTRICAL INSPECTION
X
? See inswaions tor completing ihis form on back af yeilow copy
?
4649 _'X" Selow Work Covered by This Request
/ EUDOG'3
`< ap*ki!f?
ew Add Rep Type of Building AppliancesWired EqwpmentWired
Home Range Temporary Service
DUplex Watef Hea[ef Electnc Heahng
Apt. Building Dryer Load Management
Comm.llndustrial Furnace Omer (Specify)
• Farm Air Conditioner
Olhar (speafy) Conlraclor5 Remarks. ?pp
Compute Inspechon Fee Below.
# Other Fee # ServiceEnVanceSrze Fee M Circmts/Peeders Fee
Swimminq Pool 0 io 200 Amps 0 ta 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
SignS Inspeaor5 Use Onty. TOTAL
IrrigationBOOms
Special Inspection `l
Alarm/Communication THIS INSTALLATION MA ED DISCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, hereby Rough-in oeie
certifythatthe above inspection has
been matle. F,nai oa? ?
OFFICE USE ONLY
Th5 request witl 18 months from
REQUEST FOR ELECTRICAL INSPECTION IE,B-00001-OB
t ;.
?n? • ? See insVUCtwns lor completing tMS form on batk W yellow,?copy. ? ,E-3-7
II i1 r A ? f? ?s.. 'Y
K
M1 OCIVW YYVIM1 4VVClCU Uy,1lIN r10ClUOw
ep. TypeofBUdding ApphancesWved EqwpmentWVed
Home Range Temporary Service
Duplex Water Heater Elecinc Heating
Apt Butlding Dryer Other (Specify)
Comm llndusirial Furnace 4
Farm Air CondNoner
Other (syany) Coniracror's Remarks
Compute Inspection Fee Betow
# Other Fee # ServiceEnlranceSrze Fee # Circuns/Feeders Fee
Swimming Pool 0 to 200 Amps 0 l0 100 Amps
' Transformers Above 200 _ Amps Above 100 _ Amps
$19nS InspectorB Use Only. T
"
wn Booms (
. O v
al Inspectron J
iCOmmunication
4 THIS INSTALLATION MAV BE ORDE ISCONNECTED IF NOT
Fee e
0ther COMPLETED WI THIN 18 MONTHS.
I, the Electrical Inspactor, hereby Rougn-in
? oa?e
certify that the above inspection has
been made. F,nai
• o
"
OFFICE USE ONLV
This repuest voiC 1B months Iram
'V
REQUEST FOR ELECTRICAL INSPECTION
0, 2 2 6 1? See msVptions br Wmpleting Ihis torcn on back ol yellow copy.
„X" Below Work Covered by This Request
EB•00001•09
;????)C'I_33 iy3
e Add ep. - Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater ElecMC Heatin
Apt. Building Dryer oad Mana ement
Comm./Industnal F nace Other (Specify)
Farm ir Conditioner
Oiner (spxify) Cont2clots Remerks:
Compute Inspection Fee Below:
# Other Fee 1{ Service Entrance Size Fea # Clrcuits/Feeders Fee
' Swimming Pool 0 to 200 Am s 0 to 700 Am s
Transfortners Abova 200_Am s Above,100-Am s
Si nS inspecmr's Use Only. ? TOTAL v Q
Irrigation Booms LJ/, (7C7
S ecial Ins ection
Alartn/Communication THIS INSTALLATION MAY BE6lP DERED CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH$.
I, the Electrical Inspector, hereby Rough-In oe?e
certity that the above inspecllon has
been made.
Final oa?a
OFFICE USE ONLY
TMS request void 18 momhs imm
d 3 515 6
Requast Da // Fire No. Rough -in In pec on
V+
V
I Requvetl? F/
eatly Now
? Will Notify Inspecror
n R
4
Wh
tl
J VBS?L N. e
ea
y
62MI"Icensed contrector p owner hereby request inspection of above electrical work at :
Joe Adaress Isv . Box or Rome No ) Pty
?
/
SecDOn No Townsrip Name or No Range No Coonty
OccupanllPRINTE ? Phone ?
Jf 1
,-- ( ?O ^
U ?
Power Suppirer Atltlress
Eleclncal Co,lraclor (COmOany Neme) GonVactor's License N.
~
Mailmg Atltlress ICOntracmr or Owner MaWng Inslalletio
4
61US5
h¢M vm a n?i
Autnon a Si aW e CcmrectonOwner Makmg Imtalla4on}
'?lF' 6apnn n??.., Phone Numeer
? i "9p .•q'
qi' ^.:nc r , r V
MI NE50 A STATE BOARD OF ELECTNICITV THIS INSPECTION REOUEST WILL NOT
iggs-MlEway Bltlg. - Hoom S473 BE ACCEPTEO Bv THE STATE BOAFD
1821 Univerefly Ava., St Paul. MN 55109 UNLESS PROPER INSPECTION FEE IS
Vhone(612?6L2-0B00 ENCLOSED
i?// S/?' C5?
3,X.?4?
I? 74082
.
Request Date "
?J 9 Fire No. Rough-i nspection
R wred?
? ???fff
qp Ready Now ? WJI NoMy Inspector
R
d
'+
? ? Wh
iJ / Yes ? No an
ee
Y
I Jicensed contractor ? owner hereby request inspection of above eledrical work at:
Job Atldress (Sireet, Box or Route NoJ Qy
?
.?LLy 2v ? ,? •
'?7 1-5
i?G ?-??
C
Sach n N. Towmhip Name or No. Range No. Coun d
/
Occupant(PRI Phona No.
Power Supplrer AEtlress
/l'2?7irt
Electrical Con c[or (Company Name) Coritracfor5 Licensa No
Mailing Adtlr^es?a (COMrectrn or Pxner Making I ellation)
r
?
/J ?v
A ed S
i a ra (Coni orlOwicer Mabrg Ins1a on) PYwna Number
?9'1 -'/'/
MINNESOTA 5iqTE BOApD OF ELEC7RICRV THIS INSPECTION REOUEST WILL NOT
GrNggs-Mltlway Bldg - Hoom 5179 BE ACCEPTED BY THE STATE BOARD
1821 UnWerelry Ave., SL Peul, MN 551U9 UNLESS PROPER INSPECTION FEE IS
Phone (61Y) 892-0800 ENCLQSED.
i.,)-/?Y,/E9
P 74082
REQUEST FOR ELECTRICAL INSPECTION
? See i=sVUCOOns fyr complebng this form on Oeck oi yellow copy
X" Below Work Covered by This Request
40M EB-000p1-0]
y 9,178'
e A3d Rep. TypeofBwldinq AppliancesWired EquipmemWired
Home Range Temporary Service
Duplex Water Heater Electric Healing
Apt. Building Dryer Other (Specify)
Comm.Andusirial Furnace
Fartn Air Conditioner
Other (spec?iy) Conbactor's RemeiksCompute Inspection Fee Be/ow:
# Other Fee # SernceEnlranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps o ro 700 Amps ,p
Transformers Above 200 _ Amps Abov OQ _ Amps
Signs lnspector5 Use Only 7pTAL
Irtigation Booms ^7
!G •? 46
Special Inspection
Alarm/COmmunication
Other Fee
I, the Electrical Inspector, hereby 11O1gh"" ( Dat? 7.2/
certify thai the above inspection has
6een made. Fnej oa?
Z
OFFICE USE ONLY
ihis requeat voitl 18 monlhs from 1.? Z,
'
/022?11 ??
? 34'
Request Oate Fire N. Rough-In Inspection Fequi In acllo OlhafThan Rough-ln
(YOU must cell inspedor,? a? raedy) eatly Now ? Will Not Insp cior
? Vee ?No Date Rea
I?ricensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlress (SVeet, Box or Route No ) 0 k {
- Crty ?
/
4
/5Z' 4 J.'_ C .
J9'
Seaion N. Township Name or No. Range Na County
a4xo?"KI
Occupant PRIM) Phone No
t'??'
Ej c_ GF? Y411-J
Power Suppber Adtlress
leclncal ConVactor ?Company Name) ComraclOls LrtenSe No.
; ? +?1
? ?sa-aa
. .
,
ailing AtlOress (COnVaclor or Owner Making Inffia1190on)
'
79
Aufhonzetl ew (CoMrector/Ow q Inslsllatlon) Phona NumEer T
` -o Q ?
M SOTA STATE BOARG OF?L&TRICIyI THIS INSPECTION REQUEST WILL NOT
rlggs-MlEway Bldg. - iToom 5-128 ? BE ACCEPTED BY THE STATE BOARD
1827 Univ¢relty Ave., SI. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phona (612) 642-0800 ENCLOSED.
Request Date ire No. RougMn Inspecuon
Re uiretl+
?teady Now ? WII NoOfy Inspector
l
tl
? Wh
Yes ? No en Ree
y
I?I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Sireel, BOx or Rout NoJ
J'O? /?A?LFi2/> .?' L Cily
?f/Gt3 J?
Seciion No 1mvnshi0 Name or No Range W. County l, 1
?/ `-?/ 7 /.9
OccW RIM)
/N ?
?S •-
?
F?
?l
' PMne No.
n
?
oj
i?»
iE
l
Powe? upplier
,9 ko Xi4 G?? C T•?'i ? Atltlress
/9.•? 1'yJi/t 5TC7i?
EIecU¢ onVa?cJlor (COm.p/any Name) -y? Conlractor5 Licens?e ]No.
Meiing Adaress (Comraclor or Owner Malung Inetallaf n)
? ? ; /???
? /? ?9y?
( 7? GG?JJ
,
.
Aulln Sigrreture Coniractw ner Makng Installa6on) Phone umber
??D - ?
AIINHESOTA STATE BOAqO 8F ELECTfi1CITY THIS INSPECTION REQUEST WILL NOT
Grlgge-MNwey Bldg. - Hoom S173 BE ACCEPTED BV THE STAiE BOARD
1821 Univefalry Ave., 3t Veul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Plrom (672) 642-0900 ENCLOSED
7 74.D-83
REQUEST FOR ELECTRICAL INSPECTION
? See instrucLons for completing this brm on back ol yelbw mpy
)(" Below Work Covered by This Request
N^
9?.?i s'
ew Add Rep. TypeoiBuilding AppliancesWired EquipmentWired
Home Range Temporary Serwce
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Other (Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other (spaaty) Conlraclork Remarks:
Campute Inspection Fee Be/ow:
# Oiher Fee # ServiceEntranceSize Fee # Circmts/Feeders Fee
Swimming Pool 0 to 200 Amps ,!% 0 w 100 Amps
Transformers Above200_Amps Aboveloo_Amps
Signs Inspectork U. Onry: OTAL
Irrigation Booms 74.?
Special Inspection
AIarMCommumcation
O[her Fee
1, the Electrical Inspector, hereby Rouqn,n oata ? .?.
certify that the ahove inspection has
been made. Finai
! U
OFFICE USE ONLY
Tlus request voitl 18 monfis 1rom
?
?4084 , A. ,?
??v °?
Request Dat
?f
j
4C 7 Fre No Rough-In Inspectan
tl?
p ire y
yJ?Refldy Now
/
O WII Notly Inspeciw
When ReeM>
(J / ? No
Ix licensed contrector ? owner hereby request inspection of above electrical work at:
Jab Atltlress (SVeet, Boz ar RoWe No ) Ciry
$ecLOn No
I Township Name w No. Range No Coun
????
(PRIM)
%wne No.
Pow Supplier
1?
9
?a Address
n/
.
r
Elecln /or1 (COmpany Name) (
?/C .?? Coritredo?r5 /Lmense No
Maibng Atltlress (Conlrecbr or Opwn?er M?aking Inslall n) /y?/, ?
Sgn lur (CO orlOw?r M9kirg Installatio?n) /J ? Phon umber / 7
?
y' O" ? ? `f J
NINNESOTA SL1TE BOAqO 0F ELEGTFICRY THIS INSPECTION REQUEST WILL NOT
GriggrMltlway BItlB- - poum S173 BE ACCEP7ED BY THE STA1E BOARD
1821 UnlveYStty Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Pliare (672) 642-0800 ENQASED.
9
P 74084
REQUEST FOR ELECTRICAL INSPECTION
? See %istmcuans br compleUng Na form on back af yellow copy
X" Below Work Covered by This Request
EB-00001-0]
ew Ad Rep. .. TypeofBUildirg AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industnal Furnace
Fartn Air Conditioner
Olber (specily) ConUactor5 RemarksCompute Inspection Fee Be/ow:
# Other Fee # ServiceEntranceSize Fee # CimuNs/Feeders Fee
Swimming Pool 0 to 200 Amps 1MV 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspeclork Use only. TOTAL
Irngation Booms
Special Inspection
AlarmlCommunication Y
!?/ '
Other Fee
I, the Electrical Inspector, hereby R°°Bh-in ' • ?
n oare
certity that the above inspection has
been made. F,nei .
r oa?e.-7?
OFFICE USE ONLY //?/ fff A
Thu repuest vrntl 18 rtwnihs from
f? ??(f c^?/'
/L- ?