1950 Ruby Ct S6od8
zs
Request Date Ire N Rough-in Inspection Required
1/ once Other Than Rough-In
(You ( call inspector ffen ready)
9
9 `Lk
r Ready Now D Will Neely Inspector
Yes No
- D e Reatl
I licensed contractor Downer hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
Section No. Township Name or No. Range Nc. Cou
ant (PRINT) Phone No.
Power Supplier Address
?.-(L.. C.._ .
Electrical Contractor (Company Name) Contractors License No.
Mailing Address (Contractor or Owner Makin Installation
CITIES ELECWC, Installation CA00381
H ST. W. FGTN., MN 55026
Authorized Signature ( noactor/Owns eking Installati e Number
Phon
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-Mldway Bldg. - Room S-128 BE ACCEPTED By THE STATE BOARD
1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
rI REQUEST FOR ELECTRICAL INSPECTION
8 N 8 0 7 6Ill see instructions for completing this form on back of yellow copy.
"X" Below Work Covered by This Request
7E/B-0000189
" Y$¢dl X7
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Above-1Q0 -Amps
Signs Inspectors use only: TOTAL 5 0
Irrigation Booms oo O
Special Inspection V _
Alarm/Communication THIS INSTALLATION MAY BE DERED CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
th
t th
b
i
i Rough in
Al oats
-
y
cer
a
e a
ove
nspect
on has
been made. Final oat r.
OFFICE USE ONLY
This request void 18 marble from v??(•?' ' _ J
CITY USE ONLY
L BL q
SUBD. U}7J
RECEIPT* /Off ??ell
p
RECEIPT DATE:
PERMIT#
1999 PLUMBING PERMrr CRESIDENnAL)
crrYOF EAaAN
3830 PILOT KNOB RD
E*EiAN, MN 55122
(651) 681-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ` minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Minimum fee alterations to existing dwelling 30.00 x = $
Private Disposal System new/refurbished ' requires MPC lic. 75.00 x $
Private Disposal System abandonment 30.00 x = $
RPZ new installation/re air 30.00 x t $
_
Rough c en n 1.50 _
_
x = $
Shower 3.00 x = $
Underground srinkler if dwellin is under construction 3.00 x = $
Underground srinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surcharge .50 > > ----> $$ .50
Total --> --> ----> ----> $ & S
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-1 -h---ere-b--y a----------cknowledgeetfha -t - I -- h--averea- read-d--this----ap-p-li-p---tion--,---state----thatt--- the- i-rim---ormation------ is-- corr----e-ct--, -and---agree---- to--------comply--wit--- h-all---------applicable--------s-.-
City of Eagan ordinance
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME: :
TELEPHONE #:
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
CITY:
TELEPHONE M
ZIP: ?S 3
SIGNATURE OF PERMITTEE
i ,
I
' :#k*?**Mr7{<#)OS**?**1R?7k7kX?*7k7k?1k7k?C7k7k1k7k7k7k7k7kJK7?7k7K
CITY OF EAGAN
CASHIER: KH TERMINAL NO: 107
HA'T'E: 08/03/94 TIME: 10:34:34
TT .
NAML`-.:: THE ROT'TLUND COMPANY
3716 9220 2' SPRINKLER MT 775.00
/9 Sv ? Sa
'Total Receipt Amount- '775.00
CRO30:1.92
USER IL: KAREN
Serial # 3 y 5-6
Chip # C 7 3 e ,.7 / 5
Permit # y 7 y a
Address: -!5-6) 1 AGREE TO COMPLY ITH CITY OF EAGAN
ORDINANCES
Signature:
CbntY.uct Nd .. ___ _
Project No QI,UaYG . 43 uv .
' Submittal DAte
CITY OF PAGAN
SEWER & WATER PERMIT RELWE PoRM
PROJECT DESCRIPTION: J?l-L i ?0 1? A l y/ IJ? ... s J)J:)
Substantial Compietion bf Sewer & Water 7 -Z.5 - 4 cI
Date of Occurrence
STEP 1: PERMISSION TO NOOK UP
?C
?Linea tamped And Acceptabies '9-4# V
Deflection Mandrel Test Passsd«1-Y"g5 v
Manhole Structures Properly C'C'S-y.gy _t-
Constructed (ettg. & cover, rings,
tone, 1 ft: 966tions, final rim
betting, & build and invert) _
,/ Infiltratibn Test A. test 5-)9-9 y ?
?o r c
WATER MAIN io?JC ?P?T
Properly Chlorinated & Plushed`c
tntire System Pressure Testedccs-19-S4
Entire System Conductivity TestedS--t9-4 y CC-
All Valve Boxes Acebasible;
attaight & keyed
All Valves Opened or Closed as Approp.
Bacteria test completed
-viols--t
?e?6al 4
v Ali Wye Locations confirmed S ev-1H CC
1.- All Curb foxes Exposed, Set to Proper Grade & Marked v/Fence Post
4? Required Semite Risers Televised r?
COMMENTS I? 'e- U /-
STEP II: PULL USE PERMIT (OCCUPANCY)
STORM SEWER
STREETS
tines LAmped & Acceptable - Material Test's Checked & Passed
CB Structurea Properly Constructed (Conc. compressive strength & Air
(estg & ebver, Pings; 1 ft. Contents BittIA. Extact & gradation,
bectiobi invert, final cstg, gravel base gradation)
betting & build, DL+DR correctly _ Utility Structures & Lines Clear
set:tingb & ebtg..&at in full & Free of Debtia & Gravel (Gate
bad of m6tuf) Valves keyed)
Aprons, Dibbipatots & Rip Rap
properly ihatalled
COHNSUS
RECOMMENDA2I(1Ns 1 hbteiti verify that the teats and inapbbtichb itidibsted Above have been
bucceisfully t:esipibtedi: Any deviations or Dtteptiona are deaatibed in MY eomments. With this
bonsideted 1 fbe6tAtnd IhAt parieibbion to hook up of permibbiori tot occUpancy be granted as.
Appropriate to the abbve itidibatibnk.
Signed
Projec spec to
Confirmed fly:..
np"
Public Work's Department .
e -A
r? /o: °lf?
LOT BLOCK SUBD, O
?Aa
RECEIPT H o2y8v`??j & DATE ?a0 ?
1994 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOWPREVENTER)
COMMERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: 7 S? Commercial GPM
_ c Residential (boulevards) GPM P n t
Existing residential
Area/address to be irrigated: ? 9 5 a ,iv •
Installer: (/_J?/lam `((.`16• Owner ?
Street address: X&O
Plumber Lam'
City, state & zip code: 3S°a Phone #:
Owner Name: Street address: '2l ej L
A'/
City, state & zip code: K9 S?d?l/e !fir SS'i/ -Phone k: ? -3 e- O Sd 0
ation
Irri contractor if different than installer:
g ,
Telephone N: I? 41W.Poo
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances
A02t ? ?t
Signature Title
If construction activity occurs in public easement or City right-of-way, signature of property owner is required.
The property owner agrees to hold harmless the City of Eagan for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City
property/right-of-way/easement.
Property Owner ?7 r? Date
Approved by: 0AZzmj Y? Date:
PRV ? Yes N No
r Di
New service N Yes ? No Meter Size & Cost I J
Fees due: 4 c/y a Calculated by:?-? ???
,' aw
APP.
PROCEDURE FOR IRRIGATION SYSTEMS 3 /zb AW
1. A site plan must be submitted to the Engineering Department for review before installing an irrigation
system. A permit to work within City property/public easement/right-of-way may be required. A plumbing
permit is required - please contact Protective Inspections once the review process is complete.
2. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial lroiect: $25.50 irrigation system permit to cover installation of backflow preventer.
$50.50 water permit fee only if new service is installed.
$100.00 per tap if installed by City.
b. Residential proiect: $20.50 irrigation system sprinkler permit to cover installation of backflow
preventer.
$50.50 water permit fee if new service is installed.
$725.00 per connection - WAC.
$348.00 per connection - water treatment facility.
c. Existing residence: $20.50 irrigation system permit to cover installation of backflow preventer - (not
required if backflow preventer previously installed), however, plan and
application must still be presented for approval.
d. Meter charar- If gallons per minute are less than 25, a 1" meter will be required at a cost of
$165.00. If gallons per minute are more than 25, a 2" turbo with strainer will be
required at a cost of $775.00. This information is to be supplied by the designer
of the system.
4. No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not required, one check maybe written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
5. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 6814300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding workday. Requests for PM inspections will be accepted
until 12:00 noon.
CONTACT
TIT
TELEPHONE #:
DATE: 7 ??a 9r S?
umbeQOwner, IrrigatioK Contractor)
1
? City of Eap
2008 COMMERCIAL PLUMBING PERMIT
? Q
-----------------
I
? Permit#: ? I
I .Sa I
I Permit Fee: I
I
I I
I Date Received: I
I
I
I Staff; I
t-----------------I
G P ICATIONI//f?
Date: - 2-Z- fl SiteAddress: ' l -)U Sr/9 L u?bq LO2? I 1???? { /(tU7r?S?
Tenant: yel,"l W ,odwo/2?" ,n[l)l717/V/- 70 ? SuiteM
PROPERTY Name. Phone:
OWNER
CONTRACTOR ff II 'pp /?
Name: C?m?t9o?/??ak(i /Yr License#. VCao?L/
7/?i
//ft / ? G ?du?
State
Address: S(F79 ?vyLo??i?.1 s? 51 City: CO lT
4S-? s'sz -
: /74, Zips
??7J p
/
Phone: 1 67 - 3 7S`/ 7 Z Contact Person: lyD/d"nv. /" ?
TYPE OF Modify Space
Rebuild
New
Replacement Repair
Y - Work in R.O.W.
WORK _
_
-
-
Description of work:
PERMIT TYPE COMMERCIAL
New Construction Modify Space
- Irrigation System (
)(- yes / - no) (_ RPZ PVB)
,
• Rain sensors required on irrigation systems
• Avg. GPM _ (2" turbo required unless smaller size allowed by Public Works)
_ Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: Size & Price 3/4" meter 183.00
Avg. GPM High demand devices? _Yes _No
Flushometers Yes No PRV Required Yes _No
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR contract value $ x1%
=$ F0, C2,2 Permit Fee
Required on ALL new buildings and boulevard irrigation systems _ $ Radio Meter Read
- If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s)
- If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000
5D .
St
t
S
h
$1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). _ $ r a
e
urc
arge
Following fees apply when installing a new lawn irrigation system. $ Water Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $
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 pennit, 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
requiresa review and approval of plans.
X 6??)Qa /i?kC/ x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE, i Approved By: Date.
0
.; Requiredlnspeetlons:_ UnsierGround - Rough-In _AirTest Gas ,`=F -a'
Pace 1 of 3