1873 Ruby Ct NINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: r 14
3830 Pilot Knob Road Permit Number: `Y 03 11
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: t r' fl ?` .r APPLICANT:
r tt c : ?.? t{a cur
I . ppNY L T N 1; 11 A l i VI t itpp , r I• I NI
IM -FI.tY 1.00101(fws ;Nwo (E+1,p1 7843 e41t
PERMIT SUBTYPE:
TYPE OF WORK:
ifF NATt?
t+l I t I i IN WIND & WATER DAMAhU
INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR.
?'?tiH?ti{ r 11 41 p i? i'tt l
t- rit!I t pat.
14PI AI?KS -: INCIIII Df187h, 77, 19. Ht. 8:3, 11f,. AN14 1NN7 RIJHy C1 N
L V! a 069 060 061 06, 063 064
i
Permit No. Permit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
`d-ry,bF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
1 N
1411 (f, 1 i 1. a1 ?x??l
TYPE OF WORK:
DATE INSPTR. INSPECTION TYPE DATE INSPTR.
1873 $
55 50 lP 55', 5/ 6o? 18 3) 00
(r8? oo l88, 6S Glo
00
I?f MA1-? '• . t N( ! Wit S ! 1t,'?, ! 1 ti8 1: 1 ii;t tiK9b 4 iitt7 1101414 1 1
.?. ! 1.1 I'1 BIi - vat I
- -, - - -
Permit No. Permit Holder Date Telephone S
S/W
PLUMBING
HVAC I? •/??
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg. p
/113 /S 97
Rough Htg.
Isul.
Fireplace
Final Htg. ?y
Orsat Test
Final Pibg. Plbg. In pector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Fig.
Deck Final
Well
Pr. Disp.
SITE ADDRESS 1f 7S yl- -0 Unit # Permit #
L (P B Sect./Sub.
INSPECTION INSPECTOR DATE COMMENTS
f7
/f77
Gi;r 'r. rr ?? r y
rr ?? tr
INSPECTION INSPECTOR DATE COMMENTS
A6-V ZaY 73 - -'9877
fi
aS v
24
aAW
,V-Yq / -/ 7
?,r,?u
Kerfificate of ?ccu?anc?j
With of Fagan
ze;rartntent of isuffbing awdoection
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Classification: 8'Pl+l Bldg. Permit No. 22427
oca,p.y Type RA I+11 ZoningDisuict VD/R+ Type Cons[. V 11R
owner of Building THE RQTM M 12C Address 5201 E RIM RD, FE2M FY
Building Address 1873 TBY WJU 1H Locality 16, B1, DIFFLEY 0 M 2ND
i ?
Date: 05/24,144
Building official i ,
ALSO Il+QZJfX:S: 1875, 77po1
S,
IN A
r
/ % : 16
Serial # ' /-/'go 7 7 / tf -
Chip # 0,37 8 9 69
Permit # ?Q2 (o 9
Address: --L B 7 0j
1 AGREE TO COMPLY WITH CITY OF EAGAN
ORDINANCES
Signature:
Address 18775, 77, 79, 81, 83, 85, & 87 RUBY COURT NORM Zip 5512 2
Lot i 6 Blk i Sub DIFFELY Ga4CNS 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date:,Oll Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass 1/
Trail/curb damage
Porch
Basement finish
Deck 17
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 potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
3 4a
M 55405,?4, 6// ?eeS
Request Date
\\ - ?? -9 3 Fire No. Rough-in Inspection
Required?
Yes ?No NOTICE: You Must Call Electrical Inspector
II A Rough Inspection
Is Required.
I
%licensed contractor ? owner hereby request inspection of above electrical work at:
Job Addr tr xxor Route No.) City
Section Ne. Township Name or No. Range No. Co
Occ ant (PRINT) Phone No.
Powe ipplier Address
Electrical Contractor (Company Name) Contractors License No.
Meiling Address (COniraygrys G3wOer?paYieWeateYeaen) INC. CA00=1
Sp-mm LCSLT?.?W{. FGM MN 81fw
Authorized Signature (Cc tar/Owner ing Installation) Phone Number
MINNESOTA STATE BOAROOFELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 ?• BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 C.
UNLESS PROPER INSPECTION FEE IS
Phone (612) 802-0800 .Mn/A•'1?Y-Li, ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
111? Seelnstructions for completing this form on back of yellow copy
M 5 5 4 6 5 Below Work Covered by This Request
EB-00001-08
New Add Rep... Type of Building Appliances Wired Equipment Wired
- ? `
Ft0me
Range
Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contradors Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to too Amps
Transformers Above 200-Amps Above 100 Amps
Signs Inspectors Use Only: OTAL So
Irrigation Booms ?/ 5
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final Date 'h
.-yam
OFFICE USE ONLY
This request void 18 months from
554 9
Re tubsu Date Fire N
- -7 " LJ gh-in cfbn
ecw
s ? No NOTICE: You Must Call Electrical Inspector
IF A Rough-In Inspection
Is Required.
I licensed contractor ? owner hereby request inspection of above electrical work at: -
Job Address (Street, Box or auto No.)
1873 Nor City
Section No. Township Name or No. Range No. County
NT) /,^
O'a-0- PRI
S' ,,AP/ C./ #-& M C d-s
Phone No.
PoWa Supplier r
/9K6Ti?- .FLEc??!G Address
Electrical Contractor (Company Name) Contractors License No,
Mailing Addrestjyrft ctfL wf?81{II' Wl.sta lgypp) ^ADMI
9Y111 ,22 N CLCS?IT.. MfW{..: F11GVlTk. MN
Authorized Sign (Contractor/ uer Making Insi*69a to Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 UniverS4 Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642.OSM ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
?g ? Bee instructions for completing this form on back of yellow copy.
M 55449 X' Below Work Covered by This Request
r EB-00001-08
e 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) Contmctor§ Remands:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps 4zy
Transformers Above 200 Amps Above 100 Amps
Signs Inspectorb use only: TOTAL CA
?i
Irrigation Booms 9. 6%
••
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S `
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-In
F;nal
1e
OFFICE USE ONLY
This request void 18 months from
9?
/
M 5545 &, & a
flequest Dale Fire oug -in Inspec' a
- Requiretle
I NOTICE: You Must Call Electrical Inspector
If A Rough-In Inspection
I
R
i
d
- ? No s
equ
re
.
I tensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Roule No.)
L" City
g
6
4;
Gf/13 0
8 J A
/
Section No. Township Name or No. Piange No. County d
Ocoupa (PRINT)
o? LGr n D Ho7nt°S Phone No.
Power Supplier
g L?.?'e?i2lc. Address
Electrical Contractor (Company Name) Cordractor5 License No.
Mailing Address Contractor or Owner Making Installation)
W
6
IES ELECTRIC. INC. CA00301
ST fill
FGTN DIN 66M
.
Authorized Sig um (Contractor er Making of o' 10
JIM" Phone Number
MINNESOTA STATE BOARD OF ELECTF ICRY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Raom S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) M2-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
",2 ?EST
to0tompleting this form on back of yellow copy.
M 5 5 4 5 0 "X" Below Work Covered by This Request
Ell 08
X589 ?
Nevi R Type of Building Appliances Wired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractors 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 bove 100 Amps
Signs Inspectors Use Only: TOTAL
Irrigation Booms ?f
; ,c.?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S. / t
I, the Electrical Inspector, hereby Rough-in t '
certify that the above inspection has
been made. Final .oat
ORRCE USE ONLY ,
This request mid 18 months from
5 4 51 I ? ?` a
Focused Date
.l Fire g -in nspection NOTICE: You Must Call Electrical Inspector
? It A Rough-In Inspection
es D No Is Requiretl.
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.)
!577 )Vpg?h a City `
Section No. Township Name or No. Range No. Country _
?-/l? IL6TJ4-
Oc ,wukant (PRINT)
K 46 ) ' ` - _ I? ,p
a ?r1 L> U
Phone No.
r Supplier •
14t<0-T-A- Ll ec-T-K I [, Address
Electrical Contractor (Company Name) Conlraclorls License No.
Mailing ACdreMC7 or or Owner Making Installation)
VVff ELEC
AT 1AF TRIC, INC. AOMI
Authorized Si m (Contract er akfng I - '
0=11" IV4-uf? Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mtd.y Bldg. - Room S-173 - BE ACCEPTED BY THE STATE BOARD
1821 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642.0808 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
I? See instructions for completing this form on back of yellow copy.
M 5 5 4 5.1 - X' Below Work Covered by This Request
EB-00001-08
lS?r?
ew Rep. Type of Building Appliances Wired Equipment Wired
Ve' 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§ Remarks:
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps Q 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector§ use Only: TOTAL '66
Irrigation Booms
Special Inspection a•
Alarm/Communication THIS INSTALLATION MAY BE ORD CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 fil
I, the Electrical Inspector, hereby Rough-In t' Date
certify that the above inspection has
been made. Final Dat
OFFICE USE ONLY
This request void 18 months from
/ 589
6f 5 4 52?(
10-
Request Date
3 Fire R gh-in Inspection
wr NOTICE: You Must Call Electrical Inspector
If A Rough-In Inspection
i
es ? No Is Requ
red.
I Icensed contractor ? owner hereby request inspection of above electrical work at:
Jab1 D t, Box 161-e No.) ? ?10?
/?(I
ti
City
iion No
.
Sect Township Name or No. Range No. Cou
Occ M (PRINT) `? ?
Y>7 7 e
LLB'! D
s Phone No.
Iw
o
'
Power Bupplier
`
'
? Address
9 p
r
?cC
1GL G
Electrical Contractor (Company Name) Contractor's License No.
Mailing Md... (Contractor or Owner Making Installation)
CITIES ELECTRIC. INC. CA00381
31M ST IAj 55M
Authorized Sig ture (Contracto ner making In l?j0 Phone Number
MINNESOTA STATE BOARD OF ELECT111CITY THIS INSPECTION REQUEST WILL NOT
Griggs•Mii Bldg. - Room S-113 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
?1??? ?? REQUEST FOR ELECTRICAL INSPECTION
? See instructions for completing this form on back of yellow copy.
M 55452 "X" Below Work Covered by This Request
EB-00001-08
New d 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 (speciy) Contractor§ Remarks:
Compute Inspection Fee Below.,
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 206 Amps 0 to 100 Amps
Transformers Alcove 200 _ Amps Above 100 -Amps
Signs Inspectorb Use Only: - -^
Gf/ OTAL Jr+O
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONN ECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final
40 oat
-Q
OFFICE USE ONLY
This request void 18 months from
A 554 3 (
Request Date "• R No. Roe - Ins n
F.
es ? No NOTICE: You Must Call Electrical Inspector
If Rough-In inspection
Is Required.
licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) city I'J
Section No. Township Name or No. Range No. Coo ^^
Coo (PRINT)/ ^ ID V-C-? ..nn CC
or?r Phone No.
Power Suppliers / d ?7
nA.V-o0-T'F?- ?Lec e%,C_ Address
Electrical Contractor (Company Name) Contractors License No.
Malting Atltlresft ?prKE10 IC1at INC- CAOMI
E
?
.
a
55M
Authorized Sigir
(
o
C
ntractor ner Making =,X0 Phone Number
MINNESOTA STATE BOARD OF ELECTR ITy _ THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED SY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
D, See instructions for completing this form on pack of yellow copy.
M 5 5 4 5 3 X° Below Work Covered by This Request
E134)(3001 .08
New &cIdl Reg 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) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
• Swimming Pool 0 to 200 Amps 0 to 100
Transformers Above 200 Amps Above 100 Amps
Signs Inspectors Use Only: TOTAL ?A
Irrigation Booms
1
Z
Ch
S pecial Inspection T,
:?,
Alarm/Communication THIS INSTALLATION MAY BE SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 MONTHS.
I, the Electrical Inspector, hereby Rough-in I,^ •- i - Date
X
7
certify thatthe above inspection has
been made. ?:.. o01e
Final
-
OFFICE USE ONLY Chi
This request wid 18 months from
/a/`3/17r3
M 55466 ;e?,&
Request Date
q1 V1 Fire Np, I, in Inspection
squired?
yes ON. NOTICE: You Must Call Electrical Inspector
If A Rough-In Inspection
Is Required.
I IKlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
Section No. Township Name or No. Range No. coyal? It
Occ anI(PRINT) Phone No.
P=er'Supplier Address
Electrical Contractor (Company Name) Contractors License No.
Mailing'Address(ConVGML%naI?LVGT%I0,n)INC. CA00361
31DOZ15TH ST. W.. F(3TN.. MN 66M
Authorized Signature ( or caner king Installation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mldmy Bldg. - Roam S-1T3 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55100 , t UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
/,?;k//*3 REQUEST FOR ELECTRICAL INSPECTION
? See instructions for completing thl?form on back of yellow copy.
M 5 5 4 6 6 X" Below Wo*covered by This Request
4W ,
EB-00001-08
Add F"p. 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) contractorb Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps D to 100 Amps
Transformers Above 200 -Amps Above 100 Amps
Signs Inspectors Use Only: TAL G
Irrigation Booms /
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
r Rough-in Date
ce
tif that the above inspection has
Y
been made.
Final
Dat
OFFICE USE ONLY
This request vod 18 months from
?//
e- "
4
5
a
5
54B7/
M
4
Request Date
4/_ C ? Fire No ou -in In clip.
R it NOTICE: You Most Call Electrical Inspector
It A Rough-in Inspection
I
R
d
o ^ as ? No s
equire
.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Adtlmss (3Street, Box or Rrou aNoJ
8 B /Vo u?3 ,rT City
y /J
Section No. Township Name or No. Range No. Cpun
OT M (PRINT)
', M t
Phone No.
Pow r Supplier
,¢KoTfl ? L2er?e.3 c. Address
Electrical Contractor (Company Name) Conracor§ License No.
Mailing Address (Contractor or Owner Making Installation)
CITIES ELECTRIC, INC. milloo-ap
Authorized Sig ur / ar iw FISIVII MN 6SM
' 483-3sio Phone Number
MINNESOTA STATE BOARD OF ELECT THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BYTHE STATE BOARD
-1821, University Ave., SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612), 69241800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
/ I? See instructions for completing this form on back of yellow copy
M, 5 '454 %^ Below Work Covered by This Request
O• Ee-oooot-oa
/,5£•9?-
Ne 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) Contmcmrs Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps .S / o to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspectorb Use Only: TOTAL ea
Irrigation Booms ?a •? t?oZ "'-'
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS ?' -
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in Date
Final , Oats
OFFICE USE ONLY
This request vmcl 18 months from
?
? wd ?5f? 9?
5
4 5
M
5
Request Dale
? Fire No. fl - spection
? NOTICE: Vou Must Cell Electrical Inspector
II A Rough-In Inspection
r ? Ves ? No Is Required.
I licensed contractor El owner hereby request inspection of above electrical work at:
Job Address (Street. { Bm or Route No.)
V o r ! A i C it.*by V ? O(,.(,rCR
CIry (? , !V
Section No. Township Name or No. Range No. County
k?y4Ka?i4
Oocop (PRINT)
Ko-w-L" ii ---) 14-liam eLs Phone No.
Paw upplier
F1aZTtt IG
V Address
4 TA
Electrical Contractor (Company Name) Contractor's License No.
Mailing Address (Connector or Owner Making Installation)
C
ITIES ELECT
RIC. I
3100 CANNAV
Authorized Sign re ( / . 00 15omkir) MN -j? IlPhone Number
463-M10 MINNESOTA STATE BOARD OF ELECT THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55100 '- ' UNLESS PROPER INSPECTION FEE IS
Phone (612) 692-0600 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
b, See instructions for completing this farm on back of yellow copy.
M 5 5 4 5 5 `9- Below Work Covered by This Request
EB-00001-o8
(016-009 ?_
e dd 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 rj' ( to 100 Amps Q
Transformers Above 200 Amps Above 100 Amps
Signs Inspectors Use Only: O
TOTAL
Irrigation Booms cob
?• /
'l e2
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS
I, the Electrical Inspector, hereby Rough-in ! Date Z
certify that the above inspection has
been made. Final
Date
r
OFFICE USE ONLY
this request void 18 months from
u
55456 S-/
V
Request Date Fire No. R -in I action
Re 'l NOTICE: You Must Call Electrical inspeclor
II A Rough-in Inspection
CAL Yes ? No Is Required.
u
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.)
18g y e ®?-- City
Z?4,4
Section No. Township Name or N& Range No. Chun
Occu?p/rI?_(PRINT)
r?U 4? Lwi r? ?+? Phone No.
Ppw Supplier
g LcTniC Address
Electrical Contractor (Company Name) CoMraclor's License No.
Mailing Addres fk l' 1 0 CA00381
BATH ST. W., FIGYITi .
Authorized Sig (rector caner Making Inst 10 Phone Number
MINNESOTA STATE BOARD OF ELECTRICn-Y THIS INSPECTION REQUEST WILL NOT
Gdggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
uh?_, ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
See instructions for completing this form on back of yellow copy.
M 5 5 4 5 6 ";° Below Work Covered by This Request
4W - EB-0000[-DB
-; /584
a
e 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) Contractors Remarks:
Compute Inspection Fee Below.:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
` Swimming Pool 0 to 200 Amps f 0 to 100 Amps
Transformers Above 200 Amps Above 100 -Amps
Signs Inspecmr's Use Only: TOTAL 5a
Irrigation Booms // 9 N eon ^
Special Inspection le
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN IS MOl
I, the Electrical inspector, hereby Rougn-in + - oat
i
,
certify that the above inspection has
been made. ( Date
Final
OFFICE USE ONLY VLi
This request void 18 months from
. r-s-G-yp -. ---------
. C? of ? ; r+armita: ?a ? .
sESO wloe Knob Rose ' Permit Fee. ?5- so
Eagan !MN aSt?2
Phone: (601) 475,3675 r ome asseired: aQ
fax:(!31}e75-0694 I I
1 Sraw
I 1
2009 RESIDENTIAL SUILDING PERMIT APPLICATION - -+
na.: Site Address:
Tananl:
s r City I Zlp7
RE910ENqW0RKDvsmCr=,p' Name; 11'7'IQ?J C'
nt 16: - Owner Y ContnkMor
TYPE COW F tltm of work: _ - .kJ:?
ConstnXtion cost: -25X I 3
Name
Manage:
Wfti-Family Building: (Vas
/ NO `J
Leoenae r:
City:
r_?a1 -
State:
Phone' Contact Person:.I
ro: -515:9?
COMPLETE TIfIS AREA QNJ.ZI IF 2GNSrRUC7INe
A N= BUILDING
9Y Coee aeswarmar v¦ntilWlort category t Wprwhast . r nuWA2uWLZm
"??erY Submitted New Erwrpy Cbde W tRRrrraal
iY S"mh Non lype) Energy Emebm caicuw ana submlaed
m dw #2121 12 rna chs, hes ttw City Of Eagan issued s PwMh tar a similar pion Osaed an a master plan?
-Y" ,NO If Yes. date and address of masterplan
Lkanasd Plunder:
mechmom COntreg"r.
ewer a WOW Conosmor:
Phone:
Phone:
Phone:
-----?"7WWPfperai 'ral/aWMtYAI n'p?p?an?aK -w
?th? Imt Oadedpa "arid at this INa ft itda nor matiart it mm plan 81`16 maran: mat the wont w+s ae
a Ptrnnit, tt wappxo
tna apperad pan M Ins nances and Hosea dthe
tt+Of W*r% r rase adpn for a Permit. and on not to w6ncut a Parrrat: OW Mla worm will emt
?-y raLp iraa a rev ew and OI plant.
X, r e?5'r3 J Zia S? /?
Appliostwa PriRw Name x- ,? i r1C aL?.t
a
01'4 XHd 13C213SHI dH Wd2Z:C 8002 al qaA
Pioneer Enstneerins 7831883
2422 Entewist'Drks
Mendota Heigl7te. MN 55120
awl darasa6 (612) 661-1914•Fox 691-9488
625 Highway 10 Northeast
Blaine. MN 55434 i
;612) 783-1890•Fox 78:
1 --- t
Certificate of 811rv+ey for. 1 tih "U 1-1 LU lV L uV mj
S UNIT BUILDING DETAIL
Scale: 1 inch = 30 feet
116.92
T 2aoe - r - saw -
I la 18 ?$ lg
I? I- 1? IM
___H 1&67 p Q10.3710.370 4 of&87 $..,
q vrp ? mo.vr r m
'$ ? 8.75 { 675
t A , B B 1 A
PROP SED BUIL ZINNG-FOUND TION
UNITS: 57 -- 64
0,67 A
.e7 A 1
a7a g B $67a
B g Q 1 667 8 Q_
1,
lr.+a e.b7 i&6T 8.87 1a3 /0.371 ?° 7&67 d_._.
1a i8 1 18 10
1"
t_-'Z36 Iti 26 oe ^1"-z6 - t? 323e
-
N89459r410E la
169.12 „662
.p ae
a
41
P.02
INC.
..... ry
eft • ND1E f •'
? AA 6160tter batdeW tfiq oboe we the
om*wk* of the f Nth C& Wwn
o n, 9carafgs shown are assurned
x woo Denotes Existing Elevation
aOWD Denotes "and Elevation
Denotes Drainage do Utility. Easement
--?- Denotes Drainage Flow Direction
-o Denotes Monument i
1 ?y Denotes offset Hub
,a W
R m flm
80.26
Garage Floor Stab
LOT L6 BLOCK 1 DIFFLEY CDMMONS
atfcoI'A caeAnr, lea rn 2ND ADDITION
heroby cenify that this Survey. Plen or ropon y proyand by M Or Winder my direr[ F*wW n and that I am duly Rag mmo land surveyor
„ undwftlam of the &m of MGmt<ou. 0amd this-OA A? day of Aa4ab+. , a.a` 19-% .,.
05555
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
J5 Is o
Date 06 1 JCS 1-0_
Site Street Address I
Unit #
Property Owner S ` ?l ?bV vq ?? Telephone # (jy' y) ?7U -?iZ
Contractor
Address l7_O) e/ l0-?`
-? S City Q Telephone #
State Zip
The Applicant is: _ Owner _ Contractor -Other
Alterations to existing dwelling
-Add fixtures to rooms, excluding water softener and water heater
-Septic System Abandonment
-Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
Water Softener _ Water Heater
X replacement - additional $ 15.00
Lawn Irrig Z_ new _ repair -rebuild $ 30.00
State Surchar U. Li LLJ
AUG 1 7 2004
$ .50
Total By $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance ith the approved plan in
the event a plan is req ' ed to be reviewed and approved.
L'I'v
Applicant's Panted Na Applicant's Sign re
CITY OP EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE: BUILDING
Permit Number: 0 2 2 4 2 7
Date Issued: 11/03/93
SITE ADDRESS:
1873 RUBY CT N
LOT: 6 BLOCK: 1
DIFFLEY COMMONS 2ND
?isya8
I II3??
DESCRIPTION:
Buildin'g`Permit Type 8-PLEX
Building Work Type NEW
,-'tisc occupancy,, R-1 M--1
,
Construction TyPe V-1 HR
Zoning PO R-4
Building Length 117
i Building Width 68
Building stories % 2
S:Guare Feet 11,700
C-7) (WFj 11
REMARKS:
INCLUDES 1875 1877 1879 1881 1883 1885 1887 RUBY CT N
S & W PLBR - VALLEY PLBG
FEE SUMMARY,
VALUATION $224,000
Base Fee $1,073.50 CITY SAC
Plan Review $697.78 WATER CONNECTION
Surcharge $112.00 S & W PERMIT
SAC $6,000.00 S & W SURCHARGE
SAC % 100 TREATMENT PLANT
SAC Units 8 ROAD UNIT
Subtotal $7,883.28 Total Fee
CONTRACTOR: -
ROTTLUND CO INC, THE
5201 E RIVER RD
FRIDLEY MN
(612) 571-0304
$800.00
$5,560.00
$100.00
$.50
$2,592.00
$3.120.00
$20,055.78
Appiicant - ST. LIC OWNER:
15710304 0001335 THE ROTTLUND CO INC
5201 E RIVER RD
55421 FRIDLEY MN 55421
(612)571-0304
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L_
J
nNIO ?41A I m?
APPLICANT/PERMITEE SIGNATURE 'ISSUED B : SIGNATURE Ik
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: LOT:
1873 RUBY CT N
DIFFLEY COMMONS 2ND
PERMIT ,SUBTYPE:
8-PL X
6 BLOCK: 1 APPLICANT:
ROTTLUND CO INC, THE
(612) 571-0304
TYPE OF WORK: NEW
BUILDING
022427
11/03/93
INSPECTION TYPE
FOOTINGS .DATE INSPTR. INSPECTION
FOUNDATION DATE INSPTR.
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: INCLUDES 1875 1877 1879 1881 1883 1885 1887 RUBY CT N
S & W PLBR - VALLEY PLBG
F
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
7
REACTIVATE CITY OF EAGAN 1?' i1?( c ow v.or?s
PERMIT #' 1993 1993 BUILDING PERMIT APPLICATION
1 681-4675 Vv11c`
Zvg. 8-?1eX
Mot] 11-1
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 of
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.
`S
Date Valuation of work 223{?(9q
?/
,,?J
Site Address: 1973 - 1P75 - l p77- 1971- 1881- 1883 - l8a'S- 1987 f`(o ,C?• ?-+ -
STREET SF}Fif--#
Tenant Name: (commercial only) -TiA2- fp+-F4QKJ -o•2vtG
LOT BLOCK SUBD. P.I.D. #
1]irLtnl 0004 - 00, 5
Description of work: /U JI ; ? & - le
The applicant is: I21,Owner t( Contractor ? Other (Describe)
Name MAe_ L+-4AQKJ Gd• -T?NC• Phone 5?1-030 •
Property LAST FIRST
Owner Address _SZoI E R ? Ver fed- 'he t
STREET STE #
City r dle?/ State ?AA Zip 'f54Z?
Company. So vAe Phone
Contractor Address License # 1339' Exp 3-31-q
City
- State Zip
11
Company WW%4+ey. ASSce+a?5 Phone
133- 3252
Architect
Engineer r Name Tiw1 WWH40w Registration
Address 4-1 517 kep4er4o?y, Place--
C ity MI1ite-ffl,lk-c4_ State be- Zip 155345
Sewer & water licensed plumber V gllev A uy'?'biNa1 Processing time for
sewer & water permits is two days once area has been pproved.
I I hereby acknowledge that I have read this application and state that the information is
uN correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. _ ,
11 Signature of Applicant:
l?rrlt?C UJC UNL-T
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
19 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'l
WORK TYPE
12 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging '8d'f 6tm&)nish
? 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accesso ry ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
? 36 Move
Const. (Actual) V- 1Hk Basement sq. ft. MWCC System
(Allowable) v - IHP 1st F1. sq. ft. City Water
UBC Occupancy 1 M-1 2nd F1, sq. ft. PRV Required
Zoning EL-2--f Sq. Ft. total 117v? Booster Pump
4 of Stories 0, Footprin t Sq. ft. by?),) Fire Sprinkler
Length I1-1, On-site well Census Code
Depth 6 On-site sewage SAC Code
1
APPROVALS ca, 5,u ?
`lanning Building Assessments
:ngineering Variance
REQUIRED INSPECTIONS
0 Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
jos
o?
S
? Insulation
? Fireplace
Permit Fee 1013; Q?
Surcharge 11-2 , vo
Plan Review F ; -? , 7g
License
MWCC SAC
City SAC
o?
ODD,
Water Conn. SSi-.? o
Water Meter
Acct. Deposit
S/W Permit /Z)D,0
S/W Surcharge 15-0
Treatment P1. 592 00
Road Unit 31 z0,00
Park Ded.
Trails Ded.
Copies
Other
Total:
vaLmtim: $ L)
SAC % !00
SAC Units 0
r_.,..,, ,Z?IG k??cwl (J I lfa.`S
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
SITE
?N? ?oT-i ?c1Nb c?
DRESS L-al L PL OCV< I
CONTRACTOR DATE PHONE
Determine working square footage of each.
` rz,
t 1 G
Total exposed wall area . .
1 sq.
I . x
f
.
r2- 0 7
' a? =
ft
L ??
2. Total roof/ceiling area . sq. . x
/
G ?
it
?'?? 7 ?C
3. Total floor/e -,t area J sq. . x
Total exposed wall area above floor
CJ I '
a. Total wall window area . . . . . . . .
b. Total door area . . . . . . . . . . !i .
C. Total sliding glass door area . .
d. Total fireplace wall area . . . . . . - --
e. Total wall framing area ( average 10"x). 5 ?
f. Total net wall area above floor . . 3 ?
Total rim Joist area . . . . . . . . . q ?7
g.
Total exoosed foundation area =
h. Total foundation window area . . . . .
i. Total net foundation area above grade. -
N
?A1
z,?r?, HDDf
Determine "U" value of each wall segment.
b. 3?. 1 L x Hull p, 1 3 0 ?, 3?
C. x
d. - x „U,
e. i °s , tai x "U" / O/ 8 =
f. 1 38 44 x "U" (9 n
g• y x IV, OG i
h. x "U" -"
i.
x
nU„
SUBTOTAL
6
TOTAL = r 7' r
If item nh is the same as, or less than item Y!, 'you have met the intent
0 f SBC 6006 (c) 2.
(IM
Total exposed roof/ceiling area
J. Total skylight area . . . . . . . . . .
4
7
k. Total flat roof/ceiling framing area . . . . . .
1. Total net insulated flat roof/ceiling area . . . ?7• g
M. Total vault -roof /ceiling framing area . . . . . .
'
n. Total net insulated vault roof/ceiling area . . .
Determine IIU" value for each roof/ceiling segment
`l. x 11(,11 .?..• _ -
x IIU,I •,, ?7 = Z
k. ,
M. x lull
}'11 _
x 11V
n.
.Total=
5
If total of #5 is the same as, or less than °2, you have met the intent of SBC
6oo6(c)l.
Total exposed floor/ean area
u.l? Z • '?
0. Total f l&a-?fra iir.rs re, (average .10%) . . V
o. Total net insulated °' G{ area . . . . . .
Determine "U" value for each floor/cant. segment
o. 24 ) x 11„II 0,0
UI
p. Zt6 . 7. x III PJ,0
2q = - -7
6. . . . . . . . . . . . . . . . . . .Total= .? I
If total of R6 is the same as, or less than n3, you have met the intent of SnC
6oo6(c)3•
A =R=ATE nUILDIivG EITVELO?E DESIGN
To utilize the total envelope system method, the values established by the s•;4.
of items A, f5, and °6 shall not be greater than the sum of items nl, ?2, aac
#3.
1. 1 I Z 2.
4. 13 . I t 5.
3
zi, (1 6
Zl.t,51
-7 .o4 = 228 GS
p,E:
• 2"Add?a ?f i ??a s
EXTERIOR 'wit'/ELOPE AVERAGE "U". CC`-fPUTATION
OWNER Tr f? (?T 'c?h?? cam- I ?' (JN t j
nn
SITE ADDRESS Lcf (n Bi-oci r ?c2- C
io
l
!
. n
c i ari
CONTRACTOR DA PRONE
Determine vorking square footage of each.
1. Total exposed wall area . se ft ca,L
. .
2. Total roof/ceiling area . ('Z- so. ft. x v,OZL = } ?
51
CIA-
?
3. Total floor/-e
- are ,
,
. . sc.
a ft. x
Total exposed wall area above floor = ( j 4-a
a.. Total wall window area . . . . . . . .
b. Total door area . . . . . . . . . .
C. Total sliding glass door area -`
d. Total fireplace wall area . . .
e. Total wall framing area (average 10%). 1 ? 7C,
f. Total net vall area above floor . . . / gyp, C,
g. Total rim foist area . . . . . . . . . (G?j
Total exposed foundaticn area =
4
h. Total foundation window area . . . . .
i.. Total net foundation area above grade. - -
Determine "U" value of each wall segment.
a. gZ,G7 x ..U.' O,GV = c'L.(o2
C. x ..U.' _
d. y x IV,
h. x ,lull
l'url
K7KOTAL
TOTAL _ 2 J. 7
If item A is the same as, or less :ham item ,#1, you have met the intent
of Sec 6oo6 (c) 2.
Total exposed roo'_'/ceilinn area
J. Total skylight area . . . . . . . . . . . . . . .
k. Total flat roo_`/cei lira framing area . . . . . --7 1 , '2-
I. Total net insulated flat roof/ceiling area . . .
m. Total vault roof/ceiling framing area . . . . . .
n. Total net insalated va ?t roof/ceiling area . . .
Determine "U" value for each roof/ceiling segment
k. x .,L„ C?. 027 = I , 4 Z
1. ;4> x „U" , 0_ X4.0'1
M. _ x ,U _
n. x „U,
5. . . . . . . . . . . . . . . . . . . . . .Total= .?
If total of #j is the same es, or less than °2, you have net the intent of S=-r.
/
Total11 exposed` -? a_ ea
0. Total a=ea (average .10°n) • • (?•?
p. Total net insulated z_ ea ( 3 G, S
Determine U value for each floor/cant. se.,, ..ent
'lull 0.
6. . . . . . . . . . . . . . . . . . . . . . . .Tcta1= .G `J
If total of R6 is the same as, cr less than a3, you hare met the intent of SDC
6006(c)3.
TE':'iA_. SU.LDIiv0 FINELO=.. DE..IOv
To Utilize the total •__c-e et::Od ^e val.e5 es tab s- e ^}J: t.^._
of items n5, and E6spa! _ _ 're at er than the sLL'li cf items #I, -2,
r.
'3-
u. -7 i(.4
o G3 - 1 4
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-20451-057-04
PERMIT
1873 RUBY CT N
LOT: 57 BLOCK: 4
DIFFLEY COMMONS 2ND
PERMIT TYPE: BUILDING
Permit Number: 028311
Date Issued: 07/19/96
DESCRIPTION:
WIND & WATER DAMAGE
ermit Type STORM DAMAGE
w,k Type REPAIR
e"`x 434 ALT. RESIDENTIAL
n
.... -`.d1m o ,
, ti t F
Y
REMARKS:
INCLUDES: 1875, 77, 79, 81, 83, 85, AND 1887 RUBY CT N
L058 059 060 061 062 063 064
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. LIC.OWNER:
DU ALL SVC CONSTR INC 17889411 0003178 DIFFLEY COMMONS
636 39TH AVE NE 1873 RUBY CT N
COLUMBIA HTS MN 55421 EAGAN MN
(612) 788-9411
he`rebY a-e)Cnt
iaformati, n' _J.
.Statutes and':'(
APPLICANT/PERMITEE SIGNATURE I ISSUED B&AIGNATURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?. " 3 I 681-4675
New Construction a r Remodel/Repair Requirements
? 3 registered site surveys + 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? t energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
DATE: 11 O's I g 6 CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: 1813
/3Q 'tz J. 057,
AMU L BK
t
79fsi-0V.3 2r,&) '0-t 1661 Noll
10bb,6(all(:? tot, 6 4SI aG?
SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
Name: Q6"- 24 ? Phone #:
VV V WT FIRST
Street Address*
City: n?n?np State: Zip:
Company: UXJC Cam- ?,? Phone #: 788 9yl(
Street Address: VJ6 r 39th Aw- IUD License #: 3 78
City: 1? I., & State: ? Zip- ?5Y 21
ARCHITECT/ Company:
ENGINEER
Name:
Street
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
State:
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY uua?;p,(r,p V(?U r
I
J U L
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No
Phone
Registration #•
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SAN Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
yjqv
?
?
f 4 !5( 1 S? e
--?. ?
. !, Y I
p
e-', a -,-wzO
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - --- ---------------------------- - ---- - ------- -
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE ?\ ?Lv
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTRUCnON)
STATE SURCHARGE
TOTAL
SITE
FEES
$ 24.00 `C?= \Ga •?
6.00
$ 15.00
.50 .Sp
ago .sb
OWNER NAME: TELEPHONE #:
INST
CITY: C' ? STATE: ZIP CODE:_j\aa
3
TELEPHONE #:
SIGNATURE OF PERMITTEE
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
y
1993 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIALANDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE: CONTRAC i PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
1% OF CONTRACT FEE
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
SITE ADDRESS:
FEES
$25.00
$25.00
$.50 FOR EACH $1,000 OF PPMW FEE.
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENT'S ONLY)
INSTALLER:
ADDRESS:
CITY
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES
SHOWER
WATER CLOSET
BATH TUB
16 LAVATORY
1- KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
b FLOOR DRAIN
-? GAS PIPING OUTLET • minimum -
ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • Daddy. iic.
U.G. SPRINKLER • dome under coral.
ALTERATIONS • to existing
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
SITE ADDRESS: I k -13
C TQTAI.
3.00
3.00 uT-
3.00 ay
3.00 y t
3.00 a
3.00
3.00
3.00 a"
3.00 a v
3.00 aa'-
1.50
5.00
15.00
3.00
15.00
15.00
.50
OWNER NAME: EZo?? r
INSTALLER:
I .
ADDRESS: C4 (u C /- - , K L -
CITY: -7)-,) , ,. /, . STATE: ayI - ZIP CODE: S S S
PHONE #: ( --I i j ,
SIGNATURE OF PERMI`ITEE
1993 PLUMBINU rhx1vu? (xr.aumrnlam/
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 681-4675
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING Ui?:"T.
NEW CONSTRUCTION
_ ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF PERMq FEE.
MINIMUM FEE: S 25.00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CM:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN
APPLICANT
,_00Gl RESIDENTIALBUILDINGiff
City Of Eagan
3830 Pilot Knob Road, Eagan NN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements
3 registered she surveys showing sq. tt of lot sq. tt of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Dean Options selection sheet (bu0d'mgs with 3 or less units)
Minnegasoo mechanical ventilation form
RemodeVReoair Reauiremen5
2 copies of plan showing foofirgs, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate don-sde septic system
A99. 2s
Office Use OnN
Ced of Survey Recd . _Y _N
Tree Pres Plan Recd. _Y _N,
Tree Pres Required . _Y _N
on-fa Septic System _Y _N
l ?4 4L
o
truction Cost
q
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C
Date '
ons
d 6
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/g?
3
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1 Io D 6b1 /9a 5,18° -7Unit/Ste # ?r
ress
Site Ad /
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Description of Work
(1
? r kt A' ?titA-s .1
r 'N1+ r
M C_ Ctv J pac ' D (S' 1Y L-w? &-RL - S J t
Multi-Family Bldg - Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone 4
f
a n t w?y?s M v ?? 1 ?t ciwrr? ??
L(?
Contractor X ? 2S t?M1 V
? V
k
J City W a Izuc"
Address
lU
tv ) 4„_
I'A A?c e 6?
1
?a Zip S3`l Telephone#(aSZ) 7 {5 01 L
State
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catemry 1 _ Minnesota Rules 7672
Energy Code Category Residential Ventilation Category 1 Worksheet •p9ne e y Code Worksheet
(4 submission type) Submitted lUf?l`(TL(I(?u (hp 1?
• Energy Envelope Calculations Submitted yy
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master?pl6n 7006
Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 work which requires a review and
approval of plans.
I ,,." n K'A/
Applicai s Piinted Name
p ignature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
33 Alteration
? 34 Replacement
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
)F=?36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage Yes
Valuation M Occupancy MCES System
Plan Review 100% or 25%
Census Code _ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
- Footings (new bldg)
- Footings (deck)
Footings (addition)
_ Foundation
Drain Tile
Roof _ Ice & Water _ Final
Framing
Fireplace _ R.I. -Air Test -Final
Insulation /
Approved
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Sheetrock
Final/C.O.
Final/No C.O.
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests -Final
Siding _ Stucco Lath _ Stone Lath -Brick
Windows
Retaining Wall
Building Inspector
JRN-24-2008 15:16 GRSSEN
City of Eajan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651)675-5675
Fax:. (651) 675-5694
9529222004 P.15
I-----------------t
I I
I Q l
li l.e'!
Permit Fee: I
I t
?Lq
Date Received:
-? ?•.•- l
t
I n /e t
? staff: t
---------------
2008 COMMERCIAL BUILDING PERMIT APPLICATION
Date: Site Address: Oft I $73 ar, ,P.uby epar7t`
Tenant Natne: Apse a. Lt4?%•z` ` Sce ArH>Reij (Tenant is:._ New / _ E)dsting) Suite #:
PROPERTY OWNER Name: Phone:
Address / City / Zip:
Applicant Is: _ Owner Contractor
TYPE OF WORK Description of work: 4a. "4£i.
Construction Cost: i 7rrJ-
CONTRACTOR Name: 6 55C e_ N License #: ep?x 9 F41P L
Address: 7z 75'
City: l= o%rra State: Zip: S3 ¢.3 9
Phone: &/Z &05X--75"$/ Contact Person:
ARCHITECT! Name: Registration #:
ENGINEER Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing na sewer/water service: Phone #:
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 wig be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Appii M's Printed Name Applicant's Si
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of - Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex 29 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building`
? Addition ? Move Building ? Reroof ? Demolish Interior
0 Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation /C ? Qa Occupancy 126.3 MCES System
Plan Review Code Edition Z 9 c 1 SAC Units
(25%_ 100% Zoning p D City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) Final/C.O.
_
_ Footings (addition) _ a Final/No C.O.
Foundation HVAC
Drain Tile Other:
_
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
'1?4 Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace:-R.I. _A irTest -Final Windows
Insulation 1/ ^^ 1e1 Retaining Wall
Reviewed
Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
so
Page 2 of 3
v ' J~ ~5 ► loll, t -7 1 Use BLUE or BLACK Ink
I For Office Use
-y,
Permit #1159( City Eq,
O1 n
I I
I Perm
it Fee: J~~ • Pl~~ I
3830 Pilot Knob Road I
Eagan MN 55122 I I
Phone: (651) 675-5675 i Date Received:
Fax: (651) 675-5694 j Staff: j
L-----------------I
5
2013 COMMERCIAL BUILPING PERMIT APPLICATION
Date: 1 1771 I'S Site Address: ( ~ I _ kA\ ~f ~p~Iln,
v~
KM
Tenant Name: ~,~F~th t10~n5 ~.i►\~c.S 04 (Pprac4 kom%(Tenant is: -New/ X Existing) Suite
Former Tenant:
Name:D Mt.~ c.«,nohS V►~►as onA %ogCcIan I".S Phone: 1533- w 3 A- 81 7 9
Property Owner Address / City/Zip: P-0 Do% S N>3e.tw\jvv-~ ~ 111 DSO 68
Applicant is: Owner Contractor
Description of work ' Gr"f O~ - ~oyt A~ C\~rat, S . nh Ct ~A~ C-
Type of Work
Construction Cost: 3I , 7,51 . S /
Name: o ~ Lov\.s}('%X-~►o License t )t- .Cap 1 e1
Contractor i Address: 1~ (e~om~t avL City: ~OSL t"~UJh
State: mk) Zip: 575'0(69 Phone: :Z k x - Ll 9 (05
Contact: Ll(N+ } Email: LGol 'o~ Gall
Name: Registration
Architect/Engineer Address City:
State: Zip: Phone:
Contact Person: Email:
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 work which requires a review and approval of plans.
x o
x
Applicant's Printed N "e Applicant's Signature
Page 1 of 3
6 r
For Office Use / / I
Permit#: /S l� 9 C -
Permit Fee: 90 , O 0
,
Date Received:
3830 PILOT KNOB ROAD ( EAGAN, MN 55122-1810
(651)675-5675(TDD: (651)454-8535 ( FAX: (651)675-5694 Staff:
buildinginspectionstcli cityofeagan.com L
2019 RESIDENTIAL BUILDING
BUILDING PERMIT APPLICATION PPLICATION
Date: /0 A 1 9 Site Address: /8:73 !0.0 /1tiacof T� ) y� Unit#,
Name: 1 `fir s ! �' Phone: 6- i-s /*'1 '.', .5.31e3
Resident/ ,7 f� rt f ,4;7;), .
/�,�J _
4 Owner Address/City/Zip: /87_3 }t/ l't (,_ /�C'{ia x-' I�.' ��j
t Applicant is: Owner . Contractor
Type of Work r Description of work: RE IMO-AL '-e)<k St '.'; C. (j 5 .- i 1 1lA€e 1' sire (.r-)r l/i A,/
Construction Cost 3a),e .3 Multi-Family Building: (Yes `V 1 No )
Company: ././,C /1`j/''Z'/ ee' ,P.-?`4..5.;ic "4 ile Contact: Jf OA—, 11 If lt.) <�o,.�J
Address: Sole/7 7 (' r tt*. City: f0Z(41., lie
Contractor c%`
�State: lLf Zip: ) 30Phone:45.3 1 y.fZ , Email: rt? 1dayn.t0/‘-``..)6 (. J9Jrt !e-
-
3 License#: Z 7
/ Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
k Mechanical Contractor: Phone:
E
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
supporting documents that you submit are considered to be publicinformation.. o.._,. information
,. .to m be
NOTE:Plans and Portions of the infarmatfon may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
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 rt without a •ermit: that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
0 {{ YSz - '
x JA`o,LI f}l t) .,ijt1A,,t x
Applicant's Printed Name Ap 'c nt's Signature