4425 Sandstone Dr vi~uoE oF ~a~N WATER SERVICE PERMIT
375~. Pilot Knob Rood ' t~ERMIT NO.: 1875
Eoyon,MN SS122 DATE: 10/28~75
~~8~ No. of Units:
owner: it of Ea an - Rahn Park Recreation Bldg.
addrese: In C,~~GiC'l7 ~`/~_7
Sice Address: 4425 ftsintx~etd Sandstone
Plumber: Bleazwater Const. c/~ R. Knutson
Met~.~fv:. ~ ` - Connection Charge:
Sixe: ~-z " Account Deposit: ~ Chsrge
Reader Na~~ , 9~p` Permit Fee:
~ a9~ b~r r+ith M» Villoy~ of EoOo~ Surchazge:
Ordieonc~s. Miec. Charges: ~ y a a
Total:
By Date Paid: ~
Date of Insp.: In6p.:
~rr~.u~a~ oF Frno~N , SEWER SERVICE PERMIT
I79S Plbt Knob Road PERMIT NO.: 2633
Eaqen, MN 55122 DATE: 10/ 28/75
Zoning: No. of Unita:
Uwner: City of Eagan - Rahn Park Rec. Bldg.
Addreea:
Site Address: 4425 Sandstone
pl~~,: Clearwater Cbnst. c/o R. Knutson
1 o~n. to eawpyr with tM VNIa~ of Eo~on Connection Charge:
QrAinonen. Account Deposit:
Perm~c Fee; no chafge
Surcharge:
gq; Misc. Charges:
Date of Insp.: Total:
Inap.: Dace Paid:
LDIZ~ &'7~ ~~c.+ Sb
CITY OF EAGAN WATER SERVICE PERMR
3830 Pibt Kno~ Road = ~
P. O. B~ Z1~99 ` PERMIT NO.:
E~gan, MN 55121 D,~-~: '
Zaninp: _ ' NO. of Units:
';r• _'a~au ~ r_ ~ C_
Owner: ~
1lddpe~s:
S~h I1W/fS{: .:ii:. fin~ ~ J . ...1 , Ll•-.1: . . :l: .
~111M~r •'a~ ~.t f? t rx . 1.; ;T1. ~ .
Met~r No.: ~ 7a
Size:3 i~tj1'ttlp
Reader No.: ?r d~~ ~ E.1S•
1 Nn~ !o e~pyr ahl~ tV Clhr ~f E~~ ~ `
Or~iM~oM. jE~~~~p~
i~i~G~ _
~i
BY Dob Pbid:
Date of In ~ryp,;
D ~D s!
~ ; r_ _ w
CITY bF EAGAN ~EWER SERYlCE PERMIT
3830 Pilot Knad Road ` ' :~g~,?
P.'b. BM`c ~31199 PERMIT NO.:
Eagan, MN 551,21 _ D^1'E: 7~a`$'';'
Zoninp: ~ ~c No. of Units:
c:ity of E~gan - r--- _ . ~ ,
Ownsr.
Add~ess:
Site Address: Rshr. P~rk 04 ~ l)i~ ~ ;i ec 3 ~ T~7 3
1?aknta Plumbi~~~
~_~~`~tA~
~ c~e,,
a~.:~p.. ~ • ~ ~oce d~g'~~n~~ #c•
e Ha~yE • ~1~~~•
~E~~4 L S~~vF~
~Dotd o#'~- r ~a--~ = - W~~ Total:
h+sp.:
Insp.: Dote Pald:
. %
f,
J
CITY OF EAGAN WATER SERVICE PERIIAIT
3830 Pilot Knob Road •
A. O. Box 2'f 799 ~ PERMIT NO.: ,
Esgan, MN 55121 DATE: `
Zor~«~p: No. of Untts:
.af,~i ~
Owner: c; ~
Ilddrax:
Sfte Address: ' i . . e _ ' ~ ^
Plumber. _ _ ~'t'~ - -
Mater No.: Connectian Qwrpe:
Size: Account Deposit:
Readsr No.: Perrnit Fee:
1 prM !e ao~~i~r wilM !M Ciy ~f Ep~~ Surd+oe~ys:
O~w~was. Mlsc. Cha?pes:
Totai:
By Dots Pcid:
Dote of irup.: irap.;
CITY OF EAGAN P~
3830 Pilot Knob Road ' •
P. O. Box 21189 ' PERMIT NO.:
Eegan, MN 55121 DATE:
2ea~np: , ~ No. of Units:
Owrnr. ~ y o f
Addrrss: ~
SiM Address: . . , l
Plurriber.
1 yn~ to ~~i~r wpr flw Ghr ~i i~¦ Conn~clton Cho~:
O.il~rwwr. llcoo~~rt Deposit:
Prnhit FM:
Surclwrp~:
8Y lWsc. Cha~
Dot~ of Insp.: Total:
~wR~ Dat~ PeW:
CITY OF EAGAN Remarks ~ ~ f~`"> - ~ ~ ~-{a
Addition S'E['tj-02'1 Lot Rlk Parcel ~ a o~ooa o~ 2 76
Owner ~ 5treet ~25 Sandstone State F''a~Tl~r~v 55~ 22
l j j
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUAF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ~ ,Q 6.~ 1 Paid
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AFiEA 6 ~ C
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIOEWALK 1 $ 1
STREET LIGHT
WATER CONN.
~UILDING PER. AC"~,V BZ
SAC
PAR K
11~I~YLL'1'lUl~l KLI;UKII
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
f~agan, Minnesota 55122-1897 Date Issued: ` ` ' ~ ? '
(612) 681-4675
SITE ADDRESS: , r; r APPLICANT:
~ ~~NE UN , , .
,
PERMIT SUBTYPE: TYPE OF WORK:
~ , ~ , ~ ~ . , f - ~
• •
kj, ~ . ~ ..5~~ t (l~ (i !1(~~ } , ~ . I , .
r ' s i ~ °~~~I` :~~.1~" - - , , ~
N
~ ~ ~ . , , _ _ , - . ~ -
~ J
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
L d urll
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FtNAL
DOMESTIC
METER
IFRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HY~ROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
~ 9/Sa-- C!Dl9~O~ ~
:42752 ,toia ~ _ ~
Feques~ Dete ~ Fi No. Rougn-in Inspec~ion
3m Requiretl? ~eatly Now Will NotiTy Inspactor
? Ves ~ No When ReaEy?
I ~ licensed contractor p.owner hereby request inspection of above electrical work at:
Job MOress ~Sfreet Box or Foule Na.~ Ciry
f ~iL~ ~.~..H/K ~ EaJ~
Section No. Townslii0 Nam¢ o~ Na ~ Range No. Coun~y
Occupan~~PqINT~ Phone Na.
; a- L n- G. S e~ ~~~S ~/~+ob~ I. _
Pawer Supplier Atltlress
•..S ~ .
Elecincal Conlrador ~GOmpany Name~ Contractor5 License No.
Mailing Address IGOn~racror or Owner MaWng Instella9on)
d v~'~ --7''
' d/ .~teJ.
Ho~norrz Sig wr ~C racror/pwner MaRing Ins~alla~ionl Phone Number
- 6~~ ~ _3~~~T
MINNESOTA STATE BOARD OF ELECTRICITY TMIS INSPECTION ilE0UE5T WILL NOT
Grigg5~M10way BIEg. - floom Sl)3 8E ACCEPTED BV THE STATE BpARD
18T1 University Ave., SL Peul. MN 5510< UNLESS PROPER INSPECT~ON FEE IS
Vhone ~612) 64Y-0800 ENCLOSED.
^(p~~y REQUEST FOR ELECTRICAL INSPECTION ~g Eaoooo,as
~ See insimctions lor compleling thls lortn on ~ack ol yellow copy ~:C d ~ y~3 q
Be/ow' Work Covered by This Request
ewA3a ep:
~
TypeolBuilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heate~ Electric Heating
' Apt 8uiltling Dryer Other (Specity)
Comm./Industrial Furnace y
Farm Air Contlitioner
~ Othec~syenfy) Controctor5 Remarks:
Comp~le Ins 'on Fee Below:
# r Fee # ServiceEntranceSize Fee # CiraitslFeeders Fee
Swimmin I 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
S19p5 Inspector's Use Only: . T~7p~
Irrigation 8ooms ! (~v d O
Speciallnspection d~~
Alarm/Communication THIS INSTALLATION MAY BE ORDER N6d¢~TED IF NOT
~ Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Ro~n-~~ oa~a
certi(y that the above inspection has Finai ~ c~-~ v~ e
been made. F? ~ ,~i
OFFICE USE 9NLY .
This request witl 18 moniM1S Irom ~
o - -
Req es atyy~yy~ /^1 Fire No. augh~in InsOeclion w,4
"//a //y~ Repuiretl7 ~eetly Now ? Wili No4ty Inspeclor
7K / ~ Yes ? Na ~ W~en Ready?
s
I~ licensed conVactor p owner hereby reques ' spec b ve ele i al work at:
Jab AOOress (SVeel. Box o~ Route No. ~ City
N '
Sedron No. Towns~~~p Nema or No. Range No. Counry
Ocapanl IPRINT~ Phone No.
` c?Sar.~-tG `c /12ra~Ja- ?S~3 f`~7y
PowerSupplier AOOress
~ ' ~ `
Etecinpal GonVactor ICOnpany Na ~ ConVactor5 License No.
~ rr
Maiiing ntltlres Connactor or Owner ing mslanation~ ~
r
~
AutOOrrz ~i9naWre IConlr wner gkl g Installati n P~one Number
~ ` ~ ' ~-/9~~
MINNESOTA STATE B APO Oi ELECiRICITY f THI$ MSPECTION FEQUEST WILL NOT
Grigga-Mltlwey Bltlg. - Room S4le e(,~rn~ 1/a BE ACCEPTED 6Y THE STHTE 60AR0
1821 Univeraky Ave., 51. Paul. MN SSlOE UNLE55 PROPER INSPECTION FEE IS
Vhone(61P~6C2-0800 ENClOSED.
RE~UEST FOR ELECTRICAL INSPECTION ~y',"`yAi~ e~ oagi~
~ See instructions iw completing ihis larm on back ot yellow cropy. `~',,~1.,~z~ (j ~
~F O 6 `X' Belaw Work Covered by 7his Request
ew Atld Rep. TypeofBuilding ApplianceSWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Ape Building ~ryer Other,(Specify)
Gomm./Industrial Furnace
Farm Air Conditionar
r~sy~iry~U~ Convador5 RemaBS: .
Compure lnspection Fee Below.~
8 Other Fee 8 ServiceEmrance5iza Fee S Circuils/Feeders Fee
Swimming Pool 0 to 200 AmpS 0 to 100 Amps
Transformers Above 200 _ Amps AGove 100 _ Amps
Signs Inspacbr§ Use Only: TpTAL~
Irrigation Booms d r~l
Special Inspeclion - ~
Alarm/Communication THIS INSTALLATION MAY BE D D~CONNECTED IF NOT
Other Fee ~ COMPLETED WITHIN 18 MON S. t
I, the Electrical Inspector, hereby Rougmm ~ e e~
ceriify ihat the above inspection has Final ~ oe~
been made. ~ . 3
OFFICE USE ~NLV
e
T~is request voitl 18 mon~hs Irom ~
~025~5 /o-p3o~oa-oia -7~
Fepues( pele ~ Fire No. Rough-In Inpsectro~ R uired Ins ec[ion OMer T~ Foug~-In
I~G Q (VOU must call inspa r when reatly) ~ qesay Naw W;N Notify bnspecio.
p4~1 1 ? Ves Na DateReaE
I L~ licansed contractor '~.Qwner hereby request inspection of above electrical work aC
Jo~ Atldress ~Slreet Box or Rou[e No.~ Clty f ~
'
Section No. Township Name or No. ~ Range No. Courity
l~-~~O?"~-
Occupanl~PqINT) Pho e No 7"r~~q
~l~~N+~~ W I ~ "
Power Suppliar Atldress '
.~F~l~ l ~~~0 ~ ~Q~'
Electtical ConVaMOriCOmOeny Name) ConVactork Gcense No.
~ n
Mailing Atldress ICOnlrnctor or Owner Mekinq Ins~allation)
o ~.4"- t~p- A~l~r t;~"-3~
Autn rzetl $I ature fCo h wn ing Installatio Phone Number
~ (o(.i ~~53'~6~
MINNESOTA 5 TE BOARD OF ELECTRICITY THI$ INSPEGTION REOUEST WILL NOT
Grigga-MlEway BICg. - Roam Sll3 BE ACCEPTED BV THE STATE BOARD
18P1 Universify Ave., 51. Paul. MN 55109 l1NLE55 PROPER INSPECTION FEE IS
Phone~612]6G2-0800 ENGLOSEO.
a~ REDUEST FOR ELECTRICAL INSPECTION ~°""e`'a eeaooo .oe
~ See inslmdio~s for comple~ing Ihls lortn on back ot yellow copy. ~
_`0 q ~8G
C~ ~ 2 7 5 ~ "X" Below Work Covered by This Request
ew Add Rep. Typeof8uilding AppliancesWiretl EquipmentWired
Home Range Temporery Service
Duplez Water Heater ElectriC Heating
Ap~. Building Oryer Load Menagement
Comm./Induslrial Furnace Other (Specily)
Farm Air Conditioner ~
Other~syecity) Conbacror's Femarks'.
Compute Inspection fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuitsiFeeders Fee
Swimming Pool D l0 200 Amps a to 100 Amps
Translormers Above 200 OU qmps Abo Q Amps
Signs . inspecror's Use oniy: Tp7pL
~ Irrigation Booms ~ ~ ~~l
O
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED CONNECTEU IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspector, hereby Ro~qn~~~ oaie
certify that the above inspection has Final oam
been made.
OFFICE USE'JNLY
This request voitl 1B months Irom
;e;= ~ w:d ~j3r~/ ~.c 2 ~n~ l~(Z~ Ik5
~~~~5 ~ io o~ooo c.~ . ~
Request Oate Fire No. Mug~-in Insvection
~auved? ~.y~ ~NeaAV Nuw ~Will No~iiv.InsDec-
~i/26/,85 ?Yes Vrvo ~or When Heady
~ Li~e2sed Eleclrical Conlractor I herebY repuest inspection oi ebove
? Owner ' electrical work installed et:
Streei AdOress. Box a Roure Nw Cify
Rahn Park - u~la5 ,y~o-..,.c, ~c. Ea an
el~o~ Towrt~~io Nmne or No. pange No. Counry
Dakota
Occupant l1RINT~ ' Phone No.
Pbwer Supplia Address
Dakota Electric Farmington
Electnfal Comraclar IConqaiW Namel Comractor's License No.
Hilite Electric 40445
Yailinp Address (COniractor w Owner A1aki~ Instailation)
36 55122
AuMor" ~p re(Co r~Owner Lpkvq I~tallatian) Phune Number
(612 452-1565
YINNFSOTp yTpTE BDARp OF EIECIItICIT' THIS.INSFECTION NEQUEST WILL NOT
Grippsalid~aY Bldp. - Xoom N-191 . gE ACCEPTED BY THE STATE BOAflD
UNLESS PqOPEN INSPECTION FEE IS
7821 Un:versiq Aw.. St. Peul. ENC LOSED.
Vlnm 1g121297.2711
f, I~QUEST FOR ELECTRICAL INSPECTIDN ' Ee.ooootAa
7~ , Ses .imtreetians fa complali~g this fwm on back of yeilow copy. J y~
~ Q O 5 "X"" Be/ow Work'~"ove~ed by Thrs Request w ~ ~
Pd.: Mep- Type of Builtling Anv~iercas Nirad Equipment Wired
Hame Range Temporary.Service
~uplex Water Heater Lightiny Fixtures
Apt ~+~Idi~ Dryer Electric Heatin
Cocm~ercial 81dg. Furnace Silo Unloader
I~Khsvial Bldg. Air Conditioner Buik Milk Tank
F8f11~ Oiher SpeuN ~iher ISUerify~
~Ty [her Oth~~
ompute Inspectron fee Below
p • Fee ServieeEntranceSiza g F¢e Feeders(SUble¢de~s N Fea Circoits
Ow200 Dto30qms Oca30Ams
A6ove 200 Ampsi 31 to 100 qmps 31 to 100 A '
~ Swimming Pool Above 700_Am ~ Above 100_~+ml~
Transtormers Irngation Booms Partial- Other Fee
$ig~s Special Inspec[ion 5110.~50 TOTAL F E ~
~~~Service for 4th of C airion (~/U~ /
qpph~~n r
Date the Elactri'Cal
~ Inspecb., hereby
rtlfy that the abpve
q~~ ~ D'te ~pectien has bcen
~ ~3._ ~aa.
iw~raia t8mmenlmm
Thisreyueslvoid~-~~ o3O0O ~~Z7~ 3VJ~{(/~
~~~MCrqn[Rs irom /a , OQ
~ : ~oU~ 1
Pequest Date Fire No. flouph-in Insaection
{p AeQUired7 ~ReadY Nuw Q Will Notity InsPec-
~Z (J ~ ?Yes ?Nu Inr When Reody
~4~hsed ElecVical Convactor ~ 1 hereby requnst inspection ot abova
? Owner alachical work instelletl eY
Sv t Atldress, B o flou~e No. City
~ ~~,,/s~~,~~ l~.~ ~a-~
ecLOn o. Township N;~me or No. Range No. Cowny
Occuoa RINT) ~ Phone No.
~
Pow r Suppl'¢r AC¢[esc *
~ i c. ~°n N
lecvica nt~a tar ICOmpany~me) Contrar.tor's License No.
i
L-
Mailing Address C nVac r or Owner Making Instail,aJ,`'~'!
7 `s., ~-~c L/~i.. ~ C A~d^-~
Authaf d Si a re ontr tor Owner aki Installation) Phone Number
~C 2~~~ Z "'~J ~a?'
MINNES TA STATE BOARD OF ELECiFICITY ' THIS INSPECTION flEQUEST WILL NOi
Gripgs-MlAwey B~dg. - Noom N491 ~ 0E qCCEPTED BV THE STAiE 90APD .
UNLESS PNOPEH INSPECTION FEE IS
7821 University Ave., SL Peul, MN 551U4
,e.~~ ~a ENCLOSE~.
y^~ REQUEST FOR ELECTRICAL INSPECTION ,r-~ Eg-ooooi.oa
O'V 2 7 ~ See inatrvctions for como~eling this brm on back ol yel low copy. L~
°:X'~ Below ~Mork Cove~ed by This Request ~ 3~p (p(p
Adtl Re0• Type ot euildinp APa~~ances Wirad Epuipment Wired
Home Range Temporary Service
Duplex Wa[er Heater Lightin Fixtures
Apt BuilAing Dryer Electric Heatin
Commercial Bldg. Furnace - Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
- Fdfm t er Peci y Other~Sper.ify~
t er peci y OLhC~ Othor
Compute Inspection Fee Below
N . Fee ServicaEn[ranee5ize H Feo Faeders~5ubfeadnrs M Fee Circuits
0 to 100 Am s 0 to 30 Am s 0 to 30 Am
701 to 200 Amps 31 to 100 qmps 37 to 100 Am
Above 200 qm ~s Above 100-Am s~ Above 10 m s
Transformers Remote Conuol Circ. Partiat ther ~ e
Signs SUeciallnspection .(7
Femarks ~ 5~'~~ TOTA F~
Gv~'?IGe ° ~ r
Hough-in ~ ate
/ I, the ElectriceP
v Inspector, ha~eby
cartily thet the above
Final ~ ~r 7 inspection has been
l ~ea. .
This request void
18 mon[hs frnm
This iequest void 18 months from ~ a_~~ J~~~
.
Dat~~offhis~~ O~ S 15 2 3
I, as L~'Licensed Electric 'Contractor ? wner, do hereby request inspection oC the above electri-
cal wfn'ng installed at:
Street Address or Route No. ~'7-.~~ J~5~~6,.~.~,~it,~--~ ~A /
~y.~.~~..
SecGoA Township Range County~-~
Which is occupied by~,p,yN ~~(~iy-~,y,t~,q.,~~ ~,.lps f~-p~-~
C(Namehf Occupal~
Is a rpughin inspection required on this job? No~ Yes O Ready Now ? Will Ca1L~
Power Suppli r ~
Electrical Contractor " Contractor's License N~'g~g6
~ (COmpan a
Mailing Address ~
wcto or Owner M T Installatlon)
Authorized Signat one No.~fc~~-?o?7.~
(Electrlcal Contracto~ or Ow~e~ Making Thls Installatlon)
. 7hisinspectionrequestwillnat6eaccepted6yffie
Sute Baard unless proper insp~tion fee is enclosed.
~ - Minnesota SWte Board of Electricity
1954 Vnirersity Ave., St. Paul, Minn. 55104-Phone 645-7703 ~lO 9
~ 'REQ{lE$T FOR ELECTRICAL INSPECTION ~ ~
CHECK OW WORK COVERED BY THIS RE'.~UEST S A
Type of Building New Add. Rep. Check Appliances W'ved Foi Check Equipmrnt W'ved For
Home ~ ? ? ? Range ? Temporary Wiring ?
Duplex, ? ? ? WatetHeatex ~ ~ LightingFixtures ?
Apt Bldg. Dryer ~ ? Electric Reating ?
Commereial Bldg. ? Fumace ? Silo Unloader ?
]ndustrial Bldg. ? ? ? Air Conditloeer ~ ~ ? Bulk Milk Tank ?
Farm .~w )N
} ? ? pList ' " pList ~
Othe~~- ? ? He~eels~ He[els~
COMPUTE INSPECTION FEE BELOW
Se~vice Entcance Size: # Fee Feedecs&Subfeeders: # Fee C'vcuits: # Fee
U to 100 Am s. D to 30 Am res 0 to 30 Am res
IQl ta 200 Amps. 31 to 100 Amperes 31 to 1D0 Am res
Above 200 Amps. - Above 100 Amps. Above 100 Amps.
Transformers RemoteControlCirc. Paztialorotherfee
S~ s Special lns ction Minimum Pee 55.00
RemarksyT'~~NA~ ~ ~ 7- ~ ~S TOTAL FEE ~ e ~ ~
f ~
I, the Electrical Inspector, here ee 'f ~ b~e~ection has been mad ~
(Rough-in) Date ~--~~7
(Final) - Date d`
This request void 18 months from
~ ~7 9j
7. 940 ~,o~a Q~ ° ~ a ~a~~' ~s
Requast ~ate i~ No. Rough-in InspeIXion
- ~ / ~ Recyi~etl7 ~Reatly NOw ? Witl No~ify Inspector
?YBS No WhenReaOy?
I[$licensed contractor p owner hereby request inspection of above electrical work at:
Jo0 AtlCress (Streat. Box or Route No.) Ciy
y ~S ~5~~lQSTd~J£ ~A~bA~J
$eclion . Township Nama or No. Range No. County ^ y~jj,
~/~/LU/ ~l
Occupant (PRMT~ Phona No.
Power Suppiier Mtlress
a Ko;/~ ~£'crR K.
Eiec~dcai Comraaor ~COmpany Name~ Conlrador§ License No.
~ £C£C~7?/c D py
Mailing AGEress (ConVa[tor or Owner Making Inslallalion)
9 F.E D, f.AG~~tI ~Z~+/ S~/~
Au~hor ig~eWre (CO act r/ e~.M i Slalla0ryn~ P~one Number
~~a
MINNESOTA STATE BOARO OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT
Griggs-MWwey Bltlg. - Room St'!3 BE ACCEPTEO BY THE STATE BOARp
18Y1 Unlversky Ave., 51. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
PMne (6/2) &1]-0800 ENCLOSED.
o REQUEST FOR ELECTHICAL INSPECTION ee-ooom-os
~ See Insimclions for completing ihis lorm on ~ack oi yellow copy. ~ /O S
a 719 4 0 'X" 8elaw Work Covered by This Request
e'Atld ReO~ TypeofBuilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heate~ Electric Heating ~
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Oiher ~spacily) /~e y Contractork Hemarks:
/%71C
Compute Inspection Fee 8elow:
p Olher Fae # ServiceEnhanceSize Fee # Circuits/Faeders Fee
Swimming Pool 0 to 200 Amps / G~ ~j~0 o fo 10o Amps X,
Transformer5 Above 200 _ Amps Amps
gj9p5 Inspec~or§ Use Only: ~~yfjf~ TOTAL
irrigation Booms p'` d'~ 2gP.
Special Inspection
. AlarmlCommunication THIS INSTALLATION MAY BE ORDERED CONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 MONT
I, the Electrical Inspector, hereby ROUyn-m Date
certifythattheaboveinspectionhas F„ei ~ ~ oaie
been made.
OFFICE USE ONLY
T~is repuesl voitl 18 mon~hs from
~2~~~i _ ~o~~~ ~ s~c as555 ~v
0 000 - o,~-
Repues~ ~aie Fire No. RougM1~ln Inpeection ReQUireO s c~ion OMer Tnan Fough~ln
_~/'~`y (VOU musl cell mspe o~ hen ready) qeatly Now ? Will Notily Inspecior
l 1 ? Yes .NO Da Reatl
I licensed coMractor p owner hereby request inspection of above elecVical work at: .
Job Atltlress ~S1reeL Box or Rou~e No Ciry
2 ~ r~ f ~l~a~ ~ L~4C
~ ~
$ectioRNO. Towns~ip Name or No. Range No. Counly
~ !~{i
Occupant IPRWT) Phone No.
` .~{YJ I~LGl4~~ C ug
Power S lier A~~~ O ~y-C~ , ~ ~ ~ C ~
` S ?
ElecVical ConVacror ICompany Namel Conhattor§ License No. ' ~
ffl L i 1'~ G~C~4'L r~ C: C~E G~ ~E Y- S
Mailing Adtlress ICOnrcxtor or Owner Making Insla~~ation~
/ ~~:5 3 :S~{ ~ 2 IZD . ~~_y-~~%
AoIM1P~lgnature ICWVa 'Own aki ~-Ynstallalionl PM1One Number
, - ~ ~ ~~G ~FJrZ -.~~':S'~:
MINNESOTA STATE BOAHD OF ELECTHICITY TNIS INSPECTION REOUEST WILL NOT
Criggs-Mitlway Bitlg. - Foom S1]3 BE ACGEPTE~ BY iHE STATE BOARD
18Pt Unive~sity Ave.. SC Poul. MN 55100 UNLESS PROPER INSPECTION FEE IS
V~one (612) 6C2-0800 ENCLOSEO.
.(~/p'/7 !~`r~ REOUEST POR ELECTRICAL INSPECTION }x~ e(s~-ooooi-oe
See insimclions lor com0le: vg this brm on Oack 0~ yelbw mpY. ~ , a r~ S
~ 6
X" Be/ow Work Govered by This Request G a
e Add Rep. 7ypeoiBUilding AppliancesWired EquipmenlWired
Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt. Building ~ryer Load ManagemeM
Comm./Intluslrial Furnace Other (Specify)
Farm Air Conditioner
OUier ~ryeciy~ Cantractor's Remarks'. npr,q.~~ j` 2v~ ~ Q
Gh",~
O 2 Tg C1 V c,
Compute Inspection Fee Below: 1" ~
8 Olher Fee # ServiceEntrance5ize Fee # CiraRS/Feeders Fee
Swimming Pool 0 l0 200 Amps ' G,C~[ 0 to t00 Amps
Transiormers Above 200 _ Amps Above 100 _ Amps
Signs Inspenor's Use Only: / TOTAL
Irrigation eooms °~e~ ~ :Z.d. J
t3
Special Inspectian ~
AIarMCommunica~ion THIS INSTALLATION MAY B& ORDER ISCONNECTED IF NOT
Other Fee j O COMPLETED WITMIN 18 MO~
I, the Electrical Inspector, hereby Ro~yn~~~ oace
certity that the above inspection has F;~ai ~ oa~a
6een made. ~ ~
OFFICE USE ONLY I
Tnis request vatl 1B mon0is irom
PERMIT s~ a~~-~
~~CIT~ OF EAGAN ~-3' ~qg
3830 Pilot Knob Road PERMIT TYPE: s u r ~ o z N s
Eagan, Minnesota 55122-1897 Permit Number: 0 8 21319 8
(612) 681-4675 Date Issued: ~ ~
SITE ADDRESS:
4425 SANDSTONE DR
LOT: 12 BLQCK: 76
SECTION 30
DESCRIPTION:
ADD TRUSS RQOF
Buil~i~i9g,,Permit Type PUBLIC PACILI7Y
uilding W4;rk Type RLTERATION
,~ensus Code`"'' 437 ALT. NDNREB.
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f~.~ Np,~ 1 \ f~ ~ i 1
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REM~R~~S:REVIEWED 8Y DALE SCHOEPPNER.
FEESUMMARY: vAwarzow ~~,eme
Base Fee $.00
Surcharge $3.50 ~[~I.-)l-~~'~~
Total Fee $3.50
CONTRACTOR: OWNER: - Applicant -
CITY OF EAGAN
3830 PILOT KNOB RD
EflGAN MN 55122
(651)681-4690
I hereby acknowledge thet S have read this epplication and state that the
informatian is ~~rreot and agrae ta comply wi.th all applicable 5tate of htn.
Statutes and City of Eagan Ordinances.
~ _ _ _ -
~ ~A-A /
APPLICANT/PERMITEE SIGNATURE ~UED BY: SIGNAT E
1998 BUILDING PERbIIT APPLICATION (COMMERCIAL) ~ 3- S-~
` ~ ~ ( CITY OF EA(iAN
~ 681-4675
~ , ,
Submit followin to obtain necessa permit - 3-~~
Foundation Only New Construction Interior Improvement
struGUrel plans (2 sets) architeaurel plans (2 sets) archHeaural plans (2 sets)
dvil plana (2 sets) strudurel plans (2 sets) code enalysis (1) ^
code analyais (1) ~ dvil plans (2 sets) project spea (1 set)
soils report (7) Iandscaping plans (2 eets) Key Plan
prqectspecs (t) wdeanatysis (1) " energycelwlatians (1)natatways"
Special Inspactions 8 Testing Schedule " soils report (1) Eledric Power & Lighting Fortn (1) nat aMays "
SAC determination letter from MCMIS - SAC determinatlon letter from MCNJS - SAC detertnination letler from MC1WS -
call 602-7000 cell 602-1000 call 602-1000
SpeGallnspedionsBTestingSchedule(7) "
project specs (1)
energycalwlations (7j "
Electric Power & Li htin Form 7
" Contad Building Inspections for sample
Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota ~epartment of Heafth. Call 215-0700 for details.
DATE: ~I
l( I~ g WORK TYPE: NEW _ REMODEL
DESCRIPTI N OF WORK: A'(~~_-~ruSS ?`c~~ ~o ~lirl~ l~.C~~LC i v~ c.
CONSTR TION COST: ` v TENANT NAME: dTY OF ~fJC ~
SITE ADDRESS: ~ ~ OSiUrJ~ , - SUITE
~ 0 3
LOT BLOCK SUBD. - P.I.D. #
Name: C~~! fr-- Gf}~i'~.~ ~f~i~~ Phone 6~ ~ L~'~C9 c7
PROPERTY Last Fint
OWNER
Street Address:
Ciry State: Zip:
Company: (~L% y ~~idR'~ ~~2~ I~~t"/ Phone
CONTRACTOR
Street Address: License #
Ciry State: Zip:
ARCHITECT/
ENG om an : Phone
D ~ ~ Registrarion i1:
~tr~e es
~ , State: Zip:
Sewer 8 water licensed plumber (only if installing sewer & water):
1 hereby acknowledge that I heve read this applieation and slate that the infortnation i eo e and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. /
7/ /
Signature of Applicant:
OFFICE USE ONLY t .
,
BUILDING PERMiT TYPE
? 01 Foundation O 19 Comm./ind. Misc. ? 21 Miscellaneous
? 18 Comm./Ind. 20 Public Facility
WORK TYPE A~p ~'r~ Ss ro o~
? 31 New C]"33 Alterations ? 35 Tenant Finish
0 32 Addition 34 Repair 0 37 Demolition
GENERAL INFORMATION
Const. (Actuai) Basement sq. ft. MC/WS System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. Census Code ~j3 ~
# of Stories sq. ft. SAC Code 30
Length sq. ft. Census Bidg. /
Depth Footprint sq. ft. Census Unit o
APPROVALS
Planning Building ~S Engineering Variance
Permit Fee - Valuation: $ °
Surcharge ~ ~
Plan Review
MCNVS SAC
City SAC
Water Conn.
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Water Qual.
Other
Copies
TO~I: -:~"i t`. i~ Y ~ j,
. ,ll~~ ~C~- ~ . .
% CJP1Ci ~ f ~ ~
~F , .
SAC Units , ~
; : i ,
Meter Size . ~J
.
- E
' c%
• - ""S•~ s. i~
CITY of EAGAN N4 3756
BUILDING PERMIT
~ Y~/ ~ 3795 Pilo! Knob Road ~
Oanee Eagaa Minaesoia 55122
Address (jirBBOTS) ........~7..~.5. ~/f-;~'rt`~rF-~. 454-8300
suiieer ..t
~=-~=fl:.-.......~~:.`..~~ c -i - 7 S-
Dels ~
Addrase
DESCAIPTION
Biosiae To Be Used Fos Fronf Depih Heigh! Eel. Coat IPerm[! F~a Rsmerlu
- /~e..~G- cc~X-
~ . h[o~ Dd7~ I~
' LOCATION
Streel, Road or olhes Deseripiion of Loaafion I Lo! Bloek Add!lSoa os Tract
~ ~~~f ~-s ~ ~ ~ ~j 2 ~ ~EC~ 3 0
Thia permii does ~no! au2horise !he uae of ~sfceete, :aada, alleye or ~idewalks aor does ii g(ve !ha ownes or hk nqsnt
!he righ! to creale anp siluafion whiah ia a nuisaace or whieh presenta a ha:ard !o the heallh, eafelp, conwniencs aed
ganeral melfare !o anpone ia !he eommuniiy. ~
THIS PERMIT MUST BE KEPT ON THE PR MISE WHILE~HE WORK IS IN PRO/G7RESS.
ThSs fa !o aesHfy, ihal... e.°:"_'.'.:~~`:~:~-~_~.~ias' esmiesion fo erec! a.(f.S.°.~`.:~.t:
`.:r::....~~
~ --_.._upea
. . .
ihe above described premise ject io !he provisions of all applicable Ordinancas fos !he Cilp of Eagam ~
~
L
°~c?.~. Pex ` . . . .
. . . . . . . .
Yor---° BuAdinp Iropeelos ~
- ~ ~v
MASTER CARD
LOCATION s „a,~r~,~,~~~2 s-- -
OWNER ~
STRUCTURE AND
LAND USED AS a
Issued To
Permit No. Issued Contractor Owner
BUILDING ' 6 O„ ' ~
PLUMBING
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANI7ARY SEWER
OTHER
OTHER I
Approved
Items (Initial) Date Remarks Distance From Well
FOOTING ~~-Z4 SEPTIC
FOUNDATION ~ CESSPOOL
FRAMING -O-3I'7S o~/ ' ~ o`d'7 TIIE FIELD FT.
FINAL
ELECTRICAL OEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING j D' r' 7J
WELI
SANITARY SEWER
- 1~-.~g .
~
~ _ a Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EYENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPLY.
? ACCEPTABIE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REInSPECTION REQUIRED ~ DATE OF REINSPECTION
REINSPECTION REVEALED
CERTIFICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILpING INSPECTOR pATE
COMMENTS:
~ ~3
, * ****}#****#*~**tt*#*~*****#k*f***:
~ ~ ~ CITY OF EAGAN * ~
•rn.~j.~~~
°F~
~ . ,*f APPROVAL OF PFI2NIIT.
APPL?CAT10N FOR PERMIT *
~ itvsPDCizorr oF' s~,mx nrro/ox t,a~'~t
~ ' * TTISTA7SATTONS WII.L NCrP BE SQ~9-~
SEWER AND/OR WATER CONNECTION P~T
_ ~ ~ aPP~vm.
*
.
~
_
P ease Print)
~~1) PROPERTY ADDRESS: -
LEGAL DESCRIPTION: ~ "
Lot Block Subdi i ion or Ta arcel ID )
-IF' FJ~STING STRCCIS.'FtE. DATE OF ORIGINAL BIIILDIRG PERMiT ISSL'ANCE:
;
{ n Year
PxFSErrr zoNir~c/PRO~sm esE: ~,~2
C(k~fEEtCZAL/RETAIL/OFFICE ~ R-1 SINGLE FAhIILY .
Q IAIDPSTF2IAL ~ R-2 DCPLEX (Zt~n C~nits)
Q INSTIZS)TIONAL/GOVF.HNA7EINT ~ R-3 ZOI~30L~SE (Three + Units) ( Units)
. Q R-4 APARTME[sI'/COI~IDOMINIL'M ( Units )
2) • v
~=-~Z`(_~~~L.~~S'~ ~'+~..~lc~.l (~t'~.
. ~D~ss: ~l-1 T ~~t~
ci~^r, sra~, zzP:_ gl~n
~ . ~~I~ ~ _
PHONE:
• 3) ~ u c~• For City Use .
NA[~:_ ~ ~KA~II~~'--r Plumhers License:
F,DDRFSS: U .~ctive
F3cpired
~ CITY, STATE. ZIP: ~U ( 2 Not recorded
PHONE: MASTII2I.ICENSE# ta Initlal
4) • ~ ~,t~ ~
~ NA~~° L~ ~~~C.ut~l1 1
ADDRESS: • T T .
CITY, STATE. ZIP:
PAONE:
-5) i i v c• ~ ~ a: • oa u- -v~a~
~ CONNECPION D0 CITY SEWER ~ CONNfC.TION 1l~ CITY WATFF~2 G~HIIt ~
, 6) PLE.~,SE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF ABOVE -
PLEASE L APPROVID PERMIT 71~ 1. 2, 3, 4. A&]VB .
(Circle one) ~ '
7) r r u•~• ~ ~ / ~
- ~ 7: ~ ~:r a ~ u ~ r ~ • a u r• u~• • ~v ~uti • ~ • o~ r • ~ ~
~ • ~ ~ M:1~ 71 ~ ~ i , : a- ~ •r a• ~ . , ~
_ ~OR CITY USE ONLY ~
PERMIT # ISSCED
7~so 7~.~6
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ ~ WATER PERMIT (INCLODE SORCHARGE)
$ ~ WATER METER/COPPERHORN/OC'TSIDE READER
$ S WATER TAP (INCLL~DE CORPORATION STOP)
S $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ ~ r ~1 ACCOL'NT DEPOSIT - WATER
$ $ ~ WAC
$ S AC
$ ~ $ TRL'NK WATER ASSESSMENT
$ $ ~TRL~NK SEWER ASSESSMENT
$ S " LATERAL BEIVEFIT/TRL~NK SEWER
$ S LATERAL BENEFIT/TRL~NK WATER
$ S WATER TREATMENT PLANT SLRCHARGE
$ S OTHER:
$ S TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
Q ROADWAY" MLST BE ISSL~ED BY THE ENGINEERING
NO OIVISZON. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: ~ ~ ~ o
_ . _ _
r
~~~1~ w,~o~
- ~i" ,~V~7S~rr~' ` ~n.:.
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. . ~~i;~ ~ `y~. V i ~
~y~
STATE OF MIfVNESOTA
DEPARTMENT OF REVENUE
CENTENNIAL OFFICE BUILDING
SAINT PAUL, MINNESOTA 55145 ~
September 2, 1975
Ms. Ellen Young, Agent
City of Eagan
3795 Pilot f:nob Road
Eaqan, t4innesota 55122
In re: Application #263396
Dear ;~is. Young:
We have received an application for reduction in the assessed
valultion of real e~tate located in the City of Eaqan, Dakota
County, t4innesota, ~uhich has been referred to this office by ~
the County Auditor and County Board. The property is described
as follows:
Parcel #10-02200-010-81 Section 22 Twp. 27 Range 23 ..a,_r y~
Parcel #t~o-n3onn_ni2~~i(, Section 30 Tx~. 27 Ranqe 23
Parcel ~10-443C0-010-00 Lakeside ~states - outlot A y<~~-~
Parcel ~10-94901-021-03 Letendre 2nd Addition s-~-~~„-~ ~
The anplication states that these ~`"""`J~~
properties shouZd all be
tax exempt. The apnlication requests that the assessed valuztion
for the.assessment year 1974, taxes payable in 1975, be reduced
to zero.
Since the reduction in assessed valuation exceeds $50,000, a
hearing is required by Statute. This hearinct will be held
September 24. 1975, at 8:30 a.m. in Room 202 of the Centennial
Office Building, St. Paul, Minnesota.
Sinlc.ereiy,
/ ~zoC~~ ~ x . .
~GERAI,D [9. PAHL v ~r ~
Research Attorney
GS+7P : dw
cc: Mr. Carl D. Onischuck, Dakota Covnty Auditor
rir. Seymour Olson, Dakota County Assessor J2
Mrs. Alyce BolY.e, City of Eagan Clerk-Treasurer
Mrs. Phyllis F.. Byers, Burnsville School District ~~rk ?
~ q~ 1815
:v
~
w
• ~ ~
AN EQUAL OPPORTUNITY EMPLOYER ~~~~~d ~ ~ ~ ~ -
J
'
- 40
4 -
" 3
( ci-- ‘ N''' rc "
-----•—j_-------- ,
.1
,
___, ____L'_•-..--v „—_ ---- --■ ---_. l / I .
' • 1 7 1
i /, .. 0 ti ? - f:, P ir-
- • •• 17 i , • ,7
• .
,
------
--
�,�.R-�'
� ' ~ �
+�
Use BLUE or BLACK Ink
� For Office Use ---------j��
C� ,- �- i Permit#: ���( I/.�j IJ
lt� Of �� �Il �� _��.�� - , . . � J�/� �i�jj ,«
� � Permit Fee. /'7 O % �
3 8 3 0 P i l o t K n o b R o a d ;`.�; i � i
Eagan MN 55122 �'`•�"' ^ .� Date Received: ��-'' � J i
Phone: (651)675-5675
Fax: (651)675-5694 � � �
� Staff: �� I
`����������������J .
2015 COMMERCIAL BUILDING PERMIT APPLICATION
03/05/2015 ��2� Sandstone Drive, Eagan MN 55315
Date: Site Address:
Tenant Name: XCeI Energy TransmiSSion Tower/ (Tenant is: New/ X Existing) Suite#:
City of Eagan Property
� Former Tenant:
Name: City of Eagan Phone: (651)675-5000
Ptop�t'ty Ow17er Address/City/Zip: 3830 Pilot Knob Road/Eagan/55122
Applicant is: Owner X Contractor
Verizon antenna installation on existing Xcel Energy transmission tower
.1.�/p��f wOrk Description of work: as well as addition of equipment shelter to provide better coveracle to Eaqan
area
' Construction Cost: $50,000
Name: v��� ���L � License#:
CQDtCAC#O!' Address: �• g d X � �D'7 City: �� ��
State: W1 IV Zip: 550Z-S'� Phone: �G51� �BB - 65 S$
Contact: 1v IGk C-6�t.S�� Email:�.Ga,1'�..�,6 N�VI�►� " 111(�.LD�'►it
Name: DeSlgn 1 Registration#:
ArChitect/Engineer Address: 9973 Valley View Road �;ry; Eden Prairie i
State: MN Zip: 55344 Phone: (952) 903 -9299
Contact Person: Robert J. Davis Emai�: rdavis@rjddesignl.com
Licensed plumber instalting new seweNwater service: N�A Phone#: N/A
NOTE:.P/ans and suppart�ng documents tha#yotr s�bmit are;cor���dered#a be public inform�ffon, Partions of
#he informati�on may be class�fietl as no»ptrblic�f you prApvld�speclffc teasans fhaf wau/d permit#he City to
co�clt�tle th�t#h� �r�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.qopherstateonecall.orca
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the dinances and
codes of the City of Eagan;that I understand this is'not a permit, but only an applica' r permit, and wo ' no o start without a
permit;that the work will be in accordance with the approved plan in the case of whic equires revie roval of plans.
xJerod Evan Hanaman - Insite Inc. Real Estate • ����
x
Applicant's Printed Name IicanYs Signature
Page 1 of 3
.
" �-(��� � ra�.�s�� �- ` � �� -�,�-
DO NOT WRITE BELOW THIS LINE � �
SUB TYPES
Foundation _ Public Facility Exterior Alteration-Apartments
✓Commercial/Industrial _ Accessory Building Euterior Alteration-Commercial
_ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility
Miscellaneous Antennae
WORK TYPES
�/ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Exterior Improvement Reroof Demolish Interior
_ Alteration _ Repair Windows Demolish Foundation
_ Replace _ Water Damage _ Fire Repair _ Retaining Wall
_ Salon Owner Change *Demolition of entire building-give PCA handout to applicant
DESCRIPTION �
Valuation ,sf7�DDO Occupancy MCES System
Plan Review ✓ Code Edition SAC Units
(25%_100%� Zoning � City Water
Census Code Stories Booster Pump
#of Units � Square Feet PRV
#of Buildings / Length Fire Sprinklers
Type of Construction Width
RE UIRED INSPECTIONS
Footings(New Building) Sheetrock
Footings(Deck) Final/C.O.Required
/Footings(Addition) �Final/No C.O.Required
✓ Foundation Other:
Drain Tile � Pool: Footings Air/Gas Tests Final
�Roof:_Decking _Insulation _Ice&Water v Final Siding:_Stucco Lath _Stone Lath _Brick
Framing Windows
Fireplace:_Rough In _Air Test _Final Retaining Wall
Insulation � Erosion Control
Meter Size: Concrete Entrance Apron
Final GO Inspection: Schedule Fire Marshal to be present: Yes No �
Reviewed By: C��G , Building Inspector Reviewed By: . , Planning
COMMERCIAL FEES
Base Fee �o$/� 7� Water Quality
Surcharge ZS', o-� Water Sampling Fee
Plan Review �f-�f�j . l Water Supply&Storage(WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S&W Permit&Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other: �F
Water Quality TOTAL ��� � • o�
Page 2 of 3