1960 Shale LaneCry OF JIA JI
FO9,n PHO Knob Road
. mil
Zoning: SS 122
nee:
S drexs:
„ t r
e
e
Address:
Plumber. 1 ,
A9nSA fe l ,r
?SoA
DER SERVICE
PE"1T No.: AMIr
DATE,
No. of Units:
nection (ho??e. '
0B Account y Deposit.
Dot Permit Fee:
^sPe of Insp.: Su'rhor8e:
misc. Ch°r9es:
total:
Dote Paid:
CITY OR EAGAN SEWER SERVICE PERMIT
9795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber: Favid "ayl '
In/I)u199 111711 ,.00 Cl
1 ngree to comply with the City of Eagan
Ordinances.
By
Date of Insp.:
Connection Charge: ?
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
WATER SERVICE PERMIT
ilot Knob Road PERMIT NO.:
MN 55122 DATE:
T No. of Units:
No.:
to comply with the City of Eagan
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Date Paid:
WATER SERVICE PERMIT
C1rY OF PAGAN
3795 Pilot Knob Road PERMIT NO.:
DATE:
Eagan, MN 55122
Zoning: No. of Units: '-
n,
ner
O
w
:
Address:
Site Address: i i
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 agrso to comply with the city of Eagan Surcharge:
Ordinances. Misc. Charges: -
Total:
B Date Paid:
y
te of I nsp
D
: Insp.:
.
a
CITY OF EAGAN
37" POO Knob Rood Eagan, MH 55122
PHOH[t 454-8100
BUILDING PERMIT Receipt
T. L. rind ins F?+ VII, . f)..re
Site Addreu
Lot Block Sec/Sub.
Parcel *
at Name
Address
A Name
u? Address
F r?.. 5L---
I hereby acknowledge that 1 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.
r:Vr - A
Erect ? Occupancy
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move •? * Stories
Demolish ? Length
Grade ? Depth Sq. Ft.
Approvals Fees
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Permit
Surcharge .50
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
Signature of Permittee I
A Building Permit Is Issued to: on the express condition Ihnt
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Misc. Permit No. Holder
3a2 ? 1! l0
3q3 r?4PI`e -
p
Electric W0540li0$ {1L?hl z?.%
` ?S
Inspection Date Insp. Other
Footings
Foundation
Framing
Rough Plbg ?/ • ?? _ // ,gam
Rough HVA _ `j_
Insulation 511 h
Final Plbg.
Final HVAC *17
Final z
Water Describe Location:
Well
Sewer
Pr. Disp.
Receipt,- PLUMBING PERMIT Permit No,=' -
CITY OF EAGAN -
Fee r
` Fill in numbered spaces S/C
Type or Print legibly
Tot. -
1. Date T 2. Installation Cost
3. Job Address U ;-c Lot .? BIk. `I Tract
4. Owner
5. Contractor Phone
6. Address
r?`
1 1 State / :.
7
Cit Zip
? c
.
y
8. Building Type: Residential 4 Commercial ? Institutional ?
9. Work Description: New Jn Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: . . for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt
1. Date _a - 03
MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legibly
2. Installation Cost
Permit No.
Fee
S/C
Tot.
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone "
6. Address '
7. City State Zip
8. Building Type: Residential ?
9. Work Description: New ?
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter ? Repair ?
Type
No. Equipment BTU - M. Ea.
Forced Air _- = No. Equipment CFM
Mfg. Air Handling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Oth
Air Cond. er
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Trrtifiratr of (Orruvanry
Citp of Cagan
D eparfm t of Vuiiding prrtion
This Ccrti f icate issued pursuant to the requirements of Section 306 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 ClniBcfitian 1/2 DUPLEX & GAR Bldg. Peanit No. 7605
.ro" R3 T"ecowumum V F1 zom NA T".aDwIj t R2
By:
June 10, 1983
Dau:
. SONS CONST.
• T IN A CON/SIC § Jft C
48i - `? -? '? ~~ ?! LITNOIn U.S.M.
Receipt-, PLUMBING PERMIT
• CITY OF EAGAN
Type or Print legibly Permit No.
2 Fill in numbered spaces
Fee
S/C
Tot. -
1. Date J 2. Installation Cost
3. Job Address Lr' Lot Blk. { Tract '
4. Owner "
5. Contractor Phone c I % r
6. Address .?
7. City cT;?r State i%1? • .?? Zip
8. Building Type: Residential el
9. Work Description: New X
Commercial ? Institutional O
Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
x
Signed : . for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Re ceipt - MECHANICAL PERMIT Permit No.
• CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address Lot ` Blk. / Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip -- -
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New El Add O Alter ? Repair ?
10. Describe
11.
Type
No. Equipment BTU - M. Ea.
Forced Air _ No. Equipment CFM
Ai
Handli
Mfg. r
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
PERMIT # 2:2
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
CONTRACT PRICE:.-' 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100 DATE:
For Office Use Only:
Site Address
Lot Block ?
Sqc/Sub -'•" -- BLDG. TYP5? WORK DESCFgIPTlON
Res New
Mutt (Add-on
m
Name
'
Comm. r
Address f
? Other
C City Phone ?? tv
Name FEES
RES. HVAC 0-100 M BTU -$24.00
C Address -1 ` • ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
50 EA
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent
CFM STATE SURCHARGE PER PERMIT - .50
S
(ADD $.50 S/C IF PERMIT PRICE GOE
Gas Piping Outlets # BEYOND $1,000)
Other
FEE '
SIGTUR OF P MITTE
S/C:
TOTAL FOR: CITY OF EAG
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: "
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: lot : ?A H till 1 ; APPLICANT:
1Qba
L
I
PERMIT SUBTYPE: TYPE OF WORK:
1; 1
Permit Holder Date Telephone #
SEWER/
WATER
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
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
;t
Y OF EAGAN Remarks
Addltlo Neadowlan lat Addition Lot 5 81k
Owner street 1960 Shale Line *-K{o
MN 55122
Improvement Date Amount Annual Years Payment Rece' Date
STREET SURF.
STREET RESTOR. Imp. , 1961 ib 158.99 1
2 4 5-27-83
GRADING
SAN SEW TRUNK 1970 95 3.12 25 L.41 A012264 5-2T4.3
* SEWER LATERAL yl 5 lO 2
3.63
to
r
WATERMAIN
* WATER LATERAL 1981 10
WATER AREA 1973 95.27 .
r 15 25.42 22 - -8
STORM SEW TRK i? 1971 282.9 14.15 2 9. 9.10 A012264 5-2T-83
* STORM SEW LAT 1981 10
sarvicec 1991 10
CURB & GUTTER
SIDEWALK _
STREET LIGHT
ROAD UNIT Z" 480.00 2 12 10-28-82
WATER CONN 840.00 it
?t
SUILDIN R. 71;nh &I
SAC n
fiA-R K
BUILDING PERMIT
To bo wed for Est. Value Receipt #
Date
19
Site Address Erect ? Oca.'ar..
Lot Block Sec/Sub. Alter ? Zoning
Parcel Repair ? Fire Zone
Enlarge ? Type of Const.
W Nome Move
?
# Stories
= Address Demolish ? Length
r;t„ Grade ? Depth Sq. Ft.
p Nome Approvals Fees
uU Address Assessment Permit
~ cit
Ph Water 8 Sew. Surcharge
y
one
Police Plan check
U?
Nome
Fi
SAC
? W re
IC5 Address Eng. Water Conn.
IX W City Phone Planner Water Meter
Council Rood Unit
I hereby acknowledge that I have read this application and state that Bldg. Off.
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. APC Total
Signature of Permittee I
A Building Permit Is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN
3795 PIW Knob Reed Eagan, MH 55122
PHONE: 454-8100
Building Official
Permit No. Permit Holder Misc. Permit No. Holder
?J.
F 3q 4D f ECLp jt.? h
w os4 '] titYJL 2-?
Inspection Data Insp. Other
Footings
Foundation
Framing / . ?
Rough Plbg. ,gl? f J
Rough HVAC B
Insulation
Final Plbg. _?Z O
-)3 U?-
Final HVAC
Final S 1 Gt
J!< S
Water Describe Location:
Well
Sewer
Pr. Disp.
CITY OF EAGAN Remarks
Addition FIRS'P ADDN. Lot PT 5 141k -4-
'O'/wner Street 1960 Shale Lane
n" /o .,
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK W- 1 1970 Paid und
* SEWER LATERAL 3
WATERMAIN
* WATER LATERAL 1981
WATER AREA
STORM SEW TRK JC6 1971
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road unit ?An nn 29712 in_
10 28 82
WATER CONN. 9.n- on 3271-2
BUILDING PER.
SAC 525.00 32712 10-28-82
PARK
CITY OF EAGAN Remarks
Addition _) 7 ADOWLAM FIR?r ADDN• Lot PT. 5 Blk
Owner Street 1962 Shale Lane
State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. 1981 Paid and
GRADING
SAN SEW TRUNK 1970 •d w original
* SEWER LATERAL 1981
WATERMAIN
* WATER LATERAL 1981
WATER AREA 4201 197
STORM SEW TRK /12 1971 .d and 1 l ot 5
STORM SEW LAT 1981
* servuces 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road unit 240-QQ '49712 1(1-28-89
WATER CONN. 420.00 '12719 10-28-82
BUILDING PER. V605
SAC 51315
00 22732 In-!)Q-22
PARK --
-
Ac"
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
AMOUNT $
a DOLLARS
100
? CASH ? CHECK
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
,_-e_ e917
CITY OF EAGAN
5795 Pilot Knob Road Eagan, MN 55122 N? 7664
PHONE: 454-0100
BUILDING PERMIT Receipt # ,,
To be wed for 1/2 DUPLEX & GAR Est. Vaiue $31,000 Dote O ctober 28 1g-82-
Site Address 1960 Shale Lane Erect XX Occupancy R-3
Lot 5 Block 4 See/Subftadowland Alter ? Zoning R- 2 (PD)
10 48050 050 04 Repair ? Fire Zone RA
Parcel #
E
l T
f C V
n
arge ? onst.
ype o
W Name Cliff Road Properties Move ? # Stories
W
z
Address 4940 Viking Dr., #608
Demolish
C]
Length 30
Ci Mp ls. 55435 Phone Grade ? Depth 4U Sq. Ft.-
A Name Sons Construction Approvals Fees
Address 4370 Rahn RDad Assessment-
r7 Fagan 551 22 a.___ 4.52-d721 Water & Sew.
Name
Address
Police
Fire '
Eng.
<W City Phone Planner -
Council -
I hereby acknowledge that I have read this application and state that Bldg. Off. -
the information is correct and agree to comply with all applicable APC
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit Is Issued to: Sons Oonstruction
all work shall be done in accordance with of pliable St of
Building Official
Permit 17/.7U
Surcharge 15.50
Plan check 98.75
SAC 525.00
Water Conn. 420.00
Water Meter 60.00
Road Unit 240.00
Total $1556.75
an the express condition thm
Statutes and Cjfy of Eagan Ordinances.
CITY OF EAGAN Include 2 sets of plans,
&rp" j 1 site plan Wel.evations &
BUILDING PM4IT APPLICATION 1 set of energy calculations.
To Be Used For lY Valuation 3/, dOy Date
Site Address : 1960 S,ZI p T-r z- /' /.l -p- OFFICE USE ONLY
Lot S Block 7 Sec./Sub.`f (24 04ow 4-i
Parcel #: ]D qsaSO aS O Dy
Owner: eG) kef PAd
Address : O b) 6T
?._
City/Zip Code: ?h Lf r) - 73
Phone #:
Contractor: SG/J S
Address: q)? 6, J2,4///?J
City/Zip Code: j5 G-A U 5 1 ?2 ?-
Phone #: qs?-1/ 721
y''/
Arch./ng•: )?I+hk- hdeli
Address:
6ect Occupancy
X7- zoni .4!!:
Alter Repair Fire Zone- 4
Enlarge _ Type of Const. i
Nbve # Stories
Demolish _ Front 3p ft.
Grade Depth yn ft.
APPROVALS FEES
Assessments Permit /9? s0
Water/Sewer Surcharge g
Police Plan Check
Fire SAC - °=
Eng. Water Conn.
Planner Water Meter GO
Council Road Unit 1/0
Bldg. Off.g6-
APC
City/Zip Code,:/
Phone #: `i 7
'r= -4 1 SS(D L Z a
BUILDING PERMIT
-.{{99 N? 7605
Receipt # ?-2/v{`L
Te be wed For 1/2 DUPLEX & GAR Est. Value$31r 000 Date Ontnhc+r 2A _, 19_82._
Site Address 1962 Shale Lane Erect Occupancy R-3
Lot 5 Block 4 Sec/Sub. Meadowland Alter ? Zoning (PD} R-2
Parcel # 10 48050 050 04 Repair ? Fire Zone NA
E
l V
Cliff lm8d Properties n
arge ? Type of Const.
a
u, Name Move ? # Stories
z Address 4940 Viking Dr., #608 Demolish ? Length 30
C Mpls. 55435 Phone Grade ? Depth 40 Sq. Ft._
rc i Approvals Fees
o Name nS nstrnet on
ou Address 4370 Patin Road
01
i- ?._Eaaan 55122 452-4721
Name
Address
1 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 Permittee
A Building Permit is issued to: Sons
all work shall be done in accordance with all
CITY OF EAGAN
3795 Pilot Knob Read Eagan, MN 551n
PHONE: 454-8100
Assessment _
Water & Sew.
Police
Fire Eng.
Planner
Council
Bldg. Off. _
APC
Permit 19/.Du
Surcharge 15.50
Plan check 98.75
SAC 525.00
Water Conn. 420-00
Water Meter An-nn
Road Unit 24nrnn
Total $1556.75
_ on the express condition that
City of Eagan Ordinances.
Building Official
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
rV'K BUILDING PERNIIT APPLICATION 1 set of energy calculations.
0D Date
To Be Used For // Valuatione3 i ?
Site Address: OFFICE USE ONLY
Lot S Block q Sec. /Sub.hjC?clLi?,
Parcel #: to q,, o So OSo D
Owner: &4/ &d) !///,?/G
Address: -LO V4, / ,1 ? I>h 160-7
City/Zip Code: 'V/-j r ?j
Phone #:
Contractor: Soi?J
Address: 370 kAA41
City/Zip code:_jr/?
Phone #: q)r? -
Arch./Eng. ?i Ad Address:
City/Zip Code:
Phone #: L s?
irect X_
Alter Zoning 1? 2
Repair Fire Zone A
Enlarge _ Type of Const. _
-
Move # Stories
?
Demolish Front ?.? ft.
Grade _
Depth y? ftn
APPROVALS FEES
Assessments Permit )920
Water/Sewer Surcharge /6_
Police Plan Check q 8'
Fire SAC
Eng. Water Conn. 2.y p
Planner Water Meter plod
Council Road Unit yp e-
Bldg. Off. ?. - -
APC
'IML (S5(Q ' Z
`^' ? ?
a ?? ??
00 °<? o
c ?o
Q s
o
?
Q/40201 /w ? 5715
Request ate ??
• Fire N Rough -in Inspection
Required?
? Yes ? No
ED Ready Now ? Will Nolity Inspector
When Ready?
I tensed contractor wner hereby request inspection of above electrical work at:
Jo0 ss ;(Set, Box or Rout .) city
JJ/f ?1 ?(
Section No. Township Nam or No, Range No. County
Occ P , T? ^
rilln?' / I
ll7l
4 N Phone Na.
Power Supplier
0 Address
Electncal onlramor (Company Namel Contractors icense No.
Mailing Address (COO(raC or or Owner Making Installation) r /
Authorized ;,nature (C ntractor' n r Making Installation) Phone Num
O
MINNESOTA STATNBOARD OF ELECTRICITY (31 THIS INSPECTION REOUEST WILL NOT
Griggs-Mldwey Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6s2-(800 ENCLOSED.
REOU_y :,! _coELECTRICAL INSPECTION
? See insu., ons for mpleting this form on back of yellow copy.
840201 Y' Below Work Covered by This Request
E134)()(01 -07
ir,? sus ?z
ey+ Add Rep. Typeot Building Appliances Wired EquipmeniWired
_ Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm it 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 Above 100 -Amps
Signs Inspectors Use Only: jp p 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
certify that the above inspection has
been made. Roughdn
Final Date
Date
3??d
OFFICE USE ONLY
This request void 18 months from
This request void z- l
1R months from
W ?5? 6165
LGI 3"FI Mf"OL3(0-n- l 3L4 2Z (,,
Ries[ Date
i1
tL Fire No. Rough-in Inspection
Requr /
?Ready Now Q'Will Notily loans,
h
U !/J a
Yes ?NO for W
en Ready
0,doensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or oute No. City
action No. Township Name or No. Range NO. County
Occupant IPRINTI I
00/1) (1 L l) 0 iL/ Phone No.
? ,-' - //7-? /
Power Supplier
' 7Address
Electrical Con YMO 81r r T Ii Contra or's License No.
Mailing Address ICon actor Qv/r'gi7M? ns ', o
ppPL Y 1 St?i 432-5036
Authorized Sig^atG ct Wjling Installation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Be.. N•191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1921 University Ave., St. Paul, MN 55104
.1 --- ??wr oo e... ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-oooot e4
_ 'Sea instructions for completing this form on back of yellow copy.
X' ee.o5hrl h red by This Request 3 '1 Z Z
New Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Cighting Fixtures
Apt. Building yer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm then peu v Other(Spoo l fy)
t o uecifv -0--ter othur
Compute Inspection Fee Below
# Fee Service Entrance Size # Fee Faaders/Subreeders # Fee Circuits
% 0 to 200 AMPS 0 to 30 Amps 0 to 30 Am s
Above 200 Amps 31 to 100 Amps =`UO 31 to 100 AI
Swimming Pool Above 100_Am s Above 100_Am s
Transformers Irrigation Booms Partia L'Other F e
Signs Special Inspection $
i
TOT
?
Remarks ;3g,? A EE
Rough-in f Data the real
i nSpector. hereby
rtify that the above
Final f D_s >/ i Friction has been
made.
This rearrest void 18 months from _ 7
This request void Z-1 L?J C-
18 months from 1 37, 5-0
r ,)6175
ppough-it Inspection ..?/
Request D e Fire No. ?
/ (' <" Regw red? Ready Now Lj'w'1l R Inspec-
/ ?? tJ ? ?,'3 Qd'es ? No for When n ReatlV
y?-C sensed Electrical Contractor I hereby request inspection of above
Owner electrical work installed at:
Street Address, Box Route No.
/]
4
l City
77 -
'
'a l
d '?_er C l' -rCi
actlOn NO. Township Name or No. Range o. County
z0or'(/
Ocqu of (PRINT)
i' 0 L S
J
/Uf Phone No.
/
0
C
Power Supplier Address ?J •.
Electrical CoJftftATCjt L
r (MIC A38974
1 Cnnt .tor's Licen
se No.
.
. /
Mailing Address (Co r O g 'la
24
Authorized Signa ure oniractor caneO'knst?ati0,036 Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1921 University St. Paul. MN 66109
Phone 161612) 2) 297.2111 ENCLOSED.
JEST FOR ELECTRICAL INSPECTION EB-00001-04
{n' (y?y' See instructions for completing this form on back of yellow copy.
A" Beloyb u Joie d by This Request ?jq 2z(,,
Nev, fl Pep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater L - 'Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. , 'Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other Pecs V T erlSpecifyl
75 t er peel y Other Other
compute inspection hee Below
N Fee Service Entrance Size a Fee Feeders /S ubfeeders N Fee Circuits
0 to 200 AMPS - 0 to 30 AMPS to 30 Am
Above 200 Amps; 31 to 100 Amps 31 to 100 Amps
d0 Swi mmin Pooh Above 100_Amps Above 100_Am s
Transtormers Irrigation Booms Partial/Other Fee
Signs Special Inspection s ?
0
Famarks
'38,6 TO EE
I, th*.FJOeqfi-ca I
Inspector, hereby
certify that the above
inspection has been
This request void 18
sotii "?/HS7-/ttz??71oN cG ,
DELMAR H. SCHWANZ
L AN (J SV H V E V OH
Reg.,,,a U.G., ", n' TOe Stele o, ?d ..`neao to
2978- 145TH STREET W. - BOX M ROSEMOUNT• MINNESOTA 55066
- 41
o
77
4 a.7 - 64 OU ,?
DO -m-
&.6-7 i
I v E c?
moo. I ? ?? I
?? I ?arctL P?, 4 u ,, a I
I !`I ?
8 1'1 N N
I G 3 ? o ? ? `l sa ! 1 ?
h, ti ?) , : ? L` ie I ?:, I-4 U JJ . _. is -t ?• 1 ? 1. <, c?
p rtJJSF ?..j (v ._. rl( `,`)1.Jil
SURVEYOR'S CERTIFICAATEJ?
L Aru
PHONE 612 4231769
`k
O
u ?? ty1T r•? k?a •. 5?
- ti,
?j
t
': ir,NC,OL? RLGI STRATION NO. 8675
EkTERIOR EWVEI.CPE AVERAGE ''U' COMPUTATION
MML ER
SITE ADDRESS
CONTRACTOR ?0?? Pirw?t DAT^ /g 3?THONE
Determine working square footage of each.
1. Total exposed wall area .... 946 Y, eq. ft. x .19 9•
2. Total roof/ceiling area ....-4;PB.O sq. ft. x .04 = epv.L -
Total exposed wall area above floor = 8B .o
a. Total wall window area ................. !P•G
b. Total door area .... ................. y/.7
c. Total sliding glass area ...... ........ 33•b
d. Total fireplace wall area .............. o
e. Total wall framing area (average 10%)...
f. Total net wall area above floor ........ .Sli O
g. Total rim joist area ................. ..vW.3
Total exposed foundation area = y6'f? -
h. Total foundation window area .......... o
i. Total net foundation area above grade
Determine OU' value of each wall segment.
a. >•G x "U'° S 39.9
b. y.7 X "U`-. .ofi = 3.8
D. d X "U" o o
f ds3?•7 X "U° . oY7 • 30. G
h: !!to X "U' D = D
i.-014 -y-_ X "U" s =
3......... ................................Total
If item #3 is the same as, or less than item #1, you have met the
intent of W'-'BC 6006(c)2.
S/34 &00G &J .Z
Total exposed roof/ceiling area S?8•D
o
J. Total skylight area ....................
k. Total roof/ceiling framing area (average 10%) SS-8
1. Total net insulated roof/ceiling area ........ Y7s z
Determine "U` value for each roof/ceiling segment.
J- O X I'U° O' a O
k. -0;P•8 X "U" •O'Y .??
1.y7S•?- X OV. O9S /.
4 ............. ...........................Total • /'Y /
?y /y / ... a`2. ?/•/ ?de OKc.s.Ors S6C6
aO6(eJJ
If total of k4 is the same as, or less than 92, you have met the
intent of SBC 6006(c)l.
Alternate Building Envelope Design
To.utilize the total envelope systera method, the values established
by the sum of items #3 and M4 shall not be greater than the sum.of
items #1 and 92.
? rd.lu+o"cf//? s
1. /6 7 9 + 2. 31•1 _ /B 4• go 0-,c eL,&
3. 117.1 +. 4. IV l _ /3Z.2-
lea
roo G.•
a ¢/ • ys
4160
v,2=?is
C"A
49
9?
,
L,?iFs?s?? . S s
4µ . 4 8
2= 3?.y
uL 4
V /qso,
y, '/•B®
? ..s-Z
/ZZAC•3
Cam, PAr 7a
&,a.,.fa?r.?.
4 -x %;zz- . 0 v7
y.BB
y•s
4=%2:.oy
u= %/L=.o7V
E8 E- I OF EAGAN
311' Iof Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
Bu
BU
PERMIT TYPE: BUILDING
Permit Number: 034 1 0 5
Date Issued: 11/23/98
SITE ADDRESS:
P.I.N.: 10-48050-051-04
il.dinq W
nSLrs Code
DESCRIPTION:
PERMIT
434
SIDING
STORM DAMAGE
REPAIR
ALT. RESIDENTIAL
\/? l 1
1962 SHALE LANE
LOT: 51 BLOCK: 4
MEADOWLANDS 1ST
REMARKS:
FEE SUMMARY-
mg9KTS A9TQO iST
6417 PENN
RICHFIELD
(612) 866-5573
- App icanc - S i . LIG. OWNER:
18665573 20007379 BONEWELL MARK
AVE S 1.2895 GALAXTE
MN 55423 APPLE VALLEY MN 551.24
(612)891-2853
I
I hereby acknowledge that I have read this application and state that the
information is correct and agree to compLV with all applicable State of Mn_
Statutes and City of Eaqan Ordinances.
APPLICANT/PERMITEE SIGNATURE
REROOF/REPLC
ermit Type
7a3;k Type
f.fiSUED BY. SIG ATU E
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
4 CITY OF EAGAN
l? 105 3630 PILOT KNOB RD - 85122
681-4675 p,,
New Construction Requirements RemodeVReoair Requirements
? 3 registered site surveys
? 2 copies of plans (include beam & window saes: poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tme preservation plan if lot platted after 7/1193
required: _ Yes _ No
DATE: & 1? ?Z,24
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST;
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: 5 I BLOCK: SUBD./P.I.D. VII` ems. 10 0` G, v.C7to Name: Phone #: ?I/-
PROPERTY Last First
OWNER
Street Address: 1 r??S' ?t° /r ?
City State: Z11:2 /_ Zip:
Company: ;C-?2ii<'' --rl-- Phone#: e - J S'_3
CONTRACTOR
Street Address: 6 1-/? ?11,12 1-7 License # Cityr State: _ Zip: J
ARCHITECT/
ENGINEER
Phone #:
Registration #:
Street
City State:
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant %!? L .
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received - Yes - No
RECEIVED
N 2 3 1996
Not Required B "-'
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
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
APPROVALS
Planning
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
SAN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
00259
Council Minutes
November 18, 1980
Page Nine
?EA^':?I_l`:D 1S- ADDITIO': :.A1CFR OF PL?- -- SO"'S
/-S; /3
7 UCTIO': COMF\NY
The application of Son's Constru._tion Company for waiver of plat to su`divlde
five duplex lots for single our.er;hip in Meadowlands Is. A.:.l:tion was next considered.
The APC recc ^erde? approval subject to certain conditions. There was no arpearance
for the app_izant. Blor..quist moved, Parrantc seconded the motion to approve the
application subject to the following provisions:
1. That the party wall provisions applicable to all other duplex projects be
required.
2. Individual services shall be provided to each unit of the duplex.
3. Each lot shall conform to all other ordinance requirements regar3?ng
setbacks and lot coverage.
All voted in favor. R 80-93
BOYER TRUCK AND FOCI PP!ENT COMPAN" CONDITIOCAL USE PFR.MIT
The application of Boyer Truck and Equipment for conditional use permit for
outside storage at Sibley Terminal Industrial Park was next consi-_°ered. No one
appeared for the applicant and Wachter moved, Egan seconded the motion.to continue
the application until the December 2 Council meeting. All voted yes.
PATRICIA )II R CONDITIONAL USE PERMIT
The application of Patricia Miler for a conditional use permit for carryout
food in the James Refrigeration Shopping Center in Hilltop Estates was next con-
sidered. The Planning Commission on October 28 recommended approval. Mrs. Miler
was present and there were no objections. Egan moved, Parranto seconded the motion
to approve the application subject to compliance with applicable ordinances. All
voted yes.
D 80-96
AD`!I`:ISTF.ATII'F TRANSFER
Egan moved, Wachter seconded the motion to continue consideration of the
Administrative Transfer increase to the December 2, 1980, Council meeting. All
voted yes.
E.L. MURPHY TRUCKING CO?TA\ Y IR BONDS
. After discussion, Smith moved, Wachter seconded the motion to advertise for a
public hearing for industrial revenue bonds for E.L. Murphy Trucking Company for the
December 16, 1980 City Council meeting. All voted yes.
---------------
I Eo?.OfFce Us'e I
Permit: 97-71-1
I Permit Fee:
Date Received: ---?
G? I
I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 12 /, Site Address: Z?G 0 L?ir+ Y_'
Tenant: ?<,'i 44 'ge " zz l Suite #:
RESIDENT / OWNER fs G C C Phone:
Name: J tit, n /?t°n
/
Address /City 1 Zip: , ??S 1 /?ny i C?• O? ?.*1/i ,
Sty. za:' 5-S-33 7
Applicant is: --L-Owner _ Contractor
TYPE OF WORK Description of work: -'' j^ S
Construction Cost:_IDOU Multi-Family Building: (Yes ?l No
CONTRACTOR , If, License #: 6mr '24'/33719
Name: << ?4 Am e '151
7
Address: ? 7/S y 3,S f ti $ /. G91
City: tt)zy-e_ State: ,?17 ) Zip: SS-uRe
-3?2 -323 Contact Person: / SyJ4
Phoe
:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
Minnesota Rules 7670 CategorV 1
_
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
'(J submission type) Energy Envelope Calculations Submitted
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:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans.and supporting documents that you submit are considered to be public information. Portions_of
`
City to .
the information may be classified as non-public if, you provide specific reasons thattwould permit the
" conclude that the are trade secrets. . '
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.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Date:
1oDflU-j2
City of EaallTot\fOWX'
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Resident/
Owner
Use BLUE or BLACK Ink
For Office Use
Permit #: I 1?0,Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL
, BUILDING PERMIT APPLICATION
, 3 Site Address: 1 1(0 0 9/ )°,6E 2 S k.til�CJ - LVL 'Unit #:
O&,vNiLe.one:
Type of Work
Name:
Address/City/Zip: 1quoP IGDL- SY L_
Applicant is: Owner PC Contractor
Description of work:('p V -C--
Construction Cost: 4CASq> Multi -Family Building: (Yes / -No )
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Mechanical Contractor: Phone:
Sewer & Water Contractor: 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.qopherstateonecall.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 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.
Exterior work authorized by a building permit issued in accordance with the Minnes9ia�State kilding Code must be completed within 180
days of permit issuance.
x
Applicant" Printed Name
App ant's Signature
Page 1 of 3