4830 Shevlin Ct�City of➢a
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee: �Sb�
Date Received:
Staff:
INFLOWINFILTRATION PERMIT APPLICATION
}\ Plumbing / Sewer &Water
/
J
Date: Site Address:
Tenant: Suite #:
RESIDENT / OWNER
Name: 4PA.
M4 4 l" / 9 R K0 W `f .. f Phone: (o5 / - 4S2 " 710-3
(� �/ /
Address / City / Zip: l /1 J CY3 0 NEW- ` N CpaA Jl ei44,/ 5312.Z.
CONTRACTOR
Name:
License #:
Address:
City:
State: Zip:
Phone:
Contact:
Email:
TYPE OF WORK
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
Sump Pump Repair Repair
Other:
Other:
DESCRIPTION
Description of work:
-
r ' '- 74z X .',t z r�% / icf c" ---C _.
If
ci / / �/
11 'c -'/s, de_
FEES
$55.00 /Each (includes $5.00 State Surcharge)
TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3838 Pilot Knob Rd.
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.00pherstateonecall.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 nd anal of plans.
c
Applicant's Printed Nam
Applicant's Signature
'
thi
SEWER SERVICE PERMIT
CIT1f OF EAGAN pE~{IT NO.:
37~b Pllo; Ifnob Rea~ D/1TE:
Eogen, MN SS1~ ; No. of Units:
Zoni~4: _ r. ; ~ r s.,
Qwner: _
Address: G 3 f - , ~ -
Site Address: '.?P~, ,
Plumber.
1 e~n~ to eon~Pf! ~ the Cily of ~9~~ Connectfon Char9e:
Aocourit Deposit:
Ordinon~. pe~it Fee:
Surcharpe:
Misc. CFwr9as:
By Total:
Dote of Insp.: pate Pcid:
I nsp.:
cirr cF ~~N WATER SERVICE PERN~IT
sr~s Knob Roed
Eognn, MN 551~ PERMIT NO.:
Zoninp: D/~TE:
Owrter, .~o:t 3ecsc,rt NO' of Unlts:
r;
Address;
Slte Address: ~ Shevl.i~ : ~ r , ' t~ ~ , . .
Plumber. ~I3SC.^r`:<: ' ` i a' • ,
Meter No.:
Size: Connection ~r9e: ~
Reader No.: Account Deposit:
~ ~ Permit Fee: •
V~1 wlfi~ H~~ Ciryr of Eagos Surchnrge:
Ordlnsnpa,
Misc. CFanpes: ~
BY Totol:
Dote of Insp.: ~e Poid:
Insp.:
.
` . :.l'71R~- . '~~iR,~.~ ~ . ~
CITY OF EAGAN : 18443
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # '
To be used for rIIt6PLACE Est. Value =1 oate ~T 9 , ~ g~
Site Ad ss ~3Q SHEVLItd CT
Lot BIOCk Sec/Sub. A~Y ~ OFFICE USE ONLY
PBfC@I NO. Occupa~cy - FEES
ADAM NAPIORYQYSKI zoning - x 5. ~
¢ Name (Actual) Const _ Bldg. Permit
0 H
o Address (Allowable) - Surcharge ' ~
City Phone - ~ oi Stones _
Length Plan Review
=p Name s~E Deplh - SAC, Ciry
Address S.F. Total - SAC, MCWCC
~ City Phone S.F. Footprints -
~ On Sile Sewage _ Water Conn
yVj'W Name On Site well - Water Me~er
Address Mwcc Sysiem
i W Clt Phone City Water _ AccL Deposit
Y
PRV Required _ S!W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - S~W Surcharge
information is correct and agree to comply with ali applicable State ol
Mfnnesota Statutes and City of Eagan Ordiryances: •
~ Treatment PI
SignatureofPermitee L- . ,~~,~~-i/~~L' APPROVALS RoadUnil
A Building Permit is issued to: ~pIORKO~i'SK; Planner - park Ded.
on the express condition thal all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. g~~. pry. _ Copies
~s. ~
Buiiding Official - ~ • - Variance - T~TAL
Permit No. Permit Halder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
lnspection Date Insp. Commenis
Footings I
Foundation
Freming
Roo(ing
Rough Plbg.
Rough Htg.
Isul.
Fireplace Z Z~ U..S
Final Htg.
Final Plbg.
Canst. Meter Plbg. Inspecior - Notify Plumber
Engr./Plan
BWg. Flnal
Deck Ftg.
Dedc Final
Well
Pr. Disp.
• T
CITY OF EAGAN
` ' ~795 'ilot Kno~ R~ad Ee~an, MN SS122 1~ cz. :
• R ° ~ • (l.~(•r
~ PHONEs ~S4-e100
BWLDING PERMIT RK~r~ # ' ' ~
Te w~d Me SF DWG/GAR Est. Vclue 57~).Q00 ~e ~+S~~ch 3A , 19~'~
Slte llddress 4830 ~~vlin Court Ercct ~ Occuponcy R-~
Lot_~_ Block~_ Sec/SubRrittan}~~~t}L_ Alter ? Zoninq
Porcel #_.~f~ ~~y~~ ~~.Q~n~ Repoir p Fire Zone Na
Enlor+pe ? Type of Ca~st. `1
W Name Tnl 1 afgnn Rni 1 Aorgr Tnr _ Move ? # Stories
~ ,~reg 1 fi55 Nnrr..n nr j,va Demolish ? Length_4~_
G phone 4 S4-6R7 ~ Grode Q Depth ~~Sq. Ft.
°C Name ~ler APP~~ols F~e~
0
/lddross ^ssessment Permit ~n
~ Cft ph~ Water 8~ Sew. Surchorpe
G~ Police Plan check ~
~~~~T
~yW Nome Firo SAC S? s nn
H
Address Enp. Water Conn4.~.~
~ W C~ pha~ Plonner Water Meter .~..0~,
Council Road Unit ~ 5n _(1f1
I hereby ackrawledge that I have reod fhis opplication nnd state ihat Bld~. Off.
the info~mation is correct ond ogree to comply with all applicabls ^PC ~-~a~ R34 _ 5(]
State of Minnesota Stotutes ond Gty of Eagon Ordino~ces.
Sipnoturc of Permittee
^ Building Pem+it is issued ro: Tollefson Builders , Inc. or, ths express condition Ihnt
oll work shall be done in occo?dante wlth all opplitoble State of Minne Stotutes ond City of Eayan Ordinonces.
Buildin4 Offlciol • P ~ ,v - .
PNmit No. Po?mit Holder Misc. Parmit No. Holder
Plumbing ~?J. g~~ Z Q g.-g3 ~
t
H. V.A.C. ~ Z- ~ ~ I ~ ~
WNI
WKsr •
DisP. .
Sower
EkMric ~/0~1~tZ ~f[1'~ "Z~-~
Ir~spection D~te Insp. Othei
Footinqt ~ l~- ~
Found~tion
Fnminq -9_
Rouph Plby. ~f_ZC ~
Rouph HVA y~~ ~ ~
Inwlation _ 3
Final Plb~ - l~
Final HVAC
~ ~ ~
Finsl
W~r Wsuib~ Location:
YVell -
S~wer '
Pr. Oi~p. '
r
~ ~~-~a.~~-~~,~~-~- ~
~ '~,H , ~~"~?`°~`~T~~~}~.Y ~ ' '1~P' ~ew `I~F" wo? ~~f' °1~P ~ "cm°'
~ ~
; d-~ ~ ,mt~ ~ '
~_~,t~ _ .-.cn~c•~~i-~+R-L~~
4••>.~ _Trc",R.`~L2:~`~~
~~~'-v=~t1~~~~'LyT.~:.r:-c:~«~cS='~i~ "
~ d~ . _ • _ - - - - ~ ~
' ~ ~ C~~r#tftrttf~e nf (~rru tt~r~ ~ ~
, 4~. r, ~
~ ,r, Y~
~ ,
~ ~Cit of ~agart ~ '
I.~ 'j ~
~ ~ t' ~p ttrtm~tt ~ ~iriid'm ,~as ertimt ~ ' .
r , ~ ~ 9 ~ r~~,:, ~
~ Buildi~ ~
i.~ ~'bfs Ccrti
f
t[AtC tJSTltl1 ~N>.fAltiMt 1R lIX fYqXlfCAlCttlJ Of Scctron 306 0/ thc Unrform g ~
Y~
Codc catif
ying that at t/x ti~nc o
f is.tt~a~rct tbi~ strurturc was in com plianu with tbt variout ,;~~y;
' ordinanat o tht Cit re ting building connrrution or rue. For thc f
ollouhng;
s ~ f 1 8~ _
F ' , .
' ~ SF DWG/GAR Blde.hminNo. 7852 `
~ ~..i w. ~m
~ ~ Rl ~
` r~; ~,w~r ~'ra ~ iYa c~u~ V u~~. NA a.~
y`,~ Tollefson Builders 1655 Norwood Dr. , Eagan ~ ~
d, 4830 Shevlin Court ~ryLot 15,Block l,Brittany 4th;r~~~ ~
~ ~ ,
~ . ~ or:
R y, o~ ~u: June 10 , 19 83
` 9~_ ~
'WT ~N CON~M<UW~ R~CI
~ ~Y~ - - - - - - - ~
~`'_I `~•~.yy~~ _ . .y_ : a~ •~~-i_o`i•:~..-~a~..Sa~'.i~'' y is.
- ~ . ,a~
~.L . . ~ - , . `
. r. F1~ ~ . ~ a .
~ °~:5,:~~.,~~,4~~,,~
j^~. :
_,~~~~.~-~~~?~~.-~.d~~~.1~
.~'~'~d„~"~
_
, ~ _
Recelpt r MECHANICAL PERMIT Permit No.
CITY OF EAGAN '
; Fee
fill in numbered spacss S/C
Type ar Prin[ legib/y
Tot.
1. Date 2. Installation Cost
3. JobAddress ~ Lot~Bik. ~ Tract`='~ ' ~~<<,~' ~
1 ~
`f
4. Owner ' i ~ F- u" _ ~ . ~ . ~ _ . _ -
5. Contractor 1 Phone •
~
6. Address ' - ~
7. City -r-, ~ State - Zip ,
8. Building Type: Residential ? Commercial O Institutional O
9. Work Description: New C3 Add O Alter ? Repair ?
10. Describe Fuel Type
11. No. F,~uioment BTU - M. Ea. ; No. Enuiament CFM
Forced Air Air Handling:
Mfg,
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cand.
Mfg.
Gas, ~ping 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 464-8100
, ~ J
Receipt j~ PLUMBING PERMIT Permit No. 3~
CITY OF EAGAN ~ .
Fae ~ -
Fil1 in numbered spaces S/C
Type or Print legibly .r~ "
~ ~ - i-- ] -
1. Date , ~ ~ 2. Installation Cost ~ . `-y `
? . ~ 1, ~ .
3. Job Address Lot Blk. Tract
i
4. Owner "r'^/~- l>v . :-~i -
5. Contractar~ = t1< ' - ~ ~I ~ Phone =
~.S /~i ~j'
6. Address ' - %i~~ ~ -1 S ~•'~,'1 ~
7. City v, ~ State t'V " Zip ~ G r' %
8. Building Type: Residential Commercial O Institutional ?
9. Work Description: New ,BL Add ? Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
' Shower Well ,
Kitchen Sink
T
Urinal/Bidet Other ~ ~
~ Laundry Tray ~ a;~
% Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I 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 F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
weearveo
FROIi~
AMOUNT $ I
~ DOLLARS
~oo
? CASH ? CHECK
F~R
FUNO GOOE AMOUNT
Than You
~ ~ BY
/ VYhite-Payers Copy
~ Yellow-Posting Copy
Pink-File Copy
CI7Y OF EAGAN Remarks
/>ddition BRITTANY 4TH ADDN ~ot 15 e~k 1 Parcel 10-15U03-150-O1
Owne~ St~eet 4830 SHEVLIN COURT state EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, i9HZ 452.94 90.59 S 271.78 A012378 6-23-83
STREET RESTOR.
GRADING 1981 23.82 1.59 15 19.08 AO - -
SAN SEW TRUNK 1976 173. 90 11.59 15 8• AO - -
* SEWERLATERAL / 19$1 246.32 16.42 15
1~ Sewer Lateral trk 1983 133.33 8.89 15 106.6
WATERMAIN 1984 629.29 62.93 10
~F WATERLATERAL 1981 15
WATER AREA / 1981 229.95 - 23.00 10 160.98 A012378 6-23-83
STORMSEWTRK 1981 596.40 39.76 15 477.12 A012378 6-23-83
* STORM SEW LAT 1981 iS
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UFIT 250.00 3502~ -30- 3
WATER CONN. 50.00
~UILDING PER. $2
SAC 2 n n
PARK
Tollefasn Buildera Inc. Or.113d6
183-77A
. ~ /
JACKSDN = SURVEYORS ~
, . ,..S~C~~e'J~- ~d~ .
R~61iTtRtA WNp[R LAWf 0I iTAT[ OF MINN[fOTA ~ r t.rl
. . . ~ r~. ¢ G~~ sc t~~ ~ n f ; . .
381B EAST 66tt~ STREET, MINNEAPOLiS, MN 55417 Tl7-3484 / .
ooo.. _ -x/'~- ~~rl~ L'ev,
~ ` •
$lttbtpOC'g dti't{fiuttt - ~''f'~ / rl ~ y
~ ~ .
~ ' ~ i~t ~ , ~
- o : ~ ~ ; .
; h ' . a
~Q~. .~~8---------~h - . . ~o. + _ ~
. - . _ ~ . . _ -c`~` ~ •o~
ti 40 ~
. /
~ ~
~ ~ ~ ' b ~ ~ Fe~ ='r" - .
. ~ ~ ~ ,r .
~1 , e r/~ 1_ Ca T I 5 j'~ '1
~ ~ ~
v ~ fj' .
~ . ~~S G~ GE : . . . .
~ `
I , ~
. ~ 1i 6 .~Q'~ Z ~ ~ r
~ 11 , 3 y`- ` _ ,
~ ~ ' _ ~40e ' Z - i•y ---"E--^ .Z_.'~__ , ~
~ ~
r`~, i°'` ~ ~
I
`~1`~ ~ : ,
~ . ~_l-J I 1 v
~ 3° i ~ ~ ~
~ ~ . - -
~ ~ - • . . . . .
1 M[R[~Y C~1ITIFY TMAT TN[ ASOVt If A TRYt AND CORRtCT rLAT OR A~UI~YlY 0/
Lot LS,Dlock 1~4ri[tar?y 4th. Additi~A, /
pak~ta Caunty,Minnes~ta. ~
P~CV~r~d Oai~tg~~!'~~r'` ~ , . .
Pr~p~sed First F'loor 81ev. 105.5 •
~ P~eoFoaed sase~aent Flo~= Etsv. 9~.5
A~ •URVtYED ~Y M[ TNIf---11Ctl-.-p~,Y Of-~-r~it A.D. 195~ ~f .
! ~
i
SfGN[D ` ~ `
1 F. C. J/1CK30N. MINML~17 R[o1sT~eAT~oM. No. 3d00
;
This rBpuesl wid ~
,e~ ~s,~, I ~-~-85
A 0 1. L1 o I ~Y ~ a.0. ~il
Request Oa Fira No. Hoveh-'o Insper.tion
iiepwred? Heady Nuw Q W~II Nolity, InsOec-
/ ?Yes ?No ~or When Peatly
? ljcens d Electrica~ ConVactor ~ herebY raCuast inspection of abova
~y~
Owner elecfrical work inslalled et
Sheet Ad~d/ress, Box or Floute No. ~ City .
7~3° ~Lt¢v~~h ~0~.%7~' ~h
ecUOn a. Towns~ip Name or o. angc No. Counly
~ va,~~
OccuOantIRllNTI ~ / / ~ Phone rNo. .~7 7 ~
' q~cct-. ~ /L/Gt, / 0 /'/e~° W f K / U o~ - ! ~ ~ (
Power Suppli/er / ~ qAEress
~.~.hr`J~/i ~CuG'T l71Jh. Yw+i ~ oh ///h.
Electrical Conirector ICOmpany Name) Contracmr's License No.
~~~~~a p.tldress (COntractor or Owner Maki~p Iretailationl
Authorized SiB~amre (COntracmr Owner Makine ~~siallation) Phone Numbar
MINNE$pTA STATE BOARD OF ELECTIIICIR' THIS INSPECTION REQUEST WI~L NOT
aripgs-MidweY Bldg. - Room N-191 ~ BE ACCEPTEO BY THE STATE 80APD
UNLESS PPOVEH INSPECTION FEE IS
1621 University Ave., St Peul, MN 55104
P~o~q ~61Z~ 29~-2~~~ ENCLOSED.
~ Q~ l~( R~aUEST FOR ELECTRICAL 1NSPECTION Es-ooooi-a
u ' Sao i~siruetions for completlFp L~is /mm m bacl~ 07 vellow copY. 1 ~
A ~S "'X" Be/ow Wo~k Covered by This Requesf ~
Ad Rep. Type ot Builtling Applinnees VPireC Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures '
Apt. Buildinc~ Dryer ElecVic Heatin
Comnercial Bldg. Pumace Silo Unloader
Industrial 81dg. Air Conditioner Bu~k Milk Tank
Farm [her Pec~ OtherlSOecltyl
c,. su~o~rr . o, . o~n,,. LY o J
ompute lnspection f'ee Below
# Fea SarviceEntranceSlze k Fee Feedars~5ubfeeders p Fn¢ Circuits
Oxo200Am s Oto30Am s Otn30Am s
Above 200 qm - 31 to 100 Amps 37 to 100 A s
Swirmnin Pool - Above 100_Amps Above 100_Am 5
Transformers ~rrigation Booms Partial~ Other ee
Signs Specia~ Inspec[ion S~ ~ SU` TOTAL F
ertarks
Rouph-in ( f} 4 I, the Ele trical
~~SDec[oq erB
c rtity that e above
Final ~~e i~spaction has been
r' mede.
Ttdt rapueet m1E 1B monlln irom
. , CITY OF EAGAN o ,7882
9795 Plbf Knob Read Eagen~ MN SS122 •
VHOHE: 4S4B100 ~ J~~
.UILDING PERMIT keceipt #
Te M u~ed ior SF DWG/GAR E~,ya~~ $70~000 Date ~YCh 30 ~q 8~
S~ro Addreu 483Q Shevlin Court E.ect gy Occuponcy R-3
Lot 15 Block $et/SubBrittany 4th Alrer ? Zoning R-1
parcel # 10 15003 150 Ol Repoir ? F~re Zone NA
Enlarge ? Type of Const. V
w Name Tollefson Builders, Inc. Move O # S~ories
Z qddrc~y 1655 Norwood Drive pe,,,o~;~ 48 '
~ Ea an 55122 454-6873 Grode ~ Length_
Ci S ph~ ? Depth 40 Sq. Ft.-
~ Ne~ Owner Approvob Fees
Addreu ' Assessment pertnit 343.00
CI php~ Water & Sew. Surcharge 35. ~0
Police Plan check 171.50
~W Name Fire SAC 525.00
Addrese Eng. Water Conn!{$Q~.!](L
iW Ci Phone Planner Water Meter 60.00
CaunNl Rood Unit 25~.~~
1 hereby atkrrowledge thot I hove reod this opplicotion ond state that BIdO. Off.
fhe informotion is correct and ogree to wmply with oll applicable APC Totol $1834.50
Stata of Minnesoto Stotutes and Ciry of Eoqnn Ordirwnces.
SiOnoture of PermiMee !
o e son ui ers', nc.
A Building Permit is iaued fo: on fhe express conditlan Ihm
oll work shall be done in accordanta with all opplicable ,$tu ~ ~il - a~ ond C oi Engen Ordinonces.
8u71dfn0 Offidal i'l, v 1
~
5 , Q~ ~ CITY OF EAGAN Include 2 sets of plans,
, ~ (J 1 site plan w/elevations &
UILDING PEFdNIT APPLICATION 1 set of.energy calculdtions.
, ~
Zb Be Used Fbr Valuation ~,/)n 0 Date ~~~ij l C~+ IG
y__.J
Si~ ~SS ~3a ~v~~~ (XC(/f OFFICE USE ONLY
Iot ~S 91ock J_ sec./sub. ~ Erect ~ Occupancv 3
Parcel I D I50e7 ~ 150 0 1 A7-ter Zonin4 J
Repair Fire Zone
Owner: Erilarge _ 'lype of Const.
Address: 1`'b~ # Stories
Danolish Front ft.
City/Zip Code: Grade Depth ~_ft.
Phone
APPRL)VAIS FEFS
contractor: _Lnll2~nt~ ~LU IC~21~S, `Cv~C~. assessments Pexmit ~ ~Y3 -
, Address: l~~j~~~~41f~LT~ l~t~. t4ater/sewer surcharge ss~2
Police Plan Cl~eck~~~
City/2ip Oode: ~GQl~1 .~aSl~a, Fire SPr ,~--a~--°-'
Phone !~5/-~ -~~~7.~J ~J. Water Conn. ySO '
Planner Water Metex ~p<~
Council Fi~ad Dnit ZSD~oO
Bldg. Off - i
Address: APC
City/Zip Code:
Phcane ZC7R'AL r~
~ ~
~ ~`G~N
v ~
~ ~on
Qn ~ O q
CITY OF EAGAN NO ~ 8443
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 454-8100 ~ ~ ~ f
BUILDING PERMIT Receipt #
To be used for FIREPLACE Est. Value $1, 000 Date OCT 9 , ~gQ~
SiteAddress 4830 SHEVLIN CT
15 1 BRITTANY 4TH OFFICE USE ONLY
Lot Block Sec/Sub.
PBfC@I N0. Occupancy - FEFS
Zoning -
W Name ~~1M NAPIORKOWSKI (ACtuap Const - Bldg. Permil 25.00
o Address 4830 SHEVLIN CT (Allowa0le) - Surcharge .50
City EAGAN Phone 687-2698 :rots~o~ies _
Length _ Plan Review
g Name SAME DeO~h - SAQ City
~a AddfBSS S.F.Total -
~ Clly Phone S.F. Footprints _ SAC, MCWCC
On Site Sewage _ Water Conn
~
~ W Name On Site Well - Wa~er Meler
i~ Addf855 MWCCSyslem -
~i Acct. Deposil
aW City Phone cirywater -
PRV Required _ 5/~N Permit
I hereby acknowlege that I have read this application and state that 1he Booster Pump - SM! Surcharga
information is correct and agree to comply with all applicable ate oi
Minnesota Statutes and Ciry ot~n Ordin c. / ~ Treatmenl PI
i ~'4- APPROVALS
SignaWre oi Permitee w"-" ~ ~ c~~ Road Uni1
A Builtling Permit is issued ro: ADAM NAPIORKOWSKT Planner - park Ded.
on the express condition that all work sha11 be done in accordance with all Council
applicable State o~ Min{n~esota StaWtes and Ciry~o/l Eagan Ordinances. BmgAtf Copies
BuildingOtticial t`~{A ~01l~. ~ rnI1 Variance - TOTAI Z5.50
a~
This reqvesl void ~`pc ` L, 15 ~ b f+ 2~~~,~~ iy A~ LL~ 3s 3 q~
18 months trom Q~ l~T'•• ~
~90~6225 c~7ts6
ftequesl Date Fire No. RouHh-in Inspeclion
R q rvd? ~ReaAy Nuw Will NotiiY Inspeo-
- t~' ~ Yos ?No lor~hen Reedy
LicenseA Electrical Convector I hereby repuest inspaction of above
Owner electiical work ins~elled at
Sveet Atldress, Box o~ Route No. Ciry
. . ~lJ ~V W ~
ecl~on o. Township Name or No. Range No. Cowrty_
1 -+CJLiL
Occup~ nt IPAIt~TI ~ Phone Nu.
~
Power upplier Atltlress
Elecvical CnnVac~or IComDany Name) Con[ractor's License No.
3-
Mailing AdJresS ntractor or Owner Makin0lnstailation) ~
• Iv v'l-{
Author¢ed (COmracmr~Ow er kine Installationl P one Number
~ ~
MINNESOTA STATE BOARD OF ELECTqICITY THIS INSVECTION flEQUEST WILL NOT
G.ie9s-Midwey Bldg. - Roam N-791 BE ACCEPTED BY THE STAiE BOARD
UNLESS PflOPEH INSPECTION FEE IS
7821 University Ave.. St. Peul. MN 55104 ENCLOSED,
. REQUEST FOR ELECTRICAL INSPECTION ~ EB-00001-U-0
, See inanuctions lor completing this form an back ot Vellaw caoV.
~X~ Be/o~ ~
ik `C~e~ d by This Request . . 3c.,?~R ~
e AAtl Nap. Type Of Building Appliunctl5 Wiretl EquiU~~Bn[ Wired
Home Range Temporary Service
Duplex Water Heater Lightiny fixtures
Apt. Buildinc~ Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial 01dg. Air Conditioner Bulk Milk Tank
Farm O ~harf5nor.it~1
t er uou(v Ot r Olher
Compute lnspection Fee Below
p Fee Service EnVencaSixa k Fea Faeders~Sobtaeders N Fee Circui~s
U to z00 Am s 0 to 30 Am s 0 ca 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 q s
Swimming Paol A6ove 100_Amps Abave 100_Amps
Transtormers Irrigation Boorc~s Partial~'Other Fee
Signs Speciallnspection 5 ~ TO FEE
Nemarks ,
Roaeh~in l .Dace
o `p°F:~.i',w~l_' ~ CPI
nspector, ~eraby
certify that the ibove
Final ~ ~/r , D=,`e ~ ~ '~spection has bean
~ ~ tle.
Thie renuest voltl 18 mon[Aa trOm
y`~ y,: t ~ ly ~ - .s a C ~ -a r r ~ i ~.^L~ . , "1t
'`7 Praeri•+',Y; ~ `Y.1 t-~~''~trR~ t ~ } *d,~ Sy~sW ~'~SI ~.Qr+~y.~~~~~~f~sy~'~~y}~~ i~lH~~4~~r~,
~ Y'+( s"R~ tr~j ~ ~ s~•"~~~ ~ 1 f~}'i/
R?t $'$T~a~ k]'+ ~ 7t
F ]~t ..~j~i~{~~rr"~~ x ~ ; R S~irY f 7. /[j~J/~f ~t'-~a r' ~c
{ ~N+~' ~~l ~ t ~ i Yr ~ x ~~T Y . 2" ~~'r 1 1 ~'L:.. b 1«~y ~3'x~--`q N s.~' 1w ~,r
~N ?w i , ) ,t ' x ~ ' ~,.m a ~ ~ ..a. ~ S ! a.~ ~
~ ~ ~~..~5 f. ~~~5~ is at"iY .~.7'.a4 ' yx ie id.`.h~ ?'"~^„vA'ra +=S:~K~ ,px;'r 5. n'v' ,.y~'7~hv'S~C ais~d't'~3~
d r r t f- s ~ .t
a~ r ti. f r °1 a '2" +,-~~r•.~~°'°'~~ t~~+k- < r~j'r.f`'~se-~' .~,~~„a'w~bc
i yx F .2' ° o.;.t.s
~ z C ~~~y'~~ ; 3.e . + ~
v v'i > C ~~Ttd.y f ~ 3 lb
j Y,..~ ~e9p im ~p
j {w~ ~ r+ M ~~y Q aawX _y'°~~%,4, ,Gi ~~l~ ~~dCa~gf~~JJ•y,fb . ,~,~cy,~ ~ M1vr~ 'x w ~i a:
~94iW ~ ~.'yf...(n,
i ~ , r . + ~ . i ~ ~ L~i.J ~~y ~ S .~4 ! ei ~ ~ .
~ ~ J~w ^ FS-_.) . ~ ~ 4 . ~A , µ4 j .
?Vi.~Tyt ai{,~i C~ ~n~J '~.4 L'~c~.a. G.~ ~ ~ i ~ ~ . ' > ~ .
w' . Y-T`~C~ 7 f 'r C"' t
-^GS ~~.:'u su ..r " ~ 'r~.. ~~c,'_~ 7., ~~i ~3C'IC~IX2SR,~[~~j~~,~ "L' ,w rJ.k~y..~_~~ ~ -''-.,3 s=~ f !i
1~~.,E .$Y -~.r„ ~"A- c.11 Y- cy~.-?.3i~,`"F .,~~ac~~~~~'~y,-a +i k a . a 1 °a.i~V 1 i~lj~e i .~9
p{ 'i:~. ° . ~~,i. ~ ~'t~ i ~~'a
~-,._~'F~ `~c^q -'"'F ~ Y .w'~,s.~ ~ : a r,s I _ C ~ ~ ~ .t7e
. ~ ~Y--,h~... i ,"w"°~"~'3^ ,iy: st` ~i~~.~_'~i 4 F
.l. y..tr ¢T T 3~i 3 _ ~ r J 2 1 - .
~ ~ t
'~f~' E ."~~i f~~« I _ .k: y { ~ Y . t+t~~
l . ' ~ Vr' ? Y . ' .i A ~ :
; : . c: ~ ~M• ' . . .1
,~Pi 1~ ~ r
e;~;r~ . nn ` -
~ , ~ . , ernars~ _ -yno~s , ~ ,
_:L 9~ T_9Q~tIF.9C~f~~'-Ti'Ot~'i.•i; i9~ : t1sOr*f.. .~"~lDAaa'E~*1 4
~ ~~Sn , ~3 ; _ . _ : . . . : ~STB
. .
, . -
; ,
_ .
-
4
L 4-:1 IG'1 :ASi2~ C.^, rUn CQ1r`~Js IC~ ~ -
~ ' ° .
. , ~
~ LI;"~E. On :r~p~~~ I14.i,,*.~ ~ 3~. ~ r •
'~GidL'.^~.p, T-~?e Qi,+ T^PO~~ U:i,-'.7~ !~'t~~,'_~n - r;~`.
~
. _ :OT: L ~n,. ~.':o~ eF,^~ ~ F~~ ~ ;i: ~ .
.~.:t~sJ. = • . : .
'aiF':~ f. a 5 r r~ e J'c ' _ - .
C?~7 L_"$AO$ . ` . .
'i~LJ`~'L'R TY ' , r,~
?~~T9I, Sc?. I-,. G? r~10"_S ~ ~ S. C. r
' . ~~F~ f L,'3> ~ooA w/ .
. . . f ~nT:.1S r - .
r~n~ O?? I:;UL~TIC~3:ir i:l14,t~ I~. P,~_TT . 3~h~e ~rYCs
; ~~:a p~~fi}' d '
, . . ~ ~
,
, :-t~ e? t€~UL~;TO~ IP, C`~.TLr> ??~~~,N t:e: 1,L~"„~rc~ =
. .
h~~, e~t~r-; y' ,
Z i~.7 ,
. ~ err~ f?._F~dUL?ie', TII,l7,pp*~, _ ~ A - - -
-:J... . _.:n~n x~3trr~ , . ~ .
tVr'~nC.~". CbTm', Q3 L~i'~ 5r~ CG)~I,9 ~LRDI'E flr.4t;3. ` s~;
} 4 1 ' } 'w S Y' I R~ Y ~
~ Il~7I~7 07 9 n ~ , ' ~-~3 ~ :
• 7 I'3~t CtZ l1Tt~ „n n1~1'Il ~ h~,~i * 7~i9
r IIT~'L rI C~;a2~ Z'11~ ~T ir ~11 u i ' :~4 ,.t £ ~ _rt
~ 3f T ~ ~r ."~r* ~ ~1 =
. e 'w t ~ . ~ n 1 ~
i.. ~ ~ . t '
a . ~ S . f ' N~ 7 ~ ~ ~
~ ~ . ~ ~ ?
r e}~' j x~x4 R~~ rr ~ ~.r p ,-.w.. Y is` v l. °h k ~ e~.W~,
i . ~ '""t` z.. 1 a . ~.i.4 . # < ~ 7 e . S N K ,}a~ s ~L;,
~ ,i ~ k a ~ ~4' S- 5... : > `"~'s: f ~ a ~ ~ ~ i
r~..L ~y,~ti~~w~.~(~z.r~'4 F-~ ~.`~'~`K b. ir f! i ~ -^t ^-2s ~ ~+i°J ~ ~ L'~l~? *,~'n ~.4 ~ '.,f.~ :
~ ~ CL' rYNR.~.~,R ~.+f~'r~ .y d. S_'`+.~~ a/.~ .+u ~ 1 S t1rTnN Y~ ~ ~ ,
~ r r T'~ try 7,,L,{ x M~ 3~"a*i tr' i~^ix~ f~~f yl. y 5: gr r'J.M A, ti~ ~+t t~ `t"*}"n S~ r'y ~y,F {,.t ~ a+P~ ~~t ~~~+p ~,e~f
+ 1~9 fi.r,'~ ~ [ 'n fn v~.~a .~1 c rrc't,~'r`~'r .t4 .,kl~. ~ 3~~4~:~-it !d 9~A~°"*.v~a-} ~~,i
e 1 3a" t'~'~ ,~+1 a Y'~ r~ Y~ .iC r~ ~ Y!sr. wC +&W.i'~a M` e a-
f~'~,'^t S ! '~c1~ ie i ~T~.h~...v ri4Fvf4 ~v+.kT' i. ~~,(i ~ 1 ~i y~,~~i ti 1~.~ P~ ~L'V~s 'Sr :~~sit~..C:
/ c x 1~ s ~ ~ ~ i 1 M e y 1 s~ i~~ r v. ~e ~.s
w m~4 r",..~ ~,;•"E ~ir2 . ~ ~ tr~ ~ "1 ~ ~i. ,y $:ar? a p z~~~. 'T. ia ~ ^*y
1 . J ~1 M~ r~ ~"'~.0. R~ ~,1 l' ~ "t i'C L r a, ti ~ "'1 ~ Y{ ~ da'+ ~ a
'°£"'~.~YY-A'~''~yF ~ 8+ ~"d~ w . u- .e ~ o- y dp~n I t l, ~t `rK'vM
..~,~s X ~~~'a'!'~~~',7h.¢~~y.,"' w-~''"~""~'~~~'`;~-'`-"".c»k~t^,A-y,"'~`"'5,~'~''.v.~~..ai~~`5:v~~ll,.~~;~~.~1.'r~3 :s~'4~.3i~~~,~ y"'-~fn'"c"°i
I nl . ~ 'i°.,r„; f ~ .7t ~ 3 ,~n r i r '~r i c~ Y ~ - t ~e .c - i • ~ t ~k tt n ~,~h v 1 ( fa ~ :y r
t ~ t( r _ _ ~ i / ~ ~ w i~ie~ v Yb,'4 ~ Y ^ .'ia 1.~ x~'~' _ Y `~+e yar~ ~ . y "'+i4F y 11 A,v { I
y.a t? _ .J,'i5 J ~ 1 _u.1 t-Y- F' o ~ i ~ h. ^ '*::yf ~~a-- ~ ~ r ~ P ~Xt:t~"~ lr~?% ~ 1~~ ; j
~ t'*' ~..a . j a M T- 1Z v~~x .e ~ r t Z ai.
*f ~ F~• ~ ~ r ~ . ~r r 1h ~ ~ ~~C~' f i{y.: { G, rv
U. . x n S Y - t r. . ~ y~` t .'K y..,, 'M r~ S
7 ~t n" `,~s~~+~~ !4y,j'~9 viyq 1 ,~J~''°sa) y~~'~~ „ a~rZ r~9~y'.q~1 w 9 L~7; i iT3Nli~ 1 4 ~5'p A~,t.S,~~' ~
~6 ~ 1~:~~., .-wa~«~.5+,;. i 1~ i. ~N y'~'i . ~~7+.,~#eH YkR vaa 'n# ~~:,~f~ a t r,ar~F~rL`s.~ r'.~d~91+,i'yLV'j.,~.~.~~,~1""'+,~^~,. '+4^"~t+u . r
' ..+-i
~.....~.~:~"'a'n:'?b.~ua4-C.' " -t...}''_4 '"'"P.,..~.. ~,:.:FYz^'r ~ . . . . - a:+.'S ~ ..s~ ~ .:w'
~ g ~T ~ "~~s.~!'~~T I+ y~:~= ~ ~ ,s'~A~l's~+e ~~h ~i.nma{a -SS-.+.~w.,r~.r ^~~z,r
~ u~ ~ry~~,~,~,,~ay~q.ySzx,~ ~~~.te. ..a:g
~.~RF.~'EAr 4(CF ~ ~ M~.' ~~~v.~ 'a~'.~~,..~
~m~ ~}'u ~5 ' ~AaE r.s,
c , ~~;,~f~
yu~;.'~=,~a~~`wD ~ I~cs f ;~s~..,uP~~~"~~r.s~~:t}~t~: ~5~-~~.~-~,~1
~x~ $.~"y ...r ~y^~i.~ E 4 Y'~, ~ ~k~X~~~~~s`~. ~~Sace ~ ~ u ~`~Y~~rP~7~a ~`~~"`'E~S'~~'~~ t
,~K`g-:. ~i? FrTl9fwa r3.~"~, "4I3 ~ '~r'~a ~ ~z ~:5"°.ro ~ar,+.:.t.c~- ch'r y~ Y, ' 3` tq,c}.i!
' ~ ~ 'r~ ° "R'~d
~y g G ii~} kT ~1 ~ yt~' 15 ~ "S R _.;~r ~ ~„~.~,.5.b
i~ rY", ' ~rz^a''y~_ +':Y e +d - Y
~ Y 2 i u .y. ~ ~ ~ i a..b:~~.
~~+.'^"v~'&~ .)L3T~Oly T = ti• r ~ ~ Y`t ' q. :.Z.G p M 6 :4 a. x,.~ . .
i- L ' ~-.-.H °.f`.t:~ ~ h Y 5 ,a ; s>~'r'S~''~f~i ~ i a~~i" s~>-' ' D ~4
~'~7. ~`t..~-.T'3,~5;~.~ r '~f..~l,~~3~~_-•.,..~. n "r ~ 5~~.'i'~ ;"~'w
~°9
y`,c
fi
~ ~ r.e Ci Y ;t'+ - ..ni,i '`3'~ ~ -tt,~`~' u"`v~..+c e i:,
'y' S' ~f _"i"~'~ ~a~.t.~ '.,"'F S sr~e.~. ~s~,c "^.«.r"-~t 3,(.p'~ P . ~ L ~i n j'-^~ ~9 w"~ ' ~
_ 'St~
s~l .iS~" "ra ~ T~ ,F >'Qt s . ~Y- r' , r .a.~. x ' - r ' ~--~~pw:
" t
~ 4ti -t' .3~ +[--i .r''fi'
~ }
~ +~y`i 0.y , `5Fl'Tf
~c'~..~~.~._* ~ ~ ~ 1 ~ ~..>s.l 11;? ~ T - ~ ~
, ~ ~ ~
x~ ~ . s7n ~ ~ .%Y~ i1~.S.:,~...iavs..:. e k f" w'~~:..~~~7•~
~~a .`.f -r ~n s'
~ -~a ~~~`~L~~,3 - ~.."~~i 3? ..9 'S~ ~ ~~yl t' ,~e~p ti ~
3 ~ ~fx. ~ l^.~ ~111 ' ~2 r~ i'. -a • r ~Lil~ "wa '~~~~.~i"Q t{':: ~
~ ..z F , t" A ' f ~r ~ #:sti a ~ _ <l,~t
~ r M 4 CCFirr~~
i
ta~'- SY ' ~O ~„1 ur. ~'--,w_.~"'tiS....,"1i~ u , -q~,.~~ ~ .
st ^ Sr ~'`.f i-1 1<~i~~;:,_~~ F,~it;~7~_~ „:q3~ ~ ~ _~ii7
, ~q
r T.a.. 5 s ~ l,~ f, .
~ : ST.. { i q ~ n. ~ -
' ~ 1 - 'i~~?~] > , ',1 ~ ~ . - ~ ~~'15
i Y ~ ~ .
} ~ 1r T.ts )-_}'`~y~ y T 1 a_CS'~ Y~
~i~~~_
.
~ ~
.
s ~ _ -
. <
-.e.~~~ -....r,,.~~
a
: ~__.~y~_~ i
, ~ . ~ - ~
; - { _ ~ - ~ - -
~ = _ ~
~ ~ ~
- ~
~ 01 n i.,s .
~n
~(1 _ . : 'tQS.~1
~ ;fiS3j : .
Y
n~s.~~^rwiT-.~~ _~-?~')y`~_~,a~ SS 55 ~
.-.=.~x ~..a-.w..~-.<~ ,~..r~~
- ~N A . ~ - .a~ _
i ~ ~ i i,.
s-~ _ - - -
-~.~.n~ ~ ,Y =•--•--r_~
.~b~P L.~, 1 ~'7, ~ - .
_ 1 _ ~75.52 . • -
1 • rt,~7RS . _ . ` _ ' - - ,
Wfn•~..~.~!-.
y n~?t~~ ~ ~zo ~ ~ ~ p ~ ~ ' ~J
- •,....va, ~
~=--u...~_,~.~~~.a._..'i 1..~ ' ,.S~"
$ R
_...r_~~..,_ ;
~_.3 ^ _ ~ ' t •'S • R
_ 5 b~~ _T1.7_,.
, ~ ' ~ iI,TAL$ ) t. , ' . i- + -
^A F - 1 ~ ~ ~ U'
1~.~...r.~•~, •a 3 +a a-w.' 'e F ro "c . A ~ ~ <
m _ . ' • , ~y- . -
y ~ ~s,fy ~ 1. 4 `b,~~S ~"-,~."h~ ~w ~ ~ ~a-~c ~ ~ a r ~ l+w i.+~..~i-Y ~ R ~ ~ y~
~~`T~~I~it'e.~ ~ c c ~y~ ~c z o ,a, a a .~s . i"'
4 p - _ -a s w' k Y h? e i i R.,~ ma
~~.i i~J+ y~ E
`~y ^X. . ~~iL~`~
Q}f..~ ~ 9~~~~9~ ~wx4 ~~4~ ~ a~+./G ` iis'"4.-YY !7l/a~ ~ ~F3 .sf y.~_ _?fi
r K ~ th .1i. ~C C"' ~4 `f
~
`u~ j~y . d r/TT ~f II-i ~ a^ ~3 ~ i~.~.~,~a..' ~t G . `a . - f ~a-" , ~ r . v. i"4p.°^4
4 t+~~. ,..ti.. n ~ ~ sa i.r ~°'~e v'k^'T ~ ; ~ ~s ~ m ' ards 'T ~ L. r
d~ ' ~~~TA Ihl Y ~ ~ +~3.'?~^~ rM " ~Ti. ~t . ~ l r t ~ ~r-ba ~ ;b ~ ^~'X ~ t
~
! ti r n . 5 . : :
is~ » N..r r" r?~" ' M
. . ;ti~~.+_sr. ~
~ ~ .
h i :4Y
~ 4 ~v.. ~ t2c^" i - c. . ~ x"rr ~x «s + a `~r r -~T
~ rk~'` r r~ ; e ~ ~ a : r~- 'w~ _..+'7wT~ t ,~x . $'~i-~~4 3z , r~ i~3 > ~ ~s.np`- t~f ~ ~ ~2,vx. ~ m r` ~ i
~ S 3 ~ l d~'' . Y ,E~j~" ti.er..-~r~ ~ ~x~ ti ~ sa 1_"a ..,.,s ~l~ a,.'~' - ~ 1 4'+sz;
~ - ~ ~~'~-S~ t?~ w` . e- s'9~'~c c X~ r o, l ~ ~ ~ ~ ~ ~~a
-'}~+'i~"~'„"?''~""'=`S7 ~,-.,Y,'.:2.' -S
r{ '`3f5 ~ uG`~'„ ~~os~~'~'~ n ' C t s~~ ~i ~.(r'' „4K } ~"4x-~, x
~~f:~~~
'7s. `''`a'x~t.r'1'hy >v i~. i C~«.~. "4 ~r 's ~hr- w,-
~~+,l.,a~rtr~ K ~s ~ d`a ~ e{. .Y~~,4~"''~•
p..~i
a y . A" w t ~ t ~*~"~+~t3i"~.~ra~~+F'3a"~~ ~ ^~e ,~~'~~3 ~ ~m r # z.°~',Y . . ,
'~~i~ r' e.~ r~ ~s+ia
g `y ~ w ~ . ~ +t t 4 ~ .^x y t ~ A.e ai tk~ 5~~., #j..i .(F's ,a a '~"'k`~ ,~.x q 'R'
Y> > K rt ^~.a r d e x. 'e.R'-.a:
~ ~ -r~?,"~ r~..~,, "3~9"'y, r ~-~'.x ~ '~'.aTd~. t! dl ~3 klTi'~ .c~.,' >~,'"`s"~ a~= ~y s
1~. Ltr~~e" "rk~tl~r y ri las r`Yfy '°a.~yt~1~ ~rS t~i a=~r~."a tt. ~ `3T~ 4'C' ,,{iA'Y.~~'G~~~~~3
t 9~r~$Srva.x~r~.ri~{>~,it'S .i4^ ~'-~~r»*3>~ t'C'}+'-3^.e+5* R>'+ ~ ihs~SV~.tay -..~..s,,,s, t, 34'
*iai.~ '^'L 1~~ ' ~r ~ d kt ~ "E 3ryt`~
~~L1+L~1 ~~k.4 t~ ~d'~~* N~3 I tn~ ~9~` 'as 3~ `er.^.~'~u~i 1~.~~ i i p,~;C~~~~'"d1~~~ L~~~3 T~- ~~~av ~~D':''s x~~~
~y +a s~
,~~~~~1~.~~r~~~?~..ina-~ ~ k.~?r~i~''~~~~~~r`z'' ~ ,~~~~*cf~~"~~v Ji-~~'.t'~, n~x~,~ "i~3.~C~"" ~
x a , s~".w~t r y''g~'~~= ~,s~4:~.t ~„Y~ss. r,4'#'~ v. c ~-~e~eg.?'
I+~ ,e~*fX"~.~.1« ~ r ~~"{r t+>~ wi R .x J~~4 s 'a h "C'" ~ ~A+ 4.4:"''.m~
~i' } .e ~F n ~~*~,,'3~(~.y
z ~A 3'r'.]~ k+ "
~.~iL. µz. A~ ~'.'~T 9"? b~ ~~'ih~e1G ~ ~ d AI~ 'a'e'x }~Sf ~i S ~~JC~ ~ns~~~~{ ~ 9 "'~kJ~~~:SLL T ~y ~
~ F8~
Y"F.~ y-~ 1 a~ t n C 6rolt~i.s E2~~ ; a~ "'i t ~ ~ i ~'?~Xs+a~'1' J'~.'~. j a'"~ts ~M..~
~Y+.sl•3 i.3~9...
I ~ ? ~y~~ j~, ~ 4 ~ ~^e~y,.~+~ . :'~l z~r '~i~i~ t~ Y.
ei~"'8.{ s. ~~r1x.~" ."ri.*~F! v~«.~.a..'~' .~~M:taYr:~~`~"M ~ C'Te~6 n "`v ..a~`'i Y~:. C
. . +rb~'Fa ~lvJ~e•K~i`«r4^n'1ii,+-~~+~, 'f~
~ ~ . ' . -
.~i~'~Rr'~~ S~,G...... a'.d~~-.A':^~"~r~ .~.~."-ti.". r.r, v,:~~~~..~s.t*> ~'sa~are.:crti,.~aC~',..r:i,'r:-#?Eaev..va.~.~...kea+:e~v*~' ~..~C.^a.~',tf.~o- x x,.::a4.ti:...,. _,.,E',`-3.;..~'..deiY..~.4?.~
w
,J.~ ; .v..~ a .'L ~ 7~~~oN ; * ~ l ~*r~ si'''~. ~ sa# t{r
~ ~
i`,. ~f~ ilF~PtR wni'~ w~Tti,~CenA~ r - ~
y-~ 1 ~
~+j,,,r, r ~ ~ ~';F~y ~C;,~ t'tni:~i 13"~~_A73o ~~{,gaae ' ~
wrv , ( - Y~ i t_w
<
` 1 ' . , i7/a~ ~.'A ~ Q ~ ~ ~ ~ ~ ~ v 1
r~
~ s • ~ C ~C A R 1-~- O ' !I ! ~
b '~~Sin~R1.~~ ~ 7~ ~~'~--14L~----
~;7T ` l~ _ .t'Pf['_ySYl~~f/_~~~~~.-.~ ~ ' zJ.
~t , r i r c _ !`15 1 f 1_ 1 t . : . /~-4 ~
~ ~
~ ~ ~ . t,~__,1
~ , ' J ! ~5 2 „ ` i 45_ - ~
: _ i~~s nr.~ '~`='`7_ „=j -
_ , >r,~
1 _ . /r1~'1~S~~ti~' 1~~~:,~ ~ - ~~7A7A
ti . . ~ ' L 7 13
~ - I~ ~ f 7z~.ti-w~r r -
~ ' ,r,.r__f~~_H,tc~on S,a~~.-~ j i~{fi; 3'co.~c ~3i~c ~;.,~~3~ at+ooEGrzpD~
~ nn~~~-=~~ ~ 1 1~``~ G~5 A~tZ1 .I~
i~_~ F t.._~-.`_~ i%~~_ . ~ - j ' R n ~ S! n•~1 ~
. -!'.?l;~~i!_^-- I~ ~~~_~~_3 ~
~
~ i ~ rl~ - ~n i l ` : t_. ~ .33I~ ' ~ 1~~
y~. - i,~C~,~_ - ci I- 1/s ~.,tt t~fi%,L. '
~ ~ ~ - .__.__~_~/5 .3 I T'__ ~ . i . . ~ ~
~ =r ~ _ - t--- ~
~ , ~ ~ _ ~ ~ ~ ~
~ :
~nr ~ ~ ~ ~ n~
~i (Cj vp~cr. wn~~ w~ fre5~ s~TF C . ~ ( z9Z~
~i :~~1 f2_l~ T'~Re ~~n~ti i~ f.o enGC I
( ~ '--1 _ i ~ ~ _ 1
at ~2 _ ~ !____~~-j J
r(~ n ~~r~ 't~.i4t ~ :t_.(_
.a ~ Crhr~.~~r__.~_...1 '<lj_~i~ . ~~S~~~q~c~.a.. ~ A ~ t~/L_
f-F ~ gr,cA' ! ~
_ . ~ '~;r~~ rur~~.~,..~ ~ 'p _ . ~ T r~~ - +..~i.~ -
t1 ~~-I(~~ ._:~.-1..~~ ~
_ j'
~ ~ ¢ l~)S . L t Il~_n.+~ ~j~~j . ~
~ I+ _..}~~.w ~ . ~~7 l!!? 171r , .+c 1- I IT' ~.y:: ~
i ~ ~ ~ 1~ ~ ~ - . y
~ 3 _ /IS !li?Z. _i ~F~_]1__~) ~~C f\ZP '^C~+_tl
~I r r_ _"~_ri~~1 i~4):~,f1~'~ Tb7A1_~{!~ il.___^lF
~ ~ i7~ ~tf, -3c rS7' ~U' !i~? ~ ! r } ~3 CS_ ~
~ 3-.~~~___-,_~ t,h~'TL~ ~ri`P!~-~"~~~ ~S1~IC4'/lG .~ti} L,4Rp4~ ~
; ii - .l 7 ~~~1_l ~lor ~G~.'s P,'R.i~~1j
" . . . _ .
_ /`/S c~ ~n y t'~ ~i_.,l ~ ~ ~~T ~L ~.l A tR ` ~
( ~ ~ ~
if ~r. SIt~T'rl'~t~f! }1/rl1_~'_ c~Y ~f7FF~TT~nt !
, _K.._ _ 9 ,
d~ j~i F- _-1--_~__~__~1(`__~-n~ ~.,~_~~.j u~ f
7t,Z.:
'.7 V ~ +P~,i.;~rS-.~k~i~_''~__ii ~
. ~ c ~ i2 F+c~l Su~~zenlt~y($i§,J
. .~'n,{,!~t~lfi _~Ill! } 5l,~cf~~i.na?U*~,:nta,~ld~ni ,
~`...r ~.s ~ .•r i s~ i ~An ~T f
~ - _~~~a~ ~,5~5~,~:,~ ~ i I~f.,~.~i
?P_TP.~its,71_,~~{~
~~K~ ~owrR.wn~c.. ` - _
--~e~N ~(.'irtr--~-~~'~ Cr~t[. ~we Ures~C . ~ ~ ~..r~
{ , ~ ~ ~
. ~ISTl~ i 7 •f.~j_{ I~ ~ c~~~~ ~
~ F~
i j. --.-.-.~.k 1,"n J_ rSio~w> ~u5~~~ '~t?_!~
' :1 ' ~ ~f4__' si,?:_Y~Ij~ ~pr rr
! ~ .s!!..'_.5~~~ ~ j~ ~ ilr.c~c ~ h~~'
r1~t^~_n~m ^-~-~-L+1!~_L+L*+ ~,~.I_
~ ~ i S ~ • ~ i.'~ 1 ~ ~
f i
y -l~r~t r I~z, ~+i~~ s~ IcTr~c. Z~~Q~ ,O~I~~
. ~ ~~S +-owca •wo.ti~w ~N.v~~~,. - - i
~.Ci.t^l~nl(.!~ I~~ni„ic-R ltawf[. le+ ~ROwiT nF:L+o.+S E ' -
~
~;L~
~_r._...±,~_'fi_ -1,. . ~ n (~A
T ~_.~.~I ~ . . ~ / 1~_I~1 (L _ `1 ~ tl ~t 3/ ( ; ~~2L~ ~.+LL ~ .
~"~.-----~--~r='~_~~~`~ ~~i--r~~ ~l F~~T~T17)FIlw - ~ J~~
+ . '-"'-C ~ I ~ •R~ -LL ~ , = .1.1
'1 ~ Ej-~- ~ ' l..F n ~.t~. ? ~ }1 ~ •i~~n ~ a • _~t{`
` f~
n±~=- ' rr , f~.~; ~ n'z: Ij T
~o_At- d~~~i
~ 1"~."r+. ~ ~ ' ~ , , y „ ) ~,y ~ p•'
? ~j ~ ~'1... ~ t..Y ~ i~ ~ ! ~ ' ~i . . i r,j~ Y.,.~'~ f ~4 a r ~'i:nwJ Y4 h.,t.
.~+~~.._Ai'~,^ jl~ i v 1 + , . . ~ ~L K ~t ~ ~ ~r^,. f " r"~ ~..~y,~ r s ? 7 S\.~
-.rsV.~.._ ~ rF.x`s ~.;~---:-~-.Y~...~..'r.+W-..~....~......-.~.... . l{2!!- t~ ~ 3 .JI .t ~ ~ ;.r
I~~}t jw j'~` s M~ 3S'2 5 S f~~OX'~~ 1 a YIL ~Wi i{ ~`7'i,~~~'i""~ 2~r'rs,.. 3.y ~,i~ .i T,a ~ r:Y
~ ~ ~ ~ T f~.y fYQ 7 w e~:. a~r ~ .a ~ ~2~ S' i , { .L~ ~
t 1 ~
~ ~ a t' : r w.~. a } T ; ~.3-" i .l~.~Ff. '`'f Z.` :~,4~1.r.; :~,~~.~F• -
' r " ~ Z ~fL~°~iT Y r -4~ n , 'A~C7)T : ~2. TC ; ' ~ .~ti. .7
~ - e si y. :3- w>> • , l'~y[ j ~~4 . r . ~ ~ S
' f' R ~ ? J T k a ' i..~ ~
~ • ( ~ _ ~ In - ~ `a ~ . ` ll r~ 1 . . .
• S ' ~ . ~ 1 f 1 ~ !~j I .'f~' ~ V
} . . ~ '
l.^ - y' c~ r, i* 1'T~ ~ :4
~ l' ~4 ~ 1 l ~
t I 4 ' ~ Y . 'i y, ' ~'T~ iP/~ ~e
~ ~ J:'~ . h Ie r . . ~ • . 1~~~
! ~
~,a, ~~r f~~~~R
J ~Y~ ' +i
~ y~c+- ''Tj ' ~ " / J'1~ j~I~ ' t .+3.
~ ~ ~ . -e>.- f~' .
. . } .Q~~y~ c:~ s ~.1' :4'd
1 ~+ti`-^T~ 3~ . ~I . ~~.5 * ~ ~
~ - ~ ~ ~TS l'~'_ i j ~ . f.r:,
. x~ : ~ ~a ~ : y
~ - , } ` ti:. ~
~ . ~ ~ :~-~i . ~ . ~ r* ,Q•, /.,-r. . 'c ~r ~.!j
, .
~ ~ . , 3~ = :vs.r • y/.,
i ' ~ ' ,~In L'1.L _J
' ~ w
. H ~ i ~r 4~.
~ ~ Ns ' l
7~ ~ 4
p .
~ ~,1 ~ ~ ~ ! ~"J ~ ~ ,
_ .
V L" - F `r ,
~ : ~
i ; -c(_ ~ . ~ ~.,iE: ~ ~ : ~ _
i rn.
~ .
- I ;
- _ . . . . ~ < . ~ . . ~ `-"a,.
. _ . V _ .
e. ~o. \1 ~ ^ "
. . \ a . ~ . ~ ' - p ,~r.
~
. . . . i.: i i
~ . . _ . ~ . . ' ~ ~ . : rk~ ~ , .
. _ . . , . . . ~~_i Y ~l
~ ~ . ~ ~ ~ . .
y . ,a. i
. . . . ~
. . _ ~ ' µ~,.n
TT
. . . . . ' ' ~ ' . ~ . . . ~ ' rS. ' 0~ -
. _ ~ _ . . . ' tt ' ' \
~ ~ ' . - ~ - -i • r ~ ~
{ } V .
~--6- ~ ' . f G ~ •
P ` ~ ~ ' ` y . .
. ' • _ ' ~ 7
r " " ~ ~ - '
iW liicrt ~,e . ~ ~i r
~ ~.Y~ °IIf e° t - r 1 ~
. . S (IU " i-a _ ~ ~ . ~ ' 1 ~ ~
4
'ti~ . t d ~ ?
i ~ . ' - 11 r ~ . ~ ~ Z!
~ t r
" o: .
} \ ~ ~ r t~
~ ~ .
4 ~ 1
a ~ 1 r 1 ~ R
- ~
. 4 ~ ' . . ' : ~ ~ - . ; ` ~ : F ' H
s 1 ~ . ~ _ ~ i = -
' ' GaiwL~ , , . , h' k
, ~ _-__,__-_.-._'SF 'INSUL~i T8 P.-~L?f~i
G ~/A115 0 , ~ .i ~
~ . 1. I ~ J7 ~tiy; T~~•'"X 4~' " +r ~
.r r ~ ~ . r~~ -t ~+r~..'~ ,q: y~~f ~It! i~i
Ji , ~ ~.,~1. ~ . ; ii :o n~ '1 !~/~~11'~ ~t r-
~ i ~ ~ .h ~ ( ~ ' t h i , _j~!,~ iJ 1
"F,~' _ . } ).'ly~ .Jf':.
~ r~ i [
;~T' ' . t~ Y ' : ' . . 1 1 . - ~f . I . ~d' y~ i ~ y~~ '.Y•
~r ~ ' ~ , A1'~l '1~.L.~,~:. Tt=•:-~ ~z ~Tr ~ ~'r, v,~,~ ~sy~ z:
J ~ ri ' ~ ~ ` ~ ¦ ~i..~~~~~~. . . ~ .r. r ~
t ~ 1 ~ •r ' . ~ . ~ . . 't ~ . , ' 'ti' ,
+~`~Y , i 7 : ~.~'r ~ ° ~ ~ - ; . . - ~ e • r. _ ~ i.~3 }i ~i. i.fi
".16.SIL' -~'y'...~.~-.:.1L'~' I~.7tii_`i-I I~t~.n'~~ ?.il.~.CJ~ ~:t~~siY ~ n ' '.~.I~ 7 . l' Lii ~ ~ ~ 6~_~~YJ'~ . i ~b~-~~~}'.1 L~/• ~p'l ~ l~ ~
uly~;•:.y,yi.u....al~~_~4~~..+Y.11~_'.u+~~..
~ ~$~3
1490 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS I SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PEAMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUIL?ING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN GOMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBEK.
To Be Used For: I~~ £ Valuation: Date: ~~/s/S C~
~J`+Site Address ~,34 ,Srye?%i, (.or.~~ ~ OFFICE USE ONLY
Lot ~ Block / FEES
Occupancy
Zoning o?
Parcel/Sub ~jq,~,.,, /~i~ Actual Const Bldg. Permit ~J
A Allowable Surcharge ~
Owner .f/DAM NAP/oRKoW.T/~/ # of stories Plan Review
/ Length SAC, City
Address y-830 ~6uv~in G~ Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code ~s~v~ ry/n S t~Z-Z- Footprint S.F. Water Meter
~ ' w~•~ Acct. Deposit
Phone ~J".~-79°3 ~ro~~-Z69~ On site sewage_ S/W Permit
On site well _ S/W Surcharge
Contractor MWCC System _ Treatment P1.
City water _ Road Unit
Address PRV Park Ded.
Boostex Pump _ Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL i-C7
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
I 5,_ ~ i pji` ~r~~ ~+y ~ DAK 544
ZONING - NOTIFICATION OF INTENT C~/~~D~UG ~ I
~
Foster Family Homes
Day.Care Homes
To: - _ -
(Muaicipality o Political Suh-Division)
~~95 .C/i~~ ~a!
{Street Addrese)
~ `7'y)n, ss /
(Cf (State) (Zip)
FROM: Dekota County Social Services
357 9th Avenue North
So._St. Paul, MN SSU75
APPLICANT: ~(/i~1~JQ ~ 7YCk~C2/~`7 / /q=~~Zl~`-t-uu-iC>~
(Name) . ,
~ .~~-u-C.~n: ~
(screet _i
`~"h~ ~ ss ~ ~ ~
(Cit (State) (Zip)
N~ber of Natural Ch3idren under 18 ia home: 0 Q 2 3 4 Sf'.
(circle avmbar)
Numbar of Foater Children iacluded in licenae:~l 2 3 4 5 6 7 "
circle number)
Number of Natural Preschool dhildren in.Home: 0~ 2 3 4 5
(circle rn~mber)
Number of Day Care G7iildren included in 1lcense: 0 1 2 30 5 6 7 8 9 10
(circle nmaber)
DATB OF NOTZFICATION: / 9 -
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4830 Shevlin Ct
Lot: 15 Block: 1 Addition: Brittany 4th
PID:10- 15003- 150 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Gopher Company
2701 36th Ave S
Minneapolis MN 55406
(612) 331 -1555
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Adam Napiorkowski
4830 Shevlin Ct
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA083927
06/30/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State