953 Stanwix Rd REQUEST FOR ELECTRICAL INSPEC710N
r ?~%e~ooopi,ae
L/
? See instructions for compieNng this form on back oi yellow copy. C~~i,~/ H~.~ `X" Below Work Covered by This Request
e Add R,ep.` Type of Building AppliancesWired • EqdipmelltWired
Home Range Temporary Service
Duplex ; Water Heater , Electric Heating
Apt. Building Dryer Load Management
Comm./industrial Fumace Other (Specify)
Farm Air Conditioner
Other (specity) Contractor's Remarks:
Campute lrtspection Fee Below: ~4~ I+'` 6
# 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 . Inspector's Use Only: TOT L 2-4
Irrigation Booms G~ d 10
Special Inspection `yt
Alarm/Communication THIS INSTALLATION MAY BE DE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, hereby Rough•in oace
certify that the above inspection has Final Date
been made.
OFFICE USE ONLY -
Thi§ requesl void 78 months irom
- . - - - ~~G/y ;~C- ~7=;
M02 5 9
Request Dflle Fire No. Rough-In Inpsec@on Required InspeClion Other Than ough•In ,
Q (You m call inapector when ready) Ready Naw Will Notify Inspeclor
~ / Yea ? No De1e Ready
I? licensed contractor X, owner hereby request inspection of above electrical work at:
Job Adtlress (Strset. 8ox or ute No.) City
x
Seclion No. Township Name or No. Range No. County
OccupaM (PRINT) Phone No.
I P n !~1 o rrl 5 01'1
Ppwer Supplier Adtlress
Etecmcai Connactor (Company Name) , Gontractor's License No.
of-
l A/~'l e,O W ' 1
Mail,ng Atldress (Co ~actor or Owner Making Installation)
v C/t, Authonze,d y~ "awre (Co r prlOwner Makinq Installation) Phone Number
Kc., ' G - Z/ o_L_
MINNESOTA STATE BOARD OF E ECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE AGCEPTED BY THE STATE BOARD
1821 University Ave., St. Peul. MN 55104 UNLESS PiiOPER INSPECTION FEE IS
Phone (612) 642-0800 . ENCLOSED.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ` t•' ~
Eagan, Minnesota 55123 Date Issued: •
(612) 681-4675
SITE ADDRESS: ; APPLICANT:
' , t I,,~ ~ i~ii ~ ~ I , . . , . ~•1~!'.
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
I ~
L
_ _ - - _ _---J
Permit No. Permk Holder Date Telaphone #
S/W
PLUMBING
HVAC
ELECTRI
ELECTRI Ua5S • ~ ~
Inspection Date Insp. Commente
Footings I
Foundation
Framing
Raofing
Rough Plbg.
Rough Htg.
Isul.
Flreplace
Fnal !-Hg.
Orsat Test
Fnal Plbg. Plbg. InspecYor - NotNy Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg. 5-. Z Q
Deck Final •
Well
I
Pc Oisp. '
a
~
1
SE1M'1ER & lvATER PERMIT OFFICE USE ONLY
CITY OF EEIGAN METER # PERMIT DATE i U/ 17 A)1 3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT # 12348
_
, METER SIZE B.P. RECEIPT # C 1555
DATE SEP.Z 6, 19S1 ISSUE DATE B.P. RECEIPT DATE 09126L~ i
_ PRV _ BOOSTER PUMP
SITEADDRESS 953 STANWIX FD PERMITREQUESTED
LOT 30 BLOCiC 3 SEC/SUB LEXINGaON SQUARE 7TIi
x SEWER X WATER _ TAPS
APPLICANT:
ADDRESS: - COMM/IND -X- RESIDENTIAL
CITY, STATE ZIP -X- NEW - EXISTING
PHONE:
Lawn SpFinkler Meters are to be Installed
PLUMBER: x StAR pLUMbING Ahead of/bomgstic Meters on Vyater Line.
ADDRESS: 1015 lIOUND SPRINGS TEEtt' Credit VWLL NQ7 t)6 giverrforDeduct Meters.
CITY, STATE DIA)MINCTON MN ZIP 55420
PHONE d84-6149 1 AGREE TO'CQ4NPLY WITH CITY OF
OWNER: DAHLE SlOTlEItS INC EAGAN ORDINANCES
ADDRESS: 9304 LYt1DAI.E AVF S
CITY, STATE B140HIHCTON MUl ZIP 55490
PHONE: 888--6866 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CASH RECEIPT . ~
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
~
DATE 19 ~
FIECEWEo ~ : ~;;r ~ . .
F,~, ~ r
AMOUNT
{r~?~r' !r ~;~~,i 1~.~~ ~i ~il } _-t . ~.r~~,
ooLLAas
100
? CASM CS1 CHECK
N
M.
FUND OBJECT AMOUNT
Thank You
,
ev
,
~
- 1555~ YBposb"
Pw&--FNO copy
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAgAN METER #q-3~ 9 a 70 / ffL PERMIT DATE 10/ 17 f 41
3830 IRilot Knob Rd.
Eagan, MN 55122-1897 cHIP # D-1 !V l6' 3~~ PERMIT # 12348
, METER SIZE ^ ~,4-11 Sk B.P. RECEIPT # C 1555~
DATE SEP F26. 1991 ISSUE DATE ' B.P. RECEIPT DATE 09126/1
_ PRV -BOOSTER PUMP
SITE ADDRESS 953 STAN++IX RD PERMIT REQUESTED
LOT 30 BLOCK 3 SEC/SUB LEXINGTOH SQUAXE 7Tfl
_ X SEWER x WATER - TAPS
APPUCANT:
ADDRESS: - COMM/IND It RESIDENTIAL
CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn-8prinkler Meters are to be Insialled
STAR PLUMBING
PLUMBER: Ahead of om sti Me rs on ter Line.
ADDRESS: 1018 AlOUND SPRINGS TERK Credit N i~~fer , uct Meters.
CITY, STATE BLOOMINGTON MIi ZIP 55420
884-4149
PHONE:
bAEE 1`O C PLY WtTH CiTY OF
OWNER: DAIILE BROTHEF.S INC ~ EAGAN ORD ANCES /f
9304 LYNI)Ai.E AVE S
ADDRESS:
CITY, STATE IILOOMINGTON MN ZIp 5542n
PHONE: 888-5865 NATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPEAONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
+ryR" `7, ' . s ~ . . ~ i .v, .rs ~ . Y .7"'iP „F.r" T ~ ~v *e"7•~'f~7~
~ CITY OF EAGAN - 19741
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # C
To be used for SF Di1C/C" Est. value $90. 000 Date aEP 24 , 1991
Site Address 953 8?ANWIx RD
Lot 30 elock 3 Sec/Sub. LExi' (M SQ M OFFICE USE ONLY
~ ~ ~1
PBrCeI NO. Occupancy FEES
DANLE BROTHERS IlIC Zoning ~ y`„
W Name (aaual) cor,st Bldg. Permit 593•00
3 Address 9~4 LYI~D/1iE AVE $ (Aliowable) V H 43100
o SurCharge
City B~Mi~N Phone a88"6866 a or Stories
Lengih Plan Review 386.00
=o Name sAM
oaPtn SAC, City 200000
00¢ Address S.F. Total - SAC, McwCC 650•00
~ Clty PhOtl2 S.F. Footprints _
F On Site Sewage _ H/ater Conn 6~•~
F W Name on site weu ~ Weter Meter 95.00
=v Address Mwcc system gQ ~
<W C11y Phone Cily Waier x Acct. Deposil •
~ PRV Required _ SMI Permil 30•00
I hereby acknowlege ihat I have read this ap atiorf apd state that the Booster Pump - ~yv Surcharge
information is correct and agree to comply ith ~1(,a~Splicatsf8 St,,~2ti of 276.00
Minnesota Statutes and City ot Eagan O`di nX' " Treatment PI 5ignature of Permitee ' APPROYALS - Road Unii 370•00
A 8uilding Permit is issued to: _ DANU INC Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9, pff, _ Copies
Variance - TOTAI 3,237• SO
Building Official ' -
Permit No. Permit tlolder Date Telephone #
Xd_
WATER A,
SE1yER
PIUMBING
3 4 IQ 9/ 4- rv
H.V.A.C. f0 f(/ S9D ` ~
EIECTRIC
Inspectlon Date Insp. Comments
Footings I 9"l 9/ DS
Fourxlation
Framing O Z c~ 9/ ~S
Roofing
Rough Plbg.
Rough Htg. /U 33 ~/1 6 3/
Is,i. ~
Frepkce
Rnal Htg.
Orstat Test
Final Plbg. f• zS9' Pibg- Inspec,yor - Nolily Pium6er
Const. Meter
EngrJPlan
Bldg. Final . 2,5 ~
Dedt Ftg.
Dedc Final
Well
Pr. Disp.
; i111• 'b r 5 ^ * IJr j
;
A
(gtr#i#irat.e uf Mrrupaury
titp of eagart
Mprwfiatrn# n# IdNug jttsprr#inn
This Cerrificate issued pursuarrt w the requirements of Section 306 of the Uniform Building
Code certijying that at the dnw of ixsuance this struclure was in compliance witlt 1he various
onlinances ojthe City regulalimg burlding rnnslruetion or use- For the following.•
UK cbmwmim SF DWG/GAR M& ft. t M I9741
0-wancy .nM R3 /M I Zoniitg Deact PD R I c~ ~
o~. ~r e~~ I1AfIII.E ~J~.S 9304 L ry AVE. S., I~~Ql~'!~I
7AWn Q53 STE1t*TDX, ~.,I.30, B3, IFXIl~1G'iCN ~
11 /25/q 1
POST IN A CONSPICUOUS PUCE
~
v _
Addross : 953 STANWlX RtY)D Lot 30 Slk 3 Sec/Sub ~CN SQULRE 77H
~ These items were/were not complete at the time of the final inspection.
11/29/91 Yes No
Final grade (6" from siding) ?
Permanent steps - garage
Permanent staps - main entry
Permanent driveway ~
Permanent gas
Sod/seeded grass ~
Trail/curb damage ?
Porch
Basement finish
Deck
Please verify with tha builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ~
11ECYttEOM1IIfA
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN NO 1974 1
~ 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55127
~ PHONE: 454-8100
UILDING PERMIT Receipt # C 1`1i
) be used for SF DWG/GAR Est. vaWe $90, 000 Dare SEP 26 , ~g 91
ite Address 953 STANWIX RD
ot 30 Block 3 SeGSub. LEXINGTON SQ 7TH OFFICE u5E oNLY
larcel No. occuPancy R-3 M-1 FEES
2oning PD
DAHLE BROTHERS INC V
w Name (Aduap Const N Bldg. Permil 595.0
0
; Address 9304 LYNDALE AVE S (qnowable) V-N
p Surcharge 45.00
City BLOOMINGTON Phone 888-6866 x ot Stones
length 48, Plan Review 386.00
io Name S~ oepm 46' snc, ciry 100.00
OU 04 Addf@SS S.F.Total _
City Phone S.F. Faotprints _ SAC, MCWCC 650.00
On Si1e Sewage - Water Conn 660.00
.
W w Name on site weii 95.00
X waterMeter
V.
x~ AddreSS MWCCSystem
as Ci Water ~ t. Deposit 30.00
~
aw City Phone tv
PRV Required - SNJ Permil 30.00
hereby acknowlege ihat I have rea t is ap ati a state that t Booster Pump _
ntormation is correctiantl agree ~ply ~ iae SnN Surcharge _ 50
Ninnesota Statutes end City Y O dnce 7realment PI 276.0
0
ii nature of Permltee APPROVALS
9 RoadUnit 370.00
4 Building Pert is sued to: DAHT,E • Planner - park Ded.
)n Ihe express dition that all work shall be one in accordance with all Council _
applicable State oi Minnesota StatuteIs Cfty ol Eagan Ordinances. g~8, pry. Copies
3uildingOflicial ~~q ~AixA 1 iI~71 Varianca - TOTAL 3.237.50
~ 02~59 ,C3o 3 7&
Request Dale Fire a. Rouph-n In ion Repuiretl Ins eclion Other itun augb.ln
Z ~ ~You m inapectorwhen ready) ~ qeatly Now Wli Not~ly Inspecbr
Ves ? No Date Rea
I 1 licensed contractor Kowner hereby request inspection of above electrical work at:
J00 Atltlress(SVeet Box or te No.) Ciry
53 ar<w ~ x
Section No. TownshipName or Na \ Rpnqe No. Gounry
Oaupant~PRINT( j = Pnone No.
/
Po,l Wl,SuPOlie ~ /Atltlress
Eiecvical C mracfo, fCOmpany-Namet Gomraotor5 License No
Meilinq Aoorass ector oi Owner Making Instellation)
fCo
0 G
AuthorrzeG aWrC IGO oriOwner {vlBking Instdll91i0n)/,~ ~ V NI(nb0,
Qf ~ l I
6C~1~a2/.:oL
MINNESOTA STATE 60ARD OF E ECTRIqiY THIS INSPECTION REQUESTI'JILL NOT
Griggs-Mltlway BIEg. - POam S173 ~BE ACCEPTED BY THE STAIE BOARD
1821 UnivenllY Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612) 662-0800 / ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ~`(~'~"~""~4 J~ ea-ooom
~ See inslruqions for completing 1~'a farm on back of yellow copy ~g ~~s' ~
M c(~ ~+d1.i? ( i
y~ lJ~ .-JJ , "X" Belaw Work Covered by This Request '"z
"
e Atld Rep, Typeof6uilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. Building Dryer Load Management
Comm./Industriai Fumace Other (Specify)
Farm dAir Conditioner
Olner(syecify) ConVac[or5 Femar~~ '
Compute Inspection Fee Below:
# ONer Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS , InspecrorS L/se Only. TOT/~L~
I
Irrigation Booms , (6 'U~
~-e
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT
Other Fee COMPLETED WI7 MQ144
I, the Electrical Inspector, hereby Rough-in o WW-l Dace
certify that the above inspection has oere
been made.
OiFICE USE ~NLY
This request voitl 18 montrs Irom
~ ~ ~~a tra, 8 i=9 ~
ReQUes Date Fire No. Rough= nspeclion
Requi ReeGy Now O will Notiy Inspecmr
a ? Yes ? No When Reatly9
,kcensed contrector 0 owner hereby request inspection of above electrical work at:
bb Atltlress (SireeL Box or No-) \ Cily
da
SecLOn No. Township Name or No. Range No. Coun~y
O< 11PRINT) Ph o.
upplier Address
~Yi Zc`in / ~07
EI _GaLCOntraclor ICOmpan N mel 06nVa or5 Lben,sne No. /
W !
Mailin AOOress ICOnVaMOr or Owner Meking Installa bn1 ~ ~
A nzetl Slgnatur 1 r Ma g Installe Phon Numper
-3333
MINNESOTA STATE BOA F ELECTHICITV TMIS INSPECTION REOUEST WILL NOT
Grigps-MlGway Bltlg, oom S113 BE AGGEPTEO BV THE STATE BOP.RD
1871 Univeraily Ave., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
PMne (812) 642-000 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 1" %p ee ooom-0e/l
q /O ~vr/
1 4 g• See insimdions for compl@ting ihis lortn on Oack ot yellow copy.
Y ! ~
"X" Be/ow Work Covered by This Request 5N e~~
ewAdd Rep.- Typeof6uilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elec[ric Heating
Apt 8uilding Dryer Other-(Specify)
Comm./Indushial Fumace
Farm Air Conditioner
Other (syeoityl ConVactor5 Remarks'
Compute Inspecfion Fee Below: eak
# Other Fee # ServiceEntrenc ize Fee # Circuits/Feeders Fae
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TranSformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector5 Use Only: TOTAL "71
/
Irrigation Booms lv ~j(J
Special Inspection ~
Aiarm/Communication THIS INSTALLATION MAY BE ORD~REO DISCONNECTED IF NOT
pther Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby [Fa gh.in Date
certify that the above inspection has i oT been made. ~ '
OFFICE USE ONLV . Thi3 request vaitl 18 monms imm '
0 42 5F~7 o a 7~ ~oi~ °°7
Re0ue51Dete . ire No. RougM1l pseclion Pepuiretl Inspection O~herTnan RougM1-In
(YOU m cell inspeclor w~en reaEy~ ~ peaCy Now ? W ill NotHy Inspenor
? Yes ? .NO Date ReaE
I censed contractor ? owner hereby request inspection of above electrical work at:
Jab HOtlress (Street Box or Rovfe No.) Ciry
53
Seclion No. TownsM1ip Name or No. flanqe No. Counry
OccuO (PRINT) Phone yo8 ~ ~
iL -a n
Pow r Supoier AtlCress
Eie ConVac~or ~Gompa ame) ' Camrac ' ense No. ~
~ L
Mailin A dre I omracta or Owner Making In lallatior~
" 3
Autborizetl omra nar e'eing 1 tallation Pnone
kkk
MINN OTA STATE BOAND OF LECTRICITY THIS INSPECTION REOUEST WILI NOT
Grigge-MlOwey Bltlg. - P ~ Stl3 BE ACCEPTED BY THE STATE BOARD
1821 Unlversity Pve.. SL Poul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(61R) 6024800 ENCLOSED.
81 r'{I q~ REOUEST FOR ELECTRICAL INSPECTION 7EB-OooOI qe~
? See instruc1ions tor completing ihis brm on back of yellow copy
042557 "X" Be/aw Work Covered by This Request
ew Aad Rep. TypeofBuiltling AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load ManagemeM
2 omm./Industrial Furnace Other (Specify)
rm Air Contlitioner
Other (syecity) ConVacrorS Remarks; LfC Pssa .
F ~
Compute Inspection Fee Below:
# Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ( 0 to 100 Amps
TranSformers Above 200 _ Amps Above 100 _ Amps
Signs , inspador's Use Onry: 7OTpL 50
Irrigation Booms ~
Special Inspection
Alarm/Communica~ion THIS INSTALLATIOkMAY-Elf ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rougn-in Date
certify that the above inspection has F;nei oa
been made. e -
OFFICE USE ONLV 1
Tnis requesf voitl 18 momM1S from
/or~/f. C/5!o 3
~ 35864 Sv,Q
Fepuesi Daie Fire o u n-in Ins cti
uiretl? IIII(F.a0y Now ? Will Notity Inspector
~ - ye5 When Reatly?
w
I01-licensed contractor O owner hereby request inspection of above electrical work aC
Job ATIFess (SVeet Bax or Routa No.) Ctry
~:S ~d_
Section No. Township Name or No. Range No. Counry
Occupanl (PRWT Phone No.
4e ING. FC
Pow SovPlier Adtlre
ss
a~o,~ ,E/uf I¢ss.v, y 3aa 220 ~~"~Kw, 7~1
Elecmca onvaclortCOmpany Name) Convactor's License No.
f% fv .vw^, E/r4 ~,L NG. Oy2 36
Mailing AtlOress COnkactor or Owner Making Inslallai
SISO SO I< d. SK ~ S~
AuUOnzed SignaWre iConlractorrOwner. Making Installa~ionl Pnone Number
MINNESOTA STATE BOAHD OF ELECTHICITV TNIS INSPECTION FEQUEST WILL NOT '
Griggs-MiAway Bltlg. - HOOm 5-1]3 BE ACGEPTED BY THE STATE 80AR0
1821 Universily Ave., SL Gaul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Fhone(6t2)642-OB00 ENCLOSED.
~ REQUEST FOR ELECTRICAL INSPECTION ee-oooo,-ope I
t
/ ? See Instmctmns lor completinq this lorm on back ol yellow copy,
Q -4-_ ~ "X" Below Work Covered by This Request 41~1.o7V
ewAdd Rep. TypeolBuiltling AppliancesWired EquipmeniWired
. Home Range Temporary Service
Duplex Water Heater leciric Heating
Apt. Building Dryer Other (Specify)
F ~ omm./Induslrial Furnace
arm Air Conditioner
OlherlsVecili ConVador's Remarks:
Compute lnspection Fee Below: ~SD
n Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps 4 00
Transtormers Above200_Amps A 00-Amps
SignS msvector's Use Onry: TOTAL
Irrigation eooms !g~
Special Inspection
AlarmiCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 78 MONTHS.
I, the Elecirical Inspector, hereby Rough-in oare
certify that the above inspection has F;nai oa~e p
been made. t r[
OFFICE USE ONLV
This re0uesl voi0 18 monlhs Irom
/D o2/
0 (7
3 5
PeQUes1 Date Fire No Ro in Inspection
n J~/-~/ q tl? ? Ready Now ~r[ENill Notify inspector
V - Ves C N. W~en Featly?
I y4reensed contractor rJ owner hereby request inspection of above electrical work at
Job Atltlre'ss ISVeeI. Box or Rou[e No,I Clty
5' 3 S~-a n w, /'"d
Seclio` No, Township Name or No. Ranga No. Counly ~ .
~Q
Occupam (P/iINT Pnone No.
. l~ ~S NG• 5;-~Fr
Power SuOPior Atltlress
'
y Nal & - ~
~i~ez
Maning nearess iConvactor or Owner Making mstananonlJ
-J / ~ ~O r ~ ~ ? - G /~~/1- -5-5- /
Authonzetl Sghowre iCOnvaclonOwner Making In9alla[~onl P one Nomber
5/ 22--_
MINNESOTA STATE 60AND OP ELECTflICRV ' THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway Bldg. - Hoam S113 BE hGCEPTED BY THE STATE BOARD
1821 Universily Ave., SL Veul. MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone161t) 642-01 ENGLOSEO.
!Q/~~/ REQUEST FOR ELECTRICAL INSPECTION Q,Q /
, ~ Se %!nstmc~ionah.or compleUng Ihis lor:n on back ol yellow copy. S,~Q
Q
35868 "7C" Below Work Covered by This Request '%,~~',Y
Add- Rsp: ~ TypeoBUilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater EleCtric Heating
Apt. Building Dryer Other (Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
I IOther(sVerily) Con[ractor's Remar.s'
r T-/t
Compute lnspection Fee Below: ~ J v
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ,rpp 0 to 100 Amps ~~[p
Transformers Above 200 _ Amps ove 100 _ ps
Signs uspecwr's Use oniy OTA
Irrigation Booms
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspedor. hereby R0°9"'" ( oale G~'!
07
certify that the above inspection has Vnai , ai
been made.
OFFICE USE ONLV ~
This request mic IB manns fmm
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Constructlan Reouirements RemodeYFima'a Reauiremenb Gflke Use OnN
3 iegisteBd si0e surreys sMwing sq. R of IoL sq. R W house: and A mofed ames 2 oopies ot qan _ Certof Survey Reod
(2096 mazimum bt oovxdpe apowed) 1 set of Eneyy Cakulatlom fa heaEed additlom _ Tree Pres Plan Read
2 copies of plan alpwinp beam 6 window s¢es; Poured founG design, etc 7 stle survey tw addMWns 80etlcs _ Tree Prea Not Reqd
tsetofEneigyCakulatiaris Addkon•iiMkafei/ar,silesepCcsystem _OnaiteSepticSysOem
3 wpies of Tree PresmvsUon Plen if bt pWW after 711R3
Rim Joqt pgmil OptlOns soMckn sheet (EIAgs wiph 3 Or IenS unb
Date d / I~21 ~0-5 ,,,1, y.•.~ ConstrucHon Cast
Sfte Address
q A . Unit/Ste #
DescripHon of Work I'~ ~C~.IV M~f .hU *Qft A(JIUP
Mu1H-Family Bldg _ YL/N Flreplace(s) _ 0 _ 1 _ 2
Property Owner t4n T 1 -e l+ , Telephoae # (vi
Contractor~
Address City
State Zw~_bi 1 -1 Telephone 69)
COMPLETE TIi1S AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateaort~ 1 _ Minnesota Rules 7672
' (4 • Residentlal Ventilatlon Ctegory 1 worksheet . New Energy Code waksheet
SubmiUed Submlked
. E
Licensed Plumber ll i 2003 ~ Telephone )
Mechanical Contractor ~ =Telephone # ( )
;
Sewer/Water ContraCtor Telephone )
I hereby apply for a Residential Building Pemut and acirnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the Ciry of Eagan and the State of MN
Statutes; I understand this is not a pemut, 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.
~ N ~ A ~ w t I 1
ApplicettYs Printed Name pplic t's Signature
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 OSplex O 13 18-plex O 20 Pool ? 30 AccessoryBldc.
? 02 SF Dweliing O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6d. Alt- Multi
? 03 01 of plex O 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) O 33 Ext AIt - SF
? 04 02-plex O 10 OS-plex ? 18 Deck ? 23 Porch (screeNgazebo) O 36 Multf Misc.
? 05 03-plex 0 17 10-plex ? 19 LowarLevel ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous
Work Types
O 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Additbn ? 36 Move Bldg. p 42 Demolish (Foundadon) ? 45 F'ue Repair
? 33 Alteration ? 37 Oemolfsh (Bldg)• O 43 Reroof O 46 WindowslDoors
0 34 Replacement •Dmnolidan (EMire Bldg) - Gha PCA hantlout to appllpnt
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC lJnits Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ plumbing
_ Foundatiou HVAC
_ Drain Tile pther
Roof _ Ice & Water ~ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framin8 _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final W indows (new/replacement)
_ Insulalion _ Retaining Wall
Approved By , Building Inspector
Base Fee ~
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permft S Surcharge
Treatment Pfant
License Search
Copies
Other
Total
1111 i
, ~
' 1991 BUILDZNG P~IT APPLICATION
_ CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS ; COMMERCZAL
12'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 SPECIFICATIOIQS
1 SET OF ENERGY CALCULATIONS 1 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.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: AUDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDI G PERMIT UED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE AI -~tA~S~~N--'OMN ETED.
PERMIT MUST SHOW A LICENSED PLUMBER. V ~
7 i991
To Be Used For:<~:- aluation: 19227ENgge D
Site Address OFFICE USE ONLY J.
9a, o00
Lot 3o $iock 3 k'EES
-14A jlDd Occupancy R-3 M- I Bldg. Permit 57S+O0
Zoning P.D !Z- I Surcharge Z/5.00
Parcel/Sub Actual Const V-N Plan Review ,3810.00
~ Allowable V-N SAC, City /00•00
Owner # of stories SAC, MWCC 658' C-k-l
Length Water Conn. ((~D•Q'J
Address Depth Water Meter 96•OO
S.F. Total Acct. Deposit 3 o.oa
City/Zip Code Footprint S.F. S/w Permit 30.00
S/W Surcharge „Sa
Phone On site sewage_ Treatment P1. a76.00
~ On site well Road Unit 3 70.~
Contractor~w s~--~- MWCC System V Yark Ded.
` A City water ~ Trail Ded.
Address pgV _ Copies
Booster Pump
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone V ~rlr ~ Planner _ Lot Change
Council TOTAL
5' %/3-?/
Arch./Engr. Bldg. Off. b.
Variance
Address
City/Zip Code
Phone
agrees that all work shall be done in accordance with
~ 4 (Signature o C tractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
VAL uq~
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yx1o= yo
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135/YtT-= 119 2
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8q SGZ-' 0+2 q o,
~
~
i , CERTIFICATE OF SURVEY
.eanny,~2. (~orrswrc, ~RCa.
ell P1 . ' 8713 OUPON7'~1VENUE SOUTN
BLOOMINOTON, MINN. 68070
B88•2084
r
(.,ANO SURVEYORS
Survey f.or:
DAHLE BROS., INC.
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Scale: 1"=30'
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Uescription:
Lot 30, Block 3, IEXINGTON
S.QUARE 7TH ADDITION ~~~J~ - - .
;.AGAra EMIGi*,c~,
Pronosed Grades:
Top of Blocks R97s' Garage floor B9z° Basement,floor 88,4s
NOTE:
Circled elevations are proposed, others are existing.
Arrows denote direction of drainage.
We hereby certify that tliis is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any,
thereon and all visible encroachments, if.any, from or on said land.
Dated this 9th day of September,l9 91. ~
• ,Pevis~-?: 9//6~9/ bY ?~?.i ~f . .i/ o
innes9ta cense o. 0
Z75-7
EXTERIOR ENVEI70rh" AVERAGE ^U"'COMPUTATION' • -
p~ ...i I~AUI_E 'UfRQS,~ IrtG:. -:,_.~;s .
. .
~ITE:ADDRESS 'O,S~ . . : •\C_.o-c~-~i,.
,QDNTRACTOR ? "DATE pH0NE 056-- fo
t
~ , .
y
=Determine :morking aquare .footage .of .each
'Total exposed :,xall .~aren 20
#t ; _7c
,
~
; ".3
, ..,w .
f~f "Total zoof/ceiling -area 1 2'3 2 8q. "ft , 'X • 0 2L
_ . . .
A. =Tota1.'wall -xindaw area
I ¢Co
,
.
~B. Total•door`$rea:.................
. ~40 . .
•C. :Total ~sliding.glass door:darea..... ....ti.. -..40 D: ,Total fireplaceVall area..y.....:
'E.-:TOtal --wall _framing :area -(average '1Dt) f 64
. , ,
F. Totai Rim joist,area l 44 .
. . . . 1 4'1 8
G: Tota1 Net wall.area above::floor.:•• .
'Total,exposed foundation-area
' 'H. xotal`foundation window area...................
. , ..I. ;TOtal net '#oundatiori area :above ,
grade..... . - . ~
_ Detezmine "u" value af each wall.segment. ~
:a. )4(o x ao^ , . 5 8 . 84.68 .
.
. . 'b. ~.O X 'Mv"_
C. ~p .:x~'MU° .f.~ 1 ,-a. . . , 2.~3 i~o0., . . . . , • ~ . .
. . , :Cl. . ~wVw ~ a . . ~ . .
:0. x mU°. . ~ O s ~~.~o~~'O . . . . . . .
f. 1+4 g wUn •`04'
. q, 1 4'18 gou" 5,9.12 .
~t1. X °Un a ~ ~ . . . ~ . . . ' ' .
i. • x "U" • IN
.
.Total. 19_$..1(
item ~{3 is the same:as„.or:less than item 41, you'have met the,intent of .
~C'.600b(c)2.
. A5
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~ , .
.
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Cities Di i,~ tal Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
, . , . ,
- Toul e sed 'roof/ceilin4
: XF,o g=area 1.2 3 2' ,
, ; . , ~
ftal tal ~skylight ,area. . . _ . -
tal roof/ceiling framinguea (avezage.101). 3
-netinsulated.rooE/ceiling area... p q
- ,
• r +Letermine U" -value for.:each xoof/ceiling •segment: -
r;1
~ - - ~ •.a ~
=X`"v"
. . ' . . ..J. - . - . . ' . ~ .
. . . ~ . - . .;LL . p~ G , ..-_.,x ou" 2.~ ! . ~ . ~ . . . . . .
{
. . ,
~tai 31
f #4 .is ;.the -same as, -ar less `tHan ~#2., yon >3iave met the .intent ,of I. . ~
Y~-
a
Alternate Suildinq Envelope Desiqa
~
the total envelope system method, the values established by,the
p4s •#3 and #4 shall not;be greater than the ~sum af items :#1 •and #2.
~~i 3 ~ ~ . . ' . . . . . . . .
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. ' ~ ' ' . . ' ' " . . ' . .
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, . . . . - ' . . . _n . . . . . . .
. i . . . . . . . ~ . . ~ . . . . . . . .
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,
trALV tiFa:•1':ONS . . . . . - . ~ ,~.a . . ~
. . . . . .
. .,y . . . \ ~
of opaque wall ;area '#or : .
,4rame :canstruction , . . Conatrucc.ion R-Valuc
.e .:-J:a ' .-'1 . a A,. ~ . .
1. "2nteiior eir 'film
SVL Inches toft .rood aCe.I L
15pNEP7'14114G
~ = r
3IC v, .3. ~Stfll?IG :G7
`£xterior air film = 0.17 ~.s3btt+1 ~~.e,.j S ~ • i
,
y. ~s. ~ . . . ~
. :
- • . ~ . . .
. .J
. . ' ' _ . . ,
~ . !'IG ,41' :~'"TOPVIEFT OF
=;;~'AAttE WALL ;1. y'Interior aii ~film ' 0768 '
2. ...y1~~'PLYW[1LL
,
. . .g, _~,lz•, ititsu~. . . 19.00 .
l; c>c 4• E07HtNG
5' °~tvt?.~G . , ~ .G~ ` ~
50Exterior:,air .fil~ 0.17 .
fIG.'-~2 '.~bisl ~3.fl'3
` ~ • u s.o4
~ i ~ ~ ~ ~ ' ~
• ~ . ~':t"' ' `1. -;Interior `air'#ilm' 0.68
-2. 1u~u~. - 1 9,e0
3. J Vz" Wcec
ScAL~ : 7"~ `.r'.~? ,4. ::'SNEATKIWG . .oG,
ieral 5. 'S~d~N4 , . • .G4
L~t~~, ~ • ! - b. Exterior air film - - ~ ' 0.17
~
Tot$1 24r4(.
. ~
' ~i~• ' v • .
I~'" ~ . _ - . . . • V- 04
~n
6 }
` • , lr_ _Interair'film 0.68 ,
~TIOH'1. o.. . 2.. Iµsut-. J?tJ~ flY.YWALI.
3 . B.o~
' ~ • ' • 3. ,J2" bloo~ 1.28 .
• .'t~... ,•0• • 4.
^V[ _ : • • :
~ .r • • • ~ ~ 5.
.•ti h~~~.=!'~/.•• , 6. Exterior air film 0.17
: • . + • ' Total ~ o. 19
~ SL11B ON GRADE ~ ~ ' ' . •
. , _ . ' . . • 7 . y . . ~ . r ~ • . • ' r
~ . ~ ~ . ~ '
! , . . ~ . . . - ~ ~ ~ -w ' ' ' r ' \
7. ,:U ' _ . • ~ ' . . . . ~ . _ . . ~ .
r~r ~ ~ii.:= , ° .
:
• . - -
• r. ' FIG. 44 t° ~ ' • r
43. ~ i /!1 ~ 6 , ~ .~o
qr~
• o . : N07'Er Indicate ty~e, R'•,.value, ileoth and ~i
a' , ~ - . ~ ~ ""U1.7ccr.1ent of''insulatien.. - _
T~6F/CEILING _ • " ~ .
rsi ~
, ' AConatruction (Uae'!oz Item :L x Value
• o ~ t . ~ .
_
1. 'Interior air Y1Im ~ 0:61
T1z.
~'1 ~ }<«4~C'~.Ly3~ ~'6 SHEET2oe1L ,5L
??suL, . 38.00
air :film.(still 0.61
71 ;
.Total ,,,?14:~:•8 ',.j
. . + . .
U . n
, . ,
. . .
,
, .
; . . ~ ~ •
'FRAMING (Use .for ~Item rK)
JeACBd S08C f'LOV a ft.~ .
.1. Interior -Air.-
. fi7m -
tip..
2. _518" ZNE.E.'TP~.oc~
3. Inches soft.woop
~.'FIG.
Inches insdl •above framina ' 30 00 .
. . . . .
5., Air Film ~ ' . 0:61
j? 3G,IL •
' .
+...+r•=_.}v-~~v~:n~,-~ ;*~L ,-w~nc,~a~La~ ; .;'t ~ ~ ' . . ,'.:v_y02T..(. .
_ . . . . , . , _
- . , ~c`-~ . . ~ . .
,
~ .
:xnierior air. Hlm 0:61
"~UL` _ `~L-'=LJ • 4. Exterior air film s
( till) - 0.61
al
• _ . _ x> ~ ~ : ya _ _ Tot
,
Heuc flov vp, ...,-::vented
. 3 ~ 5 u_ 1. Inside air film 0.61
-2.
.;1.~~=; ~ ~ . j ?iP~4~.~.'•' 4. ~ .
: ~ _
15 -'Outside'air. film 0.17
~t• . a
Total
, , . , .
. , . ,
. . , , _
. . ,
-NoLc: UGe a3ditional SI1CL'CS.,3f moze.space ia'
. . . • .
:1:0eded Tor drtails and.calcul'ations.
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e. . .
CLAI?f VOUCHEB - REFUND REQUEST
CITY OF EAGAN
CLAIMANI KEN THOMPSON
ADDRESS_____953 STANWIX ROAD
EAGAN., MN 55123
- - - - - -
Location _953 STANRIX ROAD
=L30, S3, LEXINC~TON_S~( UARE 7TH ~
Receipt No. /Date _2687L-Q¢Lpy94
Reason for Refund ~IRED AN ELECTRICIAN_
- -
Type of Refund Electrical Permit#N02559 3211-4220 $_40_00 _
Ylumbing Permit 3212-9220
Hechanical Permit 3213-9220 $
Surcharge 2155-4220
Water Connection Permit 3713-4220 $
Sewer Connection Permit 3743-q220 $
Account Deposit 2252-9220
Utilitq Account Over-paqment 2250-4220
Other: $
S
- -
TOTAL $ 40.00
' I declare under penalties of law that this account, claim or demand
ie just and that no part of it hae been paid.
IOLI3L4------
S 6NATURE DA1'E
L~x
- i PERMIT cR 2s2.i-6
CITY OF EAGAN 4ItqIGq
3830 Pilot Knob Road PERMIT TYPE: B U Z L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 3 4 6 5
(612) 681-4675 Date Issued: 0 4/ 2 9/ 9 4
SITE ADDRESS:
953 STANWIX RD
LOT: 30 BLOCK: 3
LEXINGTpN SQUARE 7TH
P.T.N.: 10-45081-300-03
DESCRIPTION:
,
B,uilding ,Permit Type DECK
Building Wo,rk Type NEW
,
,
/
\ A PL~'/ i
~
i,
ij
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - Applicant -
THOMPSON KEN
953 STANWIX RD
EAGAN MN 55123
(612)942-8448
I hereby acknowledge that I have read this application and state thet the
information is correct and agree to comply with all applicable Stabe of Mn.
Statutes and City of Eagan Ordinances.
`
APPLICANTlPE MITEE SIGNATURE k4ZSU BY: GNATUfiE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuILoING
3830 Pilot Knob Road Permit Number: 023465
Eagan, Minnesota 55123 Date Issued: 0 4/ 2 9/ 9 4
(612) 681-4675
SITEADDRESS: Lor: se BLOCK: 3 APPLICANT:
953 STANWYX RD THOMPSON KEN
LEXINGTON SQUARE 7TH (612) 942-8448
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION D. .
FOOTTNGS FINAL
F
L
_ , . . _ . . ~
CITY OF EAGAN FREC E~
1994 BU ILDING PERMIT APPLICATION
681-4675 7
SINGLE & MULTI-FAMILY 2 sets af plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date A pe: 1~t /27 /tf Yaluation of work
Site Address: ~153 Sx p.J. t-<~I „ ss~z~
STREET SUITE #
Tenant Name: (commercial only)
LOT 30 BLOCK 3 susn. P.I.D. #
Descri tion of work: lt-
The applicant is: Owner ? Contractor ? Other (Describe)
Name Tti~+~nco., ILle r Phone 63ff-;-ia;7_
Property LAS FIRST pqy qy2- BvYY
Owner qddress ol~ 3 S}ti~ w. X Ri•
STREET STE il
City State P"') Zip S~ 1 L3
V
Company Phone
Contractor Address License # Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address "
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
e ' .
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessary ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. U 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
ET 31 New O 33 Alterations ? 35 Tenant Finish ? 31 Demolish
? 32 Addition ? 34 Repair ? 36 Move '
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst fl. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint 5q, ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code ~
Census Bldg i
APPROVALS Census unit
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? .Site ~ Footing ? Framing ? Insulation
? Wallboard Final ? Draintile 0 Fireplace
Permit Fee v,i,at;,,,: g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
' • CERTIFICATE OF SURVEY
.c~a~r~ry 2. eerrtwt~, Psca.
8717 DUPONT'/1VHNVB 80UTH
BLOOMINOTON MINN. 66020
eeasos.
4ANDSURVEYORS
Survey f.or:
DAHLE BROS., INC.
. v `F..
: "'I' ~ Q
8791 e)P4
i,~a.~e ~ i ~ ~ ~ ~ ~
. +
. i ~
~ed
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F
p~Vl"'~~
x 1 . p•
m
Scale: 1"=30' o,,
c~ ` 889.$
~
v?1 SS~
Description:
lot 30, Block 3, IEXINGTON
S.QUARE 7TH ADDITION
Proposed Grades: Top of Blocks 82zs Garage floor 99z-12- Basement floor 88,4s'
NOTE: Circled elevations are proposed, others are existing.
Arrows denote direction of drainage..
We hereby certify that thi's is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buiidings, if any,
thereon and all visible encroachments, if.any, from or on said land.
Dated this 9th day of September,l9 91.
•~eviae~?: 9~~6 9/ by
~ v"Ffinnes9 a icense o. 9018
Z75-7
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # 0.3 $
DATE:
PLEASE COMPLETE QPPER PORTZON ONLY FOR SINGLE FAMILY DWELLZNGS &
~
T_OWNHOMES/COHDOS FlHFN PERMZTS A.RE REQUTAFn FOP. E9CH UNIT.
WORK DESCRIPTION FEES
NEW CONST V ADD-ON MINIMUM $15.00
ADD ON _ HVAC 0-100 M BTU 4,0
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMIJM ~
OF 1 PER PERMIT
OWNER NAME : ~~n ~ Jt-OS
SUBTOTAL:
SITE ADDRESS: STATE SURCHARGE: .50
LoT:3o BIACK . SllBD. TOTAL: $aa•stz
INSTALLER: '~cs.~~~.~ fS~s~- S N~-•
ADDRESS: SIGNATURE OF PERMIT EE
CITY: ZIP:
PHONE # :
L~C~34MERC~C1l./~IDCT$7'RTAY.;;< PLEASE COMPLETE THIS PORTION FOR ALL COPAfERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTS-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING IINIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
iNSTALLEn: CONTRACi PRICE x 15 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT iCNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEZPT # 1 2
nom mm DATE: S
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WEIEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ~ ADD-ON MINIMUM 15.00
ADD ON ~ SHOWER 3.00 3.ix
REPAIR ~ WATER CLOSET 3.00 3.0b
1 BATH TUB 3.00 3• B.l?
~ LAVATORY 3.00 3•06
OWNER NAME: ~ KITCHEN SINK 3.00 3.00
LAUNDRY TRAY 3.00 3.00
SITE ADDRESS: V~u~~ C`F. HOT T[JB/SPA 3.00
WATER
LADR DRAINR 3.00
IAT: ~ BIACK 3.00 3,0a
3 SUBD. LeX1n1G, ~-Oo <<'^~ F
GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00
~a
ROUGH OPENINGS 1
ADDRESS: 2~~C~ Kf~SC'a\1 . \e, .50
~ (t, _ OTHER
% c WATER SOFTENER 5.00
CITY: (~OIC~f~N ZIP: PRIVATE DISP. 15.00
~j U.G. SPRINKLER 3.00
PHONE (n
SUBTOTAL S "2S•~a
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: S oCl. ct?
C~MMERGTAPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BIACK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
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Use BLUE or BLACK Ink
I For Office Use 1
I / 1
' Permit bll~ Qf E a mm, n C E I V E 1 Permit Fee: 40.06 1
I
3830 Pilot Knob Road
Eagan MN 55122 JUN 0 2 2014 I Date Received: 1
- I
Phone: (651) 675-5675 1
1 Staff:
Fax: (651) 675-5694 BV r------------------
2014 RESIDENTIAL-PLUMBING PERMIT APPLICATION
Date: { Site Address: - 15 3 S W I X ~H '
Tenant: Suite
Resident/Owner TZe: K er) Phone: G5 "314 '
Address /City / Zip: m`V
j
f Name: License tG
Address: J"I bf City:
Contractor ' ,C`
State:W I Zip: ~ Phone: GcS 1 1 -99 R- Vq
E;
Contact: Email: u ~'x
Type of Work - New Replacement _ Repair _Rebuild Modify Space Work in R.O.W
_ . _ _ ' RESIDENTIAL work:
Water Heater
A Water Softener
Lawn Irrigation RPZ/_ PVB) t
Permit Type ! Add Plumbing Fixtures Main Lower Level)
Septic System
t New Water Turnaround
f
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required) 4
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) Q6
TOTAL FEES $ 6 loa 1
11 11-1 --V
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora
I hereby acknowledge that this inrormation 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 qApplic'-nt's of plans.
x iYY1 *SC_~~
Applicant's Printed Name Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test G,S Test Final
Plfeter li`i l d (tb "''fVietec IZe y Rtiq Read t ff:
22
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156287
Date Issued:06/24/2019
Permit Category:ePermit
Site Address: 953 Stanwix Rd
Lot:30 Block: 3 Addition: Lexington Square 7th
PID:10-45081-03-300
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kenneth R Thompson
953 Stanwix Rd
Eagan MN 55123
Ralow's Roofing & Remodeling Inc
8609 Lyndale Ave S
Bloomington MN 55420
(952) 210-4988
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161539
Date Issued:06/01/2020
Permit Category:ePermit
Site Address: 953 Stanwix Rd
Lot:30 Block: 3 Addition: Lexington Square 7th
PID:10-45081-03-300
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kenneth R Thompson
953 Stanwix Rd
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature