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4187 Starbridge Ct r: • . . . _ . _ . . . . . . INSPECTIUN RECORD 61TY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: ' (612) 681-4675 SiTE ADDRESS: APPLICANT: ~ ~ . i ~~,r i„i ~~i~t r t „ f, ,:,,r•i, PERMIT SUBTYPE: TYPE OF W4RK: . . DA •i~. ~ I oli; i,k~.j I Fq,~ ~ I P'Ir11lt UI rJ,.'l 4 Cll ~ I; 1'' ~ ~ ~ ~ Permit No. Permit Holder Qate Telephone # S/W : -~tx~e+rra 4V'4 d- ~ P1 bq. ELFCTRI ELEGTRIC Inapectlon Date Insp, Comments Faotings I ' '.j 0.1q Z Foundation 4e, 1 ^ ~{~GGd~ Framing ~ 0 q~ j LPJ~ ` 4~rsTt-~~7 Raofing _ r~ s~ ~ ' C ~ Rough Plbg. KJ Rvugh Htg. lGl/ Isul. Firepiace 1 `7 l Fnal Htg. ~ d orsat Tes, ~~~~ly rJ Firrai Plhg. Plbg. Jnspector - Notify Plumber Consl. Meter Engr./Plan Bldg. Final Deck Ftg. p r Deck Final Well Pr. Disp. = , , r~ i; . n :..:~ti.- -_~'-~i-~~.5~ ~ ! Cfertificate of cccuvanc4 igitv nf Cfagan ~epaxt~ttat o~ ~~biNg ~a~rertion This Certificate issued pursuant to the re4uiremeRts of the Uniform Building Code certifying that at the ti?ne of issuance this structure was in comp[iance with the various oradinances of the City regulating building construction or use. For the following: Use Clusification: 4-~ (I INIT) Bldg. Permit No. 21563 " Occupa-y Type RUM Zanieg District PD/ R Type Cana. VN Owner of BuiidingWEMAM ~ Address 3312 151SI Sr W, FDS'QNr suiaing naaw 4187._STARBRM O0[ntT i,ocai;tylk, B1, WIIVZEL 2tID - ~ Dase. ~ti , Ek," OWk \ POST IN A CONSPIGl10US PLACE . 4 ! . ° - . _ •..v:.m Address. 4 187 sTaurETM OW-U Zip 5512 2 Lot ~ 4 Blk ~ Sub ~m 2ND THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector. Final grade (6" from siding) Permanent steps (garage) y/ Permanent steps (main entry) Permanent driveway Permanent gas ~ Sod/Seeded grass ~ Trail/curb damage ~ Porch ? Basement finish ? p Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way qr installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~ INSPECTION RECORD Cf'T"YyOF EAGAN PERMIT TYPE: 3830 Pilot Knob Road PeRnft Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: rii !tR I lif;l f I PERIIAIT SUBTYPE: TYPE OF WORK: - , . INSPECTION D. i i I.1 M~1;.' IJ f'1 : I !1t la M+ ~ f+ 1 ~ L ~ Permit No. PermR Holder Date Telephone N SNV ; PLUMBING HVAC ELECTRI G~ 911 7 43 ELECTRIC Inspectlon Dete Insp. Comments Footings I ~~d L a Fouraacia, . 9~ 3 S 7~ ~ c rac ~cf~ Framing I 4 Roofing RouSh PIb9• G' Rouyn Hc9. Isul. % . . Freplace Final Htg. ~ -2 Z Orsat Test Final Plbg. ~ Plbg. Inspector- NotMy Plumber Const. Meter Engr./Plan Bldg_ Final l Deck Ftg. 9 ~ Deck Fnal K Well Pr. Disp. aaz- a Wertificate vf cccupanc~ Witig af Wagan ~e~a~rtrnrat of y$tilbiAg anoecrinu This Certifrcate issued pursuant to the nequiremersts of the Unijorm Building Code ceRifying that at the time of issuance this structure was in compliance with the various orkfinances of the Cety regulating building constrerctiore or use. For the following: Ux Class;ficatio,,: 1 OF 4 UN1TS swg. Pem,;, No. 21562 oa„P,nry rype R-3 M-1 zoon,g Dim= PD x-3 Type con5i. Vn ownerofBuiieing WENSMANN HOMES aemess 3312 1515T ST W. ROSEMOUNT MN 55061 swwing Aaanm 4191 STARBRIDGE CT tzcaiiry L3. B1 . 61ENZEL 2ND ~ Dam: I>1Z POST IN A CONSPICUOUS PLACE Address 4191 STARBRIDGE 2ip 5512,,2t LOt. . 3 Blk 1 Sub WENZEL 2ND THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: c~'ei 0 Yes No Inspector: Final grade (6" from siding) V/ Permanent steps (garage) ~ Permanent steps (main entry) ~ Permanent driveway Permanent gas ~ Sod/Seeded grass v Trail/curb damage VI" Porch ~ Basement finish Deck V, Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy . . INSPECTION RECORD CITY OF EQGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Ea9an, Minnesota 55123 Date Issued: 0 74 ' hj 4,1 (612) 681-4675 ' SITE ADDRESS: APPLICANT: . t a~;•rf•~ I I?~,t t 11 rj t-l„MI li~. p ' 14 1 1 . ' ~ PERMIT SUBTYPE: TYPE OF WORK: • • . I hJ'.III h( t i~tq ; I r~r~ 1 i I; t f'I t~~ I kI M1+V t . f+ 1,I ~Ir M f 1 htI ~ II • I ~ L ~ - Permit No. PomR Nolder Dete TNsphone s ~ ~ S/W • .4 PLUMBING HVAC ELECTRIC~ ~ ~7A ov ELECTRIC Inspection Date tnsp. Comments Footings I Founaatio+, pQ43 ip ace Framing 7 3 5 Roofing Rough Plbg. 7 Rough Htg. O..~ 4 Isul. 'O/ol7~ G!/~ Z,~JY~~ L!S CC~I~h~~ n ar ~-C Fireplace Fnal Htg. / orsat Test S Final Plbg. Plbg. Inspector - Notity Plumber J Const. Meter Engr./Plan Bldg. Finai ( 7 ~ Deck Ftg. y Deck Final ~Z 7 Well Pc Disp. . - . _ . i _ _ L•±?___~-°~~'~'-t, '~-v~:.~~~-~ t.~-.. . _ ~ ~ ~I s__a.-~~?!-~_+,.• ~e~~cate d~ ccc"anq WIM bf pagan ~e~rt•e~r ~Rr~atK~ ~x~ TAis Ctrn'f~cate issued pursaant to the rrqpintments of the URiforrn Bwldina Code certifying thal at the turet of flsuanct tltis structurr was in coniplrance with the viurious ordinancta the C' ~ ~y nguLating buildins constnwtion or use. For diejoflowing: " A I t1 vm caninc,don:-4-PL~X ( I tNIT) sMI. 21561 r i°=wmey TyW R31M I 7mM„s Db&kt PD/R3 The COML VN o.m ot enians WEN5rlAM HQHES - Ad6. 3312 15 I ST ST W, R06'ErUi[1NT f~ s AeaR.. q L=dky LZ . B I. WFIVZEL 2VD Dow POST iN A CONSPICUOUS PLACE --.:,a.:--:-t*-:-t-~: - - - - - - - _ - _ _ :-4 . • -•a :~s,•~: . . Address 4195 STARBRIDGE 00[TRT Zip 5512 2 L'ot 2 Blk 1 Sub wENM 2AID THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) ? Percnanent steps (garage) Permanent steps (main entry) v Permanent driveway Permanent gas ~ Sod/Seeded gtass L/ TraiUcurb damage V Porch S C v Basement finish ~L t -L Deck . Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contad engineering division at 6814645 before working in right-0f-way or instaUing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contractor Copy ~ INSPECTI4N RECORI) - ~ ' CiT'Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55123 Date Issued: (612) 681-4675 ~ SITE ADDRESS: APPLICANT: a PERMIT SUBTYPE: TYPE OF WORK: ~ ~~s'i? INSPECTION ~ i .:i^i i . ! I , • i! Nrt{~t 1I I ~ III. 1II ri t I ilI ~ 11 F ~ ~ L ~r Permft No. Permit Holder Dete Telephona /1 SNV . , PLUMBING e~f HVAC 3- ELECTRI ~w . ~/7 j ELECTRIC Inspeetion Date Msp. Comments Footings I Foundation b1 4 l TD r~Framing l~ . ~ •~3 ~ Roofing Raugh Plbg. S ~ Rough Htg. ~ - ~s > •/i s 3 AW ka - lsul. t ~ S.,.A Fireplace V167 AX-A . !b l Final Htg. Orsal Test y~ Final Plbg. JL~ Plbg. ns w- Notify Plumber / . Const. Meter Engr./Plan Bldg. Final L Dedc Ftg. Deck Final weli Pr. D(sp. _ . .,•+ws. r.. _ .....r. ~,Y~--~~. . Q • , ~ ~h~ica#e o~ ~ccu~anc~ - 9Dc~rt~act ~ ~ril~ ~C~paHox 77eis Certificate issmed pursuant to the nequirements of the Uniforrn Building Code certrfying that at the tinw of issuance this structure was in compliance with the various ~ oydiruirrces of the Ciiy rrgrrlating building constnction or use. For the following: use cbmiscation_4-PIEX 0 MET4 eag. remic No. 21560 OxWaoCr 7Ype R3 ' Dimict PD TYpe coost. Ow= Of BuiW-gG~fAI~IId H1~,S Ad&= 3312 15 I ST ST W, TIMMDONTf . ~ A~41I STARMIDGE rJ0[1ftT L..My Ll, Bl, W2T1IL ZND n,r. ~ BmIdE.g Officid POST IN A (AN.SPKx10US PLACE Address 4199 srARmuttE c= Zip 5512 2 Lot - 1 Blk 1 Sub Wmm 2rID THESE ITEMS WERE / WERE NOT COMPLETE ATTHE TIME OF THE FINAL INSPECTTON. Date: Yes No Inspector. Final grade (6" from siding) tZ Permanent steps (garage) ~ Permanent steps (main entry) ~ Permanent driveway Permanent gas Sod/Seeded grass ~ TraiUcurb damage Porch E a Basement finish Deck Please verify with the builder the removal of roof test caps frorn the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Conqct engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~ White - City Copy Yellow - Resident Copy Pink - Contrxior Copy Pertnit No. PermR Holdor Date Telephone 11 ELECTRIC PLUMBING • /G 9~j S,CSL~- gQa HVAC Inapect(an DaU Insp. Commenta FOOTINGS FOUND FRf1MING ROOFINO ROUGH A PLUMBING PLBG AIR T EST ROUGH HEATING GA5 SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BIDG FINAL BSN1T R.I. BSMTFINAI W`GIQ,/ DECK FTG DECK FINAL I . INSPECTION REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: `o H f; F; Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: : i +nRparI)r,?= rr 111>1 ~ t~ r+ , ~ r~:, ~ . , ~ ~E, ~ •;ti~ , PERMIT SUBTYPE: TYPE OF WORK: ; r~: r~ : { i ~ ;•~i ~ ; t.1, ~ i ~ar~ INSPECTION . ;V:l0 I NI; I td ..:li t i~;fl fj 0 I;t, I I I L 0~ 62 Fequest Date Fire No. Rough-in Inspeclion 9/ 15 / 9 3 Requiretl? NOTICE: u A Rovgb Call Electrical Inspector XYes ? No Is Requiretl. I CJ~icensed contractor ? owner hereby request inspection of above electrical work at: Job AEGress (SireeL Box or FoNe Noj City 4187 Starbridge Ct. Eagan Sedion No. Township Name or No. Range No. Caunly Dakota Ocbvipant(PRINT) Phone No. Wensmann Homes 423-1179 Power SupPlier Atldress Dakota Electric Co. 4300 220St. W. Farmington Eledrical ConVaclor (COmpany Name) Comrector5 License No. Joos Electric Co. Am01895 Mailing Atltlress (ContraclororOwner Making Instailation) 2104 Great Oaks Drive, Burnsville, MN 55337 AuMOrizetl SignaWre (COnlydcto40wner Making Installaoon) Phone Number a 431-4755 MINNESOTA STATE BOAHU OF ELECTHICITY f ~ G THIS INSPECTION REQUEST WILL NOT Grigga-Mitlway BWg. - Roam 5-113 BE ACCEPTED BV THE STATE BOARD 1821 UniversHy pve., St Poul, MN 55100 UNLESS PROPER INSPEGTION FEE IS Phone(67R)642-0800 ENClOSEO. I 9~,., REQUEST FOR ELECTRICAL INSPECTION ee-aooo,-ae ? See insVUCtions~r completing Fhis form on back oi yellow wpy. M 09632 ~ "X" Below Work Covered by This Requesf BwAdtl Fep. TypeofBUilding AppliancesWired EquipmenlWired Home X Range Temporary Service Duplex WaYer Heater Electric Heating Apt Building Dryer load Management Comm./Industrial X Fumace Oiher (Specily) Farm Air Conditioner Other(specify) ConVactor5 Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEmrance5ize Fee # Cirwits/Feeders Fee Swimming Pool 0[0 200 Amps 18. 0 to 100 Amps l{ , Transformers Above 200 _ Amps A6ove 100 _ Amps Siyns Inspacmr's Use Ony: y y TOTAL IrrigationBOOms (i$ 2.50 Special Inspection Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 NTHS. I, the Electrical Inspector, hereby Rough-in oate Z certify that the above inspection has F;,,ai p / been made. C~'~ OFFICE USE ONLY This repuest voitl 18 monlhs irom / 003 24_74~~ 1 'j Request Date Flre No. Ro Jn Inspectlon Requlretl ine ection Other T'an RougRln ^n (YOU m st cell inspecl w n reatly) ~Paatly Now ~ WIII Notlly Inspeclor Ves or No Oeta Rea I ~jlicensed contrector ?owner hereby request Inspection of ebove electrical work at: Job Atltlress (Sireet, 0ax or Raute No.) Ciry 44 1c1 I r br' EQ Secfion No. Township Name or No. Range No. Co~uM~y 1' .L/~ 1KVT' OccupauL(PFIM) , ~ Phone No. 1 ) ~T~ ~ Powar'syppl Atltltess J ~ ElecV~ic+el ~ConVacror (Campany Neme) Conlractols Lkenae No. u'X~r 1 - c. ' C OC7~l Meilin tldress ( o Ireclor or Owner Making Inatellallon) ek~x . o, - 2 n) :f~50b ° Aulhori Signature (COntractotlOwner M g Installetion) . Phone Number .e~.~ ti.. 4a3-i 13 MINNESOTA STATE BOAflU ELECTRICITY THIS INSPECTION REQUEST WILL NOT GrlggrMlOwey BIEp. • Roo 12B 8E ACCEPTEO BV THE STATE BDARD 1821 UniwnLLy Ave., SL Paul, MN 551 W a bg7jO UNLESS 0PER INSPECTION FEE IS Phone (612) BGR-OB00 ZI 1~ ee- ooI-os O ' REQUEST FOR ELECTRICAL INSPECTION L~,~~ ~ ~ See Instructlons for complating fiis form on back of ysllow capy. ~i 0032 47_ -~a~s~ ~"X" Be/ow Work Covered by This Request e Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporery Service Duplex Water Heater Eleclric Heatin Apt. Building Dryer Load Management Comm./Industrial Furnace Other S eci Farm Alr Conditioner Olher (speclry) Contractor's Remerks: Compute InspecMion Fee Be/ow: Or r r C''0.~_ # Other Fee ff Service Entrence Size Fee # Cirouits/Feeders Fee Swimmin Pool 0 10100 Am s 0 to 100 Am s Transformers Above 200_Amps Above-700 -Am s Si ns inspeaors use onry: TOTAL Irrigation Booms ~ ~ p~~~ Sv S ecial Ins ection AlarmlCommunication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IP NO7 OMer Fee :5c~> COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Data certify that the above inspection has Finei ~been mede. OFFICE USE ONLY Thi3 feQu05t voitl 18 montils from ~ V`09631~ j Requesl Date Fire No. ough-In InspecMion NOTICE: Vou Must Cell ElecVical Inspector 9./ 15 / 9 3 R~4 ireC? 0 A Rough-In Inspeclion C~'es ? No is Aequirea. I$7 licensed contractor ? owner hereby request inspection of above electncal work at: Job AtlOr (Sireel, Bax or Raute No.) Ciry 41f1 Starbridge Ct. Eagan SeNon No. Township Name o. No. Rarge No. Counry Dakota Occupant (PflINn Phone No. Wensmann Homes 423-1179 PowerSupplier Atltlress Dakota Electric Co. 4300 220th W., Farmington Electncal Conirector (COmpeny Name) Conirector9 License No. Joos Electric Co. AM01895 Mailing Adtlress (COntraqor or Owner Makirg Instellation) 2104 Great Oaks Drive, Burnsville, MN 55337 ANhotlzatl Signature (Conireclor/Owner Making Installation)/ Phone Number 431-4755 MINNESOTA STATE BOARD OF ELECTHICITV G e'/ THIS INSPECTION REDUEST WILL NOT GriggsMldway Bldg. - floom 5473 ~ BE ACCEPTED BV THE STATE BOARO 1821 UnlveniTy Ave., St Peul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (613) 662.0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 0- Nei ea-aoooi oe ? See inslmMions for completing this form on back M yellow wpy. x 9f 9 6 31 "X" Be/ow Work Covered by This Request Add Rep. Type of Building AppliancesWired EquipmentWired Home X Range Temporary Servica Duplex Water Heater Eleciric Heating Apt. Building Dryer Loatl Managemem Comm./Industrial g Furnace other (Specity) Farm Air Conditioner Olhet(specily) Conhector8 Remarks: Compute Inspecfion Fee Below: # Other Fee # ServiceEntranceSize Fee # CircuiGSlFeeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SigOS InsOector's Use Only: TOjA6 q. .,C O ~a~ Irrigation Booms 8~•0 ti Special Inspection AlarmlCommunication THIS INSTALLATION MAV BE ORDER DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspector, hereby Rough-in o certity that the above in5pection has F,,,ai ~e - been made. % OFFICE USE ONLY This request voitl 18 months irom 09630 a N~ ~ Requesl0atl, ° ire No. Rough-in Inspeclion NOTICE: Vau Must Cell Eleclrical Inspector - Required7 If A Faugh-In Inspedion 9115191 Ves ? No Is Required. I FC, licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlrass (Street, Boe or Raute Na.) Cily 4195 Starbridge Ct. Eagan Section No. Tawnship Nama or No. Renge No. Counry Dako a Occupant(PRINT) Phone No. Wensmann Homes 423-1179 PawerSupplier AtlOress Dakota Electric 4300 220th St. Farmington ElecVical Conlracmr (COmpany Neme) Contraclor's License No. Joos Electric AM01895 Mailing Atltlress (Caniractor or Owner Making InsWllation) 1 B ' le MN 55337 Autharizetl SignaWre (COMractodOwner Making In5lallatio ) Phone Number 31-4 55 MINNESOTA STATE eOARD OF ELE:,TRICITVI O G THIS INSPECTION REQUEST WILL NOT GrlggwMitlway Bitlg. - Noom S-173 BE ACCEPTED BY THE STATE BOARD 1821 Unlversity Ave., St. Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ~~7 p 2 RE~UEST FOH ELECTRICAL INSPECTION CO) EB 00001-OB re insM1UCtions br completing ihis form on back oi yellow mpg p~ IYI • 0 9 6 3 0 'X" Qe/ow Work Covered by This Request e Add Rap: Type of Building Applianc sWired EquipmenlWired X Home Range 7emporary Service Duplex Water Heater Elechic Heafing Apt. Building Dryer Load Management Comm./Industrial fsumace other (Speciiy) Farm Air Conditioner Olher(specify) Conireclor's Remarks: Campute Inspecfion Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool OFt0 200 Amps 0 to 100 Amps (jl} . Transformers Above 2~0 _ Amps Above 700 _ Amps Signs InspectorSUUOnIy: -O TOTAL Irrigation Booms $82 50 Special Inspedion ~d Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 TH . ,~7 I, the Electrical Inspector, hereby Rough-in o ~ certify that the above inspection has Final oaie been made. ~ OFFICE USE ONLV This request wid 18 months irom , 9 /7 y~ a n / 09633 sg c7v Fequesl Dale e No. Fiough-in Inspeclion NOTICE: You Musl Call Eleclrical Inspector RequirtW? II A Rougn-In Inspection 9/ 15 / 9 3 Fir ~ Yes ? No Is Ra4ui,ed. I L75IiCensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Sireet, Bax or Route No.) City 4199 Starbridge Ct. Eagan Section No. Township Name or No. Range No. County Dakota Occupant (PRINn Phone No. Wensmann Homes 423-1179 Povrer Supplier Adtlress I~akota Electric 4300 220th St. W., Farmingtion ElecMcal Contractor (COmpany Name) Cortlractor5 License No. Joos Electric Co. AM01895 Oailing Atltlrees (Conlractor or Owner Making Inslallation) 2104 Great Oaks Drive, Burnsirille, MN 55337 Authonzed SignaWre(COntractor/Owner Makiig'Insteletion) Phone Number 431-4755 MINNESOTA STATE BOAPD OF ELECTRICRY ~ G THIS INSPECTION FEQUEST WILL NOT GriggsMidway Bltlg. - Hoom S-1TJ BE ACCEPTED BY THE STATE 60ARD 1821 University Ave., $L Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(61P) 662-0800 ENCLOSED. I C~~rf/~~ REQUESTFOR ELECTRICAL INSPECTION ee-ooo01-0e 0, See instruclions tor compiating this form on back of yellow copy, , M 0 9 6 3 3 "X" Be/ow Work Covered by This Request Or- NeA Add Rep., TypeofBuirding AppliancesWired EquipmenlWired Home X Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Loatl Management Comm./Indusirial g FUmaCe Olher (Specily) " Farm Air Condi[ioner Other (specM) Conhactor's Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Cirails/Feetlers Fee Swimming Pool 0 to 20D Amps 0 to 100 Amps fj!} . ~ Transformers Above 200 _ Amps Above 100 _ Amps Signs mspecmr5 use only: TO7 L Irrigation eooms P $2 . 50 Special Inspection AIarMCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fae COMPLETED WITHIN 7 THS. I, the Electrical Inspector, hereby R°°9n-m certity that ihe above inspection has Final oa~e been made, 7-t OFFlCE USE ONW This request+roid 18 monlhs irom /v// ~/~,~G ~y/~/90 G~GS` ~`!r G 096 676 2 i ~ ao'a Reques D e. Fir No. qough-In pection Fequired Inspection Other TharnfR.ough-In O / ~ (VOU must oall Inspector when reatly) M Raetly Now ry Will Notify~p~ectnr ~ 'Yes DateReady 1• O-I24censed contractor ?owner hereby request inspection of abov electrical Jab Adtlress (Slreet, Box or Route Na-) ~ Glry I r Section No. Townshlp Name or No. Range No. C Oocupa t(PFI~ ~ ~ Phone No- ~ PowerSUppller ress Eleotrioel ConVactor (COm ny Name) Coniractor's Liwnse No. ic~ ( Mai In A ress (COmrac or or Owner Makin Installallon) ~ ~ P~ rn s U //-e- A horiz SlgnaNr ConVacror/Owne,Making Inatallallon) Phona Numbar 7p !9e ! ICITY THIS I T ER idway oom riggU nvers y Ave, StR. Pau SMNB 510y III II IIII I I ! II~ III~I I~ IIIII I~ pNLA 3SEPRDP INSPECTION pOERD ~ i II Phane(612)842A800 ti II II 1 N~ ENCLoseo. jREOUNST FOR ELECTRICAL INSPECTION es-ooooi-as See insimctions for r,ompleting fiis form on back oi yellow copy. "X" Below Work Covered by This Request Nex Add Rep. Type of 8uilding Appliances Wired Equipment Wired Home Range Temporaty Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specif ) Farm Air Conditioner Other (specily) ConMatlar's Remarks: ( ~t ~ ~ M n~ ~ ,'l9 ^ _j( w Ii! fr V TL {J Compute Inspeclion Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pooi 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Am Am s Si ns inspectorsUSeOn~y: ~y1 Irrigation Booms ~~„5~ Special Inspection ~ Alarm/Communication THIS INS MAY BE ED DISCONNE7CTED IF NOT Other Fee COMPLETED WITNIN 18 MONTHS. I, the Etectrical Inspector, hereby Rouqn-in oaie certity that the above inspection has . been made. Finai oate OFFICE USE ONLV ~ v This request voitl 18 momhs imm COMMERCIAL 2002 BUILDING PERMIT APPLICATION ~ `7 ~ CITY OF EAGAN ~Lf.,~~ ~ ~ 651-681-4675 Foundation Onl New Construction Interior Im rovement • SWcturel Plans (2) se[s • ArchiteGurel Plans (2) se[s • Architectural Plans (2) sets • Civil Plans (2) • SWCturel Plans (2) • Code Malysis (t) ^ • Certificate of Survey (1) . Civil Plans (2) • Project Speu (1) • CodeAnalysis (1)" • LandscapingPlans (2) • KeyPlan (1) • PrqectSpecs (1) . CodeAnalysis (1)" • Master Exit Plan (1) • Spec. lnsp. & Testing Schedule " • Certificate o/ Survey (1) • Energy Calculations (1) not always" • Soils Report (1) . Spec. Insp. 8 Testlng Schedule (1) " • Elec. Power & Lighting Form (1) notalways" • Meter size must be esta6lished • Meter Size must be established • Meter size must be esta6lished - if applicable • ProjectSpecs (1) 1 • EnergyCalculations (1) 1 • Electric Power & Ligh6ng Form (1) " i 1 • Master6citPlan (i) 1 • Emergency Response Site Plan (7) 1 • SoilsRepOrt (1) 1 • MGES SAC determinatlon letter • MGES SAC determination latter • MGES SAC determinatlon letter call 651E02-1000 tall 651-602-1000 call 651-602-1000 Food & beverage or lodging facilities - submit plan to MN Dapartment of Health. Call 651-215-0700 for details. " Contact Building Inspections for sample. Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements. DATE: WORKTYPE: _ NEW _ REMODEL CONSTRUCTION COST: SITE ADDRESS: LA l 9°1 - L-I Ici S• L{ 1°i --1 S~a Y ~ p ~ TENANT NAME: SUITE FORMER TENANT NAME, IF APPLICABLE: DESCRIPTION OF WORK v~.c ~ Name: S -1ov bri dcC TCwn hon1C 4556L Phone PROPERTY Last First OWNER StreetAddress: `-11 ~7 S4r br- clc r C' F City: ~c,c,c,ri Stare: MA~ Zip: SSIe72 V Company: /ovnt5 eci'- PC 5 f-S n Phone#: ( 45J ) Y31 -IL 70 CONTRACTOR StreetAddress: 15I(.~2 6ull4xi ~dz City: .AnI2(t Ua ~(-cy State: /11,? Zip: gSr~ ARCHITECT/ ENGINEER Company: Phone ( ) Name: Registration Street Address: City: State: Zip: Licensed plumber installing new sewerlwater service: Phone I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: 74 ~ Updated 7I02 OFFICE USE ONLY SUBTYPE 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg. ; 14 Aparhnents ? 27 Commercial/Industrial ? 32 Ext Alt - Apu. ' 15 Lodging . ? 28 Greenhouse ? 34 Ext Alt - Comm. ] 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF ? 37 Nail Salon WORK TYPE - 31 New ? 35 Tenant Impr ? 42 Demolish (Foundarion) ? 46 Windows/Doors 7 32 Addirion ? 36 Move Bldg ? 43 Reroof ? 47 Repair , 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization ~ 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair GENERAL INFORMATION Census Code Zoning sq. ft. SAC Code # of Stories sq. ft. NO. of Units Length sq. ft. tNo. of Bldgs. Width sq. ft. Const. (Actual) Basement sq, ft. MC/ES System (Allowable) First Floor sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered MISCELLANEOUS INSPECTIONS - Gas Service Test ? Hearing ? Insulation G Plumbing ~ Stucco/Stone APPROVALS Planning Building Engineering Variance VALUATION $ Permit Fee Surcharge Plan Review MC/ES SAC % SAC City SAC SAC Units ',Nater Supply & Storage Meter 5ize S/W Permit 3/W Surcharge Treatment Plant °ark Dedication Trails Dedication Water Quality Other Copies Total I , I ~M'aB~Zir~IO~W ; . 41 22~a ~ N 9 N O y P 'I L~ i ` I S ~qt Li Q -03 p I x fl ~ lo.o I~t V _J 'f7 l,,o ~ _ _ - - ae.e 19.83 {~I ~ C b'l. o V' T y ~ y I r~ j~ N O f P ~ 1 9.0 b !r 1 N° ZP W L` ~ ~ N 0 1:? a Yd n 'G o (n L ~ .J I •102.50 ' ` I " O W O I 1~ y~ N N~ N? 0 9' ~ g ~ c 6' i v.o ~ T rv tp ~ 4; Jr K ~ ! b y c i.. ~ o e i 0.83 pp °1 4m4 p u ~ ~ I Iy ry~~ ~ .r.e o _ `see.~~Z.l~ 1.0• ~ < 17~o L o ~o ~ p V 1 U1- u~ e 4 2: ((1 ~ ° v,~ a m 1 ~~i ~ ~~~E I~ tl 13 pF ~ ~ ~ ez~ • . . ~ 13~I1 I1.47 v S~fa7 . ' - J m a , ~ 'T1 0 ' . owo - _ - _ Ioz.6o ~ Ut . R 1 ~ ~ B4mY~'~O'~ Y a,~ ; v f 5 A? ~ .a o iP tpn_ q ~ ~ z a m IV ry~ ~ d ~y L J~ N N ~ ~ 11~ ~ ~ ly ~d N Z o a - ~ G i ' ~ ~ ~ ~1 Z 1` m g ~ N y ~ •l't~ C Y'x ~~r ~ ~ ~ ~ f• ~ ~.L~ ~ ' PERMIT k'CITY-OF EAGAN 7'" `~d 3830 Pilot Knob'Road PERMIT TYP BUZLDING Eagan, Minnesota 55123 Permit Number: 021563 (612) 681-4675 Date Issued: 0 7/ 2 6/ 9 3 SITE ADDRESS: 4187 STpRBRIDGE CT LOT: 9 BI.DCK: 1 WENZEL 2ND DESCRIPTION: r- ,y (1 OF 9 UNITS) Bf6`ildiriq_ Permit 7ype 4-PIEX ,Building ~W`ork Type NEW UBC Uccupancy-, R-3 M-1 Gqnstruaticsn 7`ype V-N rG^' Zaning PD R-3 auixdsny Lengtt, ee i BuiYding Width 33 i {4 5 ( V ~ r tt~ s ~=(&I;: r7:~) REMARKS: S& W PIBR - WEN2EL MECH FEE SUMMARY: VALUATION $128,000 Base Fee $737.50 MISCELLANEOUS $1,744.50 Plan Review $479.38 Total Fee $3,775.38 Surcharge $64.00 SAC $750.00 5AC % 100 SAC Units 1 5ubtotal $2,030.68 CONTRACTOR: - Applicant - sT. LIc. OWNER: WENSMANN HOMES 14231179 0001458 WENSMANN HOMES 9912 151ST ST W 3312 151ST ST W ROSEMOUNT MN 55068 R09EMOUNT MN 55068 (612) 423-1179 (612)423-1179 I hereby acknowledge Lhat I have read this applicatian and' state tihat Che ; informaC3on is carract and agree Lo comply with al1 apRlicable State of'Mn. , Statutes anc% City of Eagan Ordinancas, L I 2 APPLICA ERMI EE SIGNATURE ISSUED BY. S CFE ~ INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuiLoiNc 3830 Pilot Knob Road Permit Number: 021563 Eagan, Minnesota 55123 Date Issued: 0 7/ 2 6/ 9 3 (612) 681-4675 SITE ADDRESS: La r: n B L 0 C K: 1 APPLICANT: 4187 STARBRIp6E CT WEMSMANN HOME3 WENZEL 2Np (612) 423-1179 PERMIT SUBTYPE: TYPE OF WORK: 4-PLEX NEW DESCRIPTION (1 OF 4 UNITS) INSPECTION D. . FOOTING FRAMING INSULpTION FINAL FIREPIACE REMARKS: S& W PLBR - WENZEL MECH F- ~ L RFACTIVaTE _ CITY OF EAGAN ~ PERMLT i-. 1993 BUILDING PERMIT APPLICATION 91 .1-9 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ~_u.Ly / 9 / 93 Valuation of work 05 Q • a-° Site Address: STREET SUITE N Tenant Name: (commercial only) IAT Li SIACR ~ FsuWenzeI BD. P.I.D. * "'Addit3on Descri ti0n Of WOYk• Residential Construction The appl i cant i s: EkOwner ?tEI Contractor ? Other (oe6«ibe) Ndme Wensmann Homes PhOnE 423-1179 Property L•ST FIRST Owner Address 1515t st. w. STREET STE M City Roq Pmn„nt Stdte MN Zip riSnHR COmpdny Wensmann Homes PhOne 423-1179 Contractor Address 33i2 151sr. st._w_ License # 145R Exp.3/ -11 /Aa City Rosemount State MN Zjp 55068 Company G?ancmann Hnmaa PhOne 423-1179 Architect/ Engineer Name per Dahlstrom Registration # 17991 Address 3312 151st st. w. City xosemount State MN 2ip 55058 Sewer & water licensed plumber Wenzel Mechanical . 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: OFFICE USE ONLY . r BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~0 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 17 Swim Pool 0 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessary ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace 13 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck 0 20 Public Facility ? 21 Miscellaneous WORK TYPE tO 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition O 34 Repair p 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System YE5 (Allowable) Y- N lst F1. sq. ft. tity Water t&5 UBC Occupancy R-3 M_I 2nd fl. sq. ft. PRV Required Zoning pp Q-3 Sq. Ft. total Booster Pump ;Y of 3tories Footprint Sq. ft. Fire Sprinkler Length a~ On-site well Census Code /c 2 Depth On-site sewage SAC Code 03 APPROVALS = ~ Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee v.wec;a,: S IZS ()Z)o Surcharge Plan Review GAnAte: zlXZ2= Lf6 License z K i(.,~7 392 CWty SSAC AC g~T~X3z~l82y Water Conn. IX 1 Z= )Z- Water Meter 6 x 7-(1! 2) Acct. Deposit 3 K ~S~Z y6 S/W Permit S/W Surcharge 17 X /c=(/70 Treatment Pl. 7 )49 = Z Road Unit Park Ded. ~ ~QG ~IS= ~y Oc~ d Trails Ded. ' Copies ~otel : ~gsr~T = l:f dG ~ s"~il= 8G/ 7L s,ac x Ioo y~as~, ~o~; SAC Units ~Zx,y_ i6Q x sy = 9 0~ 12 -;Lri y _ . _ ,i..~. i'; . . . ,'0T6,,.C CO• / O:;s~~° Wc~NS.1~ ~ '`~l`~-~~ ~~~/,L~~~~_~1~c7/1~ ;,v?:T sixE nDnxESS_ L~ &_7 J~JdC Oa R f Lo7y~ coxrxncTOR Ih l~ r~ rs ijr) ?fl if~ S ~ ADDAESS 3 3 12 KSN'Jt PHONE y2 3 l] 9 DETERPSINE WO?.m?G SOUARE FQOTAGE OF 'cACfi. 1. Total exQosed ua11 area sq. ft. x• 1~ _ • lLce I 2. Total roof/ceiling area sq, f[. x.p~b Total e:cposed wall area above floor = . s_ 'a•~t?TotaL• wa1l=:windovr_ area 3~4 - - - 3.7s_To:taY door area _2~0 - t._=:Tota1"•"slj.~n8.glass doar. area -40 3'.`-'Tata1 ,fireplace. wall. a=ea ~jo a_ ~:;t:TotaL wa11:-f=aming: aiea-(ayerage~ 1O7.) ~ ~f3 wall. area :abdve•:floot g. "Total 'rim joist area !o(~ Total e:cposed foundation area = Z/Z h. Total foundation window area _ ' i,__:To[al net..foundatioa aiea ahove grede J L - Dere;DeCerullaeeacli waL.segmen[. -a, z flIIll - _ ~ ZC . -4U b. g ffp„ c. Y ,run d 7YJ _ o O n}~11 l/- u e. g nU" ~ r/-/ 7 Z/ . f. i:~C.~ R ?lIIll x,.II„ h. ~ g ',IIll ~ ~ x flIIto 3 . ...............................Total = / 777 If i[em C3 is the same as, or less [ran item 11, you have met [he inten[ of SBC 6006 (c)2. ' Page 2 of 2 - ti Total exposed roof/ceiling area = ~ 3L ~ ~ J. Total skylight area . k. Total roof/ceiling fraaing area(average lOZ).. 1. Tota1 net insulated roof/ceiling area Determine "U" value far each rcof/ceiling segmenC. - j ~ x IfQll k. % "II" OZ.97 ° '~.~JB - ~LZ~/ g fbrt zb . ~ 4 ..........................................Tota1 = . If total of iF4 is the same as, ar less than #2, you have met the intent -._nr ::of ;SBC~:600fi(c)1. : =_~Lltern'ateBuz~.diag.y~'.n,velo¢e,Design ' To utilize tfie total envelape system nethad, the values established by the sum of itess 43 and 04 shall not be greater than the sun of items U1 and #2. r 1, + 2. ° r. 3 4. - = ° , [ C C . ~ L . -2- ~ llo~ 3 3 ITYOF E~?GAN PERMIT 1,~/(~l ~ 830PilotKnobRoad PERMITTYPE: B LDIMG E gan, Minnesota 55123 Permft Number: 021562 (612) 681-4675 Date Issued: 0 7/ 2 6/ 9 3 SITE ADDRESS: 4191 STARBRIDGE CT LOT: 3 BLOCK: 1 WENZEL 2ND DESCRIPTION: (i oF a unzTS) Buildinq.._Permit Type 4-PLEX puilding W'o`rk Type NEW 'UBC Occupanc`y~ R-3 M-1 % Construction Typ ~ e V-N / 2oning PD R-3 ~ Building Length % 84 i Building Width 26 a ~ •SLU\, ~tf ?~':Y REMARKS: S& W PLBR - WENZEL MECH FEE SUMMARY: VALUATION $112,000 Base Fee $681.50 MISCELLANEOUS $1.744.50 ~ Plan Review $442.98 Total Fee $3,674.98 3urcharge $56.00 SRC $750.00 SAC % 100 SAC Units 1 Subtotal $1,930.48 CONTRACTOR: - Applicant - sT. LIC OWNER: WENSMANN HOMES 14231179 0001458 WENSMANN HOMES 3312 151ST ST W 3312 151ST ST W R03EMOUNT MN 55068 ROSEMOUNT MN 55068 (612) 423-1179 (612)423-1179 I hereby acknowledge that I have read this application and state that the inforrhation is correct and agree to comply with a11 appliaable State of Mn. 5tatutes and Gity of Eagan Ordinanoes. L J daj,(e~ ~ Idfr~ ~,pi.f 1 7~1~'1 APPLIANT/l+E~IMITEESIGNATURE ISSUED B: SI NATU~- INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLoiNG 3830 Pilot Knob Road Permit Number: 021562 Eagan, Minnesota 55123 Date Issued: 0 7 J 2 6/ 9 3 (612) 681-4675 SITEADDRESS: Lor: s BLOCK: 1 APPLICANT: 4191 STARBRIDGE CT WENSMANN HOMES WEN2EL 2ND (612) 423-1179 PERMIT SUBTYPE: TYPE OF WORK: 4-PLEX NEW DESCRIPTION (1 OF 4 UNITS) INSPECTION . FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S& W PL6R - WENZEL MECH F ~ L . J RF4r,TI~1~TE _ CITY OF EAGAN vERMIT IF ~ 1993 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, i copy of energy calcs. Penatty 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 ~'UT 173 Valuation of work q vv ~ L~~QSite Address: SfGrb,Y` )dqe_ STREEi SUITE • Tenant Name: (commercial only) IAT ~ SIACK _~L FSUBDWenzel akQ Addition P.I.D. M D25Cri t10f1 Of wol"k: Residential Construction ' The applicant is: [3XOwner EFContractor ? Other (Deaeribe) Ndme Ulensmann Homes PhOnE 423-1179 Property LAST FIRST Owner Address" ic;i-r qr w STREET sTE 0 City Rosemount Stat2 MN Zip 55068 COmpdny Wensmann Homes Phone 423-1179 Contractor Address 3312 151st St. w. License # 1458 Exp, 3/31/94 City Rosemount $t2tE MN Zjp 55068 COmpany wensmann Homes PhOne 423-1179 ArchitecU Engineer Name Per Dahlstrom Registration N 17991 Address 331151=r sr tT Clty Rosemount State MN Zip 55068 Sewer & water licensed plumber wenzel Mechanical Processin9 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: OFFICE USE ONLY ~ , BUILDING PERMIT TYPE ;4 . ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~ 16 Bement,Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17'Swim Pool ? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind. 0 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. 0 05 SF Misc. ? 10 Multi. Addfl. ? 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPE 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish b 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) V- N Basement sq. ft. MWCC System 85 (Allowable) )g_,j lst F1. sq. ft. City Water ~ UBL Occupancy -1 2nd F1. sq. ft. PRY Required Zoning pp Sq. Ft. total Booster Pump # of Stories Foatprint 5q. ft. Fire Sprinkler Length _Y~ On-site well Census Code lo Z Depth 6 On-site sewage SAC Code t' APPROVALS ~ ~ Plannin Building Assessments ~ Enginee9ing Variance REGIUIRED INSPECTIONS - ? Site ? Footing ? Framing O Insulation 0 Wallboard ? Final ? Draintile ? Fireplace Permit Fee v.iLne;on: g IIZ~ooo Surcharge Plan Review Grrnas~~ 14 sSx/6 = '7,32Sf License MWCC SAC E;srnTt 13$6 x1a = 7A City 5AC ,l9 0 Water COnn. YnA~ W L~L~ Water Meter 132r6 x 5-1= -7 yxy y Acct. Deposit S/W Permit ~ 5sqso.J ~RCm• ' S/W Surcharge , 153+csT~_ Treatment P1. i Road Unit J//1 3yL Park Ded. Trails Ded. Copies Other Total: SAC % ( 0 0 SAC Units I ~ FCT'cRIOi, £\VEi.OrT AVFP,._-` " " ~ U CO"*1'UTATIO\ ~ DS , , • ~ N OtdcIER or`r. / ~.lJn'fiE-~ ~ r~17~tzd ~ , b,~ ~ ~ sixa nnnxESS ~l~l - 5t A A, A Lor3,g41'b CONTRACTOR 1d12 e'S' ' nnnxsss .3.3 / Z - I5'15 7- SMtPxoxs DETERMINE WORRIA?G SOUARE FOOTAGE OF EACH. 1. Total e:cposed vall area sc,. ft. x.l, 2. Total roof/ceiling area sq. ft. x,p'DLb 35 5L Total e:cposed wsll area above floor = CJ'7 a_ '~~tTotal• wa1l::window atea_.....__.___..__......... IJ~ ' - Zll- daor. area c. r•waToCalsl;L4,ing.:giass. door: area ld.`-'Total :fireplace. crall. a=ea . .40 a_ E: .:-Totali wa31:lraming, a=ea r(ayeragq• 1(1A) E~' ~ ',fra'.Total aeL. wall• area :above ,f1ooL ~S~Z 'ToCal iim joisL area Total e:cposed foundation area = /~Z h. Total fouadation window area - ~ i,_,:Total aeC..faaadetioa arew above. grade Z Uete:DeCernline eac'fi wa];k,_segwent. _ n. a. IJf ~ ":-%liUn - b. ~~J ~ g nulr ZEs a . C. ~ g ttUn -7_26 d. 4J g,iult Z4-" C. x itul, vf~ a b• f. 5~Z g,oull % nUn .~7'7/ _ ~1•V~ h. - g nUn Z51 ~ . . i. g uIIit 3 . ...............................Total If item 03 is the same as, or less than iiem 11, you have met che fnt_nt of SBC 6006 (c)2. / Page 2 oE 2 ~ . ~ ~ , • • ' ~ c Total exposed roof/ceiling area ! j. Total skylight area . k. Total raof/ceiliag fraciing area(average 1. Total net insulated toof/ceiling area ~j~j Determine "11" value for each rcof/ceiling segment. j. x ,oIIl? m x. /S5 x flUff x tTUtl G~Z/ a W • ~ ~ ~ 4 ..........................................Total a _J .~C~ _ If total of i14 is the same as, or less than OZ, you have met the intent :rof =SBC-:6006(c)1. =r? _~+lterriateBui.ldiagy~',n,velogei;Design - ' To utilize [he total'envelope system nethod, the values established by - the sum of items 03 and D4 shall not be grea[er than the sua of itecs _ #1 and #2. 1. + 2, ° r 3. 4. - ° . ' ' -Z- . F.. PERMIT ~~iT'Y' OF EAGAN 7 ~ PERMITTYPE: BuiLoiNc - 830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 021561 (612) 681-4675 Date Issued: 0 7/ 2 6/ 9 3 SITE ADDRESS: 4195 STARBRIDGE CT LOT: 2 BLOCK: 1 WEN2EL 2ND DESCRIPTION: (1 OF 4 UNITS) Building_Permit Type 4-PLEX ~uilding Work Type NEW rUBC Occupancy~l R-3 M-1 ! Construction 7ppe V-N / Zoning PD R-3 ~F Bu;i2ding Length ~ 89 Building Width \ 28 I/ REMARKS: S& W PLBR - WENZEL MECH FEE SUMMARY: VALUATION $113,000 Base Fee $685.00 MISCELLANEOU3 $1,744.50 Plan Review $445.25 Total Fee $3,681.25 Surcharge $56.50 SAC $750.00 3AC $ 100 SAC Units 1 3ubtotal $1,936.75 CONTRACTOR: - Applicant - sT. LIC. OWNER: WENSMANN HOMES 14231179 0001458 WENSMANN HOMES 3312 151ST ST W 3312 151ST ST W ROSEPIOUNT MN 55068 ROSEMOUNT MN 55068 (612) 423-1179 (612)423-1179 ' Y hereby acknowledge that I heve read this application and state that the information .is correct and agree to comply with all applicable State of Mn. Statutes and City.of Eagan Ordinances. L APPLICANT/P R I7EESIGNATURE -Sr15 UES9V: GNA lil~II~E ~ % INSPECTION RECORD CITY OF EAGAN PERMITTYPE: euiLoiNe 3830 Pilot Knob Road . Permit Number: 021561 Eagan, Minnesota 55123 Date Issued: 0 7/ 2 6/ 9 3 (612) 681-4675 . SITEADDRESS: Lor: z BLOCK: 1 APPLICANT: 4195 STARBRIDGE CT WENSMANN HOMES WENZEL 2N0 (612) 423-1179 PERMIT SUBTYPE: TYPE OF WORK: 4-PLEX NEW DESCRIPTION (1 OF 4 UNITS) INSPECTION . FOOTING FRAMING INSUlATION FINAL FIREPLACE REMARKS: S& W PLBR - WENZEL MECH ~ ~ REAC i iVATE _ C ITY OF EAGAN PERMIT 1993 BUILDING PERMIT APPLICATION ` ~ u 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Ju_L Valuation of work 004e SiteAddress: SiREEi SUITE f Tenant Name: (commercial only) IAT ~L, BIACR _k_ FSUBD.Wenzel A'V~ Additio I-to .D. N Descri tion of work• Residential Construction W1) 0%~ e- The appl i cant i s: xE3 Owner Q Contractor ? Other (De4eribe) Neme Wensmann Homes Ph0118 423-1179 Property LAST FIRSi , .Owner Address lsist st. w. ssiz STREET STE / City RosPmoiint St3te MN Zip ntiR Company wEnsmann xomes Phone 423-1179 Contractor Address 3312 151st St. w. License # 1458 EXP 3/31/94 City Rosemount State MN jjp 55068 Company Wensmann Homes Phone 423-1179 ArchiteCt/ Engineer Name per Dahlstrom Registration N 17991 Address 3312 151st st. w. CiLy Rosemount $tdtE MN Z1p 55068 Sewer & water ltcensed plumber wenzei [nechanicai . 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: OFFICE USE ONLY BUILDING PERMIT TYPE w O 01 Foundation El 06 Duplex ? 11 Apt./Lodging ?0 Ba,siment finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. b 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Cortm./Ind. Misc. ? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish 32 Addition O 34 Repair O 36 Move GENERAL INFORMATION Canst. (Actual) V-N Basement sq. ft. MWCC System ~ (Allowable) v_i,, lst F1. sq. ft. C1ty Water UBC Occupancy R-3 rry-I 2nd F1. sq. ft. PRY Required Zoning pD93 Sq. Ft. total Booster Pump N af Stories Footprint Sq. ft. fire Sprinkler Length LFt On-site well Census Code /0 Z Depth On-site sewage 5AC Code o.; APPROVALS -f Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing ? Framing ? Insulation 0 Wallboard ? Final ? Draintile ? Fireplace Permit Fee vaiuocca,: $ 113~ oOn Surcharge 3X3X-Z- (W Plan Review (Gqi2qe.E; ZZX21 =q6Z License ysgx/ 6='732 8 MWCC SAC x ze: 1392 City SAC 9xi61 1(4,1 Water Conn. / o K )3= 130) Water Meter Acct. Deposit yNq,N13~ xis= zo7yo 5/W Permit S/W Surcharge Treatment P1 BS'lr 13t~c, xSy~ ~y~y1/ . Raad Unit Park Ded. y5e~s~ poe'~41 Trails Ded. /2ni3 Copies xsz/ sr = Li 2 y Other Total : F'h, sy~ '3C'Y,•n-' ioo ~ SAC % I o n SAC Units -T__ F-_. DA; 1' r • ECTcRIOi. c\'l'ci.0?~ AVF:,.4~~ "U" CO**3UTATION F . oWP1ER S ITE ADDRES S s" - St fi 4 6 ~ i Q q e ~ n t? + E' a q rt CONTRACTOR l~tJ f~ .S iY1 AYl e,15- T annxESS 3,31Z-ls~ S~W smt PxorrE DETERMINE WORRIN.G SOUARE FOOTAGE OF EACH. 1. Total exposed wall erea sq. ft. x.1~ _ /Zp, 2. Total roof/ceiling area sq. f[. x.p~b 36 SZ Total e:cpased ws12 area above floar = C(-t a. 'a~~Totalwall:=window:azea..__.._..__...__.._._.... /c~/ • door- arxa ' * * ' r::_aoCa1s13.4iUg.:glass. door: a=ea '.`-'Total ;fireplae'e. wall. a=ea . _40 a. ,e: ::;TotaL wall:~=amino: aiea -(ayerag0~lOZ) '~rs'.Total net. wa}.l- area .above•:flooL g. 'Total rim joist area =F Total e:cposed fauadat3on area m /5~ h. Total foundation wfndow area - i i._,:Total aet..found2tioa area- above. grade /Z Z • t'lete:DeCexai$ae ~~:L"~_araFu~aai` eacli wa]a•_segment . ?._8, ...-x „II,. b. g~~II,. , z( c. ~lo g HIIll Z`lc3 a , a. ~?v g foUll z e. x Ilu1r Ofj f. J~f)Z g npo 8• % "II^ - - g nurr g uIIll 3 . ...............................Total ~ //,T. 1 If item J3 is the same as, az less than item O1, you have me[ the inten[ of SBC 6006 (e)2. r . • ~ Page 2 oE 2 i' . ~ Total exposed raof/ceiling area ~ j. Total skylight area . k. Total roof/ceiling fraaing area (average I09.)..~~ ! 1. Sotal net insulated roof/ceiling area De[ermiae "U" value for each rcof/ceiling segmeat. ~ I k. ~ 1. / ~ x flun ~ C:~Z/ a W • ~ I 4 ..........................................Total ° -74 . If total of 04 is the same as, or less than P2, you have met the intent :=of:SBC-:6006(c)1. --4? =-~1ltern'at'e•Buz~.dine ~veToge;Design To utilize the total envelape systea aethod, the values established by the sum of items 43 and 04 shall not be greater than the sua of itecs #1 and 62. 1. + 2. _ r 3. 4. - _ ' i -2- PERMIT CITY OF EAGAN 3830 Pilot Knob Road pERMITTYPE: BuzLorNG ~ Eagan, Minnesota 55123 - Permit Number: 0 215 60 (612) 681-4675 Date Issued: 0 7/ 2 6/ 9 9 SITE ADDRESS: 4199 STARBRIDGE CT LOT: 1 BLOCK: 1 WENZEL 2Np DESCRIPTiON: (1 OF 4 UNITS) &~~titlirf~ Permit Type 9-PLEX ~ulldinq~'Wxark Type NEW ~'llBC Occupan y R-3 M-1 GonstrucGion Typ,e V-N Zoning PD R-3 Hu3lrlirtg Length t 80 8uilding WidCh ~ 39 ~ 4) .tlr ~ N1, REMARKS: S& W PL9R - WEN2EL MECH FEE SUMMARY: VALUATION $128,000 Base Fee $737.50 MTSCELLANEOUS _ $1,744.50 Plan Review $479.38 Tatal Fee $3,775.38 Surcharge $64.00 5FlC $750.00 SAC $ 100 SAC Units 1 Subtotal $2,030.88 CONTRACTOR: - APPlinant - ST. LIC. OWNER: WENSMANM HOMES 14231179 0001458 WENSMRNN HOMES 3312 1518T 3T W 3312 151ST ST W ROSEMOUMT MN 55068 RQSEMOUNT MN 55065 (612) 423-1179 (612)423-1179 I hereby acknawledge thet S haue read xhis aRplloaG3.on and etats that the information is Correct and agr'ee to comply wiCh all applicable SCate of Irtn. Sta'tutes aM Cityr of EagaO Cirdinances. IL i 9C111T11EVg1T/E ASIGNATURE ~ ISSUED e SI NATURE ~ k, INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuiLoiNe 3830 Pilot Knob Road Permit Number: 021568 Eagan, Minnesota 55123 Date Issued: e 7/ 2 6/ 9 3 (612) 681-4675 SITEADDRESS: LaT: i BLOCK: 1 APPLICANT: . 4199 STARBRIDGE CT WENSMANN HOMES WENTEL 2ND (612) 423-1179 PERMIT SUBTYPE: TYPE OF WORK: 4-PLEX NEW DESCRIPTION (1 OF A UNITS) INSPECTION . FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: S& W PLBR - WENZEL MECH F L - ----~----=J ~ REACT?~ATE CITY OF EAGAN ~ Fr1 FERMIT 1993 BUILDIMG PERMIT m 31:'1~.. 0 681-4675 L/M4010 J U l 1 2 1593 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered slte rs;'2•rt energy calcs. COMMERCIAL 2 sets of arehitectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date J u L~i_ 19 93 Val uati on of work 1 o<s. 600. ~ SiteAddress:14~9~1 ^f'ldG'L'. ~Gtt STREET ~ SUITE y Tenant Name: (commercial only) IAT _I BIACK -6LL SP.I.D. M DESCri ti0I1 Of WOPk: Residential Construction u.$The applicant is: Owner Contractor 11 Other (Decaribe) NdrtIE WEnsmann xomes Phone 423-1179 Property lAST FIRST Owner Address lsist St. w. 3312 STREET STE / City Rosemount State MN Zip 55068 Company wEnsmann xomes Phone 423-1179 Contractor AddPe55 3312 151st St. W. L7C2n52 # 1458 EXp.3/31/94 Clty RnGamntinY SC2LE MN ZlP 55068 ArchitecU Compdny Wensmann Homes Phon2 423-1179 Engineer Name PPr DahlGtrnm Registration N 17991 Address 3312 151st st. w. City Rosemount State MN ZjP 55068 Sewer & water licensed plumber Wenzel Mecnanicai 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: OFFICE USE ONLY , . r , BUILDING PERMIT TYPE r 0 Oi Foundation ? 06 Ouplex 13 11 Apt./Lodging ? 16 6asement,,Finish ? 02 SF Owg. ? 07 4-Plex O 12 Multi. Misc. 0 11 Sw1m Pool O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 13 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Ueck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE pr 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) N Basement sq. ft. MWCC System y~ (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRU Required Zoning Sq. Ft. total Booster Pump d of Stories Footprint Sq. ft. Fire Sprinkler Length ~ On-site well Census Code o 2 Depth 33," On-site sewage SAC Code o APPROVALS J" r Planning Building Assessments Engineering Yariance REDUIRED INSPECTIONS ? Site ? Footing ? framing ? Insulation ? Wallboard ? Final ? Draintile ? Fireplace Permit Fee wwsc;on: $ ODo Surcharge Plan Review GAna-(,E; y62'pb,c /G ~ F73R2 License MWCC SAC '/bdb K1J' = ay, °y ° City SAC Water Conn. lddd x.fi1 = ~6) "174 Water Meter Acct. Deposit S/W Permit , t- S/W Surcharge 2"7V Treatment P1. ' Road Unit i Park Ded. Trails Ded. Copies Other Total: SAC % a0 SAC Units r,. 71 3 l 93 _ r`•--= I0= E::: - - C~:= IITA"'iv.. `i L~?'~ szzE nDnxEss C0 I~n l011 b[1; o coNxRacTOR w e h s m fi o-7,j e.4 ' anDxESS_ 33 I Z I SI ~ S,A t, PxorrE ~23 -W) q DETERt4INE WO°.RI??G SOUARE FOOTAGE OF FACFi. 1. To[al esposed call area J`~"`f4 sq. ft. x.1~ _ •IL , I 2. Total roof/ceiling area . 1~~49 sq. ft. x.D~b = Q~•Z Total etposed wall area above floor . a_ 's•~.t:~oia~l wall~:window area - - - 'b:.=s_Totaf- Aoor. area ~g - t.=_-Tota1'.sl;Ld;lng.:glass, door. area .-qp 7a.`-7ota1 :fireplace. wall. area ajp . a. Ter.:'Totalwa3l_I=aming: aiea=(ayerage 1n:) 9 y3 ;..Total neL. wall area above :f1ooL '~j~. -g. Total rim joist area Ic-X~ To[aI eicposed foundation area = Z/Z h. Total foundation window area i i._ ~:Total ne[.. foundatioa area- above grade 7t 2_ _.o- t7ete:DeteruiYaed1II'"_vaYuF--nf:ea2fiwaL.segment. _a_ 04 ~ -x nII~l 6~s L,::-/ , -4U b. ~)7l R „IIl, c. x rrQrr Z a. g„IIff z m so . e. g nU^ 2-1 x,lu„ 3~5,`'7~3 x"u" h. ~ $ nUn i. Z-/ z3- g ~lII„ 3 . ...............................Total If item p3 is the same as, or less than item #1, you have met [he incent of SBC 6006 (c)2. ~f Page 2 of 2 . ~ , Total expased roaf/ceiling area = ~ 3L ~ % j. Total skylight area k. Total roof/ceiling fraaing area (average lOX).. 1. Tota1 net insulated roof/ceiling area ~LZ-y Determine "U" value for each rcof/ceiling segment. i • ~ x ,.II„ a x. -7 xliIIll . oz_47 m ~.38 - 1. lbif zfe . c7z- 4 ..........................................Total . If total of #4 is the same as, ar less thaa #Z, yaa have met the i.ntent I ::of :SBC-:6G'O6(c)1. ~ - __L-1ltern'ate•Buildiagynveloge,Design ~ ~ ' To utilize the [o[aI envelope system nethod, the values established by the sum of items 43 and 04 shall not be greater than the sura of itecs _ i O1 and 02. 1. + Z. ' 3. 4. - = ~ ~ ~ - . ~ i . _Z- '.k i6.-iF. li_... IJSa - . . ~ ~ . T. h~ ~ (l'::~"G (r;6, 7:+• 1:00E5 (-;::1'Ga ,,...r, e~...a c u'Li.T..l.. `:)fi/l. E's`rI ~Cliv Witi1. YJ2i.411. ci 38.31A-li':;IV:.1 t.nU`.iUC:9 ..:IQ h1_.CCi i?*ik .'1<NKsn;*U0h`kJkYF;~:;l.:k:>K ,01, , PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Perm it Number: 0 2 9 0 6 6 (612) 681-4675 Date Issued: 10 / 17 / 96 SITE ADDRESS: 4199 S7ARBRIDGE CT LOT: 1 BLOCK: 1 WEN2EL 2ND P.I.N.: 10-83571-010-01 DESCRIPTION: Builtling~Permit Type BASEMENT FINISH Suilding l:lork Type ALTERATION ''Census Cade 434 ALT. RESIDENTIAL ; ' ` ~ ` REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 . CONTRACTOR: - Applicant - sT. Lzc QWNER: GUNDERSON HOMES, KENT 17201909 0005764 WRI6HT MARIENE 104 GENEVA BLVD 4199 57ARBRTDGE CT BURNSVILLE MN 55306 . EAGAN MN 55122 (612) 720-1909 I hereby acknnwledge that I have read this epplication and state that the information is correct and agree to comply with a1k applica6le State of Mn. Statu s and City o'F Eagan Qrdinences. ~ ~acaa R.~ir,~f rn~ A PLI N/ ERMIT E E ISSUED B: SI ATURE ,j`CITY OF EAGAN .~SO•JrD G 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirements RemodellReoair Reouirements ? 3 registered eila surveys ? 2 copies of plan ? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 enetgy calculations ? 7 energy calculations for heated additions ? 3 copies of tree preservation plan 'rf lot platted aRer 7/7193 required' _ Ves No 14 C2~r CONSTRUCTION COST: DATE: DESCRIPTION OF WORK: STREETADDRESS: ~LOT I BLOCK SUBD./P.I.D. PROPERTY Name: Phone OWNER U°' Street Address, CitY: State: ~ Zip: coNTRacTOR. Company: Phone Street Address: /c,1f License City: State: V"~) Zip: ARCHITECT/ Company: Phone ENGINEER „ /W Name: Registration ~lJ Street Address: City: State: Zip: Sewer 8 water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. 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: TO~ ~ OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation o 06 Duplex ? 11 Apt./Lodging &:;;~6 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New R~O3'3 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq, ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg ~ Census Unit APPROVALS Pianning Building Engineering Variance Permit Fee Valuation: $ 5urcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/VV Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ; , : . . ~ ~ ~ . ' . a. . ~ .w MECHANICAL PERMIT (RE5IDE1VT741) CTIY OF EAGAN 3830 PII,OT g1VOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWEI.LIIVGS. ALSO, FOR TOWNHOMES AND CONDOS WHETT PERMTTS pRE REQUIRED FOR EACH UNTT. X NEW CONSTRUCI'ION ADD-ON A/C A-DD-ON FLTRMaCE ' DATE ~l - Ib-93 E9 HVAC: 0-100 M BTU a 24,00 ADDTI'IONAL 50 M BTU 6,00 -.AS OUTLETS (MINIMUM 1@ 53.00 EACH) 9, QQ ADD-ON/REMODEL (Exis71vc coxsTtucrtox) $ 15.00 STATE SURCHARGE .50 TOTAL 33,50 srtE twDxF-ss: 4-18~ 6fGrbridqe/ Courf owrrER rrAME: CWn5mc+nn ~-lome_s TELEPxortE 423-I JTg INSTALL,ER: GIIVZ-RYAN PLTAMING & HEATING C0. ADDP.ESS: 14745 South Robert Trail CI'ry; ttosemo=t STATE• MN ZIP CODE• 55068 TFTFPHONE (612) 423-1144 ~ ~IULanaz Anne,auh SIGNA RE OF PERMITTEE , . . . , ~ . . , _ .m MECHANICAL PIItM1T (RESIDENI74,L) CITY OF EAGAN 3830 PIIAT SNOB RD FAGAN MN 55122 (612) 6814675 PL.EASE COMPLETE FOR SINGLE FAMILY DWELLIIIGS. ALSO, FOR TOWNHOMES AND CONDOS WI-EN PERMTTS ARE REQUIRED FOR EACH UNTT. ~ NEW CONSTRUCTION ADD-ON A/C .,qDD-ntJ gr TP.NACE DAT'E _ I 6- gu FEES HVAC: 0-100 M BT[T $ 24.00 ADDTTIONAL 50 M BTU 6.00 -riS OL1TTrETS (MINIMUM 1 @ 53.00 EACH) 3.( ADD-ON/REMODEL (EDasTnvG coxmucrior) $ 15.00 STATE SURCHARGE .50 TOTAL a~ .50 SrrE ADDxESS: ~-Iq / ~ClYbru~2 ew x-f" OWNER NAME: 0.`el'1` I-I9"1`lG..AJ TELEPHONE 4~.'3-I INSTALLER: GENZ-RYAN PLUmING & HEATING Co. ADD?'.ESS: 14745 South Robert Trail C17'y; Rosemount $TAT'E• Mu ZIP CODE• 55068 I "RPHONE (612) 423-1144 SIGNATURE OF PERMITTEE MECHANICAL PERNpT (RE5IDIIVZTAL) CITY OF EAGAN 3830 PIIAT SNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLE'TE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS VVFEN PERMITS ARE REQUIRED FOR EACH UNTT. NEW CONSTRUCTION ADD-ON A/C P.Ji-QTM1 FfJRNACE ' DATE FEIES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 _ riS OUTLETS (MINIMUM 1 @ $3.00 EACI~ ~ -CO ADD-ON/REMODEL (ExrsTnvc coNS7Rucrtor) $ 15,00 STATE SURCHARGE SO TOTAL srrE ADDREss: ¢I95 b?ud r~ OWNER NAME: 11..)fr15m0nn "arYt25 TELEPHONE 423-1 i 7q' INSTALLER: GIIVZ-RYAN PLUMBING & HEP.TING C0. ADDRESS: 14745 South Robert Trail Cj'I'y; Rosemount $Tq'I'E; M ZTp CODE: 55068 TEI.EPHONE (612) 423-1144 ~o.D~tQ-ri.tz .~inno,de.+h SIGNATURE OF PERMTITEE . MECHANICAL PERMIT (RESIDENTfAL) CITY OF EAGAN . 3830 PII.OT HNUB RD EAGAN MN 551ZZ (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.Y DWELI.IIVGS. ALSO, FOR TOWNHOMES ANt CONDOS WHETT pERMTTS ARE REQUIl2ED FOR EACH UNIT. X NEW CONSTRUCTION ADD-ON A/C ADD-0N FURNACE ' DA?E _g-Ib-q FEES HVAC: 0-100 M BTCT $ 24,00 ADDTTIONAL 50 M BTU (,pp _riS OLJTLETS (MINrMUM 1@ s3.00 Ewct3) a b.00 ADD-ON/REMODEL (ExszngG coNSTtUCrtox) $ 15.00 STATE SURCHARGE .50 TOTAL 30.50 SITE ADDRESS: 4 Iqc) 50rbr'LCM COUr+ OwNER NAtvE: 1~n5mGlnn J~orYe_S TFT FpgoNE#: 423 r r _~9 INSTALLER; GENZ-AYAN pI,UmING & HFAxIIJG Co. ADDRESS: 14745 South Robert Trail CITI': R°sem'mt STATE' M ZIP CODE• 55068 TELEPHONE (6I2) 423-1144 J . SIGN TURE OF PERMITTEE ' ' E £ . L i , r^'e`4cf ; <+v {fi ~O Mk,h 9 d- OvR.':N3 ~ > 1993 PLUI?BING PERNIIT (RESIDEIVTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHO1vfES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf. - NO. FIXTURES CLEI TOT~ ~ S:: :'.JEA 3.00 9,00 WATER CLOSET 3.00 . o d BATH TUB 3.00 - 00- LAVATORY 3.~ KITCHEN SINK 3•00 3,00 LAUNDRY TRAY 3.00 =f r 027 HOT TUB/SPA 3•00 WATER HEATER 3•00 ~ ~ FLOOR DRAIN 3•00 _-3, 0 GA5 PIPING OiTTLET - minim„na -1 3.00 ROUGH OPENINGS 1.50 WATER SOFI'ENER 5.00 PRIVATE DISP. - Dekcry. iit. 15.00 U.G. SPRINKI.ER • eome uaaer con:t. 3.00 ALTERATIONS • to austing 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: ~f 5. 50 SITE ADDRESS: OWNER NAME: ~A1 /Y~lr//YJ.~??'U - INSTALLER: =d"z;a.e-o - ADDRESS: CTI'Y; STATE: ZIP CODE: PHOhE S~GNATURE O ERMITTEE .~4 ~~R.R~~ D y k e~ . ~ a U.g ~l 3- . . •..i , , . ,,....r:.t 1993 PLUMBING PERMTf (COMMERCIAL) CTfY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4673 PLEASE COMPLETE FOR ALL COMAERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP__DINGS VJHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING Ui:;T. _ NE'W CONSTRIJCTIbiV ADD ON _ REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ FEE: 1% OF CONTRAC'I' FEE. STATE SURCHARGE: $.50 FOR EACH $1,000 OF pMMrr FEE. MINIMUM FEE $ 25.00 CONTRACT PRICE X 190 $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANf NAME: STE. # OWNER NAME: INSTALLER: AY)DRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT t + ya y;-3' x 4 L "`~ir - st • 4 ~asxGx.y+c.G ~n•inT 3 ~ x`~ e eq ~~t~~6 ~E pvOY.".., 1994 PLUMBING PERMIT (RESIDENI7AL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. 10. FIXTURES EACH TOTAL "L SHOWER 3.00 lo•UO ~ WATER CLOSET 3.00 .OD BATH TUB 3.00 3~ oO ~ LAVATORY 3.00 4. Do KITCHEN SINK 3.00 3.60 LAUNDRY TRP.Y 3.00 $•00 ~ HOT TUB/SPA 3.00 WATER HEATER 3.00 3,W FLOOR DRAIN 3.00 3. oa GAS PIPING OUTLET • minimum -1 3.00 00 ROUGH OPENINGS 1.50 WATER SOFTENER 5.00 PRIVATE DISP. • DakC\y. lic. 20.00 U.G. SPRINKLER • nome une« oomv 3.00 ALTERATIONS • to adsting 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: YS, 50 SITE ADDRESS: OWNER NAME: INSTALLER: &&Ue&~ ADDRESS:_/959 ~~'JeaAyyi~~le.L C1T1': J ST.ATE: 47~ ZIP CODE: PHONE ( /a) yS~ - /S(o,S GNATURE OF RMITTEE 1994 P,LUIVIBING PERNIIT (COIvIMERCIAIs) GI1'Y OF EAGAN 3830 PILOT:I{NOB RD FACY.Afi~~1VIPf 55122 (612),681-4575 PLEASE COIVIPLETE FOR ALL, CO1vIMER'CIAL/INDUSTRIAI:, BtJILDIN.GS. AISO',FOR MULTI- FAMILY BUILDINGS WHEN 'SEPARATE PERMITS ARE `NOT REQiJIRED FOR EACH DWELLING UNIT. . NEW CONSTRUCl'ION hDD ON - REPAIR WORK DESCRIPTION: CONTRACT PRICE.- $ FLB: t'7c OF CONTRACT'HEE. STATC SURCHARGE: $.50 FOR; •EACH $1,000 OR MM FEE. D'fINlAfIIM FEE: S 25:i10 ' CUNTRACT PRICE X 1% $ STATE SURCHARGE , TOTAL $ SITE ADDRESS: . TENAIVT NAME: STE. ' OWNER NfAME: INSTALLER: ADDRESS: . - . , p . GITY: 'STATE: ZI.P CODE: PHUT`E , • . ; . ° . , . FOR• CITY OF EAGAN APPLICANT L1~ $ a 3 < 3 1993 PLUMBING PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 . (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNIT. NO. FIXTURES F.ACH TOTAL 2 SHOWER 3•00 - W.Q'TER CLODSET 3.00 / BATH TiJB 3.00 ~ LAVATORY • 3.00 l2. cro KITCHEN SINK 3•00 ~lov _L LALJNDRY TRAY 3.00 ri.an HOT TUB/SPA 3•00 T WATER HEATER 3•00 ~•~'T' / FLOOR DRAIN 3•00 ~'ar' I GAS PIPING OUTLET minimum - t 3.00 .-3 .oZ~ ROUGH OPENINGS 1.50 WATER SOF'TENER 5•00 PRIVATE DISP. • Dak.Cry. lic. 15.00 U.G. SPRINKLER • nomc unaer wnsi. 3.00 ALTERATIONS • to adsting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: 4I ~S ~~~1/~~{!~G E= C,'r' OWNER NAME: ~A~ ~t /i'IA~ViU P-,V~~'/C-75 INSTALLER: lN t:.iil C[.._. /'l 4p;;NnUlCA C~ ADDRESS: J~~I 5NA~1~NG~ K/_J CTT'y; LEA~&A-~ STATE: 11-1tiJ ZIP CODE: SS'd Z"L PHONE (&G) 452 - I5ZzS SIGNATURE OF PERMITTEE y~"~75~ ~t]~Y s D ~ ' i~vM~a.AU3RE ,'..;G'.'w... Y. . r i : 1993 PLUMBING PERMIT (COHIIbIERCIAI.) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCLALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUP.DINGS WHEN SEPARATE PERMTfS ARE NOT REQUII2ED FOR EACH DWELLING U:,:T. ~ NEW CONSTRUCTION ann ox REPAIR WORK DESCRIPTION: CONTRACI' PRICE: $ FEE: 19E OF CONTRACf FEE. STATE SURCHARGE 5.50 FOR EACH $1,000 OF PERMT~' FEE MIIQIMUM FEE $ 25.00 CONTRACT PRICE X 1% $ STATESURCHARGE $ TOTAL $ SIT'E ADDRESS: TENANT NA111E: # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT CITY USE ONLY 5~9 L BL ~ RECEIPT D /G S SUBD. ~ ~ DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NQ TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 ;c Laundry Tray 3.00 :c = Hot Tub/Spa 3.00 :c = Water Heater 3.00 :c = Floor Drain 3.00 _ Gas Piping Outlet " minimum -1 3.00 :c = Rough Openings 1.50 x = 'v"vaier Sonener 5.00 x = Private Disposal " Dakofa Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Alterations • to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: INSTALLER NAME: P`~nk"ry STREET ADDRESS: CITY: f r1D\ STATE:MAf Zip; PHONE ( G f~) aq7 ?625' 5I(3NAIURVUt-lJl=KMIIF-F- 7a-~° fA OFFICE USE ONLY L _ BL _ RECEIPT SUBD. DATE' 1996 PLUMBING PERMIT (CAMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. • all commercialfindushial buildings. w muiti-famiiy buildings when separete permits are 114t required for each dweiling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? YES NO. PAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY.LER PERMIT. FEE: $25.00 minimum fee or 1% of contract pr(ce, whichever is greater. State surcharge of $.50 per $1,000 of pgmt fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTAILER: ADDRESS: CITM: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: ~ ~SE ~LY .,...kA~~~~.~ .<...;Y.<. ..<..f.. 1993 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMII.,Y DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. i0. FIXTURES EACH TOT~ Z-. SHOWER 3•00 'yp _:1 WeTcv rl,OcET 3.00 17.0v I BAT'H TLJB 3.00 ~.ov LAVATORY 3•00 17_.0r:' _L KITCHEN SINK 3•00 3-Ov / LAUNDRY TRAY 3.00 3.oa HOT TUB/SPA 3•00 ~ WATER HEATER 3•00 _L FLOOR DRAIN 3.00 3..ua / GAS PIPING OUTLET • minimum - t 3.00 3~07D ROUGH OPENINGS 1.50 WATER SOFTENER 5•00 PRIVATE DISP. • DeiLay. uc. 15.00 U.G. SPRINKLER • bome unoer const. 3•00 ALTERATIONS • to edstin8 15.00 WATER T.URN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: 4/22 lL1&- C- Cr OWNER NAME: ww.aM4A1k1 fl7~1 ~=S ~ INSTALLER: MEC-wAiVlG11C1- ADDRESS: IgSy 5y4 wA.)67-- peO CITY: 1~46A.U STATE: IYIi.J ZIP CODE: S'12-2- PHONE ( b/2 ) 4S'z - ~S SIGNATURE OF ERMITTEE +~y ~i'~"t7SEsC3?1~ ,M~s 3e~ s€t : f ; Y . Yi 9pRP9v 3. ~ .it .S E t., 1993 PLUMBING PERMIT (COMA4ERCIAL) CITY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL CONAERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACH DWELLING L':;:'I'. _ NEW CONSTRUGTION ADD ON _ ItEPAIR woRK nESCxIPTIoN: CONTRACf PRICE: $ FEE: 1% OF CONTRACf FEE. SfATE SURCIIARGE 5.50 FOR EACH $1,000 OF ~!E1i14I~`1' FEE MINIhiUM FEE: $ 25.00 CONTRACT PRICE X l% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NA113E: S"1F_ # OWNER NAME: INSTALLER: ADDRESS: CI71'. STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT RECORD OF COMPLAINT Date Complaint taken by 2Z Type of building Name Q.rjl" Address Legal description ~ Phone number Complaint Action taken Comments ~ 4 Z~ Signature BUILDING COMPLAINf GUIDII.WES • When a complaint is received, get the address, name, phone number, and a genera] idea of what the problem is. • Always have two Ciry employees present to (1) verify the conversations, (2) offer additional opinions, and (3) ]end credibility. • Get 'both sides" of the story if there is a conflict • Ask other inspectors and City employees if they are familiar with the address or the prob]em. • Contact other agencies or depanments (ie. Dakota County Human Services, 431-2424; police department; fire department), if necessary. • Provide hand-out materials if they are available. • Maintain a record of inspections and conversations on a City comp]aint form. ~ 17t~ (3) ls ~ zoos RESIDENTIAL PLUMBING PERMiraPPLicarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date / Site Street Address Unit # Property Owner Ac(in S a h Telephone GSI) 99-I - D! 6 S- Contractor i 0~ tn~ ~a\ 6~ Telephone# (WI) q 63`70 11 Address city Fh~Mk;g'tV v\ stateMti' zip 5-5-O The Applicarrt is: _ Owner Contractor _Other Septic System _ New _ Refurbished Submit 2 sets of pians and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee inGudes installation of a water softener and/or water heater at the same time. If you are installing only a water softener and/or water heater, do not complete this section; move to the next section and 9AUG t~ appiiance(s) you are installing. t _Septic system Abandonment 0 _ Water Turnaround (add $130.00 if a 5/8" meter is required) 4 Z006 Other: Water Softener ~ Water Heater $ 15.00 _ new replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total $ ~ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. N 0.4 Cj-~ AA ApplicanYs Printed Name ApplicanYs Signaiure ÷ ÿ þ þýý üûùûùù øýýü úø ÷Û èâ þýô ýüûú ù÷ ß ÷ ú ùäì ù÷ ß æ ýÛæ ú ùæ üî ý àòäüòû ýÛ ú ý çü à ÷ ü þæäèèâ çèè òøÞ÷ýãï ÷ßÝêèèððâ óø ýü ñ êèðçðçè ë ü èð òëñ ôðï ùù ú Ø ùù ü å çü à âý û ÿ ü æäèèâ ÿ æäèè ÞçèÝè ñ û ìÿñ ñ ñ ùù ñ ñî ò ÿ òù ìñ ùù ûý îæ ý ü î ÿ ó ð ùù ï òýÿ ü ýÿ ü PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108238 Date Issued:11/27/2012 Permit Category:ePermit Site Address: 4187 Starbridge Ct Lot:004 Block: 001 Addition: Wenzel 2nd PID:10-83571-01-040 Use: Description: Sub Type:e - Furnace & Air Conditioner Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952) 445-2840 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lauren J Belisle 4187 Starbridge Ct Eagan MN 55122 Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 Applicant/Permitee: Signature Issued By: Signature SEP-13-2013 12:49 From:7637841426 Pa9e:2-'8 duel-- Use BLUE or BLACK Ink --ForO---ffice-- Use----------i I 1 I IIh81 ' City of Eagan 11 Permit 3 I Permit Fee: (0-5o. 3830 Pilot Knob Load Eagan MN 55122 Date Received: Phone; (651) 675-5675 I I Fax: (651) 675-5694 1 Staff; I 2 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2113 _/13 Site Addre6s: I O f T ~`"1 1 Unit k' Name' C ~r l (Joe, Phone; 'VIJW t Address / City / Zlp: f~ , Applleant is: Owner X Contractor 1 y I.A A. Description of work: - q f Construction Cost: Multi-Family Building: (Yes > / No Company: b Contact: . VE Address: 5 ZqL~ )U Ip5 City; c. wz State:lL Zip: 55 bi Phone: _1405 O a~ 1a License tk: L5 1 1~~1 Lead Certificate tf: qA 1 100005- If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes %.No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 1dePed be public infof m fion Po rtion$ of - f 1 1~ st P tatr~ f o sn 1 e_, t ciflp: reWons thX Would permit the City to , it • .r~ you : de , . • ~ ' ; tib~~ ~ ~-t ~ ..ire :far~d~ 5ep"rots. 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 tD dig to receive locates of underground utilities. www.0oahera1Wgpngg l~ I•oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances Intl codes Of the City of Eagan; that 1 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 Min Sota State Ouilding Code must be compieted within 180 days f permit issuance. X b""C 7- 110 ~~l 0 nA A I i x _Ln App ica is Printed Name App ' n s Signature ' 0 Page 1 of 3