Loading...
3643 Vermilion Ct N U_s_e_B_LUE or BLACK Ink -For Office Use l I bity of Ealan 1 Permit (1 I 1 - I I Permit Fee: (00 3830 Pilot Knob Road 1 Eagan MN 55122 I Date Received: ' I Phone: (651) 675-5675 I t Fax: (651) 675-5694 Staff: 2013 COMMERCIAL PLUMBING PERMIT APPLICATION El Please submit two (2) sets of plans with all commercial applications. Date:- , Site Address:. 5 (~(7~1n I I© Tenant: ~L \ Suite # Property 1/~~vn is ~t O~2~ ICS /fL=C~ `r~~ , Owner Name: Phone: ~ 5 2-~ 0-~ ^53 ~ Name: /2L=z~ ILL-I~Yr►R, zA. -License Contractor ~,~J~. Address:~2~~.- -i / = N City: S ,~CLL1,v~d2,~ State: Zip; Phone: PL /-c Email: Y1 c _ J) rcj," om Type of Work ! New -Replacement -Repair Rebuild Modify Space - Work in R.O.W. Description of work: COMMERCIAL _ New Construction Modify Space _ Irrigation System yes [_no) R PZ 1 _ PVB} • Rain sensors required on irrigation systems Permit Type Avg. GPM (2"turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity thattests passed priorto picking up meter. `s Domestic: Size & Type Fire: 1 I F Avg. GPM High demand devices? _Yes _No Flushometers _Yes No COMMERCIAL FEES Contract Value $ a` ±z ZV:) x01 $55.00 Permit Fee Minimum _ $ C3 5-,D0 Permit Fee If contract value is LESS than $10,010, Surcharge = $5.00 = $ dy Surcharge" **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 **'If I . he project valuation is over $1 million, please call for Surcharge = $ Q' UZ> TOTAL FEE Following fees applywhen installing a new lawn irrigation system $ Water Permit Contact the City's Engineering Department, (651) 675-5646, for required fee amounts. $ Treatment Plant $ Water Supply & Storage $ State Surcharge I a TOTAL FEE 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x_ , 4 WN x _ Applicant's rinted Name Applicant's nature FOR OFFICE USE Approved By. ------Date:--- Required Inspections: -Under Ground Rough-In Air Test Gas Test Final PRV Required: _ Yes No Page 1 of 3 i E SITE ADDRESS 36'13 ~ errn. kon l!.f: L Unit #E Pertnit #E SeCt.ISub. oe?ll eX 1'BrJ+I~ ~iOvt s D/3 ~~44jff nd (elloh& INSPECTION INSPE OR DATE COMMENTS /h -Z -9 u-c -o ~Ef 6/y 5'G ZI DL~J 7 8-~I CC-~~-~E SITE ADDRESS 612 ll AJ Unit # Peff nft # a ~3~ o L~ SeCt./Sub. LT[x YQrMi liDl'1 P O 7j0/ INSPECTION INSPE R OATE COMMENTS y-1 y-Y ~ rn~ sz- 9~ u ~ c n ~ ,Q ~y- . -1 6 u ~ • ' ~ ~ f S1N3WWOO U110 l10193dSN1 N01133dSN1 , d SfTE ADDRESS A47 Ye.rrwI /,Ga a, A1 Unit # Permft # a~f3l~ L B Sect./Sub. -0"`@X V e t'riti h0r'1 ~ ~ / !v/io 9~ 7 ~ INSPECTION INSPE R DATE COMMENTS LC49 V-j y-Q U-6 -Y- . ' C -Q1 • ~ / 'AV ,~rKy ; /!r~ DlJ~ ~'~•yb ~ . SITE ADDRESS •3449 ~errv~i I iDn U'. 1'V. Unit # Pwm;t #~~3ao L# e ~ sect.~sub. _ Len~'ex Vern~i tion 69 INSPECTION INSPECT DATE COMMENTS y1y-Q~ ~n h hr S = . u- - ' G ~ arQr . . w ~ i k /f 7'S?14,~ XT 2Q1. l'. f ~ C. - ~ ~Z SITE ADDRESS Jo J~ J V,e,r,M; ~ i ori ~IU. unit # Permtc # a~3~ o L B Sect./Sub. L'Q11TeX 6~i lIAf1 O INSPECTION INSP TOR DATE GOMMENTS -o E7--46 ~ ~ ~ INSPECTION INSPECTOR DATE COMMENTS , , - SITE ADDRESS 3G 5 3 V~Pa^rrl i I~ Di'1 ("~IV• Unit # pennit # A~r•~~~ L B S JSub. ~i?A `eX rP.x'mi 1.;QV1 1/,0F(.o -ff 7~ INSPECTION INSPE OR DATE COMMENTS G! 6 p'~ -d- u-6 k- - 6 ~ 7 3-4G _ 7- 46 ~ ' Yap INSPECTION INSPECTOR DATE COMMENTS . , SITE ADDRESS A5 J~ W~r'?; I i On Unit # Permit # L B ~ Sect./Sub. &,mra V txm i I i 0 vl ~G•' # G rv ~ °D INSPECTION INSPE OR DATE COMMENTS S~ - 6 -G 6 . f ~e 'l~ b- ~!G I °,.P. I¢s <<~ ~ Gv . 1 &LN3WwO3 31V0 U0193dSNl NOLL~3dSNl , SITE ADDRESS Unit #E Pemiit #0?rl•~oZ D L B Sect./Sub. '0~1PVex'rA;) i OP1 .G~` !o 11,0/1!0 ~-ev INSPECTION INSPEC R DATE COMMENTS ~ y a r-f - 6 e- 91 . , -~6 4)6~ - -Q INSPECTION INSPECTOR DATE COMMENTS , SfTE ADDRESS 34 J~ q GrrYti Lati 0. lU. Unit # Pertnit # ~~•~a~(' L B .l ub. ~Tex ~ i Lan 0 ~ 7 G ~G ~ iz-v INSPECTION INSPE R DATE COMMENTS ule /-2 ~4 N~ 6 -D-Q 0 .s76 ~ 6 . 7-Q-4'6 r ~ rQ ~ u18 7 lf ~Q,6 Z INSPECTION INSPECTOR DATE COMMENTS - , SITE ADDRESS 1~o6DI CfK- ("on N. N. un;t # Per,,,n #C?73a0 L B SectJSub. l'w1~°k V.QYri1i ~iDri X. 00 INSPECTION INSPECTO OATE COMMENTS w -~-41- u-~ -~-y6 -a w "s • ~ -d~ ~ ~ INSPECTION INSPECTOR DATE COMMENTS . . . ~ r SfTE ADDRESS 3101c 3 Y~r!~ ji or~ l~t 1V. Unit # Pertnft #~~3o2U L~ SBCt./Sub. D v1 ~0 INSPECTION INSPECT DATE COMMENTS XZ, -a }p--0~- - / ~ "n G' 0 ~I ~ o S t?l- V u sl. - L INSPECTION INSPECTOtI DATE COMMENT3 • « • ~ • r SITE ADDRESS J4 G Jr CM; UnR #E Pem?it ~5?'7S•20 L J/ B SectJSub. s.~Ie~Jt V~.'^~?'ii Il0 Y1 ~ ao `~o•~0` 30/9 0/9 & INSPECTION INSP TOR DATE COMMENTS 414 ..a_ R ~ 7`S-g • / ~ ~-4G ~ s14 ' ~ c . INSPECTION INSPECTOR DATE COMMENTS ~ I I f ~r \ ---.i~---- _ . i , C~Cert~~icate o~ ~ccu~ianc~ _ (AM oi ftean ~ o+ Tlus Certificate issued purswant to the rrqurnments of tke Unijorm.Building Code ~ certifying lhot at the tinee of issuance this structurr wos ire compliance with the various ordinancts of tlu City rregulattng brtilding carestruction or use. For the foUowing: Uw Cbmdkitkw 1-2-PLEX BMs. Pftvdt No. 27320 ~y 7h. R-1 U-1 Zmim a.in R-3 ryre cong. V-N owsm of su"n ^.ENTSX AOhBS Ad&m 12400 WHITSWATBR DR.. !!?KA., MN ei; fi 3643 VEIi!!l1L10N CT N ~=y L4 Bl LBNTEX VEBMILION ~ m6uft Offkiw. : 3645/3647/364WUj6CW&WWPO66 1/3663 b 3665 . ~ INSPECTIDN REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Ea an, Minnesota 55122-1897 ~ ~ ~i • ~ ~ 9 Date Issued: (612) 681-4675 SITE ADDRESS: APPUCANT: 303 PERMIT SUBTYPE: TYPE OF WORK: ~ INSPECTION . ; i r i , - . t- 1 1' 1(s i f ~ ~ ~ , ' ~ tlr+l rii i irI N o 1 i~ ',ry "1~iF~i iC.,.•i i~.t, t ;hhh ~ F l- I . . ~ PermR No. Psrmit Holder Date Telsphone t ELECTRIC ya~j ~ PLUMBING 5 G 9G ' 3 HVAC ~S/,"OG 6B- V,3$J Inspwdon Inap. Commenta FOOTINGS 7 FOUND FRAMING I ROOFING ROUGH PLUMBING PLB(3 AIR TEST ROUGH HEATING C3AS SVC TEST INSUL GYP BOARD ' FIHEPLACE FIREPLACE ~ AIR TEST FINAL PLBCi "INAL HTG ORSAT TEST ~ I BLDGFINAL ~ IL ! I , ~ 3SMT R.I. I BSMT FlNAL f =CK FfG ,'ECK FlNAL - - - -I - i - ~ { d box. 27L ^ e^;~„~ OFFI9 ~SE ONLY This request void IB monMs Irom voldabon dole pnnied in this pLEASE PRINT OR TYPE Repoast Dob Roogh-in Inapeceon mquvdt Yes ? N. Impenron Oiher ilwn kaugh-In Reody Now Will Call ~ z [Yoo musl mll lhe inspMOr wh ready) Doie Ready. I, licensed controctor ? owner here6y request inspeclion of the above eleclrical work at lo Pddrm, (Areel, Bor, or Roub No ) Gry ^ Lp Code Ei2 45i4 SMnon No. Ta»nehip Nome or No. Ronge No. F.e No. Counry puupoint I Phone Na Po+ar Suppliar Address Eletlnml Can r(Compony Nam Ca ~r iame No Moner lic N. (Plom Elect Only) ONO M mmaor or o Performing InsmlbN ~s 5gr, y G.~ Aullwnx Nm onlmdor r Owner Pedorming Imbllahonj Phone No. ~ EBOOOOIA-10 6/95 STATEBOARDCOPY-SEEINSTRIlCT10NSONBp KOFYEl10WC0% ' III I II III REQUEST FOR ELECTRICAI. INSPECTION ~ MinnesoW State Board of Eledricity `~s~~# 1821 Universiry Ave., Rm. S-1~8, SL Paul, MN 55104 3 * 0 P27P-M-9 8 * Phone (612) 842-0500 ~~o y'G ~ Home Duplex Apf. Bldg. Ofher: New Addn 1Commercial Indusfriol Form Remod Re air Air Cond. Htg. Equip. Wa}er Hfr. Load Mgmf. Other. D er Ran e Elec Heat Tem Service 'R' abrne Ihe work covered by this request. Enter remarks in Ihis space and on Ihe back of fhe whde copy only. Calwlate Inspection Fee - ihis Inspecfion Request wdl not be accepted wdhout the mrrect fee: Olher Fee 8 Service EMrance Size Fee 3F Circuils/Feeders Fee Mo6ile Home Park $tall 0 to 200 Amps 0 to 100 Amps $freef Ltg./TraHic $ig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL go Sign/OullineLfg.XSmr. ad.' z0 Alarm/Remote Control $wimming Pool I hereb nm Ihol hnz ened lhe elernical insmllanon asmbed he.ein on the dotm mled Irrigafion Boom Raughln Darc Special Inspedion Fmol onro Investigative Fee ~ THIS INSTALLATION MAY BE ORD NNECTED IF N COMPLETED WITHIN 16 MONTHS. 273 o O 1 ~ OFFICE USE ONLY This mquen.oid 18 mamhs from vvLdmion dale pnnfed in ihis box ~ J ll~D//r eJ kcIJC g-- PLEASE PRINT OR TYPE 4 Reqvesl Da1e 0.augh-in impecfion required2 Yn 0 N. Inspernon Oiher Than Roegh-In: 0 Ready Now Will Call no~ m~.t cen me in:ceno.,.no?,eoaY) oa~e ReeaY I, 0licensed confractor ? owner hereby requesl inspeclion of the above eledrical work at: Jo6 Addresz (Srceel, Bw, or Roule No ) A) 0, Gry Zip Cade LL IntJ •97.4 ro A/t) Sectian N. Townsh,p Nama or No 7 No. Fire No Counry p.pam ~ Phone N. C~ rE Powar SvpPlivr Pddmss Q Elannml Contmno. (Company Nome) Canl~cror limme No. Mosier Lic No. (Plom Elen Only] z c a Mailing Pddress (Conlmdo, or Qvner PeAormine Instollanon) S, Auihonzed n~ ~Co odor or Owner Aorming Insbllalioni Phone N. ~ ~ 22~8 • ~a EB.OOOD1M10 6/95 STATEBOAIiDCOPY -SEEINSTRUCTIONSONBACKOFVELLOWCOPY II I P27 R13 REQUEST FOR ELECTRICAL INSPECTION ~g~ MinnesoW State Board of Electriciry ~s'- ~ 1821 Universi Ave., Rm. S- 28, St. Paul, MN 55104 3 * P hone (672) 842-0800 Co /p ~(p Home Duplea Apt. Bldg Other: JAI New Addn Remod Re air Commercial Industrial Farm 17 Air Cond. Hfg. Equip. Wafer Hir. 141 Load Mgmt. Other. D er Ron e Elec Heaf Tem . Sernce above fhe work cwered by this requesf. Enter remarks in this spoce ond on the bock o( the white copy only. Colcula}e Inspecfion Fee - 7his Inspedion Requesf will not be accepted without the rorred fee: Oher Fee 8 Service Enhunce Size Fee # Circvih/Feeders Fee Mobile Home Park Stall 0 Io 200 Amps 0 to 100 Amps Streef Lfg /Traffic Sig. Above 200 Amps A6ove 0 Amps Tronsformer/Generator INSPECTOR'S USE ONLY JA~ Sign/Outline Ltg. Xfmr. Alarm/Remote Control $wimming Pool I hemb can ihat Iins xxd lectriml insmllaf n cribed hem on Me date s ed Irrigahon Boom Rough-in Daro $peciol Inspedion Fiml Da~ / Investigafive Fee ( THIS INSTALLATION MAY BE ORDE T COMPLETED WITHIN 18 MONTHS. 3 0 5- 3 0 4 OFFIC US ONLY This requexi void 18 months trom.aLdonon date pnnkd m Ihrs box. ~ 99 ~ ~Ol 3 ~ . ~ -PLEASE PRINT OR TYPE li~ Request Cale Rough-in inspe lion req~i.edE es ? No Inspecnon O1her Than Rough-In~ Ready Naw WII Call (Yoo mast coll fhe t~sp<cror ready~ Oote Ready. I, licensed con}rador ? owner hereby request mspecfion of ihe above eledn<ol work at: . 1 6 Pddress (Areel, Bo., or Roule No ) j Gry Zip Cade - Sedion Na Township Name oi Na Ronge N. Fre Na. Caanry Ompam / Phone No PowerSuppier Address Eleanwl Con m Company Name~ Conl r llanse No. Mmter Lic No. (Plam Eletl Only) ~ - ~x? J MaJin dren (Co cmr or Ovmer PeAorming Insbllalion) e~.J F'? Z~ Aulhanx Sign 1ure antracloro, erPedorminginslollanonl EB-OOOOIA-I0 6/95 STATEBOARDCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY ' REQUEST FOR ELECTRICAL INSPECTION B I1~ I I~ I ~~I 121 Uni erstlaty teABearRmf Se28cSt. Paul, MN 55104 3~' * 0 3 0 5 3 0 4 8 t pnone (stz) 642-0e00 q 9 y~ 9 Home upex Apt. Bldg. Othei:' JNew Addn Commeraal Indusfriol Farm Remod Re av Air Cond. Htg Equip. Water Hir Load Mgmf. Other: D er Ran e Elec Hea} Tem . Service "X" a6ove fhe work covered by fha request Enfer emarks m this space and on the back of the whde copy only Cakulafe Inspedion Fee - This Inspechon Reqvest wdl nof be accepled wdhouf fhe corred fee. Olher Fee #E $ervice Enhance $ize Fee # Circuih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Lig./Tmffic Sig Above 200 Amps 6LQva 100 Amps Transformer/Genemfor INSPECTOP'SUSEONLY TOTAL ~ $ign/OvAine Lig. Ximr. ,00 Alarm/Remote Conhol ~Q $wimming Pool I hemb am ~ha~ I tns ecxd Ihe electrical ins srnbed hemm on ~he dohs sloled Irngahon Boom Roogh-ln oofa ' Speciallnspedion oo7h ~ Investigafrve Fee THIS INSTALLATION MAV BE OR DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 3 4 5- 2 0 5?9 0FFIC USE ONLY Thix requesl void 18 monihs !mm volidotan dme pnmed in Mis 6m. PLEASE RINT OR TYPE Request Oa4 Rough-in mspenion reqmred2 Ves ? No Inspacnon Other Than Rough-I¢ ~ Reody Naw Wdl Coll (Yoo musl call the inspenor w en rmdyl D.I. Ready. I, licensed confmcfor ? owner hereby request inspedion of ihe above eledncal work at. -Jo Address (Skeat, Ba., ar Route No I CiN Lp Code 34 4o~ - ,9 ~ L LFJ SecLOn N. Tawnship Name or No Range No. Fve N. Counry Occupant Phone N. Pawer Su Pddress Elen' I tlar I o y mel Co ar license Nos Moskr Lic No. (Plvnf Elecl. Only) Cantmtlar or er PeAommng Inziallaiion ~ ~ f...~ - PeAorming InsMllatan) Phon Ny, AvlF~onxed " ICo rodor or W EB-00001A-10 6/95 STATEBOAHDCOPV-SEEINSTPUCTIONSONBACKOFYELLOWCOPY •II I II II I I I I III II I I I' i II ' REQUEST FOR ELECTRICAL INSPECTION ~ 7 8~1e-~O a\, Mmnesota State Board of Electncity 1821 University Ave., Rm. S)28.7 Paul, MN 55104 * 0 3 4 5 2 0 5 9* Pnone (61 z) saz-oaoo ~j / ce t~' ome Duplex Apt. Bldg. Othe~`~"' New Addn Commercial Indushial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt: 01her: D er Ran e Elec Heat T e m .$ervice "R' above the work covered by fhis request. E er marks m ihis space and on the botk o( fhe white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted wifhouf fhe mrrecf fee- Oltier Fee 8 Service EnhnMe $ize Fee # Circvie/Fecders Fee Mobile Home Park Sloll 0 to 200 Amps CO 0 to 100 Amps Slreet Llg./TraNic Sig. Above 200 Amps Above 100 Amps Tmnsfolmer/Generator INSPECTOR'SUSEOl4Y ~ TOTAL $ign/Outline Lig. Xfmr. ~ Alarm/Remote Confrol $wimming Pool I hrob cern fhm I ~m ened ih lendml Ins~ollaeon dmoibed herein on lhe dola, smiad Irrigahon Boom Roeugh-In Dam Special Inspedion Inves~igotive Fee THIS INSTALLATION MAY BE ORDERED D PLETED WITHIN i O S. 14 OFFlC USE NLY This reqvest void 18 monihs fmm vaLdanon doh pnnled in ihie baa. 21 J - (O~/v>9(o ~"~SL9~ PLEASE PRINT OR TVPE Reqemt Dab ~ Raugh in impxbon reqw~edY Ves N. Inspepion Other Than Rouphln ~ Reody Now WII Call (You mvsl mll Ihe impecmr when rwdy) Dote Raody - 4 9 I, '&licensed contractor ~ owner here6y requesf inspection of ihe above elecfrical work at: lob fddmss (Strcel, Bm, or Rooro No ) r. /u Q Ciry Zip Code 5- 1)4EPM l. L a N 6 ril 5Mion No. To»nehip Name or N. Ronge No. Fiw No Counry pa~po~i Phone No. N E Power SuppLar Mdress Eleanml Commemrr (Compnny Name) ConNacmr License No. Master Lic Na. (Plam Eled Only) G Mailing /ddren (Cammdor or Owner PeAarming Insialimionj 7' N. S Amhofieed Sign m Can or or O+mer P"armng Inswllaeon~ Phone No. . rTf - EB-OOOOIA.IO 6/95 STATEBOAROCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY ' 04, lIl 4~W I I~I II II I~I qEOUEST FOR ELECTRICAL INSPECTION ~5 Minnesota SWte Board ot Electriciry 1821 University Ave., Rm. S-7 8, St Paul, MN 55104 * 0 !27 3 f] 1 1* Phone (612) 642-0800 U/D ~9Co Home Apt Bldg Other. ~ New Addn Commercial Indusfrial Farm Remod Re oir Air Cond Hfg Equip. Water Hfr. Load Mgmf Olher: D er Ran e Elec. Hea} Tem Service 'X' above fhe work covered by this requesL Enter remarics in this spoce and on the back of ihe whde copy only Colculote Inspechon Fee - 7hrs Inspecfion Requesf will not be accepted without the mrrect feeOther Fee # Service EnhaMe Srze Fee # Circui6/Feeders Fee Moblle Home Pork Statl 0 ro 200 Amps 0 to 100 Amps Sireef Ltg./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Genemfor INSPECTOWSOSEONLY T TA $ign/Outline Lig. Xfmr. , Alorm/Remote Con}rol $wimming PoDI I hareb am thot I ins ed Ih Clognmi inswll on described herein on the dales Irrigofion Boom Rough-In Daie Speciallnspection Finol Investigatrve Pee THIS INSTALLATION MAY BE ORDERED D CO TED I NOT COMPLETED WITHIN 18 NTHS. 2 7 3-0 1, 5 181 OFFIC USE ONLY This reqooi void IB manfhs irom wlidanon dak pnnrod in Mrs box , lv~o~y'rv oil PLEASE PRINT OR TYPE Re0ies1 Dure Rough-m inspecM1On reqevedZ Yes ? No Impetlian Other Than Rough.ln Q Ready Now ill Coll i (Yoo mmt mll ihe inspecwr when rwdy) Wie Rmdy: I, Xlicensed confrador ? owner hereby requesf inspection of Ihe above elechical work aF. Job Pddrcss (Slreet, Box, ar Rouk No.) ~ Gry Zip Code L-' L1. #N Senion No To.nship Name or No Ronge N. Fire No. Counry Occupam .EN Phone No. ~1'~ Powar Suppliai Mdrns D '1" Etantlml ConhaOar lCompony Name) Conlrotlor Licenae No Masw lic No. (%ant Eled. Only) CA p / D Moiing me~ (ConM1acmr oi O«ner Pedorminp Insbllmion) R S. ..E• L.S• /17,(l. a f<J' Aullwnzed $ignaW (Conlrvtl or O«mr Pedormi Inslallanon) ihona No. . A lf ` L E60000IA-10 6/95 STATEBOARDCOPV- SEEINSiPUCTIONSONBACKOFYELLOWCOPY II ( I i ~l REQUEST FOR ELECTRICAL INSPECTION ~ Minnesota State Board of Electricity ~T=, * 0 2 7 3 0 1 5 8* Phone1612)$G42-0800 m~ /v s~ aut, MN 55704 Home Duplez Apt. Bidg. Olher: New Addn Commercial Indushial Farm Remod Re air Air Cond. H}g. Equip Water Hir. Y_j load Mgmt Olher D er Ran e Elec. Heat Tem . Service 'X' abave the work covered 6y this request. Enter remarks in Ihis space ond on the back of fhe white copy only. Calculate Inspection Fee - ihis Inspection Request wtll not be occepted without the corcecf fee: Ollier Fee # Service Enhance 5¢e Fee # Circuih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 700 Amps Sfreel Ltg./TraHic $ig. Above 200 Amps Above,100 Amps (1~~ T~A TransiormedGenerafor INSPECTOR'S USE ONLY Sign/OWlme L}g. Xfmr. U o~ 7.50 Alorm/Remofe Control $wimming POOl I harob cerM1 that I im M< acmml Inshllahon dexnbed herein on tha d.t.,,,IWA Irrigation Boom Ro~rgh-In ooro Special Inspedion ~ Final ~ 1 Inves}igative Fee THIS INSTALLATION MAY BE ORDERED DISCON I NOT COMPLETED WITHIN 1 ONTNS. 27 3- 016 lfl OSCNLV This rryueel wid 19 months (mm wlidonon dok pAnmd* th b Y ~ / w PLEASE PRINT OR TYPE Requm10a1e Roogh-in inspecnon eequired2 Yes ~ No Inzpec6on Other Thun Rough-In. Ready Now Wd1Call (Yo. moer mll Ihe insvedor when reody) Du1e Reodp I, W-licensed <oniractor ? owner hereby requesl inspedion of ihe above electricol work at: Lp Code lob Pddrev ~SVea1, BaF, or Rouro No.) Ciry -/^l /1 c /v $enian Na Township Nome or N. Range N. , Firo No. Caunry Orcupant Phone No. ~ E Po.wr Suppliar /ddress Eiaddml Cammnor 1Compony Namel Conhoctur liame No Moeler Lic No. (Plenl Elea Only) 414 1~7R MmLnp Addreu (eonl.anor or Owner Pedorming Inslallanm) lwtMrized Sie~ ~1ro o er PeAorming Insmllanon~ Phona No. ~ 7a' S~- EBOOOOIA-106/95 STATEBOARDCOPY-SEEIN5fHUCTION50NBACKOFYELLOWCOPY ~II I I~ II II II REQUEST FOR ELECTRICAL INSPECTIO~O ~ Minnesota State Board ot Eleciricity -,'~F~ 1821 s 0 P27 3 0, 6~ Phone Univers642ity m -1/OS~ aul, MN 55704 S~' Home Duplez Apt. Bldg. Other.r New Addn ' Commercial Indusirial Farm Remod Re air Air Cond. Hfg. Equip. Water Htr. Load Mgmt Other: D er Ran e Ele<. Heat Tem . Service "X" above fhe work covered by fhis requesf. Enfer remarks m this spoce and on the back of ihe whrte <opy only. Calculate Inspechon Fee - This Inspechon Request wdl not be aaepted wdhouf the correcf fee: Other Fee ,Y Service Enhome She Fee # Circvih/Feeders Fee Mo6ile Home PaAc S}all 0 fo 200 Amps 0 to 100 Amps Sireet L}g./TraHic Sig. Above 200 Amps Above ) 00 Amps Tmnsformer/Generator INSPECTOP'SUSEONLY ~ TOTA -y ~ $ign/Outline L}g Xfmr. ~ ~ / . J D Alorm/Remote Control SwimmingPooi ihereb«n seed <<iea~~iopae onlhedat d Irrigalion Boom koij DoK Special Inspedion inal Do Inveshgafive Fee ~ THIS INSTALLATION MAY BE ORD IF NOT COMPLEfED WITHIN B MONTHS. 273- 017 ~ OFFlCE USE ONLY ihis repoest .oid IB montha fmm vaLdaeon dole pnmed in thB bm. PLEASE PRINT OR TYPE 13/ Rryuesi DoN Rovgh.in ilup n reqwredY Ya ? N. Impecnon 01her Thon Rough.ln Q Rmdy Now Will Call (Yo~ mm~ coll tha impedor .han ~mdrl Doro Ready: I, Vlicensed confractor E] owner hereby request inspection of ihe a6ove eledrical work at Job Pddrca (Streep Bo:, or RoWa No ) Gy Lp Code S t- o , 6 Al Seaion No. Townzhip Name or N. Range No. Fro N. I Counry p~apo~~ Phone No. C~~u r x Pownr Supplie^r r.aa.e., 1"f 4 Confrowr Lcerue Na aeter Lc Na (Plom EIeO. Only) Elecmml Cannacmi (Compony Name) M MaAi~g Pddress~nvocpr ar O.mer PeAormiig Inswllaiion) ar~uj s' _ E- lS• - .s5 lwfhonxed Si m odor or Owner Pe orming Insbllabanj Phone yN^o. EB-OOOOIA-106/95 STATEBOARDCOVY-SEEINSTNUCTIONSONBRCKOFYELLOWCOPY IIIII 11I II II REQUEST FOR ELECTRICAL INSPECTION,~jp U Minnesota State Board of ElecUicRy 4 1621 University Ave., Rm. 5-128, SL Paul, MN 55104 Y~~ * 0 2 7 30 117 4* Phone (812) 642-0800 Apt. Bldg. Other: New Addn I 1 Hame Duplex Commercial Industrial Form Remod Re air Air Cond. Hfg. Equip. Wafer Htr. Load Mgmt. Other: D er Ran e Elec. Heat Tem . Service 'X' above the work covered by fhis request Enfer remarks m fhis space and on the back of the whife mpy only. Colculate Inspection Fee - This Inspecfion Requesf will not be accepfed without the correcf (ee: Olher Fee # $ervice EnhaMe $ize Pee ,B Cirai~/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Areef Ltg./Tmffic Sig. Above 200 Amps 10 Amps Tmnslormer/Generafor INSPECTON'SUSEONLY T TAL / Sign/Ovtline Ltg. Ximr. ~ aC~ -J Alarm/Remote Confrol Swimming Pool i her.b «m ihoi i nso~oa ~ n de.cnb.d nemio on ros dab. UW/l Irrigation Boom Rough.in oare Speciol Inspecfion ~J Fml Investigafive Fee THIS INSTALLATION MAY BE ORDERED D ONNECTED I COMPLETED WITHI 1 ONTHS. 27/~ ~ 0~~ ~ This requesl void IB moNhs from .alidonan dofe pnn in_Ihis kpi J . PLEASE PRINT OR TYPE Reqoesr Daro Raugh-m inspenion requmedi Yo ? No Inspeaion OfherThan Roogh-In: ~ Reody Now Will Call 6_ ~ (Yau muzt mll the inspeeor whmmody) Data Ready I, Klicensed conlrador ? owner hereby reques} inspedion o# the above electricol work ot: Jab Pddress (Streel, Bax, ar Rowe N. I Ciy Lp Code 3 e D,U C A Sedion Na iownship Name or Na Ran9e N. Fira N. Counry ,uponr~ -r~ Phone N. Po»xr5upplier Address o -r Elendml Commcror (Campony Nome) Conlmnor Lcenae No Mazler lic N. (Plam Ben. Only) C LEC C 0 ! / Mailmg Address (Cantmclor or Owner PeAormmg Insmllmion' g1 . R/,E. I'YI l,s, N. &VI Authanzad Sip re Com nor or O PeAorming Instollanonl I Phone N. ~ ~ 7~ -37a 9 EB-OOOOlA10 6/95 STATEBOAFUCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY k1~I~lI I I~I II REOUEST FOR ELECTRICAL INSPECTION ,1r7n;'.~4r innsota SWte Board of Electricity 1821 University Ave., Rm. 5428 SL Paul, MN 55104 D 2 7 3 0 1 8 2Phonr-'612) 642-0800 Home Duplez 1 Apt. Bldg. Otl~ ' New Addn Commercial Indusfrial Farm Remod Re air Air Cond. Hlg. Equip. Water Hfc Load Mgmt. Other: D er Ran e Elec Heaf em .$ervice "X" above the work covered by this request Enler remarks in this space and on Ihe back of the white copy only. Calculote Inspechon Fee - ihis Inspection Request will not be accepfed without the correct fee: Olher Fee i Service EMrance Sae Fee # Ciraiils/Feeders Fee Mobile Home Park $toll 0 to 200 Amps 0 ta 100 Amps $freet Lig./TraHic Sig. Above 200 Amps Above 100 Amps Tmnsformer/Generator INSPECTOR'S USE ONLY TO:rA $ign/Oufline Lig. X(mr. ~ UJ IJ Alarm/Remole Con}rol $wimming Pool i he.< <en mm i i me .iaerWi in.wnonon dnonbed he.ain on me dok, Irrigafion Boom kough-in Special Inzpection nal / Investigo}ive Fee THIS INSTALLATION MAY BE ORDER ONNE D IF OT COMPLETED WITHIN 8 NTHS. ^U~ONi^ This nquest void IB momhs fmm .obdanon doro prinied in ~g~~~ 27^ 7024 3 O °v- oi o PLEASE PRINT OR TYPE Requext Dob Rough+n inspaci~on requiisdY Vu ? No Inspecl~on Olher Than Rouphlm 0 Rmdy Now Will Call ~ (You mwl mll fie impemr wher ready) Doie Ready: I,-~Ilicensed conhacfor owner hereby requesf mspecfion o{ Ihe above elednml work af: lob Mdreu (Sheet, Bo., or Raule Na ) Gry 21p Code S SS Ue L1.1 f , ' AA/ Semmn Na. Township Noma or No. Ronge No. Rn N. Covnry pccupant Phone No. c6ti~f-Ex Pawer Supplier Address D D Elenncal Conhacror (Company Nomer) n Conlntlor Gcenu No. Masxr L[. Na. (%am Eled. Oniy) ~ C.- Moil g Mdmsa IContmnor or O.mer Performtnp Inamllanon) ~ ,1-1114 s . ls• V< Auihonzed g m l ntmtlor or ner Pedormmg Insiollaeonl Phone Ny/o~ f~ CJ . EB-OWOIA-10 6/95 5fATEBOAROCOVY-SEEIN5fRUCTION30NBACKOiYELLOWCOPV III~III ~I II REDUEST FOR ELECTRICAL INSPECTION.S~ ~ Minnesota State Board of Electricrty < * 0 2 7 3? 2 4 0 s 1821 University Ave., Rm. S-1 8, $L Paul, MN 55104 Phone (61?).542-0800 69110ff Hame Duplez Apt. Bldg. Other New Addn Commercial Indus}nal Form Remod Re air Air Cond. Htg. Equip. Wafer Htr. Load Mgmf. Other: D er Ran e Elec Heat Tem . Service above the work covered by this requesf. Enter remarks in this space and on the back of the white copy only. Calculate Inspechon Fee - This Inspection Request will not be accepted without the correct fee: Olher Fee # Service Enhance $ize Fee # Circuih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Streef Lig./Traffic Sig. Above 200 Amps 00 Amps Transformer/Generator INSPECTOH'SUSEONLY ~j T~TAL Sign/Ouiline Liq. Xfmr. a/ Alarm/Remofe Confrol $wimming Pool I hereb cen~ ~hm I ins «i ~ e «incal msmllano desmbed here on ihe dmee :mi Irrigation Boom Rough-In Dak $pecial Inspecfion InvestigaM1ve Fee Final 7HI5 INSTALLATION MAY BE ORDERE CONNEC F OT COMPLETED WITHI 8 MONTHS. 27 _ 0(~ ~ ~ Ic,~ UDSE LY This request.aid I B monlhz Gom validmion doM pnmehis oa J G J - c PLEASE PRINT OR TYPE ~L Requast DoM Raogh-in inspenion reqwredT Yes ~ No Inspechon OlherThon Rough-In: 0 Ready Naw Will Call 96 (You m. n mll ~he impMOr whm mody) Dare Feady 6- q, I,,kli<ensed coMrador ? owner hereby reques} inspedion of the above electrical work ah lob Pddresz jStreel, Bax, or Rowe N. I Ciry Ziv Code 26S7 Lz e , M E h'a AAI Setlion No. Township Nome or Na Ronge N. Fme No Cwnly OfmPam E Ai -n~~ x Phone No Power SovPlier Pddrexs ~4fk D 7- El~ncal Conkocror (Company Name) Canhatlor License No. Master Lic N. (Plom Eled Only) 4.~4,~c~ CL~Ct C Cl~D D Mo Lng Addmss (Cont dor or Owner Pedo.min9 InstallaM1On) R s. NE • Ls< . s.~s~3 AuMonzed i N Con cror or Ow PeAorming Insrollanon) Ph~~ .37A 9 EBOOOOIA-106/95 STATEBOARDCOW-SEEINSTRUCTIONSONBACKOFYELLOWCOPV II~ II I II~ I~ I II ~i REOUEST FOR ELECTRICAL INSPECTIONS~~'~~ Minnesota State Board oi Electriciry 1827 Un` Nersity Ave., Rm. /1 Paul, MN 55104 * 0 3 0~ * Phone (612) 642-0800 iy o Home Duplex Apt.8ldg. Other. New Addn Commercial Industrial Farm Remod R. air Air Cond. Htg. Equip. Water Htr. load Mgmf. Other: D er Ran e Elec, Heat Tem Service "k' above the work <overed by tha request. Enter remarks in this spoce and on the back of the whife mpy only. Calculafe Inspection Fee - 7his InspeUion Requesf will not be ac<epted wifhout the correct fee: Olher Fee # Servirn EMrance S¢e Fee # CircuiWFeeders Fee Mobile Home Park $tall 0 fo 200 Amps 0 to 100 Amps Sfreet Ug./fmffic Sig. Above 200 Amps Above 100 Amps Transformer/Generafor INSPECTOR'S USE ONLY TOTAL Sign/Outline Ltg. Ximr. Qp •~0 Alarm/Remote Control Swimming Pool i heneb can,fi thm i ~m dand~ai uanen de:adbed he.,~n on ihe dabe si ~d Irngation Boom Raugh-ln oma Special Inspecfion Firol Imestigafive Fee THIS INSTALLATION MAY BE ORDERED ONN CTED IF T COMPLETED WITHI 18 NTHS. 27.3-0 n OFFlCE USE ONLV Thu requal void IB monlhs fmm wLdonan dok prinled In this b ~ PLEASE PRINT OR TYPE Rpws~ Da~e Roogh-in impedian requtred2 ~Yes ~ N. InspecLOn Oiher Than Raugh-In Q Reody Now Will Coll ~l'ou musl mll ihe mspenor when readYl Oafe RaadyI, )k licensed conirodor ? owner hereby requesl inspeclion of the above eledriml work al: Job Pddress (Sheei, 9a., or Roub No.) Gry Lp Cade 3 L E N Secrion No. Township Name o. No. Range Na ~ Ftrc No Counry Ocaponl Phone No PowerSupPlier Mdress Elecmml Conwmr (Company Name) Cammnor Gceme No. Maskr Lc. No. (Plont Elxf. Only) Maili Iddmv ~CammM or Owne. eAoimirg Insialianon) ~ ~ , u Amhonzed Sipna ~m or Owner ormi~g Inswllueon) Phane~ EB-OOOOlA-10 6195 STATEBOAIiDCOFY-SEEINSTflUCTION50NBACKOFYELLOWCOPY II I I II I I I II REOUEST FOR ELECTRICAL INSPECTION c~FIV . MinnesoW State Board ot Electricity ~ 1821 Universiry Ave., Hm. S4 30 , SL Paul, MN 55104 ~ * 0 2 7 311 2 2 4* Phone (612) 642-0800 ~y Ip / Home Duplex Apt. Bldg 11 Other New Addn Commercial Industrial Farm Remod Re oir Air Cond. Hfg. Equip. Wafer Hk. Lood Mgmt. Other. D er Ran e Elec. Heat Tem . Senice "X" above the work cwered by this requesf. Enter remarks in this space and on the back of fhe white copy only. Calculate Inspection Fee - ihis Inspecfion Request wJl not be accepted witFrout the correct fee: Olher Fee Service Enfrance Sae Fee ;Y Circvih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 01 100 Amps $treef ltg./froffic Sig. Above 200 Amps Above 1 Amps Tmnslormer/Genemfor INSVECTOR'SUSEONLV O TQTAL Sign/Oufline Lfg. X{mr. S 7,.51 Alarm/Remote Coniml $wimming Pool I hereb wni Ihal l in,p.~d lhe decmwl in:wl non de:mb.d he.ein on lhe dama s ed Irrigation Boom Rough-In Doi $peciol Inspedion ~y Inves}igafive Fee /.E(] . THIS INSTALLATION MAY BE ORDERE ISCO CTED NOT COMPLETED WITHI e NTHS. 273-0 ~ ~ OFFIC~ USE QNLY This req~est.roid IB monihs from volidalion dole pnn is bgt~ ~ i: Si - ~S1/7 ~ PLEASE PRINT OR TYPE J44,61 Hpuui Dok Roogh-in insperion required2 Ym 0 N. Inspectmn Oiher Than Nough-ln. 0 Reody Now Will Call ~You musl coil the mspecfor when rcadyj Dofe Rmdy I, licensed mniracfor ? owner hereby requesl inspeclion of the above elechical work oh !ob Pddmv (Stren, Bm, or Raufe Na.) Gty Zip Code C N Senion No To.nship Nome or No. Ronge N. Fire No Covnry OccupantC~ Plwne No YowerSuppLer Pddmss Elechiwl Conhodor (CompanY Nome) Comrador Lmense No. Masier Lic No. (Plom Elen Onlyj E - C Nwiing Pddm~ (Convotlor ar Owner Pedorming Insbllolion) ~ ~ rl Mg, ` Futlhonxed Sg on r or Ownar Pe ing Insmllatan) PhoneNo. 3 EB-OOOOIA10 6/95 STAiEBOARDCOPY-SEEINSTHUCTIONSONBACKOFYELLOWCOPY III~I II II II III REQUEST FOR ELECTRICAL INSPECTION59' Minnesota SWte Board of Elechiciry s 18 21 University Ave., Rm. S-1 8, St Paul, MN 55104 * 0 2 M73 p 2 6* Phone (672) 642-0800 XI Home Duplex Apt. Bldg. Othe,r. New Addn Commercial Indusirial Farm emod Re air Air Cond. Hlg. Equip. Water Hlr. Load Mgmf. Other: D er Ron e Elec. Heaf Tem . Service "X' above the work covered by this request. Enter remarks in Ihis space ond on Ihe bock of fhe white copy only Calculote Inspection Fee - 7his Inspecfion Request wdl not be accepted without tbe correct fae: OHier Fee # Servire Entnnce Size Fee S Circvih/Feeders Fee Mobile Homa Park Slall 0 to 200 Amps 0 to 100 Amps Sireet Lig./TraH¢ Sig. A6ove 200 Amps Amps Tronsformer/Generafor INSPECTOR'SUSEONLY TO A Sign/Outline Ltg. Ximr , UU , j Q Alarm/Remofe Confrol $wimming Pool I hereb cem thar I ins ' wllmmn desrnbed heran en ihe danee : Irrigation Boom Rauph.ln Dak $pe<ial Inspedion Ftnol ~ re Invesfigative Fee . THIS INSTALLATION MAY BE ORDERED SCONNECTED NOT COMPLETED WITHIN 18 ONTHS. 2 7^ m~/~ 0 ~ OFFIC~ UOSE QNLY This repvest void IB monfhs (mm valdcmon doh prini ~ 1 3 L PLEASE PRINT OR TYPE Requesl Dok Rough-in mspxnon .equiredt Yas ? N. Impwmn Other Thon Rough-In: 0 ReodY Naw ~W~II Call (Yo.must mIi Ihe inspeeor when rmdy) Daro Reody. I, `FL licensed conlroctor ? owner hereby request inspeclion of fhe above eledrical work at: Job Pddrm (Lree; Boe, or Roufe No ) q-111. Lp Coda 3 ILL I Senion No Township Nome or No. Rnnge No. Cwnry O.pon~ Phane Na. ~ Power Supplier Addmss Elennml Commtlor (Campany Name) Convoaor. 6anae No Muahn c~. N. (Plam Eletl. Only) - ~ C,4 i/0 MoiLig Mdrns IContramr or p«ner Pedorming Inskitanon) l f/ ~ /71 S. lwfhonx= ar Ownar P orming Inswllanon~ Phone No. EB-00OOIA-106195 STATEBOARDCOPV-SEEINSTRUCTIONSONBpCKOFYELLOWCOPY IIII II p I I 1111111111111111 REQUEST FOR ELECTRICAL INSPECTION 5 Minnesota State Board of ElecViciry 1821 Universiry Ave., Rm. S-128, St. Paul, MN 55104 * 0 2 7 3 0 9* Phone (612) 642-0800 (p Home Duple: Apt. Bldg. Other: IJew Addn Commercial Indusfrial Form Remod Re air Air Cond. Hfg. Equip. Water Hir. Load Mgmt. Ofher: D er Ron e Elec. Heat Tem $ervice "X" above the work <overed by this request Enter remarks in fhis space and on fhe back of fhe whde <opy only. Calculafe Inspection Fee - 7his Inspedion Request will nof be occepted wdhout the mrrect fee: Olher Fee # Service Enhance Size Fee # Circvils/Feeders Fee Mobile Home Park Stall 0 10 200 Amps O to 100 Amps Sheef Ltg./TraHic Sig Above 200 Amps Above 100 Amps Transformer/Generator INSPECTON'SUSEONLY ~ TOTA ! Sign/Oulline Ltg. Xfmr. J . ~ Alarm/Remote Control Swimming Pool i he.e mm ihm 1 in.. <e I in.mllon hisr. on iha do ied Irrigation Boom Rouyh-In D. $pecial Inspection Funai i ( Investigafive Fee THIS INSTALLATION MAY BE ORDERED D ONNECTED IF b(OT COMPLETED WITHIN 18 Me)NTHS 2 1 3- 019 16 OFFICE USE ONLY Thn rei void IB momhe fmm.aLdaean dore pnmed in thia bai. . PLEASE PRINT OR TYPE Reqwst Dab Ra,ghin impeamn requlmd2 Ym ? Na Inspecnon Olher Than Rooghln: ~ Raody Now Will Call ~ (You must mll lhe impetlor whe reody) Da~e Ready. I,xlicensed contmctor ? owner hereby requesf inspedion oi the above eledriml work at: lob Pddras (Strxt, Boa, or Nouk No ) Gry Zip Code L[ ~ N~ SM~an Na. Tawnship Name or No fange No Firo No. Covnry Oaupam r^ I Phone N. G N Power SupPliar Addnss Fennml CantmMr (Company Name) Connaaor Lcense No Maslar Uc. No. (Plant Eleo. O.Iy) )-AzEk 4~~tp:c:T C Mailinp /ddmes (cemmaor o, o.ner reeo,mine in:mumion) ~ . 45. &s. . Fw~honzad ig (Ca aor ar er PeAormvg Insmllo4on) Ghone No - (:9 -3 7a9 EBOOOOIA-10 6/95 STATEBOANUCOPV•SEEINSTNUCTIONSONBACKOFYELLOWCOPV I II I II I I II I IIII REQUEST FOR ELECTRICAL INSPECTION "T9CT'„y9~- Minnesota State Board of Elecniciry ~ 1821 Unive * 0 3 p 1 9 0* phone (6rsity 642-0800 m. S- 28, St. Paul, MN 55104 Home Duplex Apt. Bldg. Olher: New Addn Commerciol Industrial Farm Ramod Re air Air Cond. Htg. Equip. Waler Hfr. Load Mgmt. Other. D er Ran e Elec. Heat Tem $ervice 'X" obove the work covered by Ihis request Enfer remarks in tha space and on fhe back of the whife copy only. Cakulate Inspecfion Fee - 7his Inspecfion Requesf will not be ac<epted without Ihe corcect lee: Olfrer Fee # $ervice Enharce Size Fee # CiraiS/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps $freef Lig./Trof{ic Sig. Above 200 Amps Above 100 Amps TronsformedGenerafor INSPECTOR'SUSEONLV T,(p~'TAL Sign/Oufline Lig. X{mt. ~~Q 6n . S 0 Alarm/Remofa Control $wimminy Pool I herob cem that I ins eded Me eienncal inxiallaeon deecnbed herein on the dok, sbl Irrigafion Boom Ro,,h-in Deie $peciallnspection final - tv Invesfigafive Fee / THIS INSTALLATION MAV BE ORDEHED TED IF OT OMP ETED WITHIN 1 THS. CER TIFICA TE OF SUR VEY , (81480) 810.3 (817A TC) i ~ (816.7 TC) ~ m I r,T ~ S7 m 40 28,, ,o Proposed LOT 4 8"F Curb & Gutter i -A (816.2 TC) p \ ~ 2 .49 (814.60) ~ Cti Big e rHro~?BBt- ~~d~ ` 814.3 ~~._1' ~ e / teuo ( I r\~ , ~L 8 i.tra l aro /ga A. _ / ~'b a~.~ . 36g "apt'S;-' 3! i ~ 4 9 p Street I ~ P~~PO °w' i~ " ~ v.v l'' ~ ; SPa ~y 36 - M .4ddress (Typ.) °b h yl~ ~ I ~p~opoSe~til fom y G'po.e ~ '3645 (co,. i ~17.73665 3663 / ~ ` 8jB5J l `lM 1 I ry \ I 563/376 `t` , / 'eva s ' aaI I ,36 ~ ! ~ ~ Ov '4 r $ ~ 1 365S - r lh r r rp• ,Be\ I 810.3 S,¢02g'JB.. oo O (8t8.t Tcl i,'`O ne lr ~p,~_ I ~ "Proposed ~ Curb & Gutter 0 (ai7.zTC) ~ h >O• . ~ ~ (876J TC) GRAPHIC SCALE (81e.50) O ~ 816.0 f ao o 15 ao Too of Irons @ Offsets u; AO 71.00" 0(/set 81760 I JZ %l ( IN FEET ) O 1 inch = 30 [t. 11.00' Offset 818.28 ~ \ fl (D 77 67' Offset 817.18 I ~ h~A N OD 11.00" Offset 816.80 ~ v E D EO 71.00' Offset 816.86 l i 3Y O 17 67" Offset 817 \ IDS \ LEGAL DESCR/P110N: soa.o denotes San. Serv. lnv. Lot 4, Block J, CENTEX VERMlLION, occording to the recorded plof fhereo% Dokofa Counfy, Minnesota. (904.0) denotes proposed elev. 904.0 denotes existing e/ev. denotes surface drainage rop o( Block= 878.9 Gar. Floor= 818.5 REOUFSTED BY: • Denotes iron monument Iound CENTEX HOMES O Denotes iron monument set Deorings based on assumed dotum. I hereby cerfi/y thot this survey was prepared . weBtWOOd Professional Services, InC by me or under my direct supervision and that 74780 West Trunk Hwy. 5 ! om o) dvfy Registered Larid,SJrveyor under the Fden Prairie, MN 55344 lojys o% the Bfate o/ Mrn'esoto. (672) 937-5750 Martin J lUeber, R.L.S. Registrotion No. 72043 Urawn by MS Dote: 414196 Job No: 95812 BId 00 PERMIT c~55540 CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BUILDING Eagan, Minn2SOt8 55122-1897 Permit Number: 0 2 7 3 2 0 (612) 681-4675 Date Issued: 0 9/ 2 2/ 9 6 SITE ADDRESS: 3643 VERMILION CT N LOT: 4 BLOCK: 1 CENTEX VERMILION P.I.N.: 10-16935-040-01 DESCRIPTION: Building~Permit Type 12-PLEX jBuilding Work Type NEW UBC Occupancy., R-1 U-1 Construction Type V-N ~ 2oning ~ R-3 ' Building Lengzh 168 ~ Building Width 70 Building stories 2 ~ -"CenSUS Code-~.~ 105 5 OR MORE FAMILY REMARKS: INCLUDES 3645 3647 3649 3651 3653 VERMILION CT N 3655 3657 3659 3661 3663 3665 S& W- PlYMOUTH FEE SUMMARY: VALUATION $881,000 Base Fee $4,506.50 CITY SAC $1,200.00 Plan Review $2;253.25 WATER CONNECTION $9,120.00 Surcharge $440.50 S & W PERMIT $100.00 SAC $10,800.00 S & W SURCHRRGE $.50 SAC ~ 100 TREATMENT PLANT $4,752.00 SAC Units 12 ROAD UNIT $5,160.00 Subtotal $18,000.25 Total Fee $38,332.75 CONTRACTOR: - qpplicant - sT. LIC.OWNER: CENTEX CORP 19367833 0001333 CENTEX HOMES 12400 WHITEWATER DR 120 12400 WHITEWATER OR 120 MINNETONKA MN 55343 MINNETONKA MN 55343 (612) 936-7833 (612)936-7833 I hereby acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. - . J fl}:~ f rn APPLICANT/PERMITEE SIGNATURE IS U D B SIG TUR ~ M CITY OF EAGAN Sa 01995 BUILDING PERMIT APPBCATION (RESIDENTIAL) 681-4675 ^-nfl~q-jry c~a~ New Gonstruction Reouircment~ Remodel/Reoair Reouiiemants Yi a)-( io lGti ? 3 repis[ered afte wrveys ? 2 coPies of plan Ot ? T copies ot pWna (indude beam 8 window eizes; poured fid. design; etcJ ? 2 site surveys (exterlor atltlitiona & decks) ? 7 enerpy calWlations ? 1 energy ealwlations for Mated addRions ? 3 copks of Uee pieaervation plan 'rf lot platted efter 7/1193 requhed: _ Yes _ No DATE: 4I319f0 CONSTRUCTION COST: °C~'O' c>c;, DESCRIPTI ON OF WORK: 12E f-~ -Fu- 'c GCuoeuir STREET ADDRESS: 3U4 3- Ve ~rn i I it~-n C' c uc-t til of E~ odcC ~`s~ j3~~¢ i o. LOT 4_ BLOCK I SUBD./P.I.D. (0 -D IJG1') - 01 l-51 PROPERTY Name: C e~r1{-2K 1-lorneS Phone q~`~833 OwNER uc* rw. Street Address• 12qL W N41Ew112- bP- • 5~ t Zo City: M State: m t-4 Zip: S5'~ 3 CONTRACTOR Company: I-10n.«S Phone #:JON'i WO-541Ly ST6 l2D D.P. (o~Q-72Ss Street Address: 124m txJH i'rc~~~ l~ License i3 Ciry: nA7-Ka State: uN Zip. SS-M3 ARCHITECTI Company: ~N ~~X 1~lOn.~ES Phone ENGINEER Name: ~aJ"J WN~~Y Registration M 012069 -9 Street Address 6R' ! S'L t 20 City: ~XT"Y-R State: V-A ti( Zip: 55 29,3 Sewer & water licensed plumber: PL~ NtOu-TH penally applies when address change and lot change are requested once permit is issued. 435--1 I hereby acknowledge that t have read this application and state that the infortnation is correct and agree to comply with all appiiqble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ ~ OFFICE USE ONLY ZYes RECE~dE~ Certificates of Survey Received _ No APR ~ p Sgg6 Tree Preservation Plan Received _ Yes No OFFICE USE ONLY ' a . ~ ~ t. BUILDING PERMIT TYPE • , 0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish a 02 SF Dwelling ? 07 4-piex o 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch ~09 12-plex o 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE ,EY~-31 New ? 33 ARerations ? 36 Move 0 32 Addition ? 34 Repair o 37 Demolition k(qcLS ai^~ GENERAL INFORMATION Txc y ~"oo -rN7° z- Const. (Actuai) Basement sq. ft. ~ MC/WS System (Allowable) Main level sq. ft. Ciry Water G~ UBC Occupancy sq. ft. ~.9ss 5` Fire Sprinklered Zoning 2-3 sq. ft. PRV # of Stories z No or.>) sq. ft. Booster Pump Length i& 6 sq. ft. Census Code. a s Depth 70 Footprint sq. ft. SAC Code Census Bldg / Census Unit ~ APPROVALS Planning Building Engineering Variance Perrnit Fee Valuation: S "Ildw Surcharge / Plan Review License MCNVS SAC ~ City SAC Water Conn. Water Meter Acct. Deposit S/W PermR S/W Surcharge ~dv Treatment PI. ~ Road Unit Park Ded. Trails Ded. T. Other Copies Total: % SAC SAC Units /L , CENT'ExHOMES, Drst9ncJlivfalue Bwlt lirrtumumnv. ~ 1 . . I Mr. Joe Voels City of Eagan Plan Review Department Dear Mr. Voels, This letter is to inform you that Centex Homes of Minnesota, will be using ihe eacact same plans for the layout for build'mgs 1-10 and buildings 12-14 (exclud'mg building 11) as were used on Lot 5 ia Vermilion Carriage Homes. None ofthe structural build'mg components, HVAC, plumbing or electrical will change from Lot 5 engineered drawmgs dated 09-11-95. Regards, . John Lovelette ' Field Manager Centex Homes, Minnesota Divison f i , , I 12400 Whitewater Orive, Suite 120, Minnetonka, Minnesota 55343 _ Builders License N1333 (612) 93E7833 FAX (612) 936-7839 LOT SURVEY CHECKLIST FOR RESIDENTIAL . ILDING PERMIT APPLICATION PROPERTYLEGAL ` DATE OF S : LATEST REVISION: m DOCUMENTSTANDARDS W'o ? • Registered Land Surveyor signature and company W" 0 ? • Building Pertnit Applfcarrt e-13 ? • Legal description 0 ~ 0 • Address ? • North arrow and scale e-'13 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) a-'0 ? • Directionai drainage arrows with slope/gradient % ff'~ 13 ? • Proposed/exdsdng sewer and water services & invert elevation ? • Street name B~ ? ? • Driveway ELEVATIONS Ebsdn9 7'13 ? • Sewer service (ar Proposed) ~ ? • Property comers •Er~0 ? • Top af curb at the driveway o Cr--o • Elevations of any existing adjacent homes Proposed 15-'13 O • Garage floor ff-'13 0 • Frst floor Er~Q ? • Lowest exposed elevation (walkouMNindow) Er- ? ? • Property comers 2-113 ? • Front and rear of home at the foundation PONDING AREA fif aoolicable) o rT'? • Easement line D Pr' ? • NWL ? 2,- ? • HWL ? 0--0 • Pond # designation o tT' ? • Emergency Overflow Elevation DIMENSIONS er'? ? • Lot IinesBearings & dimensions .C' ? ? • Right-of-way and street width (to back of curb) 2r-13 ? • Proposed home dimensions inciuding any proposed decks, overhangs greater than 2', porches, etc. (i.e. ait structures requiring permanent footings) a~ ? ? • Show all easements of record and any City utilfies within those easements Q--- ? ? • Setbacks of proposed strudure and sideyard setback of adjacent ebsting strudures ? • Retaining wall requiremenfs, if a Reviewed: Nam / at Jenuary 1996 cR0W7aae6Ln0vnna.Fra 7_._ ` , . - - ` - VAlVE ~ LOWEST - I ~ _ _ - i FF=878.9 ; - : LOWEST '---1---~,-- FF=820.0 8", 45' BENp \ 3" DIP SERVICE (TYp,) I i LOWEST ~ 6" PVC SERVICE (TYP~ I • I FF=877.4 wYE-t+83 i , .-._L- , 814.0 ; + 1 ~ , 1MYE=0+75 ! ' - ^ 3 811-0 4 MH-5 ~ - I - MH-3 ? _ DO ~ (Typ.) H_4 J_ r ~.~~'P ~814.1 ) WYE~1+35 f ~ ~ ~ ~ wvE=o+73 i i i e~4.~ ~ ~ LOWEST wrE-1+cm I ~ FF=820.5 LOWEST - { I - F F= 8 1 9. 2 ~ I I T6 -12 C!TY Qr? GAfaAfV )C1' ~ , + r LOWEST 7~;E t`.CCU I~:..-",C Y .Q~ :IRA~ITLE - i~ I----- FF820 ~LfiY LOCpTIONS AK LE n rIO~fiI~ ~ c. 113 ' ~ A. IS FC~ ~ J PUf AP P~~SUi~'~ f uc- TH~ (yFi$,~1f ULD 1~ ~ !Rt'ORiE~AT10 1rY E ~ 1 ' ~ , . ~ ~ 4 ~ i VERMILI QN COURT NOR~: ~ FINISHED C ~ OVERI wM. \L GRA~DE ~ ; • " ~ ` --i-ft'15-Ei UIi; N;%~Iii• . 1,.5' MIN. C VER i ~ . _ i - - - J. _ - - ~ i . PAY I II I - - DEPTFI ~ ! I _ _ - - _ - - _ . - 170'- . ~ _-_s---- Ln. i - - - - ~ - U) ~ MH--5 ~ I S I A. 45+26 ~ M - - ~ 1 RF = 816.9 ' . ~4 - 42+23 ~ IE_ = _81.0.00 ° - DROP RE = 815.54 I SECTION MH-3 I DIP 0 1.009~ STA. 3+37.11 IE. = 805.54 g14.57 ~ IE S: ' 808.12 '-8" PVC @ i0.9 IE N_ ° 804. 37 - ~ - - ~ - IE W. - 804. I I ~ I _ _ -I I - - , ~ I ' ~ I II C\L RADE FI S ISHED AN. -SE~ER -(TYP.) . ~ I I . . ~ I ---I j 1 i II - - - - , . I ~ I ~I e ci~ oF EaGAr~ OES ~~c~-~ cI.~A;aa~~~-cE I"1"PiE Av(:URACY OF UTIUiY L CATIOfVS i ~ I wNJ/0.9 FELEVATIOR! i_ Thl13 T?r.i; . IS FOR I I - . - _ p ~_~--09 U~~_:i Q~ _y AfVD ~ . __.2~Q'-~." . . 7r"•t i • 'rn ~ ~ II - - , - - MH- _Y 7HE ; ~ . ~C : ~ . ~ . , . RE = 8t6.70 L ~ IE E ~ 803.49 ~ IE N = 803.39 : ~ - - - - - 4 - ~ _ . . ~ - - - - 4-- oeraorenieun thi9 DrePored DY me or under my DESIGNED • pK~ ~ CHECKED pKJ CENTEX ~ [erti( ~ 1 t a . is~• ~ Q'~ 11 I q duly regislered PROFES90NA Wp.r L . . rP-IVlFP e l o~q o U. - t o f e o l M l n n e s ota. - D R A N M _ C W G R E C O R D D RANING BY/DAtE Dwlvd h ~ / ~ ~ITOMKA. MIM'. CITY USE ONLY L ~ BL ~ RECEIPT 7V SUBD. O~ DATE: `S CO ~60 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 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 Cfoset 3.00 x Bath Tub 3.00 x !z = 3~' Lavatory 3.00 x z Z+ Kitchen Sink 3.00 x Iz = 3~- Laundry Tray 3.00 x lz = 3b- Hot Tub/Spa 3.00 x = Water Heater 3.00 x Iz = 3~- Floor Drain 3.00 x Iz Gas Piping Outlet ' minimum -1 3.00 x Iz = 3~- Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ` Dakota Cty. license 50.00 = (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: 3643 - 45 - 4-7 - 49 - S 1- S3 - SS - 5-7 - 5`i - 6/ - 63 -6S OWNER NAME: up~j-rz)( INSTALLER NAME: aLut"'WTLI STREET ADDRESS: 6q ug w ~~~CTW-C, CITY: 16ekX)Y-L"1'3 PQZt-- STATE: M~ ZIP: 5!~'4Z'$ PHONE ( ) S-33' 4---)5-I OFFICE USE ONLY L BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Please complete for: ~ all commerciaUndustrial buildings. . muiti-family buildings when separate permits are = required for each dwelling 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 FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1°/a of contract price, whichever is greater. State surcharge of $.50 per $1,000 of pertnit fee due on alt permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: ' DATE: INSPECTOR: ~ CITY USE ONLY L ~ BL ~ RECEIPT SUBD. ~ ~ 1!4+-•,, DATE: 5 ~ 1996 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN uni1-. &c~) 3830 PILOT KNOB RD EAGAN, MN 55122 (~.r 11ZrCf (612) 681-4675 Please complete for: ? all commercialrndustrial buildings. 0 multi-family buildings when separate permits are = required for each dwelling unit. DATE: CONTRACT PRICE: 3CO) WORK TYPE: ~ NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: ~~O 4 0'35 FEES: ~ $25.00 minimum fee pC 1% of contract price, whichever is greater. ~ Processed piping - $25.00 State surcharge of $.50 per $1,000 of pgrmit fee due on all permits. CONTRACT PRICE x 1% ~ PROCESSED PIPING STATE SURCHARGE TOTAL ~ (uv ui,'-i4, SITE ADDRESS: OWNER NAME: CGfIiex TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER; hjmo }h I44 ~ QI0 ADDRESS:I,qnQ A1inYl~~~~ Avr n . CITY: brrr)LIUn K~W1` STATE: X'~1 ZIP:'~`)Li PHONE SIGNATURE: SL NATURE O PE MITTEE CITY INSPECTOR ' CITY USE ONLY L BL RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 • Gas Outlets (minimum of 1 required @$3.00 each) ~ State Surcharge .50 TOTAL SITE ADDRESS: OWNER NAME: PHONE INSTALLER NAME: STREET ADDRESS: CIN: STATE: ZIP: , PHONE ( ) LOT -4 BLOCK L SUBD. RECEIPT ~ ~ DATE~//5/SY~ 1996 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: 2-1 Commercial GPM ~ Residential (boulevards) GPM _ Existing residential Area/address to be irrigated: ~~3~lslA v~'~ Installer: U'I rv c{ Owner ? Plumber J~ Street address: Z- V-gz, City, state & zip code: ~CAe 01 U Phone Owner Name• a Y)n 5treet address: ~a 40 City, state & zip code: Phone 93~0 ' 7~ 3 irrigaiiun cuntraciur, ii uineren[ inan insiaiier. Q~`^ C) T Z r r'1 0 'J Telephone I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. ~-L-A-~ ApplicanYs signature Title Approved by: Date: PRV ? Yes ? No ~,New service ~Yes ? No Meter Size ~ & Cost CA--7 Fees due: Cal ulated by: a • 7'/ 7-71-/ A# 0 o<~ M rc9 r I ~ z -~L,,~,, v I Ll+' - PROCEDURE FOR IRRIGATION SYSTEMS - 1996 An irrigation permit jfi required - please contact Protective Inspections at 681-4675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee only if new servic.e is installed. $300.00 per tap if installed by City. Residential project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $760.00 per connection - WAC. $396.00 per connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not required if backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of $182.000 If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $822.00. This information is to be supplied by the designer of the system. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. LOT ~ BLOCK ` SUBD. RECEIPT#'~"6DATE 1996 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: 2-~ Commercial GPM _ Residential (boulevards) GPM Existing residential Area/address to be irrigated: v~?~- Installer: ~C Y~~ i~-~@ I U h~r~ ~ rv c{ Owner ? Plumber J~ Street address: Z- d -,,To vv ~1 U~ ~ A Ciry, state & zip code: e- v Phone Owner Name• a ~ ~-S Street address: i o'l4 tJ V`1~e.''^=,-a'-Cc' City, state & zip code: Phone Irrigation contractor, if differeit than installer. Telephone 0 0 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. Applicant's signature Title Approved by: Date: PRV ? Yes ? No ~New service ~Yes ? No Meter Size •-7;/'~i & Cost - o'=? Fees due: 7 Calculated CITV OF EAGAN CASHIER: JS TERMINAL N0: 57 DATE: 07/15/36 TIME: 03:01:53 ID: NAME: AQUA CITY IFRIGATION INC 3716 9220 3643 1/2 VEMIL 822.00 3865 3220 3643 1/2 VEMIL 760.00 38E8 3220 3643 1/2 VEMIL 336.00 Total Receipt Arttoilnt: 17378.00 CF06U9E. i USEF ID: JAN _ - - - p7-ic-94 /~i~~no.J //1r7Et " Seriai rl ~ I~ f i 1 - . Chip # n Le!SL~ ~ Permit #0a.~ I ~ Address: li_ ~ i' ~1 L 1 1 Q~t IV 1 A G R E E TO COMPLY WITFI CITY OF EAG'AN 'I ORDINA ~ra~-~ C~~' l~ • Signature: ~ v ~ - - ~ r,ITY OF Fr-1_r,AN CASHTFRc S TE:RMINAL. NQ 37 pq'r1_: 08/05/96 7IMI_; 130026 TD r NAMEe I'LYt10UTH F'L.RG INC ~ gy 371E 9?2Q 3t43 VERMTI [QN 3213 3001 3389 FAWN WAY 30.00 ~ 2155 3001 3383 FAWN WAV 0.50 1~~ ~u-• 3213 9001 3331 FANIN WFlY 30.00 ~ 205 9001 3391 FAWN 14AY 0.50 n y~ 3213 9001 3332 FAI4N WAY 30.00 ULiJJ 3001 3332 FAWN HAY 0.50 3213 9001 3330 FAWN WAY 30.00 205 3001 3330 FAWN WAY 0.50 To+.a1 Feceipt Amount: 07.00 CFC162E32 USF_R ID: NANCY ~c~ **~YF~ ~*~*kc ~#~X~ ~ _ ~ ~ v> O- a(D 3 m v> p- n~ 0 ~ ~ 3 ~ \ ~ ~ n m z m ~o z m N y i,~S I G ZN I ; G ~ t ~ I ~5 = ~ `-7) f t , Z Z / pp P/ymouth i~ _ rITY OF F_ArA~i p/umbing h "u` qSHLFR: S TrRMINAL N0: g7 \ PATE: 0$/05/96 TIME: 13;28:26 6909 winnetka Avenue North Brooklvn Park, MN 55428 Randy Hallstrom phone:(612) 533-4357 NAME: F'LYMO~JTIa F'LUG INC Mobile:840-0753 Sales Manager Fax: 533-1121 3716 9220 3643 VFRMTLION (b 3213 3001 3983 FAWN WAY 30. C0 _ . _ ~ 2155 3001 3383 FAWN WAY 0.50 b ~ 320 3001 3391 FAkIN WAY 30.On 1 ~ 2155 3001 3391 FAWN WAV 0.50 rt 3213 9001 3392 FA14N WAY 30.00 2155 3001 3332 FAWN WAY 0„50 ~ 3213 3001 3330 FAWN WAY 30.00 ZSJJ 3001 3930 FAWN WAY 0.50 ~Total Feceipt Amoun+.: 517.00 , / CR062632 I USER ID: NANCY ~ r- MMc~~*~Ac****~*~#:K*~**~#*~~*Y~~~*Mc***#~*~~ ~ i ~1 u r ~ Zl~ , CITY USE ONLY PERMIT RECEIPT DATE: L " 6 / CObIMEiC[AL PLUMSllVH PERMIT 14PPLICATION CrrY oF EASM 3830 Paor KNos Rn f.AkBRA, MP 55122 831-881-4875 ` INCOMPLEiE APPLICAIiONS WILL NOT BE PROCESSEO Date: J~ J v I WORK TYPE New Bldg Add-on Repair ~ RPZ PVB • Irrigation system • Must completc revcrsc side of epplication also. Required mcter sizc is 2" turbo unless smaller size permincd by Public Works DESCRIPTION OF WORK L"t, y i G--2 ( Q P~ To inquire if Pressure Reducing Valve is required an new service, ca11651-681-4646 METERS - Ca11 65 1-6 8 1-43 00 ro verify [hat hydrostatic, conductivity, and bacteria tests passed prior to pickine uo meter Irrigation Size & Type Avg GPM Fire Size & Price 3/4" disnlacement $149.00 Domestic Size & Type Avg GPM Does this include high demand devices? _ Yes _ No FLUSHOMETERS _ Yes ~o PRV REQUIRED _ Yes /L-No Site Address: lJo Tenant Name: ()F_2/"~ (C,,,-t o r-~ Ci/{ Ve'2 ( dFC~ Teleph~ 9 C7 (Area Code) Was there a previous tenant in this space? _ Y_ N. If Yes, Name: Installer Name: (L Telephone Ins[a1lerAddress: (Area Ca1e) City: G'J ( Lp C', , S State: PA-AN Zip Code FEES Contract price $ x 1% ($50.00 minimum) Contract Fee $ Meter(s) $ Required on all new buildings & boulevard irrigation systems (ACCt # 9220-4509) Radio Meter Read $ Surcharge: $.50 Minimum. If contract fee exceeds $1,000, calwlate at Stete Surcharge S 50 cents per $ 1,000 contract fee. Total From Reverse New Service $ Totel S I hereby aclmowledge that I have read this application, state that the information is coaect, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notifythe property owner that Ihe Ciry of Eagan assumes no 6ility for a damages caused by the City during its norma] operational and maintenance activities to the facilities constructed under this ermit w in City prop /right-o ny/easement. SIGNAT E O RMIT E CITY USE ONLY REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In Final I JUN 2 5 2001 PLANS SUBMITTED APPROVED BY: , BUILDIN I NSPECTOR IRRIGATION SYSTEM (CONT) Service: _ cxisting (if coming off domcstic linc) OR _ ncw Ij "new sernice", contacr Jerrv Wobschall, Finnnce Consultant, to confrrm adding jees jor: Watcr Pcrmit & Surchargc - $ 50.50 $ Water Supply & Storagc - $ 860.00 $ Watcr Trcatment Plant Charge - 5516.00 per SAC unit $ Fees to be added to (ront side of application $ GENERAL INFORMATION • Radio Metcr Read (required on all new buildings & boulcvard irrigation systems- $153.00 (Acct Code # 92204509) • Water meters include copperhorn/strainer, remote wire, and touch-pad meter GP111 METERS USE PRICE GPM METERS USE PRICE I-20 5/8"displaccmcnt residential $115.00 4-120 1-1/2" irrigationsyst $ 727.00 sm commcrcial turbine'• "•must receive maximum approval from continuous Public Works 10 2-30 3/4" displacement lawn'vrigation $149.00 4-160 2" turbine Ig irrigation syst $ 899.00 maximum residential & continuous sm commcrcial production lines IS 3-50 I" displacement very Ig res $194.00 I/4 to 160 2" compound bldgs over $ 1,757.00 bldg to 24 uniu 65 units meximum sm commcrcial & continuous & Ig comm bldgs 29 irti ation s s[cros 5-100 1-1/2" bldgs 25-64 units $428.00 maximum displaccment & continuous most comm bldgs 50 METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP GPM METERS USE PRICE GPM METERS USE PRICE 5-350 3" turbine vcry Ig irrigation syst $1.184.00 6-500 4" compound +300 unit bldgs & $3,476.00 & production lines vcry Ig comm bldgs 1/2-320 3" compound +200 unic bldgs 52.212.00 10-1000 6" compound +400 unit bldgs $5,711.00 vcry Ig comm bldgs very Ig comm bldgc I5-1000 4" turbine very Ig irrigation syst $2.132.00 & production lines Commcnts • To schedule inspection of the inside watcr line and backflow prevenrer, call 651-681-4675. • To arrangc for watcr tum-on, call 651-6814300. cr. Kris Forster, Meinienance Division Clericnl TecMician Updated 1/01 2006 RESIDENTIAL BUILDING rExhziT arrLicnTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reouiremenls RemDdeUReoair Reauirements ONiceUse Onlv 3 registered site surveys showing sq. fL o( lot, sq. ft. of house; and all rooted areas 2 copies of plan showing footings, beams, joists Cer1 of SuFve'y,',Reoi--~,y'%._Y~~N (20% masimum lot coverage ellowed) 1 set of Energy CalculeUons for heafed additions S'oiis ;:Y~ =~N1 Soiis RepoR'rf proposed building is to be placed on daturbed soJ 1 site survey tor additions & decks Tiee Pres Plan Recd i^t .'=-Y ys_ N_ 2 copies ot plan showmg beam & window sizes; poured tound design, etc. Addition - ind¢ale if on-sde sepfic system Tiee Pres ReqmedQ%,t_S~, Y; =_-N, 1 set of Eneyy Calalalions On3ile8ep6c System=:'; 3 copies of Tree PreServation PWn'rf lot platted atter 711l93 Rim Joisi Dehil Oplions selecfion sheel (buibiings with 3 or less units) Minnegasco mechaninl ventilation form UV Datez~ ConstructionCost %j 70 Site Address ~i la 14 3" 3~ lo S UP.r~.• n.. C+ . N. Unit/Ste # ( Z- Description of VVork ^4) 4c= /P„ yc Ne Multi-FamilyBldg ~ Y _ N Fireplace(s) _ 0 _ 1 _.2 Property Owner ia~_g e h"'° S Telephone # ( ) ill;l I ii Contractor Address ?`_/?Y' L S7~ ' City State Zip SS"1 S' S Telephone #(7G~ COMPLETE THIS AREA OWLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the lasf 12 months, has fhe City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( J Mechanical Contractor Telephone ~ Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building 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 State of MN Statutes; 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-p n i 'e~ ~ case of work which requires a review and prov o s. i ' ApplicanYs Printed Name p' nYs Signature ~ For ON~Ce Uae I I Clty 0f EataIl j Permit g"a i Permit Fee: DU I ~ 3830 Pilot Knob Road ? Eagan MN 55122 j Date Received: _?D j Phone:(651)675-5675 Fax: (651) 675-5694 i stan: _ i I ~ 2008 RESIDENTIAL BUfLDING PERMIT APPLICATION oete: SHe Address: IO`-t'J, 31~ 3[a~~i 3 Ial Q r~1Yl I I~ I g~P1 ~J Tenant: Sulte RESIpENTlOWNER Name: Phone: Address / City / Zip: Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work: ipoRw Construction Cost: vl bf 1LF Multi-Family Building: (Yes No ~ CONTRACTOR Name: 4S4ar (r11,Y12LCy76r)i License#: gLq 4 7 Address: 7r1 Ui;;- UlGGI{.(MGtp .77/2Q~ 71"/03 city:4/,LaIe PlQ-Lil state: n?N zip 653,5-O/ Phone: 74° 3'42l'I 000 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code • Hesidential Ventilation Catagory 1 Worksheet . New Energy Code Worksheet CatC90fy Submitted Submined (4 9UbmISSIOn tyPe) • Energy Envelope Calculations Submit[ed In the last 12 months, has the City of Eagan Issued a permit for a slmilar plan based on a master plan4 _Yes _NO If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contrector: Phone: Sewer & Water Contractor: Phone: NOTE: P/ans and supporiing documents that you aubmlf are consldered to be publfc !n/ormaffon. Portlons o/ the !n/onmatlon mey be classlffed es non-publlc N you provlde specl/!c reasons that would permlt the City to conclude that the . are trsde secreta. I hereby acknowledge that this information is complete and accurete; thaf [he work will be in contormance with the ordinances arrd codes of the City ot Eagan; that I understand this is not a permil, bul only an application for a permit, and work is not to stah without a permit; that the work will be in accordance with the approved plan in the case ol work which requires a review and approval of plans. A ,~S1~~StcQ~ x -A'USS^CI ppl canYs PrMted Name ~i~nt s ~ Slgnature Page 1 ot 3 j F---------------- oeUse . I City of Ea~~Il I Pertnit # ~ 7 D 3 ~ I 3830 PilOt Knob Road j Permit Fee: Eagan MN 55122 Phone: (651) 675-5675 ~ Date Received:rI ~ Fax:(651)675-5694 - ~ Staff~~7 i 2008 COMMERCIAL PLUMBING PERMIT APPLICATION Date: SiteAddress: ~~f~J'~z j/Cm/~uo.~l co~.e.T ,~.I -r~ r--~- Tenanh ~/I=)2mi[-~/Utj 1*1,6:ARA-ic~::~- SuiteN: PROPERTY L/ /T wi~so OWNER Name: ?ij[~Li U/j L-~/,~~ Phone: e-S`a. - at5-3 -~9iT CONTRACTOR Name: Licenseri:~SfrJ"l. (o loo-ki Address: '~9i (r ~ ~A-?E City: State: InAj Zip: ~ Phone: Contact Person: TYPE OF New peplacement _ Repair Rebuild _ Modity Space Work in R.O.W. WORK - - 7- - Description of work: - PERMITTYPE COMMERCIAL New Construalon Modify Space 4zirtigation System yes no) (_L RPZ f_ PVB) • Rain sensors required on irrigation systems • Avg. GPM (2" turbo required unless smaller size allowed by Public Works) Meters Call (651) 675-5646 to verity that tests passed prior to oickino uo meter. Domestic: Size 8 Type Flre: Size & Price 3/4" meter 183.00 Avg. C,PM High demand devices? _Yes _No Flushometers Yes _No PRV Required Yes _No COMMERCIAL FEES: $50.50 Minimum (includes State Surcharge) OR Comraa Valua $ x 7 h _ $ Permit Fee Required on ALL new buildings and boulevard irrigation systems Radio Meier Read - II Permi Fee is less than $7,000, surcharge is x.50 - g Aleter(s) - It Permil Fee rs> $1,000, suroharge increases by $ 50 br each $1,000 $1,000 Permrt Fee (i.e. a y1,001-$2,000 Permit Fee requires a$1 00 surcharge). State Surcharge Following fees apply when installing a new lawn Irrigation system. $ water Permit Call the Citys Engineenng Departmem, (651) 675-5646, for requiretl fee amounis. $ Trealment Plant $ Water Supply & Storege $ State Surchar9e TOTAL FEES S ~ O • ~O I hereby acknovAetlBe Ihai this infortnation is compleie antl accu2[e; that the work will be in conlortnance vnth the ortlinances antl cotles of the City of Eagan; Mat I untlerstarb ihis is not a permit, but only an applicabon for a pertnit, antl work is not lo start without a permii; Ihat the work will be in accrordance wnh the ~6 pmvetl plan in the case of work which requires a review and appraval of plans. x ~1 /h ~ G~?~'F x Applicant' Printed Name Applicant's 71g iature FOR'OFFI6E USE. ' Appioved By: ~ Date: : _ . Required`i~ispections: Under Ground'~- ' ~_Rough-In : ,_Air'Test ' ~ Gas Test `_Final : Page 1 of 3 . ~ , , ' ~ ~ PertnB ~ o _ ~~~n 0f Ea6~ 1 PertnO Fee: ~ ' .~6 • ~ 3830 Pilot Knob Road Ea an MN 55122 ~ 9 i oate Receivea: ~ Phone: (651) 675-5676 i ~ Fax: (651) 675-5694 • i Staff. i L 2009 COMMERCIAL BUILDING PERMIT APPLICATION Date: '-02 Site Address: 3 ro 5 ~e-Y e1km 08 U.& /`f TenaM Name: (TenaM is: _ New! _ 6dsting) Suite 3(.pq5 31Len5-1` 31~4~' 3l~ll~, 3(P3) (P(~SFormer renant PROPERTY OWNER Name: V~Rt LLT-pn R'Ssed 1 GO -11I Address / City/ ZP: `?~v ~L7 U+; DT (J aC.J~ v aA G A~ 0 Applicant is: _ Owner V Contradar mn 7YPE OF WORK Desaiption ofwork: -Ra M F ConsUuction Cost: . CONTRACTOR Name: /TLl~ JM~~ CAMST M G I CkEne n: aocP3 t 575 nadress: 514S T.~1DUS~A.I. S'C %uZT F. l 03 CitYC'iIPi'RLa State: mil Zip: 'r'J ~'J 35 g Phone:9Sc•g~ •7~{'5~ ContactPerson: J4tLSTEr'tb ARCHITECT / Name: Registration ENGINEER Address: City: Stffie: Zip: Phone: Contac[ Person: Licensed plumber installing new sewerMrater service: Phane na ~i NOTE PI "a_ aad supporting docdmentsthat you subm~Aare_ cons~dered,to be, public information::; Portions-of ~.:;'the ~nformahon may be c/ass~ed as`non_publrc'ff you provrde apec~s reasons thatwould perrriit fhe C~ty'to~-, 3 y LLe• v • ` . ~.4 concl"ude tfiat flie ":"a're4trade'secrets:.... t hereby adcnowledge that this infortnation is complete and accurate; that the work will be in confortnance wkh the ordinances and oodes of the City of Eagan; that I understand this is not a pertnit, but only an application for a pertnR, and work is not to start without a permit; that the work will be in accordance with the apprrned plan in ihe case of work wl ' qui a nd approval of plans. x Gc_CL4rtA ~ ~.%lp~s (a,cl.s~Px.'>. X ApPlicaM's PrinEed Name clo(\S'T;` ApPlicaM' re ~ta~•~a•te~l m6r~,-~'J Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:17 #482 P.029/043 3to-'t31 3(045, (03 b 4c't , 3651 , 3~s3 3 (955 , 3 c~ 5 t 3(Q 5`~ t 3 (0 (o I . 3 to l0 3 i 3 6~ 5 Use BLUE or BLACK Ink - - - - - - - - - - - - - - - - - - For Office Use I UILY of Eajan ~ Permit # 113~rJ~ j 1 Permit Fee: ~ ~ 5a . as 3830 Pilot Knob Road Eagan MN 55122 Date Received. 01 Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff:j I I 2013 RESIDENTIAL BUILDING PERMIT /APPLICATION Date: V1112,015 Site Address: ,3(04*~~~,"►II_IOY1 CDUr1 NDY~ Unit#: Name. Phone: Resident/ Owner Address / City / Zip: s Applicant is: Owner Contractor Type of Work Description of work: 1 L- foof A► A Y L- 51 ct m ~ 66 Construction Cost: I 0-7, On Z) Multi-Family Building: (Yes / No ) Company: AIISt~~r ~,a(1Sj7UC~i0Y1 M;GIMeXhP_,Vli- Contact:_JQt I~7l~S~ead Address: 5IL45 I[ xit""-A1 St. Wui ~ 103 City: Mull/ PI-A in Contractor 1, I State: MN Zip: c5c'>35~ Phone: 951-942.7 195H License OCoW 1J Lead Certificate p T' (ny - 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 i $3 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? I _Yes _No If yes, date and address of master plan: i Licensed Plumber: Phone: Mechanical Contractor: Phone: t' Sewer 8 Water Contractor: Phone' NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be c/assiried as non-public if you provide specific reasons that would permit the city to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minneso fate Building Code must be completed within 180 days of permit issuance. x tl ~IS-~Z{ x App icant's Printed Name Appti s Signat e Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA146592 Date Issued:11/02/2017 Permit Category:ePermit Site Address: 3643 Vermilion Ct N Lot:001 Block: 05 Addition: Centex Vermilion PID:10-16935-05-001 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Heidi J Rude 3643 Vermilion Ct N Eagan MN 55122--314 Pronto Heating & Air Conditioning 7415 Cahill Rd Edina MN 55439 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature