3644 Vermilion Ct N
. r., .
- SITE ADDRESS e'm i( f o n ~T• Unit # Permit # 2?6 55(o
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WV
INSPECTION INSP TOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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11,090
INSPECTION INSPEC R DATE COMMENTS
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INSPECTION INSPE R DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPEC OR DATE COMMENTS
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Q 4~ 93 115 9Co ~ oa
lMSPECTlOM lNSPEC DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECT DATE COMMENTS
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INSPECTION INSP OR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTO DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPEC OR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION IMSPEC R DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INS OR DATE COMMENTS
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INSPECTION IMSPECTOR DATE COMMENTS
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IN3PECTION IN8PECTOR DATE COMMENTS
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, INSI ECTTON RECORD
' Zrw.Y F EAGAN ~ PERiNII' TYpE:
~ 3830 Pilot Knob Road Permit Number:
~ Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
4
PERMIT SUBTYPE: ~ TYPE OF WORK: ~
INSPECTION D• . .A
~ I~llII1: I 1 ~ +
i t: t I I t:~
•~r~~,ll 1 N :I ; .
W I 1i lS - . - .
F
. r
~ PermR No. PwmR Holdw Daft Telephons • ~
ELECTRIC
~ i
- PLUMBING 5a3-
fiVAC ,
Inspectlon 66te Insp. Comments
FOOTINOS
FOUND
FRAMING
FOOF7Nf3
~ ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINCa
GAS SVC
TEST ~
i
INSUL
GYP BOARD
FlREPLACE
FIREPLACE
• AIR TEST
FINAL PIBG FINAL HTG
, ORSAT
' TEST
BLD(3 FlNAL
BSMT R.1_
BSMT FINAL
DECK FfG
I'
' DECK FINAL
~
~ - ~
2 4 5- 6 8 9 ~ OFF CE USE ONLY This nqveA roid 18 momhs From validanan daro pnntad in fhis box
_ ~~9l0 ,~"/l0 9l0
PLEASE PRINT OR TYPE
Rryum1 Date Rough-In inspection reqolredt )Wes ? No Inspectian Olher Than Roveh-In: 0 Rmdy Now [X WII Cvll
12-27-95 (Y°° mast coll tM inspedor when mady) Wle Reody.
I, aLcensed coniroctor 0 owner hereby requesf inspedion of the above elec5riml work at
Job Pddros (Slreet, Bo:, ar RoWe No ) Gry Zip Code
3644 Vermilion Court North Ea an
Sadion No. Township Nama or Na. Range N. Fim No. Cwnry
Occuponl Phone N.
CenteX Home$
PowerSuppL<r /dd~ess
Dakota Electric
EI«lnml Contmtlor (CompaM Name) ComroCOr licrose N. Mosier lic No. ~Plam Elatl Only)
Lazer Electric Inc.
Mmling /ddms (Contronor ar Ormer Performing Insrollabon)
8164 Arthur Street NE, M ls, NIIV 55432
Aufharimd SiB~o n jConha r or O«ne. P orming Inalallabon~ Phona No
' 784-3729
6/95 STAlEBOAHDCOPY-SEEINSTFUClION50NBRCKOFYELLOWCOPY
'pI REOUEST FOR ELECTRICAL INSPECTION
II I II I I I I I I II ~ I I I 1~ I I IIII Minnesota
Rmf S 12ic
B27 Univesity Ave St. Paul, MN 55104
* ~ 5* Phone (672) 642-0800 C~'
Home Duple: Apt. Bldg. Other. New Addn
1Commercial Indushial Farm Remod R. air
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other.
D er Ran e Elec. Heaf Tem . Service
"X" above the work covered by this requesf. Enter remarks in this spoce and on tba bock of the whife copy only
Calculate Inspection Fee - This Inspecfion Request will nof be accepfed wdhouh the correcf /ee:
Olher Fee # Service EMrance Size Fee # Circuih/Feeders Fee
Mobile Home Park Stoll 0 to 200 Amps 0 to 100 Amps
Streef Lfg./Traffic Sig. Above 200 Amps Above 100 Amps
Trans(ormer/Generator INSPECTOR'SUSEONLY TOTAL
Sign/Outline Ltg Xfmr. rjQ
Alarm/Remote Control p
$wimming Pool I hereb cem ihai I im ened Ihe eledncal i d he.etn on ihe dmee ewied
Irli9ation Boom Roa h-In Dob
$pecial Inspection 9
Final Dat6
Investigative Fee ,4 ^
THIS INSTALLATION MAV BE ORnERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
2 45- 6 9 6/~J!"U E ONLV This requesf wid IB momhz Imm volidm~an dme prmied in : s_ ba~6
1(p 5 ~
PLEASE PRINT OR TYPE ~
Request Date Roogh~n inspea~an requGed2 ~ Yes ? N. In:pedio. Other Than Rough.irc 0 Ready Now'~](Will Coll
1 2-27-95 lYou moslwlllhe mspeaarwhen reody) Dale Ready
i, M licensed con}ractor Q owner hereby requesf inspeciion of ihe above eledriml work at:
Jab Pddress (9ree1, Box, m Raum Na.) GM 2tp Code
3658 Vermilion Court North Ea an
Sedian No. Township Name or No. Range No. fire N. Counp
Oaupant Phane N.
Centex Hanes
Power SuppLer Address
Dakota Electric
Eletltlml Conlmnm (Company Namel Conimnar license N. Masler lm No. (Plant Elen Only)
Lazer Electric Inc. 1
Mailug Addnas (Connacror or O«ner Pedorming Insmlloeon)
8764 Arthur Street NE, Mpls, NIIV 55432
Aulhonzed Sg w~e Cant nar arOwn PeAo.ng InsMllolion) Phare Na.
784-3729
EB-OOOOIA-106/95 STATEBOIIRUCOPY-SEEINSTPUCTIONSON9ACKOFYELLOWCOPY
IIII I II I II I~~ III I I II III REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of'Electriciry k0vt)
,
1827 University Ave., Rm. 8 SL Paul, MN 55104 2 4 5 9 6 0Phona 2) 6a2-ae0o
S X Home Duplez Apt. Bldg Other New Addn
Commerciol Industrial Farm Remod Re air
Air Cond. Hfg. Equip. Water H}r. Load Mgmf. Olher:
D er Ran e Elec. Heal Tem . Service
"R' above fhe wark covered by this request Enter remarks m tbis space ond on the back of Ihe white copy only.
Colculate Inspetfion Fee - This Inspection Request will naf be accepfed wifhout fhe mrrect fee.
Olher Fee # Service Enhnnce Sae Fee # 400 ih/Feeders Fee
Mobde Home Park $toll 0 to 200 Amps Amps
$heef L}y./rraHic $ig. Above 200 Amps Amps
Tmnsformer/Generafor INSVECTOR'SUSEONLY TOTAL
Sign/Outline Lig. Xfmr. $87.50
Alorm/Remole Conlral
$wimming Pool I herab cam thot I im ened the ele ' r Iollal on esaibed havin on thv da1v. sbied
Irrigofion Boom Ro,h-in
Special Inspeclion ~v
Firwl Do
Investigafive Fee IG
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
2`~AC_ E g 5 ~ OFFlCE US ONIY ihis request.aid 18 months fmm wlidanon daro pnnted in ihis bo.
PLEASE PRINT OR TYPE ~
Req~est Dob Roueh.in impeclion reqoiredY es ? N. Impeceon Oiher Than Raogh.ln. ~ Ready Now)(~, WII Cvll
12-z-~- ~You m~s~ mll ihe inspecmr when reody) Dale Ready
I, [Z licensed confrador Q owner hereby requesf inspedion of the above eleclrical work at:
Job lddrm (Streai, Bor, or Rouk No ) Gry Ip Coda
3656 Vernulion Court North Ea an
Secnon Na. Tawnship Name orNo Range No. Fire No CoUnry
O¢apam Plwne N.
Centex Home$
Power Supplier Pddmxs
Dakota Electric
Mankr Lc No. (Plant Elect On)y)
Eienriml Contmdor (Compony Name) Cammacro~ u<e~se N.
La, zer Electric Inc. CA01110
Mailing Pddmes (Conkoeor ar O.ner Pedorming Insallalion)
8164 Arthur Street NE, M ls MN 55432
Phoiro No
Amhonxed $ig r Conv o~ or Owner P orming Inslallanant
784-3729
E11-13OOOIA-10 6/95 STATEBOAROCOPY-SEEINSTHUCTIONSONBACKOFYELLOWCOPY
IIII III I I I II I I I I II REQUEST FOR ELECTRICAI INSPECTION ",,~o
Minnesota State Board of'Electricity
~
1821 University Ave., Rm. 5-128 St Paul, MN 55104
2 4 5 6 9 5 2* Pnone (stz) sa2-0eoo
Home Duplez Apt. Bldg Other-~ New Addn
Commercial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
D er Ran e Ele<. Heat Tem Service
"X" obove the work covered by fhis request. Enter remorks in this space and on the batk o( the white copy only.
Cakula/e Inspechon Fee - 7his Inspedlon Request wJl nof be accepfed without the correcf fee:
ONher Fee # $ervice Enhmxe $ize Fee 8 Circuih/Feeders Fee
Mobile Home Park $tall 0 fo 200 Amps 0 fo 1O Amps
$ireef Lfg./Traffic Sig. Above 200 Amps Ftbore 10 Amps
Transformer/Genemfor INSPECTOP'SUSEONLY TOTAL
Sign/Ou}line lfg. Xfmr g ~ $87.50
Alarm/Remote Canfrol
$wimming Pool I hereb cem ihm I ins ered the eledncal nzlall n d bed herein on 1he dales staled
Irrigotion Boom kough.in oa
Speciol Inspection
F~~j I , 16
Invesfigafive Fee
THIS INSTALLATION MAY BE ORDERED OISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
4~J ° 6 9 4 ~ O~ICE USE ONLY Thrs reqoesfd 18 monihs from volidoeon dole primed in Ihis boi.
,s16,9G
PLEASE PRINT OR TYPE
Requesr pore Ro~gh.in inzpedion reqmredi Yes ? N. Inspenion Olher Thon Rough-In 0 Ready Now ~ Will Call
12-27-95 (Yau m.., cen tne insaeaor w,en reoa,) oane aeaay
lirensed contrador ? owner hereby requesl inspedion of fhe above elednml work at:
lob Pddmss (Sheet, Boa, or Roub No ) Cip Zip Code
3654 Vermilion Court North Ea an
Sanan N. Towmhip Name or N. Range No Fire No Counry
Ocwpanl Phone N.
Centex Homes
Pawer Supplier Pddress
Dakota Electric
Electnml Conimrnr (Compony Nori Cammaar L<ense No Mosien c~ No. (Plam Elea. Only1
Lazer Electric Inc. CA01110
Ma~ling Addrese (Convanor or Owner Perform.ng Insmllomn)
8164 Arthur Street NE M ls NIN 55432
Aothanzed Si ~Co clor or O r Perlarming Inslall~ Phone No.
784-3729
EBOOOOlA10 6/95 STATEBOARDCOGY-SEEINSTHIICTIONSONBACKOFYELLOWCOPY
I III I II I ~III I I III REDUEST FOR ELECTRICAL INSPECTION ~/s
Minnesota State $oard of Electricity
11 1821 University Ave., Rm. 5-12 , S. Paul, MN 55104 ~F
* 2 4 5 6 9 4 5* Phone (612) 642-0800 ~
Home Duplez Apt. Bldg. Qther: " New Addn
Commercial Indushial Farm Remod Re oir
Air Cond. Hfg. Equip. Waler Htr. Load Mgmt. Other.
D er Ran e Elec. Heat Tem . Service
'X' above the work covered by this request Enter remorks m tha space and on the back of fhe white copy only.
Calculafe Inspec6on Fee - This Inspechon Requesf will not be ac<epted withouf fhe <orrect (ee:
Olher Fee # Service Erdmnce Size Fee t Circuih/Feeders Fee
Mobile Home Park $toll 0 to 200 Amps 0 to 100 Amps
Street lfg./TmHic $ig. Above 200 Amps v Amps
Transformer/Generafor INSGEMOR'SUSEONLV /l QTAL
Sign/Outline Lig. Xfmr. 87.50
Alarm/Remote Control
$wimminy POOI I hereb ceni Ihoi I inspecied tlre elecmml' emllomn emnbed Mnin an the dahe slokd
Irfi9afion Boom Raugh.ln
Special Inspedion
firql
Investigative Fee
THIS INSTALIATON MAV BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
2 4 5- 6 9 3 717 C US ONLY Thie reqvesl.oid 18 manihs from.olidolion dme pnnmd m this boa
~s~~ 9(;g
PLEASE PHINT OR TYPE
Rryuml Dore Rough-in mspection mquimd2 ~ Yas ? No Inspectian Other Thon Rough.ln0 Ready NowXXVldl Call
12-27-95 (You mu.t =eiitnsm.Pene,wne,,,eoe,) DaieReady
I, Ltensed confmctor E] owner hereby requesf mspedion o11he a6ove electriml work a}:
Jo6 Pddress (Amei, Bm, or Roole No.) I Gry Zip Code
3652 Vermilion Court North Ea an
Secison No, io.mship Name or No- Range Na Pire Na Caunry
Occvpam Phone N.
Centex Homes
Po+er 5avvlier /ddmss
Dakota Electric
Elennwl Commmr (Company Nome) Conamnor I:ronse No Maskr Lc N. (Plant EIM Only)
Lazer Electric, Inc. CA01110
Moiling Md.ms (Commcbr or Owner PeAormin8 Ineiollaeon)
8164 Arthur Street NE, Mpls, NIIV 55432
fwhori:ed Sign nna or ar Owner dorming Immllanan) Phone No.
784-3729
EB-0OOO1h106/95 STATEBOARDCOPY-SEEINSTNUCTONSONBACKOFYELLOWCOPY
IIII II R69 I) III REOUEST FOR ELECTRICAL INSPECTION Minnesota State Board oTElectriciry
1821 University Ave., Hm. 5-128, St. Paul, MN 55104 ~
2 4 7 s Phone (672) 642-0800
X Home Duplex Ap1. Bldg. Orhei: New Addn
Commer<ial Indusfriol Farm Remod Re air
Air Cond. Hfg. Equip. Water Hir. 1 Load Mgmt. Ofher:
D er Ron e Elec. Heat Tem .$ervice
"X" above the vrork covered by ihis requesG Enter remarks m fhis space and on the back of the white copy only.
Calculate Inspection Fee - 7his Inspecfion Request will not be accepted without the mrrecf fee:
Other Fee # Service Enirance $ize Fee O Circvih/Feeders Fee
Mobile Hame Park Stall O to 200 Amps 0 to 100 Amps
Sheet Ltg./TraHic Sig. Above 200 Amps I Above 100 Amps
Transformer/Generaior INSPECTOR'SUSE ONLY TOTAL
Sign/Outline L}g. Xfmr. 87 50
Alarm/Remote Control
Swimming Pool
i here ceni Ihal l ins ihe eleclriml i t d cnbed hercin an Ihe daroe eiaied
Irrigafion Boom Rough.ln Dote ~y
$pecial Inspedion ~ ~
oote
Investigative Fee -
THIS INSTAI I ATInN MAV HF (1ROERED OISCONNECTED IF NOT COMPLETED WITHIN 1B MONTHS.
2 4 5- 6 9 0 ~ ~FPIC/E USE cON/LV,, This reqmsf .old IB mmihs fmm.olidation dare pnnied in lh~x bo, '5~(I
V
PLEASE PRINT OR TYPE I /
Requeel Doh J Rough-in mspenion mqwndt ~ Ves ? No Inspetlion Other Thon Rough.lm ~ Ready Nov. ~f WAI Call
12-27-95 IYoo most <all the mspMor whan ready) oani eeoar:
I, U hcensed confradar ? owner hereby requesf inspedion ol ihe above eledriml work at:
lob Addms (Street, Boa, or Roule No.) Cip Zip Coda
3646 Vermilion Court North Ea an
Sadmn No. Townshlp Name or No. Raige No. Fire No Comry
Occo0anl PMne No.
Centex Homes
Power Svpplmr /ddress
Dakota Electric
EI«mml Cou,"ao. (eAmparsy Nome) Conpac . inoine. No. Ma.ier uo Na (Plani Elea. Only)
Iazer Electric Inc
Madhng fddra (Camrocbr or O.mer Pedarmng Insioli.ban)
8164 Arthur Street NF, M ls 4-12
AuNwrixed Signoi
~ ~~or ar O.me eAarmhg insbllohon) Phone No.
784-3729
EB-0000IA-10 6/95 STATEBOANDCOPY-SEEINSTRUCTIONSONBpCKOFYELLOWCOW
ON
821 U ~~~'TFF~O
Minnesa QEeS s~ B arFm S Re A~ 'Pau PMN Tb ~
IIIIIII II IIIIII IIII
* 0 2 4 5 b 9 3 s Phone (612) 642-0800 ~n
Home Duplez Apt. Bldg. Other: ew Addn
Commercial Indusiriai Fartn Remod Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other.
D er Ran e Elec. Heaf Tem . Senice
'k' obove the work covered by this request Enfer remorks in fhis spare and on the bock of the wbrte copy only.
Calculote Inspection Fee - ihis Inspecfion Request w"JI not be accepted wrthoul Ihe conecf feeOther Fee M Service EMrance $ae Fee # Circuih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sfreet Lig./rmNic Sig. A6ove 200 Amps Above 100 Amps
TmnsSormer/Genemtor INSGECTOH'SUSEONLY TOTAL
$ign/Outline Ltg. Ximn $87. rJ0
Alarm/Remote CoNrol ~
Swimming Pool
I hereb ¢ni ~hat I inspeded Ihe daclnml in IlaM1On ecnbed he in on ihe da efarod
Irtigation Boom RauBh-In Dob
Special Inspecfion
Finol Dore ~ 7 £I
Investigotive Fee I
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 1B MONTHS.
? 4 5- 6 91 ~ OFFlCE USE ONLY Thls rryuesl void 18 manihxlmm voLdmmn dok pnmed in thls bm.
PLEASE PRINT OR TYPE
eaaue:t Dab aouen.in ,n,p"e„ aqui.,as a v., ? No Imv.cra^ aher Than Rough.In O Ready Now X) win can
12_27_95 p'aa mun mll Ihe inspectar whm ready) Daro Reody:
1, licensed conimdor E] owner hereby request inspection o# the above electrical work af:
lob Pddreu (SIreN, B., or Roule No.) Gry Zip Coda
3648 Vermilion Court North Ea an
Senlon No. To.msh~p Name o. No. Ronge No Firc N. Caunry
0,,:upon, Phane N.
Centex Homes
70wer $uppliei Pddress
Dakota Electric
Elecbiml Conwmr (Compony Name) Canimeor licrose No. Maskr ha Ne. (Plont EIx.Only)
LdZPS E12Ct.Y'1C
Mailug Mdmss (Conhoaor or Owner Padortnmg Imialbeon)
8164 Arthur Street NE, M ls MN 55432
Pufhorized Si9natwe Con oror Owiwr Rormvg lubllonon) Phona No
784-372
EB OOOOIA-10 6/95 STATEBOARDCOW•SEEINSTRUCTIONSONBACKOPYELLOWCOPY
REDUEST FOR ELECTRICAL INSPECTION ek~~
IIII ~ II I I I I I I I I IIII 'N essiry Ave ar R m S-1 B, c
827 U St. Paul, MN 55104 Qolrl
13 x 2 4 5 6 9 1 LPhane1612) 642-0800
HomDuplex Apf. Bldg. Other: New Addn
Commercial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Woier Htr. Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Servi<e
"X" above fhe work covered by fha requesG Entei remarks in this space and on the back of the white mpy only.
Calculate Inspechon Fee - This Inspection Request will not be accepted without the correct fee:
ONier Fee # Servire Enironce $ae Fee # Circvih/Feeders Fee
Mobile Home Park $tall 0 to 200 Amps 0 to 100 Amps
Slreet Ltg./rraHic Sig. Above 200 Amps Above 100 Amps
Tmnsformer/Generafor IqSaECTOR'SUSEONLY TOTAL
Sign/Outline Ug. Xfmr. $87. 5 0
Alarm/Remole Conhol d
$wimmmg Pool ~ herc mm ~ha~ I~m eeed ihe elendcal i iio~ mbed hoem an ihe daiee noied
Irtigation Boom Rough-In Da- lI
Speciallnspedion
Final Dab S. r 6
Invesfig ative Fee
TNIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT COMPLETED VUrITHIN 18 MONTHS.
24 J- 69251 OFFIC `USE ONLY This raqom.oid IB mon!ha Imm validolton dole primed in thn bari_
. ~,V"/9 (i
PLEASE PRINT OR TYPE
Reql Oak Ro~gh-in ~nspenian reawredt ~ Yes ? No Impen.on Oiher Thon Rovgh-In. ~ 2endy Nw E W~II Call
12-27-95 IYou mvsl mll Ihe mspecror when ready) Dok Rwdy:
I, a licensed conimdor ? owner hereby requesf inspecfion o{ ihe above elecfrical work at:
Jab Pddrms (Strteq 0ax, or Roote No.) Gry Zip Code
3650 Vexmilian Court North Ea an
Setlion No. Township Name or No. Ronge N. Fim No. Caunly
Orcupam Phone No
centex xomes
PowarSuppinr Pddrms
Dakota Electric
Eletlnml Contrador (Company Namv) Conrcacfor Licemv No. Masmi 6c. No. (Plan] Elen. Only)
Lazer Elec
Mailing /ddnv (Camrocmr o~ O.mmr PeAarmirg Insallaeon)
8164 Arthur Street NE M ls NIN 55432
/ Mw.xsd S. Nn (Co cb. or O Vvdo.miog Insmllaiion) PMna No.
784-3729
EB-OOOOlA10 6/95 STATEBOANOCOVV-SEEINSTIiUCTION50NBACKOFYEILOWCOVY
Minnesa 21 QUo ersity Ave., Rm S Fl-12 ASt. IPauP MN T55 ~oa
IIII IIII I I{I! III II~11 I I II I II II III 8
* 0 4 5 6 9 2 9* Phone (612) 642-0800~~
Home up ex Apt. Bldg. Urner. ~ New Addn
Commerciai Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other
D er Ran e Elec. Heot Tem $ervice
"X' above the work covered by fhis request. Enter remarks in fhis space ond on the bock a/ the white copy only.
Colculate Inspection Fee - 7his Inspeclion Reqvest wdl nol be accepted withouf fhe corred fee:
Olher Fee A Service Entranoe Size Fee S Ciraih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 fo 100 Amps
$freaf Lfg /Tm(fic Sig. Above 200 Amps Above 100 Amps
Tronsformer/Generator MSPECTOP'SUSEONLV ^ TOTAL
Sign/Oufline Lig. Xfmr.
Alarm/Remote Conhol U
Swimming Pool i henb vrri 1hai I im eded the daanc ~nziall eon de ibed hem~n on the dam, smkd
Irrigolion Boom Nough-In Doi -
$pecial Inspecfion T
Dal?7 ~ ? - (e
Investigafive Fee Final
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 78 MONTHS.
OFFICE USE ONLY Thie a~ucl void 18 monthe (rom.oLdanon date pnnkd m Ihis bo:.
245 .`100
PLEASE PRINT OR TYPE
Rpvea Dob Rough in mspernon reqmredY ~Yes ? No Inspeceon OAer Than Rough-In ~ Reody Now ~ WII Call
12-27-
9-5 p'ou mus~ coll the impeclur when ready) Dote ReadyI, E3Clicensed coniracior ? owner hereby request inspedion o( }he above electncal work at:
lob Addnne lSheel, Bae, or RoWe No.) Ciry Zip Code
3666 Vermilion Court North Ea an
5«lian Na. Tawvhip Nome w No. Ralge No. Firv N. Counry
Occvpant Phone N.
Centex Homes
Power Supp6er Address
Dakota Electric
Eiednwl Conhacror (CampanY Name) Canhatlor Licrose Na. Mastar L<. No (Plonl Eletl. Only)
Lazer Electric Inc. CA011
Mailing Mdns. (Contrawr ar P.ner PaAoming Inxallonan)
8164 Arth Str t NE M ls NIIV
Autlwnzd Si na ( nvoWr or er Parforming ImblbM1On~ Fhone N.
784-3729
EB-OOOOlA-10 6/95 STATEBOARUCOPY-SEEINSTRUCTIONSON911CKOFYELLOWCOFV
JI V REQUEST FOR ELECTRICAL INSPECTION S~tP;Ya 'Bo I III ~ II ~~JIJLL I II I II 8121 Uni essiry AvearRmf SI-1281CSt. Paui, MN 55704
s 0 2 4 5 7 0 0 0 s Phona (612) 642-0800 ~
Home
hovvm ex Apt Bldg. Clhar ' New Addn
Commercial Indushial Form Remod Re air
Air Cond. Htg. Equip. Woter Htr. Load Mgmt. Other
D er Ran e Elec. Heat Tem $ervice
"X" above fhe work covered 6y fhrs request Enter remarks in fhis space ond on the back o/ the whde copy only.
Calculate Inspection Fee - This Inspection Request wJl not be accepted without fhe correct fee:
Olher Fee # Service Enfrance Size Fee 9 Circuils/Feeders fee
Mobile Home Park Stall 0 to 200 Amps 0 to 7 00 Amps
Street Ltg./TraHic Sig. Above 200 Amps Above-1110 Amps
Transfortner/Generator INSGECTOR'SUSEONLY TOTAL
Sign/Outline Lfg. Ximr. $7. rJ0
Alarm/RemoM CoMrol ~
Swimming Pool i he2b e.m mm i ir. ~ed n,e eih .muon d«bed he.ein on the dme.,biad
Irrigafion Boom poughln ooro
$peaal Inspeclion T
. • 21
Inves}igative Fee "m' oar,
TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF OT COMPLETED WITHIN 18 MONTHS.
24 J- 69991 OFFlCE USE ONLY This reqoest void 18 months fmm volidmmn dola prmted m this baa
~
PLEASE PRINT OR TYPE I ~V /Q~f
Requesl Dale Raugh-in inspecnon reqeired2 ~'Yes ? N. Impedion Othar Thon Rough-lo- ~ Ready Now M wJl Call
1z-2']-9~j ryou mun wll ihe ~nspenar.han readyj I Dum Ready
I, 53 licensed conhacfor ? owner hereby request inspection of the above electrical work at.
Job Addresz (Slreet, 9or, ar Raole Na ) Gry Zip Code
3664 Vermilion Court North Ea an
Secnan No Township Name or No Ranga No. Firo N. Counry
Ompom Phone No
Centex Hanes
Po..er5opplier Address
Dakota Electric
Electriml Conrvacmr (Company Name) Controcmr littnsa No Mosror Lic Nn (Plant Eled. Only)
Lazer Electric Inc
Moiling Mdma (Conimclor or Ownar PeAo.ming Imiallvrion)
8164 Arthur Street NE, ls hN 55432
Authonxad Sign a on .r or Owna eRormin9 Immllaeon) FMne N.
,e ~ 7g4-3729
MzEB-0OOO1h10 6/95 STATEBOAIiDCOPV-SEEINSTPUCTONSONBACKOFVELLOWCOPY
II I I II II I'll ~I~1lil III REOUEST FOR ELECTRICAL INSPECTION
MinnesoW State Board ot Electricity
~
I! 1821 University Ave., Rm. S-728, St. Paul, MN 55104
s 0 2 4 5 h 4 s Phou(e,2)642-0e00
/ yr
Home Duplex Apt. Bldg Other: X New Addn
Commercial Indushiol Form Remod Re air
Air Cond. Hiq. Equip. Water Hir. Load Mgmf. Other:
D er Ran e Elec. Heat Tem . Service
"X" above the work rovered by this request Enfer remorks m fhis space and on the 6a<k of the whde mpy only.
Calculate Inspetfion Fee - This Inspedion Requesl will not be occepfed without the mrrecf (ee.
Olher Fee # Service Enhance $rse Fee # Circvils/Feeders Fee
Mobile Home Park Stall 0 l0 200 Amps 0 to 100 Amps
Sfreel Lfg./TraHic Sig. Above 200 Amps Rbove-100 Amps
TransfortnedGenerator INSPECTOR'SUSEONLY \ TOTAL
Sign/Outline Lig. Ximr. $$7, 50
Alartn/Remote Conirol
$wimming Pool i hereb cenify thm i iro ed flhe danncoi' on d ~bad hara o~ ihe darc..mred
Irrigation Boom Rough.ln ~ Doie f
Specmllnspection
Investigative Fee F~~I ~~`i
THIS INSTALLATION MAY BE ORDERED OISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
FFICE UE NLY Thix rpuest wid 1B monPos (mm validaeon dak pnnted in ihs bo:.
~ O j
697
~ _ ,~s9G 9G
PLEASE PRINT OR TYPE ? ~C/ ( ~
RequM Daro Rooghin inspeeion reqmmd2 W Yes ? N. Inspeaion Other Thon Rough-In. 0 Rwdy Naw Will Call
12_27_95 (Yo~ m~a~ mll ihe in:p.cwr..hm reody~ Dale Ready
I, lirensed contractor ? owner hereby requesf inspedion ol fhe above electrical work at.
lob Mdiess (Sneet, Ba., ar Rome No I Gry Zip Code
3660 Vermilion Court North Ea an
Sedion No. Township Name or No. Range N. Fim N. Counry
O¢upam Phane No
Centex Homes
Power Supplier Fddmss
Dakota Electric
ElMnml Contranor (Campany Nome) Canea= No. Maner lic No. (Plom Elen Only)
Lazer Electric Inc.
Moiling Iddmss (Canwdor or Owner Parfarmmg Inzlallaeon)
8164 Arthur Street NE M ls MN 55432
Aufiorized Sgna or Ane. Pe ing Insmllanan) Phona No
' j 784-3729
EB-OOOOIA-106/95 5TATEBOARDCOPY-SEEINSTqUCTION50NBACKOFYELIOWCOPY
IIII II I II I IJI.~_~Ill[~ll I II II RE~UEST FOR ELECTRICAL INSPECTION
8127 Uni e sity AvearRmf SlecBiciry ul, MN 55104 ~
s 0 2 4 5- 6 9 7 8 s Phone (612) 642-0800 172A0
Homa Duplen Apt. Bldg. Othei: New Addn
Commercial Industrial Form Remod Re ir
Air Cond. Hig. Equip. Watei Htr Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
'X' above the work covered by Ihis request Enfer remarks in fhis space and on the 6ack ol the whde copy only.
Cokulate Inspechon Fee - 7his Inspection Request will not be accepfed without the correct fee:
Olher Fee # Service EMrance Sae Fee # Circuih/Feeders Fee
Mobde Home Park Sfall 0 to 200 Ampz 0 to 100 Amps
$heel Lfg./rraHic Sig. Above 200 Amps Above,100_Amps
Transformer/Generator INSPECTOR'S USE ONLY ~ -2 TOTAL
Sign/Ootline Lig. Xfmr. CU $7. 5~
Alarm/Remote Control
Swimming Pool i hae aM Mai i in, eaed+he si«a;Wi ~ imn nibed harein on the dotee s,oied
Irngation Boom Rough-ln oab - (
Special Inspedion r
F,~o~ ~re
Invesfiga}ive Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
245- 6 9 8~ OFFICE USE ONLY Thrs request.oid IB momhz from .aLdoeon dole pnmed in this bar
PLEASE PHINT OR TYPE
Reques10a1e Rough-in mspcMOn reqwred2 Yes ? No Inspecnon OlherThon Rough-In~ Ready Now ~Phll Call
12_27_95 iro„ m~,i ~on me ~n~pe~~.ne,!.dyi Dote Ready.
licensed con}ractor ? owner hereby request inspedion of ihe above elecfrical work atJob Addreu (Sireei, Bo., ar Roule No.) Gry Zip Cade
3662 Vermilion Court North Ea an
Seaion No. iownship Nome or Na. Ronga Na. Fro Na Counp
Occvpanl Phone No
Centex Hones
Powersupplrer Addre::
DAkota Electric
Elennwl Confmao. (Campany Nome) Commdon c;se No Mashn cr. N. IPumt Eiecf Only)
Lazer Electric Inc.
MoiLng Addreu (Cammtlor or Owner Perfarming Inzmllanonj
8164 Arthur Street NE M ls MN 55432
Authorixed 5~ ror IC hacror or O ei Pedortning Inswllotan) Phone No.
~ 784-3729
EBOOOOIA-10 6/95 STATEBOAqDCOPY- SEEINSTRUCTIONSONBACKOFYEILOWCOPY
IIII I I4~NN~UJIULW. 18111111111 I REOUEST FOR ELECTRICAL INSPECTION &1~7~
Minnesota tate Board of~Electriciry 1821 University Ave., Rm. S-128 SL Paul, MN 55704 0-2 4 5 6 9 6* Phone (E12) 642-0800
X Home - Duple: 11 Apt. Bldg. Other: New Addn
Commercial Indushial Farm Remod Re air
Air Cond. Hig. Equip. Wofer Hir. Load Mgmt. Olher:
D er Ran e Elec. Heaf Tem . Service
'X" above fhe work rovered by fhis requesL Enler remarks in this space ond on fhe back o/ fhe whife copy only.
Calculate Inspecfion Fee - This Inspe<fion Request will nof be accepfed without the correct fee:
Ofher Fee Serrice Entrance Size Fee # Circvih/Feeders Fee
Mobile Home Park $tall 0 to 200 Amps O to 100 Amps
$treel Lfg./fraRic Sig. Above 200 Amps Abo 100 Amps
Transformer/Genemtor IN5vEC7oR'SUSEONLY C~ TOTAL
Sign/OoNine Ug. Xfmr. p ~ $a7. rJ0
Alarm/Remole Confrol
$wimming Pool I he.ab mn.h that I k, d 6e elecmml i iollanan smbed emin on the darea amKd
Irrigation Boom Ro~gh-In
Special Inspeciion
finol - ' Daie i" ~Q~
Invesfigafive Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
CER TIFICA TE OF SUR VEY
roo o/ lronc Offs f
10. 00" Offse t 818.38
10.00' Offset 818.20
(814.50) 39•2O
17.67" Offset 818.26
029 j`j-IA = 1~4° 5'29" S72 '22°E g17.9 TC 1 OQ 70.00' Offset 878.08
m `S%H , o 2j2,E ~ 799.6
~ :
O
70.00' Offset 818.37 !
5350 ~--R = 81.0
ce,7.3 T
38~~3„ ' L==21 ~1 ~ B KT o~ ~ ~ e~,~~
O ~ DO 77.67" Offset 818.57
w S 8°00'00"E ` C 188.00 O
/
, 34' 88 ' - - _ - - - , ~ ~
' i I I m g rm. am ~ am Mm ;9~ h Y 1 ~ O
I I 1 KL f ^I I
!1 ~ ' I II I I ^ g .I Ky ' I / ~~1
o ~ 3644 i 3646 ~ 3648 ~ I5 3650 ~ 3652 ~ 3654 ~°oo ~ 1 ~ct
°1
Q tieet lfroposed Sb on Grook ~ ~ ~ W (118.0 ~ 1 ~ i ~g{L61 ~ ess ~T~Mu/ti lomi/y J ~ 7 I o XAddr ~ (~Proposed f}F. = 819.zJ ~ Ip ~ I }
------¢"-"`~Q ~ o° I I 3658 ~ 3660 5 I ? 3662 ~ 36E4 I ~ o ~
' II ~ I 3656 1 a" a am ~ N ~ ~ 1
= 434.00 ~ s v I 3666 1Z y DRAINAGE &
;I ~m ~ UTILITY EASEMENT
= 07.95 ia 81 g \
1 am
'~11 S 8000 00-E H~ ~88.~~ N J / X
A F „ (818.1 c) /
zt iC) n Ed e ot Wetland
E 9 .
7vas \
~
S68 21 25 E 429.89 1 •
ca,..so>
1 I I 7 \
w EN`~AN
R E ft W E D
3r \
i i
)ArE ~O (L
- i ~ GRAPHIC SCALE
4 0 i f ~
o zo 40
• Oenotes iron manument lound 'pj(i'AN EN6D~~.-F.RYAT(s''.Djy'~j,' ~
O Denofes iron monument set ( IN FEET )
Beorings bosed on assumed dofum. 1 inch = 40 fL REOUESTED BY.LEGAL DESCRIP AON.• CENTEX HOMES
! hereby rerti/y thot this survey wos prepored Lof 7, Block 7, CENTEX VERMILION, occording to the recorded plof
by me ot under my direct supervision ond tnot thereof, Dokofo County, Minnesoto.
l om o du/y Regrstered Land Surveyor under the
lows of p Stote o/ Minnesoto
A!l Curb ond Utilities ore Proposed 11 . WoetMOOd Professional Services, lnc
/d'1Z/•.S Top of Block= 819.2 74780 west Trunk Hwy. 5
Croig W. lorse, R.L.S. (904.0) denolBS prOpoSEd BIBV. Eden Proirie, MN 55344
Registration No. 23021 Gar. Floor= 818.8 904.0 denotes BxiSfing elEV. (612) 937-5150
~ denotes surfoce droinoge ~6vrsEa /o-i2_ys
Orown by M$ oote: 75/95 Job No; 95812
B/L07L£R.ONG
PERMIT
-CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 026556
(612) 681-4675 Date Issued: 10 / 17 / 9 5
SITE ADDRESS:
3644 VERMII.ION CT N
LOT: 7 BLOCK: 1
CENTEx VERMILION
DESCRIPTION:
Bu3lding Permit Type 12-PLEX
Building Work Type NEW
UBC Occupancy', R-1 U-1
Construption Type V-N
. ZonS.ng , R-3
' Building Length 168
Building Width ~ 70
Building stories 2
~ . ~REMARKS:
INCLUDES 3646 3648 3650 3652 3654 3656 3658 3660 3662 2664 3666 VERMILION
S & W PLBR -
FEE SUMMARY:
VALUATION $881,000
Base Fee $4,506.50 CITY SAC $1,200.00
Plan Review $1,577.28 WATER CONNECTION $9,000.00
Surcharge $940.50 5 & W PERMIT $100.00
SAC $10,200.00 S & W SURCHAR6E $.50
SAC % 100 TREFlTMENT PLANT $4,464.00
SAC Units 12 ROAD UNIT $5.100.00
Subtotal $16,724.28 7ota1 Fee $36,588.78
CONTRACTOR: - APPlicant - sT. LIC. OWNER:
CENTEX CORP 19367833 0001333 CENTEX HOMES
12400 WIIITEWATER DR 120 12400 WHITEWAT'ER DR 120
MINNETONKA MN 55343 MINNETONKA MN 55343
(612) 936-7833 (612)936-7833
T hereby acknowledge that I have read this application and state that the
information ie corrert and agree to comply with all applicablo State of Mn.
Statutes and City of Eagan Ordinances.
L J
&111{
PLICANT/P MITEE SIGNATURE ISSUED B. SI TUR
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE: B u I LDI N G
3830 Pilot Knob Road Permit Number: e 2 6 5 5 5
Eagan, Minnesota 55122-1897 Date Issued: 1 A/ 17 / 9 5
(612) 681-4675
SITEADDRESS: LoT: 7 BLOCK: 1'QPPLICANT:
3644 VERMILION CT N CENTEX CORP
CENTEX VERMILION (612) 936-7833
PERMIT SUBTYPE: TYPE OF WORK:
12-PLEX NEW
INSPECTION D. . D•
FOOTINGS FOUNUATION
FRAMING ROOFING
INSULATZON FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PL66 FINFIL
REMARKS: INCLUDES 3646 3648 3650 3652 3654 3656 3658 3660 3662 2669 3666 VERMILION
S & W PLBR -
F
L
~
Ci TY OF EAGAN 3830 PILOT KNOB RD - 55122
itot, 995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Consttudion Reauiiements RemodeVReoair Reouirements
? 3 iepistered ske aurveys ? 2 coPies W plan
? 2 copiea of plena (indude beam 8 window s¢es; poured fid. design; etc.) ? 2 site surveys (wderior atldidons 8 dedcs)
? 1 enerpy calculationa ? 1 energy calculatlons fir Mated atlditions
? 3 c»pies M bee pieaervation plan M IM platted eRer 7/1/93
tequUed: _ Yes _ No
DATE: 10/12/95 CONSTRUCTION COST: $667.000.00
DESCRIPTION OF WORK: 12 unit multi familv dwellina
STREET ADDRESS: 3644-3~66 Vermilion Court North, Buildinx #13
r
LOT _L BLOCK 1 SUBD./P.I.D. 10-01700-011-51
F'ROPERTY N8m@: Centex Homes Ph0(1@ 936-7833
OWNER '
StreetAddress, 12400 Whitewater Drive suite izo City: Rtinnetonka 5tate: MN Zjp; 55343
CONTRACTOR Company: Centex Homes PhOfIB 936-7833
StreetAddress: 12400 whttnaater Drive #L?&nSe#' 1333
Cjty; Minnetonka Statg: MN Zjp• 55343
ARCHITECTI CompBny: Centex Homes Ph0n8 936-7833
ENGINEER
Name: Davia Wheatley Registration 012659-9
StreetAddress- 12400 Whitewater Drive Suite 120
CIYy: Minnetonka Statg: MN Zjp; 55343
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that t have read this application and state that the infortnation is correct and agree to comply with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Q C T 1 1 1995
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY ~ , ~ ~ Q: ~ '
BUILDING PERMIT TYPE ~a . .
? 01 Foundation o 06 Duplex D 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Acoessory o 20 Public Facility
0 04 SF Porch --0109 12-plex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
jz` 31 New ? 33 Alterations do 36 Move
0 32 Addition o 34 Repair oP~°q,ol~k ? 37 Demolitian
GENERAL INFORMATION An,~"~ ° Pry r5
~
Const. (Actua!) Basement sq. ft. MC/WS System 4~
(Allowable) ~-N Main level sq. ft. 7,yi69 City Water ~G
UBC Occupancy -i u-i z~ sq. ft. 7. S&Y Fire Sprinklered
Zoning 2-3 sq. ft. PRV
# of Stories z vo ~sSM~ sq. ft. Booster Pump
Length i~8 sq. ft. Census Code. os
Depth 7o Footprint sq. ft. SAC Code
Census Bidg
Census Unit /2-
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ Oo o. Surcharge
Plan Review
License
MCNIIS SAC
City SAC Gof -S ~JGo c.*--
Water Conn.
Water Meter
Acct. Deposit
SNH Permit
S/W Surcharge C~,Q G GT
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other • -
Copies -
Total:
°k SAC
S,4C Units
••W LOT SURVEY CHECKUST FOR RESIDENTIAL
BUILDING PERMIT APPLICATI N
• ' W W
PROPERTYLEGAL•
TE OF SURVEY: / 117
~
LATEST REVISION:
/ DOCUMENT STANDARDS
Registered Land Surveyor sipnature and comparry
~O D • Building PertnftApplicant
a • legal descriptlon
W'? O • Address
~p a • North arrow and scale
@ 0 • House type (rambler, walkouk splh w/o, spltt entry, lookouk etc.)
c a • Dlrectlonal drainape arrows wiyh slppe/yradient %
ar' O z3 • Proposed/eristlng sewer and water servicas 8 imrert elevetlon
W~a 0 • . Street name
O O • ' Driyeway
ELEVATIONS Exristlna
~9 ~ • Sewer servica
m~o O • Property comers
Q`-'C3 • Tap ot curb at the driveway
~ • Etevatlons of any ebstlng adjacent homes
ro os
R---b 0 • Garage floor
61-'13 Q • Frst floor
ff-'O 0 • Lowest exposed elevatlon (welkouWvindow)
:-;~10 13 • Property comers
~ ~ • Front and rear of home at the toundaflon
PONDING AREA fif aeolirahlw)
13 Zk-~O • Easementline
? 19--'0 e NWL .
O B' 0 • _ HWL
13 • Pond # desipnatlon ~ e~ ? • Emergenry Overtlow Elevatlon
DIMENSIONS
~6 13 • Lot IinesrBearings 3 dimensfons
~C C3 • Right-of-way and street width (to pack of curb)
d".10 0 • Proposed home dtmenatons Includinp arry proposad decics, overhanpa preater than 7,
/ porches, etc. O.G. all sUuctures requirinp pertnanent footlnps)
~ie' 0 • Show all easements o( record and any City uulitles withln those easemenLs
Q~ r~ L] • Setbacks of proposed structure and sideyard setback of adJacent e)dstlng structures
4
C3 ~ u • Retaining wal7Name f any
Reviewed:
Vte
!ury 19 95
CENTEXHOMES
owgned fa today. sunt /a fomorrm
Mr. Joe Voels
City of Eagan
Plan Review Department
Deaz Mr. VoeLs,
This letter is to inform you t6at Centex Homes`of Nlinnesota, will be using the exact same plans
for the Jayout for buitdings 1-10 snd buildings 12-14 (excluding buildiag 11) as were used on Lot
5 in Vemulion Camage Homes. None ofthe structural building components, HVAC, plumbing
or electrical will change from Lot 5 engineered drawings dated 09-11-95.
Regards,
/
jg~9~EE6- Kp rrn~ f~AC~+1e~
Field Maaager
Centex Homes, Minnesota Division
. .
12400 Whitewater Orive, Suite 120, Minnetonka, Minneaota b5343
Bulldere License M1333 (812) 938-7833 FAX (812) 938-7839
( 2-0
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION C k.vW. i e
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date-Ld-/7lbl/
Site Street Address ~ote V~.I~~JI j~l 0 /1 U• IV • Unit #
Property Owner Va-)e ~U&S Telephone #((6) )9 D 5 ' I! S3
Contractor HP ~pI ~.Q,Y~ork$ Telephone# (~71) c~t~-B40
Address 3u L'uld ?4' City EO- uN-~ State M'A Zip J a
The Applicant is: _ Owner ~ Contractor _Other
AlteXations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater I
_Septic System Abandonment
=Water Turnaround (add $121.00 if a 5/8" meter is required) I D ~ ~ L I
Other.
Water Softener v Water Heater L' $ 15.00
- - g
? re placement additional_ -
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total $
11-
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.
i'A 6- (&n
ApplicanYs Printed Name ApplicanYs Signature
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date IC I I ~
Site Street Address f~ ~~6d f~~2~o'~c.Gc9j^-- ~ Unit #
Property Owner 7elephone #
Contractor Telephone#*f~-) ~5'~36 ~
Address City /ilC~ State_r[t_ Zipi~
The Applicant is: _ Owner &-6ontractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
~C Water Softener _ Water Heater $ 15.00
/
_ replacement _ additional
Lawn Irrigation System RPZ_ 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.
~ ~ ~ ~ A plicanYs Printed Name ApplicanYs Signature
CITY USE ONLY
L ~ BL RECEIPT ~ ~ ct)
n ./~-cL
SUBD. DATE: I- I J
1995 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
X, New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: (c `>O
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 @$3.00 each)
~
? State Surcharge .50
r
~j TOTAL 3a y, s-D
~ 36u~1,36~16,36~-18,365~a3652 365y, 3b56 ,3658 ~366a 366Z,366y ~366C
J SITEADDRESS: Utn-"'4 L~fl'~ G~
OWNER NAME: GEAlTi~-X PHONE
INSTALLER NAME: fl-qP-ADw-W
STREET ADDRESS:-~a og Wkout'T~J! AJ'c- rI
CITY: NDO~~ STATE: ~ ZIP: 55~-(2$
PHONE ( ) 53"2.~35~ ~ . ~
~.e~
CITY USE ONLY
L _ BL _ RECEIP7
SUBD, DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are ~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: • $25.00 minimum fee pC 1% of contrect 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
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP•
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE C1TY INSPECTOR
cirY use oNLv
L ~ BL ~ RECEIPT
SUBD. DATE:.~
1995 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 NO. TOTAL
Shower 3.00 x =
-
Water Closet 3.00 x z4 = 72
Bath Tub 3.00 x I -Z- = 36 -
Lavatory 3.00 x -24 _ '72-
Kitchen Sink 3.00 x )z.. = 36'
Laundry Tray 3.00 x ~Z = 36"
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x f2- = 36'
Floor Drain 3.00 x IZ = 36'
Gas Piping Outlet " minimum - 1 J4;rr.vx.oq~ 3.00 x 72-
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' Dakoia Cty. license 20.00 =
U.G. Sprinkler ' home under const. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL 3Qb.:S'z>
SITE ADDRESS:3644-4(o'4'9-S0-SL-l~~"4 -6<4 _6G
, W~e t2T"
OWNER NAME: _(~TE)(
INSTALLER NAME: awM~~IT1.1 `I~W+NFi3ri,1(~'
STREET ADDRESS: U e . /tI .
CITY: I~ro o~,,, r~) V,. STATE: im N ZIp; LJa ~
PHONE#: ( ~533-4357
OFFICE USE ONLY ,
L Bl RECEIPT
SUBD. DATE
1995 PLUMBING PERMIT (COMMERCIAL) '
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. , all commerciaUindustrial buildings.
w multi-family buildings when separate pertnits 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 INSTALLED7 _ 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 contrect price, whichever is greater. State surcharge of $.50 per
$1,000 of 2gn3ig fee due on all 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:
-r----::_
' CASH RECEIPT
. , - CITY OF EAGAN ~
,3830 PILOT KNOB ROAD ~
I EAGAN, MINNESOTA 55122 ~
~J1'o
- - - - onre i: ~ '
• •
` -0~•;1.~7J7 %`.:;1:;.,,;~ 'I~~.-•~j„t
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(.:;G0 0 0 C) 0 J-0 J.
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~ 0 c L. 0 0 0 G ? CASH ~piEqC
01G(Z~000J=J-(JJjj~ ~
004
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FLWD ~ 4~ g4 S a
~
OBIECT ~ AMOUNT Q
~
~ - ~
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~
Thank You - ~
l i
I BY, I' ' •f-/ 3
I I
c 23461 I
•0
Cf30CC00000000330300DDODDO•
•sC,E:.~~~~O~JJ~~~~,•J~)~ JJ00
00C~0 0 0 CtQ£l__J~~~~a 46)~~J ~ JJ D DJ0 •
•s:_.~(50~~OOO~J~~a~l"JJJ,~_)~_>
(2 (300 C. (30 0 DJ-7D Z) 09J.D J
•f~?0 00 0 0 0 077JJ77JO77~_)_) l300
•0(' 0 0 0 l_r~?') O _).J .)00
•oC3t~~~;~:.;~J:_1:~:~~~:»:»,~.».~.~..lJ~•
Serial # -5-~~' ~ -67c ~ ~L D
Chip # J(~ p-;~ Sd 70
Permit #
A Address: Ct /ll
I AGREE TO COMPLY WITH CITY OF EAGAN
ORDINANCES .
Signature:
, Pi
V h<-wl ~1" I G s. '
CITY USE ONLY
L ~ BL ~ RECEIPT
SUBD. J~v~? DATE:
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 EACt{ TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
BatYi Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x t
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: ~6Sle 1}r3-n,,.: l~-
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: ~ID~} f.~: a~,~~ N~~ N•
CITY: STATE: !1't&3 ZIP:
PHONE ( ) ~;'33 43
SIGNAT loflnV~~ I oka,9rm~,
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 commerciaUindustrial buildings.
P multi-family buiidings when separate permits are = required for each dwelling
unft.
DATE: CONTRACT PRICE:
WORK TVPG: NFw rnNCTai irtT~nN n,pn ny PCppID
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 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 SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pgrmit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SiTEA.nnRFRS• - -
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
r - - ~
Date S I l3 / ~S I 3662 VERMILLON COURT NORTH
i
Site Street Address ! eacnN, MN 55122 Unit #
~ (651)783-8915
i
Property Owner - - - J Telephone # ( )
contractor NORBLOM PLUMBiNG CO. relephone ?
Address City State Zip
MINNEAPOUS, M~N~ _
The Applicant is: Owner ontrac or Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener X Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuiid $ 30.00
State Surcharge $ .50
Total $ IS. 50
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.
~ r~ I n II
is
ApplicanYs Printed Name A-p s ignature - r~ ~005 ~j
2006 RESIDENTIAL BUILDING rERMrT nrrLicaTTOrr ~ 5 N ~ d
City Of Eagan '
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Consirucfion Reouiremen6 RemodeUReoair Reouirements Office Use Onlv
3 registered site surveys showing sq. R of lot, sq, ft of house; and all roofed arezs 2 copies of plan showing footings, beams, joists Ced of Surve~aReW y,-=N
(20%meximumlotwverageallowed) isetofEnergyCalcuWllonsforheatedadditions SoilsRepoA'y._~F::w;:-3•,r~ri•--YN
7 Soils RepoR'rf proposed building is to be placed on disturbed so~ 1 site survey for addAions & decks Tree Pres Plen Recd~=,-,. ,_,Y~~_~N,
2 copies of plan showing beam & window sizes; poured found design, etc. Add~7ion- indicafe ilon-site septic system T2e Pres Requi~ed~.; ,'_Y.:'=N
1 set of Energy Calwlabons Qn+sile Sey6o Sysfem~
3 copies of Tree Preserva0on Pian ft lot plaried a%er 7!1193
Rim Joist Detad Opfions selection sheet (buildings with 3 or less units)
Ivlinne3asco mechaniral venlilalion (orm
~v
Da[e~0_/ ZV / 0 ' ConstructionCost 7C7
Site Address -7 ~ q H " 3~ (P (O Ut-rsv, : I ' C+-. N . Unit/Ste # C (Z-~~
& acL I
DesctiptionofWork lao"r Ve^'4) ~~~C.n~.c ~,sc S~•~; ~f Ne<'~'"~'"'~
Muiti-Family Bldg ~ Y ` N Fireplace(s) _ 0 2
M• !~•~e S Telephone # ( ) )
~ ~ e ~
Property Owner Uer ;4
Conhactor ~L/J-1n- &~s ~r~-"~'•'u~ _
Address _~-aa•/sa 4,.• City i4/71111 L, GLa;,.
State /t'~/ Zip 5 Telephone#(~Ge"
COMPLETE THIS AREA OPILY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesoh Rules 7672
Energy Code Category . Residential Ventilation Ca[egory 1 Worksheet • New Energy Code Worksheet
(4 su6mission type) Submitted Submitted
. Energy Envelope Calculations Su6mitted
In the last 12 months, has the 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 )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone # ( J 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-plan i he;.case of work which requires a review and
prov o s. i /
i
l/ lC ~ r---
ApplicanYs Printed Name pp t's Signature
i otfiWuse I
F ~o~
City of EapIl ~ PBmi,#
I Permit Fee:~P~~ I
3830 Pilot Knob Road I ~
Eagan MN 55122 j Date Received: ~
Phone:(657)675-5675 i i
Fax: (651) 675-5694 I Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:~bb I o~ SiteAddress:~~~~~IFGJIpi.~jl~(F+(Gu~f IJ
Tenant: Sulte
RESIDENT / OWNER Name. Phone:
Address / City / Zip:
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description of work:
Construction Cost: I ffi. ~ Multi-Family Building: (Yes No
CONTRACTOR Name: MS/GLIr License
Address: 51 qS ,9/2Q~ W`1()3
city: m/,i,nLe Pl0-<-", State: 01N) ziP; 5535'O/
Phone: 74° 3'6.I?q - 0DO Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submined Submitted
(4 Submisslon type) • Energy Envelope Calculalions Submitled
In the last 12 months, has the City of Eagan Issued a pertnit for a simllar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Lfcensed Plumber: Phone:
Mechanlcal Contrector: Phone:
Sewer & Water Contrector: Phone:
NOTE: Plans and supporting documents that you submlt are consldered to be publlc InformaHon. Portlons of
the lnformaNon may be dasslNed as non-publlc ff you provlde speclflc reasona that wou/d permlt the Clty to
conc/ude that the are Mede secrets.
I hereby acknowledge that ihis iMormation is complete antl axurate; that the work will be in contortnance 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 vrork is not to start without a permit; that the work will be in
accordance wilh the approvetl plan in the case ot work which requires a review and appr val of plans.
x J6P h~S~c~G~ x ~ . I
AppllcanYs Printed Name Ap IcanYs SignaTure
Page 1 of 3
~ - ~ I
PertnH~ _
City Of Eaian
~ PermOFee:
3830 Pilot Knob Road i ~
Eagan MN 55122 I Date Reoeived: ~
Phone: (651) 675-5676 1 ~
Fax: (651) 675-5694 • i sta+r i
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: g 3- 69 SiteAdd.ess: 36 4Oo - 36 5'1 Wndq ~br
TenarK Name: (Tenant is: _ New E)dsting) Sutte
L 3 t 66.. (3 (o JF 2, 754 Fortner Tenant
PROPERTY OWNER Name: VES41YlT~LLT-Ui i C.iO
Address / City / Zip: 4-~ t~ti7 U, a DT 6J aC.l-V ~ A`j }-~y ~
Applicant is: _ Owner _,VContractor
TYPE OF WORK Description ofwork: -I?,e -P-OOF
Construdion Cost IC716.00
CONTRACTOR Name: ~~J, ~Z CbC~ST CY~ G/[~nse a~03 ~ S~ J
nddress: 514S'Zrn1DUSTIR=A-l. ST ~ u=T ~ t C~3
city:tv 'fLE. state: r~ n zP: F; S 35 9
Phone:95o1•9431 •74S4 CoMad Person: 0P6 30P. tiALST541b
ARCHITECT 1 Name: Registration
ENGINEER
Address:
Ci[y: State: T~p:
Phone: Contad Person:
Licensed plumber inshalling new seweNwater service: . Phone
X1-NOT,E:,Plans antl:supporting afocuments that<yousubmrtare'consldeFed,tobe pubbc information:cPortioirs of~~
the-informadon may be clas§~ed'as`non-public rf you, provrde spec~c.reasons fhat would permrt the Eity to
concluil'e'_U?at ihe ~aie.fraale ~secrets n.
I hereby adcnowledge thffi this irtformatian is complete and accurate; that the work will 6e in conformance wilh the ordinances and
codes M The City of Eagan; that I understand this is not a pertnit, but only an appliption for a pertnit, and work is not to start withou[ a
pertnit; that the work wili be in accordance with the approved plan in the wse of woEn, approval of plans.
x Gu~~t+1 ~,X
ApplicaM's PriMetl Name ApPlicaco~'~•S''~a•t~ai ma,~,~r~
Page 1 of 3
, ~
, 1
Cit of E~ a~ ~ 7Fee -o ~
3830 Pilot Knob Road ig7
~
Ea an M N 55122 ~
9 I Date Received: ~
Phone: (651) 675d675 i ~
Fax: (651) 675-6694
L
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Dafm: SlteAddress: 3G -1A - 3 66b ver,rn~ IWn ea-vkr+ Ni
TenaM Name: ,-,y ! ~ (Tenarrt is: _ New 1_ F~dsMing) Su1te
J"'4y1 ~~b 3~~j 3US~ i 3~'~~ ~ FormerTenant
3 5b ~e~eo 3~ce 2, 3t~ ~ 31pte Q
PROPERTY OWNER Name: VE3,~xy)r- LLT-pn G A-~ 1 GO
I k 13 Add«~city/zp: ~R.Gut)D`? Q~V 5AG Arf)6
Applicant is: _ Oxmer ~ Contrador • ~
7YPEOFWORK Description of work: ~4~0 F + E.
Construction Cost: 4%4V'6 y00 5ijk," j 2 l 0oU•M
CONTRACTOR Name: /TUJ~M~>, CODST M Gf Lrnse a0(o3
Address: 5145 Z~~DUST~Frri Srl- %UZT r. t03
cit,.Cf)PiTk_E. state:.Mn_ zP: 5 S 35 9
Phone:95o7•94a•7y'S~ CoMadPerson:
ARCHITECT 1 Name: RegisVation
ENGINEER
Address:
City: State: Zip:
Phone: Contact Person:
Licensed plumber installing new sewedwater service: Phone
NOTE Plans and s"apportaig;clocumerrts thaf you sabmit.are'con5fdered to be°publlc,iniorinatlon t Poraons ot,,:.
~•s.4~. - - U ~ ,
`the-mforina6on niay 6e class~ed as n"on public;rf youpro'v~de spec~frc reasons fhat would ermrt.the C to,, ;
P, , riY
I hereby adcnowledge that this information is complete and accurate; thffi the work will be in coniortnance with fhe ordinances and
codes of the City of Eagan; fhat 1 understand this is not a permit, but only an appliption for a permit, and work is not to start wifhout a
permit; that The work will be in acoordance with Me approved plan in the pse of work ui a evi nd apProval of plans.
x C.(--PcqT~l u-~/P~t~S (G4il.STp;i. X
ApplicanYs Printed Name cAxx-,,~'j', ApplicanY re
(~~a • lfl~l ma,r~,-t-,
Page 1 of 3
From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:14 #482 P.020/043
3t-oA4 3(P4to t --,2> (o Je% 3 (P&-b 3e5a , 3(051
3125ut 3~~a , 3t~~ca0I ~to(42t 3(o(o41 -j(o(o(n Use BLUE or BLACK Ink
I For Office Use
2G
j Permit ✓ I j
City of Eajan I I
Permit Fee: 1 , •
3830 Pilot Knob Road ry
Eagan MN 55122 j Date Received: -1 151 -3 1
Phone: (651) 675-5675 I p,~ 1
Fax: (651) 675-5694 1 Staff: I~ y 1
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
3
Date: Site Address:%M=3 LvWp V-rm i Ion Unit
Z'o I _ Ci
-~.,....,,.M,~,... ~ Name: Phone: --~.a... x~.~
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
of Work Description of work. rou A T p A t~- S i o f M
ype
Construction Cost: I OC Multi-Family Building: (Yes No )
Company: N ISt71r C41AJVU&W1 Mav 21 fta nt Contact: _ox h A slt l
Contractor Address: 15145 II 1WV►JI f 1711 St. Mit # 103 City: M-AD►/ KA i n
State: MR Zip: Cl;53_5 I Phone: 952- Om?.- IH5H
License BCAPAI5 15 Lead Certificate l~! V-I1Dy-0
P If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I
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:
t Mechanical Contractor: Phone:
Sewer $ Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.ora
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 Minnesota tate Building Code must be completed within 180
days of permit issuance.
x~ lue t~ 74 I s+C31d x
Applicant's Printed Name Appli i's Signatullre
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178559
Date Issued:08/24/2022
Permit Category:ePermit
Site Address: 3644 Vermilion Ct N
Lot:312 Block: 05 Addition: Centex Vermilion
PID:10-16935-05-312
Use:
Description:
Sub Type:Water Heater & Water Softener
Work Type:Replace
Description:Standard Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Chei-chung Wang Doore
3644 Vermilion Ct N
Eagan MN 55122--314
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178560
Date Issued:08/24/2022
Permit Category:ePermit
Site Address: 3644 Vermilion Ct N
Lot:312 Block: 05 Addition: Centex Vermilion
PID:10-16935-05-312
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Chei-chung Wang Doore
3644 Vermilion Ct N
Eagan MN 55122--314
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179532
Date Issued:10/10/2022
Permit Category:ePermit
Site Address: 3644 Vermilion Ct N
Lot:312 Block: 05 Addition: Centex Vermilion
PID:10-16935-05-312
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Chei-chung Wang Doore
3644 Vermilion Ct N
Eagan MN 55122--314
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature