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3667 Vermilion Ct NC!ty of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RE0Ei\i E0 Use BLUE or BLACK Ink For Office Use Permit #: / (� `? Permit Fee: d Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ,1 t9 11 Site Address: 06t-knoh N t Name: �ON V"DN e-- r 1 f411/4) FIZZ Address / City / Zip: �k"� �'`��"�- C� �+ Eo�ej`^^� Applicant is: Owner 'Contractor 'TYPE OF WORK Description of work: \ vAter\or r Construction Cost:-7,1tl{ Multi -Family Building: RESIDENT / OWNER Unit #: Phone: Lci -��6 woltes- Lealctny crcom ex -eu-vor'. Y- _t`1o�---jam- 'vS� r• CorritV("�wn S �ce.S Ar•� W 1g" n— W -111 - ISN ' Company: ��'� Contac � o, a ,r� q i /' CONTRACTOR Address: 9 7O .... S R IV City: I okpik (i ro'Q State: t Pit MI� Zip: : S 36� Phone: 7G3..1i2U'^�,q.3V L� t L x a t License # I a,31 5 \a �a _ Lead Certificate # FRA, ASH --11 lyr1(� M. 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: i Licensed Plumber: Phone: 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 g conclude that they are trade secrets G a re hw Ma u 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.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for 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 State Builili g Code must be completed within 180 days of permit issuance. ):).\10\4) 13vow i� X Applicant's Printed Name Apsli ant's Signature Page 1 of 3 3&61 c+ - DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace — Porch (3 -Season) _ Storm Damage _ Single Family _ Garage — Porch (4 -Season) _ Exterior Alteration (Single Family) Multi_ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) ,"' 01 of [a Plex Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES New Interior Improvement— Siding ^ Demolish Building* Addition Move Building_ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace , Repair _ Egress Window_ Water Damage Retaining Wall *Demolition of entire building — give PCA handout to applicant DESCRIPTION Valuation Plan Review (25% 100% 1/" ) Census Code # of Units # of Buildings Type of Construction 7apo' I REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Occupancy 14, G - 3 MCES System Code Edition ,Za,7 SAC Units Zoning jj -3 City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL ca s Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings _Air/Gas Tests Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Building Inspector Page 2 of 3 STRUCTURAL NOTES: DESIGN CODE 2007 MINNESOTA BUILDING CODE 2006 IRC DESIGN LOADS: PSF LIVE LOAD 4040PSF ROOF SNOW WOOD STUDS SPRUCE PINE FUR STUD GRADE CONSTRUCTION ADHESIVE TITEBOND HEAVY DUITY 1. CONTRACTOR TO VERIFY ALL EXISTING CONDITIONS AFFECTED BY THE WORK AND REPORT ANY DISCREPANCIES TO THE ENGINEER FOR REVIEW AND POSSIBLE REVISIONS TO THESE DOCUMENTS. 2. GENERAL CONTRACTOR RESPONSIBLE FOR ALL MEANS AND METHODS OF CONSTRUCTION INCLUDING SHORING OF ALL STRUCTURE, FINISHES AND MACHINERY. 3. CONTRACTOR OR OWNER SHALL OBTAIN ALL REQUIRED PERMITS AND SCHEDULE ALL INSPECTIONS WITH BUILDING OFFICIALS. INSPECTIONS ARE NOT PART OF ENGINEERS SCOPE OF WORK. 4. GENERAL CONTRACTOR AND ALL SUBCONTRACTORS TO HAVE A MINIMUM OF 5 YEARS EXPERIENCE IN ALL AREAS OF WORK THEY WILL BE CONDUCTING OR RESPONSIBLE FOR IN THIS PROJECT, 5. ARCHITECTURAL OR MECHANICAL, INFORMATION IS NOT INCLUDED IN THIS DOCUMENT. 6. ALLWORK SHALL CONFORM TO THE GENERAL CONSTRUCTION PROVIONS OF THE INTERNATIONAL RESIDENTIAL CODE 7. THIS DRAWING COVERS THE STUD REPAIR ONLY. THIS DRAWING , BEING AN INSTRUMENT OF SERVICE, IS AND REMAINS THE PROPERTY OF LINDAU COMPANIES, INC. I HEREBY CERTIFY THAT THIS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THATAN I AM WAS DULY LICENSED PROFESSIONAL ENGINEER UNDER THE LAWS OF THE TATE OF MINNESOTA WILLIAM H. LINDAU REG. NO. 24781 DATE: 11-14-2011 EXISTING 2X4 @ 16" 0.C. FLOOR PLAN SCALE: NOT TO SCALE PROVIDE (2) - 2X4 X 3'-0" EA SIDE OF EXISTING 2X4 DOWN TO BOTTOM SILL, FASTEN TO EXISTING WITH (2) - #6 WOOD SCREWS STAGGERED @ 6" 0.0, AND (2) 3/8" BEADS OF CONSTRUCTION ADHESIVE DETAIL SCALE: NOT TO SCALE EXISTING CMU FDN WALL, ANCHOR BOLTS AND PLATE. NOT PART OF ENGINEERS SCOPE OF WORK LINDAU COMPANIE5, INC 1 074 OLD hIGIIWAY 35 ITud5on, WI 54010 PYM. (715) 380-4444 FAX. (7 1 5) 380-144 I STUD REPAIR DCLW. "AW! 3667 11-14-2011 DRAW., WtA.1C OAT_ 3667 VERMILLION CT. SO EAGAN, MINNESOTA 10F1 November 10, 2011 Ms. Lisa Wilson Gassen Company 6438 City West Parkway Eden Prairie, MN 55344 RE: 3667 Vermillion Court N, Eagan Documentation & Exterior/Interior Assessment IEA Project #201110100 Dear Ms. Wilson: I C!rwing S't)InIions for IEA, Inc. (IEA) has .completed the pre -remediation documentation and exterior/interior assessment as outlined in our proposal dated October 19, 2011. The purpose of the pre -remediation site visit was to document existing conditions of the impacted area as identified by Skyline Building Envelope Consultants (Skyline). The purpose of the exterior/interior assessment was to document .the location of fungal and/or moisture -impacted building materials. SITE INFORMATION/OBSERVATIONS Pre-Rernediation Site Visit IEA conducted the pre -remediation site visit on October 20, 2011, The siding had been removed along the northeast corner of the townhouse. The ground around the foundation had been excavated to expose the foundation, The Skyline representative reported that when they had drilled holes in the foundation block, water drained out of the block. LEA's observations are as follows: • Visible fungal growth was observed on the exposed gypsum sheathing from the east door to the northeast corner and from the northeast corner to the north window, o The moisture content of the gypsum sheathing was within the normal range at the time of the site assessment. • Moisture was present in the bottom of the excavation along the north side of the excavation, 111;001:1..1'N PAR)1 1201 Weal 13romlw3y.'16UU itroo42yn Pitt).. Iv3R 5544.5 7((2..? I c.7400 - FAX 763.115.79^6 `300.733.45'3 1NSITUTE FOR i_14V'IRON61F.WTA1.AS STISSA1ENT, INC. ttm wit,: nnsluutc,unn 141,N) AT'O 1,111 North )Livor)1 or. )r i yr 3119.1101)0 :1,6001 5(1''.345.9$) 9 FAX 507-2,15.510 9(3344172: 3264 ROCHFSTE; 311) \1h oo(bd.c L!r iv< ;Si; )3oaitcater. 3.10 55113)4 59129901.) _ FA.Y, 50,7..281.9695 4444).';3; ;.4) 1) OMAHA 3897' 1 Street 03.114011. NF 6)1127 )) 1- :1114249 FAS ,)97.11-7.305 :100•227-91;12 Lassen Company - 3667 Vermillion Court North Documentation & Exterlor/Interior Assessment October 21, 2011 Site Visit The remediation contractor had removed the exterior gypsum sheathing cleaned, sanitized, and encapsulated the remaining wood studs. IBA was unable to access the remediated materials as the contractor had translucent plastic barrier. October 27, 2011 Site Visit LEA's observations are provided below: IEA Project # 201110100 November 10, 2011 and fiberglass insulation and sealed the exterior with a Exterior View - East Wall . Visible fungal growth was observed in three locations on the exterior side of the interior sheetrock. The growth was observed approximately three feet -(3') -up from the base of the walk IEA collected a tease - tape sample from these locations. . The lower portion of the sheetrock was wet in three of the ten exposed wall cavities. ▪ The wood bottom plate was wet in seven of the ten exposed wall cavities. Exterior View - North Wall • The lower portion of the sheetrock was wet in one of the nine exposed ten wall cavities. • The wood bottom plate was wet in five of the nine exposed ten wall cavities. Living Room- Interior View - East Wall . The sheetrock was wet in three isolated areas near the wood baseboard. . No obvious visible fungal growth was observed on the sheetrock in the accessible locations behind the baseboard. © IEA, INC. 2011 Page 2 of 6 Gassen Company - 3667 Vermillion Court North Documentation & Exterior/interior Assessment . Rust staining was observed on the top of the carpet in the southeast comer near the east wall, lEA Project # 2011101011 November 10, 2011 . Water staining was observed on bottom of the carpet along the east wall. . The carpet tack strips were water -damaged. Living Room- Interior View - North Wa11 . Visible fungal growth was observed on the sheetrock behind the baseboard along the entire length of the wall. IEA collected a tease -tape sample from this location. Dining Room- Interior View . No obvious visible fungal growth was observed on the sheetrock in the accessible locations behind the baseboard. . The moisture measurements indicated that the sheetrock was dry at the time of the assessment. . Water and rust staining were observed on bottom of the carpet north of the sliding glass door. The carpet tack strips were water -damaged in this location. No obvious fungal growth was observed. © IEA, INC. 2011 Page 3 of 6 Gassen Company - 3667 Vermillion Court North Documentation & Exterior/Interior Assessment . No obvious fungal growth and/or water staining were observed below the carpet south of the sliding glass door. IEA Project # 201110100 November 10, 2011 SAMPLE RESULTS AND DISCUSSION Sample analysis was conducted by Prestige EnviroMicrobiology, Inc. of Voorhees, New Jersey. A copy of the laboratory analysis reports can be found in Appendix A. Sampling methodologies and existing guidelines can be found in: 1ppendix B, TEASE—TAPE SAMPLES Tease -tape samples were collected to identify and document the presence of visible fungal growth. Exterior View - East Wall- South Wall Cavity The results confiluied the presence of fungal growth. Acrernonium, Chaetornium, and Eurotium were the. fungal organisms identified on the sample. These organisms are typically associated with fungal growth on water -impacted building materials. Exterior View - East Wall — Center Wall Cavity The results confirmed the presence of fungal growth. Acremonium and Stachybotrys chartarum were the fungal organisms identified on the sample. Stachybotrys chartarum is typically associated with growth on water -impacted building materials subjected to chronic moisture issues. Exterior View - East Wall — North Wall Cavity The results confirmed the presence of fungal growth. Aspergillus and Stachybotrys chartarum were the fungal organisms identified on the sample. Aspergillus is typically associated with fungal growth on water -impacted building materials. Living Room- Interior View - North Wall The results confirmed the presence of fungal growth. Aspergillus and Stachybotrys chartarumwere the fungal organisms identified on the sample. CONCLUSIONS & RECOMMENDATIONS Living Room — East Wall . Visible fungal growth was observed on the exterior side of the interior sheetrock. The sheetrock was also wet in several areas. Recommendations: • The sheetrock with visible fungal growth and/or moisture damage should be removed under controlled conditions per IICRC S520 Standard and Reference Guide for Professional Mold Remediation, • The lower portion of the sheetrock wall (approximately four feet (4') up from floor) along the entire length of the east wall should be removed. © IEA, INC. 2011 Page 4 of 6 Gossett Company - 3667 Vermillion Court North Documentation cos Exterior/Interior Assessment • As the sheetrock is removed, the back side should be inspected to determine how far the fungal gn-owth and/or moisture staining extends, Sheetrock should be removed to a minimum of one foot (1') past any visible fungal growth, water staining, and/or dampness. • The moisture content of the previously wet bottom plate should be remeasured to determine if moisture levels have decreased, The bottom plates need to be dry prior to re -building of the wall. [GA Project /t 201110100 November 10, 2011 __........... Living Room — North Wall Visible fungal growth was observed on the sheetrock behind the wood baseboard. Recommendation: • The sheetrock with visible fungal growth and/or moisture damage should be removed under controlled conditions per IICRC S520 Standard and Reference Guide for Professional Mold Remediation,from floor) the entire • The lower portion of the sheetrock wall (approximately two feet (2') up ) along length of the north wall should be removed. . • As the sheetrock is removed, the back side should be inspected to determine how far the fungal growth and/or moisture staining extends. Sheetrock should be removed to a minimum of one foot (1') past any visible fungal growth, water staining, and/or dampness. The moisture content of the previously wet bottom plate should be re -measured to determine if moisture levels had decreased. Ensure that the bottom plate has dried prior to re -building of the wall. Living Room & Dining Room Water -staining and water damage was observed on the top and/or bottom of the carpet in both of the above mentioned locations. Recommendation: The carpet should be removed under controlled conditions per IICRC S520 Standard and Reference Guide for Professional Mold Remediation. General Recommendation: The source of the water intrusion which led to the fungal growth on sheetrock and water damage on carpet should be corrected. GENERAL COMMENTS The analysis and opinions expressed in this report are based upon data obtained from Gassen Company, Skyline, and the homeowner at the indicated locations, This report does not reflect variations in conditions that may occur across the site, property, or facility. Actual conditions may vary and may not become evident without further assessment. © IEA, INC. 2011 Page 5 of 6 Gassen Company - 3667 Vermillion Court North IEA Project it 201110100 Documentation & Exterior/Interior Assessment November 10, 2011 ----- — This report is prepared for the exclusive use of our client for specific application to the project discussed and has been prepared in accordance with generally accepted indoor air quality practices, No warranties are intended or made. If you have any questions, please contact our office at 763-315-7900, Sincerely, MA, INC. i544.-- L,a,n, , ,r,Qiet ronnan, CIH, MPH, LEED AP 0+M r. Project Manager Indoor Environments Division 1 / Brian Cavallin Senior Air Quality Investigator Indoor Environments Division BC/wb 111011 Enc IEA, INC, 2011 Page 6 of 6 ~ ~ StTE ADDRESS 31vlo'r Ie~rt~ oI1 (.iT. N. Unit # Pertnit # L B ~ SeCt./Sub. Oe-#7Px Ceoormdiori INSPECTION INSPE OR DATE COMMENTS 1A ° ?i- 6-6- 6 UG ii-6 . G - . • ! 70 9-q~ 7- 3~ - . ' ?3i - f16 , 3 y Ue INSPECTION INSPECTOR DATE COMMENTS . . lvlo9 °2 -759v SITE ADDRESS ~ Prw?~~ 1o n l'~, I~. Unit # Permit #Q85f L ~ SectJSub. Y~'?'~'t`i o h I e INSPECTIDN INSPEC R DATE • COMMENTS -G 777- ~ 914-7 G -x r>. ! ,l - 11 l ~I ( V IN8PECTION IflSPECTOR DATE COMMENTS . !v. SITE ADDRESS •3& ~ , o?~ lJUnit # Permit # L a B Sect./Sub. &4,11tX cv_~; 1 i Oo1 ilaw 7 s l~ a° INSPECTION INSPEC R DATE COMMENTS s-3~-fG ~ -6 - 6 ~Cf ~t P6 UG PJ#. -6-~t 7 . fi -7 ~•c~~ -l- ~ 6 W `I -/6 C~d 9 jp~ IN8PEC110N INSPECTOR OATE COMMENTS SITE ADDRESS .36~.~ rer'~'?'~~ b~r? Unn # Permit # L Sect./SubL iltgu 7 3/Y(v S ~ INSPECTION INSPECT R DATE COMMENTS -3~ 4G 6 ~ - ` 454 . l~ ~3 ~4G M46 ce~ 3~ ~ ~ A(- ~ A. i INSPECTIDN IN3PECTOR DATE COMMENTS . ' SITE ADDRESS 75 e-,r-M~ h0 ~ Und # Permit # PSec).3u ~ ~Fvoo IMSPECTION INSPE OR DATE COMMENTS S- 31-qy 'S~~ ~-Z& Ife 7 R'l $ '30 -2L G ws ~ ~ - r,4lB 8'~9-~~ ~ : 4 • ` - LAZ u,s j / ~ INSPECTION INSPECTOR DATE COMMEMTS ~ SITE ADDRESS 006~7 rf~; 11d" • IU• unn # Per,,;t # L B . SectJS b. 0 ~ ~!o D° INSPECTION iN3PECT0 OATE COMMENT3 Qdf" 6 ,L T~ JOA INSPECTION INSPECTOFi DATE COMMENT3 SITE ADDRESS ft79 o~ u~. Unit # Permit # L B Sect./Sub. INSPECTION INSP TOR DATE COMMENTS zz;F ~ S--d~- , -6 -o~ 6 II -4 l 7- ~ 2 • ~ f /~-Il . ~ ~ INSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS ~8 I V'~'~nn+ 110•~ l~`. I V Vnft ~ ermit # L B Sect./Sub. INSPECTtON INSPECT DATE COMMENTS a'd S-.?/-rl h6i u ~ v 7- s~ rc n n /n q 1.4 IMSPECTION INSPECTOR DATE \COMMENTS `~1', . . 1 SITE ADDRESS d~ g3 V~Ywr?. b~ • AU Unh # Permit # L Seqt./Sub. INSPECTION INSPECT R DATE COMMENTS S-.~/-46 17i~+ll.d~i~•, ~,.•4 Z f~.„..: -y -4G jrl r IMSPECTION INSPECTOR DATE COMMENTS SITE ADDRESS n/ dr ( I vrt ~Unit # Permit # L Sect./Sub. 7 03 INSPECTION INSPECTOR OATE COMMENTS • -,6 uK O l~- r - ~ INSPEC110N INSPECTOR DATE COMMENTS i ~ i a StTE ADDRESS ~ v~'1's~ ? IIOrt - Unit # Permit # L Sect./ ub. INSPECTIOM INSPE OR DATE COMMENTS S 3i:jii~ . . r6 ` 6 J , Z • -L. 6-~6 6 ~ INSPECTION INSPECTOR DATE COMMENTS I . ~ SITE ADDRESS ~~gg ~X1?~,i `lOv~ l'~, 1~ • Unit # Permit # L B Sect./Sub. ~ 3 INSPECTION INSPECT DATE COMMEMTS f 4 4c.e , • 6 -A ~l 6-//- C GD. O. 9 ~ ~ . INSPECTION INSPECTOR OATE COMMENTS 1 I i ` . ~ INSPECTION RECORD 1 CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. 'y r 44 o Ea an, Minnesota 55122-1897 ~ ~ 9 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 3~c`7 P11 rtN 0 i PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . D. i ~ ; ~ , ; ~ f t: ? I I I !1 t t ' I I P1 I - 8/- 8s ~ 8'5 - 87- ~e~~; ~:o ti C~• N. -1/- 71- r~- 77- 79 ~ PMRdt No. Pe?mk Holder Dab Telephons • ELECTRIC ' ~ ~ PLUMBING 6 - HVAC inspecdon te Insp. CommeMs FOOTINGS ' FOUND FRAMING ROOFING PL~UMC~BING PLBG AIR TEST ROUGH HEATING GAS SVC 7EST INSUL GYP BOARD FlREPLACH FIREPLACE ' AIR TEST FINAL PLBG FINAL HTG ORSAT ~ TEST / BLOG FINAL - . BSMT R.I. BSMT FINAI DECK FTG - - - ~ - DFCK FINAI _ - - - - - - ~ ' ' - ~ ` - _ ' _ his 6p.. 30 C~~(~ O ~ OFFI E USE NLY Thh request void IB monlhs Irom wlidaoon dnle prinkd in t~ o ~l l~ y2Q7~- PLEASE PRINT OR TYPE Reqwmt Dale kcugh-in impecnan reqwred2 Yes ? N. Impedian Other Than Rough.ln. Q Ready Now ill Call (Yoa musi wll Ihe inspeeor when ~eady) Dole Beady: I, licensed confracior ? owner hereby requesf inspedion o{ Ihe above electnml work al: Job Addiesz (Amel, Bav, ar Raule Na ) Gry Zip Gode 3 tJ - c ,e $ecM1On No. Township Nome or No Ranga Na. Fi.e No. Counry pccupont Phonv No E TC Pa.wrSupplier n Mdrees /'f" Elednml Cammnor JCompony Nomel Canvocror Ge No. Mmlar Lic No. (Plom Eled. Onlyj z~R A mm! !D ! !D Madmg Pddreu (Commqor or Owner Pedarming Inslailalionj t l~ .sa 3 Authonzed Sign wre nfmnor er er PeAortnmg Inswllobon) Phane N. ,7 EB- A-10 6/95 STATE60AROCOPV-SEEINSTRUCTIONSONBACKOFYELLOWCOPY •I P REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of ElecViary 1821 Unrvereity Ave., Fim. S 128, S. Paul, MN 55164 hp~ 0 3 0 9 30 0 6* Phone (672).642-0800 7d2,3 y Fiome uplex Apt. Bldg. Other: IJew Addn ommercial Indusfrial Form emod Re oir Air Cond. Hfg. Equip Wafer Hir Load Mgmt. Other D er Ron e Elec. Heat Tem . Sernce "k' obove fhe work covered by this request. Enfer remarks m ihis space and on ihe back af the whde mpy only. Calculate Inspechon Fee - This Inspection Request wifl not he atcepfed wrthoul Ihe correcf /ee: Other Fee # Service EMrance Size Fee # Circvits/Feeders Fee Mobile Home Park Sfall 0 to 200 Amps 0 to 100 Amps Street Ltg./Traffi< Sig. Abo,,e 200 Amps Ab 0 Amps Transformer/Genemfor iNSPECion'suSEONLv A~ TAL Sign/Oufline Lfg. Xfmr. a 90 ~ Alorm/Remo}e Confrol $wimming Pool I hereb cem! ihat I ennml insmllae descnbed he2n on iha daks.m~ Irrigation Boom Ito.gh-In Dote Special Inspection finol Investigatrve Fee THIS INSTALLATION MAY BE ORDERED DIS C IF OT COMPLETED WITHI 18 M NTHS. . 312 ~ O L 6 ~ OFFI E USE NLY This rtquest void IB monMs Imm validanon dole prinled in thrs boF. ~~39 PLEASE PRINT OR TYPE 2, Repuesl Dok Bwgh-in inzpen~on mqomed2 ? N. Inxpenion Oihar ihan Roegh-In. Q Ready No.. ~WAI Coll ~ l , (Ya~ mm, roll ihe Inzpedor whm mady) Dob ReadyI, o-iicensed wnfmctor ? owner hereby request inspedion o( the above eledrical work at: Job Mdrtu (Sne<i, 0m, or Rawe No ) Gry Lp Code E L , c 6- Seaon No TownsMV ama or No. R.N. N. Fin N. Comry Ocwpa t ti ~~x PMne No. PoxerSupp,/Le~r y~ Pddmss T/ ~ / Elenriml Coniwtlor (Company Name) Con~mnor tironse No Mvahr Lc. N. ~Plant Elea Only~ LR ~ MaiLeg Mdnss IeonvaCO. or 04.ner Pedoiming Insmllnnanl AuMOdiad Si (C dor or ar Pedorming Imbi Phone N. V I EB-OOOOIA-106/95 STATEBOARDCOPY-SEEINSTRUCTIONSONBIICKOFVELLOWCOPY REQUEST FOR ELECTRICAL INSPECTION Minne State Board of Eledricity ~II II I illll ~ 7821 brllssFsiry Ave., Rm. -128 $t Paul, MN 55104 * 0 3 L.-~. ;1 2 6 8* phone (612) 642-0800 Home up ex Apt. Bldg. Other: New Addn Commercial Indusirial Farm Remod Re air Air Cond. Hlg. Equip. Wafer Htr. Load Mgmf. Other: D er Ran e Elec. Heat Tem . Service "X" above the work covered by this requesf. Enter remarks m fhis spoce and on the back of fhe white copy only. Colculate Inspecfion Fee - This Inspe<hon Requesf wdl not be occepted withoW the rorrect fee- Olher Fee it Servire EnAonce Size Fee # Ci¢uih/Feeders Fee Mobile Home Pork Sfail 0 to 200 Amps 0 to 100 Amps Street L}g./TraHic Sig. Above 200 Amps A 100 Amps Transformer/Generalor INSYECTOR'SUSEONIV T TA~L Sign/OuBine Lig. Xfmr. 7 y DU JQ Alarm/Remofe Con}rol ~ Swimming Pool I hemb mm ihat I ~m e lotw esrnbed hercm on th<doie, s i IRigahon Boom Rouqh-In Dt~ $peaal Inspection oliw Investigofive Fee THIS INS7ALLATION MAY BE ORDERED DISCONNECTED IF T COMPLETED WITHIN ONTHS. 312 - 0 2 7F61 OFFI E USE NLV This rcquest.oid 18 momhs fmm .oLdanon date pdnred in this bqx n/ PLEASE PRINT OR TYPE Requen Dere Rwghin inspection nquiredt Yez ? N. Inspa~ion OlherThan Roughln[] Ready Now Will Call ~ii-PL I ('!ou must mll Ihe inspewr »fien reudy~ Dme Ready. I, 0-licensed confmdor ? owner hereby requesf inspection af fhe above electnml work ah Jab Pddrev (Sneei, 9ae, ar Route N. I ciry Zip Code R) . A1, .EA(o 4 N Seceon No Township Nome o. No Range No. Fire No. Counry Occvpani E N `r- Phane No. C Power Supplier Mdmss EIMnm Connacwr ~Compony Name) Commeor 6canse No. Maahr Lic. Na (Plant Elen.Only) Molling Mdrna (Contrador or O«ner Pedoemmg InsMllobon) R)JV U AuAwnud ignm C imtl or Owner P arming ImiallaNon) Phane No 7d' ~ 2 7.~? EB-OOOOIA-106/95 STATEBOARDCOPY-SEEINSTHUCTIONSONBACKOFYELLOWCOPY l4 II I II II REQUEST FOfl ELECTRICAL INSPECTION'~~~~ Minnesota State Board of Electricity 1821 UniveisiTy Ave., Rm. 728, t. Paul, MN 55104 * ~ 3 1~ 0 2 7 6~ Phone (612) 642-0800 7 (P Home up ex Apt. Bidg. Other: New Addn ommerciol Indusfrial Farm Remod Re air Air Cond. Hfg. Equip. Wafer Hfr. Lood Mgmt. Other. D er Ran e Elec. Heat Tem . Service "X° above the wo(k covered by this requesf Enter remarks in this space and on the back of fhe while copy only. Calculate Inspedion Fee - This InspecGOn Request wJl not be accepted wrthouf fhe corred iee: Olher Fee # Service Enhance $iu Fee # Circvifs/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Tiaffic $ig. Above 200 Amps Amps Transformer/Generator INSPECTOR'S USE ONLY n/ T TAyL $ign/Oufline Lfg. Xfmr. C ~ j .OG Q Alarm/Remote Conlrol ~ $wimming Pool I hereb cem( ihoi I ins ened e d ml inxiollonon desc ed heem on Ihe dale Irrigahon Boom Roogh-In Dare Speciol Inspedion Final Investigafive Fee ~ THIS INSTALLATION MAY BE OR)ERE NECTED IF NO ,COMPLETED WI I O THS. 312 - 0 2$ ~ O~F7FI E USEP NLY This requmt.oid IB monfhs fmm wlidanon date pnmed i/n i_hie box PLEASE PRINT OR TYPE , -2 ~ 0.eqwsqt Doro Roogh+n inspecbon repmredi Yes ? N. ImpMion Olher ihan Raogh-In 0 Reody Nw will Coll 9 (Yo. mosi mll ihe Ivpedar when rea y) Daie Ready: I, p licensed confractor ? owner hereby request inspedion af fhe a6ove elecfrical work af. bb Pddress (Sheel, Bm, or Row< Not Gry Lp Code 7 - LI 0 ~IA• Sedian No Township Name or No Range N. Fim No. Counry Occupom Plwne No. "t- Power upplier Mdrozs ElecmIml Conrcaclor (Campany Nome) Confrornr Licenee No. Mvain Lc N. (Plant Eled Only) F. ` Moiliig/ddress (Conrvador or Owner Pedarming Insmllanon) lwfhorixd ig ~ onlm ar Owner adortning Insmllanan) Phane Na . .37 EB-0010OIA-10 6/95 STATEBOAflDCOPY-SEEINSTRUMIONSONBACKOFYELLOWCOPY ' III II ~HHI ~I II REQUESTFORELECTRICAIINSPECTIONMinnesota State Board ot Electricity 18 21 University Ave., Rm128, tPaul, MN 55104 tO * 0 3 1 ~ ~ 2 8 * Pnone (612) saz-oaoo Home Duplen Apt. Bldg. Other New Addn :.ommer<ial Indosirial Farm emod Re air Air Cond. Hfg. Equip. Water Hh. Load Mgmf. Other D er Ran e Elec. Heat Tem . Service "Y" above the work covered by fhis requesG Enter remarks m this spoce ond on fhe batk o( }he whife copy only. Calcula/e Inspechon Fee - 7his Inspecfion Request will not be occepled wdhout the mrred feeOlher Fee # Service Enhance Size Fee # Circvih/Feeders Fee ` Mobile Home Park Stall 0 to 200 Amps 0 fo 100 Amps Sfreet Lig./Traffic Sig. Above 200 Amps Above 100 Amps m Tronsformer/Generafor INSPECTOR'S USE ONLY TAL L~V $ign/OuHine Ltg. Wmr. OG Alorm/Remote Confrol wimming Pool lhe.eb cenit iholI ms ea enncol ;n:io non d onbed hemm on ihe dn K Irrigation Boom 2oogh-io Oaie Special Inspection Investigatrve Fee THIS INSTALLATION MAY BE ORDERED DISCONNECT IF NOff COMPLETED WI HIN 8 NTHS. 312 - 0 2 9 12 OFFIC~E p$E p~LY This rtqoesi void 18 manihs Irom wLdafion doia pnnrcd in this bov PLEASE PRINT OR TYPE dXV4 dD Yn ? No Impecnon OlherThan Rovgh.ln: ~ Ready Now Will Call Requasf Doro Rooghin inspecl~on reqwredt henready) Dok Readp ~ L l 7_ (Yao m~st call ~he inspenorw I, licensed contmctor ? owner hereby requesf inspedion of the above electriml work at: Jab Pddress (Slreei, Bo., or Roule No.) Gry Zip Cada s V:R auav u. ~~-G!~ nl Sectisn o Township Name ar No. Range N. fim No Counry 0= pant Plwne No Po..er Supplier lddme Eletlriml Conkadar (Company Name) Commnor Lcama Na. Maafer Lc N. (Plam Elen.Only) EV Mailirg Aildaas (Conhacror or Own<r PeAoming Insmllolion) h1k S- , N, ~ LS, lll. SJ" - fwfhonzed Stgnnw cm a dormng Imallm.on) Phane No. EBOOOOIA-106/95 STATEBOARDCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY IIIII I p2jG REQUEST FOR ELECTRICAL INSPECTION Minnesota SWte Board of Eledricity ~ 0 3' 1, 2 9 * 1821 Universiry Ave., Rm. 5-128, S. Paul, MN 55104 ' ~ PFtdne(872)842-0800 ~ 5' 40 Home Duplea Apt. Bldg. Other: , New Addn Commercial Industrial Farm Remod Re air Air Cond. Hlg. Equip. Water Htr. Load Mgmt. Other: D er Ran e Elec. Heat Tem .$ervice "X" above the work covered by this request. Enfer remarks in Ihis spoce and on the back ol the white copy only. Calculate Inspechon Fee - 7his Inspecfion Requesf will not be occepted withouf fhe mmecf fee: h/Feeders Fee OlFier Fee 3i Service Enhance Sae Fee hjjQ0_ CijE Mobile Home Park $tall 0 to 200 Ampz $treet Ltg./Traffic $ig. Above 200 Amps Amps 7a QTAL ~ Transformer/Generator INSPECTOR'S USE ONLY $ign/OuNine Lig. Xfmr. Alarm/Remote Confrol Swimming Pool i Irrigotion Boom Roigh.ln Date Special Inspecfion Investigalive Fee Final THIS INSTALLATION MAV BE ORDERED DI NNECTED IF NJOT COMPLETED WITHIN 18 MONTHS. 312~O~ O ~ OFFl E USE LY Thn eq~ssi wid 18 manM, fmm mLdonon dare pnmadin ~ 7~5As"9~ V: U , ~ CW PLEASE PRINT OR TYPE Rapuaxi Dole Rough-In impMim aqm,edi Yes ? N. I Impecnon Oihar Than Rouph-In: 0 Ready Now W~11 Call (1'0~ m~st mll Ihe impedar whm ree y) Dok Raady. I, licensed contractor ? owner hereby request inspection of the above eledrical work at: job Mdress (Slnel, Box, or Roule No.) GN Zip Gade Cb EA 1pc11 n No Tawnship Name ar No Range No. Fire N. Counry Occvpam Phone No .~N Power Supplier Pddmss ElennwlCommetor(ComponyNomel CommcmrlicensaNo. MoeimLic No ~PlomEled Only) LA r L M ding Mdmss (CoAmtlor or Pxnar Pedorming Installanon) I 1 AuNwrized Signy re (Conl dor or OwM1er PerfarminB Immllanon) Phone N. / i -27a EB-OOOOIA-10 6/95 STATEBOAFiDCOPY-SEEINSiRUCT10N50NBRCKOFVELLOWCOPY IIII! I REaUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electriciry ~ . 1827 University Ave., Rm. S- 28, S. Paul, MN 55104 * 0 3 1 u Cl 3 0 0* Phur, (cia) 642-0800 V 3 9 ~ . ome Duplen Apf. Bldg. Other jyj New Addn Cmmercial Indusirial Form Remod Re oir Cond. Htg. Equip. Water Hir. Load Mgmt. Other: D er Ran e Elec. Heat Tem . Service ."X" obove the work covered 6y tha request. Enfer remarks m fhis spoce ond on fhe back o/ the whde copy only. Calculofe Inspecfion Fee - 7his Inspecfion Request will not be accepfed wdhout the mrrecf fee. Olher Fee 3€ $ervice Enhance Sae Fee # Circuih/Feeders Fee Mobile Home Park Stall 0 ro 200 Amps 0 to 100 Amps Sireet Ltg /Trailic $ig. Above 200 Amps Ab 0 Amps n Transformer/Generafor INSPECTOP'SUSEONLV T TAL `(.J . $ign/Outline l}g Xfmr. Q ~ ~ ' d Alarm/Remote Control Swimming Pool ~ y~~ab cen~ iho ed dednml m Ila ecnbed hem~n on ~h<d sf e Irrigation Boom Roogh-In Oale $pecial Inspedion Inveshgafive Fee F~~ THIS INSTALLATION MAY BE ORDERED DISCO ED IF N T COMpLETED WITHIN 18 O THS. 312 - 0 31 [E 9L~This reqvat.oid IB montlu, Irom .alidanon date pnnkd in this box. . ~ PLEASE PRINT OR TYPE / y r 0.eQoesl Dak Rovgh.in impedian mqmred2 Yes ~ No Inspecton Olher Than Raugh-In 0 Ready Now Y~/ Will Call na m~.~ ~on In,~no, ~ n oax Rroar. `7 - 17_ 4 ` I,Alicensed conlmdor ? owner here6y request inspedion ol ihe above eledricol work af: lob Addmss (9reei, Bo., or Rowe No ) Gp 2ip Code 3 C . N- C N 5«non No To..mhip Name o. No. 2aige No. Fm N. Counp Occ PMro No atE. Po»er 5vpplier Mdmss ElM{nmyl~ Coy L+ ntmtlor (Campany NamIe) ~ / / Gonimnor Limnse/ N. Mmier Li< Nm (Plom Elect OnIYI L./7z P L ~ 10- D l/ Moiling Mdnes (Canfmcwr ar O.ner PaAarmirg Insallation) .lt_, (s_ J Authonxed ignaNm ~mtlor r wner Pe rmrtg Imblloeon) Phane N. E8IXi001A-106/5 STATEBOANDCOPY-SEEINSTAUCTONSONBACKOFVELLOWCOPY II~IIII II I I II~II REQUEST FOR ELECTRICAL INSPECTION ' Minnesota State 6oard of ElechiciTy * O ~ n8~ 1827 University Ave., Rm. S 12 Paul, MN 55104 Phone (612) 642-0800 liome Duplex Ap}. Bldg. Other: New Addn Commeraal Industriol Farm Remod Re air Air Cond. Hfg. Eqmp Woter Hlr. Load Mgmt. Other: Druer Ran e Elec. Heat Tem . Service "X' a6ove fhe work rovered by this request Enfer remarks m fhis space and an the bock o{ Ihe whde copy only Calculafe Inspechon Fee - This Inspection Requesi will nof be accepfed wdhouf fhe correct fee. OlFier Fee # Service Enhance Sae Fee # Circuih/Feeders Fee Mobile Home Park Sfoll 0 to 200 Amps 0 to 100 Amps $treet Lig./Traffic Sig. Above 200 Amps A 0 Amps Transformer/Generator INSPECTOH'SUSEONLY 7AL Sign/Outline Ltg Xfmr. Alarm/Remote Confrol Swimmmg Pool I hercb cem th.t I ins ede.d ~he eadcal insMllabon scnbsd hemin on the da w Irrigotion Boom Ro~gh-In $peaal Inspeclion Finol Investigatrve Fee 7HI5 INSTALLATION MAV BE ORDERED DISCONNECTE IF N COMPLETED WITHIN 7 THS. n73- ~ ~ OFFICE USE ONLV Thrs aQuat rond IB momhs Imm mlidonon dom pnnted in Mis bo. C! - ~J L . PLEASE PRINT OR TYPE ~ 0.equesl pob Roogh-in inspatlmn mqmrcU Yea ~ N. Inspec4on Olher Than Rovgh.lnQ Ready Now ' W~11 Call i~~~'Sj ~Yo. mu:t mll tlw impeclor wh reody) Dare Ready: I, licensed mnhacfor ? owner hereby requesf inspedion ol ihe o6ove elecfrical work ot: bb Pddrue fAreet, Bo:, or Rou No.~ Gp Zip Cade ~'1 i /uo~v v ..1 Sedion No Township Nome or No. Rarge No. Fira No. CoUnry p.pon, PMne N. Power SoppLer Pddnss Elednml o dor (Compony Na,,) Conim Lceme No. Masmr lic. No. (Plam Eiea. Only) c Nwi ug Pddrev onhoctor or O.mer Pedormin8lnsmllotan) ~(c~'c /wfionxed SignaNm o onor or O»ner PeAorming Insiollonon Phape No. 7~~C4~~ E11-00001A.10 6/95 STATE BOARD COPY- SEE INSTHU ION ON BACKOF VELLOW COPY 1~ I II ~ II I II REQUEST FOR ELECTRICAL INSPECTION50 ~y,~ Minnesota State Board of Elechicity ys % ~ 1821 Univeisity Ave., Rm. 5428, SL Paul, MN 55104 ~ * 7 3 0 2 5 * Phone (612) 642-0800 (p ~D 9(0 Home Duplex Apt. Bldg. Other. New Addn Commercial Indusfrial Farm Remod Re air AirCond. Hfg. Equip. Water Htr. Load Mgmt Ofher: D er Ran e Elec. Heat Tem . Service "X" above the work mvered by this request Enfe remarks in this space and on ihe back ol the whi7e copy only. Calculafe Inspection Fee - This Inspection Requesf will not be accepted without the mrtect fee: Olher Fee S Service Enhance 5¢e Fee # Circvits/Feeders Fee Mobile Flome Park Stall 0 to 200 Amps 0 ta O O A Amps Street Ltg./Traffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOF'SUSEONLV TOTAL S-0 Sign/OWline Lfg. Xfmr. rIo Alarm/Remote Control Swimming Pool I hem <em( Ihal l ins d ihe elerniml mslollano an the dabs sMkd Irrigotion Boom Rouqh.in Dak Speaal Inspecfion Fin Imestigative Fee ~1~7/ THIS INSTALLATION MAV BE ORDERED DISCONNEC D IF NOT COMPLETED WITHIN 18 MONTHS. 312 - 032 ~ OFFlC USE ONLY This re,esi mid 18 monMi from voGdoimn dole pnnicf in Ihrs ba+. PLEASE PHINT OR TYPE U ? Requa7aia Rough-in msp~cnon requiiedY Yes ? N. Impenion Oiher Than Rough-In: 0 Ready Now wAI Call ` (Yaa most call ihe mspenor.hen ready) Dak Reody 11 licensed <onirador 0 owner hereby requesf inspection of ihe above electriwl work at: bb /ddmss (Aree1, Bm, or Roeie No.) Gry Zip Code 3~ I U- z n) ~J-, k], 54 ; N Sedion N. Township Name or N. Ra,e No Fin No Counry Ompam . f~' PMne Na. IV G Pawr Suppliv Pddress l e V ~ 1- Elenriml Conrcacmr (Campany Name) Contmaor bcrose N. Masror Lc N. JPlant Elect Only) ~ MotLo, Pddresa (Contmdor or O.ma PeAorming Insmlloeon) I , N. ,5- htlwrized igmN ~r O.mroimirg Insmllanonf Phone o EB-OOOOIA-10 6/95 STATEBOAPDCOVY-SEEINSTNUCTIONSONBACKOFYELLOWCOW I~II IIIII I I I I II REOUEST FOR ELECTRICAL INSPECTION ~~:T M innesota Slate Board ot ElechiciTy ¥ A~ 1821 University St PaulMN 55104 c~~ 3 2 6Phone (612) 642-0„.~~ , Ho Duplex Apt. Bldg. Vther." New Addn Commercial Indusfrial Farm Remod Re air ftK Cond. Wg. Equip. Water Htr. Load Mgmf. Other: D er Ran e Elec. Heat Tem . Service above the work covered by this request. Enter remarks in this spoce and on tha bock oi the whife copy only. Calcu)ate Inspection Fee - Tha Inspecfion Requesf wdl not be accepted without fhe <orred fee. Olher Fee # Service Entrance Size Fee ¥ Circuih/Feeders Fee Mobile Home Park $tail 0 to 200 Amps 0 fo 100 Amps $freel Lig./froHic Sig. A6ove 200 Amps 00 Amps Tran5lormer/Generotor INSPECTOH'SUSEONLV 7 TAT $ign/Oufline Llg. Xfmr. 00 ~ Alarm/Remote Control $wimming Pool i herc cem ihai I im ~ e elec~nml tn.mllanon dmuibed he.ein on ihe date. smied Irrigahon Boom Roegh.ln DaM Special Inspedion Fuwl Investigalive Fee d QW4Z THIS INSTALLATION MAY BE ORDERE OMPLETED WITHIN 18 MONTHS. ~ 12 - 0 3 3~ ~FFI E USE ONLY This reqvest void I B monTs (rom wlidanon date pnnhd in Ihis boz ~ 7jo23/9 (to PLEASE PRINT OR TYPE lieqve~,Dah Rouqh-in mspedian mquired4 Yes ? No Impernon Olher Than Ro„gh-In 0 Neody No WJI Call ~ /..9 ire~mu.t .nt,.rox,peota,.d,en ,rod~) Dabaeaar , I, licensed conlracior ~ owner here6y requesf inspecfion of ihe above elechical work at: lab Pddmss (Areet, Bm, or Rour No ) Ciry 2ip Code 3 LL ~ N 5«AOn N. Townxhip Name ar No. Range N. Fim No. Counry Oc<upom PMne No E k) PowerSu)pplmr Addresr i/T-'P k t_ Elecmml Canwcro. (Company Nama) Confrodor Lfame No. Masler 6c Nm (Plonl Eled. Ody) z _L. N ,4 Moiing Mdre:z (commmr or Owner PedoMlL (P Ou-, 4R'rVjlR st oj , , 4S_ N• SS Puthorixad~Con atlor or m Pedorming Insmllanan) Phone No E8.000OIA-10 6/95 5TRTEBOARDCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY I II III R33 II II EQUEST FOR ELECTRICAL INSPECTION 8'21 Unive siry AvearRrof SIe28ciSt Paul, MN 55104 3 1 ~ 4* Phone~: 2) 642-0800 r~'f Home Duple: P.pt.8ldg. Other: New Addn Commercial Indusirial Farm Remod Re air Fbir Cond. Hig. Equip. Wafer Hir. Load Mgmt Othec D er Ran e Elec. Heat Tem . Service "JC obove the work mvered by this request Enler remarks in fhis space and on fhe back o/ ffie whife copy only. Calculafe Inspechon Fee - 7his Inspection Request will not ba accepfed without the mrzecf fee- Other Fee # Service EMrame $ize Fee # Circvih/Feeders Fee Mobile Home Park Sfall 0 to 200 Amps 0 to 100 Amps Slreet Lfg./rmffic Sig. Above 200 Amps Amps TmnsformedGenemtor INSPECTOR'SUSEONLV T TAL .Q ~ Sign/Oufline Lfg. Xfmr. Q Alorm/Remote Control Swimming Pool I hereb ceni ihol tled the ctnml dmaibad hem on /na doiee ei Irrigation Boom Raugh-In e C Special Inspection j Fiml ~~e Invesfigative fee THIS INSTALLATION MAY BE ORDERED DISCONNECTE NOT COMPLETED WRHIN 1 MONTHS. ~ 1L-0 34 ~ OF}lC USE ON Y This mqoesl wid 18 monlhs !mm .olidolion dok pnntad in ~ ~isbaa_ ~ / PLEASE PRINT OR TYPE Requesl Dob Rough-m mspeni n requiradY Yee ? N. InspMion Oiher Than Rough-Im. Q Ready New WAI Call 1 ~7- 1 (Yau must mll Me inspeclor when ready) Dok Reody. ~ I, ~licensed confraclor 11 owner hereby requesf inspeclion ol ihe a6ove eledriml work at: bb Pddron (9reet, Bo., or Roufe No ) Gry Zip Code 6~85 - ZL / Al - A N S«iron N. To.mship Name or Na. Range Na. Fire No. Caunry O.pent Phone N. EvT45 Power uppLer Pddress g~ Eletldml Conhotlor (Compony Nome) Commcwr Lcense No. Mmh.v Lic. No_ (Plam Eletl. Only) LAz~R E ~A nt /0 Mailimg Mdnv Icoor Own.' PeAarming Insmllanon) ! nnocror-/} ,E, Aurhonzed M or Ow Pedorming Immllanonl Phone No. V EB-OOOOlA-10 6/95 STATEBOARUCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY II~II ~ I II REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity ti~~~ 4 2* 1821 University Ave., Rm. S- St Paul, MN 55104 ~ Phone (672) 642-0800 Home upex Apt. Bldg. Other: New Addn Commercial Indushial Farm ~Remod Re oir Air Cond. H}g Equip. Wofer Hh. Load Mgmf. Ofher U 1ryer Ron e Elec Heat Tem .$ervice "X" dbove the work rovered by tha requesi. Enter remarks m this spoce and on ihe back o( the white copy only Calculote Inspechon Fee - 7his Inspechon Request wJl not be accepfed wrthout the mrrect fee Olher Fee 3f` Service Enfrance $ae Fee # Circuih/Feeders Fee Mobile Home Park 5fall 0 to 200 Amps 0 to 100 Amps Sireet Ltg./lroHic Sig. Above 200 Amps 0 Amps Transformer/Genero}or INSVECTOR'SUSEONLY TQTAL $ign/Oufline Lfg. Xfmr. Alarm/Remofe Confrol $wimming Pool i hercb an~ i d the elear al i Wigton de:cdbed hereio on the dok::~orc lRlyafion Boom Raugh-In n3 ~i Oate Special Inspedion R' !i nat D ' Investiga}ive Fee ~ 06 THIS INSTALLATION MAY BE ORDERED I C NNE ED IF OMPLETED WITHIN 7B ONTHS. 3~ L- 03519 OFFI E USE O LV This request void 18 momhe fmm volidalion dale pnnkd in ihi_ s box tY o PLiEASE PRINT OR TYPE Request Dok Rough-in inzpenion requirad2 Yes 0 No Inspecnon Oiher Thon Roogh-In: Q Rmdy Now wlll Call (You mml mll Ihe Inspetlor when rea y) Dale Rmdy: I, , licensed coniroctor ? owner hereby requesl inspedion af fhe abave eledncal work af: Job Addrev (SVeei, Ba:, or R.W. N. I Ciry Z.p Cade cQ W C' fl N SMion No. Township Name or No. Ranga Na. Fm No Comry "E' Phonv No. Power Sopnpliar Pddmss ry Elennml Cantmclor (Company Name) Conwcmr Lanse No Monm Lic. No. (Plvm Elect Only) C A~ MoJing /ddmn (Conlmtlo• or Ownar Perfarming Insmllmionj I / 1 ~ CJ ~ ,V - ~1 5 Avthonzed 5" Nm 1 C. dor or ei Pedormng Insmllaban) Phone Na LC =2 7, n I 1-7-2 EB-OOOOIA-10 6/95 STATEBOAROCOPV-SEEINSTflUCTIONSONBACKOFYELLOWCOPY II REQUEST FOR ELECTRICAL INSPECTION II ! ll ~ II I II Minnesota State Board of Elechiciry ~ * 0 3 1~ 0 3 5 9 s 1821 University Ave., Rm. S 128, L Paul, MN 55104 ~A A . Phone (612) 642-0800 ~ Home Duplex - Api Bldg. 01her: New Addn 1~ommercial Industrial Farm Remod Re oir Air Cond. Htg. Equip. Woter Htr. Load Mgmt. Other. D er Ran e Elec. Heaf Tem . Service "X" above fhe work tovered by fhis request. Enfer remarks in fhis space ond on fhe back o/ the while copy only. Calwlate Inspection Fee - This Inspechon Request will nof be accepted withwl fhe corred fee: Other Fee # Service EMronce Size Fee iF Ciraiils/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 l0 100 Amps $ireet Lig./TruHic Sig. Above 200 Amps A Amps TransSormer/Generotor INSPECTOR'SUSEONLV G~/7 T TA $ign/Oudine Lig. X(mr. A/• ~ 7D Alarm/Remofe Confrol Swimming Pool it~ «m ~i Ih, dacmmi mllauon de,,:dbt,d hm~,o onih. doie. nmad Irrigafion Boom Rouah-In $pe<ial Inspection Fiml Investigafive Fee / I THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. I II R ~I II REQUEST FOR ELECTRICAL INSPECTION 40 °~„ss^~1 I Minnesota State Board ot Elec[ricity 1821 Universiry Ave., Rm. S- 28, S. Paul, MN 55164 1`~v y * 0 3 1, 2~i 3 6 7* Pkcivs (612) 642-0800 J ~(y Jtome Duplex Apl. Bldg. Other: New Addn "Commercial Indusfriol Form Remod Re air Air Cond. Htg. Equip. Water Htr. load Mgmt. Other: D er Ran e Elec Heat Tem . Senice "X" obove fhe work covered by Ihis requesG Enter iemarks m this spoce and on the back of the white mpy only. Colcvlote Inspection Fee - This Inspection Request will nol be ocrepted w,thouf the correct fee: Olher Fee # $ervice EMrance Sae Fee # Circuih/Feeders F. Mobile Home Park Stall 0 ta 200 Amps 0 to 100 Amps Street Ltg./Tmff¢ Sig. Above 200 Amps A- 0 Amps Tronsformer/Generafor INSPECTOF'SUSEONLY /1~ T/AJL Sign/Outline Lfg. Xfmr. V~7~~ d Alarm/Remote Conhol $wimming Pool I hamb cem ihai I ins i alecmml iUrollmio rnbed herein an tha dob..wd Irrigafion Boom Ro~h-In ~K L Special Inspection Invesfigofive Fee Floei Dorc. THIS INSTALLATION MAY BE ORDERE D ON CTED IF NOT COMPLETED WITHIN 1 MONTHS. ppp~ W-ertifiCate ofccc"attcv ( Wit4 of W-agan ~ ~ ~cpa~mcae o~ ~r~t~iag ~p~e~nnn ~ This Certificate issaed pursuan! !o the requirements of the Uniform Building Cade certifying that at the time ojissuarsce this structure was in comp(iance with the variaus L oidinartces of the Ciry regulating building constructiort or use. For the following: U. a.ssi 12-PI.EX eaE.r~.a w.. 27590 a • ecu,on: a omv--rTYx R-1 U-1' Zm08R-3 rraca.a Vn = o...R,eteuaein8 :.ENTEX HOMES eem. 12400 TiH1TEWATER DR. At 20, MYK71., BmldingAdd,ccs 3667 VERMILION CT N ~.ty L3, Bl LENTEX VERM1L10N HN , Da )efldiQ90rKW . • / POST IN A CONSPICUOUS PU1CE \~y 312 - 036 OFFl E USE O LY This rryuesl .oid 18 manihe Irom wfidabon dme pnnred in lhis bo: 7~di3 ~o n ~9 ~ PL£ASE PRINT OR TYPE +2 ~ Reque» Daro Roogh-in ins on.aqvircdY Ya ? N. Inepecnon Oiher Thon Rou9h-In. 0 Ready Na. WII Call q/ I fYOe must roll the mspenor.lhen ready) Dore Rmdy. I, 0-1 icensed coniradar ? owner here6y request inspection of fhe above elecfrical work ah Job Addmss (Sheel, Bo., or Rooie No ) Gry Lp Code 36S9 [ N ~ A- Seson No. Township Noma or No Range No Fin No. Caunly OccuC pant Phona N. F Po»rer Supplw, /ddmu / Eleariml Convacror (Company Noma) Conlmclar License No. Mmter lic. No. (Plam EIM. Only) 12 U__ - e i Molling Addrus (Contrador ar Oummer Pmlounming Inswlloiion) /t ~]A `~i /V _ AuManzed Sign 'om dar a~ O er PeAormiig InsMlloeon~ Pirone N. E80000IA-10 6/95 STATEBOARUCOPY- SEEINSTRUCTIONSONBpCKOFYELLOWCOPY CERTIFICA TE OF SUR V~ Y._ i I Top of Irons @ Offsefs O Box Corner 818.11 Box Corner 818.20 L_V I ~ / I nT ^ Box Corner 818.33 \ ~ (st~.s) OD Box Corner 819.43 ~ 8,6.3 j ~ ~ (816.9 TC) 818.44 TC (818A TC) 0 / 817.73 TC m r • _ / 818M -Curb & Gutter (816.50) I / n,N N,¢O? ry `l ' (817.52 TC) 815.6 / 817.20 TL' r~ Bi d~ ~~4~28 ~8 y, m km ¢`3.3 f~x BOp ' o~ _ f- ~_v of Addrss e(T}p.) ~ I A~oPasep, S/ b 819. (prOP0S f ~a71 ~y Grpde ~ 366g tco~ o~ ~r 19.4 368g 82p oao q~ ~ ~ ~o 0 0 ~ J / I °L ~ a J~. 9 / R ~ ~ 814.0 Q ~ I zi ^ ,s~, 8 h h 3se3 ~ I e i _ _ ~r ~ o~ N 11 ^ a N)¢o? ~ 78~ ~ s l ` I 36j9 d 00-1 00 w \ \ R~ (819.3 TC) I W mk ~ I \ > i ~ 878.87 TC / Curb & Gutter, O ' m I ~ O ~ (aze.a) (aia.s Tc) 1 (81e.7 rc) ~ O II \o 0 826.0 818.52 TC ~ 818.34 TC ~0 ~ J / SSSO DRA/NAGE AND L ,~~v^ a LOT 3 \ UTILITY EASEMENT EAG M~ (e32.8) R 5 d 1 E E D \ ~24'180E 830.2 ~ _ 13.01 N _ Gig N89 35 42 08.24 ~ )aTE ys -8 .r (824.1) / O~ ~ \ \ 819.3 \ v `~~y~o• ~ \ \ GRAPHIC SCALE r` C~ ;;T - • ~ , , ~ o ,s R,- \ \ ( IN FEET ) ~ ~//r/ y < 1 inch = 30 Yt. ::i••,.,~s.._._-ai:.Dr.~. LEGAL DESCRIPAAN: so4.o denates Sanitory Serv. Inv. Lot 3, Block l, CEN7EX VERMILfON, occording to fhe recorded pJat (g04.0) denotes proposed elev. thereof, Dokofa County, Minnesota. 904.0 denotes existing elev. --s-- denofes surface drainoge Top of B1ock= 820.4 Gor. Floor= 820.0 REOUESTED BY: • Denotes iron monument /ound CENTEX HOMES o Denotes iron monumenf set Bearings based on ossumed datum. I hereby certrfy thot this survey was prepared IYoatwood Professional Services, I/)C ' by me ar under my drrect supervision and that 14780 West Trunk Hwy. 5 I om a duly R grstered Land Surveyor under the fden Prairie, MN 55344 laws e tate of o (672) 937-5150 Revised: 5114196 Add Ex. GrounO £lev. Martin J. We6 ~.L.S Regisfration No. 12043 Drawn by. M$ Dote: 414196 Job No: 95812 BICf #9 8103YER.OItG FERMIT C,e057001 ~ I;ITY OF EAGAN ' 3830 Pilot Knob Road PERMIT TYPE: B u I Lp= N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 5 9 0 (612) 681-4675 Date Issued: 0 5/ 2 4/ 9 6 SITE ADDRESS: 3667 VERMILION CT N LOT: 3 BLOCK: 1 , CENTEX VERMILION P.I.N.: 10-16935-030-01 DESCRIPTION: Building__'Permit Type 12-PLEX !Building Work Type NEW ~'UBC Occupancy., R-1 U-1 ~ Construction T'ype V-N ~ Zoning R-3 ~ Building Length 168 t Building Width ~ 70 Building stories 2 "',.Census Codet` 105 5 OR MORE FAMILY " REMARKS:. S& W PLBR - PLYMOUTH PLBG & 3689 INCLUDES: 3669, 3671, 3673, 3675, 3677, 3679, 3681, 3683, 3685, 3687 VERMILION CT N FEE SUMMARY: VALUATION $881,000 Base Fee $4,506.50 CITY SAC $1,200.00 Plan Review $2,253.25 WAC $9,120.00 Surcharge $940.50 S & W PERMIT $100.00 SAC $10,800.00 S & W SURCHARGE $.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: - Applicant - sT. LIC.OWNER: CENTEX CORP 19367833 0001333 CENTEX HOMES 12400 WHITEWATER DR 120 12400 WHITEWATER DR 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 information is correct and agree to comply with all applicable State ofi Mn. L Statutes and City of Eagan Ordinances. . ~ ~ APPLICAN ; ERMI7EE SIGNATURE IS D BY: SIGNATURE CITY OF EAGAN r3liJ3 ~ .'(`o~ 3830 PILOT KNOB RD - 55122 .14690 1955 BUILDING PERMIT APPLICATION (RESIDENTIAL) ;f 681-4675 New Conslrue[ion Reauiroments RemodeVReoair ReauiremeMs ? pepistered oite survsys ,,y 1At ? 2 copiea ot plan ? 2 copies of plana (induEe beam 8 window sizes; poured fid. desipn; etc.) ? 2 site surveys (exterior Wd'Rions 3 dedcs) ? 1 eneryy calalations t IJ ? t energy calwlatione for heated add'Rions ? 3 Wpiea ot bee pteservation plan H lot plaHed after 7J1/93 isquirod: _ Yea P~- Na DATE: 5/ 1 4/ 9 C, CONSTRUCTION COST: DESCRIPTION OF WORK: 12-unit mulit Pamilv dwelling STREET ADDRESS: 3667-3689 Vermilion Cour'u North, AuildinG #9 LOT 3 BLOCK 1 SUBD./P.I.D. 10-01700-011-51 1)Oxr.'n; 9iar ~ PROPERTY Name: cENTSx xoMES Ph0n6 936-7833 OWNER StreetAddress, lzAoo Whitewater Dr. Suite 120 CIty: Minnetonka State: MN Zjp; 55343 CONTRACTOR CORIpBnY: CENTEX HOMES Ph0n8 936-7833 Suite StreetAddress: 12400 Whitewater Dr.120 LIC@nS@#' 1333 CIty: Minnetonka State: MN ZjP• 55343 ARCHITECT! COmpany: CENTEiC HOMES PhOne 936-7833 ENGINEER Name: navia whzatley Re9lStfetl0n #'012659-9 StreetAddress- 12400 wnitewater Dr. Suite izo CIty: Minnetonka State: MN Zjp; 55343 Sewer & water licensed plumber: Plymouth Plumbiny penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: C/ ~g~ -~vzy OFFICE US E ONLY FR C' Eil ~,n E n Certificates of Survey Received _ Yes _ No MAY 14 1996 Tree Preservation Plan Received _ Yes _ No ____~v OFFICE USE ONLY - ~ . • rt BUILDING PERMIT TYPE - 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility 0 04 SF Porch ,:,~09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE ,,,,,G~31 New o 33 Alterations o 36 Move 0 32 Addftion ? 34 Repair o 37 Demolition ~/A~is ~IU(D£ T~~ GENERAL INFORMATION A,et9 Ff~N~ 3,0~ &,ac,- ffRLAf Const. (Actual) ~L'~? fe~Basement sq. ft. MC/WS System (Allowable)~ Main level sq. ft. City Water Z UBC Occupancy i/ sq. ft. ~ 985~ Fire Sprinklered Zoning le-3 sq. ft. PRV # of Stories sq. ft. Booster Pump Length 1(08 sq. ft. Census Code. ~os Depth _L Footprint sq. ft. SAC Code o 3 Census Bldg Census Unit 2 _ APPROVALS Planning Building Engineering Variance ~ Pertnit Fee Valuation: $ 6q Surcharge Plan Review License MCNVS SAC City SAC ~ 13- Water Conn. 0,1 Water Meter ~f I L I Acct. Deposit S/W Pertnit SNV Surcharge Treatment PI. Road Unft ~ Park Ded. Z T2ils Ded. Other Copies Total: % SAC SAC Units , • LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APP ICATION ~ PROPERTY LEGAL: DA E OF RVEY: G ~ o > LATEST REVISION: DOCUMENT STANDARDS a z ff"o o • Registered Land Surveyor signature and company 2~'? ? • Building PermitApplicant 8~-? ? • Legal description R- 11 0 • Address Boo 13 ? • North arrow and scale R~'o o • House type (rambler, walkout, split w/o, spl'd entry, lookout, etc.) or'o 11 • Directional drainage arrows with slope/gradient % w, ? ? • Proposed/exissting sewer and water services & invert elevation W'? ? • Street name rY ? ? . Driveway ELEVATIONS Ebstina Eve'd ? • Sewer service (or Proposed) W" ? ? • Praperty comers fJ" O O • Top of curb at the driveway • Elevatlons of any ebsdng adjacent homes ro s Q/M 13 • Garage floor ~ ? ? • First floor ~ 11 ? • Lowest exposed elevation (walkouUwindow) ~ ? ? • Property corners e- ? o • Front and rear of home at the foundation PONDING AREA fif aoolicablel ? g-, o • Easement line ? C7' ? • NWL ? C5, ? • HWL ? ar' ? • Pond # designation ? cr-'o • Emergency Overflaw Elevation DIMENSIONS o' ? ? • Lot IinesBearings & dimensions a~ ? ? • Right-of-way and street widfh (to back of curb) 2r- ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. Q.e. all structures requiring pertnanent footings) Cr' ? ? • Show all easemenLS of record and any Cily utilities within those easements • Setbacks of proposed strudure and sideyard setback of adjacent ebsting strudures ~ • Retaining wall requirements, if any Reviewed: ~ me / rkite January 1996 CRA101 BG&HLOGPRMf.FM ,:<0571.5L98 {9ED 12:29 FA% 18128880434 VERMILION a 001 _ ry~,kY^l, M1 • i ' '1 'r 4e•M1 . CiJ+ =HOMEV DNgrmd I f0dLN. Bflfft fMtOff1017UW, ~r(?''''?p . t . , . TOC VOCIS Ciry ofEagau PlanReviewbepattment ~ Dear Mr. 'Voe1s, a`C4isJettar ia to inform You that Ceutex Homes ofM3nnesota be , will using the exact samc plans s for thc.layout for buildings 1-10 and buildiugs 12-14 (excluding build'mg 11) as were used on Lot " S.in Vermilion Carriage Homes_ None oFthe structure] buildin co : g mpouents, HVAC, plumbing or electrical wiU change from Lot 5 engineered drawings dated 09-11-95. gards, 7ohn' Lovelette ; ,Field'Manager ~;a.%., _Centeic'fIoaies, Miuuesota Division yVy:" " ~T , ~f . ys ypFWI ~ - ~ • ~ F , . '1 . ~ . . . Mt++:'~4c'~ . ~A~ . • ' ~ 12400 Whitewater Drive, . Suite 120, Minnetonka, Minnesata 55343 Builders License #i333 (612) 9367833 FAX (872) 938-7839 :?tR=96%',16126860434 05-15-96 12:23PM POOI S{09 Am. " y1M••.',' / OFFICE USE ONLY L ~ BL ~ RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ~ all commercial/industrial buildings. ~ multi-family buildings when separate permits are = required for each dwelling unit. ~ f ~ec, 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 SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1°fa of contrad price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% Sg' l cY STATE SURCHARGE • 5~ TOTAL C35 ~ ~D Q SITE ADDRESS:3/fnI lo"7• 3I4G9-n3QL'J1- 36 93 ~~G 95-3lo77-c3(o 79 - 3los'/-3(oFd VlXm i IiUVI 1~.~' N. TENANT NAME: STE. # OWNER NAME: l =e n'I-t u INSTALLER: r" ~~T~~ bu . ADDRESS: 19409 W inneTka /4Ue. !U. CITY:'~rool<4h ~qrlC STAT ZIP: ~5 z S~ PHONE 533- y~35 7 SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: DATE: INSPECTOR: CITY USE ONLY L BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES FASeJj NQ. TOTAL Shower 3.00 x Water Closet 3.00 x = 7~. Bath Tub 3.00 x /J1 = 3,1, Lavatory 3.00 x = 7a Kitchen Sink 3.00 x ~ _ Z013b Laundry Tray 3.00 x 36 Hot Tub/Spa 3.00 x = Water Heater 3.00 x /01_ _ 311~ Floor Drain 3.00 x AR _ .?6 Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ` Dakota Cry. license 50.00 = (new and refurbished systems) U.G. Spfinkler ' home under const. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL • 5° SITEADDRESS:3A67-G9- 7/-73-727-7-22-2/-93-9S-82-891~s.PMLli~/ OWNER NAME:-/ -f~`60'2i (.oCP A,`9Gb//~~~x . V',oSzi~~~3 INSTALLER NAME: `~~-`~mOLLT~I STREET ADDRESS: CITY, ~C2 STATE: p'7aC) ZIP:QsS 4ag PHONE (Qa ) n N CtTY USE ONLY L~ BL I RECEIPT#: SUBD. DATE: 7996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commerciaUindustrial buiidings. ? multi-family buildings when separate permits are ngi required,~ for each dwelling unit. ° ~ DATE: I~lo CONTRACT PRICE: `~q()~~ L L~ WORK TYPE: _X NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: OVAC- 4 ("~~(2Ir-)C-j FEES: w $25.00 minimum fee Q 1% of contract price, whichever is greater. ~ Processed piping - $25.00 1 State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% ~7Q. CP c) PROCESSED PIPING STATE SURCHARGE 5 v TOTAL ,3 ~I l .I D 3bt'-G, 310~3, 3to`15, 31e-1'1, 3l0'19-, 3Io81, - SITE ADDRESS: A-~ Qmi ( I fcn (2 t-i- OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: PIg frnn }h ~4+C, ~4I0 ADDRESS: LjAnnrc+-Kcza gvG n. _ CITY: GY' POrl` STATE: ;mr) ZIP: U PHONE ~3 ~ LI~S rI SIGNATURE• SIGNAT RE O PERMITTEE 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 famify dweilings ? townhomes and condos when permits are required for each unit New construction Add-on fumace 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: CITY: STATE: ZIP: PHONE ( ) h~ ~ k,i.',~k6•k'~61';k;'d'•?"I:iEid'44b.,tk-!. ''v1 i ii: 4.(J ~ I1,.1;1'1.1.t!(51. 71~ Ai ' i_ i i,:' 77 r' 1.Ftiil-(': ~ i .i %k n'n A ~k ~ +n # k;n i~'Y T r rV: ~n 1r -K ~ / - - - 1 Serial # . cniP# 66 (p , Permit # ;~Z -7 (,,q (P 10 Address: ~(o(o~ U~.~.rv~ 1 L1~1ti1 CT t~1 1 AGREE TO COMPLY WITH CfiY OF EAGAN ORDINANCES Signature: ` ,~v z ~ 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. DateO !30/ llJ Site Street Address l Unit # .1~1/19 q~ke c ryCt Property Owner Telephone # (`7A 2 2D Contractor~' I~ ~f0 Telephone # (95~.) Address State Zi The Applicant is: _ Owner ____11_Qontractor _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 518" meter is required) Other: Water Softener _ Water Heater $ 15.00 ~G replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $ 155c) 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 required to be reviewed and approved. ~lL ApplicanYs PI nted ame ApplicanYs Signat zoos RESIDENTIAL BUILDING rExnzrT arrLrcnTiorr 45 y 10 City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Construction Reoui2ments RemodeVReoair Reouirements OKce~Use,Onlv 3 registered site surveys showing sq. ft of lot sq. fl of house; and all mofed areas 2 copies of plan showing footings, beams, joists Ceitof S4rvey,ReodN (20%marimumlotcove2geallowed) lsetofEnergyCakulalionsforAeatedaddibons YN 1 Soils RepoA rf proposed 6uilding is to 6e placed on disWrbed soil 1 site survey tw additions & dechs TreePresPlan Resd 2copiesofplanshowingbeam&windowsizes;pouredfounddesign,eta Add'rtion - indicateif on-srtesepticsyslem TleePresRequired,~~z:--~.,- -N;-=N 1 set of Energy CalculaEons On;siteSeplic5ystein~,~'_Yt'_N 3 copies of Tree Preserva6on PWn H lot plaried aiter 7/1193 Rim Joist Defail Opfions seleclion sheet (buildings wiN 3 or less un'hs) Minnegasco mechanical venfilation fortn vv 0- / ZV /e~ ' q Construction Cost /7 70 Date/ Site Address - 3~g ( klQ.ivti C l' lV" . UniUSte ti 12 - (Pnk) Description of Work Zc "'4: • F ve ^ -!J ~z4 (,46:.c= GI A Multi-Family Bldg X, Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner (Je r ~,qr ek_5 Telephone # ( ) nn- „ 4 Contractor iG/J-~+- , Address _!aa,f;cr r4, a L Sf City State Zip S Telephone # COMPLETE THIS AREA ONLY 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 • (4 submission type) Submitted Submifled . Energy Envelope Calculations SubmiHed In the last 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 ) Mechanical Contractor Telephone # ( J 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 plan 1 6) case of work which requires a review and ~ISprov e,i ~e Applicant's Printed Name pp ' f's Signature -----------------i ~ ~or Oiflce Use ~ Clty Of EaiaIl ' Pe"„' ~ ~ ~ 3830 Pilot Knob Road Pertnit Fee: i ,3 I ~ ~ Eagan MN 55122 ~ Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 i Stait: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:,1(01,y0++ iJ Tenant: Sulte RESIDENT / OWNER Name: Phone: Address / City / Zip: Applicant is: _ Owner _ Contractor TYPE OF WORK Description of work: Construction Cost: -5 1 o aA I MuNi-Family Building: (Yes No CONTRACTOR Name: Y'IIIS~r Cv1,J7nLG717 oi License#: gtq47 Address: 51 qS L1ld40JrtGiQ J7/tL;f 10 3 City:12~/,La(Q State: mrJ Zip: 6153~~ r Phone: 7&3'Y?GI 4?00 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 C81CQOry Submitted Submitted (4 Submfsslon type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan Issued a permit for a simllar plan besed on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: phone; Mechanicel Contrector: Phone: Sewer & Water Contractor: Phone: NOTE: P/ans and suppoRMg documents thet you submlt aia cons/dered to be publlc InlormeHon. Portlona of the lnfortnaHon mey be classlfled as non-pu6llc I/ you provlde specl/!c reasone that wou/d permlt the Cffy to conclude fhat the ere trede aecreta. 1 hereby acknowledge that this inlormation is complete and accurate; that the work will be in coMormance with the ordinances and codes of the Cky of Eagan; that I understand this is not a pertnit, but only an application tor 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 vrork which requires a review and appr val of plans. X x C U Appllcant's Prlnted Name Ap IcanYs Signature Page 1 of 3 ' 1 My Of LUp ~ Pertnil# O/'n5~ 1 1 ~ Permit Fee: ~ ~ 3830 Pilot Knob Road ~ Eagan MN 55122 i pate Rece;,,ed: i Phone: (651) 675-5675 i ~ Fax: (651) 675-6694 . I staff: i L 2009 COMMERCIAL BUILDING PERMIT APPLICATION Data: sIWnaaress: 366`l - 3689 qe.y-ffdim Cou-o- K TenaM Name: (Tenant Is: _ New 6ds6ng) Suite i3 3U(63 3150 3iVee7 314P ortner Teoant 3L014, 33~ l PROPERTY OWNER Name: V G-~-M~ ~XC)r) G~'?vr.L4sR,Ati GA'S~d 1 GO Address / CitY ! ZiP: S~/ IC.I~ U n DT Q+~-~ P, A a H-Y Applicant is: _ Owner _,VContractor 7YPE OF WORK Description of work: 14a -P-00F Construction Cost: L'1 106 CONTRACTOR Name: /T~J,~~ CbnS~' M G~se~: ao(~31575 Address: S14S T,fj%~~UST ~Z=rrL Sr~ %uITEtc~3 Cityrf)PISTLE't~- c~.s+n sta?e:.Mn zP: 55359 Phane:9So1•94a.-)4sLA ContadPerson: `46 )1QG Ir~TEt'v'b ARCHITECT! Name: Registration#. ENGINEER Address: City: State: Zip: Phone: Contad Person: Licensed plum6er instailing new sewerhvater service: Phone !f: ~ NOTE: ~Plans and suppo3#ng documen'ts that you submR are considered to, be_' publfc information: Porhori§ oi'.~ the inforinaUon may be dassif'ied as`non publie'~f you p'riov~de,spec~c reaso"ns tlr~atawould perinit the C{ty fo,°':; I hereby ackrrowledge that this information is complete and aaxirate; that the work will be in contormance with the ordinances and codes of the City of Eagan; that I understand this is not a pertnit, but onty an application for a permit and work is not to start without a permit; thffi the work will be in aaordance with the approved plan in the pse of work ui a vi nd approval of plans. X Cc...Pc-3Tb1 E.V PANS~ At1_.sCp:Z X ApplicanYs Printed Name ApplicanY re ~~a•~~•t~al marti,-r~ Page 1 of 3 C!ty of EaOEaII 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 c� 1 Use BLUE or BLACK Ink For Office Use Permit*: /5-6 Permit Fee: Date Received: Staff: PERMIT APPLICATION 2011 RESIDENTIAL BUILDING z�, Date: 9-28-2011 Site Address: 3667 Vermi 11 ion C Unit#: if RI.ICIa��. if Name: Erin Wolfe Phone: Address/City/Zip: 3667 Vermillion Carriage Home Applicant is: Owner X Contractor Description ofwork: Brick Replacement and jLterprnnfi ng Construction Cost: A a a AA ter oofin• Multl-Family Building: (Yes X / No ) Contact: Monte Linder Address; 7501 Cce n rce Lane NE City_ __12211.2Y e State: MN zip: 55432 Phone: 763-574-8030 License #: Company: ThP Caulkers Critpany Inc is exempt from lead certification, please explain why: (see Page 3 for additional Information) fL-�' /9Q 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: Sewer & Water Contractor: 21 1..2 1..� Id 11lI rIr'i illl,4i f fl"¢{61�rr1 blili;9 I. i 717: A.11,... l I Lli: Ifw`i ►�Iry!i 44j1 � , ilii ililir i i �p rCi X ilq r � CALL BEFORE YOU pIQ. Call Gopher State One CaII at (861) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www,ggphers(ateonecell.org I hereby acknowledge that thls Information is complete and accurate: that the work will be In conformance with the ordinances and codes of the City of Eagan; that 1 understand thls 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 State Building Costs must be completed within 180 days of permit Issuance. Applicant's Printed Name 9/Ed Wdt7T : TO TTOE 8E 'cis App'ic rit`s S7ature E208PLS29L : '0N Xtid Page 1 of 3 J,NddWOD al2A-Ifltb3 BHl: Wald SUB ''1(PFS Foundation Single Family Multi 01 ofPlex Accessory Building WQRK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_i Census Code # of Units # of Buildings Type of Construction DO NOT WRITE BELOW THIS UNE (LI—m/ `C)kt C‘ /�' /0/ 5-6V Fireplace _ Storm Damage Garage Exterior Alteration (Single Family) DeckExterior Alteration (Multi) Lower Level Miscellaneous Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool Interior Improvement Move Building _ Fire Repair Repair 3� 1r11 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings {Addition) 1. Foundation Drain Tile Roof: Ice & Water Final Occupancy Code Edition Zoning Stories Square Feet Length Width Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage `Demolition of entire building — give PCA handout to applicant Ie& -R1 R -3 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests _Final Siding; Stucco Lath Stone Lath 4.Brick Windows Retaining Wall: _ Footings Backfill __.. Final Radon Control Erosion Control , Building Inspector /t r/L/ 17/00-5-4j 9/2d WdPT:TO 'TOE 8Z 'daS Page 2 of 3 E208t7LS29L: '0N Xt)d ANUdWOD Sd3>ilflU0 9H1: WOi'Id City of Eagan Use BLUE or BLACK Ink For Office Use Permit #: 49r/ % /7 Permit Feer - 8, 3830 Pilot Knob Road 1'7 Lr ✓ t �C Date Received / ° Eagan MN 55122 Phone: (651) 675-5675 �t� staff: -� Fax: (651) 675-5694 ( 2011 RESIDENTIAL BUILDING PERMIT APPLICATION C 11 Date: 1 t 10 11 Site Address: 3 C7 v d\ 1,./f 11;e" L4 Unit #: Name: Gasse,h Coinpcw►ys Address / City / Zip: -ebb 7 jerry Ito ^ 04U, E°(,,),.4 Phone: "tsoa-og3- q Iii Applicant is: Owner # ontractor Description of work: Construction Cost: 1 D ek'tel`%ar- LitOces' --rOvn Good' -F- Multi-Family Building: (Yes -'r-7 No Company: Sv (� ?of- ') Address: 1�i a- oS Nue-1" City: tG Ca r.S+r•Jc, Tran Contact: J ata) T5Ca State: MO Zip: J~S:3Fs 1 Phone: b-" 119-L1 Z! 1 oo��(l✓�� License #: -1c211 Lead Certificate #: i" 1� ( (eq If the project is exempt from lead certification, please explain why: (see Page 3 for additional in ormatio Ali CI* 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIN 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: 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 the 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.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Phone: x ek.\\40 (WA Applicant's Printed Name 411.1,11113, Applic t Signature Page 1 of 3 ! XI DO NOT WRITE BELOW THIS LINE /0/79 7 SUB TYPES Foundation Single Family Multi / 01 of .L0 Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement _ Move Building Fire Repair Q Repair es &m0 k34 3 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Fireplace: Rough In f --Insulation 4 Sheathing Sheetrock Reviewed By: _ Storm Damage Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof _ Demolish Building* Demolish Interior _ Windows _ Demolish Foundation _ Egress Window ,Water Damage *Demolition of entire building — give PCA handout to applicant ,ZRG - 3 MCES System gyp? SAC Units R-3 , City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _Final Siding: Stucco Lath _Stone Lath _Brick Air Test Final > Windows Retaining Wall: _ Footings Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee •G Surcharge Plan Review 30 39 MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:16 #482 P.026/043 3 C~ ~ 1, 3(P lo°l t 3 CQ11 s 3 rat `3 , 3 ~Pi7 5 13,h-I-] Use BLUE or BLACK Ink I For Office Use I I ~~3 s^a City of Permit I Permit Fee: 11 5a 3830 Pilot Knob Road Eagan MN 55122 j Date Received:. Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I ~ I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ZI 1'013 Site Address: 1~0(~~ VeY~y1I~1DY1 COUP N Unit# OW : Name: Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: rL-rouf a~~c1 YL sIc Vin Construction Cost: Multi-Family Building: (Yes /No ) Company: ffid71ruC0YlStYtA~i lOl~l MZ1W ahq& Contact; Contractor Address: 51451109ft-Al St. Wit # 103 City: PIA I n State: M R Zip: (5`5 Sol Phone: 951- 0 12^ 1'15'1 License #:IS l5 Lead Certificate t#:1y_T1T i If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: i Sewer 8 Water Contractor: Phone: t 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 fhe 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,-aopherstateoner-all.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. 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 ~luc ~t 741 s+e z d x Applicant's Printed Name Appli t s Signat e Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119517 Date Issued:12/03/2013 Permit Category:ePermit Site Address: 3667 Vermilion Ct N Lot:901 Block: 04 Addition: Centex Vermilion PID:10-16935-04-901 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Thom Mengenhauser 11640 Alexandria Ct Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey R Wolfe 3667 Vermilion Ct N Eagan MN 55122--314 (651) 246-9805 Thomco Heating & Air PO Box 1 Rosemount MN 55068 (612) 386-5373 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA159353 Date Issued:12/11/2019 Permit Category:ePermit Site Address: 3667 Vermilion Ct N Lot:901 Block: 04 Addition: Centex Vermilion PID:10-16935-04-901 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey R Wolfe 3667 Vermilion Ct N Eagan MN 55122 Total Construction & Maintenance Llc 6438 City W Parkway Eden Prairie MN 55344 (952) 641-9300 Applicant/Permitee: Signature Issued By: Signature • . r. , For Office Use/ /� /I ry i /(� > ' Permit#: (/ 4 5. U `� .° G+ Permit Fee: I--707 • -56 ,.�, r '`� �.`(V Date Received: //-/ • 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 FAX:(651)675-56 JAN 1 3 2020Staff: � build ins in pcctionscc citvofeagan.car 2020 RESIDENTIAL BUILDINGS T APPLICATION Date: 1/1340 adSite Address: �7 Vr.w, ; ltd-.& ff A) Unit#: Name: 1-;-•-'4f4r 1A101-t. Resident/ Phone: Owner3a Address/city/zip: `t Ut,,.,Y,,:k:-L• Cll. N i .,ft., A4" 551 .?. Applicant is: Owner K Contractor L)e ,?l ' 0//7 Type Of,Work ', Description of work: -St�,4c #c t " ..504.A,-1;*n YP Construction Cost: 350.7.'"^ Multi-Family Building:(Yes /No ) Company:1 &t Co: sfrp,vl:o.. k J14,4 in41n4.*G.f.-- Contact: Pc.RG /i'txy.CY<•i„ Contractor Address: t7 1 3$ 6 i ',11jC3� ' ��"` City: E-c1L^ PPA e: c. State:all() Zip: 5534 152-41244'31 i . CO ".vft'"+-"AC,f Phone: Email: �dnL,iti } __------ License#: 5C-119 96-(. Lead Certificate#: If the project is exempt from lead certification, please explain why: { 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression 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-pub la if rou provide!pecific reasons that would permit the Cj to conclude that they are trade secrets. µ _ You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacian.com/subscribe. Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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. s uw.00p er t tenrot .il ,rg I hereby acknowledge that this Information is complete and accurate;that the work wi "in conformance'- 'th the ord ..''r=s and codes of the City of Eagan; that I understand this is not a permit, but only an application for a perm' and work is not to s -rt Mho a ••rmit; that the work will be in accordance with the approved plan in the case of work which requires a review an approval of plans. Applicant's Printed Name pplica• s !• ur DO NOT WRITE BELOW THIS LINE Z1,6,7 U/di Obi Cf. /i , /Gj 06 r ,. SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) _ Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous X 01 of LO Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace t( Repair _ Egress Window X Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION ti Valuation 3.SOO Occupancy J-flC,' 3 MCES System Plan Review Code Edition NI A;,2ES ADJ$ SAC Units (25%_ 100% $ ) Zoning 12.-3 City Water Census Code Stories Booster Pump #of Units 1 Square Feet PRV #of Buildings I Length Fire Suppression Required Type of Construction --v-g Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) ;^ Final/ No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final -> — Siding: Stucco Lath _Stone Lath Brick_ EFIS XInsulation Windows )( Sheathing Retaining Wall: _ Footings_Backfill_ Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Z Reviewed By: , Building Inspector RESIDENTIAL FEES tjd fe.f- Doke .e, pn►r Base Fee Surcharge •.-b /'4dtN (CuQl GFXICrdr i,-) 1k Plan Review MCES SAC Oe`- G,:;‘,1,City SAC �) Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read (C:( "'-- Ccth Copies U49..r PesM', -- TOTAL 4 t 0353 Page 2 of 3 6438 City West Parkway PERMANENT RECORD Eden Prairie,MN 55344 ROY 11:TOTAL Phone: 952-641-9300 DO REST Fax:952-64 CONSTRUCTION tcinfo@tconstruction.net tcinfo(�tconstruction.net LICENSE#BC718951 (A^�-ef- Pec-,;1- 5A / OS ' 3667 Vermilion Court N Site Address 3667 Vermilion Ct N TCM was called out after current Homeowner initial mitigation response other was put into action regarding a suspected leaking found during some furniture removal. Mitigation company removed sheetrock and set up a zip wall system separating the area in concern from the rest of the home. Upon receiving a WO request from the HOA to inspect the leak source TCM staff found that during a water test a leak was revealed and the source was the house wrap previously installed behind the (at the time) existing brick facade was made up of a woven fabric rather than the required Double felt. TCM then provided the estimation for the replacement of the brick facade and flashing detail currently in place. Upon receiving acceptance of the contract TCM filed for permit (siding initially) with the city of Eagan. During the demolition of the previously installed Brick facade there was some extensive sheathing damage via the leak source as well as the demolition process.Sheathing was replaced on the unit located on the South and Eastern elevations. The current wall stud framing that has sistered studs was not completed by or part of the TCM scope. This was completed by the previous vendor hired by the Association. TCM installed 5/8" osb as exterior sheathing nailed with 8d 2-1/2" by 0.120". Spacing 6" on the edges and 12" on the intermediate supports. TCM then installed two layers of no. 15 asphalt felt paper nailed in place. Above the brick we applied Grace ice and water shield up 18" Lapped onto the top of the brick with Tyvek tape sealed to existing wrap and then installed new cap flashing and siding. TCM did remove the previous believed froth pack spray foam that was not covered using the required DC-315 fire retardant ignition barrier. Currently the interior remains open for inspection and the "building" permit application is in for replacement of the existing"siding" permit. HOA Contact Mitch Gassen - 952-253-4916/ Mgassen@eassen.com General Contractor: Total Construction and Maintenance Contact: Dane Meyeraan (General Manager)—952-426-8804 Danem@tconstruction.net Z7ai Subcontra or TD Renovations Contact: Tim Dornisch (Owner) 952-239-9369 timdornisch@yahoo.com Tim/bcrrnck r For Office Use L oo p e r m®• Permit#:/‘/Z):0 I E AG A®o++ oiPD r� V Permit Fee: VV Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a7cityofeagan.com 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4/28/2020 Site Address: 3667 Vermilion Ct. N. Eagan, MN 55122 unit#: Name: Jeff Wolfe Phone: 612-272-6175 Resident/ 3667 vermilion Ct. N / Eagan / 55122 Owner Address/City/Zip: g Applicant is: Owner Contractor i'-" _ replacing water damaged dry wall in main level living room.(see permit EA160658) l' Type of Work Description of work: Construction Cost 300'00 Multi-Family Building: (Yes /No ) i Company: Contact: Contractor Address: City: ws- State: Zip: Phone: Email: 3 1,00/.--F7 E 9`isGJnfta%I.e.-c,"^- License#: Lead Certificate#: i If the project is exempt from lead certification, please explain why: 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? : i Yes No If es date and address of master Ian: yes, p i s Licensed Plumber: Phone: 1 Mechanical Contractor: Phone: i • Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: I 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.qopherstateonecall.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:'.- ""-- moi' x -- Q � 1 "\S) 1 - - f' /- -- x 7, Applicant's Printed Name 9ppli%arit's Signature, DO NOT WRITE BELOW THIS LINE - 6(0,—7 V I m, I)0(A CI C . AI , / /00 D--- .SUB tYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 1( 01 of Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace x Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation fi S cro Occupancy g-f2_L.-3 MCES System Plan Review Code Edition:2w 14j11u, SAC Units (25%_100% ) Zoning 2-3 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Z 6 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) X Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector 0.-- E.--° RESIDENTIAL FEES Base Fee ReLL - We Lar- Oa�v. e j. Dc-, Surcharge Rep Le, Review w a 1( b ,�)r ,Or. wall b e , . MCES SAC City SAC level ) v,n� (fie,,,,.. , Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read r/f ,\ Jd I v.e cw Copies TOTAL Page 2 of 3 I Smoke and CO detectors affidavit for Building permit final I Jeff Wolfe have tested all the required smoke detectors and Carbon Monoxide detectors, At 3667 Vermilion Ct.N.Fagan,MN.55122 ,on this date 4/28/2020 They are correctly located as per the manufacturer's installation instructions and operating. There are working smoke detectors in every sleeping room,in every hallway leading to a sleeping room and on every level of the house. There are working Carbon Monoxide detectors outside of every sleeping room,within 10' Permit# EA 161002 /1 I' Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165217 Date Issued:10/22/2020 Permit Category:ePermit Site Address: 3667 Vermilion Ct N Lot:901 Block: 04 Addition: Centex Vermilion PID:10-16935-04-901 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Jeffrey R Wolfe 3667 Vermilion Ct N Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature