3768 Vermilion Ct S
. ,
SfTE ADDRESS 92/li~ v2Y'mr ~ion Unft permR # 04
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION IMSPECTOR DATE COMMENTS '
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INSPECTION 1 SPECTOR OATE COMMENTS
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INSPEC110N IMSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSP TOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE CdMMEtiTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPEGTION INSPE TOR 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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IMSPECTION INSPE OR DATE COMMENTS
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IMSPECTION INSPECTOR DATE COMMENTS
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INSPECTIUN INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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. SITE ADDRESS und # Permft # 0195
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IM3PECT10N INSPEC R DATE COMMENTS
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IN3PECTION INSPECTOR DATE COMMENTS
' - - - -
:
W'"filicate of Cccupanc~
. (F{ti) of W"M
Tc#rtwair +f yoa"~ ~WIVccrien
T7ris Certificate issued parsuanl to the rrqairsrnunts of the Unifornt Building Code
certifying that at the time of issuance this strrrcture was in compliance with the various
orrlinances of the City ngrdating building constructiore or use. For the following:
use Clauifidion: Mil T. Z j- l 0- P L E 1~ sWg. P«mit No. 2-9548
o.q..y 7~1e R I/[J I zonin otla;a R-A TyPe Ca,u. yN
o.nwaew&ft fFlN!'RX EIM Ad&m
emw;.s ,?esm 3768 VE[MLION Cf S Lmw;ty L7, A39 (ENnPX JERKn.TCN mup
4; 7
ArM naCUMEs: 3770, 3W;440 ~Mt 3782, 3784, 6 3786
~ INSPECTIDN RECORD
° CIY OF EAGAN PERMIT TYPE: ot N',
3830 Pilot Knob Road ' Permit Number: a ti
Eagan, Minnesota 55122-1897 Date issued:
(612) 681-4675
SITE ADDRESS: APPUCANT: ~
;>w i ? i ~~r~~ r I , . , :
~ ~ ~ i , • ,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION •
~~tli ~l t ~ ; i~~
J
~ Pormk No. Pnmit Hold*r DKs TiWphone i
` ELECTRIC ya51,~ 3 / ~ ~
PLUMBINQ 4t,'~3- //q I
HVAC
in.p.cuon comm.nn
FOOTINGS
FOUND
FRAMIN(i
ROOFiNCi
ROUGH
PIUMBING
PLBG
AIR TEST II
ROUGH
HE11T1NG
CiAS SVC
' TEST
INSUL ~
GYP BOARD ~
FIREPLACE I
FlREPLACE I
f AIR TEST ~
~ FINAL PLBG
FINAL HTG
~
ORSAT
TEST ~
BLDG FINAL
BSMT R.I.
BSMT FlNAL
DECK FTG
OECK FlNAL
- - - - J
OFFlCE LLSE ONLV Thix reqi.esr wid 18 monihs hom wLdalion p6n_Vd n ihir.
IIIIW 1111111111111111 II
* O 4 2 S L 3 8 S* PLEASE PRINT OR TYPE ;~VO ~
Reqves, DWe RwgMn inspecnon req~iredR Y. ? No I~pstion Oiher Thon RaugMn eady N. O W0 Call
3- rYou m~r mll ~ha inspecror wh n readyl D.I. Ready:
I, licensed contmctor ? owner hereby request inspxtion of Ihe above electrical work at
Jo6 Pddrass 15neet, Bo:, a Romb No ) Ciy Zip Codo
U~? L
Se iwn No. Towiuhip Nome or No. 2ange o ~ Fira No Counry
Ottvponi Piwna No
~j7G
PowerSupplbr Addrev
Elrcrc~~~Y No Con~ c or Lcense No. Mosta Lc No. (Pkm Elxa. OnN)
~
«w,o, Pabrming Insbllotpn)
/L~SL ppp
Authonzed Si ' ~Connocror or P¢ eming Inion) Pho. N.
EBOOOOIA- l 8/96 crex~ wneen enov. erc wcTVUrnnuc nu wee¢ nv vri i nw cnov
S'31197 ~ REQUiST FOR ELECTRICAL INSPECTION
J-138 - • Minnesa`Sa State Board of Elecinciry
.4C
1821 Universiry Ave., Rm. 5-128, St. Paul, MN 55704
Phone (612) 642-0800
Home Du lex Apt Bldg' Other: Naw Addn
Commercial Industrial Form Remod Re air
Air Cond. HI . Equi . Water Hk. X Lood Mgmf Ofher:
D er Range Elec. Heat Tem . Service
"X" obove fhe work covered by this request. Enfer remorks in this space and on rhe bock o/ the while copy only.
Calculate Inspection Fee - This InspeUion Request will nol be accepted wrthout Ihe wrrect fee:
Other Fee N Service Entrance Size Fee N Circuits/Feeders Fee
Mobile Home Park Siall 0 io 200 Amps 0 to 100 Amps
Street Ltg./Troffic Sig. Above 200_A bove 100_Amps
Transformer/Genembr INSPECTOF'S USE ON TOTAL g.J
lX/
Sign/Oudine l)g. Xfmr. ~ ? ZO
Alarm/Remote Conhol
$wimming Pool I here cenify thar I ins he d ¢al sblhnon dexnbed Mrei m ihe daba s~ored
Irripaiion Boom RougMn oee
Special Inspection Finol
Invesligafive fee i
THIS INSTALLATION M6V HE ORDERED []ISCONNECTE~ IF NnT _ PLETEO WITHIN 1A MON HS_
OFFlCE•USE ONLY Thn requeY mid 78 moMhs Irom wLdaiion dole pr~n ihisj a.
7
* 0 4 5 8 4 3 2 2* pLEASE PRINT OR TVPE
Raque9 a`e P' Ro~gMn impxiwn requiied? , ? N. Inxpocnon Oiher Thon RougMn- ? Ready Now ' Cdl
9 7 ~Yw mvs~ call ~he impocro. when rmdy) Dora Ready:
I, licensed contmcbr 0 owner hereby request inspection of the above elxhical work af:
lob Addrev (Sneei, Bo., or RwR No ) Gy Zip Cade
A
Saclian No. io-xnship Nome « Na Ronga W` Fire No. Coony
Occuponr Phone No.
Pwver $vpph A
% t..1 i Address
Ebmi I Cmnocmr (Canpony Nome CmvaUw Leen» No. Masbr lic. No. (Plam Elan Only)
' ~i
Moi6ng A IConkaror w Qmnr erfo`mi~fg" Insw n~
~ /L~ "
Aathoeeed Sig r (Commaw or Own rming Inwlimionl Phane No.~
E600001 Yb 96 STATE BOAND COPY - SEE INSTBUCTONS ON BACK OF YELLOW COPY
p~] REQUfST FOR ELECTRICAL INSPECTION 7~
4CQ J O!4J L ~ • 8'21 Uniarsiry Ave.rRm. 5~128,'St. Paul, MN 55104
( f / S G ~ Phonq, (612) :342-0800 ~
Home Du lex Apl. Bldg. Other. i New Addn
Commerciol Indushial Form Remod Re ir
Air Cond. Hfg. E ui Waler Hlr. Lood Mgml Other:
D er Ronge Elet. Heat Tem Service
"X' obove Ihe work covered by this reqaesf. ENer remarks in this space ond on fhe back of the while copy only.
Calculafe Inspecfion Fee - This Inspection Requesf will nol be accepted wifhouf fhe correcf fee:
Other Fee k Service Enirance Size Fee N Circuits/Feeders Fee
Mobile Home Park Slall 0 to 200 Amps 0 to 100 Amps •
Sfreet Lfg./Traffic Sig. Above 200_Am s ve Amps
Tronsformer/Generolor INSPECTOfl'S USE ONLY
rr' ~7 ~ TALy S
~
Sign/Oulline Lig. Xfmr. ~
C
Alarm/Remote Control ~
Swimming Pool I here ceni thor I ins el cal lo desc an ilre dob. siarod
Irti9alion Boom RagMn Dme a
$peciol Inspection
Final Da ~
Investigotive Fee ~
THIS INSTALLATION MAV BE ORnEREO ~ISCn . WITH N 14
B MO THS.
OFFlCEUSE ONLY ihis roqueat wid 18 mamhs Iran wLdoiion dare pinied in ihis box.
I1i111IIII1111111 IIII III I II Illlz~ a~
j
* 0 4.5 8 4 3 L 4~ PLEASE PRINT OR TVPE 4Q /
Requmt Doie~ R. ~ RougMn Impectim reqmredi Yee ? N. Inspecnon Olher ihon RougMn. ? Reody Nw WiA Call
[Yau mux, call ihe inapecror when aady) Daie Reody
I, tS,licensed conhaclor ? owner hereby request inspection of the above elechical work at:
Job Addrau iSheel, Bos, w N. ~ ~ ` Ciry ~ Zip Codv
3 7 74 ._olvr?
Sacnm No. Township Name or No Raga o Fire No. Cwny
Occupant Phane No
P. Sup er pddrass
Eleclrico ConM1acior (Compairy meJ Connonor License N. Mnnn Lc No. (Pbnt Elecr Only)
7 I
hng e» Kon~m. « CwT a<e«mm~ M)
' .
Authori ig ro nnaCw«O+m inglnWlknon) " / Phona~
i
E600001h1 /96 SIDTE 00LN0 GOPV - SEE INSTHOCTONS ON BACK OF YELLOW COPY
REQUEST FOR ELECTRICAL INSPECTION
45 8- /1 ~~I ~ Minnesota State Board of EleclriGry
~f 1821 University Ave., Rm. 5-128, St. Paul, MN 55104 -
-7 Phone (612) 942-0800
Home Du lex L Bldg. Other. ` New Addn
Commerciol Indushial Farm Remod Re oir
Air Cond. HI . E ui . Water Hh. Load Mgmt. Other:
Dryer Ran e Elec. Heol Tem . Service
"X° obove the work mvered by this iequest En7er remorks in Ihis space and on fhe bnck of the while copy only.
Cakulate Inspection Fee - This Inspection Request will nol be accepfed withouf the correct fee:
Olher Fee # Service Entmnce Size Fee q Circuits/Feeders Fee
Mobile Home Park Stoll 0 l0 200 Amps 0 100 Amps
Slreet Ltg./Tmffic Sig. Above 200-Am s 100_Amps
Tronsformer/Generofor INSPECTON'SUSEONLY ~ TOTAL
Sign/Oudine Ltg. Xfmr. . ~
Alorm/Remote Conkal
Swimming Pool
I hme ceni Ihai I i e e s' m d Mrei m the dales s
Irrigution Boom Ro„yM„ oaie
Special Inspection F~~ol Dme/'
Invesligative Fee cp
THIS INSTALISTION MAV BE ORnEREO DISCO T WITHIN tA MO HS.
S OFFICE F/SE ONLY This reqvasfvoid 18 monlhs Bom vaLdmian dom prinred in ihis bor
/ 7 ,
Illln ll Illlll I I II I I III I I III Z
1 ~
* ~ 4 5 8 4 2 9 fS X= PLEASE PRINT OR TYPE
Haqvest Dare 1 Rooghin impeaion .eqviredR V~ ? No Wpeaion Oiher TMn Rwigl.ln. ? Roody N. ill Coll
~Yw rtasi m11,6 e inspecro. when reody~ Doie Feody
I, 'censed contmclor 11 owner hereby request inspection of Ihe above elecirical work at.
Job Addmss ISneat, Bmx, w Roub `Na t Ciry Zip Codo
L
5«oan No. T ohip Noma o. No. Range No fira No. Couny
~ pam Phone N.
Power Su fcr Mdr•..
E - I Conrcactur ( Cwnpon ama) ~ Cannacnror Li<ense N. Mmler LI<. No. (Planr EIxL Onlyl
~ ~ C N /
hbilug reu (CanhacM w m Perlormi nw16lionl h
t C ~J ~X.
Amhmzed ' a'm ~Conkodoror vdorming Insiallmion~ Phone No
EB0000 96 ~OTE BOANO COPV - SEE INSTf111CTONS ON BACK OF YELLOW COPY
/1 7 REOUQST FOR ELECTRICAL INSPECTION 7~
~ 5 Q~~/1-L 9 ~ Minnesota State Board of Electricity
w 1821 Universiry Ave., Rm. 5-128, St. Paul, MN 55104
Phone (ft12) 632-0800 .
Home Duplex A f. Bld . Olher: New Addn
Commercial Indushial Farm Remod Re oir
Air Cond. Hlg. Equi . Woler Hh. Load Mgmt. Other:
Dryer Range Elec Heal Tem . Service
"X° above Ihe work covered by this request Enter remarks in this space and on Ifie back of f6e whife copy only.
Calculate Inspecfion Fee - This Inspection Request will not be accepled wifhoul fhe correcf fee:
Other Fee N Service Enhance Size Fee fF Circuits/Feeders Fee
Mobile Home Park 51a11 0 t0 200 Amps 0 l0 100 Amps
Sireet Llg./Tra'rfic $ig. Above 200_Am s 0_Amps
Transformer/Generator INSVECTOF'S USE ONLY ~ ~0 707A
Sign/Outline Llg. Xfmr. /
Alarm/Remote Control
Swimming Pool
I hero ceni Iha~ I ed Ihe ia dexnbed herein on Ihe da~s
Irrigotion Boom eouqMn oma
Specialltive nspeFceetion
H I '
.oi oa
Invesfiga
THIS INSTALL6TION MAV HE OROFRFf1 fl SC(1NNFCTFO IF N C(SMPI FTFf] WITHIN 1 O TNS
S lll~l/S 7 . OFFlCE USE ONLY Thn requeA void 18 monlhs from wlidmion dono prinrod in thix 6ox.
Ilf IIIIf IIIIIIIIIII II illlll~~~~...n,~~ CTO~
* O 4 5 8 4 3 5 S# PLEASE PRINT OR TYPE
Roquast Doie R h+n 1m uon r redB ? No Ins on Olha Than Rou Mn
«~s v~ aa~ 8 Ready Now i ~n cdi
L _ t`!ou mw call ihe impecior wlren readyI Dam Reody
I, ' li<ensed <ontractor ? owner hereby requesl inspection of the above electrical work at:
Job Address ISneeq Bw, w Roure No ) Ciry Lp Cale
..~4 -
374
Soctwn No. Township Name or No. Ronqe N. Fira o. Canry
Occupom Ph«n No
PowerSu Mdres,
Elecn~ml Conrvoclw (Company Nome~ Connocror license No.
CA ' Mosrer lic No (Pknl Elecl Only)
L ~
Mailmg ess ICo acror or ~ Fuk,m~~p i s Ilmnar) (
~ , t
ANhorized 5 atur [Conh¢Nr or qmer mmug Insb Phare No
b0 4,3
E600001h I 8/96 g7p7E BOARD COPY - SEE IN5TqUC110N5 ON BACK OF YELLOW COPY
q/~'s//9~ ~ REDUBST FOR ELECTRICAL INSPECTION 7O~'~
4 5 8-4 35' 151 Minnesota State Board of Electricity .
1821 University Ave., Rm. 5-128, SC Paul, MN 55104
Phone (F72) 642-0800
yl-lHome Duplex Apt Bldg. Other: ' New Addn
Commer<ial Industrial Farm Remod Re air
Air Cond. Hlg. E uip. Wofer Hfr. Load Mgmf. Olher:
Dryer Range Elec. Heal Temp. Service
"X" above the work covered by Ihis requesG Enfer remarks m this space and on llie back of fhe white copy only.
Calculafe lnspection Fee - This Inspechon Requesf will nol be xcepfed wirhouf fhe correcf iee.
Other Fee # Service Entrance Size Fee M Circuits/Feedcrs Fee
Mobile Home Park Stall 0 to 200 Amps 0 l0 100 Amps
Slreel Lig./Traffic Sig. Above 200_Am s Amps
Tronsformer/Generator INSPECTOP'S USE ONLY 110TAL
Sign/Oulline Lfg. Xfmr. .S-6
Alarm/Remote Control
Swimming Pool
I here <em 1 I in ed el anon d herein on the doies s
Irrigofion Boom Ro„8~„
Special Inspecfion F„~I Dai
Imestigahve fee ~
THIS INSTALLATION MAV 9E ORnEISFO f]ISC(1NN CTF P NINT COfdPI FfFfl WITHIN 1 Mn TNS
OFFlCE 115E ONLY ihis reqvesl wid 18 manihs fmm wlidmion daie primed in ihis bo..
7~~~~~ ~f~~
* 0 4 5 8 4 3 3 0* PLEASE PRINT OR TYPE
a°4103~ RougMn irupecnon reqviredi Yas ? No Inxpecnon Oihx Thon RaugMn ? Rmdy No«
p~v dl Call
` (Yau mun mll the mspxror whe~ rwdy) Daro 2eody:
. I, Pcensed contmcbr ? owner hereby request inspection of the above electrical work ot
bb Addreu (SVeel, Bax, w Rome No ) ~ Ciy Lp Code
RA
Swhon N. iownehip Name or No. Range No. fire Na Counly
Prcuponi Phme No
Power Supplier ~ Address
Elecv' al Connada (Compony ame) p Contmaa Gcena No ) MoYer Gc. No (Plont Eled. OnFy)
Mailin ss Connana, or r Perfarmmg ollmion)
C & lQ t S~ a
Authorized Sgnaim ~ or Ownw P ng immllorion) Phone No.
S ~ '
EBOOOOIAI I 8 6 STATE'BOANO COPY - SEE INSTHIICTIONS ON BACN OF TELLOW COPY
/
~ REQUEST FOR ELECTRICAL INSPECTION
(~_5 g•~.433 ~ Minnesot2 State Board of Eleclriciry 0
ex 1821 University Ave., Rm. S-128. St. Paul, MPhone (612) 642-0800
Du lApt. Bldg. Olher: New Addn
Commercial Indushiol Farm Remod Re ir
Air Cond. Htg. Equi . Water Hfr. Load Mgmt Olher
D er Range Elec. Heaf Tem . Service
"X" above the work covered by fhis request Enfer remarks in this spote and on fhe back of Ihe while copy only.
Cafculafe Inspecfion Fee - This Inspecfion Request will nol be accepled wffhout fhe correct fee:
Other Fee # Service Entrance Size Fee # Circuils/Feeders Fee
Mobile Home Park Stall 0 to 200 Am s 0 ro 100 Amps
Sheet lfg./Trarfic $ig. Above 200_Am s ve Amps
TransFormer/Generafor INSPEGTON'S USE ONLY 1717
Sign/Outline Ltg. x(mr. . -~-,O
Alorm/Remote Contml ~
Swimmin Pool
I hereb certi ihar I i~s ~ed ~h el euribed herein an Ihe dores sb
Irrigotion Boom Ra„a~,~„ p~
S ecial Inspection ~
Final Daie
Invesfigalive Fee
THIS INSTALLATION MAY BE ORDERED DISCO I ODMOLIMB WITHIN 18 S.
OFFICE USE ONLY This requast void IB momhs Bom wlidahon date pnnled in Ihiz box.
* 0 4 5 8 4 3 4 B* pLEASE PRINT OR TYPE Q~
Requen Dote RougMn inspeciion reqwredd s ? N. Inspxron pher Thon RoughJn. ? Reody Now Will Coll
jYoo muxtmlliheinspecm.when ~eady) Daie Reody
I, licensed confractor Q owner hereby requesf inspection of ihe obove elechicol work at:
bb Address (Sreai, Bo., or Rwi~e No I Ciry Zip Code
~3 7oU A
Sectian No_ Township Name or No Renge No Fire N. Covmy
Occupom ~ Phone No.
Power SuppL~ Address
Ekcniml Conhacl« (Compony me) ~ Conhaclw Lcense No Masler lic N. jPlonl Elxl Ody)
i ~
Mnitng ss ~Conraci I er Pedorming In o eon)
_E_
Authonr Si ew ( nrcacbr or Owner Pedo Ilmion~ Phone o.
ll ~ .3EBOOOOIA-I7 8 96 STATE BOAPD COPY - SEE INSTHUCTIONS ON BACK OF YELLOW COPY
O /1 A REQUEST FOR ELECTRICAL INSPECTION 7aCO-)
4 5 O~ 4~~f ~ Minnesofa State Board ot Electnpty
1821 Univereiry Ave., Rm. 5-128, St. Paul, MN 55104
' [~L ~S ~ ~ Phone (612) 642-0800 Home Duplex Apt. Bld . Other New Addn
Commercial Indushial Farm Remod Re ir
Air Cond. HI . E ui . Water Hh. Load M mt. Other:
~ D er Range Elec. Heat Temp. Service
"X" above the work tovered by fhis request Enler remarks in this space and on tlie bock of rhe whire copy only.
' Colculate Inspection Fee - This Inspecfion Request will nof be occepred wifhouf the mvecl ke:
Other Fee # $ervice Enirance Size Fee A Circuits/Feeders fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Streef Ltg./Troffic $ig. Above 200-Am s Above 100 Amps
TmnsFormer/Genemtor INSPECTOP'S USE ONLY ~ TOTAL SD
Sign/Oufline Ltg. xfmr.
Alarm/Remofe Conhol
Swimming Pool
sml m dn on iho dmas s
I herecem Ihot I ins ee~ ihe rf Z121
Irrigofion Boom RaugMn oaa
Speciallnspection
Fnol Dare
Investigative Fee ~
THIS INCTAI 1 ATIf1N IJAV RF [1Rf1FRFfl fIIR . 1 SFf1 WRHIN 1A O THS_
/s OFFICE•USE ONLY ihis reqoeslvoid 78 monihs 6om mlidolion dale prinled in Ihis box
~II~I II I~I I II II IIIII III II I II ~I ~x~ .a"'
* 0 4 5 8 4 2 7 2* PLEASE PRINT OR TYPE
Reqoen Da~e Rough:n mspeciion reqoired? es ? No Inzpeci:on Oiher Than RougMn? Reody Now AI Call
P
1Yoo m nsp
os~ call Me iecror when rmdy) Duie R-dy:
I, Ilcensed conhactor ? owner hereby requesf inspection of the above elechical work ot:
do63Address (SVcei, Box, or Rwie N. j Ciy Zip Code
Sefton No. Township Nome or Go. tR-,. No. Fue N. 41 Camry
Occuponl Phone No.
Power $~mlier t A~rexs
!Wr
elecv ai ceMnarro. (eom'ry aene) ~ eonrcocim iicense No ~.w i., No. IPlani EIecL OnM)
fl
hbiling ess(Cophocrora x Pedormi Ins 6non~
- l &dd, Mjh
A~ nzed 5~ mu (Canrvonw w Ow e-Ir lmi~g In:mllorion1 " Mane No.
EB00001 - 9 8 96 ~ pqo caw. sFC wcraur.nnus nu necK nc vci i nw enav
n7 ~ REQUEST FOR ELECTRICAL INSPECTION
4'5 8-/! 1 Minnesota State Board of Electriciry ~
~T 1821 Unrversiry Ave., Rm. 5-128, SC Pauf, MN 55104
y~~s 5` 7 Phone (612) 642-0800
•Homa Du lex A 1. Bldg. Other: New Addn
Commertial Industriol Form Remod Re air
Air Cond. Htg. E ui . Water Hh. Load mt Other
Dryer Ronge Elec. Heal Temp. Service
"X" abova fhe work covered by fhis request. Enler remarks in Ihit space and on the back of !he white copy onfy.
Cakulafe Inspection Fee - This InspecM1On Request will nof be accepted wilhout fhe correcl ke:
Olher Fee q Service Entrance Size Fee N Circuils/Feeders Fee
Mobile Home Park Stall 0 ta 200 Amps 0 to 100 Amps
Sheet L1g./Troffic Sig. Above 200-Am s A6ove 100_Amps
Tronsformer/Genemtor INSPECTOH'S USE ONLY
$ign/Outline Llg. Xfmr. ~/J d" / • ~C~
Narm/Remote Cantrol ~
Swimming Pool
I hom cMi 1 I ins red th .ds in n ihe dares sbmd
Irrigation Boom RooghJn Dore
$pecial Inspection
Finol
Investigative Fee
THIS WSTALLATION MAY BE ORDERE ' ISC(1NNECTED IF NnT PLFTFn WIT O H. _
OFFlCE 4SE ONLY This requat void 1B monlFie bom volidoLOn dab printed in ihie box.
, I III I II ~ I I I I II I I I I I I I I II I II N' ~3, ~ 7/ a n~ 7,a/
. * 0 4 5 8 4 2 8 0* PLEASE PRINT OR TVPE
Requevt Dma ~ RwqMn impanon requiredB ~'es ? N. Inspeclim Ollier Thon RagMn: ? Ready Now ili Call
` ryo~ m~v call ihe inspecror whan readyl Dare Ready:
I, licensed <onhactor ? owner hereby request inspxtian of fha above eleclriml work at
1ob Addmss (Sneel, Boa, or 2owe No.) ~ \ City Zip Coda
~
$ecifon No. Towmhip Name or No Romp No. Fim No. Couny
Ocapon~ Phme N.
Power Svppli pddrau
Elecrc al Conkacbr I omp rty Name~ Connonor Lkona No Mosiar Lic. N. (Plom Eleci Onlyl
C 4
hbiliig asv ~Canrc cbr a er Perlarm ~g In Ikl~onI
8 r
ANhonzed S' t 'Canvoeor o. Owme P ~L~sbllmiml P/~
P
EBLI0001 - d' . er HOCFII COVV . SFF INSTNIICTONS ON NGCK OF VFI I OW f.OPY
'4.~ ~ ~ REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electrir,ity
r
1821 Universiry Ave., Rm. 5-128, St Paul, MN 55104
(/J( Q ~ Phone (612) 642-0800
/
i Home Du lex Apt. Bidg. Ofher: New Addn
Commerciol Industrial Farm Remod Re ir
Air Cond. Htg. E vi . Water Htr. Load Mgmt Olher.
D er Range Elec. Heof Tem $ervice
"X" above the work covered by fhis requesG Enfer ramorks in this spoce and on the bock of the white copy only.
Calculate Inspection Fee - 7his Inspet(ion Request will nof be accepfed without the rorretl FeeOther Fee N Service Entrance Size Fee N Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 ro 100 Amps
$heet Llg./Traffic Sio. Above 200_Am s e 100_Amps
Tmnsformer/Genemtor INSPECTOR'S USE ONLY TOT~
Sign/Oudine Lig. Xfmr. ~
Alarm/Remote Conirol
Swimming Pool
I hereby ceni I Iin c dexnbed hxein on the daies Yoied
6rigation Boom poophin Date
$pecial Inspection
Fiml Doi
Investigolive Fee
THIS INSTALLATION MAY BE ORD D DISC NNECTE N PLETED WITHIN IM' MO THS. 11
/S C~7 OMCE USE ONLY Thiz request void 1 B months om validafidate pntxd in ihjs box.
7~
y^~J ~
* 0 45 8 4 2 6 PLEASE PRINT OR TYPE
R.p.ea. Dare RagMn iiupzlion requiredR • ? No Inspetlion qlier Thon RagMn. ? Reody Naw ill Coll
(1'0o mos~<alldw inspeclorwhen reody) D.I. Raody.
I, 0-1 icensed controctor 0 owner hereby requesl inspection o( the obove elechical work at,
h,b nad,en lsmei, eo., o, eoure nw 1 oy ziP ceda
.2 S d~ S. ~
Secean No, iownship Namo or No. Ronge Na. Fre No Couny
,Occuponl Phww N.
Power pp6er Address
Elaclr wl Conhornr ICompon Name) l Canrcodor license W- Maner Lk. No (%am Elwi. Only~
!3'Y?V - ~ O
No'li~g ~C nocbr oi r Perlami Ins lim)
)q.
Authorixed nat e tCank«mr or Owne rmirg Immllanon) Phme N.
vlig 4 lY
EB00001 ~ 8/96 STATE 00AHD COPV - SEE IN5IROCTONS ON BACK OF TELLOW COPV
5-8- /~n , REQUEST FOR ELECTRICAL INSPECTION 7awwwl~~°°°°~~~~
4•4 L 6 ~ Minnesota State Board oi Eleciricity
Phone (612) 642-0800 m. S-128, St. Paul, MN 55104
~/s/9 7
Home Duplex Apf. Bldg. Other: New Addn
, Commeraal Industnal Farm Remod Re air
. Air Cond. Htg. E uip. Water Hh. load Mgmt. Other:
D er Ronge Elec. Heat Temp. Service
"X" above the work covered by Ihis requesf. Enter remarks in Ihis spata and on the bock of the while copy only.
Calculate Inspection Fee - This Inspection RequeSl will not ba accepted wifhoul the correcl lee:
Othcr Fee # Service Enlrance Size Fee p Circuils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Streef Ltg./Troffic Sig. Above 200_Am 5 Amps
Twnsformer/Genemror INSPECTOH'S USE ONLY OTAL
Sign/Outline ttg. Xfmr. . 4v
Alarm/Remote Confml
SwimmingPool Ihge ~ iMi i bedhe.a adma::iomd
Irrigotion Boom RougMn ~ Dore
Speciallnspeclion
Firpl Dale ,
Imestigalrve Fee
THIS INSTALI ATION MAY RF ORI]FRFII Sf NNFCTF IJf1T . MPI FTFf1 WITHI H. _
G~j OFFICE USE ONLV This requeai wid 18 manifu Irwn wlidmion dote pinled in ihu boz.
. * 11 4 5 8 4 3 0 6~ PLEASE PRINT OR TYPE
Requesl Dob RougMn inspecnon roqvired2 plys's ? N. Inspanion Oihn Thon RagMn? Rmdy Nw W2II Call
~ R-9 7 (YOU mun mll iha impaiar wMn reodyl Dota Reody.
IP li<ensed contmcror ? owner hereby requesi inspecfion of the above electriml work aC
1ob Pddress (Srceq, Boa, w Rouie No ) ` ~ Ciry Zip Cada
Setlan No. iowmhip Noma or No Ronga No. fim No. Comy
Occuponl Phone No.
Power So lier Addmas
Elech ol Cmtrocbr (Gmmpony me~ 1 n Connocpr licmu No Mosror Lc. No. [Plom EIM. QJ.)
NwiL, W. (Convocbrw m Piolarmi~g I ~~on)
r
~t , < ca/
Aoihwrs 5~ w Connoaor or er(ormng Inxiol n) Pho~o.
fBQQ.'bW 1 /96 ST0'rE BOAiiO COVY. SFF INSTPIICTONS ON 9ACN OF YFLLOW COOV
REQUEST FOR ELECTRICAL INSPECTION 7a/
458_430 ~ 8121 Univ rst ty A ear Rm. S-128,ISt. Paul, MN 55104
1 [1115IF'7 Phone (612) 642-0800
Home Du ffex Apf. Bldg. " t . Newod Addn
, Commercial Indusiriol Form Rem Re ir
Air Cond. Hlg. Equip. Woter HIr. Lood Mgmt. Olher.
. D er Range Elec Heot Temp. Service
"X" abave fhe work covered by this requesG Enfer remarks in fhis space and on Ihe back oF the whife copy only.
Colculate Inspection Fee - This Inspeclion Requesf will nof be occepfed wifhoul Ihe correcl fee.
Other Fee # Service Entrance Size Fee # Circuits/Feeders fec
Mobile Home Park Stall 0 to 200 Am s 0 ro 100 Amps
Sheet Ltg./Troffic Sig. Above 200_ Am s Amps
7mnsformer/Genemtor WSPECTOH'SUSEONLY OTYf~L ~
Sign/Oudine llg. Xfmr. Lth.tnfdexribed Dci~
Alorm/Remote Conhol Swimming Pool
I hemby sm hwoin on Ihe daM stesea
Irrigolion Boom po„ahl„ pob
$peciallnspecfion r c/
Finoi Da~
Invesligative Fee
THIS INSTALLATION MAY BE ORDERED SCONNECTED If NOT Cd LETED WITHIN 1 M TH .
CER TIFICA TE OF SUR VEY
~ i
~ Top of lrons &Offsets LEGAL DESCR/PAON: (ato.ao) Lot 7, Block 3, CENTEX UERMILION 2ND
~
810.00 O Box Corner 811.78 ADDInON, according to the plot thereof,
Dokota County, Minnesoto.
Box Corner 817.93
Box Corner 817.82
Finished Floor = Varies (See Plon)
OI e Box Corner 812.03 Garage Floor = l/ories (See Plan)
~ ~ 2`s?o
~ r~ .
M ~o~oVo ~l~i~ - - 865.0 denotes existin elev.
N^ ~ (865.0) denotes proposed e(ev.
zw. cp roo,soo denotes sur/ace droinage
~ i~~` 808.0 e~~ ~~9 ~ ~ ~ ~ 826.6 denotes san. sewer serv, inv.
A7 1 tK 0 00 aoo F
~ ~f1,7a ~0 / op ~ 10 0\~
\ ` 1a Ot p ~ ~ -
~ J
Scole: 1°= 30 feet
, ~ rp, eF / ~5 ~ ~ y. c ~ ~ • Denotes iron monument found
, 812J ~C \y(~A ~ / " -:~E-•==~G DE~ p Denotes iron monument set
Oc( Fh7/Shed F"o~~ p Beorings bosed on assumed dofum.
(809.00) ~ ~ oo B ,y~ ~ ~9e 6~ ° B7 ~ / ' B~s
809.28 F/
~ \ ~ ~o '~s o° J~ '1. / I sr / /
~ / ~ ~•~i ~PCI 6 4 \
818.1 O
a G~~Shed f-~b~' hereby certi(y that this survey was prepored
o Q~r n~ A ~ oro9e JCb-j Or ° 8, ( 2&89~1L=J~" by me or Under , y di t upervision ond that
e te s e ' e S o. e} v r u n d er t h e
N ~or ~ 87807 ~ ~ M~~ D .laws~ ~h t
N 2
~X (8172) Martin J. Webe .L:S. Date
~e F o ~ Z 7 License No. 12043
(90 o ',,JrOJ ~ J~ ^ o~ BUILDI G I SP IONS DEPT. .
"e m i ~
S, rCJ
REOUESTED BY.a CENTEX HOMES
c
; ~ LO T 7
Q ~J O Westwood Professiona/ Services, lnc
a I nT / o•y~ . 14180 West Trunk Hwy. 5
t L.V I
n+ Eden Prairie, MN 55344
(612) 937-5150
u •~i~ 2121197 Added Ex. Elev.
3 ~ (B29.80)
ra j
U 931.1 / Drawn by MS Dofe: 2119197 Job No: 95812
Lof 7, Block 3, Building 3 Phose 2
vzexo7.o1W
NRY PERMIT OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Bu z Lo i N c
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 5 4 8
(612) 681-4675 Date Issued: 0 3 J 0 5/ 9 7
SITE ADDRESS:
3768 VERMIlION CT S
LOT: 7 BLOCK: 3
CENTEX VERMILION 2ND
P.I.N.: 10-16936-070-03
DESCRIPTION:
`10-PLEX
Building-Permit Type MUL7I. (ADD'L.)
Building Work Type NEW
~UBC pccupancy\., R1/U1
Construction Tyke VN
~ Zoning ~ R3
, Building Length 166
. Buiiding Width ~ 70
B-uilding sYories ~ 2
8quare F ~tS~~ 7,984
Ce'nsup~~0ode 105 5 OR MORE FAMILY
. \~`~,L.:I;.~11\?i \~..~fji_t 1~~7~''.~~~li''. . , , . r i J
REMARKS:
PRV REQUIRED S&W PLUMBER: GEN2-RYAN
ALSO INCLUDES: 3770 3772 3774 3776 3778 3780 3762 3784 & 3786
FEE SUMMARY:
VALUFITION $738,000
Base Fee $3,898.75 CITY SAC $1,000.00
Plan Review $2,534.19 WATER CONNECTION $7,800.00
Surcharge $369.00 S & W PERMIT $100.00
SAC $9,500.00 S & W SURCHARGE $.50
SAC ~ 100 TREATMENT PLANT $4,200.00
SAC Units 10 ROAD UNIT $4,400.00
Subtotal $16,301.94 Total Fee $33,802.44
CONTRACTOR: OWNER:
~ - Applicant - ST. LIC.
CENTEX CORP 19367833 0001333 CENTEX HOMES
12400 WHITEWFlTER DR 120 12400 WHITEWATER DR 120
M.:NNETONKA MN 55343 MINNETONKA MN 55343
(612) 936-7833 (612)405-8608
I hereby acknowledge that I have read this application and state that the
information is cor•rect and agree to comply with al1 applicable 5taL'e of Mn.
L Statutes and City of Eagan Ordinances. J
~
APPLICANT/PERMITEE SIGNATURE ISSUE BY: SI TURE
: PERMIT
81*Y OF EAGAN
3830 Pilot Knob Road PERMITTYPE: BuzLozNG
Eagan, Minnes ta 55122-1897 Permit Number: 0 2 9 5 4 8
(612) 681-4675 Date Issued: 0 3/ 0 5/ 7
SITE ADDRESS:
3768 VERMILION CT S
LOT: 7 BLOCK: 3
CENTEX VERMILION 2ND
P.I.N.: 10-16936-070- 3 DESCRIPTION:
~ 10-PLEX
Building Permit Type MULTI. (ADD'L.
Building k Type NEW
UBC Occupa cy . R1/U1
Constructio 7ype VN • .
Zoning R3 ~
~ Building len th ~ 166
Building Widt ~ 70 '
Building stori s I~ '-Sq.Uar,e Feet 7.984
Ce'nsus•-Q.ode 105 5 MORE FAMILY
. . ~
. .
REMARKS:
PRV REQUIRED S&W PLUMBER: GENZ-RYAL
ALSO INCIUDES: 3770 3772 3774 3776 37//~ 3780 3782 3784 & 3786
FEE SUMMARY: / \
VALUATION ~881,000
Base Fee r~(PO7 75 ~$4506.50 / CITY S\c $s,eae.ee
Plan Review 395.04 $2,,929.23 WATER C NNECTION $7,800.00
Surcharge '/(•SO $440.50/ S& W PE MIT $100.00
3AC /qOO.oO $11,400.0 S & W SURICIiARGE $.50
SAC & -00 TREATMENT PLANT $4,200.00
SAC Units 10 ROAD UNIT $4,400.00
Subtotal $19,27V.23 +Total Fee $36,776.73
„441 n~,,a'a9*74.s9
4
,
CONTRACTOR: - qpplicant - 5T. Lzc OWNER:
,CENTEX CORP 19367833 0001333 CENTEX HOM S
12900 WHITEWATER DR 120 12400 HZTEWATER OR 120
MINNETONKA MN 55 43 MINNETONKA MN 55343
.'(612) 936-7833 (612)405-860
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 Mn.
L Statutes and City ofi Eagan Ordinanoes. J
aK-='
APPLICANT/PERMITEE SIGNATURE ' ISSU W. SICSN~ ATURE t,
, CLA1M VOUCHER - REFUND REQUEST
• CITY OF EAGAN
btAKE CHECK PAYABLE TO: cFNTFX HnMFs
ADDRESS: ' 12400 WHITF.WATER DRTVF.
MINNETONKA MN 55343
LOCATION: 3768 VEBMSi.ION !]T S L7. B3. CF.NTAX VF M.ION ND
RECEIPI'#/DATE 3/5/97 - 70694 VALUATION
REASON FOR REFUND OVERPAYMENT OF MC/WS SAC CHARGE & BLDG PERMIT FEES
TYPE OF REFIJND ELECTRICAL PERMIT 3211-9001 S
PLUMBING PERMIT 3212-9001 $
MECHANIC.aL PERMIT 3213-9001 $
BUILDING PERMIT FEE 3210-9001 $ 607 . 75
• PLAN REVIEW FEE 3422-9001 $ 3 4 5. 04
PER CAROLYN K USE: 4-Q001
SAC (MC/WS) 4000L}[ $ I ; 400. 00
SAC (CIT'Y) 3866-9379 $
SAC/ADMIN 3446-9001 $
WATER CONNECTION 3865-9220 $
SEWER PERMIT 3743-9220 $
WATER PERMIT 3713-9220 $
ACCOUN'f DEPOSIT 2252-9220 $
WATER METER 3716-9220 $
ROAD iJMT 3860-9375 $
WATERTREATMENT 3868-9220 ~
SURCHARGE 2155-9001 $ 71.50
UTILITY ACCT OVERPAYMENT 2250-9220 $
CURB BOX DEPOSIT REFUND 2253-9220 $
CONS'CRUCTION METER DEP REFUND 2254-9220 $
WATER USAGE CHARGE 371 I-9220 $
TOTAI. S 2474.29
~
I declaze under the penalties of law that this account, claim or demand is just and that no part of it has been paid.
APRIL 16, 1497
Si Date /~/(~7 N~ cL.~iM.vou
i /
/C/L
~ f1996 CITY OF EAGAN 770'
3830 PILOT KNOB RD - 55122 g197
BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Reauiremenls RnmodeVRevair Reauirements ~ 33 8va, y~/
'ga4t'a 4/~afi,r
? 3 registered site surveys ? 2 copies of plan ~aqy,~,~9
? 2 cropies of plans (includa beam 8 window sizes; poured fnd. design; ele.) ? 2 site surveys (exterior additions & decks)
? t energy calculations ? 1 energy wleulations lor heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Ves _ No
DATE: 2'211-27 CONSTRUCTION COST: bG 7,
DESCRIPTION OF WORK: .'~1euJ Cc~~.S'~i uC~a4J ~-9N`0 ~e, /Jv,wtS
STREET ADDRESS: -w i L~o'? ~i7- S• ~ ~ S •
LOT 7 BLOCK ~ SUBD./P.I.D.
93Co-7833
~
PROPERTY Name: k hoy?J•e S Phone S6 ~S
OWNER rwe.
Street Address- /Z h'oo U~„-t.-w~~~'r ~2 5,•~%~ /ZO
City: State: Ih u Zip:
, CONTRACTOR Company: $4,n-P Phone
Street Address: License
City: State: Zip:
ARCHITECTI Company: SflmG Phone
ENGINEER
Name: Dh+Ji6 w'4e.r'~/t~ Registration o~ZGS S" 9
Street Address-
City: State: Zip:
Sewer & water licensed plumber: Xle A,z -R,Y4.l/ Penalty applies when address change and lot
change are requested once permit is issued.
,
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State o( Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY /Yes Certificates of Survey Received No 10/7
Tree Preservation Plan Received _ Yes _ No
. OFFICE USE ONLY
.v •
v 4 k `
BUILDING PERMIT TYPE 1
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ~9-t2~ptex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. A 10 to -plex ? 15 Deck
WORK TYPE
,;~31 New. o 33 ;Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. ~3Y MC/WS System
(Allowable) -a Main level sq. ft. ~ City Water
UBC Occupancy = 7~ sq. ft. Z5-ib Fire Sprinklered
Zoning sq. ft. PRV
# of Stories Z. sq. ft. Booster Pump
Length lecN; sq. ft. Census Code.
Depth -70_ Footprint sq. ft. SAC Code o 3
Census Bldg ~
Census Unit
APPROVALS
~
Planning Building lz~& Engineering Variance
valuation: $ 7,38, `Ja °
Permit Fee
Surcharge
Plan Review 10' Uk/f
License
MCNVS SAC ^ J~'f
City SAC 511
~~tlaf
WaterConn.
Water Meter
Acct. Deposit (d¢t
2_ . CqeeS. ~ ~ R)eiof
S!W Permit ~7'~7
S/W Surcharg
Treatment PI. Aff
Road Unit mA1/1
-
Park Ded. ~ G~ 3yf ~ s"y -~yz S7~
Trails Ded.
Other
Copies j
( s.~ ~S'f' ° 3s~ S6y ^
Total:
% SAC SAC Units
~TyL = 7~7, S76
~ ~s 3 Mr. Joe Voels
City of Eagan
Plan Review Department ~
Dear Mr. Voels,
This letter is to inform you that Centex Homes of Minnesota, will be using the exact same plans
for the layout for buildings 1-10 and buildings 12-14 (excluding building 11) as were used on Lot
5 in Vemiilion Carriage HoWes. None ofthe structural building components, HVAC, plumbing
or electrical will change frcPI,ot 5 engineered drawings dates 09-11-95. The only change is
Centex will be using step conditions on Buildings I through 6. If you need anything else, please
call Steve at 405-8608 or Brion at 405-9771.
Regards, a1~ ~'~,Y ,S ~ s S ~ f
l6 ~V`
Brion Moor and Steve Kajer G~L
Field Manager
Centex Homes, Minnesota Division
S s
~
. LOT SURVEY CHECKLIST FOR RESIDENTIAL
• - • BUILDING PERMIT APPLICATIO ~
~ • ' " PROPERTY LEGAL:
~ DAT OF SU Y:
LATEST REVISION:
~ DOCUMENTSTANDARDS
6 ~
• Registered Land Surveyor signature and company
P'' 0 ? • Building Pertnit Applicant
V'~O 0 • Legal descriptlon
IV" C3 0 • Address
M"o ? • North arrow and scale
0,10 11 • House type (rambler, walkout, split w/o, splft entry, laokout, etc.)
cr' C3 0 • Directional drainage arrows with slope/gradient %
D-'o Cl • Proposed/ebsting sewer and water services 8 invert elevation
4K, o O • Streetname
p-'0 O . Driveway
ELEVATIONS
Existina
? • Sewer service (or Proposed)
~ a o • Properly comers
~E3 ? • Top of curb at the driveway
13 13 • Elevations of any ebstlng adjaceM homes
ro ose
~ ~ • Garage floor
a ? • Pirst floor
0 e-' 11 • Lowest exposed elevation (walkouUwindow)
gr, o ? • Property comers
ff'[3 .o • Front and rear of home at the foundation .
PONDING AREA fif aoolicablel
~ • Easement line
0 8~? • - NWL
? er' ? • HWL
o 2r-' /c3 • Pond # designation
0 • Emergency Overflow Elevation
DIMENSIONS
~0 ~ • Lot Iines76earings 8 dimenslons
E3 o%. • Right-of-way and street width (to back of curb)
1??/ ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
&-'0 o • Show all easemenLa of record and any City utilfies within those easements
• Setbacks af proposed structure and sideyard setback of adjacent ebsUng sVuctures
• Retaining wall requiremen 'rf an
Reviewed: 2 Z
ame / Dat
January 7996
cnA101aNJUocaRNtr.M
CITY USE ONLY
L~ BL ~ RECEIPT#:
SUBD.I~n~~.G -GCOnmuX.wy~+ ~nJ RECEIPTDATE: ~/113P7
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(812) 6814675
Please complete for. . ail commerciaUndustrial buildings.
. multi-famiy buiidings when separate pertnits are pp~ required for each dwelling
unit.
DATE: 2ZIolq7
CONTRACT PRICE:~2:~ 906'- --so
WORK TYPE: v NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: . $25.00 minimum fee g,t 1% of contract price, whichever is greater.
w Processed piping - $25.00
1 State surcharge of $.50 per $1,000 of oermit fee due on all pertnits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
JITE nc)UFCES:i: 3765,70,72,74,76,78,80,82,$4,86 Vexmillion Crt S
OWNER NAME: Centex Real Estate Corp TELEPHONE 936-7833
TENANT NAME: (iMaROVEMErrrS oNLV)
INSTALLER: Genz-Ryan Heating
ADDRESS: 14745 So Robert Trl
CITY: Rosemount STATE: MN Zip; 55068
PHONE 423-1144
SIGNATURE: 5/"1 /
gI
tGNAT RE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
L BL RECEIPT#:
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? single family dweliings
, townhomes and condos when pertnits are required tor each unit
New construction Add-on fumace
Add-on air conditioning Add-0n 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: GENZ-RYAN HEATING PHONE 423-1144
STREET ADDRESS: 14745 So Robert Trl
CITY: Rosemount STATE: MN ZIp; 55068
SIGNATURE OF PERMITTEE
V< 'L BL al7d RECEIPT#:~O P~ 1S
SUBD. RECEIPT DATE: ~1 9-7
1997 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672)681.3675
Please complete for. . ail commerciaUndustriai buildings.
• mutti-femity bwldinps when separete pertnits ere ILQI required for each dwelling unit.
• Dadcflow proventer to be instelled in commerdal arees or resideMiai boulevards
DATE: 1NORK TYPE: _ New Cansl _ AEd-0n _ Repafr
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ Yea _ No. ARE FLUSHOMETERS TO BE INSTALLED? _ Yes _ No
:ii:urnunOUn' SizninKLcn o Y'sTm
INSTALLING MEl'ER7 _ Yes _ No. NEW SERVICE4 _ Yes _ No WATER FLOW: GPM.
Pressure ReEuGng VaNe may be required B inatalling now service - contect City's Engineerinp Department at 681 d646.
FAILURE TO PROVIDE TFIE ABOVE INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE
FEES
Minimum fee of $25.00 or 1% of coMreG price, whichever is greater. Minlmum Stete Swcherge ot $.50 due on all permlts.
CONTRACTPRICE: $ ~ d1o x 1% = j
COMPLETE THI3 AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM
BACKFLOW PREVENTER $ 25.00 = f
WATER PERMIT (new service only) 50.00 = E
WAC (per connaetion) 780.00 = $
WATER TREATMENT (per conneelion) 420.00 = $
CITY INSTALLED TAP 300.00 = $
METER: 1"= 5185.00 , 2" TURBO = $B46.00 a $
PERMIT FEE $
FlGURE 3URCHARGE AT 60 CENTS FOR EVERV S7,000 OF PERMIT FEE DUE STATE SURCHARGE $ TOTAL $ I hereby adcnowledge that I have read this application, atate that the infomiatfon b corted, eM agree to compy with ell applicabk City of Eapan ordinances.
It is the applicanPS rcsponsiDiliry to notify the properry owner thal the City of Eepan assumas no liability for any damages nuseU by the Cily durinp its nortnal
operational and maintenance adivities to the facllRies wnstruUed under this pertnk within City propertylrightcf-wey/easement.
SITE nDDRESS: 3768 _ 70. 72 J4. 76. 78 _ 80.82. 84.86 V rm;11 i on
TENANT NAME: STE. 0 :
pwNERw4rutE: Centex Real Estate Coro
INSTALLERNAME: Genz-Rvan PlwnbinQ 7ELEpHONEft 423-1144
STREETADDRESS: 14745 SO Robert Trl
CITY: ROSP.tflOllnt STATE: MN zia: 55068
APPLICAN7'S SIGNATURE
OFFlLE U8E ONLY -REVERSE $IDE
OFFICE USE ONLY ~ •
PLUMBING PERMIT (COMMERCIAL)
METER SIZE PBY _ Yes _ No
Domes6c
Irrigation
UTILITY CONNECTION (APPLIES TO NEW SERVICE ONLYI
$
REVIEWED BY
4~ J --,-9 7
Building Inspector Date
To detertnine meter size
• See 'rf it is indicated on back oi Building Inspections card
• Enter address in PIMS Screen 301 to obtain S8W permit #
• Check PIMS Screens 110 (Remarks)
• If gallons per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with
strainer will be required. This infortnation is to be suppiied by the designer of the system. Consult with Plumbing
Inspector H Licensed Plumber does not know GPMs.
Before selling meter
Check PIMS Screen 320 forapprQya( of inspection resutts. No meter will be sold before ail sewer and water inspections are
complete on a new service. If new service lines are not required, one check may be written for meter and pertnit costs. Write
meter type and size on receipt, code to 3716-9220 (meter portion only), and forward copy to Udlity Billing Clerk.
Enter meter size, type, receipt date 8 amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing
Clerk.
Miseellaneous iniortnation
The installer is to contact Building Inspections at 6814675 tor inspection of the inside water line and backflow preventer. The
Public Works Department may be reached at 6814300 for water tum-0n.
If ineter is over 518, call Public Works and let them know so they can teli you if fhey have one in stock before plumber goes
overthere.
Cities Di it~ a1 Qualitv Control
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- - - - - - - - - - - -
. Serial # Si 7t~h 9 0 7
Chip # ('j 7 a/J"5 aJ
Permit# oP 757
~ Address: 37(08 (
1 AGREE TO COMPLY WITH CffY OF EAGAN
ORDINANCE
Stgnature:
CITY USE ONLY
L BL RECEIPT
SUBD. RECEIPT DATE:
1997 PLUMBINfi PEftMIT (ft£SID£NTIlIL)
crn' of saswx
3830 Paor xr+oe sn
£asAx, hiN 55 122
(61E) 6e1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
_ ~ ~
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath 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 =
WBterSOftenef ' for dweilings under construction 5.00 X
hVtilafer;4oftenet$ -tii ror ex5eny awauioy 20.00 x =
U.G. Sprinkler ' for dwelling under eonst. 3.00 =
U.G. SprinklEr ' for existing dwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ' Dak Cty lic. 75.00 =
(naw and refurbished systems)
Private Disposal Systems ' nbanaonment 20.00 =
STATE SURCHARGE 50
TOTAL ~ 5O
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - infortna - - - - - - - - - -tion- -is -cone- - - - -d-, - - - - and - agrae - - - - - - to - - comply - - - - - - - wit - • - h - all - - - - - - - applicable - - - - - - - - City - - - of - Eagan - - - - - - - - - - - ordinances- - - - -
I hereby acknowledge that I have read this appliwtion, sWte that the
It is the applicant's responsibility to notify the property owner that the City oi Eagan assumes no liability for any damages caused by the City during its
nortnal operahonal and maintenance activitles to the fadlities conslructetl under this permit wRhin Crty property/rightof-way/easement.
SITEADDRESS: ~7~ G vevIll cA G~, ~a•
OWNER NAME: i\ lZylNL9 IL~b~I p
INSTALLERNAME: /XA ' { A1- TELEPHONE#: ZO-2,
STREETADDRESS: f SZ(
CITY: CSJuV` kq1dj STATE: ~ ZIP: S? N'16
SIGNATURE OF PERMITTEE
CD/FORMS/PLBG PERMIT (RESIDENTIAL) 1997
70 To: Thomas A.Colbert,P.E.
Director of Public Works
Municipal Center
3830 Pilot knob Rd
Eagan.MN 55122-1897
From: Vong Suvannarad
3778 Vermilion Ct. S
Eagan, MN 55122
Subject: Requesting installation a traffic light or 4 way stops at
Btackhawk Rd and Hwy 13
Dear Mr Thomas A,Colbert. ,
As a resident of theBlackhawk Road community, I am very concerned the trafic safety
at Biackhawk Rd and Hy 13.after receiving your notice of change in construction
program schedule. This Hy 13 has very havy volume of trucks and vehicles during a
rush hours
IYs unsafe and risky for drivers taking a left turn in to high way with havy trafic coming
on both side especially when having a snow, fog or rain.
I would like to have a stop light or 4 way stops side be installed at HY 13 and
Blachawk Rd. for trafic safety at least like one at Hy 282 and Co17,Shakopee ( 4 way
stops with warning flash light) before the construction start_its will help protecting
and securing the safety of all residents living and working in this area and to avoid
having fatal accidents happened like at Hy 282 &Co17 before stop side been installed
Your attention to my concern is highly appreciated,
Sincerely,
Vong uvannarad
CC: Mayor and City Council,C/o Thomas L.Helges,City Administrator
and City Engineer,Russ Matthys
2006 RESIDENTIAL BUILDING rERnsiT arrLrcaTrorr *S y. I D
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Consfruction Reaui2menis RemodeVReoair Reouirements Office Use Onl'v
3 registered site surveys showing sq. R of lol, sq. h o( house; and all roofed areas 2 copis of plan showing footings, beams, joisis Cert`f SGrvey;Reoi.'~_~Y r etN
(20°h maximum iot coverage allowed) 1 set of Energy CalcuWllau for heated addNOns Soils'R'epo~t,~"~,,~;;,~„=;~3;~~„~~Yi IJ
1 Soils Report if proposed building ¢ lo be placed on disturbed so~ t site survey for add'Nons & tlecks Tie!P.res Plan Recd"."py -=7+,~',Xc_i,N,
-v~r-- rl
2 wpies ot plan showmg beam 6 window sizes; poured (ound desgn, etc. Adddion- indicate Non-sde seplic system T2e Pies R@quired.;c
1 set of Energy CalcuWlions
3 copies ot Tree Preservation Plan if bt plafled after 7/1193
Rim Joist DetaJ Options selection sheet (buildings with 3 or less un'hs)
Minnegasco mechan'Mal ventitation form
vU
Datez_ C'> Construction Cost /7 70
Site Address ~22 ~b V Ve_l~ ' ti u UniUSte #
Description of Work vP.~4J ZzC(A6:.c~ ~„sc S~ ~S 4J /~s NP~c~c~
Multi-Family Bldg i~ Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner rn' I ; a~s < S Telephone ~ Dr.r o_
Contractor ~lit-~-
Address _'-,~?;u City 'f'111' L: /-~L.v:,.
State A^~ Zip Ss~TS S Telephone # ( ~/G.~ ) 417 S -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilafion Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted ' Submitted
• Energy Envelope Caiculations Submitted
In the last 12 months, has ihe 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 # ( )
Mechanicai Coniracfor Telephone #
Sewer/WaterContractor Telephone#~ ~
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the agproved-pl~n ibe, case of work which requires a review and
prov o
i'
c'iJ
ApplicanYs Printed Name pp i t's Signature
~----------------i
i ~ui 4~ce_use i
PermitN:
City of Ea~aIl
.p. I Pertnit Fee: D r 1l~/ I
l' 3830 Pllot Knob Road
\ Eagan MN 55122 ~ Date Racerved: _3v
~
1(~~ Phone: (651) 675-5675 i ~ i
~ Fax: (651) 675-5694 I Stan:
L
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 0k Slte Address: J1~ ~3171o, 3_nS 3M(o yQrflLU,lI lm J
Tenent: SuRe
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description ot work: A5)Yti7
Construction Cost: 1 . Multi-Family Building: (Yes No~
CONTRACTOR Name: 7Tlb~ 401k~a72(CI71127 License#: .39'47
Address: 6-''fJ l,1)da'S7j'1Q.P
citv: 12C.02e ACLcL~ State: /!'IN ziP: 55359
Phone: 3-47q - f 700 ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Resitlential VeMilation Category 1 Worksheet . New Energy Code Worksheet
Category suanmea sunmmed
(4 subml3Slon type) • Enerpy Envelope Calculations SLIDmiUed
In the last 12 months, has the Clty of Eegan Issued a permlt for e simllar plen based on a master plen?
_Yes _No If yes, date and address of master plan:
Llcensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and suppoKing documents that you aubmlf are conaldered to be publlc lntonnaHon. PorNona of
the lnfom?eNon mey be c/ass/fled as non-pubpc N you prov/de speclNC reasons that wou/d permlt the pty to
condude thet the ene hade 8ecrets.
I hereby acknowledge that this information is complete antl accurate; that Ihe work will be in conformance with the ordinances and cotles of the Ciry of
Eagen; that I understand this is not a pertnit, but only an application for a permit, and xrork is not to stert wilhoul a permih that ihe work will be in
accordance with the approved plan in the case ot work which requires a review antl approval ol plans.
x
*1-t'S il x/~.~
AnPrinted Name AppUcant's Signetu~re
Page 1 of 3
From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:10 #482 P.008l043
3-16 00 311 a , -3-7-74
3-77& 3-7a o , 3'18Z , 3'18 A , 3 i g Use BLUE or BLACK Ink
For Office Use I
City of EaLaIl j Permit
I ' 1 c~ I
3830 Pilot Knob Road Permit Fee: F 1 ~a• oc,J
Eagan MN 55122 ?j 1 2
~ Date Received: t?`
g -t-.~„' I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: _ j
I l
20113 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2 I ZO 3 Site Address: 3 I W Y1" 318 ~,t~I O~ C ~U S )Ul t yl Unit
Name: Phone:
Resident/
Owner Address / City Zip:
Applicant is: Owner Contractor
R
Type of Work Description of work: I -yoo+ -And Yr- SIcif
Construction Cost: 4 107, 00 0 Multi-Family Building: (Yes / No
Company: A CoV►SiY►aGi' W1 MIh71lJ CW Contact: R-A ~ t o1 ,
Contractor ; Address: 5145 1DORA"A St SUi3e # 103 City: -M-x. P1,A i n k
State: M_Zip: 161'035 1 Phone: 952'"142, Nea 4
License M 9CAtp 1515 A' - V'110 .
Lead Certificate #:,y 1q-T
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:
Sewer 8 Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be 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.aooherstateonecall 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 tale Building Code must be completed within 180
days of permit issuance.
x~ lot. ~ -aI s+e Zl d x
Applicants Printed Name Appli r s Signat e
Page i of 3
Use BLUE or BLACK Ink
-----------------�
RECEIVED For Office Use
C y ! Permit#:
n HuCC 5 q U ata Permit Fee:
I I
3830 Pilot Knob Road
Eagan MN 55122 i Date Received:
Phone: (651)675-5675 i Staff: j
Fax: (651)675-5694 -------------
D
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date. 8/2312016 Site Address: 3768 Vermilion Court South
Tenant: Suite#:
Resident/Owner
Name: William Shohara Phone: 651-252-7638
Address/City/Zip: 3768 Vermilion Court South, Eagan MN 55122
Name: Metro Heating & Cooling License#: PM058051
'Contractor
Address: 255 Roselawn Avenue East#41 City, Maplewood
State: MN zip: 55117 Phone: 651-294-7798
Contact: Micah Email: micah@metroheating.com
Type of Work —New V/ Replacement _Repair _Rebuild -Modify Space _Work in R.O.W.
Description of work: Replace Water Heater
RE SIDENTIAL
Y( Water Heater
Lawn Irrigation l_RPZ/_PVB) Water Softener
Permit Type Septic System Add Plumbing Fixtures(_Main/_Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
"'Water Turnaround(add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$60.00
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Micah Vail
Applicant's Printed Name pp icant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-in Air Test" Gas feat Final
Meter Related Items: Meter Size Radio Read' Manometer Staff:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA154389
Date Issued:03/18/2019
Permit Category:ePermit
Site Address: 3768 Vermilion Ct S
Lot:310 Block: 04 Addition: Centex Vermilion 2nd
PID:10-16936-04-310
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William H Shohara
3768 Vermilion Ct S
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature