3812 Vermilion Ct S4110°.
City of Eaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:
Use BLUE or BLACK Ink
Permit it:
Permit Fee: C)
Date Received:
Staff:
2011 COMMERCIAL PLUMBING PERMIT APPLICATION
Tenant:
Site Address:
3 / & . 6 l/&)2.11-1 17.cj (JR-7-
Suite
-R-T
Suite #:
PROPERTY,.
OWNER
o 5,5 C
Name: V G72ret i t.)4 B A3 641d1,4-// 6- - P one: a 5.- -9 2.D.- "5-15-s7 S ---
CONTRACTOR
Name: ,. , ?Q4 -H -C--- P.1. -1.J h 11 -J6 -2,J4-,1 License #: 4 ST irca0 p s -L--)
Address: 7 9/ 1., 7. gs=-4-t)C N City: & O /A W/� . State: M/.Ji Zip: 6-6�YY2
Phone: 7 3 "�%?"f�a-1 Email: 5."..-rvi. Le- i bY-cda-A Ido 4.41,131'" , C az,i
TYPE OF
WORK
_ New _ Replacement Repair build Modify Space Work in R.O.W.
_ _ _
Description of work: , f 2- 6 I,f 1..,---4-p-. /2 [. +s/ L P�
PERMIT TYPE
/
COMMERCIAL
_ New Construction Modify Space
_
Irrigation System Oyes / no) (4_ RPZ / PVB)
_ _•
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to Dickins UD meter.
_
Domestic: Size & Type Fire: 1
Avg. GPM High demand devices? Yes No Flushometers Yes _No
COMMERCIAL FEES:
$55.00 Minimum (includes State Surcharge) OR Contract Value $ x 1%
Required
- If the Permit E is less
$ 5-I - vp Permit Fee
on ALL new buildings and boulevard irrigation systems -> = $ Radio Meter Read
than $10,010, the surcharge is $5.00 = $ Meter(s)
- lithe Permit Fee is > $10,010,
the surcharge increases by 5.50 for each $1,000 Permit Fee
Permit Fee requires a $5.50 surcharge) = $ • OZ State Surcharge
0.e. a $10,010-$11,000
Following fees apply
Call the City's Engineering
when installing a new lawn•irrigation system. • $ Water Permit
Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ State Surcharge
TOTAL FEES $ 5-J • /Tb
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.00pherstateonecall.orq
1 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.
V l
Applicant's
Printed Name
x
Applicant's Sature
Page 1 of 3
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INSPECTION INSPECTOR DATF COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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C3';erfifficate of ccc"anc~
Gsitij of C~agan
Zcpwrtmeut ef SaiibiAg 3noection
This Certificate issued pursuant to tht nequiremenrs of tke Uniform Building Code
eertifying that at rlu tinu ojissuance tkrs structurr was in compliance with the vareous
, ordurn?ices of the Ciry negulating building construction ar use. For the following:
ux ausirmmmw MR.TI (ADD'L) 12 PiFX 8~ pam, 28718
o-nw„n, TM R 1/l11 Zmung one;c R3 rywc«g. VN
o.ar swian (aTEX HM 12400 WEiI7EWAER DR. MIICA
Admr.. 3812 VLRIlISQd GT S L9, B3, EMMOMMILIM 2ND
AL90 IlNCLl[ffi: 3frr,"W, 3818, 3820, 3822, 3824, 3826, 3828, 3830, 3832 &3834
! POST IN A CONSPICUOUS PLACE VMMCK rr-r S
~
~ . ' INSPECTI4N RECORD
• ~ CITY~OF EAGA'N PERMIT TYPE:
""""35'0 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 _ Date Issued:
(612) 681-4675
SITE ADDRESS:' APPLICANT:
. , , . . .
PERMIT SUBTYPE: ppttxjiwTYPE OF WORK: j
(v~tP ~ So z-~
INSPECTION .
i n?~~
, I t f•'! I'1 Jt~ 1
i
I tri:,i -
i:tl. S'ri
- tN`'4 AHlf+ ~tl:.>ii ;L! tr! ' 3fi31 ik3:i4 .
•
L
. ~ PermR No. Wrmit Holdor Data Telephone A I
. ELECTRIC
. ~
~ PLUMBING
HVAC • ~SL.
Inspsctlon Da In p. Comments
j FOO7INGS
~ ~ (G
I FOUNO i
I
I FRAMING
ROOFING
' ROUGH
PLUMBING
PlBCi
AIFi TEST
ROUGH
HEATINCi
GAS SVC '
TEST
INSUL
GYP BOARD
' FIREPLACE
FIREPiACE
AIR TEST
FINAL PIBG
FINAL HTG
ORSAT
TEST
BIDG FINAI. 1
BSMT R.I.
• ,
BSMT FlNAL {
I
DECK FfO
, DECK FINAL
~
1- - -
I
G/G` ~ OFF.I CE USE ONLY Thie raquest void 18 monlhs fiam wlidabon dala prinled in is 6oz.
83 ~a~;7 5-7
7~ ~ ~
IIE liil I~~I IIIIIIIillllll III
* 11 4 8 9 6 7 7 S* PLEASE PRINT OR TYPE
RBqoev RwgMn irspacoon raquucdi Y ? No Inspecnon OiMr Tlwn RauglNn: R N. Q Will Call
(You musi mll ~he impecmr en ready~ Da2 Raody
I li<ensed contracror D owner hereby requesf inspection of the above eleciricol work ai:
Jab Addmss (Srcaei, Box, a Roma o.) Gry Zip Code
Secnon Tovmsh~p ome a W Ronge Na. Fire N. Cmnry
Oc vpon PM.o N.
Power Soppliar Addms~
Electriml Cani ~Compony No Contry4ror Licrose No Mosier Lc. No. IPlom EIeG. OnFy)
~I.
L;F!- ~i •
o ac Owna Perf«miig Insnllo1ion
Authwaed Si otu nhacfar w Ownc P n, g n ilaeon)
Phore N
EBOOOOIA 1 8/96 rn+e annen ~nov _s e merourTinue nu oerr ne vn i nw mov
~ g/f 7 ~ REQUEST FOR FLECTRICAL INSPECTION /`5 w
-67 7 Minnesota State Board of Elednciry
4 8 9
1827 Universiry Ave., Rm. S-728, St. Paul, MN 55104
^ Phone (612) 642-0800
Home Du lex A 1. Bldg Other. New Addn
Commercial Indusfrial Form Remod Re ir
Air Cond. Hfg. E ui . Woter Hh. Lood Mgml. Other:
D er Ron e Elec. Heof em . Service
"X" above Ihe work covered by fbis request En r remarks in tbis space and on the back of the while copy only.
Colculate Inspection Fee - This Inspecfion Requesl will nof be otcepted wifhouf Ihe correcf fee:
Olhcr Fee # Service Entrance Size Fee N Circuits/Feeders Fee
Mobile Home Park Sfall 0 l0 200 Amps 0 Amps
Sheef Ltg./TmHic Sig. Above 200- s Above 10 Amps
Tronsformer/Genembr INSPECTOH'S USE PffLY ~ TOTAI ~
$ign/Oufline Ltg. Xfmr. /
Alarm/Remote Control
Swimming Pool
I here cere ~hm I ms ed thv ebcvical inswllarion devcnbed herci. m ihe dams swnd
Irtigation Boom koughAn Da~a
Speciolinspection
Fiml
Invesfigofive Fee
THIS INSTALLATION MAY BE ORDERED S O EC ED If NOT COMPLETED WITHIN 18 ONTHS.
OFFlCE USE ONLY This.reqvezt vaid 18 momhs Irom vahdation date ed' Ilns 6oz.
7 y~~ III 1111111111111111hllllllll11111IIIIIII ~-9,~~~`~ .a`~~ °
eru
*
O 4 O 79 8 8 S* PLEASE PRINT OR TYPE ~(f/
keqaest Data RwgMin inspanion reqvired2 N Yes ? No Inspetlion plher Than Rough-In ? Rmdy N~Will Coll
1 0-2 - (You musicallthe inspecrorwhan ready) Dote Reody:
licensed contmclor ? owner hereby request inspection of Ihe above electncal work at
Job Address (ArePi, Box, or Raure Na ) Gry Zip Code
3812 Vexmilion Court South Ea an
Sxeon No Township Name or N. Range N. Fire No County
Occupom Poone No.
Centex Homes
Power Supplier Address
Dakota Electric
Elecrc¢al Conrcacror (Campany Nomel Canlracior Lcense No Nwsrer La No. IPlant Elecf Only)
zer Electric Inc. CA01110
Mading Address (Canhacior or Owner Perfwming Insmllation)
816 Arthur Str t NE M ls MN 55432
Ao~horized noNre ( mmcbr o ner Pedwming Insmllohon) Phone No.
784-3729
EBDCGU' ~-11 B~Vd MpTF P(lAPn COVV - RFF INSTfl11!`TlONS ON HGCK OF VFI 1 AW COGV
REQUEST FOR ELECTRICAL INSPECTION
Minn 4 O7( J H H }!U ' 821eUnrversry Avea,rRm. 3e 28,ISt. Paul, MN 55104
~ Phone (612) 642-0800
Home Duplex A t. Bld . Other: New Addn
Commercial Indushial Farm Remod Re air
Air Cond. Htg. E ui . Woter Hh. Load Mgmt Other:
D er Range Elec. Heal Tem . Service
"X" above fhe work covered by fhis request Enler remorks in this spvice and on the back oI the whife copy only.
Calculate Inspection Fee - 7his Inspeclion Requesl will not be accepted withouf the correcl fee:
edere Fcc
Other Fee # Service Entrance Size Fee M Circuits/Feps
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Am
Street ttg./Tmffic Sig. Above 200_Am s _Above 100_Amps
TmnSFOrmCr/Ci¢pefOfOr INSPECTOB'S USE ONLY TOTAL
Sign/Oudina Ltg. Xfmr.
Alarm/Remote Confml ~
$wimming Pool ~
I hne cmn Ihm I im 1 el mi' to0 ~on d herein on ihe dores x
Irrigofion Boom Rag61n D.I. Special Inspeclion d
Finol Date ~
Investigative Fee
THIS INSTALLATION MAY BE ORDERED nI F ETED WITHIN 18 MONTHS.
~OFFICE USE ONLV This requast void 1B monihs from volidalion date printed in Ihis box
1111 11111111111 0+1 t114g1,6(5, 1~;, a` ~
* 0 4 Q 7 9 8 7 7* PLEASE PRINT OR TYPE V7
Reqvest Date Rwgi+in inspeceon required2 ~(Ies ? N. Inspeciion O~her ihan RoogMn? Reody Now IM WII Call
10-25- 6 IroU must :aii ihe ~nzParo, wne~ ,~dYl oaie xeaaY
I, kti<ensed controctor 0 awner hereby requesl inspecfion of fhe above electrical work af
lob Address 15o-eet, Box, or Rome Na ) Ciy Zip [ode
814 Vermilion Court South Ea an
Senion No iwmship Name or No Range N. Rre Na Couniy
Occopom Phone No.
Centex Hanes
PowerSopplrer Address
Dakota Electric
Elmhiml Conrcacnar (Company Namel Conrc«mr License N. Master lic. N. (%om Elecl Onlyl
Iazer Electric, Inc. CA01110
naiiina naaras, ieonnap, o, o-ro, Perfir,min9 iulanor nj
8164 Arthur Street NE, Mpls, Mn 55432
Authori grwmre onimc~or Ov.ner Perkrming Innollmion) Phone N.
/2' 4. 784-3729
Eb0000 A-11 8/96 STATE BOAiiD COCV - SEE INSTRUCTONS ON BGCK OF YELLOW COPY
AREQUEST FOR ELECTRICAL INSPECTION~~
,TO7_n" "7' 821QUniveriry AvearRm. Se12QISt. Paul, MN 55704 -
Phone (612) 642-0800
Home Du lex Apt. Bldg. Other~ New Addn
Commerciol Indusfrial Form Remod Re air
Air Cond. Hig. Equip. Woter Htr. Load Mgmf. Other.
Dryer Range Elec. Heat Temp. Servi<e
"X" above the work covered by Ihis request Enfer remorks m this space ond on 1he back of the white copy only
Calculate Inspection Fee - rhis lnspecnbn Requesl will noI be accepfed without the correcl fee:
Other Fee # Service Enfrance Size Fee N Circuils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
$freef Lig./TmHic Sig Above 200_ Am s Amps
Tronsformer/Generator INSPECTOq'$ USE ONLY ~ T AL
Sign/Oulline lfg. Xfmr. 50
Alorm/Remote CoNrol
$wimming Pool
I hereb cem Iho1 e el ol i ad herein on the dates noted~
Irrigation 8oom koughln Date
Special Inspecfion
Da~e~
Investigotive Fee Final
THIS INSTALLATION MAY BE ORDERED OI F POPChfAilLFTED WITHIN'18 MO THS.
OFPICE USE ONLY This reqoest wid I B monihs fiom mLdoliondale prtn1ed inthis 6oz
: IIII Illlllllilillll I~ ili ~I~i11111111111~9,~3 ~na ~ ~~J
0 4 0 7 9 8 6 9 ~ pLEASE PRINT OR NPE
' Re9°~t D°le RwgMin mspecnon iequbed2 $j Yes ? N. InspMion OiherThan RaiglNn ? keady Now aWill Coll
(Yau musr coll ihe inspecror whan reody) Dane Ready
10-25-96 I, 91 licensed coNmcror ? owner hereby request inspection of ihe obove electrical work at:
Jo6 Addrms Pheel, Bos, or RwM No I Gry Lp Coda
3816 Vermilion Court South Ea an
Sttlion N. Township Nome or Na Ranga Na Fire No Couny
Ocwpam Phore N.
entex Hanes
PowerSupplrer Address
Dakota Electric
Elecviml Conrcacmr (Compony Nomel Canrcactor Ucenx No Nwsrer Gc N. (Plom Eled.Oniy)
Lazer Electric Inc. CA01110
MoiLng Address iConhxbr or Owner Performing irulollalion)
8164 Arthur Street NE, Mpls, MN 55432
Aulhorized Si faNre ( nimdor Owner Pedorming Inslollobon) 1 Phone No.
784-3729
EBDOOOIA-11 8/96 gtprF wnean cnnv _ eoo iusYaucnnus nu aece ne vFipnw cnov
iiEQUEST FOR ELECTRICAL INSPECTION~~ ~
7-9 86 MinneSota e Universta~ ABoar Rm. 3Q128,i
4 O!SL Paul, MN 55104
' Phane (612) 642-0800
Home Duplex Apt. Bldg. Othe~:' - New Addn
Commercial Industrial Form Remod Re air
Air Cond. Hig. Equip Wafer Hh. Load Mgmf Other.
Dryer Range Elec. Heal Tem . Service
"X" obove Ihe work covered by fhis request Enter remarks in this space and on Ihe back of the while copy only.
Cakulote Inspecfion Fee - This fnspeclion Requesf will not be accepled wifhouf the correct fee:
O[her Fee M Service EnUance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 Io 200 Amps 0 to 100 Amps
Sireet Ltg./Traffic Sig. Above 200_Am s 0Amps
TronsFormer/Generolor INSPECTOP'S USE ONIY ~ OTAL
Sign/Outline Ug. XFmr.
Alarm/Remote Conhol
$wimming Pool
I hereb cem tha~ I i ~h 1~1 d here on 1he dmes srai ,
Irrigation Boom RougMn Dare.-.
Speciallnspecfion V
Finol w Da /
InvesligafiveFee ,_i-- !
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT CO PLE7ED WITHI 18 MON7HS.
OFFlCE USE ONLY This mquml void 18 months han voLdotion~ tahd in Ihn box.
* O 4 O 79 B S L~K PLEASE PRINT OR TYPE
Q°91BSt One, Rovgt inspacoan raquired2 3}{!m O Na Inspeceon Othxr Than RwgMn: ? Reody Now 0 WII Coll
10-25-96 (You mteu wii ma m„ato, wnan ,emdy) oa„ eeaay
I, ialicensed conlractor ? owner hereby request inspeclion of the above elechical work at:
lob Address (Sheet, Bo., w RoWe No.) Gry Zip Code
818 Vermilion Court South Eagan
5«tion No Township Name or No. Range N. Fm No Cauny
Occupant Phone No
~entex Homes
Power Supplier Addmss
Dakota Electric
ei«*icei eom,ocia (eomWny Normi Commnor Lcenw No. hbver L<. No. IPb^t Elxt Only)
Lazer Electric Inc. CA01110
Moiling Addrass lConnoMrarOwnarGer(orming Instoilote,n)
8164 Arthur Street NE M ls NIIV 55432
Amhwiud Signamr (Connormr Owewr Perkrming Imtallmion) Phone No.
784-3729
E OlA-I 1 8/96 nieWanewn enwv - scc iusmucnnus nw wecK nv vFi i nw cnev
REQUEST FOR ELECTRICAL INSPECTION
inpo 4 0 7-9 8 5-~11 M821 Universiry Ave.,rRm. S1e728,'St. Paul, MN 55104 ~
. Phone (612) 642-0800 ~4
Home Du lex A 1. Bld . 01her: New Addn
Commercial Industriol Form Remod Re ir
Air Cond. Hig. E ui . Wafer Hfr, load M mf Ofher
Dryer Range Elec. Heal Tem . Service
"X" above tha work covered by thts request Enfer iamaiks m this spoce ond on Ihe bock ol the whife mpy only.
Cakulate Inspection Fee - This Inspection Request will nol be accepfed wilhout fhe correcf fee:
Olher Fee # Service Enirance Size Fee # Cirwils/Feeders Fee
Mobile Home Pork Stall 0 to 200 Amps 0 to 100 Amps
Sireet Llg./Traffic Sig. Above 200_Am s bove 100_Amps
Tmnsformer/Genemtof INSPECTOFi'S USE ONLY OTAL
c
$ign/Outline Ug. Xfmr. ~ rj0
Alorm/Remofe Control
i
Swimming Pool ~
I hcre mm 'hor onon d herein on iM dmes s~
Irrigafion Boom Rwghln Dare
$pecial Inspecfion Y
Fiml Dme ~ /
Investigolive Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT C PLETED WITHIN 1 ONTHS.
OFFICE USE ONLY This reqvesl wid 18 monnhs Fom wlidoeon daie pri ed in ihu 6ox
~ INiiillrillilllll~lilllllilll~4,~3,~~'~~~G~~
* 0 4 D 7 9 8 4 4* pLEASE PRINT OR TYPE
, RequeL Doia Rougkin impeceon rel )Mes ? N. Wpac6on Oihn Thvn RaugMn ? Reody N. Will Co0
10-25-96 ra must call tna ir.P«m, wn,n ,eaaYi oom aeadY:
I, ttlicensed contmclor ? owner hereby requesf inspeclion of the abave elechical work at:
Job Pddmss ~Snrot, Bon, « Roub No ) Gy Zip Code
3820 Vernulion Court South Eagan
Secnon No. Township Namo or No. Ranga No. Fire N. Coonry
Ocapont Phone W.
Centex Hanes
Vawer 5updier Address
Dakota Electric
Elednml Comroctw (Compony Nome) Controcta Liceme No. MosM Lc No (Phm EIec1. OnJy)
Z CAQ1 1~Q
Moiling Addrau (Coni.ocror n Ownx Perfvmieg In.vaihfon)
8164 Arthur Street NE M ls NIIV 55432
Auihorized Si noNre onimna r O«ner Perbrming Insiallo1,on) Phore No
784-3729
EBOOOOIA-I 1 8/96 ~re~ wnevn enov _ ece rvcrm.rnnue nu werr nc vvt. nw rnov
REQUEST FOR ELECTRICAL INSPECTION
4 O 1 m 98-4 ~ M821eUnivers ry Ave. Rm. S- 28, SL Paul, MN 55104
Phona(612) 6G2-0800 ~
Home Du lex A 1. Bldg. Ofher: New Addn
Commerciol Indushial Farm Remod Re ir
Air Cond. Hlg. E ui . Wafer Hh. Load Mgmt. Ofher:
Dryer Ronge Elec. Heat Temp Service
°X" obove the work covered by this requesf. Enfer remarks in this space and on fhe back of fhe white copy only.
Calculafe Inspecfion Fee - This Inspecfion Requesl will not be accepted wifhoul fhe correcf Fee:
Other Fee F Service Enlrance $izc Fee # CirCUits/Feeders Fce
Mobile Home Park Slall 0 to 200 Hmps 0 l0 100 Amps
Street Ltg./Traffic Sig. Above 200_Am s Above 100_Amps
Transformer/Generator INSPECTOR'S USE ONLV ~ TOTAL
$ign/OullineLfg Xfmr. , $'].~jQ
Alarm/Remote Control
$wimming Pool
I herecan( ihot I i msi Iwn herein on tha dolas sta
Irrigafion Boom RougMn Daro
Spxial Inspeclion '
Final ~oro
Investigative Fee
THIS INSTALLATION MAY BE ORDERED DI E E7ED WI7HIN 18 MOIJTHS.
' / OFFlCE USE ONLY Th{s reqvast wid 18 mon~hs hwn validotian doh pr"~nkd in ihis bon.
. ~ a
III 1111111111111111111 lf Ililllllllll 111~9~3~
• * 0 4 0 7 9 8 3 6 ~k PLEASE PRINT OR TVPE ~ / 'L
Requesi Oak Rougbm inspalion reqmradB ~ Yes ? No Inspec~ion OtMr ihon Roogbin: ? Ready Naw ~ Will Call
10-25-96 tYau musi mll iha ins~xcqr whm reodyl Dare Realy.
licensed confrocror ? owner hereby requesl inspection of the above electricol work al:
lob /ddmu (Sheet, Baz, a Rwb No ) Gry Zip Code
3822 Vexmilion Court South Ea an
Sachon No Township Name or No. Ranga Nn Fim N. Couny
Ocaupom Phone N.
Centex Homes
PowerSopplier Address
Dakota Electric
Elacvical Conrtabr (Compvny Namel Commno. liwnse Na. Nastar lic Nn (Phm Elea. Only)
Iazer Electric, Inc. CA01110
nb,ena naa.er, (coao-~r o, ow,,. r«rom„n,, inobnormn)
8164 Arthur Street NE M ls NIIV 55432
Aulhanzad " iwmm onvocior Owner Pedorming Insmllmim) Pho~a No
784- 7
EBOOOOIA-1 1 8/96 GTpTF PnCHII COPV - SFF INSTRIIf.TIONS ON RCCK l1F VFI I M1W f.l1PV
REQUEST FOR ELECTRICAL INSPECTION 6pe~ •
T O7-~+ 3 ~ - 1M821 Univessty A earRm. S-72r8,ISt. Paul, MN 55104
' Phone (612) 642-0800
Home Du lex Apt. Bldg. Other: ' New Addn
Commercial Indusfriol Farm Remod R. air
Air Cond. Ht . E uip. Woter Hlr. toad Mgml. Other:
D er Range Elec. Heot Temp. Service
°X" above the work covered by this requesf. Enler remorks in fhis spoce and on fhe bock of the white copy only.
Colculale Inspedion Fee - 7his fnspecfion Request will nof be accepfed wdhouf the mriecl fee:
Olhcr Fee q Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Hame Park Stall 0 to 200 Amps 0 to 100 Amps
Sheet Llg./Traffic Sig. Above 200_Am s lAkov 100_Amps
Tronsformer/Generafor INSPECTOH'S USE ONLY ~ TOTAL
Sign/Oulline Llg. Xfmr. 5Q
Alarm/Remofe Confrol
Swimming Pool ~
I hnob <om thal I im i el qi~&, des i ein on Aa dmm sm d
Irti9afion Boom Ro,Mn Doro
$pecial Inspection
Fiml Doi
Imestigolive Fee
THIS INSTALLATON MAY BE ORDERED OISC IG n WI7HIN 7A M(1N7HR
OFFlCE USE ONLY This request roid 18 moMhs han vaLdation dom p~inrod in this 6aa.
• * 0 4 0 7 9 7 7 8* PLEASE PRINT OR TYPE
Requau Dale Ro~gMn inspanon requbed2 JA Yas ? No Inepeciim Oiher Tlwn RagMn: ? Neady NowA5tWill Ca0
10-25-96 1 whe~ reaudyl Dore Ready
I, 0 li<ensed conhaclor ? owner hereby requesl inspection o( Ihe above electrical work at:
bb Addreu (Snael, Boa, or Raub No ) Ciry Lp Cale
3824 Vermilion Court South Eagan
Secoon No. Towmhip Name a N. Ranpa No. Fire N. Couny
Occuponl Phone N.
Centex Hortp-s
Po~ SePPlie' Addrns
Dakota Electric
Elecrciml Connoemr lCompony Name1 Comeaemr licensa No Masmr tie W (Planr Elen Only)
Lazer Electric Inc. CA01110
Nwiling Address (Contmcia « Owner Performing Insbllahm)
8164 Arthur Street NE M ls NID7 55432
Aolhorizad Signamre I ~~enor r Owner Perlormiiig lviolloiron) Phone N.
784-3729
EB0000 I I B/96 sreia wnewn cnov . caa iwcreurnnuc nu wec¢ nc vai i nw cnov
RE4UEST FOR ELECTRICAL INSPECTION V'•O 7-2177 Minnesota State Board oi Eleciriciry ~ ~ ~ 1821 University Ave., Rm. 5-128, S[ Paul, MN 55104
' Phane (612)B42-O800
• y, HCome Duplex A t. Bldg. Other: ew Addn
ommercial Industrial N
Farm Remod Re air
Air Cond. Htg. E ui Water Htr. Load Mgml. Ofher
Dryer Ran e Elec Heot Tem . Service
'X' above Ihe work covered by this request. Enter remorks in this spoca and on fhe back of Iha whiie copy only.
Colculafe Inspection Fee - Diis Inspection Request will nol ba accepfed wJhout the correct fee:
Olher Fee q Service Entrance Size Fee # Gircuils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 l0 100 Amps
Street Lfg./Traffic Sig. Above 200_Am s 0-Amps
TmnsFormer/Genemlor INSPECTOR'S USE ONLV ~yj TOTAL
Sign/Oudine Lfg. X(mr. 11 87.50
Alarm/Remote Conhol
$wimmin9 Poal i ha ceni ilwt I e )he xni ns iion de9jkbd harai on ~ho doree s ied
Irrigofion Boom p"'^
Spetial Inspection -
Invesfigotive Fee F~~I
r
THIS INSTALLATION MAY BE ORDERED DIS ECTED I O ED WITHIN 18 L.e
MdNTHS.
OFQCE USE ONLY Thi.requeA wid IB monlhs hom wlidation daR pslnlad in6on
/-9)~a3,Cv.,~ Tz
~
* O 4 O 79 7 8 Ia * pLEASE PRINT OR TYPE
Reqoast Daro Rougkin inspeamn reqoired2 ~(ie, ? N. Imper.eon O~he. ihan Ro~gMn: ? Roody N. Will Call
10-27-96 lYOU mus~ mll ihe mspecwr when 'eodyj Dvre Ready
I, licensed coniractor ? owner hereby requesl inspection of Ihe above electrical work al:
lob Addreu iSrceel, Box, w Raure No.) Ciry Zip Code
3826 vermilion Court South Ea an
5«non No. To.mship Nome «NO Ranga No. Fire N. Couny
Occupant Phona No.
Centex Homes
PawerSupplrer Addrees
Dakota Electric
Electmcol CoNrocror (Compom, Name) Cannocror licrose No MmMr No. (Plam Ebct. Only)
Iazer Electric n
Abiling Fddress ICmnatl« oe Owebr Perfarming Insmtlmwn)
8164 Arthur Street NE M ls M 55432
Amhortzad g~oWra xaao or Ownar Perlormng Iromllmwn) Phone No.
784-3729
E A-I I B/96 srerc nnean enov - saF Husrwucrinus nu wecK nv vFi i nw cnvv
p REQUEST F.OR ELECTRICAL INSPECTION
4 O f- J7O~ 8121eUniv rs[ ty Aea Rm. 8128,ISt. Paul. MN 55104
Phone (672) 662-0800
Home Du lex A t Bld . Other: New Addn
Commerciol Induslrial Farm Remod Re ir
Air Cond. Hl . E uip. Water Hh. Load M mt. Other
Dryer Range Elec. Heat Temp. Service
"X" above the work covered by this request Enter remarks in this spoce and on Ihe back oF the white copy only.
Calculafe Inspeclion Fee - This Inspeclion Requesf will nof be accepled withoul the correcf fee:
Other Fee p Service Entrance Size Fee # Circuits/Peeders Fee
Mobile Home Park Stall 0 to 200 Am s~ 0 Amps
$treet Lfg./TroHic Sig. Above 200_Amps Above 10 Amps
Transformer/Generotor INSPECTOR'S USE ONLY ~ OTAL
Sign/Oulline Lfg. Xfmr.
Alarm/Remote Confrol t.
Swimming Pool i hae cem harei. a, th. dme :
Irrigation 8oom RougMln Pvl% G
$pecial Inspx~ion 6 pL
Investigofive Pee F~~ G
THIS INSTALLATION MAY BE ORDEFi :)ISC0ffNECfE9FW NOT COMPLETED WI IN 8 MONTHS.
OFFlCE USE ONLY This requesl void 18 months hom validation dme prin ed in thi ox
~III I~I~I III II I II I III IIII I IIII Ill~y~~"~ a`~a G~//~
* O 4 O ~ 9 7 9 4* PLEASE PRINT OR TYPE
Requext Wte Ro~gh:n i~.pen~on raquiredt g Yer ? Na Insp«lion Oiher Thon RougMn- ? Raady Naw W Will Call
10-25-96 1 ~l'ou m~s~ mll ihe inepecbr when reody) Da, Reody.
I, DOicensed conhactor ? owner hereby request inspection of the o6ove electricol work ot:
Jo6 Addmss (SVeep Bo; or Rome No.) Ciry Zip Codo
3828 Vermilion Court South Ea an
Sechm N. Towni Nome w No Nanga Na Fre N. Cwny
Cocupam, Plwne N.
Centex Hanes
Power Ss;pplier Addresa
Dakota Electric
Elecniml Conhacror lCompvny Nvme) Connocmr Liwnu N. Nwsler Lc N. (Vlont Elact Only)
Lazer Electric Inc. CA01110
Nniling Addreu IConh«far a.Owner Performing Insialldion)
8164 Arthur S eet NE M ls NIN 55432
1 1 Aothor~zad grwnne ~ xacm/r O«mer Perbrming InsmOaiim) Phom No
, 2+~/ 784-3729
E A-I 1 8/96 srerc wnewn cnov . saa iucreucnnuc nu wecr nc vci i nw rnov
REQUEST FOR ELHCTRICAL INSPECTION ~407- 9 7 9KI Minnesota State 8oard of Eleclricity
~
1821 University Ave., Rm. S-128, St. Paul, MN 55104
• Phone (6.2) §42-0800
IMN Apt. Bldg. Other: New Addn
Parm Remod Re air
Water Htr. Load Mgf. Other.
Elec. Heal Temp. Service
"X" above Ihe work covered by this requesG Enfer remarks m fhis spoce and on the back ol the whife copy only.
Calculole Inspection fee - This Inspeclion Request will nol be occepted wifhouf the correcf fee:
Other Fee # Service Enirance Size Fee N Circuils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 ta 100 Amps
Slreel Ltg./Traffic Sig. Above 200_Am s ov -Amps
Transformer/Generotor IIISPECTOH'S USE ONLV TOTAL
Sign/Ourifne Lig. Xfmr. / $7.50
Alarm/Remore Conlrol
$wlmminy Pool ~~re6 cem ihot I ted the ms herei on the dalas s ed
Irrigotion Boom po„yhl„ pore~
Spe<ial Inspechon
Final
Invesligative Fee
THIS INSTALLATION MAY BE ORDERED SC NNECTE NOT COMPLETED WIT IN t MONTHS.
OFFlCE USE ONLY Thiz requesj void 18 months from volidatian dale pi ~ d in fhis
Y
~ Iflll l iillllill"~Il lilllll lllll fllffl I(IIII~~~ ~.~N~' /z7Ono
* 0 4 0 7 9 8 0 2* PLEASE PRINT OR TVPE
Requesl Dale RaugMn ~mpxeon reqmrede Wss ? No Inspeaion Other Thon RougMn ? Rrndy Now EI Will Call
noa me"'an rna rr.psna, wne, reaayj ~ esi
I,',dlicensed conlroctor ? owner here6y request inspection of the obove elechicol work ot:
b6 Addrass (SVeei, eox, or Roure No.) Gy Zip Cade
3830 Vermilion Court South Ea
Seclion N. Township Nome or N. Reage N. Fire N. Cowy
Occupom Phme No
Centex Homes
Power Sopplier Address
Dakota Electric
Elecincal Canlmcbr (Compony Nome) Commcior Lcenx No, hMarer Lc N. IPIwm Elen. OnFy)
Iazer Electric Inc. CA01110
MoiLng Address (Cammcbr or pwner Pedormmg Installanan;
8154 Arthur Street NE M ls NIIV 55432
Aulhonzed S.gnm (Comm r or Owner Performing Inaalloeon) Phone No.
, u L 784-3729
E~00 IA11 8/96 STATE POAPD COVV - SEF INSTfiIICTIONS ON AGCK OF VELLOW COPV
REQUEST FOR ELECTRICAL INSPECTION
s
4 O Z-9 80L ~ Minnesota Scate Board of Electricity
1821 Unrversiry Ave.. Rm. S-128, St. Paul, MN 55104
Phone (672) 642-0800
Home Du lex Apt. Bldg. Other " New Addn
.yj Commercial Indushial Farm Remod Re oir
Air Cond. HI . Eqmp. Woter Hir Load Mgmt. Olher:
Dryer Ronge Elec. Heat Temp. Service
"X" above the work covered by this requesG Enier remarks in f6is space and on the back of the whrte copy only.
Calcufate Inspection Fee - ihu Inspecrion Requesl will not be occepfed wifhout the correcl (ee-
Other Fee q Service Entrence Size Fee # Cirtuits/Feeders Fee
Mobile Home Park Smll 0 ro 200 Amps 0 ro 100 Amps
SVeef Llg./Traffic Sig. Above 200_Am s bve49 Amps
Transformer/Genemfor INSPEC7on•s USE ONLY ~ TOTAL
$ign/Oudine Ug Xfmr $87.50
Alarm(Remote Conhol
Swimming Pool I harab ceni ihat ei ~Ilmiod ibad herein on ihe daies smi
IrngalionBoom Rougl.in .,Dare
Special Inspecfion
Ftnal ~ oare~ j
Investigafive Fee ~
THIS INSTALLATION MAY 8E ORDERED DIS ED I . ED WITHIN 18 MONTHS.
OFFICE USE ONLV This reqoesl wid 1 B monthz hom ~ tion dals~ ed ~ Ihis 6oa
~ II Iill Illlllllllllllrlllllllllllllllll~-~3~'~~ ,~~y/' d
* ~ 4 ~ 7 9 8 L 0~k PLEASE PRINT OR TVPE V~ ~
Reque9 Daie Rougbin inspec~ion raquired? ~[][Yea ? No Inspedian Oiher Than Roagbin, ? Reody Now ~{yill Coll
10-25-96 (Vou musi call tha inspeaor when readyI Doie Reody
I, ;Ulicensed contrador 0 owner hereby requesi mspection of the above elechicol work at:
b6 Addrev IStreei, eon, or Rook No.) GN Zip Code
3832 Vermilion Court South Ea an
Sectbn No Tawnship Nome ar No. Range N. Fre N. Couny
Occupom Phone No.
L'2T1t.2JC HOISl2$
Power SappGer Address
Dakota Electric
Elecmcol Conhaciw (Compony Name) Connatlor Licensa No Mnslar Lc No (Plont EIecL Only)
Lazer Electric Inc. CA01110
Moiing Address (Confimci« w Ownar Per(wming Insmllahon)
8164 Arthur Street NE M ls NIIV 55432
Avtlanz gnaw~mmnor Ownar Performiig InzMIlvM1anl Phone No.
784-3729
EBOOOOIAI 1 8/96 Rretc anean r.nov . crc iucrwucnnuc nu wecK nv vsi i nw cnov
REQUEST FOR ELECTRICAL INSPECTION CO-0
.4 0~~~+ ~ ~ Minnesota Se12r8,ISt Paul, MN 55104
Phone~(672)'642-0800
Home Du lex A t. Bldg. Other: New Addn
Commercial Indushial Farm Remod Re oir
Air Cond. Hfg. Eqm . Waler Hfr. Load mf Olher.
D er Range Elec. Heat Temp. Service
"X" above the work covered by fhis requesc Enter remorks in fhis space ond on !he back oF Ihe whife copy only.
Cokulafe Inspection Fee - This Inspetlion Request will not be accepfed wifhout the correcl fee:
Other Fee tl Service ENrance Size Fee # Circuits/Feeders Fee
Mobile Home Pork $tall 0 l0 200 Amps 0 to 100 Amps
Streel Ltg./Traffic Sig Above 200_Am s 100_Amps
Transkrmer/Generolor INSPECTOP'S USE ONLY TOTAI
Sign/Ouiline Lig. X(mr. 5
Alorm/Remote Conhol
Swimming Pool
I hera nni ihm I irm rod aal in wn scribed hxnm on ihe dams strixvl
Irrigation Boom pWY ~Q 7
Special Inspection
Invesligofive Fee hZ ~
THIS INSTALLATION MAY BE ORD DISCONNECT D IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY ilys requcv wid 18 momhs from validmwn dob pi in this 6aa.
~1170
0 4 0 7 9 8 2 8 1 pLEASE PRINT OR TYPE
Requen Date poughin inspeciion reqmredt ~ Y. ? No Inspecnon OiMr Than RougMn: ? Ready N. IM W II Call
(Yau musi cail ihe insp«ior when ready) Dam Ready
I, 91 licensed wNmctor 0 owner hereby request inspection of Ihe above electrical work al:
bb Add.ass fStrcel, Box, or Roale No ) Ciy bp Code
3834 Vennilion Court South Ea an
$paian No. Townehip Nomv ar No. Raige No. Frv No. Caunty
O<wpam Phona No
Centex Homes
Power Sopplier Address
Dakota Electric
Elerniwl Conrcoaor (Company Nome) Conrcacrar Gcense N. Masler Gc N. (Planl Elect Only)
Lazer Electric Inc. CA01110
hbiLng Addreu (Conrcocror or Owner Parformmg Inxwllmian)
8164 Arthur Street NE M ls NIIV 55432
Amhd gmmm wnocb ~ Owner Perfarm~~g I~smllattml Phone Na
784-3729
EB-0000 A-11 8/96 GTGTE BOABO COVV - SFF INSllill(:T(]NS ON 9oCK OF YELLOW COPY
REQUEST FOR •ELECTRICAL INSPECTION
401 -Jy 2~ Minnesotai rs~ty A earRm. 38126, 'St. Paul. MN 55104
Phone (612) 642-0800
Home Duplex Apt. Bldg. Olher: New Addn
Commercial Industrial Form Remod Re ir
Air Cond. Ht . E ui . Waler Htr. load Mgmt. Other:
Dryer Range Elec Heal Temp. Service
"X" above fhe work cavered by Ihis requesf_ Enler remarks in fhis space ond on fhe back af Ihe white copy only.
Calculore Inspection Fee - This lnspeclion Requesf will nof be accepfed wifhoul ffie correct fee:
Other Fee p Service Entrance Size Fee # Cir<uits/Feeders Fee
Mobile Hame Park Stall 0 to 200 Amps 0 to 100 Amps
Slreet Lig./Tmffic Sig. Above 200-Am s Above 100_Amps
7ransformer/Generator INSPECTOH'S USE ONLY TOTAL
Sign/Oulline ltg. Xfmr ~ 87.50
Alarm/Remote Conhol
Swimming Pool
I hereb ceni ~ho~ n ~he elxniml insmtl hma on iha dmn wd
Irri afion Boom RougMn Doio
Speciol Inspection
Imestigative Fea F~~al V
THIS INSTALLATION MAV 9E ORDEREO DISCO FCTED I NOT COMPLETEO WITHIN 1 MONTHS_
CER TIFICA TE OF SUR VEY
~ c807.70>
a 806.7 LEGAL DESCR/PAAN:
'Q 0= 01 °55'1.3, LoF 9, Block 3, CENTEX UERMILION ZND
334. 00 ADDITION occordin9 to the Plat thereof,
L _ 11•20 Dakota Counfy, Minnesoto.
'Pa 11
stjo raos
PLAr NOT RECORDED AS OF 8120196.
J6
~ Sj0 R
L_.~ I
?O~ ~B Finished Floor = Varies (See Plan)
Lowest Floor = Varies (See Plon)
EAGAN
865.0 denotes existing elev.
R E V I E W E D
(865.0) denotes proposed elev.
.c;lc rc~~ ~ - denotes surfoce droinoge
/ s +
54 ° (Proposed F.F/ / 810.7) pa ~ v 8 ~I ~ 3Y
(Ga, ero.,r) v 'ma i Szs.s denotes san. sewer serv. invert
R = 38. 00 % ~a,~~ ?9 0,0 )AT ~ 2 4 ~ ~
L = 36.48
CB = N48°37'07 ha' ~o
~ Sca/e: 1 40 (eet
(Proposed F.~ = 872.7) 8
a r ~ / w,9 • Denotes rron monument found
18 e? (cor. 872. J) 3s~o
~(8Q6.3 c l~y~ s~ 8 Y3^8 Yw'' / ~r
o Denotes iron monument set
~w/ ~ ~ Bearings based on ossumed dotum.
O ~ 0
0 ~ ~.,.I~' B ~
d \ \ 8 (Proposed IF. F. = 814.7) i l' O ~
(Co~~Ftr. ~ 1914.J) 1
hereby certify thot this survey wos prepored
by me or under my direct supervision and that
\ ~ ~ e a (821,80) l om uly icensed L Surveyor under the
~ ~0 ~ d n 819.75 toy' o th" S e
\ \ 0 C ai ~ ~ ~ ~ f
Mortin We . . Dote ,
v License No.2043
Id,
S,r0s \ \ \ T~~ O LOT 9
~ \ e---- +
REOUESTED BY.Top of lrons @ orrsers CENTEX HOMES
AO BOX CORNER 808.63 (816.00) N89°35'42"E 117.07
BQ BOX CORNER 813.30 8749 WsBtwood Professional Services, lnc
. 14180 West Trunk Hwy. 5
CO BOX CORNER 813. 44 R u Eden Proirie, MN 55344
O BOX CORNER 809.02 (672) 937-5750
Da
8122196 odd existing elev.
EAGAN E1V IIVEE G DEE"T.
Drown by MS. Dote: 8120196 Job nlo: 95812
Lot 9, B/ock 3, Building 1
P2B03L09.DWG ,
. PERMIT C ~ L3q ~
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122'1897 Permit Number: 028718
(612) 681-4675 Date Issued: 0 9/, 0 9/ 9 6
SITE ADDRESS:
3812 VERMILION CT S
LOT: 9 BLOCK: 3
CENTEX VERMILION 2ND
DESCRIPTION:
,Building-,Permit Type 12-PLEX
)"Building Wo.rk Type NEW
~ UBC Occupan y,, R-1 U-1
j ConsCruction Type V-N
/ Zoning R-3
' euilding Length ( 168
~ Building Width ~ 70
~ Building stories j~ 2
''C,en¢us Code,-~_.~ ` 105 5 OR MORE FAMILY
,
v
. : ~
_ V'Cu
REMARKS:
INCLUDES 3814 3816 3818 3820 3822 S& W PLBR - GENZ-RYAN PLBG
3824 3826 3828 3830 3832 3834
FEE SUMMARY:
VALUATION $881,000
Base Fee $4,506.50 CITY SAC $1,200.00
Plan Review $2,253.25 WAC $9,120.00
3urcharge $440.50 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 $38,332.75
~
,CONTRACTOR: - qpplicant - sT. LzC.OWNER:
ti CEN?EX CORP 193fi7833 0001333 CENTEX HOMES
12400 WHITEWATER DR 120 12400 WHITEWATER DR 120
MINNETONKA MN 55343 MINNETONKA MN 55343
(612) 936-7633 (612)405-8608
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable 5tate of Mn.
L Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE I SUED BY: SIG TUR
<
~
"~:c>k%c~C%ck ~R7kXcXt~X~CY,ckcY,cY~~C~(~ ~,YY,crtXc~7k~~Y%cY,cXq$~,Y~~tY,c%c~~Y
CITY OF F_AGAN
CASHIERe MG 1'FFMIMAL N0; 25
DaTE: 03/04/36 TIME: 15:18:38
IOa
NPME' CENTEX HOMES
2256 9001 3812 VChMILION 387332.i5
,
TotaJ Receipt A.moum+„
CF063940 38~332,75
USrR IDe MAiLYW
I ~
• ` ~
s3830 PILOT KNOB RDN 55122 r~
• ~UILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 ~J
Naw Conslruction Reauirements RemodeUReoair Reauirements
? J registered sita surveye ? 2 copies of plan
? 2 copies of plans (inUude beam 8 window sizes; poured Ind. design; ate.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calculatlone ? 1 energy calculations for heated addilions
? 3 copies of tree presarvation plan if lot platted aRer 7/1193
required: _ Yes _ No
DATE: g1~3 ~ q~O . CONSTRUCTION COST: 667 DUC),~o
DESCRIPTION OF WORK: ~S1?~~~i0`^ Cairi~~ y~rv~e~
STREETADDRESS: 32 1~` - Y4 Vetm'`io+\ CouJ~ SwI~\
LOT ~ BLOCK 3 SUBD./P.I.D. I0' O47oO - p -S
I oLtm' ]~AnaJIN z„ :
,
PROPERTY Name: L -e4v-x M a 5 Phone
OWNER * 1
StreetAddress. ~~-40o WI,,}c\,,a.t~1' pr. 5,,;~-e- la0
Ciry: ll 1hneionk0. State: mn zip: 55'3+3
CONTRAC70R Company: 5 anu- us alou2 Phone
Street Address: License
City: State: Zip:
ARCHITECTI Company: sCvU` a'S a bot/4- Phone
ENGINEER `
Name: ~aVi~ w~Tky Registration U~a`~'~y~~
Street Address•
City: State: Zip:
Sewer & water licensed plumber: vlV17- `~Yd?~ 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 infor atio is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY GI'iC~~NI~~
Certificates of Survey Received ~ Yes _ No 2~~956
Tree Preservation Plan Received _ Yes ~ No
OFFICE USE ONLY •
~ ; • .i.
~Y" 4' • .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition a 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch 60409 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
e/-31 New ? 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) :ro4l Basement sq. ft. #/w_ MC/WS System
(Allowable) N Main level sq. ft. q/60 City Water ~
UBC Occupancy u-/ sq. ft. s,9D~y Fire Sprinklered
Zoning n.3 sq. ft. PRV
# af Stories z sq. ft. Booster Pump
Length /!c19 sq. ft. Census Code. 1,05-
Depth 70 Footprint sq. ft. SAC Code 03
Census Bldg /
Census Unit /2-
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ B D~ D~
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit v Aigi ~l
SM! Surcharge
Treatment PI.
Road Unit L ~ALG S•
Park Ded. ~
Trails Ded. .O_
Other «
Copies
Total:
% SAC
SAC Units I Z
' ' LOT SURVEY CHECKLIST FOR RESIDENTIAL
.
BUILDING PERMIT APPLI ATION
~ PROPERTY LEGAL: 'e
ATE OP'SURVEY: 4Z Z.,~ A G
LATEST REVISION:
~ o y DOCUMENT STANDARDS
~ ? • Registered Land Surveyor signature and company
~o ? • Building Permit Applicant
B~9 O • Legaldescription
~a/~a ? • Address
~p 0 • North arrow and scale
q~ ? ? • House type (rambler, walkout, splR w/o, splft entry, lookout, etc.)
8~ ? • Direcfional drainage aROws with slope/gradient %
2--'0 ? • Proposed/ebsting sewer and water services & invert elevation
~ ? • Street name
B~ ? ? • Driveway
ELEVATIONS
Existina
p~y ? • Sewer service (or Proposed)
~ ? • Properly comers
C3~o • Top of curb at the driveway
? ¢Y ? • Elevations of any eristing adjacent homes
~ Prooosed
e: ? • Garage Hoor
r ? • Frst floor
~0j~ • Lowest exposed elevatlon (walkouUwindow)
/o ~ • Property comers
EY ? ? • Front and rear of home at the foundation
PONDING AREA Cd aoolicablel
? o,®r • Easement line
? C7 _2
• NWL
? R • HWL
? ~ • Pond # designation
? ? • Emergency Overtlow Elevation
DIMENSIONS
• Lot lines/Bearings & dimensions
0 0 Right-of-way and street wdfth (to back of curb)
m~ ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring peRnanent faotings)
e--~z ? • Show all easemenLS of record and any Cily utllifies within those easements
el • Setbacks of proposed structure and sideyard setback of adjacent ebsting shuctures
? ? • Retaining wall requiremenLs 'rf any
Reviewed: ~b
me Date
January 1996
CqAq 16B8IBLDGPRMf. FM
1
Mr. Joe Voels
City of Eagau
Plan Review Department
Dear Mr. Voels,
Tlus letter is to infonn 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 Vennilion Carriage Homes. None ofthe structural building components, HVAC, plumbing
, or electiical will change fro Lot 5 engineered drawings dates 09-11-95. The only change is
Centea will be usiug step cmiditions on Buildings 1 through 6. Ifyou need anything else, please
call Steve at 405-8608 or Brion at 405-9771.
Regar ,
.
Brion Moore aud Steve Kajer
Field Manager
Centex Homes, Minnesota Division
~ - L cl BL OPFICE USE ONLY
~ RECEIPT 51Z5
SUBD. l70~ DATE* '?Z2 7li&
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for. ~ all commercialfindustriai buildings.
w multi-family buildings when separate permRs are pgs required for each dwelling
unit.
DATE: %~/~(O CONTRACT PRIC ~ ~(5 ~~n 6't)
WORn TYPE: 1/ NEW CONSTRUCTICN AQQ ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 /YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINF:LER PERMIT.
FEE: $25.00 minimum fee or 1°/, of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
iz
CONTRACT PRICE x 1% 9
STATE SURCHARGE ~
TOTAL
SITE ADDRESS: ~xz /Z-• , _'z aj;?. ';~'7
TENANT NAME: STE. #
OWNER NAME: - Hrmn
INSTALLER: - ~~hZ ~ T7L~CC/7
l
ADDRESS: LS 77
CITY: STATE: m~ ZIP:~~[~~'1~.J
PHONE SIGNATURE~~~r1~ V~~k
A LICANT
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) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH LISL TOTAL
Shower 3.00 x =
Water Gloset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 ;c =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 _
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 :t =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations ' to exisung 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS•
OWNER NAME:
INSTALLER NAME-
STREET ADDRESS:
CITY: STATE: ZIP:
PHONE ( )
?
CITY USE ONLY
L 9 BL ~ RECEIPT
SUBD. ~Pi ~ 2_7~ DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are ~t required
for each dwelling unit.
DATE: --r~/ A6 CONTi~ACT PRICE:5^,'~~v ~
~
WORK TYPE: / NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: P $25.00 minimum fee 4L 1% of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of oemit fee due on all permits.
CONTRACT PRICE x 1% -1/0
PROCESSED PIPING
STATE SURCHARGE ~b
TOTAL ` Jl.~~. 9G
SITE ADDRESS:~
OWNER NAME: ~{hTt~l T/()lY1°f TELEPHONE q
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS: 1~W6_~5 Mi&-f
CITY: STATE: ZIP:=~~ x-/nv
PHONE
SIGNATUR~
LSIG TURE OF 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 family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
INSTALLER NAME:
STREET ADDRESS:
C ITY: STATE: ZI P:
PHONE { )
C~ CITY USE ONLY
L l BL ~ • RECEIPT#:
SUBD. C! ~.n~~,y,~.t~X.C
~~.vv D-Y\-Q RECEIPTDATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . single Tamily dwellings
. townhomes and condos when permits are required for each unit
~ backflow preventer for underground sprinkier system
FIXTURES EACH Z1Q TOTAL
Shower 3.00 x =
Water Cioset 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 =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' foi existing Ewelling 20.00 X I = 7C)-UO
U.G. Spfinkl0r ' for dwelling under const. 3.00 =
U.G. Sprinkler 'forexistingdwelling 20.00 =
Alte2tions ` to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' oak Cty iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' Abandonment 20.00 =
STATE SURCHARGE .50
TOTAL zi O
1 hereby atlcnowledge Nat I have read this application, state that the infortnation is correU, end agree to compy with all applitable City
of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the Cky of Eagan assumes no Iiabiiity for any
damages causetl by the City durirg ita nortnE405-D3917 aintena ~QivRies.tathaes anstruGetl urMer this pertnit within
City property/rightot-wayleasement. MRRY
SITEADDRESS: ON COURT
, nN 55122
OWNER NAME: W
INSTALLER NAME: TELEPHONE
STREET ADDRESS:
CIT Y: STATE: ZIP:
NORBLGT.1 P:UML':":3 CO. C ~
DBA VeNTC0612PBZ7h7 033P~1STALLEflS
2905 GARFIELD AVE. SOUTH S . URE OF PERMITTEE
MONNEAf'OLIS, MN 55408
a! I _
Serta~ I 3~ Co 0°1 ~
. Ch;P# oc~~ cqa ~o
Permit
Address:
~ 1 AGREE TO COMPLY WITH CITY OF EAGAN ~
ORDINANCES
Signature•
---~'~~v - - -
~x<:•~:>k,k~kt::~:s,:~~~:.xs:c:y:~:.i:~~:~.~~~~
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CITY USE ONLY
PERMIT 45~ RECEIPT DATE: C) ~
COM1KEfiCIAL PLUM8ING P£RMIT i4PPLICATION
CITYOF £AfiAP
3930 Pu.oT KNos Rn
fnsnx. MN ssi as
e51-e81-4e75
INCOMPLETE APPUCAAONS WILL /V07 BE PROCESSED
Date:
WORK TYPE New Bldg Add-on Repair _K"RPZ PVB ' Irrigation system
' Must complete revcrse side of application also. Required mcter size is 2" turbo unless smaller size permitted by Public Works
DESCRIPTION OF WORK ~ ' `e~~ 7- P
~j (n I ~ T~
To inquire if Pressure Reducing Valve is required on new service, ca11651-681-4646
METERS - Call 651-6814300 to verify that hydrostatic, conductivity, and bacteria cests passed prior to oickine uo meter
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" disolacement $149.00
Domestic Size & Type Avg GPM
Does this include high demand devices? _ Yes _ No
FLUSHOMETERS _ Yes ~o PRV REQUIRED _ Yes ~ No
Srte Address:
Tenant Name: Ujgg2 l" , f_r_ . ori Tel~eph~one
(wrea Code)
Was there a previous tenant in this space? _ Y_ N. If Yes, Name:
Installer Name: NdrJ CON Oje t-_<~ PL"v"~i"S rtkG Telephone ~ SoL -~7 S~I - I C~ J
Installer Address: )LI c1 6S LJ ~ S"7-lf 5 r- et) (ama coae)
~
Ciry: ~-l.t i S p?4-< [L v~ rN StaYe: Zip Code 1o
FEES Contract price $ t ~v x 1% ($50.00 minimum) Contract Fee $
Meter(s) $
Required on all new buildings & boulevard irrigation systems (Acct # 92204509) Radio Meter Read $
Surchazge: $.50 Minimum. If contract fee exceeds $1,000, calculate at State Surcharge $
50 cents per $1,000 contract fee.
Total From Reverse New Service S
Total S
I hereby acknowledge that 1 have read this application, s[ate that the infoanation is correct, and agree to comply with all applicable City of Eagan
ordinances. It is the applicant's responsibiliryto notify the propertyowner that the Ciry of Eagan assu es no liabili or anydamages caused bythe City
during its normal operational and maintenance activities to the facilities conshveted under is pe t within Croperty/right-of-way/easement.
P~
SIGNATURE OF PERMLGT.E n~7 2
r ~R ~r R I'I IC ~
CITY USE ONLY I II 1
I III
REQUIRED INSPECTIONS: _ U.G _ Air Test _ Gas Test _ Rough In ~ ; N, 2 5 2001 ~
uu
PLANSSUBMITTED APPROVEDBY: ,BUILDIN'.bIYSPECTOR
IRRIGATION SYSTEM (CONT)
Service: _ existing (if coming off domestic line) OR _ new
!j "new service", contact Jerry Wobschnll, Finunce Consultant, !o confrrm uddingfees jor:
Water Permit & Surcharge - $ 50.50 $
Water Supply & Storage - S 860.00 $
Water Treatment Plant Chargc - $516.00 per SAC unit $
Fees to be added to front side of application $
GENERAL INFORMATION .
• ltsdio Meter Read (rcquired on alI new buildings & boulevard irrigation systems- $153.00 (Acct Code # 9220-4504)
. Water meters include copperhom/strainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM n1ETERS USE PRICE
1-20 5/8" displacement residential $115.00 4-120 1-1/2" iaigation syst $ 727.00
sm commercial turbine"• *•must receive
maximum approval from
continuous Pu61ic Works
10
2-30 3/4" displaccment lawn irtigation $149.00 4-160 2" turbine Ig irtigation syst $ 899.00
maximum residential &
continuous sm commcrcia] production lines
IS
3-50 1" displacement very Ig res $194.00 1/4 to 160 2" campound bldgs over $ 1,757.00
bldg to 24 units 65 units
maximum sm commercial &
continuous & Ig comm bldgs
z5 irri a[ion s stems
5-100 1-1/2" bldgs 25-64 units $428.00
maximum displacemcnt &
continuous most comm bldgs
50
METERS REOUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very Ig urigation syst $1,184.00 6-500 4" compound +300 unit bldgs & $3,476.00
& production lines very Ig comm bldgs
I/2-320 3" compound +200 unit bldgs $2,212.00 10-1000 6" compound +400 unit bldgs $5,711.00
very lg comm bldgs very Ig comm bldg.s
I5-1000 4" turbine very Ig imgation syst $2,132.00
& production lines
Comments
. To schedule inspection of the inside watcr line and backflow prcventcr, call 651-681-4675.
. To arrange for watcr turn-on, ca11 65 1-68 1-4300.
cc; Kris Forscer. Maintenance Division Clerical Technician Updated 1/0I
Permit # Receipt Date:
CITY OF EACAN
SEWER/WATER REPAIR OR DISCONNECT PERMIT
2003
Date ~/-GC>-03 Sewer ~ Water Fee: $50.50
Address/area to be repaired J,?zq J/e!'/";l/ r olv G T ,S' 6
Description ,Se 4,, e/L IZeA.z-
Owner: 11/2G,., CoN L e~7'S 1;1~'T Telephone: ySL - Z S'~i /z o S'-'
St~
Street Address: c/S ; olt 13/ve-
Zip Code: S S-
~e t ,-y qS'z - 92z- 3oy3
Se~ ryi4~v~rson~ pluMbrtiyco
Installer: 3= ~T~~ Telephone: 41 z Ly/G
(azeacode)
Address: _ ~/SoG s rw.~.~ty y~~~ s o
City C46.1RJ~~ ~~~11N%QN ZipCode: --~a 7
Applicant's Printed Name plicanYs Signature
V. ~o
2006 RESIDENTIAI.. BUIj..DINC~i PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Construdion Reouiremenis RemodeVReoair Reoviremenis Office Use Orilv
3 registered sAe surveys showing sq. ft of iot sq. R of house; and all roo(ed areas 2 copies of plan showing foolings, beams, joists Cerfof Survey.Recd_?t;-:~
(20°hmaximumlotwverageallowed) lsetofEneryyCalcuWtionsforheatedaddNons Soils ReporlD'~;c-~~'; ~;~,<"~Y:`~•,N
a;-9
1 Soils RepoA if proposed buildNg is to be placed on disturbed soil 1 site survey for additions & decks TreePre's PIan,Recd',y,h i~2'_=Y~"~ `~N
Y._
2 copies of plan showing beam 8 window sizes; poured tound desgn, etc. Add'tion - indicale il on-sAe sepfic sysfem ,TFeeFies Reqglred~.`==:.'=+=_Y N
1 set of Energy Calculations On;site Se'pficSyslgmVr,r=N
3 copies of Tree Preservatron Plan M bt pWHed after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
Date/
0-/ Z~ / D 6 7C7 ~?v
Construction Cost
SiteAddress ~3q 11~1 1$ Iqi 3gl(.,~`~Iff~ 3$20~ 3gz1, IM, 3yZg 3830, Uniuste #~12 -
39 3.Z 3$311
DescriptionoCWork 4 f1,4P~ur ve~"~} LA 6'.'- M~sc ~-s ~`f /~f NPPa~c~
Multi-Family Bldg X" Y _ N Fireplace(s) _ 0_ 1 _ 2
p C " ~J
Property O~xer ~/e~ (,q.-, r ca.s e al+^ c S Telephone #(~S
Contractor "&'J
Address _!a44tr/-;- t- S~ City /V,1/' 1,
State /l'A-~ Zip ~S'TS S Telephone # ('jGS
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateQOrv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilalion Category 1 Worksheet . New Energy Code Worksheet
(Jsubmissiontype) Submitted ' Submitted
• Energy Envelope Calculations Submiried On~ 2 4
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masTer plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/WpterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved-p i he~case of work which requires a review and
prov o s. /
ApplicanYs Printed Name pp ' nYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex O 13 16-plez ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mulli
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multl Misc. .
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04•ptex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addilion O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bld9) - Give PCA handout to applicant
DBSCrIptlOfl: Water Damage _ Yes .
Valuation Occupancy MCES System
Plan Review 100%or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width .
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaUC.O.
_ Footings (addition) _ FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tesrs Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~ ~ 2 2
G ~
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m ~ • ~ £ ~ ~ ~ ~ 9 ~v ~ ~w ~q , ~ ~ ¢
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VERMILIION CARRIAGE HOMES Q>° 77' l{
Eagan, Minnesota
~ Z:p
cs,
\
i ~v7~,tsae i
_ Clty Of Ea~IaIl I Permit v~ 1(~ ~
I Permii Fee: 10,1V I
3830 Pllot Knob Road i i
EegOn MN 55122 ~ Date Receivetl._
Phone: (651) 675-5675 i i
Fax: (651) 675-5694 I StaH: t 7 C./
I - - - - - - - - - - - - - - - -
~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
oe=e: OV of SlteAddress: IO)Z, 3fr~a 3 a~~ 3~~ Ve0)ulCrai S
Tenant: Sulte
RESIDENT / OWNER Name: Phone:
Address / CRy / Zip:
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work: Aok/9C
Construction Cost: d Multi-Family 8uilding: (Yes No
CONTRACTOR Name: A/Sir L o/J,(iZ(C b
,//rl License 3,9 47
Address: 6?4? blaaJ4~ aj/~~ # fQ3
ciry:/22wCL-t~ 5tate: /J7N Zip: 56,7~5
1/
9
Phone: _ (~,3 - `Y'i q ' 000 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet
C8f8gOry Subnitted Submiried
N submisslon type) • Energy Envelope Calculations SWbmitled
In the last 12 months, hes the Clty of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Llcensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Weter Contractor: Phone:
NOTE: Plana and suppoK/ng documenfs thet you serbml! are consldered to be publlc InfortnaHon. Portlone of
the /nfomiedon mey be c/esslNed as non-perb!!c ff you provlde specJBC reasona thet warld perm/t the Lyry to
cortdirda thet the y"ere hade aecrete. _
I hereby ackrwwledge that this information is complete and eccurate; that the work w111 be in confortnance wilh the ordinances antl codes of the City of
Eagan; ihat I understand ihis is not a permit, but only an application for a permit, gnd work is not to start without a permit that the work will be in
accordance with the approved plan In the cese of work which requires a review and appro al of ptans.
=~4~.~.~.Lc-~a d X~-~1;~<<cl
Appl canYs Prlnted Name A canYs Slgnature
Page 1 ot 3
~
Cit of Ea an ~ P~~t~ 0 7_ ~
~ I PemR Fee:
3830 Pilot Knob Road
Eagan MN 55122 i osoe Rece;,red: j
Phone: (651) 675-5675 i ~
Fax: (651) 675-6694 . j Stat i
L
2009 COMMERCIAL BUILDING PERMIT APPLICATION
Date: ~`X 3'O Site Address: ag( S^. - 3$ 3tl U er,m i Iton Cot.r-I- ~Sa
TenantName: 352~, 3~~. 3 ~~8 3S3D 383~ (Tenantis:_New6tisting) Suiteif:
38A 38r(.e, 3S+S, 38?0, 3822. FortnerTenant
PROPER7Y OWNER Name: V E~MI~LLT~ns ? ?X7tAi G F}'Sswi GO
Address I City I Zip: R.G U n DT Q~V ~ A G A~
Applicant is: _ Owner _.V Contractor
TYPE OF WORK Description of vrork: T-A lZtPCE AQ A'1 SN;n~;Je5
Construction Cost:
CONTRACTOR Name: /-TWv MZ Cj~)nST C0 Gnse 01,0(03 lG-] J
nddress: 51yrS z1"muSC'R7.A~L. S-'"I' Z;uTTt-'•_. t03
cay:C'()Pr§. 1Pt.ATr~ State: Mn zP: 553S9
Phone:95o1• 743i •74SLA ContydPerson: `'P~
ARCHITECT / Name: Registration
ENGINEER
Address:
Ciry: State: Zip:
Phone: Contac[ Person:
Licensed plumber installing new sewer/water service: Phone
"-,'NOTE: `P,lans andysupporting'documents,fhat yoo submR are considered,to be public information:T•Portions`of'.;,
u?format~on may be class~ed as non poblrc ?f yoo pr'o"wde spec~c ~easons S+at would perinit the Crty to' _
conclunle'fhat the ..are fraale secrefs: ' « j,~,- ~.,.,a.,-+~
I hereby acknowledge that this infortnation is complete and aaurate; that the work will be in conformance with the ordinances and
codes of ihe City of Eagan; that I understand this is not a pertnit, but only an application for a pertnit, and work is not W staA wi[hou[ a
pertnit; thffi the work will be in acoordance xfith the approved plan in the case of work ui a evi nd approval of plans.
X C.(..P<C1Tu1 ItH.V, A~'~S ~[J_.ST~Z X
ApplicanYs Printed Name AppliwM' ' re
co~a~•~a•t~al mar~,-t~
Page 1 of 3
From:ALLSTAR CONSTRUCTION 19529427464 09/03/2013 10:09 #482 P.002/043
ft2 i MA t 3$te, ~)Wj H2Di X62?-
8 aIA , 3 82b , 829 , 830, ~j $32 i ?j g + Use BLUE or BLACK ink
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I For Office Use I
AML I
; Permit g: t 133 4
City of Eajan .
1
Permit Fee:* 152 P-5- 1
3630 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff:) I
I t
d 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: v 2 ( 20' Site Address: _MMI - 3 I &640n CDUtt SOL t 1' f Unit ft:
Name: Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: YOof And YL- sl d(m
Construction Cost: tr~ { I Multi-Family Building: (Yes No )
Company: -A&W C 1S IeW MlklAotAft Contact _ A1ft7i1li «i
Contractor Address: 5145 Ir1(~LVISIYI A S$. $UTA 103 City: A2011/ P17t i n
State: Zip: V3.3 I Phone: tJ2' - f~2 1 ~15~1
License F W31151 Lead Certificate NAT- ICAIDL4-0
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i
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: p
Sewer $ Water Contractor: _ Phone:
E NOTE. Plans and supporting documents that you submit are considered to be public information. PoWonS of
the information may be classified as non-public if you provide specific reasons that would permit the City to
M^ r s ~rx t M conclude that they are trade secrets.r~~_M_
CALL BEFORE YOU DIG. Calf 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.oooherstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota Late Building Code must be completed within 180
days of permit issuance.
x 74kSc31 x
Applicant's Printed Name Appli a s Signatull e
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131867
Date Issued:07/13/2015
Permit Category:ePermit
Site Address: 3812 Vermilion Ct S
Lot:112 Block: 04 Addition: Centex Vermilion 2nd
PID:10-16936-04-112
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Lindsay A Tenold
3812 Vermilion Ct S Unit 112
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147119
Date Issued:12/12/2017
Permit Category:ePermit
Site Address: 3812 Vermilion Ct S
Lot:112 Block: 04 Addition: Centex Vermilion 2nd
PID:10-16936-04-112
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 -
Lindsay A Tenold
3812 Vermilion Ct S Unit 112
Eagan MN 55122
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176488
Date Issued:05/18/2022
Permit Category:ePermit
Site Address: 3812 Vermilion Ct S
Lot:112 Block: 04 Addition: Centex Vermilion 2nd
PID:10-16936-04-112
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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 -
Lindsay A Tenold
3812 Vermillion Ct S Unit 112
Eagan MN 55122
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature